M Brezis

..The interface between economics and health care calls for creative thinking, with a novel definition for the social value of medical and nursing care according to their quality and not their quantity...

..The reason for the disappearance of old drugs is a combination of market failures and failures in production and regulatory processes. System revisions are needed to allow continued availability of old, safe and effective drugs...

..reproductive technology (ART), bioethicists, medical students and the general population toward the questions: do you support access to oocyte cryopreservation to preserve fertility for personal reasons and who should bear the costs?..

..As those most affected are the sick, the poor and the least educated, free market successes appear to pose unsolvable challenges to social justice in public health...

..To assess quality of informed consent among patients undergoing procedures and patient's preferences about decision-making...

..In our experience, this modality improves the quality of clinical learning and deserves further evaluation...

..The presence and extent of outer medullary hypoxic damage cannot be predicted from the functional derangement, which in the experimental settings may also represent prerenal azotemia or papillary damage...

..Contrast studies, forced hydration and NSAIDs for renal colic are potentially harmful and their use should be re-evaluated...

..The objective of the study was to explore a possible role for altered nitric oxide (NO) production or bioavailability in these hemodynamic responses...

..05). It is concluded that under special conditions, such as altered medullary oxygen balance or defective nitric oxide or prostaglandin synthesis, endotoxin may predispose to hypoxic outer medullary tubular damage...

..NO and endothelin participate in LPS-induced vascular responses that may predispose to hypoxic tubular damage...

..This review summarizes the principles applied to teaching these subjects to medical students, as well as to students in Master's programs who will pursue careers in public health or clinical research...

..Evaluation and improvement of pain management in our emergency department (ED)...

..51 and -0.72, respectively, p < 0.003). This cogent inverse association might imply that disruption of the proximal nephron attenuates downstream mTAL necrosis by a reduction of distal tubular reabsorptive workload...

..We assessed the value of PEs in 500 diagnoses of upper respiratory infection (URI) and the attitudes of 123 doctors regarding the utility of PEs in virtual cases...

..COX selectivity may not explain the renal safety of nabumetone...

..Several reports indicate flaws in the criteria for performing PEG and in the decision-making process, raising concerns about the adequacy of the consent...

..This differential response suggests that the success of a quality improvement project strongly depends on topic content and its phase of acceptance...

..The presence of a single misleading detail may lead clinicians down a cognitive and actual path toward an incorrect diagnosis...

..We conclude that transient ureteral obstruction predisposes to ascending pyelonephritis and to tubulointerstitial disease. This vulnerability may relate to altered urodynamics and medullary tissue destruction...

..Physician compliance with hand hygiene guidelines often has been reported as insufficient...

..Theses two outcomes improved significantly after the intervention. This study demonstrates how nurses can play a major role in both patient and staff education and with performing organizational chance to strengthen patient safety...

..The aim of this study was to prospectively determine interobserver agreement between on-call radiology residents and specialists in the interpretation of computed tomographic pulmonary angiography (CTPA)...

..CONCLUSION: CT findings correlated with colonoscopic findings only in approximately half of the cases. Relying on non-prepared CT scan findings in planning patient management and colonoscopy may lead to unnecessary diagnostic work-ups...

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..Attitudes and barriers to implementing EBM have been examined extensively, but scant evidence exists regarding the impact of EBM teaching on primary care physicians' point of care behavior...

..To improve our understanding of the cultural, religious, and environmental barriers and enablers to physical activity, we conducted a qualitative study among Arab Israeli college students in Israel...

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..To date, primary care doctors' (PCDs) evidence-based medicine (EBM) skills have rarely been studied. We conducted a cross-sectional study to evaluate PCDs' practical EBM skills and to determine risk markers associated with these skills...