Disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. For patients living with multiple chronic conditions, such disconnects can be particularly detrimental. Lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

compassion is a complex process that is innate, determined in part by individual traits, and modulated by a myriad of conscious and unconscious factors, immediate context, social structures and expectations, and organizational “culture.” compassion is an ethical foundation of healthcare and a widely shared value; it is not an optional luxury in the healing process. while the interrelations betw...

disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. for patients living with multiple chronic conditions, such disconnects can be particularly detrimental. lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

The severity of coronary artery disease is an important determinant of prognosis after acute myocardial infarction. The ability of a symptom limited exercise test to predict the presence of triple vessel disease was assessed in 221 patients three weeks after infarction. Coronary angiography was performed in patients with exercise induced ST segment depression. The presence of ST segment depress...

Compassion is a complex process that is innate, determined in part by individual traits, and modulated by a myriad of conscious and unconscious factors, immediate context, social structures and expectations, and organizational “culture.” Compassion is an ethical foundation of healthcare and a widely shared value; it is not an optional luxury in the healing process. While the interrelations betw...

The coordination properties of the beta-keto phosphine ligands R(2)PCH(2)C(O)Ph (, R = i-Pr; , R = Ph), of the new acetamide-derived phosphine ligand (i-Pr)(2)PNHC(O)Me () and of Ph(2)PNHC(O)Me () have been examined towards Ni(ii) complexes. Comparisons are made between systems in which the PCH(2) function of the ketophosphine has been replaced with an isoelectronic PNH group in amide-derived l...

BACKGROUND Seeing triple is a rare complaint, so anatomically unlikely that it is often considered a diagnostic symptom of hysteria. OBJECTIVE To evaluate the complaint of triple vision among a large group of neurological inpatients. DESIGN Personal case series during a 34-year period. SETTING Neurology and neurosurgery wards of the University of Southern California-Los Angeles County Med...

M e t h o d s Data sources: An existing systematic review was updated. Studies were identified by searching 6 electronic databases {MEDLINE (1966 to 2002), EMBASE/Excerpta Medica (1988 to 2002), CINAHL (1982 to 2002), the Cochrane Controlled Trials Register (2002), and SIGLE}*. Study selection and assessment: Studies of any publication status in any language were selected if they were randomize...