Clinical teams

In the event that an aggressive act leads to injury or even death, the clinical team should review the event and provide support to each other. In addition, depending on the situation, the clinical team may want to remain available to family members or guardians, as well as to others involved in the child s care, to provide support and education in the aftermath of such an event. 

Other Localizations. Results of proton beam therapy for other tumor types and localizations have been reported, in particular, for retinoblastoma and age-related macular degeneration [2]. In the pioneering centers, patient selection, special care applied to each treatment, as well as expertise of the multidisciplinary clinical teams make it difficult to conclude whether the excellent results were due to the protons themselves or reflect the expertise of the different teams. 

Their proposal won FDA approval, the first gene therapy trial everto inject AAV. In June 1999 the clinical team injected the first patient with genetically altered AAV. The procedure was uneventful. Two more patients followed. As the team reported in the March 2000 issue of Nature Genetics, at the suboptimal dose used in the study, meant only to detect manifest safety problems, the first three patients showed no untoward effects and no detectable antibodies [6]. Within 12 weeks after the injec-(Continued on next page)... 

Properly defined BE end points (evaluated by Clinical Team)... 

Summary results indicate superiority of active treatments (test and reference) over vehicle/placebo (p < 0.05) (evaluated by Clinical Team)... 

Objective measures of disease. The clinical team will monitor the patient s response to treatment by CT scan or other objective measure of tumour size in any original sites of disease (ie. primary tumour in the colon or sites of metastases). This is typically done every 6-8 weeks during treatment. 

The International Clinical Team (ICT) has an important role in determining the quality selection of clinical investigators. Selection criteria will be based upon the needs of the CDP and the individual protocols. Quality investigators can be identified by... 

Clinical teams should design database before the trial begins, reduce the amount of data collected, use standardized CRFs and complete the review process on an ongoing basis. The philosophy is do it right, first time at the source. 

The conclusions of the clinical team reporting this case are succinct The most plausible explanation of our patient s differentiation of a female gender identity is that sex-of-rearing as a female, beginning at around age 7 months, overrode any putative influences of a normal prenatal masculine sexual... 

Key members of the clinical team within the pharmaceutical company may (but not necessarily need to) be authors. 

Davis, R. N. (1993), Cross-functional Clinical Teams Significant Improvement in Operating Room Quality and Productivity, Journal of the Society for Health Systems, Vol. 4, No. 1, pp. 34-47. 

A member of staff could be allocated to the wrong clinical team on the system or to no team at all Investigation results placed by the staff member could be sent to the wrong team and therefore not be available to support a clinician s decision making... 

A member of staff could be allocated to the wrong clinical team or to An administrative user responsible for allocating staff members to teams could select the wrong team The system displays a confirmation screen before the allocation is made clearly showing the full details of the selected team and staff member... 

As indicated earlier, the information available for cHnical gait interpretation may include static physical examination measures, stride and temporal data, segment and joint kinematics, joint kinetics, electromyograms, and a video record. With this information, the clinical team can assess the patienf s gait deviations, attempt to identify the etiology of the abnormahties and recommend treatment alternatives. In this way, clinicians are able to isolate the biomechanical insufficiency that may produce a locomotive impairment and require a compensatory response from the patient. For example, a patient may excessively elevate a pelvis (compensatory) in order to gain additional foot clearance in swing, which is perhaps inadequate due to a weak ankle dorsiflexor (primary problem). 

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