Physicians knowledge

I An institutional physician knowledgeable about human poisoning should be notified that the work is in progress, and this physician should be given the names of all persons who handle the toxin. Similarly, all laboratory persons should know the identity and whereabouts of the physician knowledgeable about poisoning. 

The results of the sweat test must be interpreted in light of the patient s clinical presentation by a physician knowledgeable about CF. There are several conditions other than CF that are associated with elevations in sweat electrolytes (Box 27-1). These conditions usually are distinguishable from CF based on the patient s clinical presentation. 

CME and associated credit requirements have to be earned by health practitioners in most westernized countries to ensure that physician knowledge and practice are up to date. The providers of this education may be universities, professional associations or not-for-profit firms or departments that are separate from sales organizations within pharmaceutical companies. Pharmaceutical manufacturers may provide funding for these events, but may not be involved in other aspects of the programs. In the United States, the courses must comply with the relevant accrediting bodies, and are subject to scrutiny and monitoring. 

Elliott, T.E. Murrary, D.M. Elliott, B.M. Braun, B. Oken, M.M. Johnson, K.M. Post-White, J. Lichtblau, L. Physician knowledge and attitudes about cancer pain management A survey from the Minnesota Cancer Pain Project. J. Pain Symptom Manage. 1995, 10 (7), 494-504. 

Kelling JS, Strohl KP, Smith RL, Altose MD. Physician knowledge of the use of canister nebulisers. Chest 1983 83 612-614. 

Hanania NA, Wittman R, Kesten S, Chapman KR. Medical personnel s knowledge of and ability to use inhaling devices metered dose inhalers, spacing chambers, and breath-activated dry powder inhalers. Am Rev Respir Dis 1993 147 SSA983. Kelling JS, Strohl KP, Smith RL, Altose MD. Physician knowledge in use of canister nebulizers. Chest 1983 83 612-614. 

Any exposures outside the emergency limits should be evaluated by a health physics technician and a physician knowledgeable in radiation management. 

If arsine is inhaled or suspected of being inhaled, rescuers, after donning proper protective clothing and equipment, should immediately remove the victim to fresh air. Arsine is not known to be skin absorbable. In all cases of exposure, immediate treatment by a physician knowledgeable of the toxic properties of this gas is required even if no symptoms are present. Specific medical information is available in... 

Death from severe asthma in some sensitized subjects has been reported. Workers potentially exposed to isocyanates who experience persistent or recurring eye irritation, nasal congestion, dry or sore throat, cold-like S5rmptoms, cough, shortness of breath, wheezing, or chest tightness should see a physician knowledgeable in work-related health problems. 

Because of the increa sing worldwide interest and demand for simple, effective, and inexpensive female sterilisation, a variety of procedures and methods have been developed. These approaches differ whether they are performed postpartum, postabortum, or in interval situations. The choice of methods also largely depends upon the physician s prior training, knowledge, and experience. Excellent reviews have been written on sterilisation (98). 

The occupational physician for a project should be identified and, for HAZWOPER jobs, is required to be board certified in occupational medicine [4]. For any job that involves exposure to hazardous substances, it is important that you locate and use an occupational physician (sometimes referred to in the field as an Oc Doc) who is knowledgeable about the hazards that your workers are exposed to. Sometimes in medicine, as in many other fields, working with a physician who specializes in the hazard that your company deals with can be a lifesaver. 

In general, with the exception of the central role that benzodiazepines play in the treatment of alcohol withdrawal, the use of medications that have been approved for alcoholism rehabilitation remains very limited. A survey of nearly 1,400 addiction physicians showed that they prescribed disulfiram to only 9% of their alcoholic patients and that naltrexone was prescribed for only slightly higher proportion of patients (13%) (Market al. 2003). These tesults contrast with findings for antidepressants, which were prescribed to 44% of alcoholic patients. Although neatly all of these physicians had heatd of both disulfiram and naltrexone, their self-reported level of knowledge of these medications was much lowet than that of antidepressants. 

Knowledge of the biochemistry of the porphyrins and of heme is basic to understanding the varied functions of hemoproteins (see below) in the body. The porphyrias are a group of diseases caused by abnormalities in the pathway of biosynthesis of the various porphyrins. Although porphyrias are not very prevalent, physicians must be aware of them. A much more prevalent clinical condition is jaundice, due to elevation of bilirubin in the plasma. This elevation is due to overproduction of bilirubin or to failure of its excretion and is seen in numerous diseases ranging from hemolytic anemias to viral hepatitis and to cancer of the pancreas. 

SP Curley, DP Connelly, EC Rich. Physicians use of medical knowledge resources preliminary theoretical framework and findings. Med Decision Making 10 231-241, 1990. 

Lemery, Nicholas. A COURSE OF Chymistry. CONTAINING An easie method of preparing those Chymical Medicins which are used in PHYSICK. WITH Curious remarks and Useful Discourses upon each Preparation, for the Benefit of such who desire to be instructed in the Knowledge of this ART. The Second Edition very much Inlarged Translated from the Fifth Edition in the French, By WALTER HARRIS, M.D. Fellow of the College of Physicians. London Printed by R.N. for Walter Kettilby, at the Bishop s Head in S. Pauls Church-yard, 1686. 

I disagree strongly with the Don t ask don t tell policy. Without accurate knowledge, patients and physicians cannot make informed treatment decisions, researchers will ask the wrong questions and policymakers will implement misinformed policies. If the antidepressant effect is largely or entirely a placebo effect, it is important that we know this. If placebos can make people better, then depression can be ameliorated without reliance on drugs that have potentially serious side effects and that foster dependency. 

---