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Case of whistleblower whose career was “destroyed” prompts review of law

The UK government has promised to look again at a gap in whistleblower protection for junior doctors, after a judgment of the Employment Appeal Tribunal in March laid bare a gap in the law.  
feeds.bmj.com
over 3 years ago
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Can I Lose My House if I Get Sued?

It's possible that a plaintiff malpractice award judgment could be higher than the amount of a physician's malpractice insurance coverage. What then?  
medscape.com
over 3 years ago
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Introduction to Psychology 1.0 | Flat World Education

The most fundamental emotions, known as the basic emotionsThe emotions of anger, disgust, fear, happiness, sadness, and surprise., are those of anger, disgust, fear, happiness, sadness, and surprise. The basic emotions have a long history in human evolution, and they have developed in large part to help us make rapid judgments about stimuli and to quickly guide appropriate behavior (LeDoux, 2000).LeDoux, J. E. (2000). Emotion circuits in the brain. Annual Review of Neuroscience, 23, 155–184. The basic emotions are determined in large part by one of the oldest parts of our brain, the limbic system, including the amygdala, the hypothalamus, and the thalamus. Because they are primarily evolutionarily determined, the basic emotions are experienced and displayed in much the same way across cultures (Ekman, 1992; Elfenbein & Ambady, 2002, 2003; Fridland, Ekman, & Oster, 1987),Ekman, P. (1992). Are there basic emotions? Psychological Review, 99(3), 550–553; Elfenbein, H. A., & Ambady, N. (2002). On the universality and cultural specificity of emotion recognition: A meta-analysis. Psychological Bulletin, 128, 203–23; Fridlund, A. J., Ekman, P., & Oster, H. (1987). Facial expressions of emotion. In A. Siegman & S. Feldstein (Eds.), Nonverbal behavior and communication (2nd ed., pp. 143–223). Hillsdale, NJ: Lawrence Erlbaum Associates. and people are quite accurate at judging the facial expressions of people from different cultures. View "Video Clip: The Basic Emotions" to see a demonstration of the basic emotions.  
catalog.flatworldknowledge.com
over 3 years ago
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Louis Leon Thurstone - Wikipedia, the free encyclopedia

Louis Leon Thurstone (29 May 1887 – 30 September 1955) was a U.S. pioneer in the fields of psychometrics and psychophysics. He conceived the approach to measurement known as the law of comparative judgment, and is well known for his contributions to factor analysis.[1][2] A Review of General Psychology survey, published in 2002, ranked Thurstone as the 88th most cited psychologist of the 20th century, tied with John Garcia, James J. Gibson, David Rumelhart, Margaret Floy Washburn, and Robert S. Woodworth.[3]  
en.wikipedia.org
almost 4 years ago
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Tribunal was “unduly lenient” over psychiatrist’s deception, says High Court

The Medical Practitioners Tribunal Service made an error of judgment in finding that the fitness to practise of a psychiatrist who falsified dozens of documents was not impaired, a High Court judge has ruled.  
feeds.bmj.com
almost 4 years ago
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Memories of Robert B. Zajonc - Association for Psychological Science

Robert Zajonc was a consummate scientist, scholar and social science researcher. His was a remarkable life, a life led during a renaissance period of social psychology and he had much to do with its development and flourishing over the latter half of the 20th century. Exposed to all forms of personal suffering during his youth and young adulthood, Bob found his way to America and Ann Arbor after spending much of his formative period in his beloved Poland and France during WWII. These experiences would form the crucible for his professional and personal experiences for the remainder of his life. The facts of his scientific and professional contribution are easily documented — seven distinct scientific lines of inquiry; hundreds of scientific papers, each a seminal contribution; dozens of doctoral students, honorary degrees, scientific awards and medals — the list endless and richly deserved. Robert was also a builder. He served as head of the newly developed social psychology program in psychology at Michigan in the 1970s, Director of the Research Center for Group Dynamics in the 1980s, and Director of the Institute for Social Research in the 1990s. All received Robert’s unique imprint for rigor, quality, and innovation. Bob also played a seminal role in the development of social psychology in Europe, leading to the establishment of the Institute for Social Science Research in Warsaw. Bob was also a father, husband, friend, colleague, and mentor. As chronicled in these remembrances from his first doctoral student, Eugene Burnstein, to Piotr Winkielman, his last student at the University of Michigan, Bob passed along his remarkable scientific judgment and insights that will stand the test of history. But there are others in this list between these two bookend students, distinguished scientists all, Richard Nisbett, Susan Fiske, Mahzarin Banaji, Paula Niedenthal, John Bargh and Richard Moreland who were graduate students, colleagues, co-authors, and deep and abiding friends over the decades.  
psychologicalscience.org
almost 4 years ago
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Net benefit approaches to the evaluation of prediction models, molecular markers, and diagnostic tests

Many decisions in medicine involve trade-offs, such as between diagnosing patients with disease versus unnecessary additional testing for those who are healthy. Net benefit is an increasingly reported decision analytic measure that puts benefits and harms on the same scale. This is achieved by specifying an exchange rate, a clinical judgment of the relative value of benefits (such as detecting a cancer) and harms (such as unnecessary biopsy) associated with models, markers, and tests. The exchange rate can be derived by asking simple questions, such as the maximum number of patients a doctor would recommend for biopsy to find one cancer. As the answers to these sorts of questions are subjective, it is possible to plot net benefit for a range of reasonable exchange rates in a “decision curve.” For clinical prediction models, the exchange rate is related to the probability threshold to determine whether a patient is classified as being positive or negative for a disease. Net benefit is useful for determining whether basing clinical decisions on a model, marker, or test would do more good than harm. This is in contrast to traditional measures such as sensitivity, specificity, or area under the curve, which are statistical abstractions not directly informative about clinical value. Recent years have seen an increase in practical applications of net benefit analysis to research data. This is a welcome development, since decision analytic techniques are of particular value when the purpose of a model, marker, or test is to help doctors make better clinical decisions.  
feeds.bmj.com
almost 4 years ago
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hs-Troponins Associated With Exercise-Induced Ischemia

High-sensitivity troponin levels pre- and post-stress testing can be a significant predictor of myocardial ischemia and "provide substantial incremental value to clinical judgement," say researchers.  
medscape.com
about 4 years ago
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HITCHEN´S RAZOR

OK, but that hardly addresses the challenge of providing care based on best professional judgement where objective evidence is not available or practical to obtain. The future, from trauma care to cancer care, where “state of the art” is based on a combination of tradition & intuition, rather than double blind prospective trials. While there is tragedy to be discovered in those practices, that is also the starting point for improvements beyond the current state of practice. How does a provider (0r a patient) tell the difference?  
scancrit.com
about 4 years ago
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Seven days in medicine: 21-27 November

Medics call on Dublin to change abortion law More than 800 doctors from 44 countries joined a campaign run by Amnesty International to decriminalise abortion in Ireland. In a letter to the Irish government they warned that the current law was putting the lives of women at risk: “[The criminalisation of abortion] impedes and disregards sound medical judgment and can undermine the professional duty of care and confidentiality that doctors bear towards their patients.”  
feeds.bmj.com
about 4 years ago
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Seven days in medicine: 21-27 November

Medics call on Dublin to change abortion law More than 800 doctors from 44 countries joined a campaign run by Amnesty International to decriminalise abortion in Ireland. In a letter to the Irish government they warned that the current law was putting the lives of women at risk: “[The criminalisation of abortion] impedes and disregards sound medical judgment and can undermine the professional duty of care and confidentiality that doctors bear towards their patients.”  
feeds.bmj.com
about 4 years ago
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Medications for cognitive decline in people with Down syndrome | Cochrane

People with Down syndrome often experience cognitive decline (a deterioration in memory, language, thinking and judgment that are greater than normal age-related changes) at a younger age and in greater numbers than the general population. Various medicines have been shown to improve, or at least slow down the progression of these symptoms in people without Down syndrome.  
cochrane.org
about 4 years ago
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Smoking: workplace interventions | Guidance and guidelines | NICE

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.  
nice.org.uk
about 4 years ago
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Donor milk banks: service operation | Guidance and guidelines | NICE

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.  
nice.org.uk
about 4 years ago
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Child maltreatment: when to suspect maltreatment in under 18s | Guidance and guidelines | NICE

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.  
nice.org.uk
about 4 years ago
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Rehabilitation after critical illness in adults | Guidance and guidelines | NICE

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.  
nice.org.uk
about 4 years ago
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Otitis media with effusion in under 12s: surgery | Guidance and guidelines | NICE

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.  
nice.org.uk
about 4 years ago
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Gallstone disease: diagnosis and initial management | Guidance and guidelines | NICE

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.  
nice.org.uk
about 4 years ago
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Multiple sclerosis in adults: management | Guidance and guidelines | NICE

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.  
nice.org.uk
about 4 years ago
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Critical Care

Community-acquired pneumonia (CAP) requires prompt treatment, but its diagnosis is complex. Improvement of bacterial CAP diagnosis by biomarkers has been evaluated using chest X-ray infiltrate as the CAP gold standard, producing conflicting results. We analyzed the diagnostic accuracy of biomarkers in suspected CAP adults visiting emergency departments for whom CAP diagnosis was established by an adjudication committee which founded its judgment on a systematic multidetector thoracic CT scan.  
ccforum.com
over 4 years ago