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Full-Text Articles in Medicine and Health Sciences

Genetic Modification Of Animals: Scientific And Ethical Issues, Jarrod Bailey Jul 2019

Genetic Modification Of Animals: Scientific And Ethical Issues, Jarrod Bailey

Jarrod Bailey, PhD

No abstract provided.


Ethical And Scientific Pitfalls Concerning Laboratory Research With Non-Human Primates, And Possible Solutions, Constança Carvalho, Augusta Gaspar, Andrew Knight, Luís Vicente Jul 2019

Ethical And Scientific Pitfalls Concerning Laboratory Research With Non-Human Primates, And Possible Solutions, Constança Carvalho, Augusta Gaspar, Andrew Knight, Luís Vicente

Andrew Knight, PhD

Basic and applied laboratory research, whenever intrusive or invasive, presents substantial ethical challenges for ethical committees, be it with human beings or with non-human animals. In this paper we discuss the use of non-human primates (NHPs), mostly as animal models, in laboratory based research. We examine the two ethical frameworks that support current legislation and guidelines: deontology and utilitarianism. While human based research is regulated under deontological principles, guidelines for laboratory animal research rely on utilitarianism. We argue that the utilitarian framework is inadequate for this purpose: on the one hand, it is almost impossible to accurately predict the benefits …


Contribution Of Animal Models To Contemporary Understanding Of Attention Deficit Hyperactivity Disorder, Constança Carvalho, Mariana Vieira Crespo, Luísa Ferreira Bastos, Andrew Knight, Luís Vincente Jul 2019

Contribution Of Animal Models To Contemporary Understanding Of Attention Deficit Hyperactivity Disorder, Constança Carvalho, Mariana Vieira Crespo, Luísa Ferreira Bastos, Andrew Knight, Luís Vincente

Andrew Knight, PhD

Attention Deficit Hyperactivity Disorder (ADHD) is a poorly understood neurodevelopmental disorder of multifactorial origin. Animal-based research has been used to investigate ADHD etiology, pathogenesis and treatment, but the efficacy of this research for patients has not yet been systematically evaluated. Such evaluation is important given the resource consumption and ethical concerns incurred by animal use.

We used the citation tracking facility within Web of Science to locate citations of original research papers on animal models related to ADHD published prior to 2010 identified in PubMed by relevant search terms. Human medical papers citing those animal studies were carefully analyzed by …


Tempat Sunat Laser Di Jakarta.Docx, Klinik Sentosa Jul 2019

Tempat Sunat Laser Di Jakarta.Docx, Klinik Sentosa

Klinik Sentosa

Tempat Sunat Laser Di Jakarta? [Telp: 081366657878]. Sunat adalah semacam operasi kecil untuk melepas kulup atau kulit yang menutupi ujung penis. Di Indonesia sunat bukan suatu hal yang asing. Lalu dimana tempat sunat laser terbaik di Jakarta untuk pria dewasa?


Apa Manfaat Sunat Laser Bagi Pria.Docx, Klinik Sentosa Jul 2019

Apa Manfaat Sunat Laser Bagi Pria.Docx, Klinik Sentosa

Klinik Sentosa

Apa Manfaat Sunat Laser Bagi Pria? [Telp: 081366657878]. Apa saja manfaat sunat laser bagi pria dewasa? Pertanyaan ini kemungkinan muncul dalam pikiran Anda sebagai seorang pria yang belum disunat, dan berencana ingin melakukan tindakan sunat laser. Mengingat, saat ini telah banyak pria dewasa yang sadar akan banyaknya manfaat sunat.


Apa Penyebab Kulup Tidak Bisa Ditarik.Docx, Klinik Sentosa Jul 2019

Apa Penyebab Kulup Tidak Bisa Ditarik.Docx, Klinik Sentosa

Klinik Sentosa

Apa Penyebab Kulup Tidak Bisa Ditarik? [Telp: 081366657878]. Apa Anda pernah mengalami kulit kulup tidak bisa ditarik ketika ingin membersihkan alat kelamin? banyak yang tidak mengetahui penyebab kulup tidak bisa ditarik dan bahaya akan terjadi jika kondisi ini terjadi dan menganggap remeh.


Mengenal Klinik Servisitis Terbaik Di Kelapa Gading Jakarta.Docx, Klinik Sentosa Jul 2019

Mengenal Klinik Servisitis Terbaik Di Kelapa Gading Jakarta.Docx, Klinik Sentosa

Klinik Sentosa

Klinik Servisitis Terbaik di Kelapa Gading Jakarta? [Telp: 081366657878]. Obati peradangan pada serviks di klinik servisitis terbaik di Kelapa Gading Jakarta. Alat reproduksi wanita dapat mengalami gangguan kesehatan. Salah satu masalah yang dapat terjadi pada alat reproduksi wanita adalah servisitis. Servisitis merupakan peradangan pada leher rahim atau serviks akibat infeksi, alergi, maupun pertumbuhan bakteri yang berlebihan.


Bias During The Evaluation Of Animal Studies, Andrew Knight Jul 2019

Bias During The Evaluation Of Animal Studies, Andrew Knight

Andrew Knight, Ph.D.

My recent book entitled The Costs and Benefits of Animal Experiments seeks to answer a key question within animal ethics, namely: is animal experimentation ethically justifiable? Or, more precisely, is it justifiable within the utilitarian cost:benefit framework that fundamentally underpins most regulations governing animal experimentation? To answer this question I reviewed more than 500 scientific publications describing animal studies, animal welfare impacts, and alternative research, toxicity testing and educational methodologies. To minimise bias I focused primarily on large-scale systematic reviews that had examined the human clinical and toxicological utility of animal studies. Despite this, Dr. Susanne Prankel recently reviewed my …


Conscientious Objection To Harmful Animal Use Within Veterinary And Other Biomedical Education, Andrew Knight Jul 2019

Conscientious Objection To Harmful Animal Use Within Veterinary And Other Biomedical Education, Andrew Knight

Andrew Knight, PhD

Laboratory classes in which animals are seriously harmed or killed, or which use cadavers or body parts from ethically debatable sources, are controversial within veterinary and other biomedical curricula. Along with the development of more humane teaching methods, this has increasingly led to objections to participation in harmful animal use. Such cases raise a host of issues of importance to universities, including those pertaining to curricular design and course accreditation, and compliance with applicable animal welfare and antidiscrimination legislation. Accordingly, after detailed investigation, some universities have implemented formal policies to guide faculty responses to such cases, and to ensure that …


A Review Of Osteoporosis Management In Younger, Premenopausal Women, A. N. Mclendon, C. B. Woodis Jul 2019

A Review Of Osteoporosis Management In Younger, Premenopausal Women, A. N. Mclendon, C. B. Woodis

Amber McLendon

The purpose of this review is to describe the available evidence for osteoporosis treatments in young and premenopausal women. A review of articles evaluating the treatment or prevention of osteoporosis in young (age less than 50 years) or premenopausal women was conducted. Several trials evaluating the treatment of anorexia nervosa and use of hormone therapy in those women, the use of bisphosphonates in women undergoing chemotherapy for breast cancer and the use of bisphosphonates, teriparatide and vitamin D in women with glucocorticoid-induced osteoporosis are described. Limited data were found to support the treatment of osteoporosis in women with idiopathic osteoporosis …


Tempat Sunat Laser Jakarta Terbaik.Docx, Klinik Sentosa Jul 2019

Tempat Sunat Laser Jakarta Terbaik.Docx, Klinik Sentosa

Klinik Sentosa

Tempat Sunat Laser Jakarta Terbaik? [Telp: 081366657878]. Tempat sunat laser Jakarta menjadi pilihan beberapa orang yang ingin melakukan pemotongan pada kulit kulupnya. Sunat bertujuan untuk mengangkat jaringan yang menutupi ujung kemaluan atau kulup. Proses penyunatan pada bayi biasanya membutuhkan waktu sekitar 5 hingga 10 menit. Sementara itu, bagi anak-anak maupun orang dewasa akan memakan waktu selama 1 jam dan akan sembuh setelah 5 sampai 7 hari.


Rumah Sunat Kelapa Gading Terpercaya.Docx, Klinik Sentosa Jul 2019

Rumah Sunat Kelapa Gading Terpercaya.Docx, Klinik Sentosa

Klinik Sentosa

Rumah Sunat Kelapa Gading Terpercaya? [Telp: 081366657878]. Rumah sunat Kelapa Gading kini melayani pasien dari anak-anak hingga orang dewasa. Sunat atau khitan merupakan tindakan pemotongan atau menghilangkan sebagian atau seluruh kulit yang menutupi kepala alat kelamin pria. Khitan sangat bermanfaat untuk mengurangi risiko infeksi akibat penyakit menular seksual. Pada umumnya, prosedur khitan pada anak dan orang dewasa tidak jauh berbeda. Biasanya khitan membutuhkan waktu sekitar 10 menit dengan beberapa prosedur lain, seperti pembiusan berupa bius lokal, separuh badan, atau bius umum.


Manakah Klinik Ejakulasi Dini Terbaik Di Kelapa Gading Jakarta.Docx, Klinik Sentosa Jul 2019

Manakah Klinik Ejakulasi Dini Terbaik Di Kelapa Gading Jakarta.Docx, Klinik Sentosa

Klinik Sentosa

Manakah Klinik Ejakulasi Dini Terbaik di Kelapa Gading Jakarta? [Telp: 081366657878]. Klinik ejakulasi dini terbaik di kelapa gading Jakarta siap membantu Anda untuk mengatasi masalah ejakulasi dini yang Anda alami. Mengalami ejakulasi dini adalah hal yang cukup mengganggu. Pasalnya, kehidupan seksual pria dan pasangannya dapat terganggu akibat gangguan proses ejakulasi yang berlangsung terlalu cepat.


Konsumsi Makanan Untuk Disfungsi Ereksi Berikut Ini.Docx, Klinik Sentosa Jul 2019

Konsumsi Makanan Untuk Disfungsi Ereksi Berikut Ini.Docx, Klinik Sentosa

Klinik Sentosa

Makanan untuk Disfungsi Ereksi? [Telp: 081366657878]. Mengatasi menurunnya hasrat seksual dapat dilakukan dengan makanan untuk disfungsi ereksi agar tidak mengganggu ketika berhubungan seksual dengan pasangan. Disfungsi ereksi merupakan salah satu jenis masalah seksual yang biasa dialami pria. Pada saat berhubungan seksual, ereksi adalah klimaks yang memberikan kepuasan. Saat disfungsi ereksi terjadi, maka tidak hanya penderitanya saja yang rugi, namun juga pasangan seksualnya.


Ini Klinik Vaginoplasty Terbaik Di Kelapa Gading Jakarta.Docx, Klinik Sentosa Jul 2019

Ini Klinik Vaginoplasty Terbaik Di Kelapa Gading Jakarta.Docx, Klinik Sentosa

Klinik Sentosa

Klinik Vaginoplasty Terbaik di Kelapa Gading Jakarta? [Telp: 081366657878]. Mencari klinik vaginoplasty terbaik di Kelapa Gading Jakarta? Kenali dulu vaginoplasty. Vaginoplasty merupakan sebuah prosedur yang dapat digunakan untuk mengencangkan vagina. Seiring bertambahnya usia, ada banyak hal yang dapat membuat vagina semakin mengendur dan tak seindah saat muda.


Di Mana Alamat Rumah Sakit Sunat Terbaik Di Jakarta.Docx, Klinik Sentosa Jul 2019

Di Mana Alamat Rumah Sakit Sunat Terbaik Di Jakarta.Docx, Klinik Sentosa

Klinik Sentosa

Di mana Alamat Rumah Sakit Sunat Terbaik di Jakarta? [Telp: 081366657878]. Alamat rumah sakit sunat terbaik di Jakarta sudah sangat mudah ditemukan di internet. Kebanyakan tempat khitan atau rumah sakit sunat di Jakarta menawarkan fasilitas yang bagus dan meyakinkan pasiennya dengan mengutamakan pelayanan yang maksimal. Salah satu tempat sunat terbaik di Jakarta adalah Klinik Utama Sentosa. Klinik Utama Sentosa merupakan klinik spesialis dalam menangani masalah penyakit kulit dan kelamin terpercaya di Jakarta.


Makanan Penyebab Lemah Syahwat Yang Perlu Diketahui.Docx, Klinik Sentosa Jul 2019

Makanan Penyebab Lemah Syahwat Yang Perlu Diketahui.Docx, Klinik Sentosa

Klinik Sentosa

Makanan Penyebab Lemah Syahwat? [Telp: 081366657878]. Makanan penyebab lemah syahwat bisa tanpa sadar dikonsumsi terlalu sering. Penyakit impotensi bisa juga disebabkan oleh faktor psikologis dan faktor fisik. Faktor psikologis yang meningkatkan risiko terjadinya impotensi, antara lain rasa cemas, depresi, dan khawatir berlebih pada kinerja seksual diri sendiri. Sementara itu, faktor fisik disebabkan karena adanya gejala penyakit medis, seperti diabetes.


Bahaya Penyakit Sipilis Jika Masuk Tahap Tersier.Docx, Klinik Sentosa Jul 2019

Bahaya Penyakit Sipilis Jika Masuk Tahap Tersier.Docx, Klinik Sentosa

Klinik Sentosa

Bahaya Penyakit Sipilis Jika Masuk Tahap Tersier? [Telp: 081366657878]. Kematian merupakan salah satu bahaya penyakit sipilis yang terburuk. Sipilis bukanlah penyakit yang bisa Anda remehkan. Pasalnya penyakit ini adalah penyakit yang dapat menular. Tak hanya pada pasangan seksualnya, penyakit ini bahkan dapat menular pada bayi jika diderita oleh wanita hamil.


Canine Dystocia In 50 Uk First-Opinion Emergency Care Veterinary Practices: Clinical Management And Outcomes, Dan G. O'Neill, Aoife M. O'Sullivan, Erin A. Manson, David B. Church, Paul Mcgreevy, Amanda K. Boag, Dave C. Brodbelt Jul 2019

Canine Dystocia In 50 Uk First-Opinion Emergency Care Veterinary Practices: Clinical Management And Outcomes, Dan G. O'Neill, Aoife M. O'Sullivan, Erin A. Manson, David B. Church, Paul Mcgreevy, Amanda K. Boag, Dave C. Brodbelt

Paul McGreevy, PhD

Canine dystocia is a relatively common veterinary presentation. First opinion emergency care clinical data from 50 Vets Now clinics across the UK were used to explore dystocia management and outcomes in bitches. Caesarean section (CS) was performed on 341/701 (48.6 per cent (95 per cent CI 44.9 to 52.4)) of dystocia cases. The bulldog (OR 7.60, 95 per cent CI 1.51 to 38.26, P=0.014), Border terrier (OR 4.89, 95 per cent CI 0.92 to 25.97, P=0.063) and golden retriever (OR 4.07, 95 per cent CI 0.97 to 17.07, P=0.055) had the highest odds of CS among dystocic bitches compared with …


Perception Of Emotional Valence In Horse Whinnies, Elodie Briefer, Roi Mandel, Anne-Laure Maigrot, Sabrina Briefer Freymond, Iris Bachmann, Edna Hillmann Jul 2019

Perception Of Emotional Valence In Horse Whinnies, Elodie Briefer, Roi Mandel, Anne-Laure Maigrot, Sabrina Briefer Freymond, Iris Bachmann, Edna Hillmann

Elodie Briefer, PhD

Background: Non-human animals often produce different types of vocalisations in negative and positive contexts (i.e. different valence), similar to humans, in which crying is associated with negative emotions and laughter is associated with positive ones. However, some types of vocalisations (e.g. contact calls, human speech) can be produced in both negative and positive contexts, and changes in valence are only accompanied by slight structural differences. Although such acoustically graded signals associated with opposite valence have been highlighted in some species, it is not known if conspecifics discriminate them, and if contagion of emotional valence occurs as a result. We tested …


Encoding Of Emotional Valence In Wild Boar (Sus Scrofa) Calls, Anne-Laure Maigrot, Edna Hillmann, Elodie Briefer Jul 2019

Encoding Of Emotional Valence In Wild Boar (Sus Scrofa) Calls, Anne-Laure Maigrot, Edna Hillmann, Elodie Briefer

Elodie Briefer, PhD

Measuring emotions in nonhuman mammals is challenging. As animals are not able to verbally report how they feel, we need to find reliable indicators to assess their emotional state. Emotions can be described using two key dimensions: valence (negative or positive) and arousal (bodily activation or excitation). In this study, we investigated vocal expression of emotional valence in wild boars (Sus scrofa). The animals were observed in three naturally occurring situations: anticipation of a food reward (positive), affiliative interactions (positive), and agonistic interactions (negative). Body movement was used as an indicator of emotional arousal to control for the effect of …


Segmental Distribution Of Hepatocellular Carcinoma Correlates With Microvascular Invasion In Liver Explants Undergoing Transplantation, Yasir Al-Azzawai, Eva Rouanet, Ryan J. Hendrix, Lidia Spaho, Hesham Malik, Deepika Devuni, Gyongyi Szabo, Graham Barnard Jul 2019

Segmental Distribution Of Hepatocellular Carcinoma Correlates With Microvascular Invasion In Liver Explants Undergoing Transplantation, Yasir Al-Azzawai, Eva Rouanet, Ryan J. Hendrix, Lidia Spaho, Hesham Malik, Deepika Devuni, Gyongyi Szabo, Graham Barnard

Gyongyi Szabo

Introduction: Microvascular invasion (MVI) in hepatocellular carcinoma (HCC) patients is a poor prognostic factor after liver transplantation and/or resection. Any correlation between MVI and segmental location of HCC has yet to be studied. Our aim is to evaluate the segmental location of HCC and any correlation with the presence of MVI, portal vein thrombosis (PVT) in explanted livers, and the recurrence of HCC after transplantation. Another objective of the study is to assess the treatment history (ablation or transarterial chemoembolization (TACE)) and size of the tumor with respect to the risk of MVI.

Methods: A single center, retrospective chart review, …


Changes In Anticoagulant Utilization Among United States Nursing Home Residents With Atrial Fibrillation From 2011 To 2016, Matthew Alcusky, David D. Mcmanus, Anne L. Hume, Marc Fisher, Jennifer Tjia, Kate L. Lapane Jul 2019

Changes In Anticoagulant Utilization Among United States Nursing Home Residents With Atrial Fibrillation From 2011 To 2016, Matthew Alcusky, David D. Mcmanus, Anne L. Hume, Marc Fisher, Jennifer Tjia, Kate L. Lapane

Jennifer Tjia

Background: Nursing home residents with atrial fibrillation are at high risk for ischemic stroke and bleeding events. The most recent national estimate (2004) indicated less than one third of this high-risk population was anticoagulated. Whether direct-acting oral anticoagulant ( DOAC ) use has disseminated into nursing homes and increased anticoagulant use is unknown.

Methods and Results: A repeated cross-sectional design was used to estimate the point prevalence of oral anticoagulant use on July 1 and December 31 of calendar years 2011 to 2016 among Medicare fee-for-service beneficiaries with atrial fibrillation residing in long-stay nursing homes. Nursing home residence was determined …


Humor's Effect On Short-Term Memory In Older Adults: An Innovative Wellness Paradigm, Gurinder Singh Bains Jul 2019

Humor's Effect On Short-Term Memory In Older Adults: An Innovative Wellness Paradigm, Gurinder Singh Bains

Gurinder Bains, PhD

Context: With ageing, the detrimental effects of stress can impair the ability to learn and sustain memory. Humor and the associated mirthful laughter can reduce stress by decreasing the hormone cortisol. Chronic release of cortisol can damage hippocampal neurons leading to impairment of learning and memory. Objectives: To examine the effect of watching a humor video on short term memory in older adults. Design: A randomized, controlled trial. Setting: Loma Linda University, Loma Linda, CA. Participants: 30 subjects: 20 normal healthy, older adults, 11 males and 9 females; 10 Type 2 Diabetic older adults, 6 males and 4 females. Intervention: …


Consequences And Management Of Canine Brachycephaly In Veterinary Practice: Perspectives From Australian Veterinarians And Veterinary Specialists, Anne Fawcett, Vanessa Barrs, Magdoline Awad, Georgina Child, Laurencie Brunel, Erin Mooney, Fernando Martinez-Taboada, Beth Mcdonald, Paul Mcgreevy Jul 2019

Consequences And Management Of Canine Brachycephaly In Veterinary Practice: Perspectives From Australian Veterinarians And Veterinary Specialists, Anne Fawcett, Vanessa Barrs, Magdoline Awad, Georgina Child, Laurencie Brunel, Erin Mooney, Fernando Martinez-Taboada, Beth Mcdonald, Paul Mcgreevy

Paul McGreevy, PhD

This article, written by veterinarians whose caseloads include brachycephalic dogs, argues that there is now widespread evidence documenting a link between extreme brachycephalic phenotypes and chronic disease, which compromises canine welfare. This paper is divided into nine sections exploring the breadth of the impact of brachycephaly on the incidence of disease, as indicated by pet insurance claims data from an Australian pet insurance provider, the stabilization of respiratory distress associated with brachycephalic obstructive airway syndrome (BOAS), challenges associated with sedation and the anaesthesia of patients with BOAS; effects of brachycephaly on the brain and associated neurological conditions, dermatological conditions associated …


Gene Expression Profiling In Salmonella Choleraesuis-Infected Porcine Lung Using A Long Oligonucleotide Microarray, Shu-Hong Zhao, Daniel Kuhar, Joan K. Lunney, Harry Dawson, Catherine Guidry, Jolita J. Uthe, Shawn M. D. Bearson, Justin Recknor, Dan Nettleton, Christopher K. Tuggle Jul 2019

Gene Expression Profiling In Salmonella Choleraesuis-Infected Porcine Lung Using A Long Oligonucleotide Microarray, Shu-Hong Zhao, Daniel Kuhar, Joan K. Lunney, Harry Dawson, Catherine Guidry, Jolita J. Uthe, Shawn M. D. Bearson, Justin Recknor, Dan Nettleton, Christopher K. Tuggle

Dan Nettleton

Understanding the transcriptional response to pathogenic bacterial infection within food animals is of fundamental and applied interest. To determine the transcriptional response to Salmonella enterica serovar Choleraesuis (SC) infection, a 13,297-oligonucleotide swine array was used to analyze RNA from control, 24-h postinoculation (hpi), and 48-hpi porcine lung tissue from pigs infected with SC. In total, 57 genes showed differential expression (p < 0.001; false discovery rate = 12%). Quantitative real-time PCR (qRT-PCR) of 61 genes was used to confirm the microarray results and to identify pathways responding to infection. Of the 33 genes identified by microarray analysis as differentially expressed, 23 were confirmed by qRT-PCR results. A novel finding was that two transglutaminase family genes (TGM1 and TGM3) showed dramatic increases in expression postinoculation; combined with several other apoptotic genes, they indicated the induction of apoptotic pathways during SC infection. A predominant T helper 1-type immune response occurred during infection, with interferon …


Clinical Assessment Of 4th Year Osteopathic Medical Students: Outdoor Medicine Rotation, Erik E. Langenau, Sarah Blazovic, Ashley Cochran, Sarah Corcoran, Elisa Guisto, Austin Sorchik, Cameron Williams Jul 2019

Clinical Assessment Of 4th Year Osteopathic Medical Students: Outdoor Medicine Rotation, Erik E. Langenau, Sarah Blazovic, Ashley Cochran, Sarah Corcoran, Elisa Guisto, Austin Sorchik, Cameron Williams

Erik E. Langenau

Introduction: Securing clinical training sites remains a challenge for medical educators who often resort to paying preceptors or searching for new clinical training sites which haven’t traditionally taken students. We describe a unique partnership between the Boy Scouts of America and PCOM, providing a clinical training opportunity for OMS4 students at PCOM: Outdoor Clinical rotation the Summit Bechtel Family National Boy Scout Reserve in rural West Virginia at the National Scout jamboree, serving 35,000 scouts.

Methods and Curricular Design: By the end of the rotation, each PCOM student was able to (1) provide urgent care for common outdoor injuries: …


Survey Of Osteopathic Medical Students Regarding Physician Shadowing Experiences Before And During Medical School Training., Erik E. Langenau, Sarah B Frank, Sarah J Calardo, Michael B. Roberts Jul 2019

Survey Of Osteopathic Medical Students Regarding Physician Shadowing Experiences Before And During Medical School Training., Erik E. Langenau, Sarah B Frank, Sarah J Calardo, Michael B. Roberts

Erik E. Langenau

Introduction: Shadowing a physician is an observational experience which includes a student observing a licensed healthcare provider caring for patients. Shadowing is commonly done by students before and during medical school, but little is known about the nature or extent of these extra-curricular observational experiences.

Objective: We hypothesized that shadowing experiences were common yet variable. We investigated the prevalence, nature, and perceived value of medical student experiences with shadowing physicians (both before and during medical school).

Methods: This survey-based study was non-experimental with a cross-sectional convenience sample of osteopathic medical students about their shadowing experiences before and during medical school. …


Nonmodal Clinical Decision Support And Antimicrobial Restriction Effects On Rates Of Fluoroquinolone Use In Uncomplicated Infections, L R. Gunn, R Tunney, K E. Kelly Jul 2019

Nonmodal Clinical Decision Support And Antimicrobial Restriction Effects On Rates Of Fluoroquinolone Use In Uncomplicated Infections, L R. Gunn, R Tunney, K E. Kelly

Kim Kelly

No abstract provided.


Mengobati Lemah Syahwat Pria.Docx, Klinik Sentosa Jul 2019

Mengobati Lemah Syahwat Pria.Docx, Klinik Sentosa

Klinik Sentosa

Mengobati Lemah Syahwat Pria? [Telp: 081366657878]. Disfungsi ereksi atau disebut lemah syahwat atau penis loyo dianggap sebagai momok menakutkan bagi para kaum pria. Ada beberapa bentuk disfungsi seksual pada pria, termasuk hilangnya libido serta gangguan ejakulasi. Akan tetapi disfungsi ereksi secara spesifik mengacu pada ketidakmampuan untuk mencapai atau untuk mempertahankan ereksi.