The aim of the study was to evaluate the "perceived social support levels" of the medical staff after the earthquake. The sample of this study is made up of 300 of the 490 medical staff of the Medical Faculty Hospital of Van. The data were collected using a survey that ...

On April 15, two improvised explosive devices (IEDs) were detonated in short succession near the finish line of the Boston Marathon, in the middle of a densely packed crowd of thousands of runners, families, friends, and spectators. Three people were killed and 264 were injured,(1) with more than 20 sustaining ...

Recent trends in pediatric psychopharmacology have resulted in advances in treatment but also an overly optimistic and, at times, simplistic extension of pediatric psychopharmacology practice. Concerns about these changes in the field are discussed. The authors outline how understanding the meaning of medications to all those involved in the prescribing ...

BACKGROUND: Medication non-adherence is a significant contributor to suboptimal control of blood pressure and lipids. PURPOSE: This study determined if having a paid and/or family caregiver was associated with medication adherence in patients hospitalized for cardiovascular disease. METHODS: Consecutive patients admitted to the cardiovascular service at a university medical center ...

Child abuse might be suspected when children present with cutaneous bruising, intracranial hemorrhage, or other manifestations of bleeding. In these cases, it is necessary to consider medical conditions that predispose to easy bleeding/bruising. When evaluating for the possibility of bleeding disorders and other conditions that predispose to hemorrhage, the pediatrician ...

OBJECTIVE:: To examine the accuracy of knowledge about mild traumatic brain injury (TBI) of veterans and their friends/family members. SETTING:: VA Medical Center. PARTICIPANTS:: One hundred veterans and 50 of their friends/family members. DESIGN:: Cross-sectional survey. MAIN MEASURES:: A 60-item questionnaire was created by drawing both from the Neurobehavioral Symptom ...

Well-trained medical professionals are key to improving global reproductive health and reducing rates of unsafe abortion, but medical training often fails to prepare practitioners to provide essential family planning services. The field of medical education is currently undergoing reformation to better meet the needs of a global population, and comprehensive, ...

A 12-year-old boy presented with 3 weeks of calf pain, tripping, and progressive inability to walk. The onset was preceded by a sore throat 4 weeks prior, but no recent immunizations and no sick contacts. He began having problems "catching his toes" for 2 weeks. He had no visual complaints ...

The clinical syndrome of parkinsonism was identified in ancient India even before the period of Christ and was treated methodically. The earliest reference to bradykinesia dates to 600 bc. Evidences prove that as early as 300 bc, Charaka proposed a coherent picture of parkinsonism by describing tremor, rigidity, bradykinesia, and ...

Objective To investigate the geographical mobility of UK-trained doctors. Design Cohort studies conducted by postal questionnaires. Setting UK. Participants A total 31,353 UK-trained doctors in 11 cohorts defined by year of qualification, from 1974 to 2008. Main outcome measures Location of family home prior to medical school, location of medical ...

BACKGROUND: Many patients with complex health-care needs are prescribed several medications on a daily basis. With admission to hospital, patients are often placed in a vulnerable position. Family members can therefore play an important role in supporting patients in decision making about managing medications and negotiating communication exchange with health ...

This Final Rule amends certain regulations of the Family and Medical Leave Act of 1993 (the FMLA or the Act) to implement amendments to the military leave provisions of the Act made by the National Defense Authorization Act for Fiscal Year 2010, which extends the availability of FMLA leave to ...

To measure adherence and to identify factors associated with adherence to antihypertensive medications in family practice patients with diabetes mellitus (DM) and hypertension. A cross-sectional study using a mailed patient self-report survey and clinical data. Twenty-seven family physician and nurse practitioner clinics from Nova Scotia, New Brunswick, and Prince Edward ...

BACKGROUND: Drug abuse (DA) is a clinically heterogeneous syndrome. Using medical, legal, death and pharmacy records covering the entire population of Sweden, could we uncover meaningful subtypes of DA? Method We performed a latent class analysis (LCA) on all individuals in Sweden born 1950-1993 who were registered with DA or ...

ABSTRACT: The discovery of a novel serum autoantibody (termed NMO-IgG or AQP4-Ab) in a subset of patients in 2004 has revived interest in neuromyelitis optica (NMO). While the history of classical multiple sclerosis has been extensively studied, only little is known about the history of NMO. In the present article, ...

Patient X is a 48-year-old retired potteries worker who presented to his general practitioner (GP) with a non-productive cough, which had lasted over 1 month, and it was a television advert that he had seen that prompted him to visit his doctor. A cough is the most common presenting complaint ...

As of spring 2011, 150 years have passed since the death of one of the most famous neurological patients of the nineteenth century. A Frenchman, "Monsieur Leborgne" also known by the nickname "Tan," was hospitalized due to an almost complete loss of speech. His case was presented in 1861, during ...

Introduction: We sought to determine the current practices and opinions of family physicians in Whitehorse, YT, regarding bedside ultrasonography performed by family physicians in outpatient medical offices. Methods: A paper survey was administered to Whitehorse family physicians. Only those who had worked for longer than 6 months in a community ...

CME EDUCATIONAL OBJECTIVES1.Diagnose Gianotti-Crosti syndrome (GCS) based on the clinical presentation.2.Understand the various etiologies (viral, immunizations, bacterial) associated with GCS.3.Know the natural course of GCS. A 22-month-old black girl presented to the emergency department with a 5-day history of an itchy rash. Her family reported that the rash started as ...

Graduates of US allopathic and international medical schools comprise the majority of physicians who began family medicine residency in July 2011. Different procedural skills may be taught in allopathic and international medical schools leading to variation in the procedures that graduates can perform independently at the beginning of residency training. ...

Epilepsy has protean manifestations and may be diagnosed when two unprovoked seizures have occurred. This determination is nearly always based on the available history because most seizures have stopped long before patients arrive at medical care. Great care must be taken, even by experts, to correctly interpret the history and ...

Introduction: Over the last decade, the use of medical marijuana has expanded dramatically; it is now permitted in 16 states and the District of Columbia. Our study of family physicians in Colorado is the first to gather information about physician attitudes toward this evolving practice. We distributed an anonymous web-based ...

Performance on the American Board of Family Medicine (ABFM) Certification and Recertification Examinations by country of medical school training has not been examined. Based on internal medicine patterns, we hypothesize that examinees trained in the United States and Canada would outperform examinees trained in other countries. In this retrospective cohort ...

This qualitative, descriptive and exploratory study was performed with the objective to identify and understand the representations regarding the rational use of medications in three Family Health Strategy (FHS) teams in the urban region of Dourados, MS, founded on the theoretical framework of Stuart Hall's concept of representations. The chosen ...

Background: Despite evidence of efficacy, a substantial percentage of children with attention deficit hyperactivity disorder (ADHD) either do not begin medication prescribed for their core symptoms or fail to continue treatment. Objective: The purpose of this study was to understand (a) how parents decide to use medication to treat their ...

To identify factors that influence medical students' choice of family medicine versus another specialty and to analyze influential factors by urban versus rural background of students. Cross-sectional questionnaire survey conducted in 2010. University of Alberta in Edmonton. A total of 118 first-, 120 second-, and 107 third-year medical students. Twenty-two ...

Evaluation of stone formers should include careful attention to medications, past medical history, social history, family history, dietary evaluation, occupation, and laboratory evaluation. Laboratory evaluation requires at least serum chemistries and urinalysis. Twenty-four-hour urine collections are most appropriate for patients with recurrent stones or complex medical histories. However, these collections ...

High medical cost burden is defined as spending more than 10 percent of family income on health care. Despite decreased family income and rising unemployment caused by the recession of 2007-09, the percentage of people under age sixty-five with high medical cost burdens remained largely unchanged between 2006 and 2009, at ...

BACKGROUND AND OBJECTIVE:There is a documented connection between the home environment and health. Medical-legal partnerships (MLPs) can address social and environmental determinants of health. Our objective was to describe a cluster of substandard housing identified and treated by an MLP based in a pediatric primary care setting.METHODS:Potential cases of poor-quality ...

To follow up on a three-site, 24-week randomized clinical trial (N = 124) comparing antipsychotic medication alone (MED) with antipsychotic medication plus parent training in the behavior management (COMB) of children with autism spectrum disorders and severe behavior problems. The COMB treatment had shown a significant advantage for child behavioral ...

This study reports on the number of graduates entering family medicine residencies in 2011 from allopathic, osteopathic, and international medical schools. Allopathic graduate data come from medical school registrars or the American Medical Association Masterfile. The 2012 family medicine residency program director census, with a response rate of 100%, verified ...

OBJECTIVES To describe a case and review literature for intracerebral hemorrhage caused by migraine. DESIGN Case report. SETTING Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. PATIENT A 54-year-old truck driver with a 2-year history of atypical headaches. RESULTS A 54-year-old right-handed truck driver was seen in consultation ...

Due to rapid advancement in medical technology and knowledge patients today prefer treatment from specialists, if they can afford it. Medical treatment has become a purchasable commodity, to be procured as and when required, based on cost and availability.This is unfortunate but true. Specialisation tends to divide the patients into'parts' ...

Frontotemporal dementia (FTD) has rarely been reported in Chinese populations. There are many potential reasons for this, including possible hesitancy on the part of patients or families to bring FTD-related symptoms to medical attention. Here, we present data on eight Chinese individuals, all of whom met criteria for the behavioral ...

The major treatment strategies for DH are gluten restriction or medical treatment with sulfones. Control of the cutaneous manifestations, but not the gastrointestinal changes, is rapid with dapsone. In addition to control of the cutaneous signs and symptoms of DH, dietary gluten restriction also induces improvement of gastrointestinal morphology and ...

As we realized the MEDEVAC from JTF-B was not going to happen, the words of instructors from the Joint Special Operations Medical Training Center (JSOMTC) echoed through my head, ?Men, pay attention to this. There will be a day when you, as Deltas, will have to sustain a patient for ...

Salivary dysfunction may be due to systemic diseases and medications. The development of sialoliths is a multifactorial event in which disturbance in secretion, microliths and bacteria may play a major role. A case of sialolith in the parotid gland of a 25-year-old man, with no relevant medical history is reported ...

The European Conformity (CE) marking grants early market introduction to innovative high risk medical devices based on safety and device performance only, without any requirement to demonstrate clinical efficacy or effectiveness. Hence healthcare providers, patients and payers are informed neither about the added clinical value compared to an existing medical ...

Anticoagulant drugs are among the most common medications that cause adverse drug events (ADEs) in hospitalized patients. We performed a 5-year retrospective study at Brigham and Women's Hospital to determine clinical characteristics, types, root causes, and outcomes of anticoagulant-associated ADEs. We reviewed all inpatient anticoagulant-associated ADEs, including adverse drug reactions ...

FlyRNAi (http://www.flyrnai.org), the database and website of the Drosophila RNAi Screening Center (DRSC) at Harvard Medical School, serves a dual role, tracking both production of reagents for RNA interference (RNAi) screening in Drosophila cells and RNAi screen results. The database and website is used as a platform for community availability ...

To evaluate the impact of a real-time computerized decision support tool in the emergency department that guides medication dosing for the elderly on physician ordering behavior and on adverse drug events (ADEs). A prospective controlled trial was conducted over 26 weeks. The status of the decision support tool alternated OFF ...

Hospitalised patients commonly experience adverse drug events (ADEs) and medication errors. Runciman reported that ADEs in hospitals account for 20% of reported adverse events and contribute to 27% of deaths where death followed an adverse event. Hughes recommends multidisciplinary hospital drug committees to assess performance and raise standards. The new ...

In the late 1990s, the World Health Organization (WHO) created the Medical Eligibility Criteria for Contraceptive Use (MEC), which provide evidence-based recommendations for safe and effective contraception in women with medical problems. The WHO MEC incorporate the best available evidence, are periodically updated, and are designed to be modified for ...

to examine the effect of medications with anticholinergic effects on cognitive impairment and deterioration in Alzheimer's dementia (AD). cognitive function was measured at baseline and at 6- and 18-month follow-up using the Mini-Mental State Exam (MMSE), the Severe Impairment Battery (SIB) and the Alzheimer's Disease Assessment Battery, Cognitive subsection (ADAS-COG) ...

PubMed interface re-engineering has moved further steps with the latest changes in the MeSH - Medical Subject Headings database and in the MyNCBI homepage. Aim of this contribution is to present the most relevant added feature in order to improve your query efficiency.

This study examined the association between hypertension and AD by using a quantitative meta-analysis of longitudinal studies. EMBASE and MEDLINE were searched for articles published up to February 2011. All studies that examined the association of hypertension or antihypertensive medication use with the onset of AD were included. Pooled relative ...

High fractional concentrations of inspired oxygen (FiO(2)) delivered over prolonged periods produce characteristic histological changes in the lungs and airway of exposed animals. Modern medical anaesthetic machines are adapted to deliver medical air (FiO(2)=0.21) for the purpose of reducing FiO(2); anaesthetic machines designed for the veterinary market have not been ...

This study describes coping strategies that patients with heart failure (HF) use to manage adverse drug events (ADEs). The included coping strategies were social support seeking, information seeking, non-adherence and taking alleviating medication. The role of beliefs about medication and ADE perceptions in explaining these coping strategies was assessed using ...

In this study, the author analyzed the relevance of anatomical eponyms for medical education by researching 453 anatomical eponyms and their corresponding English or Latin terms in the Medline database. The number of hits in the database ranged from 0 to 34,490 per eponym (median 11). Almost a quarter (110) ...

BACKGROUND: Identifying patients with heart failure (HF) who are at risk of experiencing symptomatic adverse drug events (ADEs) is important for improving patient care and quality of life. Several demographic and clinical variables have been identified as potential risk factors for ADEs but limited knowledge is available on the impact ...