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Biller-Andorno Nikola N From the Institute of Biomedical Ethics, University of Zurich, Zurich (N.B.-A.), and the Institute of Social and Preventive Medicine and Clinical Trials Unit Bern, Department of Clinical Research, University of Bern, Bern (P.J.) - both in Switzerland; and the Division of Medical Ethics, Department of Global Health and Social Medicine, Harvard Medical School, Boston (N.B.-A.). Dr. Biller-Andorno is a member of the expert panel of the Swiss Medical Board; Dr. Jüni was a member of the panel until August 30, - - 2014
In January 2013, the Swiss Medical Board, an independent health technology assessment initiative under the auspices of the Conference of Health Ministers of the Swiss Cantons, the Swiss Medical Association, and the Swiss Academy of Medical Sciences, was mandated to prepare a review of mammography screening. The two of us, ...
Somberg John C JC Department of Medicine and Clinical Pharmacology, Rush University, Chicago, Illinois. Electronic address: - - 2014
Medical device recalls have called attention to the device approval process in the United States. The premarket approval (PMA) process requires clinical trials to evaluate safety and effectiveness, whereas the expedited 510(k) process does not. The 510(k) process has been considered a source of increased recalls. This study aimed to ...
Takarabe Shinya - - 2013
Medical-grade liquid-crystal displays (LCDs) with high contrast ratio (CR) values have recently been developed and become available for soft-copy reading. When the LCD is used under ambient light conditions, the luminance ratio (LR) is a more appropriate indicator than the CR. Our aim was to explore the LR required for ...
Salamati Payman P Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, - - 2013
Maintenance of imaging equipment is a very important part of the management of all medical imaging centers. To assess the oldness and capacity of radiography and ultrasound equipment in Tehran University of Medical Sciences. The study was performed in 16 hospitals, 4 faculties and three healthcare centers of Tehran University ...
Rodrigues M A - - 2013
Medical smartphone applications are increasingly popular amongst doctors. However, the quality of their content is variable. We assessed contemporary radiology-related smartphone applications, focussing on the level of advertised medical involvement in application development. Six major application stores were searched between 18-30 June 2012 using the terms radiology, radiation, x-ray(s), computed ...
Rasmussen Kristine - - 2013
INTRODUCTION: In 2001, a Cochrane review of mammography screening questioned whether screening reduces breast cancer mortality, and a more comprehensive review in Lancet, also in 2001, reported considerable overdiagnosis and overtreatment. This led to a heated debate and a recent review of the evidence by UK experts intended to be ...
Otto Christian - - 2013
Abstract Background: A large number of Antarctic stations do not utilize ultrasound for medical care. Regular use of ultrasound imaging at South Pole and McMurdo Stations first began in October 2002. To date, there has been no evaluation of medical events requiring ultrasound examination from this remote environment. Additionally, the ...
Tofangchiha Maryam - - 2013
Vertical root fracture (VRF) is a complication which is chiefly diagnosed radiographically. Recently, film-based radiography has been substituted with digital radiography. At the moment, there is a wide range of monitors available in the market for viewing digital images. The present study aims to compare the diagnostic accuracy, sensitivity and ...
Lee Vivian W Y - - 2013
Stable coronary artery disease (CAD) affects approximately 7% of the population of Hong Kong and is associated with substantial healthcare costs. We aimed to evaluate the first-year direct medical cost for a patient with newly diagnosed stable CAD at a tertiary care public hospital in Hong Kong and to identify ...
Bekas Marcin - - 2013
Within the medical facilities provided by state healthcare services, a universally applied technique for patient diagnosis and treatment relies on ionising radiation; for example in radiotherapy and X-ray (ie. examination). Human exposure to such radiation is not however entirely free of associated health risks. To determine and estimate the numbers ...
Kool Bridget - - 2012
Using data from a population-based case-control study of people aged 25-60 years in Auckland, New Zealand, the authors investigated the association between medications and fall-related injuries at home. The 335 cases comprised people who died or were admitted to hospital as a result of unintentional falls at home, and the ...
Sengstock David - - 2012
The focus for this clinical review is under-prescribing and non-adherence to medication guidelines in older adults after coronary artery bypass grafting (CABG) surgery. Non-adherence occurs in all age groups, but older adults have a unique set of challenges including difficulty hearing, comprehending, and remembering instructions; acquiring and managing multiple medications; ...
Hill Keith D - - 2012
Falls are a common health problem for older people, and psychotropic medications have been identified as an important independent fall risk factor. The objective of this paper was to review the literature relating to the effect of psychotropic medications on falls in older people, with a particular focus on evidence ...
Foust Janice B - - 2011
Medication reconciliation problems are common among older adults at hospital discharge and lead to adverse events. The purpose of this study was to examine the rates and types of medication reconciliation problems among older adults hospitalized for acute episodes of heart failure who were discharged home. This secondary analysis of ...
Gill Donna - - 2011
Given the high use and the cost of medications in the current economy, one way older adults may save money on prescription costs is to split some of their medications in half. However, not all oral medications can be split. Splitting inappropriate medications such as extended-release tablets can be harmful ...
Woelfel Joseph A - - 2011
To determine the prevalence of potentially inappropriate medication (PIM) use by applying the Beers criteria in an ambulatory population of Medicare beneficiaries, and to identify the most common PIMs/PIM classes taken by this population. Cross-sectional, observational study. Nine community outreach events throughout central and northern California. 295 ambulatory Medicare beneficiaries ...
Moncada Lainie Van Voast - - 2011
Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. An ...
Kit Brian K - - 2011
PURPOSE: We sought to describe differences between normal weight, overweight, and obese adults in use of specific prescription medication classes. METHODS: Cross-sectional analysis of prescription medication use among 9789 adults in the National Health and Nutrition Examination Survey, a nationally representative sample of the United States. RESULTS: In 2005-2008, 56.4% ...
Dierich Mary T - - 2011
Medication regimens in older patients have been strongly associated with adverse events leading to hospitalization in ambulatory care settings. Despite a 29% hospitalization rate, to date, no research regarding medication regimens and readmission to the hospital has been completed in the home care setting. As part of a larger study ...
Crisp Ginny D - - 2011
Medication is one of the most important interventions for improving the health of older adults, yet it has great potential for causing harm. Clinical pharmacists are well positioned to engage in medication assessment and planning. The Individualized Medication Assessment and Planning (iMAP) tool was developed to aid clinical pharmacists in ...
Brandt Nicole J - - 2011
Identifying and managing the use of medications that may be discontinued is a daunting task for the health care team, especially for the consultant pharmacist. This article discusses a framework to evaluate the risks and benefits of medications. A case-based approach will be employed to demonstrate the application of evidence-based ...
Lunsky Yona - - 2012
Antipsychotic medication rates are high in adults with developmental disability. This study considered rates of antipsychotic use in 743 adults with developmental disability who had experienced a psychiatric crisis. Nearly half (49%) of these adults were prescribed antipsychotics. Polypharmacy was common with 22% of those prescribed antipsychotics taking 2 or ...
Lund Brian C BC Center for Comprehensive Access and Delivery Research and Evaluation, Veterans Affairs Iowa City Health Care System, Iowa City, IA, USA. - - 2011
The Beers criteria are a compilation of medications deemed potentially inappropriate for older adults, widely used as a prescribing quality indicator. To determine whether Beers criteria serve as a proxy measure for other forms of inappropriate prescribing, as measured by comprehensive implicit review. Data for patients 65 years and older ...
Maust Donovan T - - 2011
: The purpose of this study is to explore behavioral health symptoms and characteristics of noninstitutionalized older adults newly started on an antidepressant, anxiolytic, or antipsychotic agent by nonpsychiatrist physicians. : Naturalistic cohort study of older adults participating in the Pharmaceutical Assistance Contract for the Elderly (PACE) of the state ...
Wagg Adrian - - 2011
The prevalence of the overactive bladder (OAB) symptom complex increases with age. Older people also appear to experience more severe incontinence syndromes, including OAB, than their younger counterparts. Older patients are more likely than younger individuals to ask for medication for bladder problems and to require higher doses of medication. ...
Kim Jong Hun - - 2011
Nontypeable Haemophilus influenzae is a rare cause of septic arthritis in adults and has been reported to be associated with underlying medical conditions. We present a case of nontypeable H. influenzae-infected severe invasive polyarticular septic arthritis in a young adult without any underlying predisposing medical conditions. Diagnosis was made from ...
Lau Denys T - - 2011
In 2006, the US Centers for Medicare and Medicaid Services implemented Medicare Part D to provide outpatient prescription drug insurance to disabled and older adults. In creating Part D, a key provision to address quality included medication therapy management (MTM) programmes designed to increase proper and safe use of medications ...
Casteel Carri - - 2011
BACKGROUND: Falls are the leading cause of fatal and nonfatal unintentional injury among older adults in the United States. Multifaceted falls prevention programs, which have been reported to reduce the risk for falls among older adults, usually include a medication review and modification component. Based on a literature search, no ...
Daniulaityte Raminta - - 2012
Respondent-driven sampling (RDS) has been promoted as a superior method in recruiting hard-to-reach and hidden populations. Although its application has expanded enormously, there remains a need for empirical data evaluating the performance of RDS in different settings. This study describes the application of RDS to recruit a community sample (N=396) ...
Goodridge Donna - - 2011
Currently, one out of every seven Canadians is affected by limitations to their participation and activity. This study describes the self-reported main causes of these limitations in a national sample. The 2006 Participation and Activity Limitation Survey was a two-phase stratified survey based on filter questions posed in the 2006 ...
Hassali Mohamed Azmi - - 2011
Objective To assess the prevalence of self-medication among adults in an urban setting and to identify any factors contributing to self-medication in relation to consumer characteristics. Setting The study was carried out in Kuala Lumpur, the capital of Malaysia. Methods A cross-sectional study using a self administered questionnaire including adults ...
Weston Joanne M - - 2011
Osteoporosis (low bone density) is a potentially serious disease which mainly affects women older than 50 years. National screening programs for osteoporosis are being developed in the United Kingdom. It is important to assess the psychological experience of receiving a positive diagnosis from a population-based screening program so that psychological ...
Büssing Arndt - - 2011
Objective:The manifold studies on the usage of complementary and alternative medicine (CAM) indicate that its utilization differs with respect to socio-cultural background, gender, age and underlying disease. This study intended to analyze the usage of specific CAM practices among a population of older German adults with health insurance coverage. Methods: ...
- - 2011
In Chicago, Illinois, on May 7, 2009, a group of 53 medical educators representing many U.S. certification boards, residency review committees, and medical societies met to review and approve a white paper intended to promote Recommendation 4.2 of the Institute of Medicine report of April 14, 2008, "Retooling for an ...
Ineke Neutel C - - 2011
PURPOSE: The use of restricted medications, for example, opioids, benzodiazepines (BZD), and z-hypnotics, in the older persons continues to increase. Little is known about usage practices or about the extent of polypharmacy within this group. The objectives of this study were (i) to describe polypharmacy and (ii) to develop a ...
Neupert Shevaun D - - 2011
The present study examined age differences in the within-person daily associations of basic cognition, everyday cognition, and busyness with forgetting to take medication. The authors extend previous interindividual difference findings by conducting a daily diary study of a baseline assessment and 8 consecutive days of 40 older adults (age = 60-89 years, ...
Bradley Sara M - - 2011
Falls are prevalent among older adults and can lead to injury, hospitalization, and increased healthcare costs. Environmental hazards, medications, vision problems, and impairments in strength, gait, or balance can increase fall risk. A multifactorial fall-risk assessment including a fall history, physical exam, gait and balance evaluation, and environmental assessment is ...
Park Yeon-Hwan - - 2011
BACKGROUND AND RESEARCH OBJECTIVES: Adherence to a medication regimen is a major factor in achieving adequate blood pressure control for hypertensive patients. However, older adults often report having missed doses, which they attribute to forgetfulness. The purpose of this study was to identify significant factors, including socioeconomic variables, hypertension history, ...
Rich Michael W - - 2011
Aging is associated with numerous alterations in body composition and organ function that result in substantial changes in the absorption, distribution, metabolism, and elimination of virtually all drugs. In addition, older patients with heart failure (HF) almost invariably have multiple coexisting medical conditions for which they are receiving medications. This ...
Roth Mary T - - 2011
The quality of medication use in older adults is suboptimal, with a large percentage of individuals not receiving recommended care. Most efforts to evaluate the quality of medication use target high-risk drugs, appropriate treatment of prevalent chronic disease states, or a set of predefined quality indicators of medication use rather ...
Agness Chanel F - - 2011
To implement and evaluate an introductory pharmacy practice experience (IPPE) based on the medication therapy management (MTM) service model. Patient Care 2 is an IPPE that introduces third-year pharmacy students to the MTM service model. Students interacted with older adults to identify medication-related problems and develop recommendations using core MTM ...
Martin Caren McHenry - - 2011
Pharmacists working in long-term care facilities are often called upon to educate nurses and other care staff on proper medicationadministration technique. New medications, as well as new drug-delivery methods for older medications, require all health care practitioners to learn about the specific manufacturers' recommendations for each product. In addition, keeping ...
Frye Richard E - - 2011
Autism spectrum disorder (ASD) is a devastating neurodevelopmental disorder. Over the past decade, evidence has emerged that some children with ASD suffer from undiagnosed comorbid medical conditions. One of the medical disorders that has been consistently associated with ASD is mitochondrial dysfunction. Individuals with mitochondrial disorders without concomitant ASD manifest ...
Khoobdel Mehdi - - 2011
To determine the faunal diversity of Muscidae and Fanniidae flies in Tehran, Iran. A net-capturing by direct observing method and fly trap were used to capture adult flies. To determine the fauna of flies in different habitats, 4 biotopes including corpse (human, birds, livestock), garbage and decaying organic matters, animal ...
Sioda Roman Edmund - - 2011
The process of the discovery of the sixth new element and metal present in raw platinum ore granules, and called vestium or ruthenium, took place between 1807 and 1844. The element was first discovered by the Polish chemist and medical doctor, Jedrzej Sniadecki, professor at Vilnius University, presently Lithuania. It ...
Koetsier Eva - - 2011
While anaesthesiology is still perceived as a rather technical specialty, nontechnical skills of anaesthesiologists become increasingly important. In this context, we hypothesised that complaints and incident reports about anaesthesia service are often related to nontechnical skills. To test this hypothesis, we attributed complaints and incident reports to the seven roles ...
Ligons Frank M - - 2011
Polypharmacy and medication non-adherence are common in older adults, potentially leading to medication-related problems and increased healthcare expenditures. Medication Delivery Units (MDUs) may improve adherence, but their interfaces may present usability challenges for older adults with age-related impairments. We used a combination of three inspection methods - heuristic evaluation, cognitive ...
Ross Stephen E - - 2011
Adverse drug events are a major safety issue in ambulatory care. Improving medication self-management could reduce these adverse events. Researchers have developed medication applications for tethered personal health records (PHRs), but little has been reported about medication applications for interoperable PHRs. Our objective was to develop two complementary personal health ...
Haverhals Leah M - - 2011
Older adults often have multiple chronic problems requiring them to manage complex medication regimens overseen by various clinicians. Personal health applications (PHAs) show promise assisting in medication self-management, but adoption of new computer technologies by this population is challenging. Optimizing the utility of PHAs requires a thorough understanding of older ...
Thornton Simon N - - 2010
With the advancement of medical and investigative science, it is somewhat surprising that although it is possible to stabilise medical patients with hypertension and the associated kidney dysfunction, obesity, diabetes and even cancer, there is still no clear method of significantly reducing these chronic disease pathologies, and thus, extending life ...
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