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Sundararajan T V P TV Department of Electronics and Communication Engineering, Bannariamman Institute of Technology, Sathyamangalam 638 401, - - 2014
In a Medical Wireless Network (MWN), sensors constantly monitor patient's physiological condition and movement. Inter-MWN communications are set up between the Patient Server and one or more Centralized Coordinators. However, MWNs require protocols with little energy consumption and the self-organizing attribute perceived in ad-hoc networks. The proposed Smart Routing Protocol ...
Huang Henry D - - 2013
Inappropriate sinus tachycardia (IST) is a clinical syndrome characterized by presence of non-paroxysmal tachyarrhythmia manifesting with increased resting heart rate and exaggerated or persistent response to exercise or position. When IST is intolerable and medically refractory, invasive therapies such as sinus node modification or atrioventricular node ablation with placement of ...
Alyafi Motaz M MM College of Medicine, Alfaisal University, Riyadh, Kingdom of Saudi - - 2012
There is a debate among medical education experts on the application of dissection or prosection for learning anatomy. However, the literature reveals that the majority of published articles are in favor of dissection. In this article, we present a case of an abdominal aortic aneurysm (AAA) with intracardiac thrombus in ...
Sohn David H - - 2012
Alternative dispute resolution (ADR) refers to techniques used to resolve conflicts without going to the courtroom. As healthcare and malpractice costs continue to rise, there is growing interest in tactics such as early apology, mediation, and arbitration in the medical arena. (1) Why is ADR needed? (2) Is ADR useful ...
Sista Akhilesh K - - 2012
To determine the feasibility and efficacy of applying an established innovation process to an active academic interventional radiology (IR) practice. The Stanford Biodesign Medical Technology Innovation Process was used as the innovation template. Over a 4-month period, seven IR faculty and four IR fellow physicians recorded observations. These observations were ...
Park K T - - 2012
BACKGROUND:: Inflammatory bowel diseases are costly chronic gastrointestinal diseases. We aimed to determine whether immediate colectomy with ileal pouch-anal anastamosis (IPAA) after diagnosis of severe ulcerative colitis (UC) was cost-effective compared to the standard medical therapy. METHODS:: We created a Markov model simulating 2 cohorts of 21-year-old patients with severe ...
Hermans Job - - 2012
OBJECTIVE.: Although the knee joint is one the most affected joints by osteoarthritis (OA), research on economic implications focussed merely on OA in general. The goal of this study was to identify and quantify knee related productivity and medical costs in knee OA patients in paid employment. Furthermore, we evaluated ...
Li Kai - - 2012
Electronic medical record (EMR) systems have been proposed as technology to improve the quality of patient care, decrease medical errors, control and reduce medical expenditure, however the financial effects have not yet been as well documented in China. We presented a net financial cost-benefit analysis of implementing electronic medical record ...
Gallagher Thomas Q - - 2012
Sialorrhea affects a significant number of children with cerebral palsy and other neuromuscular disorders. It can lead not only to social embarrassment but also to severe medical issues including chronic aspiration. There are numerous medical and surgical options, which include oral medications and transdermal patches, botulinum injection, and various forms ...
Al Saran Khalid - - 2012
To assess the cost of hemodialysis (HD) delivered at our center according to the treatment protocols based on the current Kidney Disease Outcome Quality Initiative (K/DOQI) guidelines, we analyzed our cost data during the period from 1st of January 2007 to 30th of June 2010. The methods were used to ...
Frankenfield Diane L - - 2011
BACKGROUND: Cardiovascular disease (CVD) is a major source of mortality and morbidity in dialysis patients. Population-level descriptions of CVD medication use are lacking in this population. STUDY DESIGN: Retrospective cohort study. SETTING & PARTICIPANTS: Adult dialysis patients in the United States, alive on December 31, 2006, with Medicare Parts A ...
Rausch Mary M North Shore University Hospital, Manhasset, New York, - - 2012
To determine the cost-effectiveness of medical and surgical management of early pregnancy loss. Analyses of cost, effectiveness, and incremental cost-effectiveness ratios and utilities of a multicenter trial with 652 women with first-trimester pregnancy failure randomized to medical or surgical management. Analysis of data from a multicenter trial. Secondary analysis of ...
Lin Yun-Hua - - 2012
Medication noncompliance is a recognized problem worldwide. This study evaluated the factors associated with compliance, discontinuation and switching of finasteride among Chinese benign prostatic hyperplasia patients. A retrospective cohort study was conducted with 682 outpatients newly diagnosed with benign prostatic hyperplasia and prescribed with finasteride from January 2008 to December ...
Carroll Nathan W - - 2011
Objectives: To propose a model in which insurers work with hospitals to provide a discharge supply of antiplatelet medication to patients receiving stents and to examine the cost implications of this strategy. Study Design: A decision tree was modeled using data from previously published research. The study adopts an insurer's ...
Kligler Benjamin - - 2011
Objectives: To evaluate the cost impact of an integrative medicine intervention on an inpatient oncology service. Study Design: This study used nonrandomized, nonequivalent groups. A baseline sample of inpatient oncology patients at Beth Israel Medical Center admitted to the medical oncology unit before implementation of the Urban Zen Initiative were ...
Brown Derek S - - 2011
Child maltreatment is a serious and prevalent public health problem, which has been shown to be associated with numerous short- and long-term effects on mental and physical health. Few estimates of the medical costs of these effects have been published to date. To determine the range and quality of currently ...
Kang Jung Mook - - 2011
Abstract Objectives. There have been no reported data on the medical care cost of idiopathic peptic ulcer disease (PUD) compared with H. pylori (+) and/or NSAID (+) cases although H. pylori-negative idiopathic ulcers are increasing. The aim of this study was to investigate the direct medical care costs of PUD ...
Basu Anirban A Department of Health Services, University of Washington, Seattle, WA, - - 2012
To assess the costs of a housing and case management program in a novel sample-homeless adults with chronic medical illnesses. The study used data from multiple sources: (1) electronic medical records for hospital, emergency room, and ambulatory medical and mental health visits; (2) institutional and regional databases for days in ...
Goldman Lee - - 2011
Interventions that both improve outcomes and save costs are unusual, but the provision of lifesaving medications to survivors of myocardial infarction is one such example.(1) In the past, physicians' poor compliance with evidence-based guidelines was a major reason for suboptimal use of such medications. Now, with help from the dissemination ...
Hvenegaard Anne - - 2011
BACKGROUND: An earlier study showed that from a societal perspective it was less expensive to encourage patients to self-regulate their medication for GERD (gastro-esophageal reflux disease) by treating patients on-demand. OBJECTIVE: The objective was to investigate whether physician involvement in a clinical trial financed by the pharmaceutical industry subsequently results ...
Godwin Kyler M - - 2011
Purpose: This study aimed to capture direct costs of outpatient rehabilitative stroke care and medications for a 1-year period after discharge from inpatient rehabilitation. Methods: Outpatient rehabilitative services and medication costs for 1 year, during the time period of 2001 to 2005, were calculated for 54 first-time stroke survivors. Costs ...
Doolittle Gary C - - 2011
Abstract The teleoncology practice based at the University of Kansas Medical Center (KUMC) in Kansas City, Kansas, is one of the longest running practices of its kind worldwide. The practice began in 1995 and connected an oncologist at KUMC with a rural medical center in Hays, Kansas. Fifteen years later, ...
Cawley John - - 2011
This paper is the first to use the method of instrumental variables (IV) to estimate the impact of obesity on medical costs in order to address the endogeneity of weight and to reduce the bias from reporting error in weight. Models are estimated using restricted-use data from the Medical Expenditure ...
Sun Peter - - 2011
Abstract Objectives: This study examines the evolutionary impact of valsartan initiation on medical costs. Methods: A retrospective time series study design was used with a large, US national commercial claims database for the period of 2004–2008. Hypertensive patients who initiated valsartan between the ages of 18 and 63, and had ...
Faul Mark - - 2011
Abstract Background. Ambulance transport of injured patients to the most appropriate medical care facility is an important decision. Trauma centers are designed and staffed to treat severely injured patients and are increasingly burdened by cases involving less-serious injury. Yet, a cost evaluation of the Field Triage national guideline has never ...
Porterfield Shirley L - - 2011
Objective:We examined key factors that affect out-of-pocket medical expenditures per $1000 of household income for children with special health care needs (CSHCN) with a broad range of conditions, controlling for insurance type and concentrating on the potentially moderating role of the medical home.Methods:A Heckman selection model was used to estimate ...
Xia Wei - - 2011
Background: Both medical and surgical abortions are popular in developing countries. However, the monetary costs of these two methods have not been compared. Methods: 430 women seeking abortions were recruited in 2008. Either a medical or surgical method was used for the abortion. We adopted the perspective of a third-party ...
Choudhry Niteesh K - - 2011
BACKGROUND: The affordability of prescription medications continues to be a major public health issue in the United States. Estimates of cost-related medication underuse come largely from surveys of ambulatory patients. Hospitalized patients may be vulnerable to cost-related underuse and its consequences, but have been subject to little investigation. OBJECTIVE: To ...
Quilliam Brian J - - 2011
To estimate the rate and costs of hypoglycemia in patients with type 2 diabetes. We used a retrospective cohort design to assess the rate and costs of hypoglycemia among working-age patients with type 2 diabetes in the 2004 to 2008 MarketScan database. We followed patients from cohort entry to the ...
Ladue Laura - - 2011
Since the implementation of managed care, clinicians have struggled with ways to provide optimal treatment in a cost-effective manner. With the rising cost of medications, generic substitutes appear to be an answer. Some medications have proven to be less effective in generic form. Consumers may be wary of generics. However, ...
Murata Atsuhiko - - 2011
BACKGROUND: Little information is available on the analysis of medical costs of acute pancreatitis hospitalizations. AIM: This study aimed to determine the factors affecting medical costs of patients with acute pancreatitis during hospitalization using a Japanese administrative database. METHODS: A total of 7193 patients with acute pancreatitis were referred to ...
Kang Jung Hun - - 2011
Dexamethasone, one of the key medications for the prevention of chemotherapy-induced nausea and vomiting (CINV), may cause hiccups as an adverse effect. In this case series, we present five patients who developed hiccups after receiving dexamethasone for CINV. We successfully switched dexamethasone to an equipotent dosage of either methylprednisolone or ...
Kwon Jeong-Mi - - 2011
The purposes of this study are to investigate medical resource utilization and medical costs of Korean rheumatoid arthritis (RA) patients and to analyze predictors in relation to medical costs. National claims data on medical treatment were analyzed for the 151,472 RA patients in 2009. For outpatients, the mean annual number ...
Cruz Norma I - - 2011
The high cost of medical liability increases healthcare expenditure and decreases healthcare services. To understand the public perception of medical liability issues in Puerto Rico, a survey was made with the assistance of Gaither International. Five hundred interviews were made in a representative sample of all six US Census demographic ...
Barner Jamie C - - 2011
BACKGROUND: Several studies have examined adherence when switching from loose-dose combination therapy (LDCT) to fixed-dose combination therapy (FDCT) among oral antidiabetic agents. However, little is known regarding combination therapies, including pioglitazone and metformin. OBJECTIVES: The objectives of this study were (1) to describe adherence to monotherapy (MT), LDCT, and FDCT ...
Boast Pattie - - 2011
By using 140 sets of automated discharge instructions, Department of Veterans Affairs Medical Center at Portland, Ore., cut its 14-day readmission rate to 1.5 for every 1,000 outpatient procedures. Providers are prompted to document: Dosage directions for any medications to be taken upon discharge The date when it is safe ...
Patrick Amanda R - - 2011
Adherence to osteoporosis treatment is low. Although new therapies and behavioral interventions may improve medication adherence, questions are likely to arise regarding their cost-effectiveness. Our objectives were to develop and validate a model to simulate the clinical outcomes and costs arising from various osteoporosis medication adherence patterns among women initiating ...
Naz Saima - - 2011
Anatomy professors world over are lamenting about medical students' lack of interest in dissections and its diminishing utilisation in medical studies. The objective of our study was to find out the reasons why some of the Pakistani medical students were avoiding dissections. We conducted this study in 5 medical colleges ...
Sabariego Carla - - 2011
Objective: To identify determinants of direct medical costs among patients with osteoporosis, osteoarthritis, back pain or fibromyalgia. Design: Cross-sectional study. Participants: Convenience sample of 410 patients undergoing outpatient rehabilitation. Methods: Resource use was assessed with a self-report retro-spective questionnaire, and direct medical costs were calculated considering outpatient physician services, non-physician ...
Shrank William H - - 2011
In this article we highlight the important role that medication therapy can play in preventing disease and controlling costs. Focusing on coronary artery disease, we demonstrate that prevention, with the appropriate use of generic medications, appears far more cost-effective than previously documented, and it may even save on costs. For ...
Stokes Michael - - 2011
(Headache 2011;51:1058-1077) Objective.- To evaluate and compare healthcare resource use and related costs in chronic migraine and episodic migraine in the USA and Canada. Background.- Migraine is a common neurological disorder that produces substantial disability for sufferers around the world. Several studies have quantified overall costs associated with migraine in ...
Bhattacharya Anasua - - 2011
The average costs of Musculoskeletal Disorder (MSD) and odds ratios for filing medical claims related to MSD were examined. The medical claims were identified by ICD 9 codes for four US Census regions within retail trade. Large private firms' medical claims data from Thomson Reuters Inc. MarketScan databases for the ...
West Joyce C - - 2011
Medicare Part D has expanded medication access; however, there is some evidence that dually eligible psychiatric patients have experienced medication access problems. The aim of this study was to characterize medication switches and access problems for dually eligible psychiatric patients and associations with adverse events, including emergency department visits, hospitalizations, ...
Park Kt - - 2011
BACKGROUND:: Inflammatory bowel diseases (IBD) are costly chronic gastrointestinal diseases, with pediatric IBD representing increased costs per patient compared to adult disease. Healthcare expenditures for ulcerative colitis (UC) are more than 2 billion dollars annually. It is not clear whether the addition of VSL#3 to standard medical therapy in UC ...
Orme Michelle - - 2011
PURPOSE: The objective was to assess the long-term economic consequences of the medical management of glaucoma in the UK. METHODS: The economic evaluation was conducted using the results from a 10-year Markov model based around 3 key triggers for a switch in medical therapy for glaucoma, namely: lack of tolerance ...
Wheeler Anthony J - - 2011
ABSTRACT: Study Design. A retrospective-cohort investigation (N = 245) utilizing a review of patient medical records and costs accrued through the Workers' Compensation Fund of Utah.Objective. To replicate a previous study of compensation and medical costs in compensated lumbar fusion patients, to identify changes in costs across time, and to ...
van Litsenburg Raphaële R L - - 2011
BACKGROUND: Survival for childhood acute lymphoblastic leukemia (ALL) has reached 80-90%. Future improvement in treatment success will involve new technologies and medication, adding to the pressure on limited financial resources. Therefore a retrospective cost-effectiveness analysis of ALL treatment with chemotherapy only according to the two most recent Dutch Childhood Oncology ...
Karell P - - 2011
Parasites can mediate profound negative effects on host fitness. Colour polymorphism has been suggested to covary genetically with intrinsic physiological properties. Tawny owl colour polymorphism is highly heritable with two main morphs, grey and brown. We show that experimental medication acts to reduce blood parasites and that medicated grey females ...
Oshikoya Kazeem Adeola - - 2011
Adverse drug reactions (ADRs) may cause prolonged hospital admissions with high treatment costs. The burden of ADRs in children has never been evaluated in Nigeria. The incidence of pediatric ADRs and the estimated cost of treatment over an 18-month period were determined in this study. Prospective observational study on children ...
Sagalow Ty R - - 2011
The adoption of electronic medical records technology in medical practices is helping to improve quality and decrease costs. While electronic records can increase practice efficiencies, this stored digital information is also playing an increasingly central role in the discovery phase of lawsuits. The sheer volume of electronic files that may ...
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