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Beeri Michal Schnaider MS Departments of Psychiatry and Preventive Medicine, Mount Sinai School of Medicine, New York, NY, USA; Departments of Preventive Medicine, Mount Sinai School of Medicine, New York, NY, USA; Department of Psychiatry, Sheba Medical Center, The Joseph Sagol Neuroscience Center, Tel-Aviv, Israel. Electronic address: - - 2014
Type 2 diabetes (T2D) is associated with increased risk of dementia. The prospective longitudinal Israel Diabetes and Cognitive Decline study aims at identifying T2D-related characteristics associated with cognitive decline. Subjects are population-based T2D 65+, initially cognitively intact. Medical conditions, blood examinations, and medication use data are since 1998; cognitive, functional, ...
Cheng Zhuo Z Department of Chemical Engineering, Imperial College London, South Kensington Campus, London, SW7 2AZ, - - 2014
Uncomplicated acute type B aortic dissections are usually treated medically, but they can become acutely complicated by rapid expansion, rupture and malperfusion syndromes and in the longer term by chronic dilatation and aortic aneurysm formation. The objective of this study is to use computational fluid dynamics reconstructions of type B ...
Hardon Anita A a Amsterdam Institute for Social Science Research , Amsterdam , the - - 2014
While social scientists often highlight the way medical technologies mediate biomedical hegemony, this special issue focuses on the creative and often unexpected ways in which medical technologies are appropriated by diverse actors in homes, clinics and communities. The authors highlight key insights from twelve ethnographic case studies conducted in North ...
Ng J H JH Department of Otorhinolaryngology, Singapore General Hospital, Outram Road, Singapore 169608. - - 2014
Although cosmetic procedures have become increasingly popular among the younger population in recent years, limited research on this subject has been done in the Asian context. We aimed to explore the views and knowledge regarding cosmetic procedures among junior college (JC) and medical students in Singapore. In the first phase ...
Kaku Sowmyashree Mayur SM Department of Clinical Neurosciences, NIMHANS, Bangalore, Karnataka. - - 2014
An editorial by Dr George Thomas in IJME rightly points out the flaws in the constitution of the Medical Council of India (MCI). Amendments are made over and over again, but the need of the hour is to make real changes in the existing system. The conduct of the elections ...
Al-Dubai Sar S Department of Community Medicine, International Medical University, No. 126, Jln Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, - - 2014
The 10-item version of Perceived Stress Scale (PSS-10) is a widely used tool to measure stress. The Malay version of the PSS-10 has been validated among Malaysian Medical Students. However, studies have not been conducted to assess its validity in occupational settings. The aim of this study is to assess ...
Hasegawa Fujiko F School of Pharmacy, International University of Health and Welfare . Ohtawara-city, Tochigi ( Japan ). - - 2014
In Japan, the circumstances in which pharmacists work are changing. Pharmacists are expected to assess conditions of patients subject to medication to ensure proper use of pharmaceutical products. To ensure fulfilment of these roles, there have already been pharmacists' efforts in performing vital signs monitoring. To clarify the necessity and ...
Akkin Salih Murat SM Department of Anatomy, SANKO Medical School, 27090 Gaziantep, Turkey; Department of Anatomy, Cerrahpasa Medical Faculty, Istanbul University, 34098 Istanbul, - - 2014
Dissection of the human body for educational purposes became officially permitted in the Ottoman Empire only after a long, difficult process. In the West, studies based on the findings of Galen had been taboo during a long period in which dissection of human bodies had been prohibited. Although the first ...
Allareddy Veerasathpurush V Associate Professor, University of Iowa College of Dentistry, Iowa City, IA, USA. Electronic address: - - 2014
To determine the prevalence and impact of adverse effects of medical care in patients who underwent excision of cervical lymph nodes. Data from the Nationwide Inpatient Sample for the years 2009 and 2010 were used. The outcome variables were complications. The independent variables were occurrence of adverse effects of medical ...
Kahouei Mehdi M Research Center of Social Determinants for Health, Allied health Department, Nursing and Allied Health Faculty, Semnan University of Medical Sciences, Semnan, - - 2014
Most developing societies attempt to eliminate physicians and medical students' barriers to the use of evidence-based information to ensure about delivering the best practice. Hence, health sector of Iran has conducted numerous educational interventions and has provided information technology infrastructure through strategic plans to provide opportunity for physicians and medical ...
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 ...
Steffens Lotte L c/- RMO Unit, Christchurch Hospital, Riccarton Ave, Private Bag 4710, Christchurch 8140, New Zealand. - - 2014
To explore medical oncologists' and audiologists' knowledge and attitudes regarding ototoxicity monitoring, and to gain an understanding of monitoring currently being implemented at District Health Boards (DHBs) nationwide. We also aimed to identify ways in which audiological outcomes for patients receiving potentially ototoxic treatments could be improved, including examining whether ...
Küfner Julia J Institut für Didaktik und Ausbildungsforschung in der Medizin, Klinikum der Ludwig-Maximilians-Universität München, - - 2014
Virtual Patients (VPs) are an important component of medical education. One way to reduce the costs for creating VPs is sharing through repositories. We conducted a literature review to identify existing repositories and analyzed the 17 included repositories in regards to the search functions and metadata they provide. Most repositories ...
Chowaniec C C dr med. Czesław Chowaniec Katedra i Zakład Medycyny Sądowej i Toksykologii Sądowo-Lekarskiej Śląski Uniwersytet Medyczny w Katowicach ul. Medyków 18, bud. C-2, III piętro 40-752 Katowice e-mail: - - 2014
Deaths due to inappropriate functioning of the emergency medical services system, as recently described by Polish mass media, has drawn the attention of society to the activities of medical dispatchers. Legal regulations impose obligations on those persons associated with receiving phone calls and dispensing appropriate emergency medical teams. In this ...
Kittrakulrat Jathurong J Medical Students for Health Systems and Services (MS-HSS), Thailand Research Center for Health Services System (TRC-HS), Faculty of Medicine, Chulalongkorn University, Bangkok, - - 2014
Background: In the regional movement toward ASEAN Economic Community (AEC), medical professions including physicians can be qualified to practice medicine in another country. Ensuring comparable, excellent medical qualification systems is crucial but the availability and analysis of relevant information has been lacking. Objective: This study had the following aims: 1) ...
Budakoğlu Işıl İrem Iİ Department of Medical Education, Gazi University Faculty of Medicine, Ankara, - - 2014
There is very little information available on self-perceived competence levels of junior medical doctors with regard to definitions by the National Core Curriculum (NCC) for Undergraduate Medical Education. This study aims to determine the perceived level of competence of residents during undergraduate medical education within the context of the NCC. ...
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 ...
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