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Rossiter Louis F LF College of William & Mary, Williamsburg, VA - - 2014
Abstract Objectives. In the U.S., prescription opioids with technology designed to deter abuse have been introduced to deter drug abuse without hindering appropriate access for pain patients. The objective of this study was to estimate changes in medical costs following the introduction of a new formulation of extended-release (ER) oxycodone ...
Maciejewski Matthew L ML Center for Health Services Research in Primary Care, Department of Veterans Affairs, Durham, NC, USA, - - 2014
Care continuity is considered a critical characteristic of high-performing health systems. Few studies have examined the continuity of medication management of complex patients, who often have multiple providers and complex medication regimens. The purpose of this study was to characterize patient factors associated with having more prescribers and the association ...
Peuskens Joseph J Campus Kortenberg, University Psychiatric Centre KU Leuven, Leuvensesteenweg 517, Kortenberg 3070, Belgium. - - 2014
Many patients with schizophrenia receive long-term treatment with antipsychotic medication. Switching of antipsychotic medication due to lack of efficacy, tolerability issues, and partial/non-adherence is common. Despite this, consensus strategies for switching between antipsychotics are lacking. This manuscript provides practical recommendations for switching antipsychotic medication to ensure optimal management of patients ...
Sobanski E - - 2013
The aim of this analysis is to describe medication adherence, and treatment persistence, in adults with attention deficit/hyperactivity disorder (ADHD) treated for 24weeks with extended release methylphenidate (MPH-ER). Additionally, patient-, disorder- and treatment-related factors associated with adherence and persistence will be identified. Post-hoc analysis of the active treatment group of ...
Kim Jinhee - - 2013
Although the efficacy of inhaled long-acting bronchodilators has been well documented in randomised controlled studies, whether similar effects are obtained in real-life clinical practice is not clear. In this study, we analysed the effect of inhaled long-acting bronchodilators in newly-diagnosed COPD patients. The Korean Health Insurance Review and Assessment Service ...
Garvey William Timothy - - 2013
Introduction: Weight-management options include lifestyle modifications, bariatric surgery and, until recently, limited pharmacotherapy. Phentermine and topiramate extended-release (phentermine/topiramate ER) has recently been approved in the USA for chronic weight management in obese adults and overweight adults with weight-related co-morbidities in conjunction with a reduced-calorie diet and increased physical activity. Areas ...
El-Mallakh Rif S - - 2013
Aggression is a major clinical problem that spans multiple medical and psychiatric diagnoses. The etiology of aggression is complex, comprising social, psychological, and biological factors. Treatment of aggression is equally heterogeneous with structural (environmental), behavioral, and pharmacologic approaches. Among medications, mood stabilizers and antipsychotics are usually considered first line. Antidepressants ...
Keeley Robert D - - 2013
Background. Developing interventions to improve medication adherence may depend upon discovery of novel behavioral risk factors for nonadherence. Objective. Explore the effects of emotional response (ER) on adherence to antihypertensive medication and on systolic blood pressure (SBP) improvement. Design. We studied 101 adults with diabetes and hypertension. The primary outcome, ...
Moon Angus - - 2013
The following is a transcript of a talk relating to aspects of the medical protection given to those in custody by the domestic legislation, by the common law and by the European Convention on Human Rights. So far as domestic legislation is concerned, consideration is given to the provisions of ...
Nasr Adonis - - 2012
OBJECTIVE: To analyze the influence of medical student's voluntary internship at the Emergency Room of the Workers Hospital (ER-HT) in the choice of medical specialty and its importance during graduation. METHODS: A questionnaire was given to doctors and medical students that performed internships at ER-HT for e" 500 hours, from ...
Wald David A - - 2012
We describe the development and implementation of an office-based emergencies course for podiatric medical students. The program included a didactic session along with clinical skills stations incorporating task trainers, high-fidelity simulators, and a standardized patient. We tailored the course to the level of the junior podiatric medical student. The primary ...
Ouellette David W - - 2012
Pulmonary embolism (PE) remains one of the most challenging medical diseases in the emergency department. PE is a potentially life threatening diagnosis that is seen in patients with chest pain and/or dyspnea but can span the clinical spectrum of medical presentations. In addition, it does not have any particular clinical ...
Khdour Maher R - - 2012
AIMS: To investigate the effect of a range of demographic and psychosocial variables on medication adherence in chronic obstructive pulmonary disease (COPD) patients managed in a secondary care setting. METHODS: A total of 173 patients with a confirmed diagnosis of COPD, recruited from an outpatient clinic in Northern Ireland, participated ...
Fan Pohoey - - 2012
Article Title: Pulmonary Function and Left Ventricular Mass in African Americans: The Atherosclerosis Risk in Communities (ARIC) Study (Echocardiography 2012;29:130).
Solem Caitlyn T CT Center for Pharmacoeconomic Research, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois, - - 2012
To better understand how medications have been used and the complexity of regimens used to treat patients, we characterized patterns of medication use and the degree to which patients used different classes of medications in combination and over time in a cohort of newly diagnosed chronic obstructive pulmonary disease (COPD) ...
Macchi A - - 2012
The aim of rhinosinusitis treatment is to restore sinusal eutrophism and to normalize ventilation and mucociliary transport. Frequently the improvement of sinusal physiological conditions is associated with a reduction of infections and pulmonary symptoms. The treatment of these diseases often requires the combination of medical and surgical strategies. In particular, ...
Armstrong Ian - - 2012
To investigate the patient's experience of the trajectory to receiving a diagnosis of pulmonary arterial hypertension (PAH) and inform the provision of care for this patient group. Qualitative study using in-depth one-to-one interviews and pictorial representations. Data were analysed using thematic analysis. Participants were interviewed in their own homes across ...
Lareau Suzanne C - - 2012
Purpose: To review barriers to the successful use of inhalers in patients with chronic obstructive pulmonary disease (COPD), and the role of the nurse practitioner (NP) in facilitating optimum inhaler use. Data sources: Review of the national and international scientific literature. Conclusions: Pharmacologic treatment of COPD patients comprises mainly inhaled ...
Reeves Rusty - - 2011
Benzodiazepines (antianxiety medications) and quetiapine (an antipsychotic medication) are subject to abuse in prison. Quetiapine is also expensive and has serious side effects. The prescription of these medications in prison for anxiety and insomnia is not the preferred choice. In order to reduce these prescriptions, the University of Medicine and ...
Langley Eric - - 2011
This article considers Shakespeare's metaphors of transmission, contagion and infection in the light of period plague tracts, medical treatises and plague time literature. The author demonstrates how period conceptions of disease are predicated upon a notion of sympathetic transference and, consequently, how kindness, likeness and communication between characters in Shakespearean ...
Stetz Melba C - - 2011
Combat zones can be very stressful for those in the area. Even in the battlefield, military medical personnel are expected to save others, while also staying alive. In this study, half of a sample of deployed military medical warriors (total n = 60) participated in technology-assisted relaxation training. Learning relaxation ...
Noymer Peter - - 2011
Delivering therapeutic compounds via the lungs presents potential advantages relative to other routes of administration. Depending on the compound and the disease state, these advantages may include: non-invasive medication delivery, ease of administration, higher bioavailability leading to dose sparing and lower systemic toxicity, potentially greater blood-brain barrier penetration and rapid ...
Lim Leslie - - 2011
OBJECTIVE: No previous studies have empirically demonstrated a multiplicative interactive effect of anxiety disorders and/or depression (ADD) and chronic medical conditions on quality of life (QOL). We hypothesized that QOL impairment was worsened by the presence of ADD and medical co-morbidity, more than when it was with either medical co-morbidity ...
Plaisant Odile - - 2011
Assessment of the personalities of medical students could enable medical educators to formulate strategies for the best development of academic and clinical competencies. In this article, we focus on the experience of students in the anatomy dissecting room. While there have been many attempts to evaluate the emotional responses of ...
Crits-Christoph Paul - - 2011
The current study assessed efficacy of combined cognitive behavioral therapy (CBT) and venlafaxine XR compared to venlafaxine XR alone in the treatment of generalized anxiety disorder (GAD) within settings where medication is typically offered as the treatment for this disorder. Patients with DSM-IV-diagnosed GAD who were recently enrolled in a ...
Leão Paula Bertozzi de Oliveira E Sousa - - 2011
Doubts, competitiveness and preparation for the residency examination increase stress and insecurity at the end of medical course. Well-being is very important at this point, but it is known that medical students are reluctant to seek help, particularly for emotional problems. This study investigated the relationship among well-being, perceived needs ...
McCabe Sean Esteban - - 2011
The objective of this study was to estimate the lifetime prevalence of diversion (i.e., trading, selling, giving away or loaning) of four classes of controlled medications (pain, stimulant, anti-anxiety, and sleeping) among adolescents, and to identify demographic and behavioral characteristics of adolescents who divert their own controlled medications. A web-based ...
Guntzviller Lisa M - - 2011
Communication research has been hindered by a lack of validated measures for Latino populations. To develop and validate a foreign language anxiety in a medical office scale (the Foreign Language Anxiety in a Medical Office Scale [FLAMOS]), the authors conducted a survey of low income, primarily Spanish-speaking Latinos (N = 100). The ...
Yoon Young-Hoon - - 2011
This report introduces and discusses the present state of the helicopter emergency medical services (HEMS) in the metropolitan area of South Korea. The data of patients transported by HEMS from April 2007 to June 2009 were provided by Seoul Metropolitan Fire and Disaster Management Department. The data of patients subsequently ...
Warrington Susan E - - 2011
A growing body of evidence supports the intranasal administration of atomized medications for a wide variety of pediatric indications. This article describes their use applicable to orthopedic specialists in the areas of pediatric pain management, as well as pre- and intraoperative sedation. As a quick, painless alternative to more invasive ...
Smith W Thomas - - 2011
The statutory language of the Americans with Disabilities Act (ADA) affords antidiscrimination protection to persons who have a physical or mental impairment that substantially limits one or more of the major life activities. The ADA comprises two major aspects: (1) whether one has a disability that qualifies for protection, and ...
Custers Eugène J F M - - 2011
Medical Education 2011: 45: 422-430 Context  Despite frequent complaints that biomedical knowledge is quickly forgotten after it has been learned, few investigations of actual long-term retention of basic science knowledge have been conducted in the medical domain. Objectives  Our aim was to illuminate the long-term retention of basic science knowledge, ...
Heller Samantha Lynn - - 2011
Despite the proliferation of journals and the demanding responsibilities of an editorship, there are very few clearly delineated standards for editorial education. The editor of a medical journal has a challenging role. He or she must deal with scientific decisions and appraisals that require skill in both writing and critical ...
Kakkar Manish - - 2011
This study focuses on estimating knowledge of zoonoses among medical students and recent graduates, with an aim of understanding critical gaps in medical education with respect to zoonoses. A semi-structured tool for knowledge assessment, having nine principal domains of knowledge and five domains of practice, was developed and validated. Using ...
Davis David A - - 2011
To help address the clinical care gap, a working group discussed the future of faculty development in academic medicine, explored problems within the large, current enterprise devoted to continuing medical education (CME), and described four domains core to its revitalization and reformation. These domains are (1) preparing and supporting an ...
Whitehead Cynthia R - - 2011
Competency frameworks based on roles definitions are currently being used extensively in health professions education internationally. One of the most successful and widely used models is the CanMEDS Roles Framework. The medical literature has raised questions about both the theoretical underpinnings and the practical application of outcomes-based frameworks, however little ...
Celenza Antonio A aUniversity of Western Australia, Crawley bSir Charles Gairdner Hospital, Nedlands, Western Australia, - - 2011
This study evaluates the effects of an educational intervention and the use of a preprinted form on the adequacy of documentation of procedural sedation in an adult emergency department. The study was conducted at a tertiary hospital's emergency department. Structured medical record review was performed before and after a multipronged ...
Dimick Chris - - 2011
Important differences exist in advance directives. Only some grant access to another person's medical records, and that can change with time.
Yao Lixia - - 2011
A scientific ontology is a formal representation of knowledge within a domain, typically including central concepts, their properties, and relations. With the rise of computers and high-throughput data collection, ontologies have become essential to data mining and sharing across communities in the biomedical sciences. Powerful approaches exist for testing the ...
Chen Yuh F - - 2011
An introduction to the discipline of pharmacology is a standard part of the scientific foundation of medical school curricula. Neuroimmune pharmacology is a new subtopic that integrates fundamental concepts of neuroscience, immunology, infectious disease, and pharmacology. The integration of these areas is important to medical training in view of the ...
Walls Ron M - - 2011
Objective: Emergency department (ED) intubation personnel and practices have changed dramatically in recent decades, but have been described only in single-center studies. We sought to better describe ED intubations by using a multi-center registry. Methods: We established a multi-center registry and initiated surveillance of a longitudinal, prospective convenience sample of ...
Nanda Sudip - - 2010
Cardiac arrest remains one of the most common causes of death in developed countries. Those who survive may have significant neurologic morbidity. In the current decade, therapeutic medical hypothermia (TMH) has emerged as the only treatment that unequivocally improves neurologic outcomes in post ventricular fibrillation / ventricular tachycardia induced cardiac ...
Wilkinson Diana - - 2010
The Workshop on Medical Preparedness for Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE) events: national scan was held on 20 and 21 May 2010 at the Diefenbunker Museum in Ottawa, Canada. The purpose of the workshop was to provide the CBRNE Research and Technology Initiative with a Canadian national profile ...
Valani Rahim - - 2010
Each year, close to 2 billion passengers travel on commercial airlines. In-flight medical events result in suboptimal care due to a variety of factors. Flight diversions due to medical emergencies carry a significant financial and legal cost. The purpose of this study was to determine the causes of in-flight medical ...
Drummond M - - 2010
The Portuguese Journal of Pulmonology is progressively achieving an important status in Portuguese medical literature. The present editors thought it would be an enriching task to revise the main topics published during 2009. The invited members of the Editorial Board covered and commented the most relevant articles and gave us ...
Lim So Yeon - - 2011
The purpose of the study was to determine whether earlier clinical intervention by a medical emergency team (MET) can improve patient outcomes in an Asian country. A nonrandomized study was performed during two 6-month periods before and after the introduction of a MET. The rates of cardiac arrests and "potentially ...
Godet-Mardirossian Hélène - - 2012
Acute allergic reactions often occur in out-of-hospital settings, and some of these reactions may cause death in the short term. However, initial diagnosis, management and processing of acute allergic reactions by Medical Emergency Dispatch Centres are not documented. The aim of the present study was to describe acute allergic reactions ...
Waller Edward J - - 2010
Medical response to a radiological emergency involves first assessing, triaging and treating trauma, followed by determining potential hazard from radiological intake. A combined hardware-software strategy is required for this mission. The hardware strategy should consist of a dedicated detector suite capable of alpha, beta and gamma radiation detection, identification and ...
Resar Roger K - - 2010
Efforts to date have been unable to reverse the trend of increased emergency department utilization. The Institute for Healthcare Improvement has developed a framework for reducing avoidable emergency department visits on the basis of the formation of local coalitions. These coalitions include interested partners approaching improvement by integrating community resources ...
National Association Of Ems Physicians And National Association Of State Ems - - 2010
This is the official position statement of the National Association of EMS Physicians and the National Association of State EMS Officials on medical direction for operational emergency medical services (EMS) programs.
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