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Whayne Thomas F - - 2014
Many therapeutically active medications have significant side effects, some of which can compromise the intended therapeutic goal. The development of plasma lipid abnormalities or a dyslipidemia as the result of a medication intended for an unrelated effect has been reported. Human immunodeficiency virus (HIV) infection can cause dyslipidemia as can ...
Lloyd Bradley A BA Landstuhl Regional Medical Center, CMR 402, Box 1559, APO AE 09180, Landstuhl, - - 2014
In 2008, a clinical practice guideline (CPG) was developed for the prevention of infections among military personnel with combat-related injuries. Our analysis expands on a prior 6-month evaluation and assesses CPG adherence with respect to antimicrobial prophylaxis for U.S. combat casualties medically evacuated to Landstuhl Regional Medical Center over a ...
Kamsu-Foguem Bernard B Laboratory of Production Engineering (LGP), EA 1905, ENIT-INPT University of Toulouse, 47 Avenue d'Azereix, BP 1629, 65016, Tarbes Cedex, France. Electronic address: - - 2014
Our contribution focuses on the implementation of a formal verification approach for medical protocols with graphical temporal reasoning paths to facilitate the understanding of verification steps. Formal medical guideline specifications and background knowledge are represented through conceptual graphs, and reasoning is based on graph homomorphism. These materials explain the underlying ...
Radetsky Michael M From the Department of Pediatrics, University of New Mexico School of Medicine, Presbyterian Medical Center, Albuquerque, New - - 2014
Fulminant bacterial meningitis is a rare host reaction to infection characterized by sudden onset, rapid deterioration, abrupt cerebral edema and refractory intracranial hypertension associated with an extremely high mortality rate. A search of all relevant medical literature since 1900 was conducted to clarify the nature of this entity and its ...
Salim F F ENT Department, Guy's Hospital, London, - - 2014
Introduction: Non-healing ulcers can be caused by a number of conditions, including vascular disease, diabetes, malignancy and some infections. Drug-related ulcers are rare, and a high index of clinical suspicion is required for diagnosis, in parallel with exclusion of more sinister underlying causes. Case report: We present a patient with ...
Trussell James J Office of Population Research, Princeton University, Princeton, NJ 08544, USA; The Hull York Medical School, University of Hull, Hull HU6 1RX, England. Electronic address: - - 2013
From 2001 to March 2006 Planned Parenthood health centers throughout the United States provided medical abortion by a regimen of oral mifepristone followed 24-48 h later by vaginal misoprostol. In response to concerns about serious infections, in early 2006 Planned Parenthood changed the route of misoprostol administration to buccal and ...
Sanya Te T Department of Clinical Pharmacy & Pharmacy Administration, University of Ibadan, - - 2013
Antibiotic misuse is a major contributory factor to treatment failure, antibiotic resistance and high healthcare costs. To evaluate level of self-reported antibiotic misuse among non-medical undergraduate students of a Nigerian university. Respondents' knowledge of antibiotics and disposal system for left-over antibiotics were explored using a structured questionnaire. Data were summarized ...
Núñez Cuadros Esmeralda - - 2013
Citrobacter is a Gram-negative bacillus that colonizes the urogenital and intestinal system. It is a rare cause of vertically acquired neonatal infection with a nevertheless high morbidity and mortality rate. It invades the central nervous system causing meningitis and brain abscesses in up to 75% of all cases. There is ...
Radetsky Michael - - 2013
Fulminant bacterial meningitis is a rare host reaction to infection characterized by sudden onset, rapid deterioration, abrupt cerebral edema, and refractory intracranial hypertension associated with an extremely high mortality rate. A search of all relevant medical literature since 1900 was conducted to clarify the nature of this entity and its ...
Steinberg Holger - - 2013
Background: Between 1880 and 1883, the famous German neurologist Wilhelm Erb was appointed Professor of Special Pathology at Leipzig University and Head of the Medical Outpatient Department. Summary: Besides the favourable clinical conditions, it was first and foremost the access to large numbers of patients that enabled him to both ...
Du Toit Karen K Division of Pharmaceutical Chemistry, Discipline of Pharmaceutical Sciences, University of KwaZulu-Natal, Durban, South Africa. - - 2014
The Constitution of the Republic of South Africa provides that everyone has the right to an environment that is not harmful to their health and well-being. The illegal dumping of hazardous waste poses a danger to the environment when pollutants migrate into water sources and ultimately cause widespread infection or ...
Deva Ak - - 2013
There is increasing evidence that bacterial biofilm is responsible for the failure of medical devices leading to Device Associated Infection (DAI). As plastic surgeons, we are among the leading users of prostheses in surgery and it is important that we are kept informed of this growing problem. This article summarizes ...
Beer Kenneth - - 2013
Erythema multiforme (EM) is a serious cutaneous and/ or mucocutaneous disorder that typically develops within 10-14 days of exposure to an offending medication or infection and resolves within 4 weeks. Common offending agents include antibiotics, anticonvulsants, nonsteroidal anti-inflammatory medications, and various viral, fungal, and bacterial infections. Herpes simplex virus is ...
Gerlach Oliver H H - - 2013
BACKGROUND: Retrospective studies suggest that many Parkinson's disease patients have a worsening of their motor status during hospitalization. We aimed to quantify this prospectively, and study possible contributing factors. METHODS: Over one year we included all consecutive Parkinson's disease patients, newly admitted to a Dutch teaching hospital. We analyzed complications, ...
Alfa Michelle J - - 2013
The overall risk of infection from medical devices is very low, but high infection transmission rates have been related to inadequate reprocessing of arthroscopic shavers and flexible duodenoscopes. Monitoring of manual and automated cleaning is needed to ensure that inadequately cleaned medical devices are recleaned prior to disinfection or sterilization.
Poulos Leanne M - - 2013
BACKGROUND: Guidelines recommend regular use of inhaled corticosteroid (ICS)-containing medications for all patients with persistent asthma and those with moderate to severe chronic obstructive pulmonary disease. It is important to identify indicators of inappropriate prescribing. AIMS: To test the hypothesis that ICS are prescribed for the management of respiratory infections ...
Alm Torbjørn T Tromsø University Museum, - - 2013
Ergotism is a horrendous disease with grotesque symptoms caused by ingesting specific ergot alkaloids. Mass poisoning episodes are attributable to consumption of grain - usually rye - infected with the fungus Claviceps purpurea. By focusing on possible cases of ergotism, we re-examine Norwegian history from the sagas through to the ...
Mackowiak Philip A PA Medical Care Clinical Center, VA Maryland Health Care System , Baltimore, MD , USA ; Department of Medicine, University of Maryland School of Medicine , Baltimore, MD , - - 2013
Over a century ago, Elie Metchnikoff theorized that health could be enhanced and senility delayed by manipulating the intestinal microbiome with host-friendly bacteria found in yogurt. His theory flourished for a time, then drifted to the fringe of medical practice before re-emerging in the mid-1990s as a concept worthy of ...
Wallang Batriti S - - 2013
Smear and culture tests of corneal scrapings from a patient with a ring infiltrate confirmed significant growth of a Staphylococcus species resistant to fluoroquinolones. Because of nonresponse to medical management, the patient underwent therapeutic penetrating keratoplasty. Staphylococcal infection of the cornea may appear as a ring-like infiltrate that is recalcitrant ...
Desai Vibha C A - - 2012
BACKGROUND: The incidence of invasive fungal infections (IFIs) has increased substantially in the recent past. Advances in medical technology, including broad-spectrum antibiotics, may increase the risk for fungal infections. Moreover, immunocompromised patients with cancer, HIV/AIDS, and/or transplants are susceptible to IFIs. Meanwhile, superficial fungal infections (SFIs) are common and can ...
Daneshpour Nooshin - - 2013
Central venous catheters (CVCs) are being utilized with increasing frequency in intensive care and general medical wards. In spite of the extensive experience gained in their application, CVCs are related to the long-term risks of catheter sheath formation, infection, and thrombosis (of the catheter or vessel itself) during catheterization. Such ...
Nieva Reynaria R Division of Cardiology, Department of Medicine, Emory University, Atlanta, Georgia, USA. - - 2012
The use of complementary and alternative medicine is common and continues to rise each year, both in the general population and among those with cardiovascular disease. While some supplements may incur risk, particularly when used concomitantly with cardiovascular medications, others have proven benefits. However, supplements such as antioxidants and many ...
Wu Jia-Rong JR Department of Adult/Geriatric Health, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, - - 2013
Medication adherence and perceived social support (PSS) are independent predictors of mortality in patients with heart failure (HF). However, the predictive power of the combination of medication adherence and PSS for hospitalization and death has not been investigated in patients with HF. The purpose of the study was to explore ...
Muras Magdalena M Department of Family and Community Medicine, Medical University of Lodz, - - 2013
Self-medication can contribute to the inappropriate use of antibiotics in respiratory tract infections (RTI). This phenomenon has not been well described, particularly in Poland. The aim of our study was to describe the prevalence of antibiotic self-medication for RTI, to explore factors influencing antibiotic use without prescription, and to determine ...
Paterick Timothy E - - 2012
Informed consent ideally results in patient autonomy and rational health care decisions. Frequently, patients face complex medical decisions that require a delicate balancing of anticipated benefits and potential risks, which is the concept of informed consent. This balancing process requires an understanding of available medical evidence and alternative medical options, ...
Schlingmann Tobias R - - 2012
Objective.  Mortality among children with congenital and acquired heart disease has decreased significantly over the past decades. We sought to determine whether the underlying problems leading to death in these patients had changed over the past decade. Methods.  We reviewed medical records for 100 deaths of cardiac patients in 2004-2005 ...
Daniels Ron - - 2012
Sepsis- the life-threatening response of the body to an infection- is one of the more common reasons for presentation to an Acute Medical Unit, and a major health and economic burden to our healthcare system, with an estimated 37,000 deaths occurring annually in the U.K.
Bisharat Bishara - - 2012
Medication non adherence is a global epidemic perplexing phenomenon that is eminent, but not insurmountable. Our first objective was to explore whether providing pharmacist's counseling to cardiac patients prior to discharge can increase patient's medication adherence, and our second objective was to assess whether better medication adherence leads to reduction ...
Ivers Noah M - - 2012
Despite evidence-based recommendations supporting long-term use of cardiac medications in patients post ST-elevation myocardial infarction, adherence is known to decline over time. Discontinuation of cardiac medications in such patients is associated with increased mortality. This is a pragmatic, cluster-randomized controlled trial with blinded outcome assessment and embedded qualitative process evaluation. ...
Chang-Quan H - - 2011
The association of antihypertensive medication use with cognitive decline (including mild cognitive impairment) or dementia (including Alzheimer's disease (AD), vascular dementia (VD) and any dementia) has still been an area of controversy. This study examined the association of antihypertensive medication use with cognitive decline or dementia using a quantitative meta-analysis ...
Lau Denys T - - 2011
This study provides empirical evidence on whether polypharmacy and potentially inappropriate prescription medications (PIRx, as defined by the 2003 Beers criteria) increase the likelihood of functional decline among community-dwelling older adults with dementia. Data were from the National Alzheimer's Coordinating Center, Uniform Data Set (9/2005-9/2009). Study sample included 1994 community-dwelling ...
Mabasa Vincent H - - 2011
A prolonged QTc interval on electrocardiography is often used as a surrogate marker for ventricular arrhythmia. Medications that can prolong the QTc interval may increase the risk of cardiac complications, although the exact incidence is unknown. It is reasonable to assume that administration of QTc-prolonging medications to patients with pre-existing ...
Bhattacharya Rituparna - - 2011
BACKGROUND: Anticholinergic medications, although frequently used in elderly populations, are associated with cognitive impairment and constitute significant concern for patients with dementia. OBJECTIVE: The purpose of our study was to examine patterns and predictors of prescribing anticholinergic agents for elderly outpatients with dementia. METHODS: We combined data from the 2006-2007 ...
Rhee YongJoo - - 2011
To estimate the proportion of community-dwelling older adults with dementia being prescribed a psychotropic and to identify patient and caregiver factors associated with antipsychotic use. Retrospective cohort study of the Aging, Demographics, and Memory Study (ADAMS) from 2002 to 2004 designed to assess dementia severity and service use of community-dwelling ...
Carder Paula C - - 2011
PURPOSE:  This study identified how unlicensed staff members decide to administer medications prescribed pro re nata (PRN) to residents of assisted living (AL) settings designated for persons with dementia. Theories of knowledge, including explicit and implicit knowledge, discretion, and judgment, guided the analysis.  DESIGN AND METHODS:  Data were collected and ...
Stephan Blossom C M BC Department of Public Health and Primary Care, Institute of Public Health, Cambridge University, UK. - - 2011
diagnosis of mild cognitive impairment (MCI) typically excludes individuals with medical co-morbidity. Interest in MCI screening raises the questions of what are the best criteria to identify a representative sample and what factors are associated with MCI progression to dementia. to compare the pattern of disease co-morbidity across different cognitive ...
Leung Jess L M - - 2011
ABSTRACTBackground: There is no valid instrument currently in use at acute-care hospitals in Hong Kong to aid the detection of cognitive impairment. The objectives of this study were to (1) validate the Digit Span Test (DST) in the identification and differentiation of dementia and delirium; and (2) determine the prevalence ...
Kerchner Geoffrey A - - 2011
There is no dedicated therapy for frontotemporal dementia (FTD). In order to treat the often devastating behavioral disturbances that interfere with both normal social functioning and the ability of caregivers to provide needed support, off-label medication usage is frequent. In addition to antidepressant and antipsychotic medications, which afford some benefits, ...
Parens Erik - - 2011
The ongoing 'enhancement' debate pits critics of new self-shaping technologies against enthusiasts. One important thread of that debate concerns medicalization, the process whereby 'non-medical' problems become framed as 'medical' problems. In this paper I consider the charge of medicalization, which critics often level at new forms of technological self-shaping, and ...
McLaren Kimberly - - 2011
Education about physicians' disruptive behavior is relevant for practicing physicians, who must demonstrate competence in professionalism for maintenance of certification. In addition, physicians need to know about newer regulatory standards that define disruptive behavior and mandated processes for dealing with such behavior, as health care organizations are now charged with ...
Miller Lynn E - - 2011
Abraham Flexner's 1910 exposé on medical education recommended that only two of the seven extant medical schools for blacks be preserved and that they should train their students to "serve their people humbly" as "sanitarians." Addressing charges of racism, this article traces the roots of the recommendation that blacks serve ...
Nussbaum Abraham M - - 2011
Editor's Note: The following is the commentary of a young psychiatrist about the evolution of his thinking during training. He offers a provocative and fresh view of a complicated illness which affects more and more of us as we grow older. In a psychiatry residency outpatient clinic, an elderly woman ...
Bird Sara - - 2011
This article forms part of our 'Paperwork' series for 2011, providing information about a range of paperwork that general practitioners complete regularly. The aim of the series is to provide information on the purpose of the paperwork, and hints on how to complete it accurately. This will allow the GP ...
Linder M - - 2011
Clinical dilemma: In the Emergency Room you are asked to examine a patient diagnosed with dementia. You diagnose active psychosis, and contemplate whether to prescribe antipsychotic (AP) medication?
Tanker Scott - - 2011
There are more than 1 billion credit and debit cards used each day to make purchases. Many of these purchases happen in medical offices nationwide. Understanding whether to take a debit or credit charge from a patient could translate into great savings over time for a medial practice. The article ...
Babamir Seyed Morteza - - 2011
Adequate reliability of algorithms and computations of modern medical systems software is a matter of concern because the system software is in charge of satisfying safety requirements of the system environment, i.e., the patient. This chapter aims to present a framework for specifying the behavior of the Continuous Infusion Insulin ...
Parsons Carole - - 2011
The objective of this study was to determine the sedative load and use of sedative and psychotropic medications among older people with dementia living in (residential) care homes. Medication data were collected at baseline and at two further time-points for eligible residents of six care homes participating in the EVIDEM-End ...
Peris-Lopez Pedro - - 2011
Errors involving medication administration can be costly, both in financial and in human terms. Indeed, there is much potential for errors due to the complexity of the medication administration process. Nurses are often singled out as the only responsible of these errors because they are in charge of drug administration. ...
Maley Catherine - - 2010
This article presents strategies for advertising the medical practice. The emphasis is on breaking out of the old rules of how one should advertise and delves into asking questions that lead to a true strategy unique to one's medical practice and offerings. The article discusses the myriad ways to think ...
Allotey Janette C - - 2011
This paper principally concerns the examination of four English midwifery treatises written by midwives between 1671 and 1795. It focuses on their responses to the medicalisation of childbirth and, in particular, their concerns about medical negligence and their views on the value of anatomical knowledge to the development and defence ...
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