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Hommel E E Steno Diabetes Center, Niels Steensensvej 2, 2820, Gentofte, Copenhagen, Denmark, - - 2014
To investigate the impact of continuous glucose monitoring (CGM) on health-related quality of life (HRQOL), treatment satisfaction (TS) medical resource use, and indirect costs in the SWITCH study. SWITCH was a multicentre, randomized, crossover study. Patients with type 1 diabetes (n = 153) using continuous subcutaneous insulin infusion (CSII) were randomized to ...
Saleh Neven Saleh - - 2014
Preventive maintenance is a core function of clinical engineering and it is essential to guarantee the correct functioning of the equipment. The management and control of maintenance activities are equally important to perform maintenance. As the variety of medical equipment increases, accordingly the size of maintenance activities increases, the need ...
Davies Jane C JC Imperial College, London, UK Royal Brompton and Harefield NHS Foundation Trust, London, - - 2014
Cystic fibrosis is a disease that still causes a reduced life expectancy. The treatment burden remains high for affected individuals with often a combination of multiple oral and inhaled medications, as well as physiotherapy, required on a daily basis. In this article, we look at an overview of the pathogenesis, ...
Stowasser Michael M Endocrine Hypertension Research Centre, Greenslopes and Princess Alexandra Hospitals, University of Queensland School of Medicine, Ipswich Road, Woolloongabba, Queensland, 4102, Australia, - - 2014
Among patients with resistant hypertension, primary aldosteronism (PA) is worth detecting as it appears to be particularly common in this cohort. It is associated with excessive cardiovascular morbidity in relation to the degree of hypertension and reduced quality of life, both of which can be abrogated with specific surgical or ...
Park Jeong-Wook JW Department of Neurology, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, - - 2014
Chronic daily headache (CDH) is a commonly reported reason for visiting hospital neurology departments, but its prevalence, clinical characteristics, and management have not been well documented in Korea. The objective of this study was to characterize the 1-year prevalence, clinical characteristics, medical consultations, and treatment for CDH in Korea. The ...
Maruta Jun J Brain Trauma Foundation, New York, USA - - 2014
The nature of ADHD, especially in adulthood, is not well-understood. Therefore, we explored subcomponents of attention in adult ADHD. Twenty-three adults with ADHD were tested on neurocognitive and visual tracking performance both while on their regular prescription stimulant medication and while abstaining from the medication for 1 day. Pairwise comparisons ...
Daly Shelagh S Mind, the mental health - - 2014
MediBabble is a medical translation app developed by two medical students at the University of California. They describe it as a 'history-taking and physical exam application designed to improve the safety, efficiency and quality of care for non-English-speaking patients'.
Boyden Jackelyn Y JY 1 Capital Caring , Falls Church, VA - - 2014
Abstract Background: Dyspnea significantly impacts quality of life and is one of the most common symptoms in advanced illness. Systemically-administered opioids and benzodiazepines have been the most studied and utilized pharmacologic treatments for refractory dyspnea. Less attention has been given to the use of these medications and others when nebulized. ...
Weick-Brady Mary M Mary Weick-Brady, MSN, RN, is a Senior Policy Advisor, Office of the Center Director, Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, Maryland. Simran Singh, MSN, RN, is a Health Science Intern, Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, - - 2014
Although home-use medical devices provide significant benefits, including improved quality of life and cost savings, they are associated with unique risks. These risks result from interactions among the user, the use environment, and the device, and they can greatly impact user and patient safety. This article describes measures being taken ...
Cresce Nicole D - - 2014
Acne and rosacea cause significant negative impact on quality of life. There is limited information comparing the health-related quality of life (HRQL) impact associated with acne and rosacea to other patient populations.<BR /> We review available literature to assess the HRQL impact of acne and rosacea and compare them with ...
Canfield Dennis V - - 2014
Pilots who use an impairing medication to treat a medical condition are required to wait an appropriate amount of time after completing the treatment before returning to duty. However, toxicology findings from fatal aviation accidents indicate not all pilots wait a sufficient period of time. Methods used today do not ...
Wang Wei-Dong WD Psychology and Sleep Department of Guang'anmen Hospital of China Academy of Chinese Medical Sciences, No. 5 Bei Xian Ge, Xi Cheng District, Beijing, 100053, China, - - 2014
Cognitive behavioral therapy for insomnia (CBT-I) is well-validated in the western countries. However, it has not been widely adopted or disseminated in China. One possibility is that therapeutic approaches drawn from traditional Chinese medicine (TCM) will be more widely accepted. This study aimed to evaluate the efficacy of medication in ...
Razaak Manzoor - - 2014
The Quality of Experience (QoE) and Quality of Service (QoS) provided in the healthcare sector are critical in evaluating the reliable delivery of the healthcare services provided. Medical images and videos play a major role in modern e-health services and have become an integral part of medical data communication systems. ...
Illingworth Kenneth D KD Southern Illinois University School of Medicine, Springfield, - - 2014
The purpose of this study was to determine the effect of tort reform and quality improvement measures on medical liability claims in 2 groups of hospitals within the same multihospital organization: one in Texas, which implemented medical liability tort reform caps on noneconomic damages in 2003, and one in Louisiana, ...
van Nordennen Ronald T C M RT Groenhuysen Organisation, Postbus 1596, 4700 BN, Roosendaal, The Netherlands, - - 2014
The main goal of palliative care is to improve quality of life by treating symptoms in patients with life-threatening illnesses. Most patients suffer from more than five severe comorbidities in the last 6 months of life. However, for patients receiving palliative care, interventions to prevent possible long-term complications of these comorbidities ...
Fouretier Alice A Hospices Civils de Lyon, Délégation à la Recherche Clinique et à l'Innovation, Siège Administratif, BP 2251, 3 Quai des Célestins, 69002 Lyon, - - 2014
Medical devices (MDs) contribute to improve quality and effectiveness of healthcare. The MD industry is a heterogeneous, innovative, dynamic and growing sector. The existing regulatory framework for MDs has been in place for 20 years and needed a revision. In September 2012, the European Commission published a proposal for a ...
Zschocke I I SCIderm GmbH, Hamburg, - - 2014
Psoriasis is a chronic, recurrent immune-mediated skin disease with a 2-3% prevalence in the Western population, which severely affects patients' quality of life and poses a considerable socioeconomic challenge. The majority of individuals have psoriasis in limited areas and topical products are the mainstay of therapy according to existing guidelines. ...
McCue Michael J MJ Virginia Commonwealth University, USA. - - 2014
For the past two years, the Affordable Care Act has required health insurers to pay out a minimum percentage of premiums in the form of medical claims or quality improvement expenses--known as a medical loss ratio (MLR). Insurers with MLRs below the minimum must rebate the difference to consumers. This ...
Smischney Nathan J NJ Department of Anesthesiology - Critical Care Medicine Division, Mayo Clinic, Rochester, MN, - - 2014
Checklists have been adopted by various institutions to improve patient outcomes. In particular, readmission prevention checklists may be of potential value to improve patient care and reduce medical costs. As a result, a prior quality improvement study was conducted to create an intensive care unit readmission prevention checklist. The previous ...
Call Rosemary J RJ Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, - - 2014
To investigate the use of a trigger tool for the detection of adverse drug events (ADE) in a pediatric hospital specializing in oncology, hematology, and other catastrophic diseases. A medication-based trigger tool package analyzed electronic health records from February 2009 to February 2013. Chart review determined whether an ADE precipitated ...
Carter Alan A University of Missouri-Kansas City School of Pharmacy, Kansas City, MO, USA - - 2014
When large quantities of contaminated, subpotent, or superpotent drugs are introduced into the medical supply pipeline, injury or death of hundreds or thousands of patients can occur. Tracing the origin of substandard and dangerous products and tracking across regions and countries where shipped is quite costly in both money and ...
Yancey Joseph R JR Fort Belvoir Community Hospital, Fort Belvoir, VA, - - 2014
Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. If a red flag for a secondary cause of headache is present, ...
Ochasi Aloysius - - 2014
According to the World Health Organization (WHO) cardiovascular disease (CVD) is the leading cause of death globally. Over 80% of CVD deaths take place in low- and middle-income countries (LMICs). It is estimated that 1 million to 2 million people worldwide die each year due to lack of access to ...
Jensen Line Due LD Optimed, Clinical Research Centre, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark, - - 2014
Background The use of potentially inappropriate medications (PIMs) is common in the older population. Inappropriate medications as well as polypharmacy expose older people to a greater risk of adverse drug reactions and may result in hospitalizations. Objective To evaluate the prevalence of PIMs among acutely hospitalized patients aged ≥65 years in ...
Dickinson George E GE 1Department of Sociology and Anthropology, College of Charleston, Charleston, SC, - - 2014
A descriptive study to determine the current status of end-of-life (EOL) issues in UK medical schools. A brief questionnaire was mailed to the 31 medical schools in the United Kingdom in the spring of 2013. Data analysis consisted of frequency distributions. All schools offered some exposure to the topic of ...
Sohrakoff Katrina - - 2014
Abstract Efficiency in the operating room (OR) has important implications on finances, access, and patient and staff satisfaction. UC Davis Medical Center (UCDMC) launched an initiative to increase OR efficiency by using multidisciplinary staff-based teams. The initiative freed up 5,500 annual hours-about 1 hr per operating room per day-in the ...
Marchisio Paola P Department of Pathophysiology and Transplantation, Pediatric Highly Intensive Care Unit, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, - - 2014
Acute otitis media (AOM) is one of the most common pediatric diseases; almost all children experience at least one episode, and a third have two or more episodes in the first three years of life. The disease burden of AOM has important medical, social and economic effects. AOM requires considerable ...
Prince Cynthia R CR *Nursing Services, Ministry Saint Joseph's Hospital, Marshfield, Wisconsin, - - 2014
Code teams respond to acute life threatening changes in a patient's status 24 hours a day, 7 days a week. If any variable, whether a medical skill or non-medical quality, is lacking, the effectiveness of a code team's resuscitation could be hindered. To improve the overall performance of our hospital's ...
Höss Angelika - - 2014
According to the latest amendment of the Medical Device Directive standalone software qualifies as a medical device when intended by the manufacturer to be used for medical purposes. In this context, the EN 62304 standard is applicable which defines the life-cycle requirements for the development and maintenance of medical device ...
McIntyre Neil N Retired, Essex, - - 2014
The 1878 marriage of Rose Anna Shedlock and Émile Roux was a closely guarded secret. Shedlock studied medicine at Edinburgh with Sophia Jex-Blake (1840-1912) and her fellow students but is not mentioned by name in the usual accounts of their battle for recognition by the University. Subsequently Shedlock attended the ...
Bussing Regina R University of Florida; College of Medicine, Gainesville, FL, - - 2014
Abstract Introduction: This study examines incident treatment patterns for attention-deficit/hyperactivity disorder (ADHD) in children seen in eight integrated healthcare delivery systems and identifies factors associated with adherence to Healthcare Effectiveness Data and Information Set (HEDIS) quality measures developed by the National Committee for Quality Assurance (NCQA). Method: A retrospective cohort ...
Brown Melissa M MM aCenter for Value-Based Medicine, Flourtown bThe Research Department, Wills Eye Hospital, Jefferson Medical College, Philadelphia cEye Research Institute, Philadelphia dThe Retina Service, Wills Eye Hospital, Jefferson Medical College, Philadelphia, Pennsylvania, - - 2014
Although the patient value gain (improvement in quality-of-life and/or length-of-life) has been highlighted in Value-based Medicine cost-utility analyses, the financial value gain associated with healthcare interventions has received less emphasis. It is important for professional healthcare providers to realize their interventions often confer a large financial return-on-investment (ROI) to society. ...
O'Callaghan Pamela P University of Texas Medical Branch, Galveston, TX, USA, - - 2014
Although stimulant medication can reduce symptoms and lessen the degree of functional impairment associated with attention deficit hyperactivity disorder (ADHD), the adherence rate in adults diagnosed with ADHD is reportedly <12 %. The article explores the contexts that influence stimulant medication adherence in adults diagnosed with ADHD. Using a mixed-method design, ...
Sheehy-Skeffington Barbara B 1Our Lady's Hospice and Care Services, Harold's Cross, Dublin 6W, - - 2014
Informal caregivers are important in enabling palliative care patients to die at home, including their role in managing medications. Often these patients are taking multiple medications, imposing an unnecessary burden on those who are already struggling with oral intake. A literature review revealed that, while there are a number of ...
Russell P P Flinders Medical Centre, Adelaide, South Australia, - - 2014
We developed a writing rubric that assessed the quality of four common errors found in the synopsis of a discharge summary: relevance, accuracy, clarity and presentation (R-A-C-P). We assessed the effect of an intervention that taught the essentials of discharge summary preparation. The intervention reduced the number of inadequate discharge ...
Michalski Rafal - - 2014
Researchers employed digital manikins to determine the space necessary in an emergency-medical-service helicopter to effectively and efficiently conduct life-saving medical procedures. To simulate resuscitation with appropriate digital human models, they used Anthropos ErgoMAX modeling software in the 3D Studio Max environment.
Windish Donna D Department of Internal Medicine, Yale University School of Medicine, Yale Primary Care Residency Program, , Waterbury, Connecticut, - - 2014
In the age of smartphones and tablets, it has become commonplace to find apps that help you do or find almost anything. The quality and breadth of medical apps has improved greatly in recent years. You can now find medical apps that recreate textbooks, search for current articles, calculate likelihood ...
Capps Benjamin J BJ Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, - - 2014
This article is an analysis of Derek Morgan's manuscript-'Coming Back to Life: The Normal Chaos of Medical Law', which remained unpublished at his death in 2011. Morgan made two claims in the manuscript: (1) medical practitioners and patients approach health from the different perspectives of 'reason' and 'emotion' respectively, while ...
Godschalx-Dekker J A JA Department of Psychiatry, University Medical Center Utrecht, Utrecht, The - - 2014
Psychosis in Parkinson disease is a therapeutic challenge. Regular strategies of treatment are aimed at reducing dopamine medication, and if necessary addition of clozapine.We describe the case of a patient with persistent psychosis. Nocturnal visual hallucinations persisted in spite of reduced dopaminergic medication and sequential treatment with atypical antipsychotic medication ...
Perestelo-Pérez L L Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain, - - 2014
Until recent years there has been no evidence from randomized controlled trials (RCTs) on the efficacy of deep brain stimulation (DBS) for Parkinson's disease (PD). This review and meta-analysis of RCTs describes the efficacy of DBS in improving motor signs, functionality and quality of life of PD patients. Several electronic ...
Morrison Wynne W Pediatric Advanced Care - - 2014
Clinicians frequently worry that medications used to treat pain and suffering at the end of life might also hasten death. Intentionally hastening death, or euthanasia, is neither legal nor ethically appropriate in children. In this article, we explore some of the historical and legal background regarding appropriate end-of-life care and ...
Chaudhari Dhara D Department of Internal Medicine, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA. - - 2014
Hypothyroidism is a common medical problem easily treated when diagnosed but requiring regular follow-up and patient medication compliance. At times, this diagnosis can go untreated resulting in the development of severe consequences such as Myxedema Coma. Of all the clinical symptoms, cardiovascular manifestations tend to be especially severe and often ...
Joseph Bellal B 1 Division of Trauma, Critical Care, Emergency Surgery, and Burns, The University of Arizona Medical Center , Tucson, - - 2014
Abstract Introduction: Smartphones can be used to record and transmit high-quality clinical photographs. The aim of this study was to describe our experience with smartphone telephotography in the care of trauma patients. We hypothesized that smartphone telephotography can be safely and effectively implemented on a trauma service. Subjects and Methods: ...
Houtekie Laurent L Departments of aAcute Medicine bPediatrics, St-Luc University Hospital, Brussels, - - 2014
In Belgium, emergency medical services (EMS) are staffed with a medical team if mandatory according to the regulation authority procedures. Children are involved in interventions, but no extensive data are available in the country. We analysed the characteristics of the children involved in EMS to gain better knowledge of the ...
Boulet John J Foundation for Advancement of International Medical Education and Research (FAIMER), Philadelphia, Pennsylvania, - - 2014
The accreditation of medical school programmes and the licensing and revalidation (or recertification) of doctors are thought to be important for ensuring the quality of health care. Whereas regulation of the medical profession is mandated in most jurisdictions around the world, the processes by which doctors become licensed, and maintain ...
Miano S S Civic Hospital (EOC) of Lugano, Lugano, - - 2014
Pediatric insomnia is an extrinsic sleep disorder subdivided into two categories: behavioral insomnia and insomnia related to medical, neurological, and psychiatric diseases. This review will cover several types of insomnia, comorbidities and specific pediatric therapies according to clinical characteristics and age. Behavioral insomnia should be differentiated from pediatric insomnia due ...
- - 2014
Against a backdrop of a rising generics market and increasing patent expiries, the 'quality' of patents has become an ever more significant topic of debate. Pharmaceutical Patent Analyst has brought together a group of leading attorneys and IP specialists to disentangle the issue of patent quality, including its definition and ...
Sorrel Amy Lynn - - 2014
The national Choosing Wisely campaign, created by the American Board of Internal Medicine Foundation, aims to improve quality and reduce waste by getting physicians and patients talking about medical tests and procedures that may be unnecessary and possibly harmful. To date, more than 30 medical specialty societies have joined Choosing ...
Wolf-Meyer Matthew M a Department of Anthropology , University of California , Santa Cruz , California , - - 2014
Increasingly, there is a temporal differentiation among kinds of treatments available through medicine. Cures offer one-time resolution of symptoms; that is, with the benefit of a cure, there is no longer a medical problem in need of treatment. Remedies offer temporary, situational relief of symptoms. Therapies offer temporary relief of ...
Konicarova Jana J Center for Neuropsychiatric Rsearch of Traumatic Stress, Department of Psychiatry and UHSL, 1st Faculty of Medicine, Charles University, Prague, Czech - - 2014
Functional disturbances developed early in life include balance deficits which are linked to dysfunctions of higher levels of cognitive and motor integration. According to our knowledge, there are only a few studies suggesting that balance deficits are related to behavioral disturbances in attention-deficit/hyperactivity disorder (ADHD). We tested the extent to ...
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