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Moffett Brady S BS Department of Pharmacy, Texas Children's Hospital, Houston, Tex, USA; Section of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, Tex, - - 2014
The treatment of acute decompensated heart failure (ADHF) in adults has changed considerably over the past decade, and these changes have coincided with a reduction in inpatient mortality. At this time, national trends in medication prescribing among children hospitalized with ADHF are unknown. The Pediatric Health Information System (PHIS) database ...
Huang Wei-Yi WY National Yang-Ming University, Taipei, Taiwan, Institute of Health and Welfare Policy, Taipei, Taiwan ; - - 2014
Introduction/Objective: To investigate the factors associated with outcomes and medical costs for percutaneous nephrolithotomy (PCNL). Methods: The present study utilizes a subset of the National Health Insurance Research Database (NHIRD), known as the Longitudinal Health Insurance Database 2005 (LHID 2005), which contains the data of all medical benefit claims from ...
Post Robert M RM *Bipolar Collaborative Network, Bethesda, MD; †UCLA Mood Disorders Research Program and VA Medical Center, Los Angeles, CA; ‡Mayo Clinic Department of Psychiatry and Psychology, Mayo Clinic Depression Center, Rochester, MI; §Department of Psychiatry, SW Medical Center, University of Texas, Dallas, TX; ∥Linder Center of Hope, Mason, OH; ¶Biological Psychiatry Program, University of Cincinnati Medical College, Cincinnati, OH; #University Medical Center Groningen (UMCG), University of Groningen, Groningen, the Netherlands; **Department of Psychiatry, VU University Medical Center, Amsterdam, the Netherlands; and ††Newcastle University, Institute of Neuroscience, Newcastle upon Tyne, - - 2014
Medical comorbidities are common in patients with bipolar (BP) disorder but have not been previously examined for differences between United States and Europe. More than 900 outpatients with BP I and BP II disorder (mean age, 41 years) filled out a questionnaire including the occurrence of 30 listed medical conditions. ...
Leroyer Elodie E Physician in the AP-HP, Occupational Health Unit/EMS (Samu92), University Hospital of Paris West Suburb, Garches, - - 2014
A meta-analysis was undertaken to study the association between extended medical shifts and consequences for patients. In six studies, the meta odds ratio was increased for mortality and for serious medical errors, but not for preventable medical errors and for physicians who slept >6 hours.
Mihalas George I GI Victor Babes University of Medicine and Pharmacy, Timisoara, Romania, EFMI - European Federation for Medical - - 2014
This presentation attempts to analyze the trends in Medical Informatics along half a century, in the European socio-political and technological development context. Based on the major characteristics which seem dominant in some periods, a staging is proposed, with a description of each period - the context, major ideas, views and ...
Moffett Brady S BS Texas Children's Hospital, Department of Pharmacy, Houston, Texas1; Section of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, Texas2; Departments of Pathology & Immunology, Pediatrics, and Medicine, Baylor College of Medicine, Houston, Texas3; Section of Hematology & Oncology, Department of Pediatrics, Baylor College of Medicine, Houston, - - 2014
Ventricular assist device (VAD) use in children has increased dramatically. There are currently few data regarding trends in anticoagulation management for pediatric VADs.A retrospective cohort study was conducted for patients with an ICD-9 code for VAD implantation from 2000-2011 from the PHIS (Pediatric Health Information System) database. Patient demographics, use ...
Malabu Usman H UH Department of Medicine, Townsville Hospital/James Cook University, Queensland, Australia. Electronic address: - - 2014
To determine prevalence of hyponatremia in acute medical admissions in Northern Australasia. We studied 469 consecutive acute medical admissions to a hospital in Australia's Far North Queensland during the colder months of June and July 2012. Prevalence of hyponatremia and its relationship with gender, age, diagnosis and prognosis in acute ...
Schmidt Susann S Department of Cardiology, University Hospital Zurich, University Heart Center, Rämistrasse 100, 8091 Zurich, - - 2013
Cardiac resynchronization therapy (CRT) is associated with improved morbidity and mortality in patients with chronic heart failure (CHF) on optimal medical therapy. The impact of CHF medication optimization following CRT, however, has never been comprehensively evaluated. In the current study, we therefore investigated the effect of CHF medication dosage on ...
Boniatti Márcio M - - 2013
To determine whether there was an association between delayed medical emergency team calls and mortality after a medical emergency team review. This was a prospective observational study. A university-affiliated tertiary referral hospital in Porto Alegre, Brazil. All patients were reviewed by the medical emergency team from July 2008 to December ...
Smith Robert L - - 2013
Several studies have questioned the effectiveness of rapid-response systems when measured by outcomes such as decreased overall hospital mortality or cardiac arrest rates. We studied an alternative outcome of rapid-response system implementation, namely, its effect on goals of care and designation of do not resuscitate. Retrospective chart review. Veterans Administration ...
Shin Sukyoun - - 2013
Antihypertensive medication treatment is one effective management strategy to prevent cardiovascular disease (CVD) and mortality. However, little research has been conducted on the rates of antihypertensive medication adherence and the effect of antihypertensive medication adherence on health outcomes in South Korea. We searched the Korean National Health Insurance Claims Database ...
Kim Jinhyun - - 2013
Acute coronary syndrome (ACS) is highly prevalent in Korea and is the third-leading cause of death in Korea; however, the economic cost of ACS on Korean society has not been investigated. This study examined the economic effect of ACS on the Korean population during the period 2004 to 2009. The ...
Jaryal Ajay - - 2013
Symmetrical peripheral gangrene (SPG) is a rare clinical entity. It was first described in late 19(th) century and since then has been reported with array of medical conditions mainly those complicated with shock, sepsis, and disseminated intravascular coagulation (DIC). Here in, we describe a parturient with peripartum cardiomyopathy (PPCM) and ...
Vetter Richard S - - 2013
In North America, spider envenomation is perceived to be a greater threat than in actuality; however, it still is a valid source of morbidity and, very rarely, mortality. Only 2 groups (widows, recluses) are medically important on this continent. Widow bites affect the neuromuscular junction, have minor dermatologic expression, and ...
Morley John E JE Division of Geriatric Medicine, Saint Louis University School of Medicine, St. Louis, MO 63104, USA. - - 2013
Frailty is a clinical state in which there is an increase in an individual's vulnerability for developing increased dependency and/or mortality when exposed to a stressor. Frailty can occur as the result of a range of diseases and medical conditions. A consensus group consisting of delegates from 6 major international, ...
Janakan Gnananandan - - 2013
In 1832 pandemic cholera travelled across Europe with devastating mortality. Before this, doctors had speculated on the benefits of intravenous therapy but none had tried. Only in 1832 did Thomas Latta perform intravenous infusions. This treatment disappeared after Latta's death. This was mainly due to general medical scepticism, lack of ...
Peek H W - - 2013
Five phytochemicals/extracts (an extract from Echinacea purpurea, a β-glucan-rich extract from Shiitake, betaine [Betain™], curcumin from Curcuma longa [turmeric] powder, carvacrol and also a recombinant fungal immunomodulatory protein [FIP] from Ganoderma lucidum) cloned and expressed in Escherichia coli were investigated for their anticolibacillosis potential in three chicken experiments, which were ...
Hoffmann Rasmus - - 2013
BACKGROUND: Governments have identified innovation in pharmaceuticals and medical technology as a priority for health policy. Although the contribution of medical care to health has been studied extensively in clinical settings, much less is known about its contribution to population health. We examine how innovations in the management of four ...
O'Brien Emily C - - 2013
OBJECTIVE: To examine the survival benefit of multiple medical therapies in a large, community-based population of validated myocardial infarction (MI) events. DESIGN: Retrospective observational cohort study. SETTING: Population-based sample of 30 986 definite or probable MIs in residents of four US communities aged 35-74 years randomly sampled between 1987 and ...
Selim Alfredo J - - 2013
Objectives: To evaluate variation in the prescription of guideline-recommended medications across Medicare Advantage (MA) plans and to determine whether such variation is associated with increased mortality.Methods: Observational study of 111,667 patients aged 65 years or older receiving care in 203 MA plans. We linked data from the Medicare Health Outcomes ...
Bonser C D - - 2013
Disease and non-battle injury have historically caused greater morbidity and mortality than battle trauma during military operations, and continue to do so. As a countermeasure, medical force protection (Med FP) measures will assist in the maintenance of combat efficiency, reducing manpower wastage and the inherent consumption of medical, infrastructural and ...
Wu Haishan - - 2013
Schizophrenia is one of the most common global mental diseases, with prevalence of 1%. Patients with schizophrenia are predisposed to diabetes, coronary heart disease, hypertension, and osteoporosis, than the normal. In comparison with the metabolic syndrome, for instance, there are little reports about osteoporosis which occurs secondary to antipsychotic-induced hyperprolactinaemia. ...
Ramanuj Parashar Pravin PP Specialist Registrar, South London and Maudsley NHS Foundation Trust, Lambeth Hospital, London, - - 2013
Aims and methods It is now well established that antipsychotic medications are associated with adverse effects such as metabolic dysfunction, hyperprolactinaemia and cardiac arrhythmias. We completed an audit cycle between 2008 and 2010 to assess whether the implementation of a high-visibility prompt and an educational programme would improve monitoring rates ...
Lakdawalla Darius N - - 2012
We use variation in the generosity of local juries to identify the causal impact of medical malpractice liability on social welfare. Growth in malpractice payments contributed at most 5 percentage points to the 33% total real growth in medical expenditures from 1990-2003. On the other hand, malpractice leads to modest ...
Gonzalo Jed D - - 2012
Following the Accreditation Council for Graduate Medical Education recommendations in 1999 to foster education in the systems-based practice (SBP) competency by examining adverse clinical events, institutions have modified the morbidity and mortality conference (MMC) to increase SBP-related discussion. We sought to examine the extent to which SBP-related content has increased ...
Ghelani Sunil J - - 2012
OBJECTIVE.: Infants with single ventricle physiology have a high mortality and poor somatic growth during the interstage period. We retrospectively assessed the impact of pharmacotherapy in this population using a multicenter database. DESIGN AND RESULTS.: Records for 395 patients (63.5% boys) with single ventricle were obtained from the National Pediatric ...
Choi Yeongchull - - 2012
Objectives  To investigate the magnitude and characteristics of the economic burden resulting from acute pesticide poisoning (APP) in South Korea. Methods  The total costs of APP from a societal perspective were estimated by summing the direct medical and non-medical costs together with the indirect costs. Direct medical costs for patients ...
Fox Kenneth E - - 2012
Abstract Background: Heavy menstrual bleeding (HMB) is a common symptom that leads women to seek medical treatment. Sources of HMB are variable; patients may present with obvious uterine pathology, systemic disease, or even localized hemostatic dysregulation that defies clinical measurement. Whereas surgical intervention even in the absence of overt pathology ...
Weinberg Mea A - - 2012
A major part of the comprehensive periodontal examination involves the assessment and recording of bleeding on probing (BOP). Many factors can influence bleeding, including medications, systemic diseases, and smoking. A review of classic and current literature is presented, discussing the role of BOP as a clinical parameter in periodontics.
Zhang Chang-Hua - - 2012
Management of presacral hemorrhage is always challenging. Herein we describe the use of an absorbable hemostatic gauze with α-cyanoacrylate medical adhesive to achieve hemostasis. In this study, we conducted total mesorectal excision for the treatment of rectal cancer in 258 patients from March 2006 to May 2009. Intraoperative presacral hemorrhage ...
Roberts David H - - 2012
Background: The current, so-called "Millennial" generation of learners is frequently characterized as having deep understanding of, and appreciation for, technology and social connectedness. This generation of learners has also been molded by a unique set of cultural influences that are essential for medical educators to consider in all aspects of their ...
Pan Wen-Harn - - 2012
The U-shaped relationship between body mass index (BMI) and all-cause mortality has generated uncertainty about optimal BMI. For clarification, we have related BMI to both mortality and medical expenditure. The MJ Health examination cohort of 111,949 examinees established during 1994-1996 was followed with endpoint information derived from death certificates and ...
Mbata Gc - - 2012
Obstructive sleep apnea hypopnea syndrome (OSAHS) is an important medical condition which is on the increase in the past 50 years. It causes significant morbidity and mortality in both developed and developing nations of the world. To review the relevant literature on obstructive sleep apnea. Literature review was carried out ...
Backes Andrea C - - 2012
Published literature on assessing the functional health literacy (FHL) level of patients in pharmacy practice is lacking. To assess FHL in an outpatient pharmacy setting and the associations between FHL and patient recall of medications. In a cross-sectional study of 79 English-speaking adults recruited from 3 outpatient pharmacies, patients were ...
Rink Bryan - - 2011
A supervised machine learning approach to discover relations between medical problems, treatments, and tests mentioned in electronic medical records. A single support vector machine classifier was used to identify relations between concepts and to assign their semantic type. Several resources such as Wikipedia, WordNet, General Inquirer, and a relation similarity ...
Balon Jennifer - - 2011
Purpose: Medication reconciliation is a process to reduce errors and harm associated with loss of medication information as the patient enters and moves through the healthcare system. This study examines medication list accuracy upon hospital admission. Design: This prospective study enrolled 75 English-speaking medical and surgical patients (18 years of ...
Dillon Patrick J - - 2011
This study examined the relationship between patient participation and recall of treatment recommendations among a sample of 96 patients at two primary care medical clinics. Using multilevel modeling analysis, the results of this study indicated a significant positive correlation (t(81) = 8.84, p < .0001) between patients' participation and their ability to ...
Catlett Christina L - - 2011
Abstract The National Association of EMS Physicians (NAEMSP) advocates for a strong emergency medical services (EMS) role in all phases of disaster management-preparedness, response, and recovery. Emergency medical services administrators and medical directors should play a leadership role in preparedness activities such as training and education, development of performance metrics, ...
Kane John M - - 2011
The ultimate goal of acute treatment for schizophrenia is the resolution of symptoms. Unfortunately, when selecting medications and treatment strategies, many clinicians rely on clinical intuition and informal interviews without also using measurement-based rating scales. This activity discusses methods for improving response to acute pharmacotherapy, the necessity of medication adherence ...
Thumin Fred J - - 2011
This study describes the development and application of a new organizational climate instrument, the Survey of Organizational Characteristics (SOC). The participants in the development phase were 94 master's of business administration students, and the participants in the validation phase were 77 medical professionals: 24 medical faculty, 17 postdoctoral students, and ...
Gehricke Jean-G - - 2011
Individuals with ADHD may self-medicate with nicotine, the main psychoactive ingredient in tobacco smoke, in order to reduce symptoms and negative moods associated with ADHD. ADHD medication (e.g., methylphenidate and atomoxetine) may mimic some of the effects of nicotine and may aid smoking cessation in smokers with ADHD. The present ...
Fagiolini Andrea - - 2011
several medications are available for the treatment of different phases of bipolar disorder, yet many of the drugs that are currently approved carry a substantial burden of side effects or do not lead all treated patients to remission. this paper comprises a review and commentary regarding the use of oral ...
Wong Kam Cheong - - 2011
Studying medical cases is an effective way to enhance clinical reasoning skills and reinforce clinical knowledge. An Ishikawa diagram, also known as a cause-and-effect diagram or fishbone diagram, is often used in quality management in manufacturing industries.In this report, an Ishikawa diagram is used to demonstrate how to relate potential ...
Heneghan C - - 2011
Background Medical devices are used widely for virtually every disease and condition. Although devices are subject to regulation, the number of recalls, the clinical data requirements for regulation and the impact on patient safety are poorly understood. Methods The authors defined a device using European directives and used publicly available ...
Carroll Iv Charles - - 2011
Medicolegal issues continue to challenge orthopaedic surgeons. Although health reform legislation has passed Congress, the first phase has not incorporated any significant changes regarding liability reform for practicing orthopaedic surgeons. Medical malpractice, personal injury, and workers' compensation litigation remains an issue for patients and physicians. Although orthopaedic surgeons can be ...
Owen Michael C - - 2011
Clinical documents frequently contain a list of a patient's medications. Missing information about the dosage, route, or frequency of a medication impairs clinical communication and may harm patients. We examined 253 medication lists. There were 181 lists (72%) with at least one medication missing a dose, route, or frequency. Missing ...
Szatkowski Lisa L Division of Primary Care, University of Nottingham, Queen's Medical Centre, Nottingham, NG7 2UH, UK. - - 2011
Brief cessation advice delivered to smokers during routine primary care consultations increases smoking cessation rates. However, in previous studies investigating recall of smoking cessation advice, smokers have reported more advice being received than is actually documented in their medical records. Recording of smoking cessation advice in UK primary care medical ...
Fuse Akira - - 2010
Lessons learned from the Great Hanshin-Awaji earthquake of 1995 underscored the necessity of establishing Disaster Medical Assistance Teams (DMATs) in Japan, and in 2005, the Japanese government's Central Disaster Prevention Council revised its Basic Disaster Management Plan to include full deployment of DMATs in disaster areas. Defining a DMAT as ...
Hansen Richard A - - 2010
Patient nonadherence and early discontinuation of antidepressant treatment are common. Pharmaceutical promotion to consumers and physicians may influence this behavior. The objectives of this study were to explore whether promotional spending is related to early antidepressant switching, acute-phase adherence, and continuation-phase adherence. A retrospective cohort study was conducted with national ...
- - 2010
Once again The Joint Commission is revising its standard for medication reconciliation. Responses to field reviews indicated some of the key challenges had not been resolved. Experts offer these suggestions for addressing the challenges and for how to proceed while waiting for the revised standard: Use your existing medication reconciliation ...
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