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Kadowaki M M Department of Surgery, Sendai Shakaihoken Hospital, Sendai, - - 2014
Oral immunosuppressant suspension induces renal graft dysfunction in renal transplant patients. After the Great East Japan Earthquake, not only were drugs lost in the tsunami, but visiting hospitals became difficult owing to information and transportation network disruption. We investigated medication compliance in renal transplant patients and actions taken immediately after ...
Cushing Andrew C - - 2014
An adult intact male black-and-white ruffed lemur (Varecia variegata) suffered recurrent bouts of urethral blockage over a 3-yr period caused by calcium phosphate (apatite form) uroliths. Surgical intervention was required in two of the three instances. Various attempts at medical management failed to control formation of the stones, and the ...
- - 2013
This rule updates and makes revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2014. This rule also sets forth requirements for the ESRD quality incentive program (QIP), including for payment year (PY) 2016 and beyond. In addition, this rule clarifies the grandfathering provision ...
Lewis Robert - - 2013
There is a lack of consensus about how early chronic kidney disease (CKD) should be diagnosed and managed in older people. Some believe that reduced renal function in older age is usually benign and that identifying it as a condition requiring medical intervention is inappropriate, whereas others believe it represents ...
Luciano Randy L - - 2013
Nutraceuticals are supplements and medical foods that offer numerous health benefits. However, these substances may have adverse effects on multiple organ systems, leading to significant morbidity. I present a patient with chronic kidney disease who experienced hemodynamically mediated acute kidney injury and hyperkalemia after daily consumption of cherry concentrate. The method ...
Brucculeri Michael - - 2013
Accelerated vascular calcification is a well-described complication of chronic kidney disease often affecting large and small vessels alike through a variety of mechanisms. Accordingly, dysregulation of calcium and phosphate balance, vitamin D metabolism, hyperparathyroidism, and endothelial injury can lead to both macrovascular and microvascular complications. We describe a 56-year-old Hispanic ...
Altunbas Gokhan - - 2013
It is of clinical importance to determine creatinine clearance and adjust doses of prescribed drugs accordingly in patients with heart failure to prevent untoward effects. There is a scarcity of studies in the literature investigating this issue particularly in patients with heart failure, in whom many have impaired kidney function. ...
Lau B B Department of Health Services, University of Washington , Seattle, - - 2013
Stage 2 Meaningful Use criteria require the use of clinical decision support systems (CDSS) on high priority health conditions to improve clinical quality measures. Although CDSS hold great promise, implementation has been fraught with challenges, evidence of their impact is mixed, and the optimal method of content delivery is unknown. ...
Zuber Kim - - 2013
Appropriate dosage adjustments for patients with chronic kidney disease (CKD) are critical for patient safety. This article reviews adjustments for common antidiabetic, antibiotic, analgesic, and antithrombotic medications, as well as important patient teaching information for over-the-counter (OTC) medications.
Russell Cynthia L - - 2013
This study examined patterns, potential predictors, and outcomes of immunosuppressive medication adherence in a convenience sample of 121 kidney transplant recipients aged 21 yr or older from three kidney transplant centers using a theory-based, descriptive, correlational, longitudinal design. Electronic monitoring was conducted for 12 months using electronic monitoring. Participants were persistent in ...
Sartipy Ulrik - - 2013
Guidelines for recommended medication use for the secondary prevention of coronary heart disease are exceedingly important in patients with chronic kidney disease. Despite a high risk for recurrent cardiovascular events, these patients are less likely to use evidence-based recommended medications. The objective of the current study was to analyze the ...
Young C - - 2013
We present a case of severe acute kidney injury (AKI) occurring shortly after the initiation of dronedarone therapy, which we suspect was the result of an adverse drug reaction. The mechanism of AKI cannot be definitively determined. The most probable mechanism however involves dehydration secondary to diarrhoea, and medications causing ...
Bauer Andrea S - - 2013
Radial, ulnar, and central deficiencies represent a spectrum of abnormalities in the development of the upper limb. Radial longitudinal deficiency is often associated with abnormalities in other organ systems, such as cardiac and renal, and so requires a comprehensive medical evaluation. On the other hand, ulnar longitudinal deficiency tends to ...
Al-Shdaifat Emad Adel - - 2013
Background: Hemodialysis treatment is a costly procedure that requires specific resources. It has a considerable burden on patients, caregivers, and healthcare system. The aim of this study was to estimate the economic burden borne by the Ministry of Health (MOH) in Jordan, with a focus on direct medical, direct non-medical, ...
Kuchay Mohammad Shafi - - 2013
Bilateral emphysematous pyelonephritis (EPN) is an extremely uncommon, life-threatening gas-forming infection of renal parenchyma and its surrounding areas. Surgical treatment, including percutaneous catheter drainage and nephrectomy, has been advocated as the treatment of choice in most of the patients. However, nephrectomy is itself a hazardous intervention in an unstable septic ...
Kyanko Kelly A KA Department of Population Health, New York University School of Medicine, New York, NY, USA. - - 2013
Medication adherence is critical for cardiovascular disease prevention and control. Local health departments are well positioned to address adherence issues, however relevant baseline data and a mechanism for monitoring impact of interventions are lacking. We performed a retrospective analysis using New York State Medicaid claims from 2008 to 2009 to ...
Cheikh Hassan Hicham - - 2013
BACKGROUND/AIMS: Acute Kidney Injury (AKI) is a common clinical problem. An increase in the severity of AKI is associated with increased mortality and worse prognosis. Many patients presenting with AKI also take long term medications which may potentially exacerbate or precipitate AKI. However no study has examined the role of ...
Joo E-J - - 2013
BACKGROUND: Despite the frequent occurrence of acute kidney injury (AKI) associated with meticillin-resistant Staphylococcus aureus (MRSA) infection during treatment, the adverse impact of renal injury on clinical and economic outcomes has not been evaluated. AIM: To study the clinical and economic burdens of MRSA bacteraemia and the impact of AKI ...
Machowicz Rafal - - 2013
Cigarette smoking is a leading cause of preventable death in the world. Medical students play a role in smoking prevention especially as future physicians, but also as role models in society. Their approach, although influenced by medical education, is based on cultural and socio-economic background. The aim of this study ...
Joosten Hanneke H University of Groningen, University Medical Centre Groningen, Department of Internal Medicine, Groningen, The - - 2013
To assess the risk of medication errors in subjects with renal impairment (defined as an estimated glomerular filtration rate (eGFR) ≤40 ml/min/1.73 m(2)) and the effectiveness of automatic eGFR ≤40-alerts relayed to community pharmacists. Clinical survey. The city of Zwolle, The Netherlands, in a primary care setting including 22 community ...
Hassan Syed S Department of Internal Medicine, Henry Ford Health System, 2799 West Boulevard, Detroit, MI 48202, - - 2013
Lithium toxicity is known to affect multiple organ systems, including the central nervous system. Lithium levels have been used in the diagnosis of toxicity and in assessing response to management. There is evidence that nonsteroidal anti-inflammatory medications (NSAIDs) can increase lithium levels and decrease renal lithium clearance. We present a ...
Eknoyan Garabed - - 2012
The 19th century was a period of momentous scientific discoveries, technological achievements, and societal changes. A beneficiary of these revolutionary upheavals was medical empiricism that supplanted the rationalism of the past giving rise to early modern scientific medicine. Continued reliance on sensory data now magnified by technical advances generated new ...
Zhang Yi - - 2012
OBJECTIVE: Examine the mediating effect of injectable drugs in the relationship between dialysis facility organizational status and patient mortality. STUDY SETTING: Medicare dialysis population. STUDY DESIGN: Data from the U.S. Renal Data System (USRDS) were used to identify 3,884 freestanding dialysis facilities and 37,942 Medicare patients incident to end-stage renal ...
Lei Chen-Chou - - 2012
Background: Nephrologist-based multidisciplinary care (MDC) has a positive impact on slowing chronic kidney disease (CKD) progression. However, the benefits of MDC in patients with stage 5 CKD remain unclear. Methods: Stage 5 CKD patients who visited the Chang Gung Memorial Hospital, Chiayi, Taiwan during the period of 2002-2008 were enrolled. ...
Jerant Anthony - - 2012
To examine relationships among applicant personality, Multiple Mini-Interview (MMI) performance, and medical school acceptance offers. The authors conducted an observational study of applicants who participated in the MMI at the University of California, Davis, School of Medicine during the 2010-2011 admissions cycle and responded to the Big Five Inventory measuring ...
Douglas Vanja C - - 2012
OBJECTIVE:To study the effect of a neurohospitalist service on length of stay, cost, patient satisfaction, and education at an academic medical center. METHODS:This was a retrospective cohort study using administrative data, educational surveys, and standardized patient satisfaction surveys to compare outcomes in the 21 months before (n = 343) and ...
Montes Jose Manuel - - 2012
BACKGROUND: The aim of this study was to assess the impact of a short message service (SMS)-based strategy on adherence to antipsychotic treatment. METHODS: A multicentre, randomised, open-label, controlled, 6-month study with clinically stabilised outpatients with schizophrenia was conducted. The patients assigned to the intervention received daily SMS reminders to ...
Kasza Karin A KA Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, NY 14263, USA. - - 2013
To evaluate the population effectiveness of stop-smoking medications while accounting for potential recall bias by controlling for quit attempt recency. Prospective cohort survey. United Kingdom, Canada, Australia and the United States. A total of 7436 adult smokers (18+ years) selected via random digit dialling and interviewed as part of the ...
Thames April D - - 2012
Modest or even occasional nonadherence to combined antiretroviral therapy (cART) can result in adverse clinical outcomes. African Americans demonstrate lower rates of adherence than Caucasians or Latinos. Identifying factors that influence medication adherence among African Americans is a critical step toward reducing HIV/AIDS disease progression and mortality. In a sample ...
Sofianou Anastasia A Division of General Internal Medicine, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1087, New York, NY 10029, - - 2013
Empirical research and health policies on asthma have focused on children and young adults, even though asthma morbidity and mortality are higher among older asthmatics. To explore the relationship of asthma-related beliefs and self-reported controller medication adherence in older asthmatics. An observational study of asthma beliefs and self-management among older ...
Aavikko Anni - - 2012
Background. Use of asthma medication is common among athletes. In 2009, the World Anti-Doping Committee (WADA) and the International Olympic Committee removed the need to document asthma by lung function tests before the use of inhaled β2-agonists. Methods. We assessed the changes in asthma medication use in Finnish Olympic athletes ...
Tsai Hsin-Hui - - 2012
PURPOSE: We examined the extent of concurrent use of antiplatelets, anticoagulants, or digoxin with Chinese medications (CMs) and identified its associated factors. METHODS: A retrospective cohort study was conducted using one million random samples from the Longitudinal Health Insurance Database 2005 in Taiwan. High-risk Western medications (HRWMs) focused on in ...
Lemstra Mark - - 2012
BACKGROUND: Nonadherence to chronic disease medications is important. A growing body of literature suggests that better delivery of established therapies would save more lives than would discovery of innovations. Our first objective was to quantify the proportion of adherence to statin medications. The second objective was to provide estimates of ...
Arauz Boudreau Alexy D - - 2012
OBJECTIVE: In this study we tested the association of the medical home with family functioning for children without and with special health care needs (CSHCN). METHODS: We used data from the 2007 National Survey of Children's Health to run multivariate logistic regressions to test the association between having a medical ...
Park Mi Young MY Heart Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, - - 2012
One-third of patients who receive cardiac resynchronization therapy (CRT) are classified as nonresponders. Characteristics of responders to CRT have been studied in multiple clinical trials. Independent predictors of CRT response may be identified by studying a series of patients in routine clinical practice. One hundred twenty-five patients were examined retrospectively ...
Subherwal Sumeet - - 2012
BACKGROUND: Patients with peripheral artery disease (PAD) are at high risk of cardiovascular events and benefit from aggressive secondary prevention; however, changes in use of cardioprotective medications after incident diagnosis of PAD have not been well-described. METHODS AND RESULTS: We used Danish nationwide administrative registries (2000-2007) to identify 2 groups ...
Freeland Kathryn N - - 2012
BACKGROUND:Studies have shown that approximately one third of community-dwelling people aged 65 years and older will experience a fall each year. Many studies indicate that use of multiple medications may put patients at an increased risk of falling, but few studies have been conducted to correlate the number of medications ...
Sharma A - - 2012
Background: Duration of thromboprophylaxis beyond hospital discharge for medically ill patients has been controversial. So an evaluation was made for the evidence currently available. Methods: A search was made of the Pub Med, CENTRAL and EMBASE databases for randomized controlled trials from 1966 through 2011. Interventions included thromboprophylaxis administered over an ...
de Oliveira Gildàsio S GS - - 2012
Admission to an anesthesiology residency in the United States is competitive, and the odds associated with a successful match based on the applicants' characteristics have not been determined. The objective of this study was to examine factors associated with admission to anesthesiology residency in the United States. The study was ...
Wood G Craig - - 2012
Background/Aims Weight gain is an undesirable side effect of treatment with 2nd/3rd generation antipsychotic drugs which may have genetic determinants. A number of candidate genes have been analyzed but no genome-wide association studies (GWAS) have yet been reported. The purpose of this study was to determine the rate of extreme ...
Hochhalter Angela - - 2012
Background/Aims Identifying factors related to readmission is important for successfully targeting appropriate interventions to groups at risk for readmission. The objective of this study was to investigate the association of long-term medication adherence with hospital readmission in a cohort of beneficiaries enrolled in a Medicare cost plan. Methods The study ...
Fletcher John - - 2012
To measure the effect of nurse practitioner and pharmacist consultations on the appropriate use of medications by patients. We studied patients in the intervention arm of a randomized controlled trial. The main trial intervention was provision of multidisciplinary team care and the main outcome was quality and processes of care ...
McCann Roseleen M - - 2012
Visual impairment (VI) is rising in prevalence and contributing to increasing morbidity, particularly among older people. Understanding patients' problems is fundamental to achieving optimal health outcomes but little is known about how VI impacts on self-management of medication. To compare issues relating to medication self-management between older people with and ...
Mabry Robert L - - 2012
The US Army pioneered medical evacuation (MEDEVAC) by helicopter, yet its system remains essentially unchanged since the Vietnam era. Care is provided by a single combat medic credentialed at the Emergency Medical Technician - Basic level. Treatment protocols, documentation, medical direction, and quality improvement processes are not standardized and vary ...
Koplan Kate E KE Harvard Vanguard Medical Associates, Atrius Health, 275 Grove Street, Suite 3-300, Auburndale, Newton, MA 02466, USA. - - 2012
As electronic health records (EHRs) become widely adopted, alerts and reminders can improve medication safety, but excessive alerts may irritate or overwhelm clinicians, thereby reducing their effectiveness. We developed a novel "stealth" alert in an EHR to improve anticoagulation monitoring for patients prescribed a medication that could interact with warfarin. ...
Caviness Celeste M CM Butler Hospital, Providence, RI 02906, United - - 2013
Exchange of prescription medications is a significant public health problem particularly among substance abusing populations. Little is known about the extent of medication sharing and receiving behaviors in methadone maintenance treatment (MMT) populations and the factors associated with such behaviors. We examined rates, and factors associated with past year medication ...
Green Traci C - - 2012
Objectives.  The objectives of this study were to test for differences in prescription monitoring program (PMP) use between two states, Connecticut (CT) and Rhode Island (RI), with a different PMP accessibility; to explore use of PMP reports in clinical practice; and to examine associations between PMP use and clinician's responses ...
Kelly Martina - - 2012
PURPOSE: The need to develop effective tools to measure professionalism continues to challenge medical educators; thus, as a follow-up to a recent examination of the "Conscientiousness Index" (CI, a novel measure of one facet of professionalism) in one setting with preclinical medical students, the authors aimed to investigate the validity ...
Kamel Hooman - - 2012
BACKGROUND: To determine the incidence of electrographic seizures during continuous electroencephalography (cEEG) in the medical and surgical ICU. METHODS: We retrospectively reviewed the records of all adults who underwent cEEG in our medical and surgical ICU over a 4.5 year period. Patients with acute brain injury were excluded. Our primary outcome ...
White Jeffrey A - - 2012
OBJECTIVE:: To investigate the association between opioid utilization and catastrophic claim (≥$100,000) cost. METHOD:: A total of 12,226 workers' compensation indemnity claims that were opened and closed from January 1, 2006 to February 28, 2010 in the State of Michigan were selected for multivariate logistic regression analyses. RESULT:: Controlling for ...
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