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- - 2014
A review of the evidence on interventions to enhance medication adherence has found that even the most effective interventions do not lead to large improvements.
Ndlovu Mehluli - - 2014
Primary care pharmacological management of new musculoskeletal conditions is not consistent, despite guidelines which recommend prescribing basic analgesics before higher potency medications such as opioids or non-steroidal inflammatory drugs (NSAIDs).The objective was to describe pharmacological management of new musculoskeletal conditions and determine patient characteristics associated with type of medication prescribed. ...
Wagstaff C R D CR Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, - - 2014
Despite the emergence of and widespread uptake of a growing range of medical and scientific professions in elite sport, such environs present a volatile professional domain characterized by change and unprecedentedly high turnover of personnel. This study explored sport medicine and science practitioners' experiences of organizational change using a longitudinal ...
Naik Girish S GS 1Department of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, 632 004, Tamil Nadu, India 2Department of Neurological Sciences, Christian Medical College, Vellore, 632 004, Tamil Nadu, - - 2014
This study was a retrospective assessment of the therapeutic drug monitoring (TDM) data collected for levetiracetam and lamotrigine from a clinical setting. The proportion of patients in relation to the therapeutic ranges for serum concentrations of lamotrigine and levetiracetam were estimated and the influence of age and anticonvulsant co-medications on ...
Vano E E Radiology Department, Medicine Faculty, Complutense University and IdISSC San Carlos Hospital, Madrid 28040, Spain - - 2014
Occupational radiological protection (RP) is still a challenge in several clinical practices. ICRP has included specific recommendations and advice for occupational protection in most of the documents published in recent years and its current programme of work includes the preparation of documents with specific contents on Occupational Protection. Different professional ...
Noordraven Ernst L - - 2014
BackgroundNon-adherence with antipsychotic medication is a frequently occurring problem, particularly among patients with psychotic disorders. Prior research has generally shown encouraging results for interventions based on `Contingency Management¿ (CM), in which desirable behaviour is encouraged by providing rewards contingent upon the behaviour. However, little is known about the application of ...
Fabre A A Service d'Urgence Pédiatrique APHM, Marseille, France - - - 2014
Sporting events have been seen to be related to a decline in adult male visits in emergency departments. Studies about the influence of sporting events on pediatric emergency attendance are scarce and non-conclusive. In our institution there is a widely shared popular belief of the local pediatric emergency medical staff ...
- - 2014
The leadership of the surgical community is actively engaged in improving the preparation of incoming residents to assume responsibility and accountability for key elements of care and stewardship. To better prepare for this transition, it is essential that all matriculants to surgery residency successfully complete a preparatory course of blended ...
Johnson Teresa R TR Department of Medical Education, University of Central Florida College of Medicine, Orlando, Florida; - - 2014
In the present study, we describe the innovative use of the National Board of Medical Examiners (NBME) Comprehensive Basic Science Examination (CBSE) as a progress test during the preclerkship medical curriculum. The main aim of this study was to provide external validation of internally developed multiple-choice assessments in a new ...
Leslie R Scott RS MedImpact Healthcare Systems, Inc., 10181 Scripps Gateway Ct., San Diego, CA 92131. - - 2014
The Centers for Medicare Medicaid Services (CMS) Plan Quality and Performance Program, or Star Ratings Program, allows Medicare beneficiaries to compare quality of care among available Medicare Advantage prescription drug (MA-PD) plans and stand-alone prescription drug plans (PDPs). Health plans have increased intervention efforts and applied existing care management infrastructure ...
Jorm Christine - - 2014
Considerable resources are being invested in healthcare leadership development programs and there is a new requirement for leadership teaching for Australian medical students. The new attention to medical leadership may be a reaction to loss of medical status and power. There is little evidence for return on investment from such ...
Lyndon Mataroria P MP South Auckland Clinical Campus, The University of Auckland, Middlemore Hospital, Private Bag 93311, Auckland, Otahuhu, 1640, New Zealand, - - 2014
A systematic review was conducted to determine the relationship between academic assessment and medical student psychological distress with the aim of informing assessment practices. A systematic literature search of six electronic databases (Medline, Medline IN PROCESS, PubMed, EMBASE, Psychinfo, ERIC) from 1991 to May 2014 was completed. Articles focusing on ...
McDermott Cian C Emergency Department, The Geelong Hospital, Geelong, Victoria, - - 2014
To explore the increasing numbers of emergency medicine (EM) registrars that obtained their primary medical degree from UK or Irish universities, who work in emergency departments (ED) throughout Australia and New Zealand. The Victorian Emergency Registrar Study was published at the Australasian College for Emergency Medicine (ACEM) annual scientific meeting ...
Conkling Kathryn K Gynuity Health Projects, New York, NY, - - 2014
To assess the uptake and acceptability of self-administration of mifepristone at home for medical abortion in Nepal. A prospective, comparative, non-randomized, open-label study was conducted at two hospitals in Kathmandu, Nepal, between November 11, 2009, and January 15, 2011. All women in good health and aged 18years or older who ...
Galanter Cathryn A CA State University of New York (SUNY) Downstate and Kings County Hospital Center, Brooklyn, NY, USA, - - 2014
The authors describe a stimulus case that led training staff to examine and revise the supervision policy of the adult and child and adolescent psychiatry clinics. To inform the revisions, the authors reviewed the literature and national policies. The authors conducted a literature review in PubMed using the following criteria: ...
Mastropietro David J DJ Nova Southeastern University, College of Pharmacy, Department of Pharmaceutical Sciences , 3200 South University Drive, Fort Lauderdale, FL 33328 , USA +1 954 262 1334 ; - - 2014
Introduction: Increased misuse and abuse of prescription pain medications has driven extensive research and development to produce what are best known as abuse-deterrent formulations (ADFs). The ADFs are intended to prevent, impede or discourage physical and chemical tampering while still being able to provide safe and accurate delivery of an ...
Akroyd Mike M Derbyshire Healthcare NHS Foundation Trust, UK - - 2014
People with serious mental illness have reduced life expectancy compared with a control population, much of which is accounted for by significant physical comorbidity. Frontline clinical staff in mental health often lack confidence in recognition, assessment and management of such 'medical' problems. Simulation provides one way for staff to practise ...
Reiner Bruce I BI Radiology Department, Maryland VA Healthcare System, 10 North Greene Street, Baltimore, MD, 21201, USA, - - 2014
Medical analytics relating to quality and safety measures have become particularly timely and of high importance in contemporary medical practice. In medical imaging, the dynamic relationship between medical imaging quality and radiation safety creates challenges in quantifying quality or safety independently. By creating a standardized measurement which simultaneously accounts for ...
Billimek John J Health Policy Research Institute, School of Medicine, University of California, Irvine, California; Department of Medicine, School of Medicine, University of California, Irvine, California. Electronic address: - - 2014
Gender differences in dyslipidemia are widely documented, but the contributors to these differences are not well understood. This study examines whether differences in quality of care, intensity of lipid-lowering medication regimen, and medication adherence can explain this disparity. Secondary analysis of medical records data and questionnaires collected from adult patients ...
Lynch Gabrielle G Department of Neurosurgery, New York University School of Medicine, New York, New - - 2014
OBJECT The objective of this study is to determine neurosurgery residency attrition rates by sex of matched applicant and by type and rank of medical school attended. METHODS The study follows a cohort of 1361 individuals who matched into a neurosurgery residency program through the SF Match Fellowship and Residency ...
Marvão Pedro P Department of Biomedical Sciences and Medicine, University of Algarve, 8005-139, Faro, Portugal, - - 2014
Studies conducted in medical education show that personality influences undergraduate medical students academic and clinical performances and also their career interests. Our aims with this exploratory study were: to assess the contribution of graduate entry students to the diversity of personality in medical student populations; to assess whether eventual differences ...
Cater Sarah Wallace SW Department of Emergency Medicine, University of North Carolina, Chapel Hill, North - - 2014
The collection of a complete, verified medication history is essential to patient safety. The involvement of clinical pharmacists has been shown to improve the completeness and accuracy of medication histories; however, to our knowledge, involvement of pharmacy technicians has not been studied. Our aim was to determine whether verification of ...
Rapoo Letso L Defence Medical Rehabilitation Centre at Headley Court in - - 2014
As a healthcare assistant at the Defence Medical Rehabilitation Centre at Headley Court in Surrey, I am in charge of the first and only ward in the UK that is led and staffed solely by healthcare assistants (HCAs).
Telio Summer S Dr. Telio is clinical instructor, Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Ajjawi is senior lecturer in medical education, Centre for Medical Education, Medical Education Institute, University of Dundee, Dundee, Scotland. Dr. Regehr is professor, Department of Surgery, and associate director (research), Centre for Health Education Scholarship, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, - - 2014
Feedback has long been considered a vital component of training in the health professions. Nonetheless, it remains difficult to enact the feedback process effectively. In part, this may be because, historically, feedback has been framed in the medical education literature as a unidirectional content-delivery process with a focus on ensuring ...
Viswanathan Meera M RTI International, Research Triangle Park, North - - 2014
Medication therapy management (MTM) services (also called clinical pharmacy services) aim to reduce medication-related problems and their downstream outcomes. To assess the effect of MTM interventions among outpatients with chronic illnesses. MEDLINE, Cochrane Library, and International Pharmaceutical Abstracts through January 9, 2014. Two reviewers selected studies with comparators and eligible ...
Ham Annelies C AC Section of Geriatrics, Department of Internal Medicine, Erasmus MC, University Medical Centre Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The - - 2014
Medication use is a potentially modifiable risk factor for falling; psychotropic and cardiovascular drugs have been indicated as main drug groups that increase fall risk. However, evidence is mainly based on studies that recorded falls retrospectively and/or did not determine medication use at the time of the fall. Therefore, we ...
Liu Albert Y AY 1 Bridge HIV, San Francisco Department of Public Health , San Francisco, - - 2014
Abstract Pre-exposure prophylaxis (PrEP) is a promising HIV prevention approach for men who have sex with men (MSM), however non-adherence could limit its effectiveness. Understanding the experiences of HIV-uninfected MSM taking routine medications can provide valuable insights into open label PrEP adherence in real world settings and guide development of ...
Aboagye Emmanuel E , Intervention and Implementation Research Unit, Karolinska Institute, Stockholm, - - 2014
Objective: To evaluate the cost-effectiveness of medical yoga as an early intervention compared with evidence-based exercise therapy and self-care advice for non-specific low back pain. Design: Randomized controlled trial with a cost-effectiveness analysis. Subjects: A total of 159 participants randomized into the medical yoga group (n = 52), the exercise therapy group ...
Tedde Miguel Lia ML Department of Thoracic Surgery, Heart Institute (InCor), Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil - - 2014
This study is aimed at drawing the profile of the Brazilian general thoracic surgeon. This experience has been fruitful in other areas, helping attract manpower and to better serve the interests of other Societies. This is the first survey of this kind in Brazil and in Latin America. An electronic ...
Wong Zoie Shui Yee ZS City University of Hong Kong, Hong Kong zoiewong@cityu.edu.hk - - 2014
It has been recognised that medication names that look or sound similar are a cause of medication errors. This study builds statistical classifiers for identifying medication incidents due to look-alike sound-alike mix-ups. A total of 227 patient safety incident advisories related to medication were obtained from the Canadian Patient Safety ...
Houssiau Frédéric A FA Department of Rheumatology, Cliniques Universitaires Saint-Luc, Université catholique de Louvain, Bruxelles, - - 2014
This position paper critically analyzes the available controlled data regarding biologic therapy in lupus nephritis (LN). Rather than an exhaustive review of all published evidence, the stress is put on the unmet medical needs in LN, the design of trials aimed at testing the effect of a biologic in LN, ...
Starmer Amy J AJ From the Department of Medicine, Division of General Pediatrics, Boston Children's Hospital (A.J.S., T.C.S., C.P.L., A.D.A., E.L.N., L.L.T.), Harvard Medical School (A.J.S., A.K.D., S.R.L., J.M.R., T.C.S., C.P.L.), Center for Patient Safety Research, Division of General Medicine (A.K.D., C.A.K., J.M.R., S.R.L., M.F.W., C.S.Y., K.R.Z.) and Division of Sleep Medicine (C.P.L.), Brigham and Women's Hospital, and CRICO/Risk Management Foundation (C.A.K.) - all in Boston; the Department of Pediatrics, Doernbecher Children's Hospital, Oregon Health and Science University, Portland (A.J.S., M.A.); the Department of Pediatrics, Section of General Pediatrics (N.D.S.) and Section of Critical Care (S.C.), St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia; the Departments of Pediatrics (R.S., J.B.S., A.T.S.) and Neurology (J.F.B.), Primary Children's Hospital, Intermountain Healthcare, University of Utah School of Medicine, and Institute for Health Care Delivery Research, Intermountain Healthcare (R.S.), Salt Lake City; the Department of Pediatrics, Benioff Children's Hospital, University of California, San Francisco (D.C.W., G.R.), and the Department of Pediatrics, Division of General Pediatrics, Lucile Packard Children's Hospital Stanford, Stanford University School of Medicine, Palo Alto (R.L.B., L.A.D., J.L.E., S.J.P.) - both in California; the Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora (K.M.W.); the Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati (J.K.O., L.G.S.); the Department of Paediatrics (Z.B., M.C., S.M.), Centre for Quality Improvement and Patient Safety (M.C.), and Institute for Health Policy, Management and Evaluation (S.M.), Hospital for Sick Children and University of Toronto, Toronto; the Department of Pediatrics, Division of General Pediatrics, Kapi'olani Medical Center for - - 2014
Miscommunications are a leading cause of serious medical errors. Data from multicenter studies assessing programs designed to improve handoff of information about patient care are lacking. We conducted a prospective intervention study of a resident handoff-improvement program in nine hospitals, measuring rates of medical errors, preventable adverse events, and miscommunications, ...
McCarthy S E SE Institute of Leadership, Royal College of Surgeons in Ireland, Reservoir House, Ballymoss Road, Sandyford, Dublin 18, Ireland, - - 2014
Increasing demand exists for blended approaches to the development of professionalism. Trainees of the Royal College of Physicians of Ireland participated in an online patient safety programme. Study aims were: (1) to determine whether the programme improved junior doctors' knowledge, attitudes and skills relating to error reporting, open communication and ...
Fronteira Inês - - 2014
Medical training has shown to be strategic for strengthening health systems, especially in those countries identified to have critical shortage of human resources for health. In the past few years, several studies have been conducted to characterize and identify major challenges faced by medical schools worldwide, and particularly in Africa. ...
Jaeger Susanne S Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Suedwuerttemberg, Health Services Research Unit, Weissenau, Germany. - - 2014
To examine the interactions among the different dimensions of the health locus of control (HLC), the patient-doctor relationship and medication adherence in patients with schizophrenia. In a cross-sectional design, 69 chronically ill schizophrenia outpatients were assessed by established self-rating scales. The statistical analyses were based on multiple regression models. Patients' ...
Dennis Ashley A AA Centre for Medical Education, Medical Education Institute, University of Dundee, Dundee, - - 2014
Setting research priorities is important when exploring complex issues with limited resources. Only two countries (Canada and New Zealand) have previously conducted priority-setting exercises for medical education research (MER). This study aimed to identify the views of multiple stakeholders on MER priorities in Scotland. This study utilised a two-stage design ...
Sugarman Jonathan R JR *Qualis Health †MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA ‡The Commonwealth Fund, One East 75th Street, New York, - - 2014
Despite findings that medical homes may reduce or eliminate health care disparities among underserved and minority populations, most previous medical home pilot and demonstration projects have focused on health care delivery systems serving commercially insured patients and Medicare beneficiaries. To develop a replicable approach to support medical home transformation among ...
Wolff Jennifer L JL Department of Health Policy & Management and Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland. - - 2014
To profile older adults receiving assistance with physician visits and prescribed medications and the time demands associated with their care. Observational study of 7,197 community-dwelling adults ages 65+ responding to the 2011 National Health and Aging Trends Study. More than one third of older adults receive assistance with either physician ...
- - 2014
The leadership of the surgical community is actively engaged in improving the preparation of incoming residents to assume responsibility and accountability for key elements of care and stewardship. To better prepare for this transition, it is essential that all matriculants to surgery residency successfully complete a preparatory course of blended ...
Xiong Tian T Tian Xiong, RN, MSN, is Nurse, Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Jie Li, PhD,is Lecturer; Jing Mao, MD, is Professor and Dean; Jiaqi Xu, RN, is Master student in Nursing, School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, - - 2014
Most research about medication-related problems after hospital discharge among older adults has been carried out in Western countries. The experience of older adults in China has not been described. The aim of the study was to explore the prevalence, types, and predictors of medication-related problems among community-dwelling older adults with ...
Malek Scott S College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, - - 2014
Doping in sport has become an increasingly prominent topic. The decision to take part in doping practices is multifactorial and often based on many different information sources of varying reliability. This study sought to determine the attitudes of athletes at a Canadian Interuniversity Sport (CIS) university toward doping and to ...
Dong XinQi X Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, Illinois. - - 2014
The burden of medical conditions is increasing among U.S. older adults, yet we have very limited knowledge about medical conditions among Chinese older adults in the United States. This study aimed to examine the prevalence of medical conditions and its sociodemographic and health-related correlates within the context of a population-based ...
Outram Sue S School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia, - - 2014
This article examines the pre-vocational preparation of doctors to cope with the demands of clinical practice, drawing on literature from across a number of domains: mental health, psychological stress among medical students and medical practitioners; and self-care strategies in medicine curricula. High rates of psychological distress in medical students and ...
Pakpoor Jina J School of Clinical Medicine, University of Cambridge, Cambridge, UK, - - 2014
Since the introduction of antipsychotic medication for the treatment of psychosis, a wide range of different types of antipsychotic drugs have been developed while their side effects have become evident. The side effects of both the typical and atypical generation of antipsychotics have important consequences for the quality of life ...
van Eck Judith P JP Department of Medicine, Section of Endocrinology, Erasmus University Medical Center, Rotterdam, The - - 2014
We assessed self-management in patients with adrenal insufficiency and patient-related factors that affect self-management. A self-report questionnaire was developed to assess self-management. The questionnaire contained three main topics, including: (i) medication adherence; (ii) anticipated measures; and (iii) dose adaptation during medical emergencies. Sixty per cent of the patients (n = 116) completed ...
Rodgers Ornaith O Department of French, National University of Ireland, Galway, Ireland. Electronic address: - - 2014
Popular pregnancy and childbirth advice books constitute an important source of information for pregnant women. These texts shape women's perceptions of pregnancy, childbirth and the medical care they will receive during this time. This article reports on a study of the enactment of power relations between pregnant women and their ...
Nevin Christa R CR University of Alabama, Birmingham, - - 2014
The last decade has seen many changes in graduate medical education training in the USA, most notably the implementation of duty hour standards for residents by the Accreditation Council of Graduate Medical Education. As educators are left to balance more limited time available between patient care and resident education, new ...
Raveesh B N BN Department of Psychiatry, Mysore Medical College and Research Institute, Mysore, - - 2014
Patient and visitor violence (PVV) towards staff is common across health settings. It has negative effects on staff and treatment provision. Little data is available from the developing world. To examine the prevalence of PVV in India and make comparisons with the existing data. We administered an abbreviated version of ...
Manze Meredith G MG Hunter College, City University of New York (CUNY) School of Public Health, New York, USA. Electronic address: - - 2014
Hypertension remains a prevalent risk factor for cardiovascular disease, and improved medication adherence leads to better blood pressure (BP) control. We sought to improve medication adherence and hypertension outcomes among patients with uncontrolled BP through communication skills training targeting providers. We conducted a randomized controlled trial to assess the effects ...
Hammonds Tracy T a Department of Psychology , Kent State University , Kent , - - 2014
Abstract. Objectives: To determine if medication reminding via smartphone app increases adherence to antidepressant medications in college students. Participants: College students (N = 57) enrolled at a state-funded institution who had a current prescription for an antidepressant and regularly used a smartphone device. Methods: Participants were randomized to either a ...
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