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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 ...
Isambert Aurélie A ASN-French Nuclear Safety Authority, 15 rue Louis Lejeune, Montrouge 92541, France - - 2014
The French regulations concerning the involvement of medical physicists in medical imaging procedures are relatively vague. In May 2013, the ASN and the SFPM issued recommendations regarding Medical Physics Personnel for Medical Imaging: Requirements, Conditions of Involvement and Staffing Levels. In these recommendations, the various areas of activity of medical ...
DeConde Adam S AS Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of California San Diego, San Diego, - - 2014
Prior study demonstrated that baseline 22-item Sino-Nasal Outcome Test (SNOT-22) aggregate scores accurately predict selection of surgical intervention in patients with chronic rhinosinusitis (CRS). Factor analysis of the SNOT-22 survey has identified 5 distinct domains that are differentially impacted by endoscopic sinus surgery (ESS). This study sought to quantify SNOT-22 ...
Fischer Michael A MA *Department of Medicine, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA †CVS-Health, Woonsocket, - - 2014
Primary medication nonadherence (PMN) occurs when patients do not fill new prescriptions. Interventions to reduce PMN have not been well described. To determine whether 2 pharmacy-based interventions could decrease PMN. Two sequential interventions with a control group were evaluated after completion. The automated intervention began in 2007 and consisted of ...
Thomas Josephine S JS 1-4 EHB, Royal Adelaide hospital, 50 North Tce, Adelaide SA 5000 - - 2014
Background Prescribing is a complex task with potential for many types of error to occur. Despite the introduction of a standard national medication chart for Australian hospital inpatients in 2006, simple prescribing errors are common. Aim To compare the effect of quality improvement initiatives on the rate of simple prescribing ...
Sharma Richa R University of British Columbia , Canada - - 2014
Abstract The twentieth century saw a paradigm shift in medical education, with acceptance that 'knowledge' and 'truth' are contextual, in flux and always evolving. The twenty-first century has seen a greater explosion in computer technology leading to a massive increase in information and an ease of availability, both offering great ...
Lim Charles C Sunnybrook Health Sciences Center, Odette Cancer Center, Toronto, Ontario, - - 2014
Although quality improvement (QI) is an integral part of cancer care, there are few QI publications in the medical oncology literature. We examined the prevailing attitudes of medical oncologists toward QI and causes for the low QI publication rate in the medical oncology literature. Using a modified Dillman method, we ...
Reed Robert M - - 2014
Complementary and alternative medicine (CAM) in the form of vitamin and supplement use is increasingly prevalent in the United States. The interplay between CAM use and use of conventional medications is not well studied. We examined this issue in Old Order Amish (OOA), a population lacking several factors known to ...
Stringfellow Thomas D TD University of Nottingham , UK - - 2014
Abstract Medical leadership and management (MLM) skills are essential in preventing failings of healthcare; it is unknown how these attitudes can be developed during undergraduate medical education. This paper aims to quantify interest in MLM and recommends preferred methods of teaching and assessment at UK medical schools. Two questionnaires were ...
Giancarelli Amanda A The Brooklyn Hospital Center, Brooklyn, New York, - - 2014
Background: The purpose of this study was to determine the number and types of interventions performed by our nutrition support service (NSS) pharmacists that were not directly related to the nutrition formula prescription. Methods: This was an institutional review board-approved retrospective study of all adult pharmacy NSS consultations from January ...
Molina Yamile Y School of Public Health, University of Washington, Seattle, WA, USA; Fred Hutchinson Cancer Research Center, Seattle, WA, USA; School of Public Health, University of Illinois-Chicago, Chicago, IL, - - 2014
Medical mistrust is salient among African American women, given historic and contemporary racism within medical settings. Mistrust may influence satisfaction among navigated women by affecting women's perceptions of their health-care self-efficacy and their providers' roles in follow-up of abnormal test results. To (i) examine whether general medical mistrust and health-care ...
Waugh Jeff L JL From the Neurology Department, Boston Children's Hospital; and the Pediatric Movement Disorders Clinic, Massachusetts General Hospital, Boston. - - 2014
The objective of residency training is to produce physicians who can function independently within their chosen subspecialty and practice environment. Skills in the business of medicine, such as clinical billing, are widely applicable in academic and private practices but are not commonly addressed during formal medical education. Residency and fellowship ...
Mûnene Edwin E a Department of Pharmacy , Nyeri Provincial General Hospital , Nyeri , Nyeri County , - - 2014
Consistent individual effort in engagement in HIV medical services has been associated with positive health outcomes in people living with HIV (PLHIV). However, whether these benefits are facilitated by improved medication adherence has not been widely studied. This study aimed to investigate the marginal effect of engagement in HIV care ...
Guimarães Fabiana Costa FC Federal University of Viçosa, Viçosa, - - 2014
In addition to hypertension, dyslipidemia, atherosclerosis, and diabetes, a sedentary lifestyle plays a pivotal role in cerebro- and cardiovascular disease and progressive cognitive decline, including vascular dementia and Alzheimer's disease. The present study investigated whether controlling the key risks and participating in physical activity have a beneficial impact on these ...
McClead Richard E RE Jr Nationwide Children's Hospital, Columbus, OH; Department of Pediatrics, Division of Neonatology, The Ohio State University, Columbus, OH. Electronic address: - - 2014
To reduce the rate of harmful adverse drug events (ADEs) of severity level D-I from a baseline peak of 0.24 ADE/1000 doses to 0.08 ADE/1000 doses. A hospital-wide, quasi-experimental time series quality improvement (QI) initiative to reduce ADEs was implemented. High-reliability concepts, microsystem-based multidisciplinary teams, and QI science methods were ...
Tinker Sarah C SC National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Mail Stop E-86, 1600 Clifton Road, Atlanta, GA, 30333, USA, - - 2014
Many prescription medications have limited information regarding safety for use during pregnancy. In order to inform research on safer medication use during pregnancy, we examined prescription medication use among women in the United States. We analyzed data from the 1999-2006 National Health and Nutrition Examination Survey (NHANES) to estimate the ...
Ruiz Jorge G JG a Laboratory of E-learning and Multimedia Research, Bruce W. Carter VA Geriatric Research , Education and Clinical Center (GRECC) , Miami , Florida , - - 2014
ABSTRACT Medical students (MS) may develop ageist attitudes early in their training that may predict their future avoidance of caring for the elderly. This study sought to determine medical students' patterns of explicit and implicit anti-aging bias, intent to practice with older people and using the Quad Model, the role ...
Meiboom Ariadne A a Department of General Practice & Elderly Care Medicine , VU University Medical Center , Amsterdam , The - - 2014
In spite of more attention being given to geriatrics in medical curricula, few new physicians are seeking training in this field. So far there has been no exploration of factors in the hidden curriculum that could potentially influence the persisting lack of interest in this field of medicine. To study ...
Molina Yamile Y Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N., M3-B232, Seattle, WA, 98109, USA, - - 2014
African-American women experience disproportionately adverse outcomes relative to non-Latina White women after an abnormal mammogram result. Research has suggested medical advocacy and staff support may improve outcomes among this population. The purpose of the study was to understand reasons African-American women believe medical advocacy to be important and examine if ...
O'Conor Rachel - - 2014
Background:We sought to investigate the degree to which cognitive skills explain associations between health literacy and asthma-related medication use among older adults with asthma. Methods:Patients aged 60 years and older receiving care at 8 outpatient clinics (primary care, geriatrics, pulmonology, allergy and immunology) in New York, NY and Chicago, IL ...
Maddux Franklin W FW Fresenius Medical Care North America, Waltham, Massachusetts; and - - 2014
The medical director has been a part of the fabric of Medicare's ESRD program since entitlement was extended under Section 299I of Public Law 92-603, passed on October 30, 1972, and implemented with the Conditions for Coverage that set out rules for administration and oversight of the care provided in ...
Agius Steven J SJ Senior Research - - 2014
Postgraduate medical trainees may take time out of programme for personal or professional reasons which can delay completion of training. This survey of out of programme trainees in England explores a phenomenon that impacts significantly upon medical careers and workforce planning.
Guarino Salvatore S Department of Surgical Sciences, Sapienza University of Rome, - - 2014
The rapid and dramatic incursion of the Internet and social networks in everyday life has revolutionised the methods of exchanging data. Web 2.0 represents the evolution of the Internet as we know it. Internet users are no longer passive receivers, and actively participate in the delivery of information. Medical education cannot ...
Sebaratnam Deshan F DF Department of Dermatology, St. George Hospital and University of New South Wales, Sydney, NSW, - - 2014
Dermatology is a relatively young discipline in Australia compared to other specialities within the medical fraternity. From its humble beginnings, the profession has evolved significantly over the decades and is now represented by the Australasian College of Dermatologists which is charged with training the next generation of dermatologists and advocating ...
Lancaster Rachelle R Rachelle Lancaster, PhD, RN, is an Assistant Professor, University of Wisconsin-Oshkosh, Oshkosh, Wisconsin. Karen Dorman Marek, PhD, MBA, RN, FAAN, is Bernita "B" Professor of Geriatric Nursing, College of Nursing & Health Innovation, Arizona State University, Phoenix, Arizona. Linda Denison Bub, RN, GCNS-BC, is the Director Senior Health Services, Director of Education and Program Development Nurses Improving Care for Healthsystem Elders (NICHE), New York University College of Nursing, New York City, New York. Frank Stetzer, PhD, is a Research Associate, College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, - - 2014
The purpose of this study was to examine the number and types of discrepancy errors present after discharge from home healthcare in older adults at risk for medication management problems following an episode of home healthcare. More than half of the 414 participants had at least one medication discrepancy error ...
Amos T B TB School of Population Health, Thomas Jefferson University, Philadelphia, PA, - - 2014
The prescription of potentially inappropriate medications (PIMs) for older adults is a well-known population health concern. Updated country-specific estimates of inappropriate prescribing in older adults using germane explicit criteria are needed to facilitate physician-tailored quality improvement strategies. Therefore, we sought to determine the prevalence of PIMs for older adults in ...
- - 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 ...
Subhi Yousif Y Center for Klinisk Uddannelse, 5404, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark. - - 2014
The CanMEDS framework describes seven roles in postgraduate training, but training and courses relevant to these roles can be limited. Massive open online courses (MOOCs) - free online courses in which anyone can participate, anywhere - may improve course participation. This study investigates the relevance of MOOCs for postgraduate medical ...
McAlpine Lawrence L MRCP(UK), London, UK - - 2014
The medical profession is global, and ambitious trainee physicians around the world are eager to attain internationally recognised postgraduate medical qualifications. The MRCP(UK) and specialty certificate examinations of the Federation of Royal Colleges of Physicians of the United Kingdom provide such qualifications, and between 2002 and 2013, the number of ...
Tailor Ameet A The Hillingdon Hospitals NHS Trust, Uxbridge, UK - - 2014
Since the introduction of Modernising Medical Careers in 2005, the electronic portfolio (ePortfolio) and workplace based assessments (WPBAs) have become integral, yet anecdotally controversial, components of postgraduate medical training. In this multi-centre, survey-based study, we looked at core medical trainees and trainers in the Northwest London region and their opinions ...
Hopcroft P P Centre for Research in Geriatric Medicine, School of Medicine, The University of Queensland, Brisbane, Queensland, - - 2014
For frail older people, admission to hospital is an opportunity to review the indications for specific medications. This research investigates prescribing for 206 older people discharged into residential aged care facilities from 11 acute care hospitals in Australia. Patients had multiple comorbidities (mean 6), high levels of dependency, and were ...
Yeh James S JS Program On Regulation, Therapeutics, And Law (PORTAL), Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States of - - 2014
Professional societies use metrics to evaluate medical schools' policies regarding interactions of students and faculty with the pharmaceutical and medical device industries. We compared these metrics and determined which US medical schools' industry interaction policies were associated with student behaviors. Using survey responses from a national sample of 1,610 US ...
Mixon Amanda S AS Department of Veterans Affairs, Tennessee Valley Healthcare System Geriatric Research Education and Clinical Center (GRECC), Nashville, Tenn., - - 2014
Older adults often face challenges as they transition out of the acute care hospital, especially with regard to adhering to their medications. In this narrative review, we discuss medication adherence in older adults across the continuum of care, describing reasons for nonadherence, methods to assess adherence and tools to improve ...
Schwarz Betje B Department of Rehabilitation Medicine, Medical School Hannover, 30625 Hannover, Germany. schwarz.betje@mh-hannover.de, betje.schwarz@uksh.de, - - 2014
Objective: Systematic reviews indicate the effectiveness of multimodal rehabilitation. In Germany this has been shown, in particular, for work-related medical rehabilitation. A recently published guideline on work-related medical rehabilitation support the dissemination of these programmes. The feasibility of this guideline was examined in a multicentre study. This paper presents findings ...
Metsä-Simola Niina N University of Helsinki, Department of Social Research, P.O. Box 18, 00014 University of Helsinki, Finland. Electronic address: - - 2014
Non-marital cohabitation has become increasingly common and is suggested to offer similar mental-health benefits as marriage does. We studied levels and changes in cohabiters' mental health five years before and five years after entering into marriage or separating, and compared long-term non-married and married cohabiters. We analysed changes in the ...
Raupach Tobias T Cancer Research UK Health Behaviour Research Centre, University College London, UK Department of Cardiology and Pneumology, University Medical Centre Göttingen, Germany - - 2014
Smoking cessation is one of the most cost effective of all health interventions. Physicians are in a strong position to encourage smokers to make a quit attempt and help them to achieve long-term abstinence. Formal teaching on tobacco-related disease, the evidence base of smoking cessation and practical skills training regarding ...
Awad Ahmed J AJ Department of Neurological Surgery, University of Virginia Health System Charlottesville, VA, USA; Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine. Electronic address: - - 2014
Antone (Tony) Tarazi (1927 - 1999) was the first Palestinian neurosurgeon and the first neurosurgeon in Jordan. In 1952, Tarazi received his medical degree from the American University of Beirut in Lebanon. After completing neurosurgery training at the Montreal Neurological Institute in 1960, he returned to Palestine to practice neurosurgery ...
Thompson Julian - - 2014
As the threat of international terrorism rises, there is an increasing requirement to provide evidence-based information and training for the emergency personnel who will respond to terrorist incidents. Current major incident training advises that emergency responders prioritize their own personal safety above that of the 'scene and survivors'. However, there ...
Waldby Catherine C a Faculty of Arts, Sociology and Social Policy , University of Sydney , Sydney , - - 2014
This paper examines the relatively recent practice of non-medical egg freezing, in which women bank their eggs for later use in conceiving a child. Non-medical egg freezing has only been available for about the last five years, as new vitrification techniques have made the success rates for actual conception more ...
Musich Shirley S 1 Optum , Ann Arbor, - - 2014
Abstract The objective of this study was to evaluate medication adherence, medical services utilization, and combined medical and pharmacy expenditures associated with diabetes and hypertension value-based insurance design (VBID) plus health/disease coaching programs implemented by a large employer. A pre/post participant versus nonparticipant study design was used to measure medication ...
Brazeau Chantal M L R CM Dr. Brazeau is professor of family medicine and psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey. Dr. Shanafelt is professor of medicine, Department of Medicine, Mayo Clinic, Rochester, Minnesota. Dr. Durning is professor of medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Dr. Massie is professor of medicine, University of Alabama School of Medicine, Birmingham, Alabama. Dr. Eacker is associate professor of medicine, University of Washington School of Medicine, Seattle, Washington. Dr. Moutier was professor of psychiatry, University of California, San Diego, at the time of the study. She is now chief medical officer, American Foundation for Suicide Prevention, New York, New York. Mr. Satele is statistician, Mayo Clinic Department of Health Sciences Research, Rochester, Minnesota. Dr. Sloan is professor of oncology, Mayo Clinic Department of Health Sciences Research, Rochester, Minnesota. Dr. Dyrbye is professor of medicine and medical education, Department of Medicine, Mayo Clinic, Rochester, - - 2014
Many medical students experience distress during medical school. If matriculating medical students (MMSs) begin training with similar or better mental health than age-similar controls, this would support existing concerns about the negative impact of training on student well-being. The authors compared mental health indicators of MMSs versus those of a ...
Boscardin Christy K CK Dr. Boscardin is associate professor, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California. Dr. Grbic is senior research analyst, Association of American Medical Colleges, Washington, DC. Dr. Grumbach is professor, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California. Dr. O'Sullivan is professor, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, - - 2014
The projected U.S. physician shortage will disproportionately affect underserved areas. This study examined the impact of medical school educational experiences on positive changes in and reaffirmation of students' intention to practice in underserved areas (practice intention). Medical students (n = 7,361) from 113 U.S. MD-granting medical schools who graduated in 2009-2010 ...
Caulfield Marie M Dr. Caulfield is manager of data operations and services, Association of American Medical Colleges, Washington, DC. Dr. Andolsek is professor of community and family medicine, Duke University School of Medicine, Durham, North Carolina. Dr. Grbic is senior research analyst, Association of American Medical Colleges, Washington, DC. Ms. Roskovensky is senior database specialist, Association of American Medical Colleges, Washington, - - 2014
To examine the psychometric adequacy of a tolerance for ambiguity (TFA) scale for use with medical students. Also, to examine the relationship of TFA to a variety of demographic and personal variables in a national sample of entering U.S. medical students. The authors used data from the 2013 Association of ...
Haghighi L L Department of Obstetrics and Gynecology, Iran University of Medical Sciences , Tehran , - - 2014
The aim of this study was to assess the efficacy and safety of intravaginal isonicotinic acid hydrazide (INH) compared with misoprostol for cervical ripening at term. In this randomised controlled trial, 150 pregnant women, scheduled for labour induction, with Bishop's score (BS) ˂5, were recruited. They were assigned randomly to ...
Richly Pablo P Pablo Richly, Pablo López, Ezequiel Gleichgerrcht, Julián Bustin, Marcelo Cetkovich-Bakmas, INECO (Institute of Cognitive Neurology), Buenos Aires C1126AAB, - - 2014
To explore the way in which Latin American psychiatrists approach the screening of vascular risk factors in patients receiving antipsychotic medication. This was a descriptive, cross sectional study that surveyed Latin-American physicians to evaluate differences between groups divided in three main sections. The first section included demographic and professional data. ...
George Austin B AB Department of Surgery, The University of Kansas School of Medicine - Wichita, 929 N. Saint Francis St., Room 3082, Wichita, KS 67214, - - 2014
Some medical school training consists of oral examinations. We conducted a 9-year review of third-year medical student examinations including oral examinations, National Board of Medical Examiners Surgery Subject Examination (SSE, ie, shelf), and United States Medical Licensing Examinations Step 1 and Step 2. Step 1 showed a moderate to strong ...
Wong Jessica J - - 2014
Objective : We assessed the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after a 1-hour educational intervention. Methods : A mixed-methods approach was used with a 52-item cross-sectional paper survey and 1 focus group of third-year medical students. The views of these medical students towards chiropractic ...
Farris Karen B - - 2014
Pharmacists may improve medication-related outcomes during transitions of care. The aim of the Iowa Continuity of Care Study was to determine if a pharmacist case manager (PCM) providing a faxed discharge medication care plan from a tertiary care institution to primary care could improve medication appropriateness and reduce adverse events, ...
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