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Nosyk Bohdan B BC Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, - - 2014
The non-medical use of prescription opioids (PO) has increased dramatically in North America. Special consideration for PO prescription is required for individuals in methadone maintenance treatment (MMT). Our objective is to describe the prevalence and correlates of PO use among British Columbia (BC) MMT clients from 1996 to 2007. This ...
Monteiro Ana A From the Departments of Neurology (A. Monteiro, A. Mendes, F.S., G.N.) and Pathology (L.C.), Centro Hospitalar São João; and the Department of Clinical Neurosciences and Mental Health (A. Monteiro, A. Mendes), Faculty of Medicine, University of Porto, - - 2014
A previously healthy 49-year-old woman presented with progressive motor deficit. The complaints started the year before with weakness of the right arm. Over the subsequent months, she developed weakness in the left arm, followed by both legs, and, finally, difficulty speaking, with nasal voice, and swallowing. It was increasingly difficult ...
Schumacher Karen L KL University of Nebraska Medical Center, Omaha, Nebraska. Electronic address: - - 2014
Despite the increasing complexity of medication regimens for persistent cancer pain, little is known about how oncology outpatients and their family caregivers manage pain medications at home. To describe the day-to-day management of pain medications from the perspectives of oncology outpatients and their family caregivers who participated in a randomized ...
Schumacher Karen L KL University of Nebraska Medical Center, Omaha, Nebraska. Electronic address: - - 2014
Oncology patients with persistent pain treated in outpatient settings and their family caregivers have significant responsibility for managing pain medications. However, little is known about their practical, day-to-day experiences with pain medication management. To describe day-to-day pain medication management from the perspectives of oncology outpatients and their family caregivers who ...
Pergolizzi Joseph V JV Johns Hopkins University School of Medicine, Baltimore, MD, - - 2014
Abstract Objectives: Medication prescribing information provides guidance to healthcare providers on how to prescribe a drug properly. Oftentimes patient factors in addition to the prescribing information are considered when selecting medications. Utilizing real-world pharmacy and medical claims data, this study assessed US practitioner prescribing practices of US approved transdermal buprenorphine ...
T Lee Paul P Medical Devices Training Manager, ABMU Local Health Board, Medical Physics and Clinical Engineering Department, Morriston Hospital, Swansea, - - 2014
Small ambulatory syringe pumps that deliver medication via the subcutaneous route for pain and symptom control are often referred to as 'syringe drivers'. The phrase is synonymous in the UK with the Smiths Medical (formerly Graseby) MS16a and MS26, which have been in use for over 30 years.
Schwartz Tayler M TM Alpert Medical School of Brown - - 2014
We explore the relationship between Press Ganey emergency department (ED) patient satisfaction scores and ED administration of analgesic medications, including amount of opioid analgesics received, among patients who completed a patient satisfaction survey. We conducted a secondary data analysis of Press Ganey ED patient satisfaction surveys from patients discharged from ...
Adenuga Paul P Medical Student, Case Western Reserve University Resident, Department of Plastic Surgery, Case Western Reserve University The American Migraine Center and, Case Western Reserve University Kiehn-DesPrez Professor and Chair, Department of Plastic Surgery, Case Western Reserve - - 2014
This study focuses on the impact of preoperative narcotic medication use on outcomes of surgical treatment of migraine headaches (MH). A retrospective comparative review was conducted with patients undergoing migraine surgery. Data gathered included demographic information, baseline migraine headache characteristics, migraine surgery sites, postoperative MH characteristics 1 year or more ...
Weber Brittany B Department of Otolaryngology - Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania; Department of Otolaryngology, Eastern Virginia Medical School, Norfolk, - - 2014
Laryngopharyngeal reflux (LPR) is a pervasive disorder that may cause hoarseness, throat clearing, and other symptoms. These symptoms are particularly problematic in professional voice users. Proton pump inhibitors (PPIs) are the mainstay of current medical management for LPR but may be insufficient in managing some patients' symptoms. Laparoscopic Nissen fundoplication ...
Subramanyam Rajeev R Department of Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, - - 2014
The primary outcome of this study was to examine the cost-effectiveness of the intraoperative combination of intravenous (IV) acetaminophen and IV opioids, versus IV opioids alone, as a part of an inhalational anesthetic technique for tonsillectomy in children. We used Decision Maker(®) software to construct and analyze a decision analytic ...
Janssen Sabine S Department of Neurology 935, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands, - - 2014
Fixed dystonia without evidence of basal ganglia lesions or neurodegeneration typically affects young women following minor peripheral trauma. We use eyeblink classical conditioning (EBCC) to study whether cerebellar functioning is abnormal in patients with fixed dystonia, since this is part of the pathophysiology of primary dystonia. An auditory tone (conditioning ...
Helmons Pieter J PJ Pieter J. Helmons, Pharm.D., M.A.S., is Hospital Pharmacist, St. Jansdal Hospital, Harderwijk, Netherlands; at the time of this study he was Pharmacist Specialist-Pharmacoeconomics, University of California San Diego (UCSD), San Diego. Jos G. W. Kosterink, Ph.D., Pharm.D., is Hospital Pharmacist and Head of Department of Hospital and Clinical Pharmacy, University Medical Center Groningen, Groningen, Netherlands, and Clinical Pharmacologist, Pharmacotherapy and Pharmaceutical Care Unit, Department of Pharmacy, University of Groningen. Charles E. Daniels, Ph.D., B.S.Pharm., is Professor of Clinical Pharmacy and Associate Dean for Clinical Affairs, Skaggs School of Pharmacy and Pharmaceutical Sciences, UCSD, and Pharmacist-In-Chief, Department of Pharmacy, UCSD Health System, San - - 2014
The impact of a comprehensive hospital formulary management system on formulary compliance and pharmacy labor costs was evaluated. The formulary management system consisted of monitoring nonformulary medication use, reviewing formulary medication use annually, and providing periodic feedback. Workflow scenarios for nonformulary medication requests were identified. Pharmacy personnel were interviewed to ...
Jackson Timothy T North Western Deanery, Manchester, - - 2014
The medical management of symptoms associated with malignant bowel obstruction remains a clinical challenge in palliative care. Where surgical intervention is not appropriate, thorough clinical assessment should guide treatments for nausea and vomiting. In 2011, the North West Palliative Care Regional Audit Group (NWAG) coordinated a multi-centre review revealing variations ...
Pickard Jonathan J Northern Deanery, Newcastle-upon-Tyne, Great - - 2014
The Independent Review of the Liverpool Care Pathway (LCP) described concerns about use of opioid and sedative drugs at the end of life. Baroness Neuberger reiterated the importance of appropriate use of medications to achieve a peaceful death. One concern was that a continuous subcutaneous infusion (CSCI) was started when ...
Atluri Sairam - - 2014
The epidemic of medical use and abuse of opioid analgesics is linked to the economic burden of opioid-related abuse and fatalities in the United States. Multiple studies have estimated the extent to which prescription opioid analgesics contribute to the national drug abuse problem; studies also assessing the trends in medical ...
McEvoy Matthew D MD Dr. McEvoy is vice chair for educational affairs, program director, and associate professor, Department of Anesthesiology, Vanderbilt University, Nashville, Tennessee. Dr. DeWaay is assistant professor and associate vice chair for education, Department of Internal Medicine, Division of General Medicine and Geriatrics, Medical University of South Carolina, Charleston, South Carolina. Dr. Vanderbilt is assistant professorand director of assessment and evaluation for the Center of Health Disparities, School of Medicine, Virginia Commonwealth University, Richmond, Virginia. Dr. Alexander is an anesthesiology resident, Vanderbilt University, Nashville, Tennessee. Ms. Stilley is research and academic information systems analyst, College of Medicine, Medical University of South Carolina, Charleston, South Carolina. Ms. Hege is director, Center for Clinical Evaluation and Teaching, College of Medicine, Medical University of South Carolina, Charleston, South Carolina. Dr. Kern is associate professor, Department of Family Medicine, and associate dean for curriculum-clinical science, College of Medicine, Medical University of South Carolina, Charleston, South - - 2014
To evaluate the fourth-year medical student's assessment and management of an unstable patient. The authors compared the performance of fourth-year medical students in a clinical performance examination (CPX) across a spectrum of simulated stable conditions as compared with a case of ST-elevation myocardial infarction (STEMI). All fourth-year medical students at ...
Chapman Beatrice B Research and Project Manager at Visions4health - - 2014
Background: Stroke is the third most common cause of mortality and one of the leading causes of adult physical disability in England. Medical treatment is imperative for the management of stroke and the risk reduction of recurrent stroke. The success of a medical treatment is determined largely by adherence. However, ...
Lind Jennifer N JN 1Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, GA, - - 2014
Background:Despite estimates that 83% of mothers in the United States receive labor pain medications, little research has been done on how use of these medications affect onset of lactation.Objective:To investigate whether use of labor pain medications is associated with delayed onset of lactation (DOL).Methods:We analyzed data from the 2005-2007 Infant ...
Russell Katie W KW Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT (Drs Russell and - - 2014
The Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for the management of pain in austere environments. Recommendations are graded based on the quality of supporting evidence as defined by criteria put forth by the American College of Chest Physicians.
Barauskas Justas - - 2014
Lipid-based liquid crystalline compositions of phospholipids and diglycerides have unique bioadhesive properties with several medical applications, as exemplified by a lipid based medical device indicated for management and relief of intraoral pain. The present paper describes the relation between self-assembly properties of phosphatidyl choline (PC) and glycerol dioleate (GDO) mixtures ...
Jeffrey Kao Ming-Chih MC Stanford Hospital & Clinics, Department of Orthopaedics, Palo Alto, - - 2014
To describe the changing practice pattern of opioid medication prescription by healthcare providers, and its relationship to shifts in back pain incidence, demographic, and healthcare access. Retrospective analysis of nationally representative databases SETTING: In silico PARTICIPANTS: Patients who presented at a set of randomly selected healthcare facilities on the days ...
McCoyd Matthew M Department of Neurology, Loyola University Healthcare Center, Maywood, IL, USA. Electronic address: - - 2014
Cardiac arrest is a common and serious medical emergency affecting upwards of 450000 Americans on an annual basis. It causes a substantial strain on the physical and financial resources of the medical system. The optimal management of patients requires the close collaboration of multiple specialists, including first responders, intensivists, cardiologists, ...
Sino C G M CG Carolien GM Sino, HU University of Applied Science Utrecht, Research Centre for Innovation in Health Care. The Netherlands. P.O. box 85182, 3508 AD Utrecht. www.innovationsinhealthcare.research.hu.nl. Tel: +31(0)88481 5079. Fax: +31(0)88481 0608 E-mail: - - 2014
Objective: To determine the medication management capacity of independently living older people (≥75 years) on polypharmacy (≥ 5 medications) in relation to their cognitive- and self-management skills. Design: Cross-sectional study. Setting: Two homecare organizations in the Netherlands. Participants: Homecare clients aged 75 and older on polypharmacy (N=95). Measurements: The primary ...
Lambru Giorgio - - 2014
Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) or with cranial autonomic symptoms (SUNA) are primary headaches characterized by frequent attacks of severe headaches in association with cranial autonomic features. Patients with chronic SUNCT or SUNA have unremitting symptoms that necessitate prolonged use of medical preventive treatments, ...
Butler Frank K - - 2014
Although the majority of potentially preventable fatalities among U.S. combat forces serving in Afghanistan and Iraq have died from hemorrhagic shock, the majority of U.S. medics carry morphine autoinjectors for prehospital battlefield analgesia. Morphine given intramuscularly has a delayed onset of action and, like all opioids, may worsen hemorrhagic shock. ...
Ackerman Stacey J SJ Covance Market Access Services Inc, San Diego, CA, - - 2014
Low back pain is common and originates in the sacroiliac (SI) joint in 15%-30% of cases. Traditional SI joint disruption/degenerative sacroiliitis treatments include nonoperative care or open SI joint fusion. To evaluate the usefulness of newly developed minimally-invasive technologies, the costs of traditional treatments must be better understood. We assessed ...
Zhu Ling-Ling LL Geriatric VIP Ward, Division of Nursing, People's Republic of - - 2014
The use of injection devices to administer intravenous or subcutaneous medications is common practice throughout a variety of health care settings. Studies suggest that one-half of all harmful medication errors originate during drug administration; of those errors, about two-thirds involve injectables. Therefore, injection device management is pivotal to safe administration ...
Madiha Ahmedi A Deccan College of Medical Sciences, Hyderabad, Andhra Pradesh, - - 2014
We report the case of a 79-year-old woman who presented with an increasingly painful lump in her right groin for 24 h. An incidental femoral hernia was detected on her CT scan nearly 8 months ago while investigating her medical conditions. However, its management was deferred on account of ongoing ...
Bernardy Nancy C NC National Center for PTSD, Veterans Affairs Medical Center, White River Junction, VT, USA; Department of Psychiatry, The Geisel School of Medicine at Dartmouth, Hanover, NH, - - 2013
Posttraumatic stress disorder (PTSD) treatment is often complicated in veterans by co-occurring conditions including pain, insomnia, brain injury, and other mental disorders. Pharmacologic approaches to these conditions can produce an accumulation of sedating medications with potential for safety concerns. The objective of this study was to characterize polysedative prescribing among ...
Cleary J - - 2013
The reports of the Global Opioid Policy Initiative (GOPI) project to evaluate the availability and accessibility of opioids for the management of cancer pain in Africa, Asia, Latin America and the Caribbean, and the Middle East, together with the previous 2010 European Society for Medical Oncology (ESMO)/European Association for Palliative ...
Bistre Sara - - 2013
ABSTRACT Adverse events due to medical staff errors are a leading cause of morbidity and mortality around the world. One important aspect of this serious public health issue is mismanagement of pain, particularly pain associated to acute coronary events or cancer. In recent years, there has been increased awareness among ...
Anderson Kadie K Point Defiance Zoo & Aquarium, 5400 North Pearl Street, Tacoma, WA 98407, USA. - - 2013
Pyometra is a serious, life-threatening disease of both domestic and non-domestic species often requiring ovariohysterectomy to preserve the life of the animal. Medical management of pyometra has been successful in domestic and non-domestic species, and the consideration of such treatment is of marked importance in a critically endangered species. Of ...
Lewis Eleanor T - - 2013
The volume of opioid medications being prescribed in the US is increasing rapidly. Problems associated with the misuse of opioid medications are also increasing, in part because of medication diversion from legitimate prescriptions. However, little is known about what patients do with any unused opioid medications. This paper uses a ...
Saltychev Mikhail - - 2013
Objective: To investigate whether an interdisciplinary rehabilitation for chronic musculoskeletal disorders is associated with changes in the purchase of prescribed pain medication. Design: Prospective register-based study. Subjects: Employees in the public sector (n = 4,365) who participated in the rehabilitation programme between 1996 and 2009. Methods: The changes in annual purchases of ...
Rodriguez Collar Tomas Lazaro - - 2013
Sixty year-old patient without past medical history referring a 6-month history of right testicle pain and simultaneous volume increase. Neither history of sexually transmitted disease nor genital trauma nor obstructive lower urinary tract symptoms were referred during the medical interview.
Cai Qian - - 2013
Abstract Objective: To evaluate total annual all-cause, gastrointestinal-related, and symptom-related healthcare costs among chronic constipation (CC) patients and estimate incremental all-cause healthcare costs of CC patients relative to matched controls. Methods: Patients aged ≥18 years with continuous medical and pharmacy benefit eligibility in 2010 were identified from the HealthCore Integrated ...
Carlson Robert G - - 2013
Increases in non-medical use of pharmaceutical opioids in the U.S. have resulted in increases in opioid dependence and unintentional overdose deaths. We characterize heterogeneity in opioid use patterns among a community-based sample of 18-23 year-olds who use non-medical pharmaceutical opioids, yet are not opioid dependent. Respondent-driven sampling recruited 390 participants. ...
Porucznik Christina A - - 2013
Opioid adverse events are widespread, and deaths have been directly attributed to opioids prescribed by medical professionals. Little information exists on the amount of opioids various medical specialties prescribe and the opioid fatality rate that would be expected if prescription opioid-related deaths were independent of medical specialty. To compute the ...
Gvion Yari - - 2013
Unbearable mental pain, depression, and hopelessness have been associated with suicidal behavior in general, while difficulties with social communication and loneliness have been associated with highly lethal suicide attempts in particular. The literature also links aggression and impulsivity with suicidal behavior but raises questions about their influence on the lethality ...
Davies Nicola - - 2013
You covered a colleague's shifts last weekend and worked your regular shifts this week and have not been at home for 36 consecutive hours for 12 days. As you update a patient's medication chart, you realise that you just recorded administering 10cc of morphine instead of 4cc. You have made ...
Riederer Franz - - 2013
Patients with chronic daily headache and overuse of analgesics, triptans, or other acute headache compounds, are considered to suffer from medication-overuse headache (MOH). This implies that medication overuse is the cause of headache chronification. It remains a key question why only two-thirds of patients with chronic migraine-like headache and overuse ...
Dart Richard C - - 2013
Prescription opioid analgesics play an important role in managing moderate to severe pain. An unintended consequence of the availability of these drugs is non-medical use. We report rates and methods of non-medical use of the analgesic tapentadol immediate release (IR) and other commonly prescribed opioid analgesics among US college students ...
Kingsbury Sarah R - - 2013
The aim of this analysis was to comprehensively describe cross-sectional and longitudinal patterns of analgesic and nutraceutical medication use for knee osteoarthritis (OA) in a contemporary US cohort and to investigate associated demographic and clinical factors. Baseline, 12, 24 and 36 month data were obtained retrospectively from the NIH Osteoarthritis ...
Mascarenhas Janice V - - 2013
The Charcot foot is an acute clinical emergency that warrants immediate management in order to prevent irreversible joint destruction. Offloading remains the mainstay of treatment of Charcot foot; however, adjunctive therapy with antiresorptive agents may facilitate retardation and early recovery from the inflammatory destructive process. This article discusses the medical ...
Madan Alok - - 2013
Pain is common and multifactorial among patients with chronic pancreatitis. Underrecognized and undertreated psychosocial comorbidity can exacerbate pain experience. Excess inpatient service utilization within this patient population prompted a performance improvement initiative at a large academic medical center. An interprofessional treatment approach with programmatic medical, surgical, and psychological and psychiatric ...
Flug Jonathan - - 2013
Vertebral augmentation (VA) performed on inpatients with painful osteoporotic vertebral compression fractures (VCFs) has been shown to facilitate discharge, decrease analgesic requirements, and improve pain. The purpose of our study was to compare the overall cost, length of stay, and readmission data for patients hospitalized with painful osteoporotic VCFs, treated ...
Pai Amy Barton - - 2013
Patients with ESRD undergoing dialysis have highly complex medication regimens and disproportionately higher total cost of care compared with the general Medicare population. As shown by several studies, dialysis-dependent patients are at especially high risk for medication-related problems. Providing medication reconciliation and therapy management services is critically important to avoid ...
McKenzie S A - - 2013
There is much written in the medical and lay literature about managing babies who cry too much. Healthcare professional often feel bewildered about how to go about trying to help a baby and their carer, usually the mother. They often undertake investigations, prescribe medication or alter the baby's diet. The ...
McCabe Sean Esteban - - 2013
This study examined the motives for medical misuse of prescription opioids among adolescents and assessed differences in motives by demographic characteristics, substance abuse, and diversion behaviors. A survey was conducted in 2011 to 2012 and the sample consisted of 2,964 adolescents (51% female). Thirteen percent reported past-year medical use of ...
Saper Joel R - - 2013
Medication overuse headache (MOH) is a daily, or almost daily, headache form that arises from overuse of one or more classes of migraine-abortive or analgesic medication. The main classes of drugs that cause MOH are opioids, butalbital-containing mixed analgesics, triptans, ergotamine tartrate derivatives, simple analgesics (except for plain aspirin), and ...
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