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Ramakrishnan Aditi A 1 Medical School, University of Michigan , Ann Arbor, - - 2014
Abstract Although much literature has focused on the status of female physicians in the United States, limited English-language studies have examined the role of women in the medical profession elsewhere in the world. This article synthesizes evidence regarding the status of female physicians in three purposively selected regions outside the ...
Herfs Paul Pgp - - 2014
In most countries of the European Economic Area (EEA), there is no large-scale migration of medical graduates with diplomas obtained outside the EEA, which are international medical graduates (IMGs). In the United Kingdom however, health care is in part dependent on the influx of IMGs. In 2005, of all the ...
Bergen Gwen - - 2014
Motor vehicle crashes are a leading cause of injury and death. Previous research has shown that motor vehicle crashes result in substantial mortality, with 22,912 motor vehicle occupants killed in 2012 in the United States, and an estimated 265,000 years of potential life lost in 2011 (CDC's Web-Based Injury Statistics ...
Holmboe Eric S ES Dr. Holmboe is senior vice president, Milestone Development and Evaluation, Accreditation Council for Graduate Medical Education, Chicago, - - 2014
Competency-based medical education (CBME) places a premium on both educational and clinical outcomes. The Milestones component of the Next Accreditation System represents a fundamental change in medical education in the United States and is part of the drive to realize the full promise of CBME. The Milestones framework provides a ...
Voils Stacy A SA Department of Pharmacotherapy and Translational Research, University of Florida College of Pharmacy, 1225 Center Drive, HPNP Building, Room 3315, PO Box 100486, Gainesville, FL 32610-0486, - - 2014
Adverse drug effects often complicate the care of critically ill patients. Therefore, each patient's medical history, maintenance medication, and new therapies administered in the intensive care unit must be evaluated to prevent unwanted neurologic adverse effects. Optimization of pharmacotherapy in critically ill patients can be achieved by considering the need ...
Davis Corey S CS The Network for Public Health Law-Southeastern Region, Carrboro, - - 2014
Fatal opioid overdose in the United States is at epidemic levels. Naloxone, an effective opioid antidote, is commonly administered by advanced emergency medical services (EMS) personnel in the prehospital setting. While states are rapidly moving to increase access to naloxone for community bystanders, the EMS system remains the primary source ...
West Daniel C DC Dr. West is professor, Department of Pediatrics, UCSF Benioff Children's Hospital and University of California, San Francisco, San Francisco, California. Dr. Robins is professor, Departments of Biomedical Informatics and Medical Education, Family Medicine and Pediatric Dentistry, University of Washington, Seattle, Washington. Dr. Gruppen is professor, Department of Learning Health Sciences, University of Michigan, Ann Arbor, - - 2014
Medicine in the United States is changing as a result of many factors, including the needs and demands of 21st-century society. In this commentary, the authors review the 2014 Research in Medical Education (RIME) articles in the context of these changes and with an eye toward the future. The authors ...
Naritoku Wesley Y WY Department of Pathology, Keck School of Medicine, Los Angeles County-University of Southern California Medical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, - - 2014
The American Society of Cytopathology has provided guidelines for goals and objectives for cytopathology fellows. There are 90 Accreditation Council for Graduate Medical Education-accredited cytopathology fellowship training programs in the United States, each with its own unique curriculum designed to achieve these goals and objectives. The Accreditation Council for Graduate ...
Archer Julian J Dr. Archer is National Institute for Health Research Career Development Fellow, senior clinical lecturer, and director, Collaboration for the Advancement of Medical Education Research and Assessment, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, Devon, United Kingdom. Dr. Regan de Bere is lead for medical humanities and deputy director, Collaboration for the Advancement of Medical Education Research and Assessment, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, Devon, United Kingdom. Dr. Nunn is research fellow, Collaboration for the Advancement of Medical Education Research and Assessment, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, Devon, United Kingdom. Mr. Clark is lecturer in sociology, Plymouth University, Plymouth, Devon, United Kingdom. Dr. Corrigan is honorary fellow, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, Devon, United - - 2014
To analyze prevailing definitions of revalidation (i.e., a recently instituted system of ongoing review for all physicians in the United Kingdom), the circumstances of their origin, and proposed applications, after a protracted and sometimes difficult decade in development. This was to support a more consensual approach to revalidation policy before ...
Gallizzi Michael A MA Department of Orthopaedic Surgery, Duke University, Durham, North Carolina, - - 2014
To correlate the amount and types of pain medications prescribed to CRPS patients, using the Medication Quantification Scale, and patients' subjective pain levels. An international, multisite, retrospective review. University medical centers in the United States, Israel, Germany, and the Netherlands. A total of 89 subjects were enrolled from four different ...
Rondeau-Lutz Murielle M Institut de Recherches Interdisciplinaires sur les Sciences et la Technologie, Université de Strasbourg, 4 rue Kirschleger, 67085, Strasbourg Cedex, - - 2014
The particular situation of the French administrative detention center (ADC) medical units appears to be an exemplary case to study the difficulties facing medical practice. Indeed, the starting point of our inquiry was an amazing observation that needed to be addressed and understood: why are professional interpreters so seldom requested ...
Rousso Daniel E DE Rousso Facial Plastic Surgery Clinic, Birmingham, Alabama2Department of Surgery, University of Alabama at Birmingham, - - 2014
Androgenetic alopecia is a highly prevalent condition that can profoundly impair the quality of life in both men and women. To provide the up-to-date medical and surgical treatment options for patients with androgenetic alopecia. A Medline search of scientific literature was conducted from 1997 to 2013. Search terms included androgenetic ...
He Xinhua X Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, - - 2014
The new medical insurance policy (JRSYF(2010) No.255) was released by the Beijing Municipal Government and became effective on January 1, 2011. Medical expenses incurred during a stay in an emergency department (ED) observation unit can be reimbursed as a hospital admission. The aim of this study was to evaluate the ...
Pascual O O Servicio de Farmacia, Hospital Universitario Miguel Servet, Zaragoza, España. Electronic address: - - 2014
The aim of this study was to assess the rate of discrepancies in medication reconciliation on admission patients in a trauma unit, and identifying potential risk factors associated with these discrepancies. A cross-sectional, observational study was carried out to identify reconciliation errors in a tertiary hospital during the period from ...
Bachhuber Marcus A MA Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania2Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia3Leonard Davis Institute of - - 2014
Opioid analgesic overdose mortality continues to rise in the United States, driven by increases in prescribing for chronic pain. Because chronic pain is a major indication for medical cannabis, laws that establish access to medical cannabis may change overdose mortality related to opioid analgesics in states that have enacted them. ...
Epitropakis Christina C Pediatric registered nurse on the Neurobehavioral Unit at Kennedy Krieger Institute, Baltimore, - - 2014
Pediatric nurses are well aware of patient medication refusal. For a variety of reasons, many pediatric patients are noncompliant with their medication regimen. Medication administration is even more difficult when the population has severe intellectual and behavioral disabilities. An inpatient unit composed of children with these diagnoses presented a unique ...
Kristoffersen Espen Saxhaug ES Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway HØKH, Research Centre, Akershus University Hospital, Lørenskog, - - 2014
Medication-overuse headache (MOH) is common in the general population. We investigated effectiveness of brief intervention (BI) for achieving drug withdrawal in primary care patients with MOH. The study was double-blind, pragmatic and cluster-randomised controlled. A total of 25 486 patients (age 18-50) from 50 general practitioners (GPs) were screened for MOH. ...
Mamudu Hadii M HM Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, S. Dossett Drive, Lamb Hall, P.O. Box 70264, Johnson City, TN 37614, USA. Electronic address: - - 2014
To perform systematic review of the effects of screening for coronary artery calcium (CAC), a subclinical marker of coronary artery disease (CAD), on behavioral or lifestyle modification, risk perception, and medication adherence. We searched through CINAHL, PsychInfo, Web of Science, Cochrane Central Register of Control Trials, and PubMed (Medline) for ...
Leggit Jeffrey C JC Department of Family Medicine, Uniformed Services University of the Health Sciences , Bethesda, - - 2014
Background: Pain is a common diagnosis in both the civilian and military community. Integrative health practices, such as acupuncture, are often used to treat pain as well as other medical conditions. Medical schools must ensure that their students are aware of what patients are using and how the tools of ...
Kuchari Ernest - - 2014
Ibuprofen is a popular over-the-counter, non-steroidal anti-inflammatory medication, frequently used for the relief of fever, headaches, menstrual and other minor pains as well as a major active ingredient in numerous cold preparations. We analyzed sales volume and data obtained from the monitoring of spontaneous reports on the adverse effects of ...
Bohnert Kipling M KM VA Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC), Department of Veterans Affairs Healthcare System, Ann Arbor, MI, United States; Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, United States. Electronic address: - - 2014
Twenty-one states and the District of Columbia have passed legislation allowing for the use of medical cannabis for those individuals with qualifying medical conditions, which include posttraumatic stress disorder (PTSD) for a growing number of states. Little information is available regarding PTSD among medical cannabis patients. This study seeks to ...
Richmond Nicole N Professional Research Assistant with the University of Colorado Denver School of - - 2014
The medical home is associated with key healthcare services. We assessed its association with the pediatric developmental screening among United States (US) children less than or equal to five years. The 2007 national survey of children's health data was analyzed using state clusters, and pediatric developmental screening probability was modeled ...
Malik Fauzia F 1Presbyterian Healthcare Services, Albuquerque, NM, - - 2014
Background. Seven pediatric primary care practices participated in New Mexico's Developmental Screening Initiative in a year-long quality improvement project with the goal of implementing standardized developmental screening tools. Methods. The initiative utilized a learning collaborative approach and the Model for Improvement to promote best practice about developmental screening outlined by ...
Santillanes Genevieve G Department of Emergency Medicine, LAC+USC Medical Center, Keck School of Medicine at the University of Southern California, Los Angeles, - - 2014
Although most studies have found low rates of organic illness in patients with isolated psychiatric complaints, psychiatric patients are frequently brought to emergency departments (EDs) for medical clearance. To assess the utility of ED medical clearance before transfer of pediatric patients on psychiatric holds to inpatient psychiatric facilities, and to ...
Silbert David I DI Vision Science Department, Family eye Group, Lancaster, - - 2014
To evaluate the SureSight autorefractor and compare it to the plusoptiX A09 photoscreener in the detection of amblyopia risk factors in a cohort of Honduran children examined during medical mission work and to assess the utility of both devices in the rural setting. The medical records of patients who had ...
Heron Neil N Department of General Practice and Primary Care, Queen's University, Belfast, Irelan. - - 2014
It is compulsory that domestic football/soccer teams in UEFA competitions organise players' pre-participation medicals. Although screening guidelines have been established, these remain controversial. The findings of medical examinations can have lasting consequences for athletes and doctors. No previous studies have reported UEFA pre-participation screening results in semi-professional footballers. This study ...
Wong Gigi Y C GY , BScPhm, ACPR, was, at the time this study was completed, a Hospital Pharmacy Practice Resident with St Joseph's Health-care Hamilton. She is now a Clinical Pharmacist with the Fraser Health Authority at Langley Memorial Hospital, Langley, British - - 2014
The use of patients' own medications may allow minimization of drug wastage and costs. However, the cost impact of this practice, taking into account the time that pharmacy personnel spend on verification, is unknown. To determine the cost impact of using patients' own multidose medications within a surgical population, relative ...
Bader Pascal - - 2014
More than a hundred epigraphic documents on different writing materials refer to medical staff in the Roman army. This paper focuses on the identity, legal status and origin of the Roman army medical staff--a topic which until now has hardly been studied. Various titles were conferred to a large number ...
Shoucri Rami R Department of Family and Community Medicine, St Michael's Hospital, Toronto, ON, Canada Department of Family and Community Medicine, University of Toronto, Toronto, ON, - - 2014
Pharmaceutical companies are prohibited from marketing medications for off-label uses in both the United States and Canada. In the United States, there have been several recent multi-billion dollar settlements with pharmaceutical companies based, partly, on off-label promotion. Health Canada has not publicized any investigations into, or prosecutions of, pharmaceutical companies ...
Kruer Rachel M RM Department of Pharmacy, The Johns Hopkins Hospital, Baltimore, MD, - - 2014
The Institute of Medicine has reported that medication errors are the single most common type of error in health care, representing 19% of all adverse events, while accounting for over 7,000 deaths annually. The frequency of medication errors in adult intensive care units can be as high as 947 per ...
Jiang Sai-Ping SP Department of Pharmacy, Zhejiang University, Hangzhou, People's Republic of - - 2014
Pharmacist interventions and medication errors potentially differ between the People's Republic of China and other countries. This study aimed to report interventions administered by clinical pharmacists and analyze medication errors in an intensive care unit (ICU) in a tertiary hospital in People's Republic of China. A prospective, noncomparative, 6-month observational ...
Kjeldsen Lene Juel LJ The Research Unit for Hospital Pharmacy, Amgros I/S, Dampfærgevej 22, 2100, Copenhagen, Denmark, - - 2013
Background Risk medications are frequently associated with adverse events and hospitalisations. Objective To evaluate a risk medication screening service for in-patients at Danish hospitals. Setting Danish hospitals. Methods The study was designed as a controlled, prospective intervention study. Inpatients were screened for the use of five risk medications; anticoagulants, digoxin, ...
Huh Jin Won JW 1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. 2Medical Emergency Team, Asan Medical Center, Seoul, - - 2013
To evaluate the efficacy of a medical emergency team activated using 24-hour monitoring by electronic medical record-based screening criteria followed by immediate intervention by a skilled team. Retrospective cohort study. Academic tertiary care hospital with approximately 2,700 beds. A total of 3,030 events activated by a medical emergency team from ...
Varatharaj Aravinthan - - 2013
We describe the case of a woman who presented with seemingly non-specific symptoms, including collapse, but through examination was eventually revealed to have an unusual, potentially fatal, but treatable neurological condition. We share some thoughts on the process of diagnosis, the difficulty of diagnosing a rare disease and the practice ...
Holman Katherine M - - 2013
Erectile dysfunction medications are being prescribed frequently; however, little is known about the amount of sexual health screening occurring in this setting. A retrospective cohort study evaluating sexual health and sexually transmitted infection screening occurring in veterans receiving initial erectile dysfunction medication prescription was conducted. A total of 252 patients ...
Shahani Shilpa A - - 2013
Screening electrocardiograms (EKGs) for attention deficit hyperactivity disorder (ADHD) medication administration is controversial. We reviewed our experience as a community-based cardiology group. We reviewed all ADHD screening EKGs during a 2-year period. We evaluated whether screening EKGs resulted in further consultation and if management was altered. We also evaluated differences ...
van Rie A A Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, USA. - - 2013
Tuberculin skin test (TST) and interferon gamma release assays (IGRAs) are both recommended for routine screening of healthcare workers (HCWs) in low tuberculosis (TB)-burden countries. More recently, based on scarce data, the World Health Organization strongly recommended that IGRA should not be used for occupational screening in high-burden settings. To ...
Choi Jong Soo - - 2013
Although Electronic Medical Record (EMR) systems provide various benefits, there are both advantages and disadvantages regarding its cost-effectiveness. This study analyzed the economic effects of EMR systems using a cost-benefit analysis based on the differential costs of managerial accounting. Samsung Medical Center (SMC) is a general hospital in Korea that ...
Alley Cynthia L - - 2013
To discuss the current preschool vision screening (PVS) guidelines and review some of the newest vision screening techniques. The different vision screening practices and barriers to screening are discussed. Vision screening guidelines, which have been developed in response to the advances in technology and increased understanding of the developing visual ...
Cunnington Anne-Louise - - 2013
Parkinson's disease (PD) patients are commonly prescribed medication that has recently been associated with QTc prolongation on electrocardiograms (ECG). In addition, research suggests that PD patients may be more at risk of QTc prolongation. To evaluate the outcomes of screening PD patients for QTc prolongation. ECG analysis of PD patients ...
Larkindale J - - 2013
Introduction: We conducted a comprehensive study of the costs associated with amyotrophic lateral sclerosis (ALS), Duchenne muscular dystrophy (DMD). and myotonic dystrophy (DM) in the U.S. Methods: We determined the total impact on the U.S. economy, including direct medical costs, non-medical costs, and loss of income. Medical costs were calculated ...
Gacek Paul - - 2013
Immigrants and refugees screened overseas and found to have Mycobacterium tuberculosis infection (TB arrivers) are either treated fortuberculosis (TB) or, if disease is not found these arrivers are given a TB classification of latent TB infection (LTBI) and are referred for reexamination after arriving in the United States. A retrospective ...
Rengarajan Arvind A Division of Emergency Medicine, Washington University, St. Louis, MO 63110, - - 2013
Previous reports describe false-positive urine immunoassay screens for phencyclidine (PCP) associated with use of tramadol, dextromethorphan, or diphenhydramine. The likelihood of these false positives is unknown. We sought to find the relative frequency of false-positive PCP screens associated with these medications and to look for any other medications with similar ...
Stauffer William M - - 2013
More than 50,000 refugees are resettled to the United States annually, many from areas highly endemic for parasites. Some of these infections present little clinical consequence after migration, but others are responsible for morbidity and mortality. The Centers for Disease Control and Prevention has issued predeparture presumptive treatment and postarrival ...
Vanderploeg Rodney D - - 2013
BACKGROUND:: Both the Departments of Defense and Veterans Health Administration have developed and implemented screening procedures for identification of possible deployment-related traumatic brain injury (TBI). OBJECTIVE:: To review population-based screening procedures for TBI, particularly mild TBIs, and discuss potential harms/costs versus benefits of such TBI screening. METHODS:: The principles commonly ...
Pal Aroop A University of Kansas Medical Center, Kansas City, - - 2013
The prevalence and cost of hospital readmissions have gained attention. The ability to identify patients at high risk for hospital readmission has implications for quality and costs of care. Medication errors have been shown to increase the risk for readmission. To study the impact of a pharmacist-based predischarge medication reconciliation ...
Woodrow Susannah R - - 2013
To implement an identification and brief advice (IBA) intervention to detect low-risk/hazardous alcohol consumption. Implementation was guided through the use of quality improvement tools and training. This study was conducted over an 18-month period from April 2010 to September 2011 on a 42-bed acute medical unit at a central London ...
Okuyama Torayuki - - 2013
AIM: Second-trimester maternal serum screening (MSS) is the predominant form of prenatal screening in Japan. We hypothesize that patient education and physician knowledge of Down syndrome (DS) screening are insufficient to provide adequate information regarding prenatal screening in Japan. MATERIAL AND METHODS: In-person or telephone interviews with medical personnel were ...
Kowatsch-Beyer K - - 2013
A resettlement medical screening program that refers refugees with a positive tuberculin skin test (TST) to a public health tuberculosis (TB) clinic for evaluation for latent tuberculosis infection (LTBI). To identify the proportion of refugees that were TST-positive, how many attended after referral for medical evaluation, what characteristics influenced follow-up, ...
Grossman Alon - - 2013
BACKGROUND:The findings and additional investigations required based on pre-participation electrocardiography (ECG) among military recruits are poorly defined in the literature. OBJECTIVES: This study was designed to evaluate the rate of abnormal findings on pre-participation ECG in young adults and the additional evaluations required based on these findings. METHODS: A retrospective ...
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