Search Results
Results 1 - 50 of 933
1 2 3 4 5 6 7 8 9 10 >
Berg Gregory D GD 1 McKesson Corporation, Westminster, - - 2014
Abstract The objective was to estimate clinical metric and medication persistency impacts of a care management program. The data sources were Medicaid administrative claims for a sample population of 32,334 noninstitutionalized Medicaid-only aged, blind, or disabled patients with diagnosed conditions of asthma, coronary artery disease, chronic obstructive pulmonary disease, diabetes, ...
Ahmed Abuzaid - - 2014
Pericardial effusion and cardiac tamponade can develop in patients with virtually any condition that affects the pericardium. A high index of suspicion with proper diagnostic scheme can lessen the concomitant morbidity and mortality. Although cardiac tamponade mimics many medical conditions, internists and primary care physicians should be aware of the ...
Breen David P DP Respiratory Department, Galway University Hospitals, Galway, - - 2014
Pleural infection is a major problem that affects 80 000 cases per year in the UK and USA. It is increasing in incidence, and in an ageing population, it presents a complex challenge that requires a combination of medical therapies and may lead to the need for surgery. This article focuses ...
Rajachandran Manu M Department of Cardiology, Memorial Hospital and UMDNJ-Robert Wood Johnson Medical School, 325 Belmont Street, York, PA, 17403, - - 2014
Venous thromboembolism remains one of the most common conditions. Pulmonary embolism carries a mortality rate of over 15 % in the first 3 months after diagnosis. Venous thromboembolism is the fourth leading cause of death in the Western world, and the third leading cause of cardiovascular death trailing myocardial infarction and stroke. ...
Björnsdóttir U S US Faculty of Medicine, University of Iceland, Reykjavik, - - 2014
In 2010, the Icelandic government introduced a new cost-saving policy that limited reimbursement of fixed inhaled corticosteroid/long-acting β2 -agonist (ICS/LABA) combinations. This population-based, retrospective, observational study assessed the effects of this policy change by linking specialist/primary care medical records with data from the Icelandic Pharmaceutical Database. The policy change took ...
Candas Fatih F Department of Thoracic Surgery, GATA Haydarpasa Teaching Hospital, Istanbul, Turkey - - 2014
Chylothorax is accumulation of chylous fluid in the pleural space due to impaired integrity of the thoracic duct or its branches. In childhood, the causes differ from those in adults because children less frequently develop malignancies and are more resistant to trauma. Commonly, chylothorax occurs as a complication of tumoral ...
Kawata Ariane K AK Evidera, 7101 Wisconsin Avenue, Suite 600, Bethesda, MD, 20814, USA, - - 2014
Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide. COPD is characterized by poor treatment adherence, and patient medication preferences may contribute to adherence. A discrete choice experiment with an internet panel drawn from the USA was used to evaluate preference and willingness to pay ...
Zhu Changtai C 1 Department of Transfusion, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, China ; 2 Shanghai Key Laboratory of Tuberculosis, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 3 Department of Laboratory Medicine, Changzhou Tumor Hospital Soochow University, Changzhou 213001, China ; 4 Department of Emergency Medicine, Changzhou Tumor Hospital Soochow University, Changzhou 213001, - - 2014
Tuberculosis (TB) diagnosis remains difficulty. The previous reports have shown that the T-SPOT.TB assay may be a more promising diagnostic tool for TB, however, it needs a further study to evaluate the diagnostic value of T-SPOT.TB for the specific populations in a high prevalence setting. In this present study, we ...
Clinebell Kimberly K 3811 0'Hara St, Pittsburgh, PA 15213 - - 2014
Comprehensive hospital-based care for individuals with catatonia relies on preventive approaches to reduce medical morbidity and mortality. Without syndrome-specific guidelines, psychiatrists must draw from measures used for general medical and surgical inpatients. We employ a prototypical case to highlight medical complications of catatonia and review preventive guidelines for implementation in ...
Yap Kim Hoong KH aDepartment of Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia bDepartment of Respiratory and Critical Care Medicine, Tan Tock Seng Hospital, Singapore, Singapore cCentre for Asthma, Allergy & Respiratory Research, School of Medicine & Pharmacology, University of Western Australia, Perth, Western Australia, - - 2014
In managing pleural diseases, medical thoracoscopy is often performed as a diagnostic and/or therapeutic procedure, particularly in undiagnosed pleural effusions. Flexi-rigid pleuroscopes are now widely available as an alternative to conventional rigid thoracoscopes. There is an ongoing debate on which is the better instrument. This review analyses the current literature ...
Kong X-L XL Department of Respiratory Medicine, the Frist Hospital of Changsha, Changsha, Hunan, China. - - 2014
Despite progress of medical, the fast and accurate diagnosis of tuberculous pleuritis (TP) continues to be a challenge, mainly because of the lack of specific clinical features and the difficulty in isolating the Mycobacterium tuberculosis. To investigate the role of medical thoracoscopy in definite diagnosis of tuberculous pleuritis, especially the ...
Schilero Gregory J GJ The James J. Peters VA Medical Center, Bronx, NY, 10468, USA, - - 2014
Traumatic spinal cord injury (SCI) is associated with significant psychological and physical challenges. A multidisciplinary approach to management is essential to ensure recovery during the acute phase, and comprehensive rehabilitative strategies are necessary to foster independence and quality of life throughout the chronic phase of injury. Complications that beset these ...
Depew Zachary S - - 2014
Medical thoracoscopy (MT) is performed by relatively few pulmonologists in the United States. Recognizing that an outpatient minimally invasive procedure such as MT could provide a suitable alternative to hospitalization and surgery in patients with undiagnosed exudative pleural effusions, we initiated the Mayo Clinic outpatient MT program, and herein report ...
Quittner Alexandra L - - 2014
Poor treatment adherence is common in cystic fibrosis (CF) and may lead to worse health outcomes and greater healthcare utilization. This study evaluated associations between adherence to pulmonary medications, age, healthcare utilization and cost among CF patients. CF patients aged ≥6 years were identified in a national commercial claims database. ...
Kent Brian D BD Department of Respiratory Medicine, Adelaide & Meath Hospital, Dublin, - - 2014
Successfully diagnosing concomitant asthma in people with cystic fibrosis (CF) is a challenging proposition, and the utility of conventional diagnostic criteria of asthma in CF populations remains uncertain. Nonetheless, the accurate identification of individuals with CF and asthma allows appropriate tailoring of therapy, and should reduce the unnecessary use of ...
Martin Daniel D Senior Lecturer and Honorary Consultant, Critical Care and Anaesthesia University College London Division of Surgery and Interventional Science Royal Free Hospital - - 2014
Intravenous fluid, along with supplementary oxygen, is arguably the commonest medical intervention for hospital inpatients, yet the prescribing practice is one of the most varied in existence. Like other medications, intravenous fluids have both beneficial and detrimental effects.
Morrison Carol A CA a Scoring Services , National Board of Medical Examiners , Philadelphia , Pennsylvania , - - 2014
The Comprehensive Clinical Science Self-Assessment (CCSSA) is a web-administered multiple-choice examination that includes content that is typically covered during the core clinical clerkships in medical school. Because the content of CCSSA items resembles the content of the items on Step 2 Clinical Knowledge (CK), CCSSA is intended to be a ...
Ninane Vincent V Centre Hospitalier Universitaire Saint-Pierre, Department of Pneumology , Rue Haute, 322, B-1000 Brussels , Belgium +32 02 535 42 03 ; +32 02 535 33 62 ; - - 2013
Objectives: The study aimed to assess usage of inhalation devices in asthma and chronic obstructive pulmonary disease (COPD). Methods: In this two-round Delphi survey, 50 experts in asthma and COPD completed a 13-item, Internet-based, self-administered questionnaire about choice of inhalation device, training and monitoring of inhalation techniques, the interchangeability and ...
Noteboom Ben - - 2013
Chronic obstructive pulmonary disease (COPD) is characterized by concomitant systemic manifestations and comorbidities such as cardiovascular disease. Little data exist on the prevalence of comorbidities and medication burden in people with COPD attending pulmonary rehabilitation (PR) programs in Australia. This study aimed to determine the prevalence of comorbidities and describe ...
Al-Naamani Nadine - - 2013
Diagnosis of portopulmonary hypertension (PoPH), is challenging because of the multitude of cardiac and pulmonary diseases that cosegregate with advanced liver disease. PoPH is unique in that its natural history is not wholly dependent on portal hypertension. Despite a dearth of randomized, prospective data, an ever-expanding clinical experience shows that ...
Meyer Katie Campoli - - 2013
OBJECTIVES To educate pharmacists about the Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (GOLD) guidelines for treatment of chronic obstructive pulmonary disease (COPD), newly approved medications, and recent developments since the guidelines were published. SUMMARY The evidence-based GOLD guidelines provide recommendations for clinicians managing ...
Seidel Ruthanna R University of Arizona College of Medicine, Phoenix, Phoenix, Arizona, - - 2013
Oxygen toxicity seizures are a rare but recognized complication of hyperbaric oxygen (HBO2) therapy. Many patients undergoing HBO2 therapy have medical conditions or are taking medications that could contribute to seizures. Previous literature has not extensively reported on these factors in patients experiencing oxygen toxicity seizures. We conducted a chart ...
Rocca Gabriele G Department of Health Sciences, Section of Forensic Medicine, University of Genoa, - - 2014
Medical thoracoscopy (or pleuroscopy) is a valuable diagnostic tool in patients with pleural pathology, being minimally invasive, inexpensive and relatively easy to learn. Complications may occur, depending on the complexity of the case, and mainly include broncho-pleural fistulas, chest infections, arrhythmia, severe hemorrhage due to blood vessel injury, and air ...
Wanka E R - - 2013
This study determined the influence of various meteorological variables and air pollutants on airway disorders in general, and asthma and/or chronic obstructive pulmonary disease in particular, in Munich, Bavaria, during 2006 and 2007. This was achieved through an evaluation of the daily frequency of calls to medical and emergency call ...
Mobilia Francesca - - 2013
Context: Pulmonary thromboembolism (PTE) is the severe end stage of many different diseases producing prolonged patient immobilization or a hypercoagulative state. Lethal PTE is also one of the most frequent topics for suspected medical malpractice, especially dealing with patients originally affected by non-critical illnesses and suddenly killed by a non-prevented ...
Taintor Jennifer - - 2013
A mare was evaluated for acute left forelimb lameness with effusion of the carpal flexor sheath. No osseous abnormalities were noted during radiographic examination. Significant disruption of the accessory ligament of the deep digital flexor tendon was seen during ultrasonographic examination. Carpal sheath effusion and lameness resolved after medical treatment.
Holmes Martin S - - 2013
Inhalers are devices employed to deliver medication to the airways in the treatment of respiratory diseases such as asthma and chronic obstructive pulmonary disease. A dry powder inhaler (DPI) is a breath actuated inhaler that delivers medication in dry powder form. When used correctly, DPIs improve patients' clinical outcomes. However, ...
Lellouche François F Centre de recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Université Laval, Quebec. - - 2013
Oxygen therapy can be life-saving for patients with chronic obstructive pulmonary disease (COPD) and is the backbone of any acute COPD treatment strategy. Although largely considered to be a benign drug, many publications have highlighted the need to accurately adjust oxygen delivery to avoid both hypoxemia and the problem of ...
Mjølstad Ole Christian - - 2013
AIMS: To study the feasibility and reliability of pocket-size hand-held echocardiography (PHHE) by medical residents with limited experience in ultrasound. METHODS AND RESULTS: A total of 199 patients admitted to a non-university medical department were examined with PHHE. Six out of 14 medical residents were randomized to use a focused ...
Butler James P - - 2013
This tribute is dedicated to Lynne M. Reid, M.D. It is a précis of a special lecture given by her at the 4th International Workshop for Pulmonary Functional Imaging, held at Harvard Medical School in Boston, Sept. 24-26, 2009. Dr. Reid's remarks include those of an historical nature as well ...
Maxey Dawn M - - 2013
Because most medications for pediatric pulmonary hypertension (PH) are used off label and based on adult trials, little information is available on pediatric-specific adverse events (AEs). Although drug manufacturers are required to submit postmarket AE reports to the Food and Drug Administration (FDA), this information is rarely transmitted to practitioners. ...
Lu Yu-Yu - - 2013
ABSTRACT: A 49-year-old man was brought to our hospital because of lethargy. His medical history was hydrocephalus with ventriculoperitoneal shunt initially. The ventriculoperitoneal shunt was replaced several times owing to malfunction, and it was later replaced with a right-sided ventriculopleural shunt. The chest radiograph revealed a mass at the right ...
Baniasadi Shadi - - 2013
OBJECTIVES: Intravenous therapy is a complex procedure usually requiring the preparation of the medication in the clinical area before administration to the patient. Breaches in aseptic technique may result in microbial contaminations of vials which is a potential cause of different avoidable infections. We aimed to investigate the prevalence and ...
Zimmermann A - - 2013
Sarcoidosis is a granulomatous multiorgan diseases with an unknown etiology, with the predominant lung involvement. Immunosuppressive agents such as corticosteroids, methotrexate, azathioprinum, ciclosporinum A, chlorambucil, cyclophosphamide, hydroxychlorochinum, indomethacin, pentoxyfillinum, thalidomide, leflunomidum, and adalimumab, or infliximab have been used in its treatment. It should be emphasized that the Summary of Products ...
Somasundaram K - - 2013
In this, the second of two articles covering specific medical emergencies, we discuss the definitions, epidemiology, pathophysiology, acute and chronic management of pulmonary embolus and acute severe asthma.
Panos Ralph J - - 2013
Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality and its treatment is critical to improve quality of life, reduce symptoms, and diminish the frequency of COPD exacerbations. Due to the harmful environmental effects of pressurized metered-dose inhalers (pMDIs) containing chlorofluorocarbons (CFCs), newer systems for delivering ...
Mehrdad Ramin - - 2013
Firefighting is extremely strenuous and physically demanding work and involves ability to cope with emergency life-or-death situations. Because of the high physical demands of firefighting, successful job performance and minimizing of morbidity and mortality depends on fitness for duty. The firefighting department of Tehran does not perform periodic medical assessment ...
Yoshii Yutaka - - 2013
A patient with a past history of renal cell carcinoma (RCC) presented to us with an exudative pleural effusion. Because pleural effusion cytology was inconclusive, we performed medical thoracoscopy under local anesthesia. Multiple white tumors measuring approximately 2 cm in diameter were observed on the parietal pleura. Metastatic carcinoma from ...
Shinwell Eric S - - 2013
Airway medications are frequently used in the care of the sick neonate. The most prominent airway medication, surfactant for respiratory distress syndrome, will be discussed elsewhere in this issue of Neonatology. Other indications for airway medications have included the prevention and treatment of bronchopulmonary dysplasia, pulmonary hypertension, persistent atelectasis, transient ...
Jaworski Krzysztof - - 2013
Transfusion-related acute lung injury (TRALI) is one of the leading causes of death associated with transfusion of blood and blood components. The understanding of the etiology and pathophysiology of this syndrome has much improved during the last decades, nevertheless numerous issues are still unresolved and symptomatic treatment remains the cornerstone ...
Kim Jinhee - - 2013
Patients with high grade chronic pulmonary obstructive disease (COPD) account for much of the COPD-related mortality and incur excessive financial burdens and medical care utilization. We aimed to determine the characteristics and medical care use of such patients using nationwide data from the Korean Health Insurance Review and Assessment Service ...
Sasapu Appalanaidu - - 2012
With increased globalization, more people are migrating to the United States (US) for higher education and employment. Consequently, more internationally associated infectious diseases are being diagnosed in the United States. Physicians should be aware of the consequences of this global travel and become familiar with parasitic infections and their clinical ...
Neerman Michael F - - 2012
A 17-year-old white man who showed no obvious signs of trauma was found unresponsive in bed and was pronounced dead at the scene. The decedent had a documented history of heroin abuse and chronic back pain and reportedly self-medicated with Kratom (mitragynine). The autopsy was remarkable only for pulmonary congestion ...
Koefoed Mette Marie - - 2012
BACKGROUND: Research indicates that a large proportion of patients using medication targeting obstructive lung disease have no history of spirometry testing. OBJECTIVE: To investigate the use of spirometry when initiating pulmonary medication targeting obstructive lung disease and to explore possible patient characteristics associated with undergoing spirometry. METHODS: Population-based cohort study. ...
Panselinas Efstratios - - 2012
Exacerbations of sarcoidosis are common. In particular, exacerbations of pulmonary sarcoidosis are reported in more than one-third of patients. Despite their frequent occurrence, there is little medical evidence concerning the definition, diagnosis, and treatment of pulmonary exacerbations of sarcoidosis. In this article, we propose a definition of acute pulmonary exacerbations ...
Wagener Jeffrey S - - 2012
PURPOSE OF REVIEW: Dornase alfa (Pulmozyme) is one of the most commonly used medications to treat the lung disease of cystic fibrosis (CF). As other respiratory medications have entered the clinical market, understanding the proper use and indication for dornase alfa is increasingly important. In addition, dornase alfa is being ...
Dault Roxanne - - 2012
Acute exacerbation of chronic obstructive pulmonary disease (COPD) is associated with an accelerated decline in lung function and a significant decrease in health status. Maintenance therapy with respiratory medications can reduce the risk of such exacerbations. To determine whether respiratory maintenance medications were being prescribed in accordance with the 2007 ...
Danyi Peter - - 2012
Thoracic aortic aneurysm is a major health problem with multiple etiologies and potentially devastating consequences. Currently, no large randomized trial has shown that medical therapy can significantly slow or halt the progressive dilatation that eventually leads to dissection and rupture. A recent study that suggested that angiotensin receptor blocking agents ...
Al-Qadheeb Nada S - - 2012
BACKGROUND:Continuously infused opioids are frequently used to optimize patient comfort in the intensive care unit (ICU). However, concerns about rebound pain and opioid withdrawal may delay efforts to discontinue this therapy.OBJECTIVE:To measure the association between use of scheduled enteral methadone according to a protocol in mechanically ventilated, medical critically ill ...
Dayan Bosmat B Pediatric Gastroenterology Unit, Shaare Zedek Medical Center, The Hebrew University of Jerusalem, Jerusalem, - - 2012
Despite the growing use of medical salvage therapy, colectomy has remained a cornerstone in managing acute severe ulcerative colitis (ASC) both in children and in adults. Colectomy should be regarded as a life saving procedure in ASC, and must be seriously considered in any steroid-refractory patient. However, colectomy is not ...
1 2 3 4 5 6 7 8 9 10 >