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Li Jing-Song - - 2012
Current EMR system benefits physicians by facilitating order entry and reducing errors. It can improve the safety and effectiveness of medical services, but cannot manage the whole medical process and the quality of medical services. In addition to physicians, EMR should be designed for all medical professionals because medical services ...
Treceño Carlos - - 2012
BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is the most diagnosed behavioural disorder in children and adolescents; prevalence has been estimated around 5%. Studies have shown an increase in the use of ADHD medications during the last years. The aim of the present study was to learn the pattern and the ...
Savill Nicola - - 2012
The safety of paediatric medications is paramount and contraindications provide clear pragmatic advice. Further advice may be accessed through Summaries of Product Characteristics (SPCs) and relevant national guidelines. The SPC can be considered the ultimate independent guideline and is regularly updated. In 2008, the authors undertook a systematic review of ...
Wong Christina G - - 2011
BACKGROUND: Working memory impairments are commonly found in attention-deficit/hyperactivity disorder (ADHD) and often improve with psychostimulant treatment. Little is known about how these medications affect the function of frontoparietal brain regions engaged for working memory. This study used functional magnetic resonance imaging (fMRI) to examine medication-related changes in brain activation ...
Kratz Oliver - - 2011
Methylphenidate (MPH) and atomoxetine (ATX) are effective medications in the treatment of attention deficit/hyperactivity disorder (ADHD). The aim of this study was to investigate differential effects of MPH and ATX on attentional functions at the performance and the neuronal level in children with ADHD. Using the Attention Network Test (ANT), ...
Pellow Janice - - 2011
Attention-deficit/hyperactivity disorder (ADHD) is a commonly diagnosed childhood disorder characterized by impulsivity, inattention, and hyperactivity. ADHD affects up to 1 in 20 children in the United States. The underlying etiologies of ADHD may be heterogeneous and diverse, and many possible risk factors in the development of ADHD have been identified. ...
Frazier Thomas W - - 2011
Many youths with an autism spectrum disorder (ASD) benefit from psychotropic medication treatment of co-morbid symptom patterns consistent with attention-deficit/hyperactivity disorder (ADHD). The lack of clear indications and algorithms to direct clinical practice has led to a very poor understanding of overall medication use for these youths. The present study ...
Brinkman William B WB Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. - - 2012
Up to 90% of adolescents with attention deficit hyperactivity disorder (ADHD) remain functionally impaired, yet less than half continue to take medication. The objective of this study was to gain a detailed understanding of how adolescents with ADHD contribute to medication treatment decisions. Forty-four adolescents with ADHD aged 13 to ...
Sepúlveda Dalissa R - - 2011
To explore the prevalence and characteristics associated with college students who misuse their prescribed stimulants for attention-deficit hyperactivity disorder (ADHD) and examine diversion and substance use behaviors as a function of misuse. Cohort of 55 past-year prescribed stimulant users was identified from a random sample (n = 1738) at a ...
Bruckner Tim A - - 2011
PURPOSE: Although much literature reports small-area variation in medication prescriptions used to treat attention-deficit hyperactivity disorder (ADHD), scant research has examined factors that may drive this variation. We examine, across counties in the USA, whether the use of prescription medications to treat ADHD varies positively with supply-side healthcare characteristics. METHODS: ...
Pejovic-Milovancevic M - - 2011
Medication can be an effective part of treatment for several psychiatric disorders of childhoodand adolescence but its use should be based on a comprehensive psychiatric evaluation andtreatment plan. The aim of this study was to evaluate psychotropic medication use for childrenand adolescents treated as inpatients and to compare it with ...
Görtz-Dorten Anja - - 2011
Satisfaction with medication is important in the evaluation of overall treatment outcome. There is a lack of consistent and validated rating scales for satisfaction with medication in ADHD, therefore comparison across studies is difficult. Here, we analyse the psychometric properties of the satisfaction with medication scale (SAMS), a new item-based ...
Santosh Paramala J - - 2011
This review examines the evidence regarding the efficacy and tolerability of long- and short-acting stimulant medications, as well as the non-stimulant medications atomoxetine and bupropion in the treatment of adult attention-deficit hyperactivity disorder (ADHD). Effect sizes in adults appear to be of almost the same magnitude as in school-age children ...
Nakao Tomohiro T Institute of Psychiatry, King's College London, - - 2011
Structural neuroimaging studies in attention-deficit hyperactivity disorder (ADHD) have been relatively inconsistent and have mainly been conducted with pediatric samples. Furthermore, there is evidence that stimulant medication may have an effect on brain structure. The authors conducted a meta-analysis of voxel-based morphometry studies in children and adults with ADHD and ...
Mohammadi Mohammad - - 2011
Attention-deficit/hyperactivity disorder (ADHD) is a highly heritable neuropsychiatric disorder associated with significant impairments in occu¬pational, academic, neuropsychological, and social functioning. Central nervous system (CNS) stimulants are recommended as first-line medication therapy for children. CNS stimulants include formulations of methylphenidate and amphetamine derivatives and are available in a large variety of ...
Mao Alice R - - 2011
To review the literature describing impairments in educational, occupational, and social functioning in adults with attentiondeficit/hyperactivity disorder (ADHD), current treatment trends, and factors that may influence the abuse potential of long-acting medications used to treat ADHD in adults. A MEDLINE search was conducted to identify articles relating to functional impairments ...
Nielsen Niels Peter - - 2011
Abstract Objective. We evaluated the hypotheses that A Quick Test of Cognitive Speed (AQT) single- and dual-dimension naming speed measures would differentiate normal adults and adults with ADHD before medication and that there would be no differences between groups after stabilization with medication. Methods. Thirty adults with ADHD, aged 18-43, ...
Hammerness Paul G - - 2011
Attention-deficit/hyperactivity disorder (ADHD) is a chronic neurobehavioral disorder afflicting adults worldwide. This article is an update on the evidence supporting medications for adult ADHD, with particular emphasis on cardiovascular implications. Relevant clinical literature was sought using PubMed searches, with an emphasis on new reports from April 2009 to April 2011. ...
Roberts Jane E - - 2011
Fragile X syndrome (FXS) is the most common inherited form of intellectual disability and is caused by a CGG repeat expansion at Xq27.3 on the FMR1 gene. The majority of young boys with FXS display poor attention and hyperactivity that is disproportionate to their cognitive disability, and approximately 70% meet ...
Lavigne John V - - 2011
Medication management of attention-deficit/hyperactivity disorder (ADHD) is often suboptimal. We examined whether (1) brief physician training plus computer-assisted medication management led to greater reduction in ADHD symptoms and (2) adherence to the recommended titration protocol produced greater symptomatic improvement. A randomized medication trial was conducted that included 24 pediatric practices. ...
Swenne Ingemar - - 2011
Abstract Objective: Olanzapine has been recently tried to relieve anxiety and hyperactivity in adolescents with eating disorders (EDs). Presently, the side effects of the drug have been evaluated. Method: Forty-seven adolescents with EDs were followed up by repeated blood sampling before, during, and at 3 months after medication with olanzapine. ...
Rapoport A - - 2011
There are numerous headache therapies available for our patients, more for migraine than for any of the other primary headache disorders. Only four medications have been approved for migraine prevention in the last few decades in the US and onabotulinumtoxinA was recently approved in the UK and the US for ...
Justman Stewart - - 2011
In the late 18th century two medical fashions-Mesmerism in France and the Perkins 'tractor' in the USA and England-appealed to the principle that a single universal force acts on all of us and is responsible for health and illness. This principle served both fashions well, as it made it all ...
Kang K - - 2011
In telecardiology, electrocardiogram (ECG) signals from a patient are acquired by sensors and transmitted in real time to medical personnel across a wireless network. The use of IEEE 802.11 wireless LANs (WLANs), which are already deployed in many hospitals, can provide ubiquitous connectivity and thus allow cardiology patients greater mobility. ...
Bruggisser M - - 2011
Non-medical use of methylphenidate is increasing. Little is known about potential acute medical complications associated with recreational use of methylphenidate. To identify medical problems associated with methylphenidate abuse. Retrospective case series of methylphenidate abuse cases presenting to an inner city emergency department. We identified 14 cases of methylphenidate abuse between ...
Barner Jamie C - - 2011
Abstract Objectives: (1) Describe ADHD medication use, adherence and persistence. (2) Determine factors (e.g., medication type, demographics, concomitant medication use) associated with ADHD medication adherence and persistence. (3) Compare ADHD medication costs. Methods: Continuously enrolled Texas Medicaid children (3-18 years) with ≥2 ADHD prescription claims (July 2002-December 2008) were included. ...
Kasi Pashtoon Murtaza - - 2011
Attention deficit hyperactivity disorder (ADHD) is one of the most common neurobehavioral disorders of childhood and adolescence. Classically, stimulants have been used in the treatment of this condition. Atomoxetine (Strattera; Eli Lilly and Company) is a selective norepinephrine reuptake inhibitor (SNRI), one of the first medications in the nonstimulant class ...
Waschbusch Daniel A DA Department of Pediatrics, University at Buffalo - State University of New York, USA. - - 2011
The current study examined treatment preferences of 183 parents of young (average age = 5.8 years, SD = 0.6), medication naive children with ADHD. Preferences were evaluated using a discrete choice experiment in which parents made choices between different combinations of treatment characteristics, outcomes, and costs. Latent class analysis yielded two segments of parents: ...
Boyle Raymond G - - 2010
The expanded use of electronic medical records (EMRs) may provide an opportunity to increase the use and impact of clinical guidelines to promote tobacco-cessation treatment in primary care settings. The objective of this systematic review is to evaluate the evidence for such an effect. After a systematic search of the ...
Denny Joshua C - - 2010
Recent genome-wide association studies in which selected community populations are used have identified genomic signals in SCN10A influencing PR duration. The extent to which this can be demonstrated in cohorts derived from electronic medical records is unknown. We performed a genome-wide association study on 2334 European American patients with normal ...
Feufel Markus A - - 2011
Electronic medical records (EMR) promise potential benefits for the practice of medical care. However, individual technologies such as EMR must interact with the work system as a whole - including people, technology and work practices - to enable or hinder the coordination of dynamic work demands. Based on this extended ...
Cantiello John - - 2010
The recently passed American Recovery and Reinvestment Act (the Act) is a landmark piece of legislation that will shape health care informatics in the United States for the foreseeable future. The Act provides financial incentives to hospitals and physicians who upgrade their medical record systems by implementing electronic versions. This ...
Chen Tzer-Long - - 2012
Patient records, including doctors' diagnoses of diseases, trace of treatments and patients' conditions, nursing actions, and examination results from allied health profession departments, are the most important medical records of patients in medical systems. With patient records, medical staff can instantly understand the entire medical information of a patient so ...
Grosshandler Joshua A - - 2010
Governmental incentives to stimulate the "meaningful use" of electronic medical records and future disincentives for Medicaid and Medicare provide an impetus for dermatologists to consider adding this technology to their clinical practice. Dermatologists should carefully weigh the pros and cons of establishing an electronic medical record system before incorporating this ...
Fera William A - - 2010
Healthcare has made significant progress on capturing data electronically, but it still struggles to leverage it fully. The University of Pittsburgh Medical Center is making inroads by harmonizing data from different settings and systems into a single view.
Wells Hamilton J - - 2010
We examined the feasibility of implementing an electronic health record (EHR) at an international running event. Institutional review board-approved observational study. An annual international running event supported by an on-site medical facility. All registered athletes. Web-based EHR provided at no cost. Participants were asked to populate it with essential health ...
Weeks Douglas L - - 2010
The continuing problem of inaccurate medication records and resultant harm from medication errors has prompted the Institute of Medicine and others to encourage information technology (IT) solutions to improve medication list accuracy. There are few studies on how ambulatory care documentation contributes to medication list inaccuracies and medication reconciliation failures. ...
Schildcrout Jonathan S - - 2010
We describe a two-stage analytical approach for characterizing morbidity profile dissimilarity among patient cohorts using electronic medical records. We capture morbidities using the International Statistical Classification of Diseases and Related Health Problems (ICD-9) codes. In the first stage of the approach separate logistic regression analyses for ICD-9 sections (e.g., "hypertensive ...
Fairman Andrea D - - 2010
This article describes the utility of a spina bifida-specific electronic medical record (SB EMR). Standardization and pooling of data through the SB EMR will facilitate development of increased knowledge for advancing interventions for SB treatment, rehabilitation, and support. Integration with a Web-based transition tool will enhance the efficiency and efficacy ...
Salazar Luis - - 2011
The purpose of the study was to observe the frequency of complete documentation of the elements of the Ottawa Ankle Rules (OAR) in acute foot and ankle injuries in an emergency department with an electronic medical record. Seven hundred patient visits for acute ankle/foot injuries were reviewed. Each component of ...
Zalis Michael - - 2010
The integration of electronic medical record (EMR) systems into clinical practice has been spurred by general consensus and recent federal incentives and is set to become a standard feature of clinical practice in the US. We discuss how the addition of advanced search capabilities to the EMR can improve the ...
Liu Chia-Hui - - 2012
Electronic anamnesis is to transform ordinary paper trails to digitally formatted health records, which include the patient's general information, health status, and follow-ups on chronic diseases. Its main purpose is to let the records could be stored for a longer period of time and could be shared easily across departments ...
Hsieh Nan-Chen - - 2012
Recent studies have shown that computerized clinical case management and decision support systems can be used to assist surgeons in the diagnosis of disease, optimize surgical operation, aid in drug therapy and decrease the cost of medical treatment. Therefore, medical informatics has become an extensive field of research and many ...
McCoy Michael J - - 2010
There is growing recognition of the importance and potential benefit of information technology and electronic medical records in providing quality care for women. Incorporation of obstetrician-gynecologist-specific requirements by electronic medical record vendors is essential to achieve appropriate electronic medical record functionality for obstetrician-gynecologists. Obstetricians and gynecologists record and document patient ...
Welton Nanette J - - 2010
The Health Sciences Library at the University of Washington initiated and continues to develop a role in the electronic medical record, starting with the development of the first integrated web-based interface, called MINDscape. An Integrated Academic Information Management System (IAIMS) grant in 1992 began the process, which also led to ...
Giuse Nunzia B - - 2010
The Vanderbilt University paper discusses how the Eskind Biomedical Library at Vanderbilt University Medical Center transitioned from a simplistic approach that linked resources to the institutional electronic medical record system, StarPanel, to a value-added service that is designed to deliver highly relevant information. Clinical teams formulate complex patient-specific questions via ...
Samuels Joanne G - - 2012
Pain management science results are derived from research conducted using medical record. This article describes methodological issues arising from abstracting pain management documentation (PMD) from the electronic medical record in three hospitals. After approval, PMD data were collected from the patient's history and physical, discharge summary, operative care notes, computerized ...
Crawford Albert G - - 2010
The study objective was to facilitate investigations by assessing the external validity and generalizability of the Centricity Electronic Medical Record (EMR) database and analytical results to the US population using the National Ambulatory Medical Care Survey (NAMCS) data and results as an appropriate validation resource. Demographic and diagnostic data from ...
Marmura Michael J - - 2010
Electronic medical records (EMRs) have assumed a greater role in clinical practice and have the potential to improve clinical efficiency and documentation, reduce cost, and enhance clinical care. An EMR for migraine should allow customization to include fields important in migraine, such as migraine frequency and severity, weight, blood pressure, ...
Koshy Simi - - 2010
PURPOSE: The increasing use of electronic medical records during the clinical encounter brings not only benefits but also barriers that may affect the doctor-patient relationship and increase the work burden of the physician. We evaluated whether the use of an electronic medical record scribe in an academic urology program would ...
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