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Chen Chin-Ling CL Department of Computer Science and Information Engineering, Chaoyang University of Technology, Taichung, 41349, Taiwan, Republic of China, - - 2014
In recent years, health care technologies already became matured such as electronic medical records that can be easily stored. However, how to get medical resources more convenient is currently concern issue. In spite of many literatures discussed about medical systems, but these literatures should face many security challenges. The most ...
Cunningham Brooke A BA *Medica Research Institute, Minnetonka, MN †Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, MD ‡Department of Family Studies & Social Work, Miami University, Oxford, OH §Department of Medicine, Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, - - 2014
The explicit use of race in medical decision making is contested. Researchers have hypothesized that physicians use race in care when they are uncertain. The aim of this study was to investigate whether physician anxiety due to uncertainty (ADU) is associated with a higher propensity to use race in medical ...
Krone Lauren M LM Department of Environmental and Population Health, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA - - 2014
Objective-To estimate the proportion of independent small animal veterinary medical practices in Massachusetts that use electronic veterinary medical records (EVMRs), determine the purposes for which EVMRs are used, and identify perceived barriers to their use. Design-Survey. Sample-100 veterinarians. Procedures-213 of 517 independent small animal veterinary practices operating in Massachusetts were ...
Barrett Jenny J Department of Paediatrics, The University of Melbourne, - - 2014
Following research about workplace constraints reducing the effectiveness of teaching and the motivation to teach, this study sought to understand how medical teachers in hospitals respond to the institutional context for their teaching of medical students. Through purposive sampling, younger and older male and female teachers in a range of ...
Jackson Tristen H TH University of Mississippi School of Pharmacy, Faser Hall, Room 225, University, MS 38677. - - 2014
Primary medication nonadherence (PMN) is any instance whereby patients fail to initiate a pharmacotherapy regimen after receiving a prescription for new therapy. The Pharmacy Quality Alliance (PQA) has proposed a standardized definition for PMN and a quality measure to assess the rates of PMN in community pharmacies. To (a) measure ...
Nicholls Delwyn D Rural Clinical School, School of Medicine (D.N.), and School of Nursing and Midwifery (L.S.), Flinders University, Adelaide, South Australia, Australia; RPA Women and Babies, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia (J.H.); and Discipline of Obstetrics, Gynecology, and Neonatology, Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia (J.H.). - - 2014
Sonographers use psychomotor skills to perform medical ultrasound examinations. Psychomotor skills describe voluntary movements of the limb, joints, and muscles in response to sensory stimuli and are regulated by the motor neural cortex in the brain. We define a psychomotor skill in relation to medical ultrasound imaging as "the unique ...
Mokone Gaonyadiwe G GG Dr. Mokone is senior lecturer, Department of Biomedical Sciences, School of Medicine, University of Botswana, Gaborone, Botswana. Dr. M. Kebaetse is senior lecturer, Department of Biomedical Sciences, School of Medicine, University of Botswana, Gaborone, Botswana. Dr. Wright is lecturer, Department of Biomedical Sciences, School of Medicine, University of Botswana, Gaborone, Botswana. Dr. M.B. Kebaetse is distance learning specialist, Botswana Medical Education Partnership Initiative, School of Medicine, University of Botswana, Gaborone, Botswana. Mrs. Makgabana-Dintwa is training coordinator, Health Systems Research Unit, Botswana Medical Education Partnership Initiative, School of Medicine, University of Botswana, Gaborone, Botswana. Dr. Kebaabetswe is director, Health Systems Research Unit, Botswana Medical Education Partnership Initiative, School of Medicine, University of Botswana, Gaborone, Botswana. Dr. Badlangana is lecturer, Department of Biomedical Sciences, School of Medicine, University of Botswana, Gaborone, Botswana. Dr. Mogodi is lecturer, Department of Public Health and Family Medicine, School of Medicine, University of Botswana, Gaborone, Botswana. Ms. Bryant is consultant researcher, Botswana-UPenn Partnership, Gaborone, Botswana. Dr. Nkomazana is associate program director and Botswana Medical Education Partnership Initiative principal investigator, School of Medicine, University of Botswana, Gaborone, - - 2014
Having adequate numbers of qualified human resources for health is essential for any effective health care system. However, there is a global shortage of skilled health care workers, especially in Sub-Saharan African countries. This shortage is exacerbated by a disproportionately high rate of infectious diseases, the burden of emerging chronic, ...
Frehywot Seble S Dr. Frehywot is associate research professor, Departments of Health Policy and Global Health, George Washington University, Washington, DC. Dr. Mullan is Murdock Head Professor of Medicine and Health Policy, George Washington University, Washington, DC. Dr. Vovides is assistant professor, Learning Design and Research Specialist, Georgetown University, Department of Communication, Culture, and Technology, Washington, DC. Ms. Korhumel is systems administrator, George Washington University, Washington, DC. Ms. Chale is research and communication consultant, George Washington University, Washington, DC. Ms. Infanzon is research associate, George Washington University, Washington, DC. Dr. Kiguli-Malwadde is director, African Center for Global Health and Social Transformation (ACHEST), and associate professor, Department of Radiology, College of Health Sciences, Makerere University, Kampala, Uganda. Dr. Omaswa is executive director, African Center for Global Health and Social Transformation (ACHEST), Kampala, - - 2014
The Medical Education Partnership Initiative (MEPI) supports medical education capacity development, retention, and research in Sub-Saharan African institutions. Today, MEPI comprises more than 40 medical schools in Africa and 20 in the United States. Since 2011, the MEPI Coordinating Center, working with the MEPI schools and the U.S. government, has ...
Bagala John Paul JP Mr. Bagala is a medical student, Gulu University School of Medicine, Gulu, Uganda. Mr. Macheka is a medical student, University of Zimbabwe College of Health Sciences, Harare, Uganda. Ms. Abebaw is a medical student, Addis Ababa University School of Medicine, Addis Ababa, Ethiopia. Dr. Wen is attending physician and director of patient-centered care research, Department of Emergency Medicine, George Washington University, Washington, - - 2014
The Medical Education Partnership Initiative (MEPI) is contributing to the transformation of medical training in Africa. In this paper, medical students present their perspective on how MEPI initiatives have influenced five key areas related to African medical trainees: educational infrastructure, information technology, community-based training, scientific research, and professional outlook and ...
Lu C Y CY Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA. - - 2014
Patients, clinicians, payers and policy makers face substantial uncertainties in their respective healthcare decisions as they attempt to achieve maximum value, or the greatest level of benefit possible at a given cost. Uncertainties largely come from incomplete information at the time that decisions must be made. This is true in ...
Pordié Laurent L Research Unit on Science, Medicine, Health and Society (Cermes3), National Center for Scientific Research (CNRS), Paris, France, - - 2014
This article examines the transmission of Tibetan medical knowledge in the Himalayan region of Ladakh (India), taking three educational settings as ethnographic ports of entry. Each of these corresponds to a different operating mode in the standardisation of medical knowledge and learning processes, holding profound implications for the way this ...
Jha Vikram V University of Liverpool , UK - - 2014
Abstract Background: The recognition of medical professionalism as a complex social construct makes context, geographical location and culture important considerations in any discussion of professional behaviour. Medical students, medical educators and practitioners are now much more on the move globally, exposing them to cultural and social attitudes, values and beliefs ...
Fenwick Tara T Dr. Fenwick is professor of professional education and director, ProPEL (international network for research in professional practice, education and learning), School of Education, University of Stirling, Stirling, United - - 2014
This Perspective addresses the growing literature about online medical professionalism. Whereas some studies point to the positive potential of social media to enhance and extend medical practice, the dominant emphasis is on the risks and abuses of social media. Overall evidence regarding online medical professionalism is (as with any new ...
Talamantes Efrain E Dr. Talamantes is a Robert Wood Johnson Foundation Clinical Scholars Program Fellow, Department of Veterans Affairs, University of California, Los Angeles, Los Angeles, California. Dr. Mangione is professor, David Geffen School of Medicine at UCLA, Department of Medicine, Division of General Internal Medicine and Health Services Research, UCLA Fielding School of Public Health, Department of Health Policy and Management, Los Angeles, California. Ms. Gonzalez is a fourth-year medical student, David Geffen School of Medicine at UCLA, Los Angeles, California. Dr. Jimenez was a fourth-year medical student, David Geffen School of Medicine at UCLA, Los Angeles, California, at the time of the study. He is now a first-year resident, Department of Internal Medicine, University of California, San Francisco, San Francisco, California. Mr. Gonzalez is a community college counselor, San Jose City College, San Jose, California. Dr. Moreno is assistant professor, David Geffen School of Medicine at UCLA, Department of Family Medicine, Los Angeles, - - 2014
To examine the association between participation in a community college (CC) pathway, medical school admission, and intentions to practice in underserved communities or work with minority populations. The authors performed cross-sectional analyses of the 2012 Association of American Medical Colleges matriculant and applicant files and the Matriculating Student Questionnaire to ...
Saguil Aaron A Dr. Saguil is assistant professor, Department of Family Medicine, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Dr. Kellerman is professor, Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, - - 2014
Underrepresented minority and first-generation college students are more likely than white students to attend a community college before transferring to a four-year school. Talamantes and colleagues report in this issue that, according to their study of 2012 medical school applicants and matriculants, community-college-first applicants were significantly less likely to be ...
Sabra John P JP 1Department of Surgery,University Medical Center Brackenridge,Austin, - - 2014
Introduction Formula One returned to the United States on November 16-18, 2012, with the inaugural United States Grand Prix in Austin, Texas. Medical preparedness for motorsports events represents a unique challenge due to the potential for a high number of spectators seeking medical attention, and the possibility for a mass-casualty ...
Byrne Mitchell K MK School of Psychology, University of Wollongong, Wollongong, New South Wales, - - 2014
Non-adherence to medication remains a major barrier to recovery from mental illnesses. Identification of those patients likely to experience adherence difficulties is best undertaken during inpatient treatment, prior to discharge into the community. More objective assessments of adherence behaviours might assist staff to more effectively target support to those patients ...
Irvine Zoe Z Kenepuru Community Hospital, Wellington, New Zealand, - - 2014
This paper presents a critical analysis of the proceedings of the Wellington Christian Medical Fellowship (CMF) during the 1970s. Formation of the CMF, contemporaneous and historical influences, new traditions, and key events are discussed as they arise in the narrative of the case study. Interaction between cultural and religious influences ...
Karaku Akan - - 2014
Using computer-based simulation systems in medical education is becoming more and more common. Although the benefits of practicing with these systems in medical education have been demonstrated, advantages of using computer-based simulation in emergency medicine education are less validated. The aim of the present study was to assess the success ...
Sleath Betsy B a Division of Pharmaceutical Outcomes and Policy , University of North Carolina Eshelman School of - - 2014
We applied the ecologic model of communication in medical consultations to examine how patient, physician, and situational/contextual factors are associated with whether patients ask one or more questions about glaucoma and glaucoma medications during visits to ophthalmologists. Patients with glaucoma who were newly prescribed or already on glaucoma medications were ...
Kennedy Betty M BM The Pennington Biomedical Research Center, Baton Rouge, Louisiana, - - 2014
The purpose of this qualitative program was to determine if a trend exists across three LSU medical homes according to patient feedback concerning their experiences within the medical home for ongoing disease management and quality healthcare; and to obtain recommendations for the most effective way to involve patients in shaping ...
Caulfield Timothy T Health Law Institute, University of Alberta, Edmonton, Alberta, - - 2014
The concept of medical necessity plays a central role in many healthcare systems, including Canada's, by helping determine which healthcare services will receive funding. Despite its significance in health policy frameworks, medical necessity has proven to be notoriously difficult to define and operationalise. A shift toward a more personalised and ...
Geertzen Jan J Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands - - 2014
A structured, multidisciplinary approach in the rehabilitation process after amputation is needed that includes a greater focus on the involvement of both (para)medics and prosthetists. There is considerable variation in prosthetic prescription concerning the moment of initial prosthesis fitting and the use of replacement parts. To produce an evidence-based guideline ...
Snyder Margie E ME Department of Pharmacy Practice, Purdue University College of Pharmacy, Indianapolis, - - 2014
To identify predictors of medication-related problems (MRPs) among Medicaid patients participating in a telephonic medication therapy management (MTM) program. Retrospective analysis of data from patients enrolled in a previously published study. Two Medicaid administrative claims file databases (for health care utilization and prescription dispensing information) and one pharmacy organization file ...
Barrett J J Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, 3010, Australia, - - 2014
For over four decades, there have been efforts to specify the types of knowledge that medical students need, how that knowledge is acquired and how its constituent parts are related. It is one of the areas of continuing concern underlying medical education reform. Despite their importance to medical students' learning ...
Cleland Jennifer A - - 2014
Workforce planning is a central issue for service provision and has consequences for medical education. Much work has been examined the career intentions, career preferences and career destinations of UK medical graduates but there is little published about medical students career intentions. How soon do medical students formulate careers intentions? ...
Koster Ellen S ES Utrecht Pharmacy Practice Network for Education and Research, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The - - 2014
To explore pharmacy staff's perspectives regarding medication use behaviour in adolescent patients. Structured face-to-face interviews were conducted with 170 community pharmacy staff members. Medication-related problems in adolescents had been experienced by 80 respondents; non-adherence was frequently mentioned (n = 73). An important reason for medication-related problems in adolescents not being recognised was ...
Ranaweera Jeevani J General Paediatrics, Ballarat Base Hospital, Ballarat, Victoria, - - 2014
Overseas studies have suggested a bias in emergency department patient selection between paediatric and emergency medicine trainees. This study aimed to detect whether a similar bias existed in an Australasian setting. Specifically, we sought to determine whether vocational trainees choose patients based on presenting complaint, triage category or patient age. ...
Gruca Thomas S TS Tippie College of Business, University of Iowa, Iowa City, IA; and Chung-Ang University, Seoul, South Korea - - 2014
To examine the long-term trends in medical oncology outreach in Iowa, a state with a high proportion of rural residents, and to assess the involvement of the 2011 Iowa oncology workforce in visiting consultant clinics using a unique data source. Outreach locations and clinic frequencies are tracked annually in the ...
Cruess Richard L RL Dr. Richard Cruess is professor of surgery and core faculty member, Centre for Medical Education, McGill University Faculty of Medicine, Montreal, Quebec, Canada. Dr. Sylvia Cruess is professor of medicine and core faculty member, Centre for Medical Education, McGill University Faculty of Medicine, Montreal, Quebec, Canada. Dr. Boudreau is associate professor of medicine and core faculty member, Centre for Medical Education, McGill University Faculty of Medicine, Montreal, Quebec, Canada. Dr. Snell is professor of medicine and core faculty member, Centre for Medical Education, McGill University Faculty of Medicine, Montreal, Quebec, Canada. Dr. Steinert is professor of family medicine and director, Centre for Medical Education, McGill University Faculty of Medicine, Montreal, Quebec, - - 2014
Teaching medical professionalism is a fundamental component of medical education. The objective is to ensure that students understand the nature of professionalism and its obligations and internalize the value system of the medical profession. The recent emergence of interest in the medical literature on professional identity formation gives reason to ...
Palacios-González César C Institute for Science Ethics and Innovation, The University of Manchester, Manchester, - - 2014
In this paper, we address points raised by Stephanie Dancer's article in The BMJ in which she claimed that by 'dressing down', physicians fail to adhere to the dignitas of the medical profession, and damage its reputation. At the beginning of this paper, we distinguish between two different senses in ...
Lehnbom Elin C EC Centre for Health Systems and Safety Research, Australian Institute of Health Innovation,The University of New South Wales, Sydney, NSW, Australia - - 2014
To examine the evidence regarding the effectiveness of medication reconciliation and review and to improve clinical outcomes in hospitals, the community, and aged care facilities. This systematic review was undertaken in concordance with the PRISMA statement. Electronic databases, including MEDLINE, PsycINFO, EMBASE, and CINAHL were searched for relevant articles published ...
Ping Tsao Carol I CI Medical College of Wisconsin, Milwaukee, WI, USA, - - 2014
The aim of this study was to determine if communication skills differ for medical students entering person or technique-oriented specialties. Communication ratings by clerkship preceptors on an institutionally required end of clerkship medical student performance evaluation (SPE) form were compiled for 2011/2012 academic year (Class of 2013). M3 clerkships and ...
Smorti Andrea A Department of Education and Psychology, Florence University, Florence, Italy, - - 2014
In recent years the issue of patient safety has been the subject of detailed investigations, particularly as a result of the increasing attention from the patients and the public on the problem of medical error. The purpose of this work is firstly to define the classification of medical errors, which ...
Choi Sunha S a College of Social Work, The University of Tennessee at Knoxville , Knoxville , Tennessee , - - 2014
Abstract Newly arrived older immigrants in the U.S. tend to be greatly affected by increasing out-of-pocket healthcare expenditures due to their limited insurance options. To examine such disparities in the out-of-pocket expenditures, this study analyzed the Medical Expenditure Panel Survey by immigrant status. Major findings of this study indicated that ...
Williams Daniel D Baylor Scott & White Health, Temple, TX, USA, - - 2014
Little is known about the efficacy of current interventions to mitigate burnout among medical students and residents, despite its association with mood disorders, absenteeism, low job satisfaction, and medical errors. This review summarizes the efficacy data of burnout interventions and how each modality is used. OVID-SP Medline, Google Scholar and ...
Pantelic Marija M Department of Social Policy and Intervention, University of Oxford, 32 Wellington Square, Oxford, OX1 2ER, UK, - - 2014
Despite documented common use of traditional healers and efforts to scale up antiretroviral treatment (ART) in sub-Saharan Africa, evidence on whether medical pluralism predicts ART use is inconclusive and restricted to clinic settings. This study quantitatively assesses whether medical pluralism predicts ART use among parents in need of ART in ...
Goscha Richard R Center for Mental Health Research and Innovation, School of Social Welfare, University of Kansas, 1315 Wakarusa, Lawrence, KS, 66049, USA, - - 2014
This qualitative study explored a newly introduced model of shared decision making (CommonGround) and how psychiatric medications were experienced by clients, prescribers, case managers and peer support staff. Of the twelve client subjects, six were highly engaged in shared decision-making and six were not. Five notable differences were found between ...
Abrishami Payam P Research School CAPHRI, Department of Health, Ethics and Society, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands; National Health Care Institute, P.O. Box 320, 1110 AH Diemen, The Netherlands. Electronic address: - - 2014
This study explored the rather rapid adoption of a new surgical device - the da Vinci robot - in the Netherlands despite the high costs and its controversial clinical benefits. We used the concept 'affordances' as a conceptual-analytic tool to refer to the perceived promises, symbolic meanings, and utility values ...
Stark Meredith - - 2014
While the medical ethics literature has well explored the harm to patients, families, and the integrity of the profession in failing to disclose medical errors once they occur, less often addressed are the moral and professional obligations to take all available steps to prevent errors and harm in the first ...
Reddy Karishma G - - 2014
Despite the proposed clinical advantages of electronic medical records (EMRs), many questions remain regarding how EMRs may limit the number of patients a provider can see on a day-to-day basis. In this study, we measured the impact of EMR implementation on outpatient volumes in the setting of a midsize academic ...
Sheikhtaheri Abbas A Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Enghelab Sq., Tehran, Islamic Republic of Iran, - - 2014
Complicacy of clinical decisions justifies utilization of information systems such as artificial intelligence (e.g. expert systems and neural networks) to achieve better decisions, however, application of these systems in the medical domain faces some challenges. We aimed at to review the applications of these systems in the medical domain and ...
Yu Miaoyu M University of Toronto, Toronto, ON, Canada, - - 2014
Psychiatry as a field and undergraduate psychiatry education (UPE) specifically have historically been in the periphery of medicine in China, unlike the relatively central role they occupy in the West. During the current economic reform, Chinese undergraduate medical education (UME) is undergoing significant changes and standardization under the auspices of ...
Havers Fiona F Epidemic Intelligence Service assigned to the Influenza - - 2014
 Early antiviral treatment (≤2 days since illness onset) of influenza reduces the probability of influenza-associated complications. Early empiric antiviral treatment is recommended for those with suspected influenza at higher risk for influenza complications regardless of their illness severity. We describe antiviral receipt among outpatients with acute respiratory illness (ARI) and ...
Ho Joyce C JC Department of Electrical and Computer Engineering, The University of Texas at Austin, Austin, Texas 78712. Electronic address: - - 2014
The rapidly increasing availability of electronic health records (EHRs) from multiple heterogeneous sources has spearheaded the adoption of data-driven approaches for improved clinical research, decision making, prognosis, and patient management. Unfortunately, EHR data do not always directly and reliably map to medical concepts that clinical researchers need or use. Some ...
Durand Daniel J DJ The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, Maryland. Electronic address: - - 2014
Like all physicians, radiologists in the United States are subject to frequent and costly medical malpractice claims. Legal scholars and physicians concur that the US civil justice system is neither precise nor accurate in determining whether malpractice has truly occurred in cases in which claims are made. Sometimes, this inaccuracy is ...
Rouprêt Morgan M Academic Department of Urology, Assistance Publique Hôpitaux de Paris, Hôpital Pitié-Salpétrière and UPMC Univ Paris 6, Paris, France. Electronic address: - - 2014
Social media use is becoming common in medical practice. Although primarily used in this context to connect physicians, social media allows users share information, to create an online profile, to learn and keep knowledge up to date, to facilitate virtual attendance at medical conferences, and to measure impact within a ...
Burgers Christian C Department of Communication Science, VU University Amsterdam, Amsterdam, The - - 2014
Under EU regulations, patient information leaflets (PILs) are required to be clear and understandable. Negations (e.g., not, no) are a linguistic aspect that may impact PIL comprehension, yet go unmentioned in these regulations. We conducted two studies to determine (1) how negations are used in Dutch PILs (study 1) and ...
Turillazzi Emanuela - - 2014
The Italian code of medical deontology recently approved stipulates that physicians have the duty to inform the patient of each unwanted event and its causes, and to identify, report and evaluate adverse events and errors. Thus the obligation to supply information continues to widen, in some way extending beyond the ...
Rinke Michael L ML Department of Pediatrics, Children's Hospital at Montefiore, Bronx, New York; - - 2014
Medication errors cause appreciable morbidity and mortality in children. The objective was to determine the effectiveness of interventions to reduce pediatric medication errors, identify gaps in the literature, and perform meta-analyses on comparable studies.METHODS: Relevant studies were identified from searches of PubMed, Embase, Scopus, Web of Science, the Cochrane Library, ...
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