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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 ...
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 ...
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 ...
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 ...
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 ...
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, ...
Shaw Christine R CR Christine R. Shaw is a clinical associate professor at the Marquette University College of Nursing in Milwaukee and a Family Nurse Practitioner at the Marquette Clinic for Women and Children, Milwaukee, - - 2014
: The high cost of medications is one reason that patients do not adhere to treatment plans. Providers can take actions to relieve the economic burden such as prescribing generic medications and offering patients information on various resources, including discount generic drug lists, discount cards, mail-order pharmacies, and prescription assistance ...
Huang Yuan-Han YH Department of Industrial Engineering, Pennsylvania State University, The Behrend College, Erie, PA 16563, USA. Electronic address: - - 2014
This study demonstrates a series of systematic methods for mapping medication administration processes and for elaborating violations of work standards at two rural hospitals. Thirty-four observational periods were conducted to capture the details of clinical activities, and hierarchical task analysis (HTA) was used to demonstrate the current medication administration process. ...
Barr Jennifer J Launceston Clinical School, School of Medicine, University of Tasmania, Locked Bag 1377, Launceston, TAS, 7250, Australia, - - 2014
Patient encounters are central to the provision of learning opportunities for medical students and their development as medical professionals. The primary aim of the study reported in this paper was to discover how partnering medical students with patients with chronic illness in undergraduate learning influenced the development of a patient ...
Lauffenburger Julie C JC aUNC Eshelman School of Pharmacy bUNC Liver Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, - - 2014
With the advent of the direct-acting antiviral agents, significant drug-drug interaction (DDI) potential now exists for patients treated for chronic hepatitis C virus (HCV) infection. However, little is known about how often patients with HCV infection use medications that may interact with newer HCV treatments, especially those with cytochrome P450 ...
Marchington Jackie M JM Caudex Medical , Oxford , - - 2014
Abstract Objective: To understand academic/clinician authors' perceptions regarding the value of professional medical writers. Research design and methods: An online survey of academic/clinician authors was conducted to understand the value of professional medical writer support in the development of publications (abstracts, posters and manuscripts). Responses were collected anonymously. The survey ...
Badano Aldo A Division of Imaging and Applied Mathematics, Center for Devices and Radiological Health, U.S. Food and Drug Administration, 10993 New Hampshire Ave., 20993, Silver Spring, USA, - - 2014
This article summarizes the consensus reached at the Summit on Color in Medical Imaging held at the Food and Drug Administration (FDA) on May 8-9, 2013, co-sponsored by the FDA and ICC (International Color Consortium). The purpose of the meeting was to gather information on how color is currently handled ...
Lakhtakia Ritu - - 2014
Food imageries that have inspired and embellished medical learning are, distressingly, vanishing from medical writings. A host of references to the aromas, shape, colour and texture of food have reinforced and stimulated generations of physicians to identify and understand disease. They have piqued interest in foods from lands afar and ...
Abd-Elmoniem Khaled Z KZ Metabolic and Biomedical Imaging Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, - - 2014
We thank Drs. Varol and Peker for their interest in our article. They raise a valid point regarding the effect of antihypertensive medications on aortic stiffness. We did allude to this in our results stating that all of the subjects with hypertension (with no difference in prevalence between the two ...
Dijkstra Ids S IS University Medical Center Groningen , The Netherlands - - 2014
Abstract Background: Postgraduate medical education training programs strive to prepare their trainees optimally for independent practice. Several studies have shown, however, that new consultants feel inadequately prepared for practice, and that this increases the risk of stress and burnout. Aim: To analyze across specialties for which tasks and themes new ...
Lipsitt Don R DR Harvard Medical School, Cambridge, MA, USA, - - 2014
Few medical educators would dispute that the emotional development and well being of the medical student is of critical importance in the pathway to physicianhood. It has been suggested that failure to address this aspect of medical education may account for various health problems and levels of impairment during medical ...
Vincent-Lambert Craig C Department of Emergency Medical Care, Faculty of Health Sciences, University of Johannesburg, Johannesburg - South - - 2014
In an emergency, the administration of fluids and medications remains a vital component of patient care. Although this is usually achieved via an intravenous line, intraosseous (IO) cannulation is accepted as a useful alternative for the administration of fluids and medications in situations where intravenous cannulation is difficult or impossible. ...
Leombruni Paolo P "Rita Levi Montalcini" Department of Neuroscience, University of Turin, Turin, - - 2014
Caring for dying patients requires specific attitudes. Medical students often feel unprepared to cope with issues related to end-of-life care. Little is known about the relationships between personality and attitudes toward the dying; consequently, it is difficult for medical educators to devise training that is best suited to prepare students ...
McNab Justin J Menzies Centre for Health Policy, University of Sydney, Sydney, NSW, Australia. - - 2014
Non-communicable diseases (NCDs) have become leading causes of mortality and morbidity as part of historical epidemiological, demographic and nutritional transitions. There has been considerable historical analysis of the immediate and underlying causes of this change in the impacts of communicable diseases and NCDs, but far less historical analysis of how ...
Goldstein Ian M IM Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia; The CDC Experience Applied Epidemiology Fellowship, Scientific Education and Professional Development Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia; Tulane University School of Medicine, New Orleans, Louisiana. Electronic address: - - 2014
Medical facilities are natural leaders for health promotion because of their mission, influence, and reach. We sought to determine the frequency of physicians reporting supportive, health-promoting environments in their facility and identify characteristics of physicians and medical practices associated with support. We analyzed a sample of 1,485 U.S. primary care ...
Grammaticos Philip C PC Professor Emeritus, 51 Hermou Str., PC 546 23 Thessaloniki, Macedonia, Greece. - - 2014
Unfortunately, today few physicians care about medical deontology and medical ethics, that is how to behave and respect others when exercising our medical profession. Some of us may not show the care and kindness we should show towards our students or the due respect to our senior colleagues. Occasionally, when ...
Rockwell William Tyler WT From the *Division of Plastic Surgery, University of Utah School of Medicine, Salt Lake City, UT; and †Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, - - 2014
This article aimed to assess the sustainability from collaboration between international plastic surgery consultants and a hospital of a developing country in the promotion and delivery of quality health care to the local population. Humanitarian medical missions have evolved in structure and volume during the last 40 years. Medical mission ...
Edgar Andrew A Centre for Applied Ethics, Cardiff University, Cardiff, - - 2014
Chronic disorders of consciousness (CDoC) pose significant problems of understanding for both medical professionals and the relatives and friends of the patient. This paper explores the tensions between the different interpretative resources that are drawn upon by lay people and professionals in their response to CDoC. A philosophical analysis of ...
Sanchez Sadie H - - 2014
Medication reconciliation can reduce adverse events associated with prescribing errors at transitions between sites of care. Though a U.S. Joint Commission National Patient Safety Goal since 2006, at present organizations continue to have difficulty implementing it. The objective of this study was to examine medication reconciliation implementation from the perspective ...
Linn Annemiek J AJ University of Amsterdam, The Netherlands - - 2014
Numerous studies of various populations and settings link patient-provider communication or beliefs to medication adherence. A better understanding of this interplay may help to improve patient-centred communication. To predict adherence, this study used the Beliefs about Medicines Questionnaire and indications of the quality of the nurse's communication in terms of ...
Wilkinson Tim J TJ University of Otago , New Zealand - - 2014
Abstract Background: Benchmarking among medical schools is essential, but may result in unwanted effects. Aim: To apply a conceptual framework to selected benchmarking activities of medical schools. Methods: We present an analogy between the effects of assessment on student learning and the effects of benchmarking on medical school educational activities. ...
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