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Results 251 - 300 of 705
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Lin Shao - - 2012
OBJECTIVES:Approximately 4% to 12% of pregnant women have asthma; few studies have examined the effects of maternal asthma medication use on birth defects. We examined whether maternal asthma medication use during early pregnancy increased the risk of selected birth defects.METHODS:National Birth Defects Prevention Study data for 2853 infants with 1 ...
Nagendra Vishwas Hunsur - - 2012
Aim:  To compare Beers' criteria (BC) and Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) for prevalence, specificity, sensitivity and predictors for potentially inappropriate medication (PIM) use. Methods:  Patients aged ≥60 years from medicine wards of a tertiary care hospital were included. Comparisons between BC and STOPP were made using ...
Carvalho Ceci Nunes - - 2012
Abstract -  Aim:  To evaluate the influence of calcium hydroxide (CH) paste used as intracanal medication on the bond strength of AH Plus (AH) and Epiphany (EP) sealers to root dentin. Methodology:  Sixty palatal canals were prepared in human maxillary first molars, using a rotary system. Half of the specimens received ...
Smith-Spangler Crystal M - - 2012
To assess the individual financial impact of having diabetes in developing countries, whether diabetic individuals possess appropriate medications, and the extent to which health insurance may protect diabetic individuals by increasing medication possession or decreasing the risk of catastrophic spending. Using 2002-2003 World Health Survey data (n = 121,051 individuals; ...
Hammes Bernard J - - 2012
Abstract Objectives: Determine the use and utility of the Physician Orders for Life-Sustaining Treatment (POLST) program in a community where powers of attorney for health care (POAHCs) are prevalent. Methods: A retrospective review of medical record and death certificate data of 400 adults who died between September 1, 2007, and ...
Klüwer-Trotter Birgitte - - 2012
Background. Increasing socio-economic inequalities in health, within a country as well as internationally, give rise to a timely question: Are there any systematic differences between people from differing social backgrounds with regard to their attitude to seeking professional medical assistance when experiencing physical problems of varying kinds? Material and method. ...
Shub Alexis - - 2012
BACKGROUND: Women who experience unexpected labour and birth interventions describe feeling distressed and have an increased risk of postnatal depression. Primigravidae who have an unrealistic expectation of labour and birth may be at higher risk of these outcomes. AIMS: To determine whether primigravidae and their carers have a realistic expectation ...
Bieler Gilles - - 2012
ACADEMIC EMERGENCY MEDICINE 2012; 19:1-6 © 2012 by the Society for Academic Emergency Medicine ABSTRACT: Objectives:  The objectives were to identify the social and medical factors associated with emergency department (ED) frequent use and to determine if frequent users were more likely to have a combination of these factors in ...
Levin Hannah I - - 2012
Computerized physician order entry (CPOE) systems can create unintended consequences. These include medication errors and adverse drug events. We look at a less understood error; patient misidentification. First, two email surveys were used to establish potential risk factors for this error. Next, an automated detection trigger was designed and validated ...
Haldane Thea - - 2012
Background: Success in undergraduate medical courses in the UK can be predicted by school exit examination (A level) grades. There are no documented predictors of success in UK graduate entry medicine (GEM) courses. This study looks at the examination performance of GEM students to identify factors which may predict success; ...
Christiansen Christian Fynbo - - 2012
Venous thromboembolism (VTE) is a potentially serious complication occurring in 1%-2% of hospitalized medical patients. Despite this low absolute risk, as many as 82% of medical patients are considered to be at increased risk of developing VTE and are eligible for medical thromboprophylaxis. In this commentary, The author will discuss ...
McCoy Allison B - - 2012
OBJECTIVES: Clinical decision support (CDS), such as computerized alerts, improves prescribing in the setting of acute kidney injury (AKI), but considerable opportunity remains to improve patient safety. The authors sought to determine whether pharmacy surveillance of AKI patients could detect and prevent medication errors that are not corrected by automated ...
Gavran Larisa L Faculty for Health Sciences, University of Zenica, Zenica, Bosnia and Herzegovina. - - 2012
To analyse the difference in documentation of standard parameters for monitoring DM type 2 between Family Medicine Teams (FMT) and Teams on Program Additional Training (PAT). Study was conducted as 20 medical chart audits of diabetic type 2 patients randomly selected per 3 FMT from Zenica and 3 PAT from ...
Mark Tami L - - 2012
This study analyzed recent trends in spending on psychiatric prescription drugs and underlying factors that served as drivers of these changes. Data were collected from the MarketScan Commercial Claims and Encounters Database (1997-2008), Substance Abuse and Mental Health Services Administration spending estimates (1986-2005), and the Medical Expenditure Panel Survey (1997-2007). ...
Riva Silvia - - 2012
The comprehension of appropriate information about illnesses and treatments, can have beneficial effects on patients' satisfaction and on important health outcomes. However, it is questionable whether people are able to understand risk properly. To describe patients' representation of risk in common medical experiences by linking such a representation to the ...
Davis Jesse J KU Leuven, Celestijnenlaan 200a, Heverlee 3001, - - 2012
Learning from electronic medical records (EMR) is challenging due to their relational nature and the uncertain dependence between a patient's past and future health status. Statistical relational learning is a natural fit for analyzing EMRs but is less adept at handling their inherent latent structure, such as connections between related ...
Krishna Rohit - - 2012
The monocular trial has been proposed as a test to help control for diurnal fluctuations in eye pressure when assessing medication effectiveness. We undertook a prospective study to determine the sensitivity and specificity of the monocular trial as a test for determining the effectiveness of a glaucoma medication. The efficacy ...
Are Chandrakanth - - 2012
The current educational environment may need enhancement to tackle the rising cancer burden in India. The aim of this study was to conduct a survey of Surgical Oncologists to identify their perceptions of the current state of Oncology education in India. An Institutional Review Board approved questionnaire was developed to ...
Asevedo Elson - - 2012
Abstract Schizophrenia is a chronic and often severe psychotic disorder. Its causes include imbalances in mediators involved in neuroplasticity, apoptosis, cell resilience and dendritic arborization. Among these mediators, oxidative species are particularly relevant for the pathophysiology of the disease, and this is the rationale for experimental use of antioxidant medications, ...
Strauchler Daniel - - 2012
The aim of this study was to characterize cumulative exposure to ionizing radiation from diagnostic imaging (CEDI) in adult patients and investigate its relationship to a patient's socioeconomic status and comorbid medical conditions. A retrospective cohort study was conducted of 54,015 patients seen within the outpatient clinic system of an ...
Malone Daniel C DC College of Pharmacy, University of Arizona, 1295 N. Martin, Tucson, AZ 85721-0202, USA. - - 2012
With the passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act, widespread adoption of certain health information technologies, such as electronic health records (EHRs) and electronic prescribing (e-prescribing), is imminent. Drug-drug interaction (DDI) screening and medication history information are commonly incorporated into health information exchange systems ...
Fischer Stacy M - - 2012
Previous studies have shown that minority populations have low rates of documented advance directives and express preferences for more life-prolonging interventions at the end of life. We sought to determine the impact of Latino ethnicity on patients' self-report of having an advance directive discussion and having a completed advance directive ...
Mendoza Michael D - - 2012
The Society of Teachers of Family Medicine (STFM; http://www.stfm.org ) is a community of professionals devoted to teaching family medicine through undergraduate, graduate, and continuing medical education. This multidisciplinary group of physicians, educators, behavioral scientists, and researchers works to further STFM's mission of improving the health of all people through ...
Taunton Jack - - 2012
To present the planning and medical encounters for the 2010 Paralympic Winter Games. Prospective medical encounter study. 2010 Paralympic Winter Games. Athletes, coaches, officials, workforce, volunteers, and media. Sport type: alpine, Nordic, and sledge hockey and curling. Participant type: athlete, workforce, and spectators. Terrain and speed. Medical encounters entered in ...
Saad Maha - - 2012
This study aims to determine the impact of the geriatric consultation on the number of medications in hospitalized older adults and the corresponding financial impact. Retrospective chart review of patients seen by geriatric consultants. Tertiary-care teaching hospital. The number of medications prescribed before hospitalization, at time of consult, and at ...
Midlöv Patrik - - 2011
Objective To assess the impact of medication reconciliation interventions on medication error rates when elderly patients are discharged from hospital to community care or nursing homes.Setting Elderly patients (>65 years) living in nursing homes or in their own homes with care provided by the community nursing system. Method All medical records ...
Karve Sudeep - - 2011
BACKGROUND: Inpatient stroke utilization may be decreasing over time and may vary by patient demographics. Less is known about temporal trends and demographic variations in outpatient stroke utilization. We assessed ischemic stroke (IS)-related outpatient utilization across physician specialty and time, exploring any demographic variability, using recent US population-based data. METHODS: ...
Horton Sarah - - 2011
Although the frequency of self-medication among Mexican migrants has been well-documented in the public health literature, the multiple reasons for this practice are poorly understood. Most studies point to migrants' cultural preferences for Mexican medications, their prior experiences in countries where antibiotics are loosely regulated, and their lack of access ...
Kitsios Georgios D - - 2012
Patients discovered to have a patent foramen ovale in the setting of a cryptogenic stroke may be treated with percutaneous closure, antiplatelet therapy, or anticoagulants. A recent randomized trial (CLOSURE I) did not detect any benefit of closure over medical treatment alone; the optimal medical therapy is also unknown. We ...
Eisenmann Carmen M - - 2011
Adherence to a medication regimen can be challenging for children and adolescents with mental health disorders. Medication education can be a beneficial tool for nurses to help promote adherence to psychotropic medications. This article describes an initiative to improve medication education offered to children and adolescents and their families on ...
Naik Viren N - - 2011
PURPOSE: The purpose of this article is to consolidate some of the key concepts about scholarship in education related to the specialty of anesthesiology. We frame the discussion on two paradigm shifts in medical education, i.e., competency-based education and lifelong learning, and the scholarly approaches to lead these paradigm shifts ...
Kehr Janina - - 2011
Tuberculosis (TB) is an infectious disease that declined significantly throughout the 20(th) century. Large-scale TB screening of entire populations in France and Germany has thus been replaced by active screening of risk-groups, particularly migrants. The article engages with its problems and practices on three levels: by looking at the way ...
Schofferman Jerome - - 2011
Financial relationships among the biomedical industries, physicians, and professional medical associations (PMAs) can be professional, ethical, mutually beneficial, and, most importantly, can lead to improved medical care. However, such relationships, by their very nature, present conflicts of interest (COIs). One of the greatest concerns regarding COI is continuing medical education ...
Romaire Melissa A - - 2012
To test associations between having a medical home and health services use and expenditures among US children with special health care needs (CSHCN). Cross-sectional analysis. The 2003-2008 Medical Expenditure Panel Surveys. A total of 9816 CSHCN up to 17 years, including 1056 with a functional or sensory limitation and 8760 ...
Ho Yunn-Fang - - 2011
Background Appropriate prescribing is fundamental to successful pharmacotherapy. The status of current ambulatory medication practices in medicine and pharmacy would be better understood through an analysis of community pharmacy prescription claims. Objective The aims of the study were to investigate patterns of the types of prescriptions claimed by community pharmacies, ...
Crotty Bradley H - - 2012
To describe the creation and evaluate the use of a wiki by medical residents, and to determine if a wiki would be a useful tool for improving the experience, efficiency, and education of housestaff. In 2008, a team of medical residents built a wiki containing institutional knowledge and reference information ...
Lucchetti Giancarlo - - 2011
We aim to evaluate studies dealing with the incorporation of spirituality in medical education and to list the most scientific productive countries in this field. A bibliographical review was carried out. The final sample comprised 38 articles, which were divided into sub-topics for a clearer description. From these articles, 31 ...
Ward Lawrence - - 2011
Prescription medication borrowing can result in adverse health outcomes. We aimed to study the patterns of borrowing prescription medications in an adult urban population seeking healthcare in the outpatient, emergency, and inpatient units of an urban medical center. Participants indicated whether they (1) had a primary care doctor, medical insurance, ...
Sabzwari Saniya R - - 2011
Background: In the last decades there has been a sharp rise in the elderly population throughout the world. The unique needs of the elderly require a multidisciplinary and comprehensive medical approach. None of the 50 medical schools in Pakistan teach geriatrics in their undergraduate or postgraduate training. This paper discusses ...
McDermott Mary M - - 2011
Among 320 patients with lower extremity peripheral artery disease (PAD) and low-density lipoprotein-cholesterol (LDL-C) levels > 70 mg/dl, we determined whether male sex, higher education, and greater self-efficacy for willingness to request therapy from one's physician were associated with increases in LDL-C-lowering medication and achievement of an LDL-C level < ...
Shabi Iwok N - - 2011
Objectives:  To determine the extent, purpose, determinants and the impact of the utilization of Internet medical databases among the respondents. Methodology:  A descriptive cross sectional survey of 540 randomly selected physicians at the two tertiary health institutions in Osun State, South west, Nigeria. Result:  A total of 444 (82.2%) physicians ...
Whitcomb Michael E - - 2011
Recent studies indicate that the number of first-year residency positions must increase to meet the United States' projected need for physicians, but these studies rarely consider whether it will be possible to increase the country's graduate medical education system to meet the need. State-level studies suggest that most existing programs ...
Frassetto Lynda - - 2011
Kidney stones are associated with chronic kidney disease. Preventing recurrence is largely specific to the type of stone (e.g., calcium oxalate, calcium phosphate, cystine, struvite [magnesium ammonium phosphate]), and uric acid stones); however, even when the stone cannot be retrieved, urine pH and 24-hour urine assessment provide information about stone-forming ...
Sommers Anna - - 2011
More than one in five Americans were in families reporting problems paying medical bills in 2010--about the same proportion as in 2007, according to a new national study by the Center for Studying Health System Change (HSC). Given the severe 2007-09 recession, the sluggish economic recovery and health care costs ...
Baker P A - - 2011
In airway management, poor judgment, education and training are leading causes of patient morbidity and mortality. The traditional model of medical education, which relies on experiential learning in the clinical environment, is inconsistent and often inadequate. Curriculum change is underway in many medical organisations in an effort to correct these ...
Alexandre L - - 2011
Reasons for the rising annual incidence of esophageal adenocarcinoma (EAC) remain uncertain. Previous studies have given conflicting results, but some have suggested that drugs which relax the lower esophageal sphincter (LES) may increase the risk of EAC. This study is to determine systematically the risk of EAC associated with individual ...
Rappaport David I - - 2011
Objective:To describe the implementation of a system-wide, electronic medical record (EMR)-based quality improvement intervention targeting medication reconciliation (MedRec) in outpatient pediatrics and to test variables associated with the performance of MedRec.Methods:This was a retrospective study using serial cross-sections of outpatient pediatric visits over a 5-year period set in a multispecialty ...
López-Sáez A - - 2012
To estimate the prevalence of using potentially inadequate drugs in the elderly population admitted to the Nuestra Señora de Sonsoles Hospital in Ávila according to Beers criteria, and to describe the impacts on these prescriptions following an educational seminar for prescribers. Before and after observational study, with two periods of ...
Falavigna Asdrubal - - 2011
The Brazilian Health System is composed by two different forms of access, public and private. The purpose of the public health system is to provide universal, complete access, free of charge, for the entire population. The private sector is comprised by people who have private insurance. Nowadays, around 43 million ...
Nellis Deborah L - - 2011
This study was conducted to determine the effectiveness of an educational module on medical malpractice litigation and the use of evidence-based practice guidelines. Data regarding knowledge acquisition, ease of use, and the perceived value of the educational module were collected. A pretest-posttest design was used. There was a statistically significant ...
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