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Results 301 - 350 of 705
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Cerdá Magdalena M Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W168th St., New York, NY 10032-3727, United States. - - 2012
Marijuana is the most frequently used illicit substance in the United States. Little is known of the role that macro-level factors, including community norms and laws related to substance use, play in determining marijuana use, abuse and dependence. We tested the relationship between state-level legalization of medical marijuana and marijuana ...
Londoño Diana C - - 2011
Study Type - Symptom prevalence (population cohort) Level of Evidence 1b What's known on the subject? and What does the study add? It is known that medical conditions such as diabetes, high blood pressure, high cholesterol, smoking and prescribed medications cause erectile dysfunction (ED). This has been studied at the molecular ...
Kestler Edgar - - 2011
OBJECTIVE: To characterize the legal and clinical knowledge of Guatemalan obstetrician-gynecologists (OB/GYNs) regarding medical abortion and to determine factors associated with approval of its use for specific indications. METHODS: A trained interviewer administered a multiple-choice survey to 172 private-practice OB/GYNs across Guatemala. Univariate, bivariate, and multivariate analyses characterized medical abortion ...
Colby Jennifer A - - 2011
Ethnic disparities exist when comparing glycemic control: Latino patients have suboptimal glycemic control as compared to non-Latino whites. A key factor to achieving optimal diabetes management and control is medication adherence. We conducted a nested, cross-sectional retrospective study of data (n = 61) collected from a larger parallel, randomized, longitudinal study conducted ...
Hesselgreaves Hannah - - 2011
Rationale, aims and objectives  Medication-related safety incidents are a source of concern to patients, policy makers and clinicians. The role of education in improving safety-critical practices in health care is poorly appreciated. This pilot study aimed to initiate collective discussion among professional groups of clinical staff about a range of ...
Seymour Christopher W CW Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, Washington 98107, - - 2012
Emergency medical services (EMS) personnel commonly encounter sepsis, yet little is known about their understanding of sepsis. To determine the awareness, knowledge, current practice, and attitudes about sepsis among EMS personnel. We performed an anonymous, multi-agency, online survey of emergency medical technicians (EMTs), firefighter-emergency medical technicians (FF-EMTs), and paramedics in ...
O'Neill Lotte - - 2011
Medical Education 2011: 45: 1111-1120 Context  Very few studies have reported on the effect of admission tests on medical school dropout. The main aim of this study was to evaluate the predictive validity of non-grade-based admission testing versus grade-based admission relative to subsequent dropout. Methods  This prospective cohort study followed ...
Wagner Louis K - - 2011
Frequently messages are conveyed about benefit and risk in medical imaging or in imaging-guided medical intervention that are quite different from the intended communication. This is because communication is not merely the words used to express an idea. The message involves many personal factors on the part of the communicator ...
Campbell Noll N Department of Pharmacy Practice, College of Pharmacy, Purdue University, West Lafayette, IN, USA. - - 2011
To describe the association between anticholinergic medications and incident delirium in hospitalized older adults with cognitive impairment and to test the hypothesis that anticholinergic medications would increase the risk of incident delirium. Observational cohort study. Urban public hospital in Indianapolis, Indiana. One hundred forty-seven participants aged 65 and older with ...
Huss R Gail - - 2011
Medical surveillance is mandated for workers with potential exposure to hazardous materials. However, little guidance is provided regarding the components of a medical surveillance testing program for these individuals. This article describes the medical surveillance program for a group of 72 employees who respond to hazardous material releases throughout the ...
Gale Brian D - - 2011
Diagnostic physicians generally acknowledge their responsibility to notify referring clinicians whenever examinations demonstrate urgent or unexpected findings. During the past decade, clinicians have ordered dramatically greater numbers of diagnostic examinations. One study demonstrated that between 1996 and 2003, malpractice payments related to diagnosis increased by approximately 40%. Communication failures are ...
Tiwana Simrandeep - - 2011
Background/Aims The Hyperlink study is a cluster randomized trial in patients with uncontrolled blood pressure. The objectives of this analysis were: to compare measures of self reported adherence with actual adherence to medications at study enrollment to study predictors of adherence. Methods We analyzed prescription claims data for 146 participants ...
Marvanova Marketa - - 2011
Patients' ability to accurately report their preadmission medications is a vital aspect of medication reconciliation, and may affect subsequent medication adherence and safety. Little is known about predictors of preadmission medication understanding. We conducted a cross-sectional evaluation of patients at 2 hospitals using a novel Medication Understanding Questionnaire (MUQ). MUQ ...
Douglass Jo A JA Department of Allergy, Immunology & Respiratory Medicine, The Alfred Hospital & Monash University, Commercial Rd., Melbourne, Victoria 3004, Australia. - - 2012
Purchase of short-acting β(2)-agonist (SABA), but not anti-inflammatory asthma medication, is permitted in Australia without a doctor's prescription. This has been associated with worse asthma outcomes. We sought to compare the asthma outcomes between those purchasing SABA with and without a doctor's prescription. Cross-sectional study, using stratified randomisation of pharmacies. ...
Daniulaityte Raminta R Center for Interventions, Treatment, and Addictions Research, Department of Community Health, Boonshoft School of Medicine, Wright State University, Dayton, OH 45435, United States. - - 2012
There is growing evidence about illicit use of buprenorphine in the U.S. The study aims to: (1) identify prevalence and predictors of illicit buprenorphine use in a community sample of 396 young adult (18-23 years old) non-medical users of pharmaceutical opioids and (2) describe knowledge, attitudes and behaviors linked to ...
Hermida Ramón C - - 2011
Time of ingestion of hypertension medications can affect circadian patterns of BP, but whether this translates into an effect on clinical outcomes is unknown. Here, in an open-label trial, we randomly assigned 661 patients with CKD either to take all prescribed hypertension medications upon awakening or to take at least ...
Sørensen Mette Hjortdal - - 2011
Objectives: The aim was to examine and compare the impact of HeartScore and coronary artery calcification (CAC) score on subsequent changes in the use of medication. Methods: A total of 1156 healthy men and women, aged 50 or 60, had a baseline medical examination and a coronary artery CT-scan as ...
Guthrie Dawn M - - 2011
OBJECTIVE: To examine the role of medication use and other factors in predicting activity restriction due to a fear of falling (AR/FF). METHODS: Older adults were assessed twice with the interRAI Community Health Assessment and the Berg Balance Scale (BBS). The main outcome was limiting going outdoors due to an ...
Epstein Stephen K - - 2011
The objective of the study is to determine the association between emergency department (ED) crowding and preventable medical errors (PME). This was a retrospective cohort study of 533 ED patients enrolled in the National ED Safety Study (NEDSS) in four Massachusetts EDs. Individual patients' average exposure to ED crowding during ...
Hollingsworth John M JM Department of Urology, University of Michigan, Ann Arbor, MI 48109, - - 2012
To determine the proportion of physician practices in the United States that currently meets medical home criteria. 2007 and 2008 National Ambulatory Medical Care Survey. We mapped survey items to the National Committee on Quality Assurance's (NCQA's) medical home standards. After awarding points for each "passed" element, we calculated a ...
Do Duc T - - 2011
Abstract Purpose: To assess third-year medical students' understanding of code status and its impact on patient care. Methods: Nonrandomized, cross-sectional survey completed at the end of inpatient internal medicine clerkship rotation. The survey assessed third-year medical students' understanding, knowledge, experiences, and attitudes pertaining to code status. Results: Sixty-three of 94 ...
Kristoffersen Espen Saxhaug - - 2012
Primary chronic headaches cause more disability and necessitate high utilisation of health care. Our knowledge is based on selected populations, while information from the general population is largely lacking. An age and gender-stratified cross-sectional epidemiological survey included 30,000 persons aged 30-44 years. Respondents with self-reported chronic headache were interviewed by ...
Denny Joshua C JC Department of Biomedical Informatics, Vanderbilt University, Nashville, TN 37232, USA. - - 2011
We repurposed existing genotypes in DNA biobanks across the Electronic Medical Records and Genomics network to perform a genome-wide association study for primary hypothyroidism, the most common thyroid disease. Electronic selection algorithms incorporating billing codes, laboratory values, text queries, and medication records identified 1317 cases and 5053 controls of European ancestry ...
Steinmann Alwin F - - 2011
With the current focus on reducing the federal budget deficit, funding for graduate medical education (GME) has come under scrutiny, particularly those monies labeled as indirect medical education payments; these are intended to cover ill-defined costs inherent to training programs, such as increased lengths of stay, additional testing, and patients ...
Krousel-Wood Marie M Ochsner Clinic Foundation, Center for Health Research, 1514 Jefferson Highway, New Orleans, LA 70121, USA. - - 2011
Few data are available on the predictors of decline in antihypertensive medication adherence and the association of decline in adherence with subsequent blood pressure (BP) control. The current analysis included 1965 adults from the Cohort Study of Medication Adherence Among Older Adults recruited between August 2006 and September 2007. Decline ...
Santos Djanilson Barbosa Dos - - 2011
A cross-sectional study of children living in poor areas in the city of Salvador, Bahia State, Brazil, was carried out in 2006 to investigate the prevalence of use of prescribed and non-prescribed medication. This population-based study included 1,382 children aged 4-11 years. The use prescribed and non-prescribed medication during the ...
Dunn Rebecca L - - 2011
To determine the impact of using the Beers criteria (sometimes known as the Beers list) as an outpatient screening tool on the number or dosage of Beers criteria medications identified in patients' medication profiles immediately before an outpatient appointment. Nonrandomized, prospective pre-/post pilot study. Six individual medicine and medicine-specialty clinics ...
Hazelton Lara - - 2011
Background: Anatomy teaching is often described as foundational in the education of physicians, but in recent years there has been increasing pressure on teachers of neuroanatomy to justify its place in the curriculum. Summary: This article examines theoretical assumptions that have traditionally influenced the neuroanatomy curriculum and explains how evolution ...
Cuddy Monica M - - 2011
Women typically demonstrate stronger communication skills on performance-based assessments using human raters in medical education settings. This study examines the effects of examinee and rater gender on communication and interpersonal skills (CIS) scores from the performance-based component of the United States Medical Licensing Examination, the Step 2 Clinical Skills (CS) ...
Celletti Francesca - - 2011
Francesca Celletti and colleagues from WHO argue that a transformation in the scale-up of medical education in low- and middle-income countries is needed, and detail what this might look like.
Campbell Jonathan D - - 2011
Objectives: Unintended consequences may result from changes in pharmacy benefit design. The objective was to determine the impact of increasing patient prescription copayments for guidelinerecommended, long-term asthma controller (LTC) medications on asthma-related medication use and healthcare services. Study Design: We used 2005 MarketScan healthcare and pharmacy claims data to identify ...
Shore Barbie - - 2011
This is one of six short papers that describe additional innovations that support the integration of public health into medical education. These were featured in the "Patients and Populations: Public Health in Medical Education" conference and describe innovative endeavors or curricular components not previously published. This paper describes the Association ...
Biggs Wendy S - - 2011
BACKGROUND AND OBJECTIVES: This is the 30th report prepared by the American Academy of Family Physicians (AAFP) on the percentage of each US medical school's graduates entering family medicine residency programs. This retrospective analysis based on data reported to the AAFP from medical schools and family medicine residency programs shows ...
Puisieux F - - 2011
Swallowing disorders (or dysphagia) are common in the elderly and their prevalence is often underestimated. They may result in serious complications including dehydration, malnutrition, airway obstruction, aspiration pneumonia (infectious process) or pneumonitis (chemical injury caused by the inhalation of sterile gastric contents). Moreover the repercussions of dysphagia are not only ...
Gehle Kimberly S - - 2011
Although environmental factors contribute to more than 25% of all global disease, and toxic agents ranked fifth in underlying causes of U.S. deaths in 2000, environmental medicine education is largely omitted in the continuum of U.S. medical education. The paucity of specialists trained in environmental medicine (i.e., occupational medicine and ...
Shapiro Johanna - - 2011
Medical Readers' Theater (MRT) is an innovative and simple way of helping medical students to reflect on difficult-to-discuss topics in geriatrics medical education, such as aging stereotypes, disability and loss of independence, sexuality, assisted living, relationships with adult children, and end-of-life issues. The authors describe a required MRT experience involving ...
Campbell Jonathan D - - 2011
Unintended consequences may result from changes in pharmacy benefit design. The objective was to determine the impact of increasing patient prescription copayments for guideline recommended, long-term asthma controller (LTC) medications on asthma-related medication use and healthcare services. We used 2005 MarketScan healthcare and pharmacy claims data to identify asthma (International ...
Deshpande Sagar S - - 2011
The purpose of this research was to investigate gender-related differences among medical school faculty in a variety of areas such as information technology, medical malpractice, compensation, patient care, and carrier satisfaction. The Center for Studying Health System Change's 2008 Health Tracking Physician survey data consisting of 326 medical school faculty ...
Menn Zachary K - - 2011
Free tissue transfer has revolutionized lower extremity reconstruction; however, its use in elderly patients with multiple medical problems can be associated with elevated rates of perioperative morbidity and mortality. This study evaluates the use of acellular dermal matrix (ADM) in conjunction with negative pressure wound therapy (NPWT) and delayed skin ...
Hassan Lamiece - - 2012
Traditionally, medication in prison has been administered in single, supervised doses. Prisons in England and Wales, however, have now been encouraged to allow prisoners to hold and manage their own medication themselves as 'in-possession' medication, in line with community practices. We aimed to examine the range of policies and practices ...
Kopp Kallner Helena - - 2011
BACKGROUND: Knowledge on factors affecting acceptability of medical abortion with mifepristone followed by home administration of misoprostol is scarce. The objective of this study was therefore to assess factors affecting acceptability and experience of home use of misoprostol for medical abortion up to 63 days' gestation. STUDY DESIGN: Prospective observational ...
Mezei Lina - - 2011
Knowledgeable and compassionate care regarding pain is a core responsibility of health professionals associated with better medical outcomes, improved quality of life, and lower healthcare costs. Education is an essential part of training healthcare providers to deliver conscientious pain care but little is known about whether medical school curricula meet ...
Erol Maral - - 2011
The increased medicalization of different life stages, including menopause, is a subject studied mostly in the Western context. Examining medicalization in the non-Western world advances discussions of body, identity and health. In this paper, I analyze the discourses around postmenopausal osteoporosis in Turkey, focusing on the different constructions of risk ...
Yong Tuck Yean - - 2011
Aim:  This study assessed medication use patterns and polypharmacy in patients who were admitted through an acute assessment unit (AAU) and stratified results according to patient age. This study also examined risk factors associated with polypharmacy and consequences of polypharmacy, namely prescription writing errors, drug-drug interaction and geriatric syndrome. Methods:  ...
Price Erika Leemann EL Division of General Internal Medicine, Department of Medicine, Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco (UCSF), San Francisco, USA. - - 2012
To examine professional medical interpreters' perspectives of in-person and remote interpreting modalities. Survey of interpreters at three medical centers assessing satisfaction with aspects of communication using each modality, and adequacy of videoconferencing medical interpretation (VMI) and telephonic interpretation for 21 common clinical scenarios in the hospital and ambulatory care settings. ...
Kizawa Yoshiyuki - - 2011
BACKGROUND: There is currently no consensus syllabus of palliative medicine for undergraduate medical education in Japan, although the Cancer Control Act proposed in 2007 covers the dissemination of palliative care. AIM: To develop a nationwide consensus syllabus of palliative medicine for undergraduate medical education in Japan using a modified Delphi ...
Astle Hannah - - 2011
IntroductionThroughout Great Britain, increasing numbers of women having an early medical abortion are choosing to go home soon after administration of misoprostol, to expel the pregnancy at home (early medical discharge, EMD), rather than remain upon the hospital premises (day case). However, data are lacking on how this impacts upon ...
Collaco J Michael JM Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins Medical Institutions, David M. Rubenstein Building, 200 North Wolfe Street, Baltimore, Maryland 21287, USA. - - 2012
Chronic lung disease of prematurity (CLDP) is a frequent complication of premature birth. Infants and children with CLDP are often prescribed complex medication regimens, which can be difficult for families to manage. We sought to determine whether non-adherence was associated with increased CLDP-related morbidities and to identify predictors of adherence. ...
Hemo Beatriz - - 2011
INTRODUCTION: Post-marketing data on weight-loss medications in free living population are a necessary adjunct to data from clinical trials. MATERIALS AND METHODS: We conducted a population-based analysis of first-time medication users based on HMO pharmacy purchasing data serving>one million adults. RESULTS: During 5 years, usage of orlistat and sibutramine more ...
Bushnell C D - - 2011
Data on long-term use of secondary prevention medications following stroke are limited. The Adherence eValuation After Ischemic stroke-Longitudinal (AVAIL) Registry assessed patient, provider, and system-level factors influencing continuation of prevention medications for 1 year following stroke hospitalization discharge. Patients with ischemic stroke or TIA discharged from 106 hospitals participating in ...
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