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Results 401 - 450 of 705
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Boparai Manpreet K - - 2011
Pharmacotherapy of the elderly is very complex due to age-related physiologic changes, multiple comorbidities, multiple medications (prescription, over-the counter, and herbal), and multiple providers (prescribers and pharmacies). Age-related physiologic changes and disease-related changes in organ function affect drug handling (pharmacokinetics) and response (pharmacodynamics). In addition, patients' cognitive impairment, functional difficulties, ...
Baldwin Constance - - 2011
Background: The academic community needs a sound framework for the promotion and advancement of educators. The Group on Educational Affairs of the Association of American Medical Colleges organized a consensus conference that affirmed the use of five domains for documenting the quantity and quality of scholarly engagement in educational activities: ...
Hout Joseph J - - 2011
Rapidly identifying and appropriately reacting to potentially hazardous environmental exposures could result in the mitigation of adverse health effects, accurate documentation of the exposures leading to reliable assessments of the risks associated with the exposures, and records of those actually exposed and the extent and duration of their exposures. As ...
Greysen S Ryan - - 2011
Over the last 50 years, medical student debt has become a problem of national importance, and obtaining medical education in the United States has become a loan-dependent, individual investment. Although this phenomenon must be understood in the general context of U.S. higher education as well as economic and social trends ...
Bello Folasade A - - 2011
Self-medication is widely practiced in the study area, as many drugs are available over-the-counter, in addition to the use of local herbal preparations. Also, apprehension about the dangers of drug use in pregnancy appears to affect the compliance of prescribed medication. This study assess the drug use profile of an ...
Chimowitz Marc I - - 2011
Patients with recent transient ischemic attack (TIA) or stroke caused by 70% to 99% stenosis of a major intracranial artery are at high risk of recurrent stroke on usual medical management, suggesting the need for alternative therapies for this disease. The Stenting and Aggressive Medical Management for Preventing Recurrent stroke ...
Gerhardt Robert T - - 2011
To analyze casualties from the Camp Eagle Study, focusing on life-saving interventions (LSI) and potentially survivable deaths. Retrospective cohort of battle casualties from a forward base engaged in urban combat in Central Iraq. Medical support included emergency medicine practitioners and combat medics with advanced training and protocols. LSI were defined ...
Shibuya Naohiro - - 2011
Background: Lower-extremity pathologic abnormalities have been common in military recruits for many years. Many of these conditions can become chronic and persist even after retiring from military service. We hypothesized that certain foot abnormalities are more prevalent in veterans versus nonveterans. The purpose of this study was to evaluate what ...
Blackwell Steven A - - 2011
The purpose of this study is to assess prescription medication poisoning among psychoactive and nonpsychoactive medications used by elderly (65 years or older) Medicare & Medicaid dual enrollees as well as examine contextual components associated with poisoning. Our primary research goal was to compare medication poisonings among psychoactive medications to ...
Barrons Robert - - 2011
Purpose Special considerations in the selection of medication inhaler devices for elderly patients with chronic obstructive pulmonary disease (COPD) in the ambulatory care setting are reviewed. Summary Substantial deficiencies in inhaler device technique and medication adherence are evident in patients with COPD, leading to suboptimal health outcomes. As the prevalence ...
Vozoris Nicholas T - - 2011
To estimate the prevalence of and identify sociodemographic risk factors for sedative medication use in the general Canadian population, and to examine the association between sedative medication use and body mass index (BMI). Cross-sectional study Canadian population Participants from the 1994-2003 Canadian national health surveys, the National Population Health Survey ...
Mascarello James T - - 2011
This updated Section E9 has been incorporated into and supersedes the previous Section E9 in Section E: Clinical Cytogenetics of the 2008 Edition (Revised 02/2007) American College of Medical Genetics Standards and Guidelines for Clinical Genetics Laboratories. This section deals specifically with the standards and guidelines applicable to fluorescence in ...
Broderick Joseph P JP University of Cincinnati, Department of Neurology, University of Cincinnati Neuroscience Institute, University of Cincinnati Academic Health Center MSB #0525, Cincinnati, OH 45242, USA. - - 2011
Antithrombotic medications (anticoagulants and antiplatelets) are often withheld in the periprocedural period and after bleeding complications to limit the risk of new or recurrent bleeding. These medications are also stopped by patients for various reasons such as cost, side effects, or unwillingness to take medication. Patient records from the population-based ...
Chandra Subhash S Department of Emergency Medicine, Mayo Clinic, Rochester, MN 55905, - - 2011
The aim of this study was to refine and validate an automatic risk of unplanned readmission (Stability and Workload Index for Transfer, or SWIFT) calculator in a prospective cohort of consecutive medical intensive care unit (ICU) patients in a teaching hospital with comprehensive electronic medical records (EMRs). A 2-phase (derivation ...
Molinari Victor A - - 2011
Objectives: This article focuses on justification of psychoactive medication prescription for NH residents during their first three months post-admission. Method: We extracted data from 73 charts drawn from a convenience sample of individuals who were residents of seven nursing homes (NHs) for at least three months during 2009. Six focus ...
Fox Chris C Department of Psychiatry, School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK. - - 2011
To determine whether the use of medications with possible and definite anticholinergic activity increases the risk of cognitive impairment and mortality in older people and whether risk is cumulative. A 2-year longitudinal study of participants enrolled in the Medical Research Council Cognitive Function and Ageing Study between 1991 and 1993. ...
Benbassat Jochanan - - 2011
Undergraduate medical education is too long; it does not meet the needs for physicians' workforce; and its content is inconsistent with the job characteristics of some of its graduates. In this paper we attempt to respond to these problems by streamlining medical education along the following three reforms. First, high ...
Roy Amy Doolan - - 2011
OBJECTIVE:: The objective was to assess pediatric residents' attitudes toward and knowledge about medical malpractice before and after an educational intervention. METHODS:: A survey of pediatric residents at our academic tertiary-care center was conducted before and 6 months after an educational workshop. RESULTS:: Of 71 eligible residents, 46 (65%) completed ...
Wang Virginia V Division of General Internal Medicine, Department of Medicine, Duke University, Durham, NC, USA. - - 2011
To compare changes in medication adherence between patients with high- or low-comorbidity burden after a copayment increase. We conducted a retrospective observational study at four Veterans Affairs (VA) medical centers by comparing veterans with hypertension or diabetes required to pay copayments with propensity score-matched veterans exempt from copayments. Disease cohorts ...
Herman Patricia M - - 2011
We examined the impact of health insurance status on medical debt among Arizona residents and the impact of both of these factors on access to care. We estimated logistic regression models for medical debt (problems paying and currently paying medical bills) and access to care (medical care and medications delayed ...
Wawruch Martin - - 2011
PURPOSE: The aims of the present study were to evaluate the use of drugs with anticholinergic properties in elderly patients and to identify risk factors that increase the patient's chance of being given such medications. METHODS: The study was performed on a sample of 1636 patients aged ≥65 years hospitalised during ...
Jackson Michael L - - 2011
PURPOSE: The common practice of using administrative diagnosis codes as the sole source of data on potential confounders in pharmacoepidemiologic studies has been shown to leave substantial residual confounding. We explored reasons why adjustment for comorbid illness defined from International Classification of Diseases (ICD) codes fails to remove confounding. METHODS: ...
Lam Byron L - - 2011
OBJECTIVE: To study trends of glaucoma medication expenditure from 2001 to 2006 using a nationally representative sample of US adults. METHODS: We analyzed glaucoma medication expenditure trends among participants of the 2001-2006 Medical Expenditure Panel Survey, a subsample of the National Health Interview Survey, which is a continuous multipurpose, multistage ...
Behrens Mark A - - 2011
Mississippi enacted medical negligence and other tort reform legislation that generally became effective for causes of action filed on or after January 1, 2003, and September 1, 2004. Data regarding lawsuits against physicians insured by the Medical Assurance Company of Mississippi (MACM), the largest medical liability insurer in the state, ...
Risberg Gunilla - - 2011
The implementation of and communication about matters associated with gender in medical education have been predominantly perceived as women's issues. This study aimed to explore attitudes towards and experiences of gender-related issues among key male members of faculties of medicine. We conducted semi-structured interviews with 20 male education leaders from ...
Pearson Mary - - 2011
Gerogogy in Patient Education was first printed in Home Healthcare Nurse, Volume 14, Number 8, (1996), Lippincott. Writers Mary Pearson, M.Ed, RN- BC and Joan Wessman, MA. have revisited and updated the material to meet the needs of a new generation of health care professionals. Baby Boomers are retiring; they ...
Addison Clifton C - - 2011
Even though some medications have the potential to slow the progress of atherosclerosis and development of CVD, there are many at-risk individuals who continue to resist the benefits that are available by not following the advice of medical professionals. Non-adherence to prescribed drug regimens is a pervasive medical problem that ...
Ahmed Mushtaq - - 2011
Medical education in sub-Saharan Africa must be defined by its health needs and the health care services required. The sociodemographic milieu that determines the disease pattern makes a compelling case for primary health care in the context of community participation and multisector community development as the driver of a plan ...
Putzeys V - - 2011
Hepatitis C virus genotype 2 is the third in order of frequency in Belgium. The aim of this study was to better define the genotype 2 carriers' epidemiology characteristics. In a database comprising 1726 viremic hepatitis C virus patient from the south part of Belgium, the files of 98 genotype ...
Ben-Yehuda Arie - - 2011
Background: Medication errors are the cause of common and dangerous adverse effects on patients. They occur as a result of preventable failures in the prescribing (ordering), transcribing, dispensing and administration of medications. Objective: The aim of this study was to determine the relationship between patient characteristics and prescribing and transcribing ...
Chavez Leo R - - 2011
Does an undocumented immigration status predict the use of medical services? To explore this question, this paper examines medical care utilization of undocumented Latino immigrants compared to Latino legal immigrants and citizens, and non-Latino whites in Orange County, California. Data were collected through a random sample telephone survey of 805 ...
Shin Paul - - 2011
The passing of Yale School of Medicine's 2010 Bicentennial occasions a moment of reflecting on the past, present, and future of medical education and research at Yale and beyond. Last June, a ribbon-cutting ceremony inaugurated the opening of the Cushing Center in the Cushing-Whitney Medical Library. Named after Harvey Cushing, ...
French Dustin D - - 2011
To compare short-term (1 year) survival of subjects treated for exudative age-related macular degeneration (AMD) with those with AMD who received no treatment. This was a case-control study. Beneficiaries of the Veterans Health Administration aged ≥55 years with a diagnosis of AMD in fiscal years 2007-2009 were included in this ...
Loeppke Ronald - - 2011
: To understand impacts of medication adherence, comorbidities, and health risks on workforce absence and job performance. : Retrospective observational study using employees' medical/pharmacy claims and self-reported health risk appraisals. : Statin medication adherence in individuals with Coronary Artery Disease was significant predictor (P < 0.05) of decreasing absenteeism. Insulin, ...
Wetmore James B JB Department of Medicine, Division of Nephrology and Hypertension, University of Kansas School of Medicine, Kansas City, KS 66160, USA. - - 2011
Despite their high risk of adverse cardiac outcomes, persons on long-term dialysis therapy have had lower use of antihypertensive medications with cardioprotective properties, such as angiotensin-converting enzyme (ACE) inhibitors/angiotensin receptor blockers (ARBs), β-blockers, and calcium channel blockers, than might be expected. We constructed a novel database that permits detailed exploration ...
Litster Annette - - 2011
To maximize their capacity to save lives and optimize resource allocation, animal shelters need to identify highly adoptable animals that are unlikely to be delayed on medical grounds before they can be made available for adoption. In this retrospective cohort study, our objective was to identify risk factors for delays ...
Huang Chun-Che - - 2011
The study aimed to assess the number of medically indicated and elective cesarean deliveries among foreign-born and native-born mothers in Taiwan. National Health Insurance (NHI) inpatient datasets in Taiwan between 2001 and 2003 showed 673,830 singleton deliveries, of which 66,687 were to foreign-born mothers and 607,143 were to Taiwan-born mothers. ...
Al-Riyami Intisar M - - 2011
Objective The aim of this study was to evaluate medication use pattern in a university tertiary hospital in the Sultanate of Oman. Setting The study was conducted at the Sultan Qaboos University Hospital (SQUH) and the SQUH Family and Community Medicine clinic (FAMCO), Muscat, Sultanate of Oman during 7th to ...
Shrank William H - - 2011
Objective: To explore caregiver adherence to chronic medications and predictors of appropriate medication use.Design: Descriptive, nonexperimental, cross-sectional study.Setting: United States in May 2009.Participants: 2,000 adults randomly selected from a large national consumer panel.Intervention: Web-based survey of community pharmacy patients.Main outcome measure: Self-reported medication adherence.Results: 21% of those invited (3,775) responded ...
Lang Pierre Olivier - - 2011
BACKGROUND: Potentially inappropriate medications and prescription omissions (PO) are highly prevalent in older patients with mental comorbidities. OBJECTIVE: To evaluate the effect of interdisciplinary geriatric and psychiatric care on the appropriateness of prescribing. DESIGN: Prospective and interventional study. SETTING: Medical-psychiatric unit in an academic geriatric department. PARTICIPANTS: Participants were 150 ...
Koutalonis M - - 2011
This study represents a survey performed among staff who, according to the Ionising Radiation (Medical Exposures) Regulations of 2000 (IRMER), are responsible for justifying radiological examinations in the UK. The aim of the survey is to map the current situation regarding knowledge of risks from X-ray exposures and the criteria ...
Peachey Louis G - - 2011
To what extent should we cushion the realities of remote area living for young people who are seeking challenge and inspiration?
Emmerich Nathan - - 2011
This paper argues the case for coming to see 'medical politics' as a topic or subject within medical education. First, its absence is noted from the wide array of paramedical subjects (medical ethics, history of medicine, the medical humanities, etc) currently given attention in both the medical education literature and ...
Cruz I - - 2011
BACKGROUND: Raised rates of psychoses among ethnic minorities have been reported. Exposure to antipsychotic medications can give information on mental illness management and ethnic-related differences. OBJECTIVE: To compare exposure to antipsychotic medications in immigrant and native-born populations in Spain. METHOD: Descriptive cross-sectional study of the dispensation of antipsychotic medications to ...
Nejtek Vicki A - - 2011
OBJECTIVE: An exploratory, cross-sectional study examined personal, clinical, and treatment characteristics among non-Hispanic Caucasian, non-Hispanic African American, and Hispanic indigent, inner-city clients with co-occurring disorders. METHODS: Men and women, 20-50 years old who met DSM-IV criteria for concurrent mood and substance use disorders were eligible. Inpatients, persons in detoxification programs, ...
Zanussi Lauren - - 2011
Advances in information technology have changed how we deliver medical education, sometimes for the better, sometimes not. Technologies that were designed for purposes other than education, such as podcasting, are now frequently used in medical education. In this article, the authors discuss the pros and cons of adapting existing technologies ...
Torabi Mohammad R - - 2011
Chronic diseases are currently the major cause of death and disability worldwide. Addressing the main causes of chronic diseases from a preventive perspective is imperative for half ing a continual increase in premature deaths. Physicians occupy a unique position to assist individuals with chronic disease prevention. Hence, medical school is ...
Zedler Barbara K - - 2011
Calendar blister packaging (CBP) that incorporates a day or date feature is a simple medication packaging technology that is designed to improve medication adherence and persistence. This study was conducted to assess the effect of a new calendar packaging technology on prescription refill adherence and persistence for daily, self-administered, long-term ...
Hayes Jennifer L JL Department of Obstetrics, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. - - 2011
Twin gestation is not considered a contraindication to medical abortion with mifepristone and misoprostol. However, data comparing the efficacy of medical abortion for singleton gestations as compared with multiple gestations are limited. We examined medical abortion outcomes for twin gestations through 63 days. We performed a secondary analysis of treatment ...
Furukawa Michael F - - 2011
To estimate the relationship between electronic medical record (EMR) use and efficiency of utilization and provider productivity during visits to US office-based physicians. Cross-sectional analysis of the 2006-2007 National Ambulatory Medical Care Survey. The sample included 62,710 patient visits to 2625 physicians. EMR systems included demographics, clinical notes, prescription orders, ...
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