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Glenn Tasha T ChronoRecord Association, Inc., Fullerton, CA, 92834, - - 2014
With the rapid and ubiquitous acceptance of new technologies, algorithms will be used to estimate new measures of mental state and behavior based on digital data. The algorithms will analyze data collected from sensors in smartphones and wearable technology, and data collected from Internet and smartphone usage and activities. In ...
Stout Somava S *Cambridge Health Alliance and the Harvard Medical School Center for Primary Care, Somerville, MA †Portneuf Health Care Foundation, Pocatello, - - 2014
The transition of a primary care practice to a patient-centered medical home can be arduous. It requires time and resources from staff and leaders. Evidence to date suggests that not all medical homes are equally successful and that there is a substantial difference between the achievement of medical home recognition ...
Coleman Katie K *MacColl Center for Health Care Innovation, Group Health Research Institute †Qualis Health ‡NVB Consulting Inc., Seattle, WA §American Medical Association, Chicago, - - 2014
Despite widespread interest in supporting primary care transformation, few evidence-based strategies for technical assistance exist. The Safety Net Medical Home Initiative (SNMHI) sought to develop a replicable and sustainable model for Patient-centered Medical Home practice transformation. This paper describes the multimodal technical assistance approach used by the SNMHI and the ...
Sarfati L L Clinical Oncology Pharmacy Unit, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre Bénite, - - 2014
Medication errors (ME) in oncology are known to cause serious iatrogenic complications. However, MEs still occur at each step in the anticancer chemotherapy process, particularly when injections are prepared in the hospital pharmacy. This study assessed whether a ME simulation program would help prevent ME-associated iatrogenic complications. The 5-month prospective ...
Swartz James A JA James A. Swartz and Ian Jantz are with the Jane Addams College of Social Work, University of Illinois at - - 2014
Objectives. We sought to determine whether severe psychological distress (SPD) and serious mental illnesses (SMIs) are associated with a specific set of chronic medical conditions (CMCs) and the association between SPD-SMIs and increasing levels of medical multimorbidity and complexity (i.e., from 1 to 3 or more CMCs). Methods. We used ...
Brauer David G DG Washington University School of Medicine , USA - - 2014
Abstract The popularity of the term "integrated curriculum" has grown immensely in medical education over the last two decades, but what does this term mean and how do we go about its design, implementation, and evaluation? Definitions and application of the term vary greatly in the literature, spanning from the ...
Bentley Thomas T Thomas Bentley, RN, MS, is Deputy CIO, Applications, The Ohio State University Wexner Medical Center, Columbus. Milisa Rizer, MD, MPH, is Chief Medical Information Officer, and Associate Professor of Family Medicine, The Ohio State University Wexner Medical Center, Columbus. Ann Scheck McAlearney, ScD, MS, is Professor of Family Medicine and Vice Chair for Research, Department of Family Medicine, The Ohio State University, Columbus. Hagop Mekhjian, MD, is Senior Associate Vice President, Health Sciences, The Ohio State University Wexner Medical Center, Columbus. Monica Siedler, MHA, is Administrative Associate, The Ohio State University Wexner Medical Center, Columbus. Karen Sharp, MS, is Director of Information Technology, The Ohio State University Wexner Medical Center, Columbus. Phyllis Teater, MS, is Associate Vice President, Health Services, The Ohio State University Wexner Medical Center, Columbus. Timothy Huerta, PhD, MS, is Associate Professor of Family Medicine and Biomedical Informatics, The Ohio State University, Columbus. Email: - - 2014
Health care organizations, in response to federal programs, have sought to identify electronic medical record (EMR) strategies that align well with their visions for success. Little exists in the literature discussing the transition from one EMR strategy to another. The analysis and planning process used by a major academic medical ...
Sorita Atsushi A http://orcid.org/0000-0003-1150-3490 Division of Preventive Medicine, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, - - 2014
We developed and implemented a 'CPOE-QT Alert' system, that is, clinical decision support integrated in the computerized physician order entry system (CPOE), in 2011. The system identifies any attempts to order medications with risk of torsade de pointes (TdP) for patients with a history of significant QT prolongation (QTc ≥500 ms) ...
Ahmadi Nasab Emran Shahram S Dr. Ahmadi Nasab Emran is a teaching assistant, Albert Gnaegi Center for Health Care Ethics, Saint Louis University (SLU), St. Louis, Missouri. He is also a candidate for a PhD in health care ethics at - - 2014
The pharmaceutical industry's wide range of interactions with physicians, trainees, and other medical professionals-interactions that include information transfer and financial incentives-has been the source of undue influences, especially on physicians' prescription behavior. Current literature has mainly been focused on the financial element of these influences, and the problems in medical ...
Golder Su - - 2014
Research has indicated that adverse effects terms are increasingly prevalent in the title, abstract or indexing terms of articles that contain adverse drug effects data in MEDLINE and Embase. However, it is unknown whether adverse effects terms are present in the database records of articles that contain adverse effects data ...
Leslie Daniel C DC 000000030606792X 1] Wyss Institute for Biologically Inspired Engineering, Harvard University, Boston, Massachusetts, USA. [2] School of Engineering and Applied Sciences, Harvard University, Cambridge, Massachusetts, USA. [3] Harvard Medical School, Boston, Massachusetts, USA. [4] Vascular Biology Program, Boston Children's Hospital, Boston, Massachusetts, - - 2014
Thrombosis and biofouling of extracorporeal circuits and indwelling medical devices cause significant morbidity and mortality worldwide. We apply a bioinspired, omniphobic coating to tubing and catheters and show that it completely repels blood and suppresses biofilm formation. The coating is a covalently tethered, flexible molecular layer of perfluorocarbon, which holds ...
Montassier Emmanuel - - 2014
Abstract Objective. It has been proved that emergency medical dispatch centers (EMDC) save lives by promoting an appropriate allocation of emergency medical service resources. Indeed, optimal dispatcher call duration is pivotal to reduce the time gap between the time a call is placed and the delivery of medical care. However, ...
Thelen Sebastian - - 2014
In order to study new methods of telemedicine usage in the context of emergency medical services, researchers need to prototype integrated telemedicine systems. To conduct a one year trial phase-intended to study a new application of telemedicine in German emergency medical services-, we used off-the-shelf medical devices and software to ...
Lee Tian-Fu TF Department of Medical Informatics, Tzu Chi University, Hualien 970, Taiwan, ROC. Electronic address: - - 2014
Telecare medicine information systems provide a communicating platform for accessing remote medical resources through public networks, and help health care workers and medical personnel to rapidly making correct clinical decisions and treatments. An authentication scheme for data exchange in telecare medicine information systems enables legal users in hospitals and medical ...
Fotiadis Dimitris - - 2014
This paper presents a novel method for tracking the position of a medical instrument's tip. The system is based on phase locking a high frequency signal transmitted from the medical instrument's tip to a reference signal. Displacement measurement is established having the loop open, in order to get a low ...
Biagianti Bruno - - 2014
BackgroundEven after successful detoxification, 20-40% of subjects presenting chronic migraine with symptomatic medication overuse (CMwMO) relapse into medication overuse within one year. In this restrospective analysis on subjects referred to our center for detoxification, we investigated whether personality traits, dependency-like behaviors and pain coping styles predicted those who relapsed into ...
Hirst Martin M InDependent Diabetes - - 2014
There is no such medical condition as 'pre-diabetes' and I am concerned this term has crept into our language.
de Kam Digna D Department of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Po Box 9101, 6500 HB, Nijmegen, The Netherlands, - - 2014
In this study, we investigated the effect of dopaminergic medication on reactive stepping responses to forward and backward balance perturbations in patients with moderately severe Parkinson's disease (PD). Twelve PD patients, Hoehn and Yahr stage ranging from 2 to 3, and 15 healthy controls were exposed to multidirectional translational stance ...
Wright Aileen P AP Yale School of Medicine, New Haven, CT, United States. Electronic address: - - 2014
Therapy for certain medical conditions occurs in a stepwise fashion, where one medication is recommended as initial therapy and other medications follow. Sequential pattern mining is a data mining technique used to identify patterns of ordered events. To determine whether sequential pattern mining is effective for identifying temporal relationships between ...
Howe Hasanali Stephanie S Department of Sociology and Population Research Institute, Pennsylvania State University, 211 Oswald Tower, University Park, PA, 16802-6207, USA, - - 2014
This study compares the unmet medical needs of foreign-born and U.S.-born adults. Both subjective and objective unmet medical needs are considered, and the roles of duration of U.S. residence, English language proficiency, and state-level destination type in explaining immigrants' unmet need are assessed. Multivariate analyses of the 2007-2009 Medical Expenditure ...
Wright Sarah S Medical Education Department, Toronto East General Hospital, 825 Coxwell Avenue, Toronto, ON, M4C 3E7, Canada, - - 2014
Students from state schools are underrepresented in UK medical schools. Discussions often focus on deficient academic and motivational traits of state school students, rather than considering the effects of student support during the admissions process. This qualitative study explored student experiences of support from schools and families during the medical ...
Hammar Tora T eHealth Institute, Department of Medicine and Optometry, Linnaeus University, 391 82, Kalmar, Sweden, - - 2014
Background Physicians, patients and others involved need to have accurate information on patients' current drug prescriptions available, and have that information protected from unauthorized access. During the past decade, many counties in Sweden have implemented regionally shared medication lists within health care. Objective The aim of this study was to ...
Pollart Susan M SM Dr. Pollart is Ruth E. Murdaugh Professor of Family Medicine and senior associate dean for faculty affairs and faculty development, University of Virginia School of Medicine, Charlottesville, Virginia. Ms. Dandar is senior research and member services specialist, Faculty Forward, Association of American Medical Colleges, Washington, DC. Dr. Brubaker is professor of obstetrics and gynecology and dean, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois. Dr. Chaudron is senior associate dean for diversity and professor in psychiatry, pediatrics, and obstetrics and gynecology, University of Rochester Medical Center, Rochester, New York. Dr. Morrison is vice chancellor for academic affairs and professor of neurology and pediatrics, University of New Mexico Health Sciences Center, Albuquerque, New Mexico. Dr. Fox is senior director of research, American Academy of Physician Assistants, Alexandria, Virginia. Dr. Mylona is vice dean for faculty affairs and professional development and professor of medicine, Eastern Virginia Medical School, Norfolk, Virginia. Dr. Bunton is research director, Organization and Management Studies, Association of American Medical Colleges, Washington, - - 2014
To describe the demographics of part-time faculty at U.S. medical schools and to examine their satisfaction with and perceptions of their workplace. Faculty from 14 Liaison Committee on Medical Education-accredited U.S. medical schools participated in the 2011-2012 Faculty Forward Engagement Survey. The authors calculated descriptive statistics of part-time faculty respondents ...
Agapova Maria M Pharmaceutical Outcomes Research and Policy Program, Department of Pharmacy, School of Pharmacy, University of Washington, 1959 NE Pacific St, Seattle, WA 98195. Electronic address: - - 2014
Health agencies making regulatory marketing-authorization decisions use qualitative and quantitative approaches to assess expected benefits and expected risks associated with medical interventions. There is, however, no universal standard approach that regulatory agencies consistently use to conduct benefit-risk assessment (BRA) for pharmaceuticals or medical devices, including for imaging technologies. Economics, health ...
Johnson Heidi H Department of Pediatrics, University of Nebraska Medical - - 2014
The study's aim was to determine migraine prevalence, severity, and educational impact in medical students. A 23-item survey of all medical students of one US medical school addressed migraine frequency, triggers, pattern and severity of symptoms, medication use, impact on educational activities and career choices. The response rate was 48% ...
Kearns Randy D RD From the University of North Carolina School of Medicine, Chapel Hill, the North Carolina Office of Emergency Medical Services, Raleigh, Western Carolina University, Cullowhee, and Wake Forest University Baptist Health, Winston Salem, North - - 2014
The purpose of this work was to examine the creation and evolution of the North Carolina state medical response system (SMRS). During the past 30 years, states and local communities have developed a somewhat incongruent patchwork of medical disaster response systems. Several local or regional programs participated in the National ...
Ayatollahi Ali A Ali Ayatollahi, MSc Student of Optometry, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, - - 2014
Although computer technologies are now widely used in medicine, little is known about its use among medical students in Iran. The aim of this study was to determine the competence and access to computer and internet among the medical students. In this descriptive study, medical students of Shahid Sadoughi University ...
Petersson Kerstin - - 2014
The Swedish Maternal Health Care Register (MHCR) is a national quality register that has been collecting pregnancy, delivery, and postpartum data since 1999. A substantial revision of the MHCR resulted in a Web-based version of the register in 2010. Although MHCR provides data for health care services and research, the ...
Schwegler Urban - - 2014
Medical evaluations of work capacity provide key information for decisions on a claimant's eligibility for disability benefits. In recent years, the evaluations have been increasingly criticized for low transparency and poor standardization. The International Classification of Functioning, Disability and Health (ICF) provides a comprehensive spectrum of categories for reporting functioning ...
Pevnick Joshua M - - 2014
Medication non-adherence is prevalent. We assessed the effect of electronic prescribing (e-prescribing) with formulary decision support on preferred formulary tier usage, copayment, and concomitant adherence. We retrospectively analyzed 14,682 initial pharmaceutical claims for angiotensin receptor blocker and inhaled steroid medications among 14,410 patients of 2189 primary care physicians (PCPs) who ...
Weglicki Robert S RS University of Derby, UK. Electronic address: - - 2014
Continuing professional development (CPD) for non-medical prescribers is recognised as being pivotal in maintaining up -to -date knowledge and skills influencing prescribing competence. This study was, therefore, designed to ascertain the aspirations, priorities and preferred mode of CPD for non-medical prescribers. Qualitative data were derived from semi-structured in-depth interviews and ...
Babelli Sumayah S University of Dundee , UK - - 2014
Abstract The Dundee Polyprofessionalism Inventory I: Academic Integrity was administered to 219 medical students from three Egyptian medical schools. The results indicate a high level of congruence between the genders in Recommended Sanctions on a scale of 1-10 ranging from Ignore through Reprimand to Expulsion/Report to Regulatory Body. Some variations ...
Van Hamel C C Health Education South West , - - 2014
Abstract Background: Mandatory induction for foundation year 1 trainees (F1s) was introduced in 2012 to ease the transition from student to doctor. The aims of this national study were to assess anxiety levels and preparedness in the 2012 F1 cohort and whether these varied according to medical school of graduation ...
Bonner Carissa - - 2014
Objective: Although current guidelines around the world recommend using absolute risk (AR) thresholds to decide whether cardiovascular disease (CVD) risk should be managed with lifestyle or medication, the use of AR in clinical practice is limited. The aim of this study was to explore the factors that influence general practitioner ...
Amin Alpesh A University of California, Irvine, - - 2014
Abstract OBJECTIVE: Results of randomized clinical trials (RCT) demonstrate that novel oral anticoagulants (NOAC) are effective therapies for reducing the risk of stroke in non-valvular atrial fibrillation (NVAF). Prior medical cost avoidance studies have used warfarin event rates from RCTs, which may differ from patients receiving treatment in a real-world ...
Huang Lisu L Department of Pediatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, - - 2014
This study aimed to investigate early predictors (6months after diagnosis) of medical intractability in epilepsy. All children <12years of age having two or more unprovoked seizures 24h apart at Xinhua Hospital between 1992 and 2006 were included. Medical intractability was defined as failure, due to lack of seizure control, of ...
de la Torre Jack C JC Department of Psychology, University of Texas at Austin, Austin, Texas, - - 2014
The incidence rate in Alzheimer's disease (AD) is expected to quadruple worldwide by 2050. To limit this impending socio-medical calamity, a fulcrum change from how AD is presently managed is crucial. The present approach has not averted the stress of AD on medical resources nor reduced the already cost-strained government ...
Snipes Daniel J DJ Department of Psychology, Virginia Commonwealth University , Richmond, VA , - - 2014
Abstract Background: The non-medical use of prescription drugs (NMUPD) is a hazardous health behavior popular among young adults and college students. Past research has documented prevalence rates and risk factors associated with NMUPD, while little research has addressed protective factors. Objective: The present study examined the associations of religiosity and ...
Kwon Hyuknam H College of Pharmacy, Natural Product Research Institute, Seoul National University, Sillim-dong, Gwanak-gu, Seoul 151-742, South - - 2014
The application of smartphones to medical devices has been gaining attention in addressing accessibility and cost issues in healthcare, and the detection of medically relevant compounds has been demonstrated using customized smartphone hardware and/or software. Metabolomics, a newly rising omics field, has also spawned many medical applications but requires highly ...
Blalock Susan J SJ Division of Pharmaceutical Outcomes and Policy, Eshelman School of Pharmacy, University of North Carolina at Chapel - - 2014
Objective: We use a multidimensional framework to describe the types of information about medication risks that rheumatologists provide to rheumatoid arthritis (RA) patients during routine office. Methods: We analyzed 1,094 audio-taped rheumatology office visits involving 450 RA patients. Each patient had up to three visits audiotaped. In conjunction with each ...
Nakamura Koshi K Department of Epidemiology and Public Health, Kanazawa Medical - - 2014
Concerns have increasingly been raised about the medical economic burden in Japan, of which approximately 20% is attributable to cardiovascular disease, including coronary heart disease and stroke. Because the management of risk factors is essential for the prevention of cardiovascular disease, it is important to understand the relationship between cardiovascular ...
Nakamura Koshi K Koshi Nakamura, Department of Epidemiology and Public Health, Kanazawa Medical University, Ishikawa 920-0293, - - 2014
Hypertension is a major determinant of health and is likely to have an effect on medical economics. The economic burden due to hypertension may be attributable not only to antihypertensive medication but also to the very expensive procedures required for cases of cardiovascular disease that occur more frequently in hypertensive ...
Claydon-Platt Kate K PhD Researcher, Melbourne School of Health Sciences, The University of Melbourne, Level 6, Alan, Gilbert Building, 161 Barry Street, Carlton Victoria Australia 3010. Phone: +61 3 8344 9463, Fax: +61 3 8344 5391 Email: - - 2014
Abstract Aims: To develop and evaluate a screening tool to identify people with diabetes at increased risk of medication problems relating to hypoglycaemia and medication non-adherence. Methods: A retrospective audit of attendances at a diabetes outpatient clinic at a public, teaching hospital over a 16-month period was conducted. Logistic regression ...
Touma Waseem W Division of Hospital Medicine, Department of Internal Medicine, St. Louis, MO, United - - 2014
Cetuximab, a chimeric monoclonal antibody, is the only targeted therapy approved for squamous cell carcinoma of the head and neck (SCCHN). Infusion reactions (IRs) occur in 6-18% of patients pre-medicated with diphenhydramine. Evidence for clinical risk factors for IRs is limited and the benefit of additional pre-medication to prevent IRs ...
Chapman Christopher G CG Inflammatory Bowel Disease Center, University of Chicago Medicine, 5841 South Maryland Avenue, MC 4076, Chicago, IL 60637, - - 2014
It has been proposed that effective disease control through abrogation of inflammation in IBD may also reduce CRC risk in these individual patients. This article summarizes the potential for medical therapy to reduce the risk of CRC via primary and secondary prevention, and offers practical ways in which a goal ...
Reimers Mona - - 2014
Accounts receivable and scheduling datasets have been available to medical practices since the 1990s, and discrete medical records data have become available over the past few years. But the frustrations that arose from the difficulties in reporting data grew with each keyboard stroke and mouse click. With reporting mandated to ...
Kitzman Patrick - - 2014
Objective The purpose of this study was to examine the overall prevalence of polypharmacy within the spinal cord injury (SCI) population, the level of polypharmacy with respect to seven classes of high-risk drugs commonly used to treat secondary conditions in the SCI population, and the overall risks for drug-related problems ...
Willen Shaina M SM Department of Pediatrics, Duke University Medical Center, Durham, NC, - - 2014
Sickle cell disease (SCD) is the most common genetic disease among persons with African ancestry. This article provides a background to SCD and reviews many important aspects of travel preparation in this population. The medical literature was searched for studies on travel-associated preparedness and complications in individuals with SCD. Topics ...
Renata Grou Volpe Cris C Associate Professor of Nursing; University of Brasilia, - - 2014
This article describes the analysis of the frequency, type and risk factors relating to errors in the preparation and administration of medications in patients admitted to a public hospital in Brasilia Federal District, Brazil, which serves a population of approximately 500,000 inhabitants. Patients are commonly affected and harmed by medication ...
Urkin Jacob J Division of Community Health, Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, 84105, Beer-Sheva, Israel, - - 2014
Religiosity is inherent in human cultures. Being different in many aspects, all have rules regarding appropriate behavior and rituals. Celebrations of social events and of holidays prevail in all major religions. These include code of dress, prayers, special food and activities which may have negative health implications. The Jewish religion ...
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