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Hadar Nira N Center for Evidence-Based Medicine, School of Public Health, Brown University, Providence, R.I., - - 2014
Background: The rate of adverse clinical outcomes among patients with asymptomatic carotid stenosis receiving medical therapy alone can be used to guide clinical decision-making and to inform future research. We aimed to investigate temporal changes in the incidence rate of clinical outcomes among patients with asymptomatic carotid stenosis receiving medical ...
Kraus Elena M - - 2014
In recent years, issues in medical business ethics (MBE), such as conflicts of interest (COI), Medicare fraud and abuse, and the structure and functioning of reimbursement systems, have received significant attention from the media and professional associations in the United States. As a result of highly publicized instances of financial ...
Higgins Diana M DM VA Boston Healthcare System, USA Boston University, USA - - 2014
The MOVE!23, a questionnaire to assess weight-related domains in veterans, was examined. Factor analysis of Perceived Contributors to Weight Change revealed three factors (psychosocial, eating behavior, and medical) that were positively correlated with body mass index, and psychiatric and medical comorbidity (p's < 0.001). Multivariable cumulative logit models modeling the factor scores ...
Thornquist Eline E Department of Physiotherapy, University College of Bergen, Bergen, Norway; Nesttunhjørnet, Psychomotor Institute, Bergen, - - 2014
This paper addresses the movements 'evidence-based' (EBM) and 'personalized' (PM) medicine. The former is being criticized for failing to do justice to clinical complexity and human individuality. The latter aims at tailoring medical knowledge for every patient in a personalized fashion. Instrumental to this effort is the technological development engendering ...
Reis Margareth de Mello Ferreira Dos MD Instituto H. Ellis, Department of Psychiatry, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São - - 2014
Many men seek medical treatments complaining that their penises are too small (short) when in fact they are not (they are not cases of micropenis). The objective of the present study was to evaluate men's satisfaction with their own bodies and sex life and the prevalence of erectile dysfunction, among ...
Gordon James S - - 2014
For several decades, psychological stress has been repeatedly observed to be a significant challenge for medical students. The techniques and approach of mind-body medicine and group support have repeatedly demonstrated their effectiveness at reducing stress and improving the quality of the education experience. Mind-Body Skills Groups provide medical students with ...
Pandya Ankur A From the Departments of Healthcare Policy and Research (A.P., B.R.S.), Radiology (A.G., P.C.S.), and Neurology (H.K., B.B.N.), Weill Cornell Medical College, 402 East 67th St, 2nd Floor, LA 241, New York, NY - - 2014
Purpose To project and compare the lifetime health benefits, health care costs, and incremental cost-effectiveness of a decision rule based on assessment of cerebrovascular reserve (CVR) compared with medical therapy and immediate revascularization in asymptomatic patients with carotid artery stenosis for prevention of stroke. Materials and Methods The three strategies ...
McLaughlin Janice J Newcastle University, UK. Electronic address: - - 2014
Stories about disability are heavily shaped by the narratives offered by medicine and society. Those narratives enact an 'anomalous' body that is constructed as distant from the norm and therefore 'damaged' but also fixable. In this paper we explore how such narratives, and the practices they encompass, influence the stories ...
Kirkpatrick Angelia C AC Department of Medicine University of Oklahoma Health Sciences Center, Oklahoma City, OK; Veterans Affairs Medical Center, Oklahoma City, OK. Electronic address: - - 2014
Adherence to medical management of vascular risk is vital for stroke prevention in patients with asymptomatic carotid stenosis. Since carotid disease is a risk factor for cognitive impairment, we sought to determine if undiagnosed cognitive impairment impacts medication adherence in this setting. Sixty patients with asymptomatic ≥50% internal carotid artery ...
Shetty Anil A Associate Professor, Department of Pediatrics, Fr Muller Medical College and Hospital , Kankanady, Mangalore, India - - 2014
The caduceus is the popular symbol of medicine. However, premier health organizations and regulatory bodies such as the World Health Organization and the Medical Council of India use a different symbol- the rod of Asclepius in their logo. There is an increasing awareness and recognition that the caduceus is a ...
Szalontay Andreea Silvana - - 2014
No doubt, alcoholism represents nowadays the toxicomany with the highest expansion rate among all population groups, being recognized by the specialists from the medical, social, economic and legal field as a true "toxic pandemy". Researchers consider ethanol, this small but highly aggressive molecule, to have supremacy if we were to ...
Grootboom Mzukisi M Chairman, South African Medical Association, Pretoria, South Africa. - - 2014
The South African Medical Association (SAMA) recently adopted changes to its Memorandum of Incorporation and Rules that effectively realigned the organisation's governance structure into a fully-fledged member-based organisation. At its core is the ongoing obligation of SAMA to transform, with 50% of all elected SAMA structures needing to be occupied by historically ...
Anton Raymond F RF Center for Drug and Alcohol Programs, Alcohol Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA. Electronic address: - - 2014
Progress in understanding the neuroscience of addiction has significantly advanced the development of more efficacious medications for the treatment of alcohol use disorders (AUD). While several medications have been approved by regulatory bodies around the world for the treatment of AUD, they are not universally efficacious. Recent research has yielded ...
Seto Mimi T Y - - 2013
Background Medical abortion in women with the scar of a classical caesarean section (CS) and a large uterine leiomyoma is rarely attempted; it carries the risk of uterine rupture and haemorrhage. Case A 34-year-old multiparous woman with prior classical CS and a 14 × 10 × 9 cm leiomyoma arising ...
Pecoraro Fabrizio - - 2013
The MAUDE (Manufacturer and User facility Device Experience) was analyzed to identify challenges in detecting software failure causing Medical Device (MD) adverse events.
Stanley Donald E - - 2013
Establishing diagnoses is a crucial aspect of medical practice. However, this process has received comparatively little logical and pedagogical attention when compared to statistical methods for evaluating evidence. This article investigates the logic of medical diagnosis in order to fill this void. It is organized in three parts: the first ...
Micks Elizabeth E Department of Obstetrics and Gynecology, University of Washington, Seattle, WA 98195-6460, USA. - - 2012
Although pregnancy is expected during studies of novel contraceptives in non-human primates, gestation, delivery, and lactation remove females from groups for prolonged intervals. As the macaque cervix does not facilitate transcervical surgical termination of pregnancy, we sought to establish a medical termination protocol. A descriptive case series of outcomes of ...
Eknoyan Garabed - - 2012
The Late Medieval Period was a decisive period in the history of medicine. It was then that medical education was integrated into the universities that were coming into existence and when medicine made its transition from a menial trade to a regulated profession with a statutory basis of learning and ...
Smith Samantha E - - 2012
Background:  The General Medical Council mandates that UK medical graduates must be able to 'prescribe drugs safely, effectively and economically'. However, data from three UK medical schools show that graduates are poorly prepared for prescribing, and a recent study detected a prescribing error rate of 8.4 per cent amongst foundation year 1 ...
Ng Chee Hong - - 2012
RATIONALE: Patient attitudes and beliefs regarding the cost-benefits of medications may influence treatment adherence. However, beliefs and attitudes about psychotropic medications have not been well studied across different clinical populations. OBJECTIVE: This study sought to compare medication attitudes, beliefs, and clinical characteristics in patients with psychotic disorders versus those with ...
Sercu M - - 2012
BackgroundIn 2002, Belgium set a legal framework for euthanasia, whereby granting and performing euthanasia is entrusted entirely to physicians, and-as advised by Belgian Medical Deontology-in the context of a trusted patient-physician relationship. Euthanasia is, however, rarely practiced, so the average physician will not attain routine in this matter.AimTo explore how ...
Aflakseir Abdulaziz - - 2012
Objectives:  To examine the role of illness and medication perceptions on medication adherence in a group of Iranian patients with type-2 diabetes. Method:  102 patients with type 2-diabetes were recruited from an outpatient clinic in Shiraz/Iran using convenience sampling method. The participants completed Illness Perception Questionnaire-revised (IPQ-R), Belief Medication Questionnaire ...
Charon Rita - - 2012
Reflective writing is being introduced in many medical schools in the United States and abroad for a variety of reasons and with a variety of goals in mind. As Wald and colleagues write, multiple methods, including the rubric introduced in their study, have been proposed for rating or grading this ...
Luciani Davide - - 2011
OBJECTIVE: Setting up clinical reports within hospital information systems makes it possible to record a variety of clinical presentations. Directed acyclic graphs (Dags) offer a useful way of representing causal relations in clinical problem domains and are at the core of many probabilistic models described in the medical literature, like ...
Lahey Timothy - - 2011
Medical students' interest in global health outreach work is intense and growing. Yet, medical students' global health outreach work is fraught with ethical complexity: Students must make challenging resource allocation decisions in an unfamiliar setting while providing complicated care with evolving expertise across power gradients and geographical as well as ...
Poot Jeffrey D - - 2011
RATIONALE AND OBJECTIVES: To learn what percentage of US medical schools require their students to complete rotations in radiology during the clinical years. A secondary goal was to survey students' opinions about radiology rotations. MATERIALS AND METHODS: Data were collected from 159 US medical schools from the Association of American ...
Weaver Roslyn - - 2011
Medical Education 2011 doi: 10.1111/j.1365-2923.2011.04046.x Objectives  Medical students must develop not only their professional identity but also inclusive social attitudes for effective medical practice in the future. This study explores the elements that contribute to medical students' sense of professional identity and investigates the concept of social exclusivity and how ...
Wong Anne K - - 2011
Globalisation initiatives in medical education are premised on a universal model of medical education. This study was conducted to challenge this premise by empirically examining the impact of culture on the practice of medical education in anaesthesia residency training programmes in Thailand and Canada. Using a mixed-methods comparative case study ...
Ross Sarah - - 2011
Doctors do not follow guidance when managing their own health and illness. This behaviour may start at medical school. This study aimed to investigate whether inappropriate responses to illness are an issue for medical students and, if so, to identify the determinants of students' responses to illness. We undertook a ...
Williamson Kelly - - 2012
The goal of treating patients who present with cardiac arrest is to intervene as quickly as possible to affect the best possible outcome. The mainstays of these interventions, including early activation of the emergency response team, early initiation of cardiopulmonary resuscitation, and early defibrillation, are essential components with demonstrated positive ...
Shiyanbola Olayinka O - - 2011
The objectives of this study are to describe the illness perceptions and medication beliefs of minority women with diabetes and to examine if these beliefs have an impact on medication non-adherence. Minority women who had been diagnosed with diabetes within the past six months, taking prescribed medications and able to ...
Nakhutina Luba L SUNY Downstate Medical Center, Brooklyn, NY 11203, USA. - - 2011
The current study examined beliefs about medication and their association with adherence to antiepileptic drugs (AEDs) among predominantly ethnic minority, low-income patients with epilepsy (PWE). Seventy-two PWE completed standardized questionnaires. The Beliefs about Medicines Questionnaire was used to assess perceptions about AEDs and medications in general. Adherence was measured with ...
Curry Saundra E - - 2011
Medical Education 2011: 45: 946-957 CONTEXT  Training future doctors to develop an appropriate professional persona is an important goal of medical student education and residency training. Most medical education research paradigms on professionalism have focused largely on lapses (e.g. yelling as an example of communication failure) and tend to emphasise ...
Adeboye Muhammed A N - - 2011
This study aims to investigate the types and indications of amulets, bands and traditional applications among pediatric emergencies and neonatal admissions into the Federal Medical Centre, Bida, Nigeria. This was a cross-sectional study conducted between January and July, 2008. Children admitted into the emergency and neonatal units of the institution ...
Wamboldt Frederick S FS Center for Health Promotion, National Jewish Health, Denver, CO 80206, USA. - - 2011
Adherence with inhaled controller medications for asthma is known to be highly variable with many patients taking fewer doses than recommended for consistent control of lung inflammation. Adherence also worsens as children become teenagers, although the exact causes are not well established. To use focus group methodology to examine beliefs, ...
Tsiligianni Ioanna G - - 2011
Abstract Background: Patients often have multiple chronic diseases, use multiple prescriptions and over the counter medications resulting in polypharmacy. Many of them store these medications for future use in their homes, rather than take them as directed by their physician, resulting in a waste of health care resources, and potentially ...
Koster Ellen S - - 2011
Poor adherence with inhaled corticosteroids (ICSs) has been reported frequently and may be associated with uncontrolled asthma. A better understanding of factors influencing adherence may help to achieve higher adherence rates for a larger part of the population, which will eventually lead to better asthma control. The aim of this ...
Bermingham Margaret - - 2011
BACKGROUND: Improvements in the control of LDL-C levels have occurred in the past decade due to the introduction of increasingly potent statins, such as atorvastatin and rosuvastatin. Many patients, however, do not achieve their LDL-C goals, which presents a practical dilemma for clinicians and highlights the need to identify adherence ...
Swartz James A - - 2011
Studies of incarcerates with serious mental illnesses have found elevated rates of chronic medical conditions such as asthma and diabetes, and of infectious diseases such as tuberculosis compared with general population rates. This study explored the pattern of chronic medical conditions in a sample of adult detainees in psychiatric treatment ...
Metzger Miriam J - - 2011
This article invokes research on information seeking and evaluation to address how providers of evidence-based medical information can use Web 2.0 technologies to increase access to, enliven users' experiences with, and enrich the quality of the information available. In an ideal scenario, evidence-based medical information can take appropriate advantage of ...
Williams Reed G - - 2011
PURPOSE: Little is known about the acquisition of clinical reasoning skills in medical school, the development of clinical reasoning over the medical curriculum as a whole, and the impact of various curricular methodologies on these skills. This study investigated (1) whether there are differences in clinical reasoning skills between learners ...
Bindl Uta K - - 2011
The authors consider how multiple dimensions of affect relate to individual proactivity. They conceptualized proactivity within a goal-regulatory framework that encompasses 4 elements: envisioning, planning, enacting, and reflecting. In a study of call center agents (N = 225), evidence supported the distinctiveness of the 4 elements of proactive goal regulation. ...
van Tongeren-Alers Margret - - 2011
Background: Female students currently outnumber male students in most medical schools. Some medical specialties are highly gender segregated. Therefore, it is interesting to know whether medical students have early specialization preferences based on their gender. Consequently, we like to know importance stipulated to motivational factors. Aim: Our study investigates new ...
Boockvar Kenneth S - - 2011
Medication reconciliation can prevent medication errors and harm when patients transition between hospital and other care settings. Though a Joint Commission hospital Patient Safety Goal since 2006, organizations continue to have difficulty implementing the process. To determine factors that influence performance of medication reconciliation in a hospital setting with a ...
Adegboye O A - - 2011
Objective: To audit the knowledge of doctors and evaluate their disposition toward the attainment of the Millennium Development Goals (MDGs). Materials and Methods: Semi-structured questionnaires requesting information about knowledge of the acronym "MDGs" were administered on willing doctors at three tertiary health centers: University of Ilorin Teaching Hospital, Federal Medical ...
Teo Alan R AR Robert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor, USA. - - 2011
Among the core transitions in medical education is the one from medical school to residency. Despite this challenging transition, the final year of medical school is known as lacking structure and clarity. The authors examine the preparation of medical students for the professional and personal challenges of internship in the ...
Fawzi Waleed - - 2011
ABSTRACTBackground: Adherence to treatment is a complex and poorly understood phenomenon. This study investigates the relationship between older depressed patients' adherence to antidepressants and their beliefs about and knowledge of the medication.Methods: Assessment was undertaken of 108 outpatients over the age of 55 years diagnosed with depressive disorder and treated ...
Petrie Keith J - - 2011
Objective. While effective preventative medication is readily available for asthma, adherence is a major problem due to patients' beliefs about their illness and medication. We investigated whether a text message programme targeted at changing patients' illness and medication beliefs would improve adherence in young adult asthma patients. Methods. Two hundred and sixteen ...
Trogdon Justin G - - 2012
The goal of this study is to expand prior analyses by presenting current state-level estimates of the costs of obesity in total and separately for Medicare and Medicaid. Quantifying current Medicare and Medicaid expenditures attributable to obesity is important because high public sector costs of obesity have been a primary ...
Gadkari Abhijit S - - 2011
OBJECTIVE:: The primary objective of this study was to investigate whether nonresponders to a medication-beliefs survey exhibited different adherence and persistence patterns than survey responders. METHODS:: A medication-beliefs survey was mailed to 7795 adults aged from 40 to 88 years, who filled a qualifying index prescription (cardiovascular, dyslipidemia, oral-antihyperglycemic, oral-bisphosphonate, ...
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