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Tullo Ellen StClair ES a Institute for Ageing and Health, Biomedical Research Building, Campus for Ageing and Vitality , Newcastle University , Newcastle-upon-Tyne , - - 2014
Objectives: Care of patients with dementia raises challenging ethical issues, including the use of deception in clinical practice. This study aimed to determine the extent to which medical students agree that ethical arguments for and against deceiving patients in general apply to patients with dementia. Method: Qualitative study using six ...
Witzel Sarah J SJ Saskatoon Co-op Pharmacy , Saskatoon, Saskatchewan, Canada - - 2014
Abstract Biologic medications are effective therapeutic options for treating autoimmune diseases, but information on their safety in lactation is still scarce. Autoimmune conditions occur frequently in women of childbearing age, creating difficult decisions regarding optimizing maternal health and supporting breastfeeding. Available data, in addition to the favorable pharmacokinetic properties of ...
Wise Qc Ian I Doughty Street Chambers (now of Monckton Chambers, Raymond Buildings, - - 2014
Consideration of recent judgment of the Supreme Court in leading case concerning the withdrawal and withholding of medical treatment for a patient lacking capacity who was in a critical condition.
Jones Christopher W - - 2014
Publication bias is a major threat to the validity of systematic reviews. Searches of clinical trials registries can help to identify unpublished trials, though little is known about how often these resources are utilized. We assessed the usage and results of registry searches reported in systematic reviews published in major ...
Ashraf Bushra B Department of Obstetrics and Gynecology, Mother and Child Health Centre, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, - - 2014
The Surgical Informed Consent (SIC) is a comprehensive process that establishes an information-based agreement between the patient and his doctor to undertake a clearly outlined medical or surgical intervention. It is neither a casual formality nor a casually signed piece of paper. The present study was designed to audit the ...
Burri Emanuel E Department of Gastroenterology, University Medical Clinic, Cantonal Hospital, Rheinstrasse 24, 4410, Liestal, Switzerland, - - 2014
Non-invasive monitoring of inflammatory bowel disease is an unmet clinical need as patients in clinical remission may have residual mucosal inflammation preceding clinical relapse. We aimed to assess the value of fecal calprotectin and standardized clinical activity scoring to monitor disease activity in ulcerative colitis under medical treatment. Forty-one patients ...
Voils Corrine I - - 2014
BackgroundPatients with multiple chronic conditions often have multiple prescribers, which has been associated with greater health care utilization and medication nonadherence in claims-based analyses. This qualitative study was conducted to understand the reasons why patients have increasing numbers of prescribers of medications and to understand patient perspectives on advantages and ...
Barnes Kelli D KD Division of Pharmacy Practice and Administration, The Ohio State University College of Pharmacy, Columbus, - - 2014
The purposes of this population management intervention were to identify patients with stage 3, 4, or 5 chronic kidney disease (CKD) and to improve care in a patient-centered medical home (PCMH). Objectives of the intervention were to (i) increase the identification of CKD, (ii) increase the use of aspirin and ...
Cournoyea Michael M Institute for the History and Philosophy of Science and Technology, University of Toronto, Toronto, ON, - - 2014
In this paper, we propose a methodology for investigating medically unexplained physical symptoms (MUPSs). These symptoms are common in both primary and specialist medical practices, but are poorly understood. Currently, MUPSs are diagnosed via non-explanatory labels. However, we show that explanatory diagnoses are preferable to non-explanatory syndromic diagnoses because they ...
Lamanna J J Department of Psychology, Virginia Commonwealth University, Richmond, VA, - - 2014
This qualitative, exploratory study examines the content of communication between healthcare providers (HCP) and childhood cancer patients (CCP) during a medical appointment to evaluate the extent to which cancer survivorship issues (medical and psychosocial) are discussed. The content of the communication for 16 CCP ages 10-22 and their HCP were ...
Kröger K K Klinik für Gefäßmedizin, HELIOS Klinik Krefeld, Krefeld, Germany; Thrombose-Initiative e.V., Mainz, - - 2014
Despite the existence of active prophylaxis strategies for patients at risk of venous thromboembolism (VTE), people still suffer from this disease. To establish the setting in which VTE occurs and how it can be prevented, a study was conducted aimed at analysing the circumstances surrounding VTE development. In a nationwide ...
Diaconu Karin - - 2014
Medical device procurement processes for low- and middle-income countries (LMICs) are a poorly understood and researched topic. To support LMIC policy formulation in this area, international public health organizations and research institutions issue a large body of predominantly grey literature including guidelines, manuals and recommendations. We propose to undertake a ...
Cobb Carla D CD RiverStone Health Clinic, Billings, - - 2014
Our objective was to evaluate a pharmacist-delivered comprehensive medication management (CMM) service provided to patients with psychiatric disorders. We conducted a retrospective review and analysis of medication-related data, and a return on investment cost analysis. The project consisted of 154 patients with psychiatric disorders who were referred to the CMM ...
Austin Stephen S Melbourne Dental School, University of Melbourne, Victorian/Tasmanian Oral & Maxillofacial Training - - 2014
The population seeking implants in private practice is a demographically and medically unique group. Understanding their medical needs can improve treatment planning and service delivery specifically for this population. Privately practicing dental clinicians from Victoria, Australia, participated in a 5 year retrospective study. Data was collected from the medical histories ...
Schmidt Harald H Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania2Center for Health Incentives and Behavioral Economics, Perelman School of Medicine, University of - - 2014
Current approaches to controlling health care costs have strengths and weaknesses. We propose an alternative, "inclusive shared savings," that aims to lower medical costs through savings that are shared by physicians and patients. Inclusive shared savings may be particularly attractive in situations in which treatments, such as those for gastric ...
Jerez-Roig Javier J Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Avenida Senador Salgado Filho 1787, Lagoa Nova, Natal, RN, CEP 59010-000, Brazil, - - 2014
The aging of the world populat ion together with changes in the epidemiological profile of diseases have led to increases in both the consumption of medicines and health expenses. In this context, self-medication has gained importance as a rapid treatment that bypasses bureaucracy and, in some instances, delays in obtaining ...
Yue Zhao Z Department of Pharmacy, Huashan Hospital, Fudan University, Shanghai, - - 2014
We aim to investigate a range of risk factors associated with medication adherence among Chinese hypertensive patients. We also aim to investigate the association between medication adherence and blood pressure control. A cross-sectional study was conducted among Chinese hypertensive patients in a comprehensive teaching hospital in Shanghai, China, using a ...
Chen Chin-Ling CL Department of Computer Science and Information Engineering, Chaoyang University of Technology, Taichung, 41349, Taiwan, Republic of China, - - 2014
With the rapid development of the information technology, the health care technologies already became matured. Such as electronic medical records that can be easily stored. However, how to get medical resources more convenient is currently concerning issue. In spite of many literatures discussed about medical systems, these literatures should face ...
Oza Sandra K SK University of California, San Francisco School of Medicine , USA - - 2014
Abstract Background: To understand how third-year medical student interprofessional collaborative practice (IPCP) is affected by self-efficacy and interprofessional experiences (extracurricular experiences and formal curricula). Methods: The authors measured learner IPCP using an objective structured clinical examination (OSCE) with a standardized nurse (SN) and standardized patient (SP) during a statewide clinical ...
Duru O Kenrik OK Division of General Internal Medicine & Health Services Research, David Geffen School of Medicine at UCLA, University of California, Los Angeles, - - 2014
To determine the association between enrollment in the Medicare Part D low-income subsidy (LIS) program, which reduces out-of-pocket medication costs, and fill adherence to the antiplatelet drug clopidogrel after coronary stent placement. Retrospective cohort study. Pharmacy claims database of a large national Medicare Part D insurer. We selected a total ...
Cassar Flores A A Medicines Information and Clinical Pharmacy Section, Mater Dei Hospital, Msida, Malta, - - 2014
Background Neonatal and paediatric patients are especially vulnerable to serious injury as a result of medication errors due to their small size, physiological immaturity and limited compensatory abilities. The prescription chart remains an essential form of communication of prescribing decisions and instructions. Modifications to the safety features of prescription charts ...
Tifft Cynthia J CJ aNIH Undiagnosed Diseases Program, Office of the Director, NIH Common Fund bOffice of the Clinical Director and Medical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, - - 2014
To review the approach to undiagnosed patients and results of the National Institutes of Health (NIH) undiagnosed diseases program (UDP), and discuss its benefits to patients, academic medical centers, and the greater scientific community. The NIH UDP provides comprehensive and collaborative evaluations for patients with objective findings of disease whose ...
Witry Matthew J - - 2014
To describe the attitudes, contextual factors, and behaviors associated with medication monitoring in the dispensing process by community pharmacists. Descriptive qualitative research with semistructured interviews. Midwestern community pharmacies or telephone. 12 licensed community pharmacists from chain, independent, and grocery pharmacies. 45-minute, semistructured interviews were conducted to gather detailed live experiences and ...
Li Xuelei X State Key Laboratory of Networking and Switching Technology, Beijing University of Posts and Telecommunications, Beijing, 100876, China, - - 2014
Healthcare delivery services via telecare medicine information systems (TMIS) can help patients to obtain their desired telemedicine services conveniently. However, information security and privacy protection are important issues and crucial challenges in healthcare information systems, where only authorized patients and doctors can employ telecare medicine facilities and access electronic medical ...
Babiker Ahmed Hussein AH Pharmacy and Drug Control Department, Supreme Council of Health, P.O. Box 1919, Doha, - - 2014
Background The incidence of chronic illnesses is increasing globally. Non-adherence to medications and other medication-related problems are common among patients receiving long-term medications. Medication use review (MUR) is a service provision with an accredited pharmacist undertaking structured, adherence-centered reviews with patients receiving multiple medications. MUR services are not yet available ...
Yaméogo T M TM Institut supérieur des sciences de la santé, université polytechnique de Bobo-Dioulasso, Bobo-Dioulasso, Burkina - - 2014
After widespread use and misuse of antimalarial drugs led to the emergence of resistance, new guidelines for malaria treatment with artemisinine-based combination therapy (ACT) were introduced in Burkina Faso in 2005. To describe the management (drug therapy and other practices) of patients with suspected malaria before their admission to the ...
de Hoog G Sybren GS CBS-KNAW Fungal Biodiversity Centre, Utrecht, The Netherlands, Institute for Biodiversity and Ecosystem Dynamics, University of Amsterdam, Amsterdam, The Netherlands, Peking University Health Science Center, Research Center for Medical Mycology, Beijing, Sun Yat-sen Hospital, Sun Yat-sen University, Guangzhou, China, Shanghai Institute of Medical Mycology, Changzheng Hospital, Second Military Medical University, Shanghai, China, Basic Pathology Department, Federal University of Paraná State, Curitiba, Paraná, Brazil, and King Abdulaziz University, Jeddah, Saudi Arabia - - 2014
Recent changes in the Fungal Code of Nomenclature and developments in molecular phylogeny are about to lead to dramatic changes in the naming of medically important moulds and yeasts. In this article, we present a widely supported and simple proposal to prevent unnecessary nomenclatural instability.
Williams Denita D Division of Biochemical Toxicology, National Center for Toxicological Research, U.S. Food and Drug Administration, Jefferson, Arkansas; Huntingdon Life Sciences, Inc., Somerset, New - - 2014
The U.S. Food and Drug Administration (FDA) and other federal agencies partner to ensure that medical countermeasures (e.g., drug therapies and vaccines) are available for public health emergencies (FDA, 2014). Despite continuing progress, providing medical countermeasures and treatment guidelines for certain populations (e.g., pregnant women) is challenging due to the ...
Deutsch Sarah S Walgreens Specialty Pharmacy, Carnegie, PA, USA - - 2014
The cycle management program (CMP) was implemented in 2008 at a national specialty pharmacy with a focus on providing specialized counseling and monitoring for patients on select oral oncology medications. The program now includes nine medications: bexarotene, dasatinib, erlotinib, everolimus, nilotinib, pazopanib, sorafenib, sunitinib, and vorinostat. Patients receive frequent assessments ...
Hassan Lamiece L University of Manchester, Manchester, United Kingdom - - 2014
Psychotropic medicines are widely used to treat mental illness; however, people entering prison commonly report that prescribed psychotropic medicines are changed or withdrawn, adding to their distress in difficult times. Drawing on three extracts from a larger qualitative dataset in which patients and doctors were interviewed about psychotropic medication use ...
Wong Martin Cs MC JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong - - 2014
Adherence with oral hypoglycaemic agent is crucial to achieve optimal glycaemic control. The eight-item Morisky Medication Adherence Scale (MMAS-8) has been frequently used, yet the association between MMAS-8 score and glycaemic control among Chinese diabetes patients is largely unknown. Two general out-patient clinics were randomly selected in a district with ...
Dong Zhao Z International Headache Center, Department of Neurology, Chinese PLA General Hospital, PR - - 2014
Although medication-overuse headache (MOH) is common in China, its clinical profile is not yet fully established. Meanwhile, ICHD-3 beta has been published, but its diagnostic criteria require further validation. We retrospectively classified the clinical features of 240 consecutive patients with MOH (55 males, 185 females), whose demographic data, headache features, ...
Kidd Sharon A SA National Fragile X Foundation, Walnut Creek, California; - - 2014
Fragile X syndrome (FXS) is the most common known genetic cause of inherited intellectual disability and the most common known single-gene cause of autism spectrum disorder. It has been reported that a spectrum of medical problems are commonly experienced by people with FXS, such as otitis media, seizures, and gastrointestinal ...
Kelly Maria M University College Cork, Cork, Munster, Ireland, - - 2014
The aim of this review is to cohere evidence on the knowledge, attitudes and beliefs of patients and carers regarding medication adherence. Medication adherence refers to "the extent to which the patient's action matches the agreed recommendations". Medication adherence is vital in preventing, managing and curing illnesses and, hence, is ...
Fischer Susanne - - 2014
The diagnosis of functional somatic syndromes (FSS) requires 1) presence of somatic symptoms, and 2) absence of medical conditions potentially accounting for these symptoms. Due to the limited feasibility of medical examinations, epidemiological research on FSS has neglected to assess the second criterion. Our objective was therefore to evaluate the ...
Cho Young Soon YS Department of Emergency Medicine, College of Medicine, Soonchunhyang University, Republic of - - 2014
Most cases of burns occurring in medical institutions are associated with activities involving heat. It is very difficult to detect these burns. To date, there are few reports on burns occurring in medical institutions. The purpose of this paper was to analyze the etiology of burns occurring in medical institutions ...
Giummarra Melita J MJ School of Psychological Science, Monash University, Clayton, Victoria, Australia; Caulfield Pain Management & Research Centre, Caulfield Hospital, Caulfield, Victoria, - - 2014
Individuals seeking treatment for chronic pain in multidisciplinary pain management services are typically already on high doses of pain medications. This cross-sectional cohort study of patients with long-term chronic pain examined profiles of polypharmacy and pain medication-related harm exposure. Multidisciplinary pain management service. The cohort comprised 224 patients taking medications ...
Hegedüs Anna A Nursing & Social Education Research Unit, University of Bern Psychiatric Services, Bern, Switzerland; International Graduate Academy (InGrA), 'Participation as Goal of Nursing and Therapy', Institute of Health and Nursing Sciences, Martin Luther University Halle-Wittenberg, Halle (Saale), - - 2014
Non-adherence to medication is highly prevalent in patients with schizophrenia. Adherence therapy aims to improve medication adherence of these patients by applying techniques of cognitive behavioural therapy, psycho-education, and motivational interviewing. Even though adherence therapy is frequently discussed and researched, its effectiveness is still uncertain. This paper aims to review ...
Ek Bosse B Department of Nursing Sciences, Mid Sweden University, Östersund, - - 2014
To describe registered nurses' experiences at an Emergency Medical Dispatch Centre. It is important that ambulances are urgently directed to patients who are in need of immediate help and of quick transportation to a hospital. Because resources are limited, Emergency Medical Dispatch centres cannot send ambulances with high priority to ...
Hong Minha M Department of Psychiatry, Dankook University Hospital, Cheonan, - - 2014
Using the National Health Insurance database in Korea, we examined the diagnostic and treatment incidence and comorbidity of attention-deficit hyperactivity disorder (ADHD). During 2007-2011, we chose subjects aged 6-18 years, who had at least one medical claim containing an International Classification of Diseases, 10th Revision code for diagnosis of ADHD ...
Deary Vincent V Senior Lecturer in Health Psychology, Northumbria - - 2014
Medically unexplained symptoms account for up to 50% of specialist referrals in the NHS, but because they tend to be seen in specialist clinics, health-care staff may not be aware of the variety of presentations and commonalties between different medically unexplained symptoms. This article gives an overview of this field.
Pieretti Lisa J LJ International Hyperhidrosis Society, 2560 Township Road, Suite B, Quakertown, PA 18951, USA. Electronic address: - - 2014
The excessive sweating of hyperhidrosis creates profound psychosocial, professional, and financial burdens on the individual sufferer; it contributes to impaired self-worth and self-efficacy, decreased satisfaction in all relationships, avoidance of specific careers, and increased expenditures on everything from clothing to medical treatment. Despite morbidity equal to other well-known dermatologic conditions, ...
Glaser Dee Anna DA Department of Dermatology, Saint Louis University School of Medicine, 1402 South Grand Boulevard-ABI, St Louis, MO 63104, USA. Electronic address: - - 2014
Primary hyperhidrosis commonly affects the axillae, palms, soles, scalp, face, and groin. Patients may have multiple areas involved making localized therapy challenging. Systemic therapy may be necessary and can be used as monotherapy or combined with other hyperhidrosis treatments for optimal outcomes. Systemic therapy can also be used to treat ...
Moraites Eleni E Hennepin County Medical Center, 701 Park Avenue, Minneapolis, MN 55415, - - 2014
Hyperhidrosis is a skin disorder characterized by excessive sweating that often causes significant impairment in social, occupational, and emotional wellbeing. Hyperhidrosis is thought to affect 2.8% of the US population and can be of primary or secondary origin. Primary hyperhidrosis is usually bilateral, symmetric, and focal. The most common focal ...
Pariser David M DM International Hyperhidrosis Society, Quakertown, PA 18951, USA; Department of Dermatology, Eastern Virginia Medical School, 601 Medical Tower, Norfolk, VA 23507, USA. Electronic address: - - 2014
Proper billing and coding are essential to document the diagnosis of hyperhidrosis and to assure proper reimbursement for treatment. Providers should become familiar with the payment policies of local health plans to streamline the preauthorization process that is often needed for many treatments commonly used for hyperhidrosis. Having a preprinted ...
Tin Htay Htay HH 1National Health Laboratory, Myanmar 2Parami Specialist Hospital, - - 2014
Myanmar is an ASEAN country, standing with its own resources in health care of people. There are 5 medical universities currently in Myanmar, namely, University of Medicine-1, University of Medicine-2, and Defence Services Medical Academy in Yangon, and University of Medicine, Mandalay, and University of Medicine, Magway. The first medical ...
Stauch Gerhard G 1Department Pathology Aurich, Germany 2St Joseph's Hospital Peramiho, Tanzania 3Pathology Institute, Masar E Sharif, Afghanistan 4Pathology Institute Phnom Penh, Cambodia 5Institute of Pathology Kulmbach, Germany 6Institute of Pathology, Neuss, Germany 7Basel, Switzerland 8Institute of Pathology Schweinfurt, Germany 9Dresden, - - 2014
Pathologic anatomic practice is an essential part of medical practice even in low-income countries. It is an extraordinarily helpful tool in finding therapeutic decisions, monitoring therapeutic processes and in academic teaching students and residents in understanding aetiology and morphology of infectious and neoplastic diseases. However, all countries worldwide are suffering ...
Levy Ra R Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil Centro de Imunoterapia de Ipanema - CITIPA, Rio de Janeiro, Brazil - - 2014
Adherence to treatment is fundamental for its success. It comprises compliance combined with persistency and should be constantly reassessed. This is true in all medical situations. In antiphospholipid syndrome (or Hughes' syndrome), in addition to taking the medication at the planned time so that its effect on blood can be ...
Maldonado Nelson J NJ Division of Vascular Neurology and Neurocritical Care, Department of Neurology, Baylor College of Medicine, One Baylor Plaza, MS NB302, Houston, TX 77030, - - 2014
Acute ischemic stroke is the fourth leading cause of death and the leading cause of disability in the United States. Stroke is a medical emergency. The development of stroke systems of care has changed the way practitioners view and treat this devastating disease. Ample evidence has shown that patients presenting ...
Kidd A C AC Dumfries and Galloway Royal Infirmary, Dumfries, - - 2014
The current demographical trend towards an increasingly elderly population combined with advances in end of life care calls for a deeper understanding and common terminology about the concept of futility and additional influences on the resuscitation decision-making process. Such improved understanding of medical futility and other contributing factors when making ...
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