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Ogunmola Olarinde J OJ Department of Internal Medicine, Federal Medical Centre, Ido-Ekiti, Ekiti State, - - 2014
To determine the pattern and outcome of medical admissions as well as the basic demographic characteristics in medical wards of a tertiary health center located in a rural area. Materials and Methods : A retrospective analysis of medical wards admissions of the Federal Medical Centre, Ido-Ekiti, Ekiti State, southwest Nigeria, ...
Edwards Samuel T ST Samuel T. Edwards (ste007@mail.harvard.edu) is a fellow at the Veterans Affairs Boston Healthcare System and Harvard Medical School, both in Boston, - - 2014
Patient-centered medical home initiatives are central to many efforts to reform the US health care delivery system. To better understand the extent and nature of these initiatives, in 2013 we performed a nationwide cross-sectional survey of initiatives that included payment reform incentives in their models, and we compared the results ...
Lapinski Jessica J From the A.T. Still University-Kirksville College of Osteopathic Medicine in Missouri (Student Doctor Lapinski and Dr Sexton). Ms Baker was a psychology student at Truman State University in Kirksville, Missouri, and served as a research assistant during this study - - 2014
Limited research exists on the health issues faced by lesbian, gay, bisexual, and transgender (LGBT) patients, as viewed in the context of osteopathic medical education. A full understanding of current medical students' acceptance of, attitudes toward, and knowledge of these issues could lead to the development and incorporation of curricula ...
Stahl Stephen M - - 2014
Violence is a major management issue for forensic mental health systems. Violence can be approached as a medical syndrome and deconstructed into psychotic, impulsive, and predatory subtypes, which are hypothetically mapped onto corresponding malfunctioning brain circuits. Rational management of violence balances treatment with security, while targeting each subtype of violence ...
Larriviere Daniel G - - 2014
The number of states legalizing medical marijuana is increasing. Medical marijuana is possibly effective therapy for HIV-associated sensory neuropathy. Despite legalization at the state level, however, the current and contradictory federal drug enforcement policy creates the risk that physicians who recommend medical marijuana to their patients will lose their ability ...
Blayney Sarah S Geriatric Medicine, Southport & Ormskirk District General Hospital, Southport, UK - - 2014
Life as a medical registrar presents many challenges and concern is growing that a downwards trend in recruitment to General Medicine is the direct result of a perception by junior doctors that the role of the medical registrar is excessively demanding and results in poor work-life balance. A solution-focused approach ...
Wagner Louis K LK Department of Diagnostic and Interventional Imaging, The University of Texas - Houston Medical School, 6431 Fannin St., MSB 2.130B, Houston, TX, 77030, USA, - - 2014
Diagnostic radiology has an image problem. In its effort to develop a better understanding of benefit-risk in medical radiology, data on potential risks associated with medical imaging have been welcomed into the medical community. As such, risk perspectives and mantras from the occupational health profession have been adopted and applied ...
Kish-Doto Julia J a RTI International , Rockville , Maryland , - - 2014
This study investigated respondent preferences on how best to display patient medication information (PMI) that accompanies prescription medications to promote comprehension and appropriate usage. The authors identified 30 individuals diagnosed with select immune disorders, 30 with other chronic diseases, and 30 from the general public and had them review one ...
Williams Allison A Peninsula Campus School of Nursing and Midwifery, Monash University Health Sciences, Frankston, Vic., - - 2014
To examine the perceptions of a group of culturally and linguistically diverse participants with the comorbidities of diabetes, chronic kidney disease and cardiovascular disease to determine factors that influence their medication self-efficacy through the use of motivational interviewing. These comorbidities are a global public health problem and their self-management is ...
Olley Jacqueline J School of Psychology (A19), The University of Sydney, Sydney, NSW, 2006, - - 2014
Studies on Parkinson's disease patients on dopaminergic medication report elevated rates of problem gambling. Results suggest changes in gambling behaviour are associated with the commencement and termination of dopaminergic medication implying a direct causal relationship. However, previous reports have not controlled for possible factors independent of dopamine medication contributing to ...
Chen Chien-Min CM , Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chiayi, 613 Puzih, Taiwan. - - 2014
Objective: To investigate the predictors of total medical costs for first-ever ischaemic stroke patients transferred to the rehabilitation ward from the acute ward. Patients: A total of 311 first-ever ischaemic stroke patients (mean age 68.9 (standard deviation (SD) 12.2) years). Methods: Data, including common complications and medical events, from July ...
Leguelinel-Blache Géraldine G Department of Pharmacy, Nîmes University Hospital, Nîmes, France; Laboratory of Biostatistics, Epidemiology, Clinical Research and Health Economics, EA2415, University Institute of Clinical Research, Montpellier University, Montpellier, - - 2014
Many activities contribute to reduce drug-related problems. Among them, the medication reconciliation (MR) is used to compare the best possible medication history (BPMH) and the current admission medication order (AMO) to identify and solve unintended medication discrepancies (UMD). This study aims to assess the impact of the implementation of admission ...
Saeedi Osamah J OJ *Department of Ophthalmology and Visual Sciences, University of Maryland ‡Department of Ophthalmology and International Health, Johns Hopkins University, Baltimore, MD †Eyes of York, York, - - 2014
To determine how receptive patients are to the use of e-mail and text message reminders for appointments and medications. We conducted a consecutive cross-sectional survey of eligible patients with glaucoma or ocular hypertension at a private glaucoma subspecialty practice with 3 locations from February 2011 to January 2012. Main outcome ...
Enghelberg Moises M Touro College of Osteopathic Medicine - New York, Harlem, NY, USA, - - 2014
Beyond the techniques and instruments it employs, medicine has an intrinsic value that enables it to be interpretative, dramatic, and above all, real. In this essay, the aesthetic that emerges through the medical examination is thoroughly discussed. The piece deconstructs the qualities of the medical examination in a manner that ...
Mountifield Réme R Department of Gastroenterology and Hepatology, Flinders Medical Centre, South Australia, Australia; Flinders University of South Australia, Australia. Electronic address: - - 2014
Non-adherence by dose omission is common and deleterious to outcomes in Inflammatory Bowel Disease (IBD), but covert dose reduction (CDR) remains unexplored. To determine frequency and attitudinal predictors of overall medication non-adherence and of covert dose reduction as separate entities. A cross sectional questionnaire was undertaken involving IBD patients in ...
Checchi Kyle D KD Program on Regulation, Therapeutics, and Law, Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, - - 2014
Medication nonadherence, which has been estimated to affect 28% to 31% of US patients with hypertension, hyperlipidemia, and diabetes, may be improved by electronic medication packaging (EMP) devices (adherence-monitoring devices incorporated into the packaging of a prescription medication). To investigate whether EMP devices are associated with improved adherence and to ...
Jones Ryan T RT 1College of Osteopathic Medicine, Michigan State University, East Lansing, MI; 2College of Pharmacy, Ferris State University, Big Rapids, MI; 3College of Pharmacy, Ferris State University, Big Rapids, MI; and 4Department of Internal Medicine, Western Michigan University School of Medicine, Kalamazoo, - - 2014
Cutaneous reactions secondary to medications are rare but can be serious events resulting in morbidity and mortality and can be caused by anticonvulsant medications. Levetiracetam has been considered relatively safe compared with other antiepileptics with regard to skin eruptions. We report a case of a cutaneous reaction secondary to levetiracetam. ...
Jin Hong - - 2014
Few studies have evaluated age-related predictors associated with the underuse of medications in patients with coronary heart disease (CHD). The objective of this study was to identify age-related differences in the factors associated with the underuse of recommended medications in patients diagnosed with acute coronary syndrome (ACS). From August 2009 ...
Ingebrigtsen Truls S TS Department of Respiratory Medicine, Odense University Hospital, and Institute of Clinical Research, University of Southern Denmark, Sdr. Boulevard 29, 5000, Odense C, Denmark, - - 2014
We tested the hypothesis that use of and adherence to maintenance medication is low among in-dividuals in the general population who have chronic obstructive pulmonary disease (COPD) , even in cases of severe and very severe COPD. We identified 5,812 individuals with COPD from the Copenhagen General Population Study, and ...
Ranola Primi-Ashley PA Medical Humanities & Bioethics, Northwestern University Feinberg School of Medicine, Chicago, - - 2014
'Calling' a code can be an ambiguous undertaking. Despite guidelines and the medical literature outlining when it is acceptable to stop resuscitation, code cessation and deciding what not to do during a code, in practice, is an art form. Familiarity with classic evidence suggesting most codes are unsuccessful may influence ...
Strowd Roy E RE 3rd From the Department of Neurology, Johns Hopkins Hospital, Baltimore, MD. - - 2014
The electronic medical record (EMR) is changing the landscape of medical practice in the modern age. Increasing emphasis on quality metric reporting, data-driven documentation, and timely coding and billing are pressuring institutions across the country to adopt the latest EMR technology. The impact of these systems on the patient-physician relationship ...
Natt Bhupinder B Department of Medicine, University of Arizona College of Medicine, Tucson, - - 2014
: The important contribution of the history and physical in making a correct medical diagnosis has been known for centuries. Despite this, these skills are being undermined by technology that many physicians mistakenly believe to be the new gold standard. The authors report 2 cases in which the history and ...
Thomson Kyle E KE Bioengineering Dept, University of Utah, Salt Lake City, UT, - - 2014
Nonadherence to a physician-prescribed therapeutic intervention is a costly, dangerous, and sometimes fatal concern in healthcare. To date, the study of nonadherence has been constrained to clinical studies. The novel approach described herein allows for the preclinical study of nonadherence in etiologically relevant disease animal model systems. The method herein ...
Lau Karen Chi-Kwan KC Department of Psychiatry, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong - - 2014
Non-adherence to medication is a common and significant challenge to successful treatment of psychosis. Knowledge of prescribed antipsychotic medication may influence psychosis patients' willingness to adhere to prescriptions. This study aimed to assess knowledge of psychosis patients on their prescribed antipsychotic medication with regard to drug name, type, dosage, purpose, ...
Plioplys Sigita S Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, Illinois, - - 2014
Psychogenic nonepileptic seizures (PNES) in youth are symptoms of a difficult to diagnose and treat conversion disorder. PNES is associated with high medical and psychiatric morbidity, but specific PNES risk factors in the pediatric population are not known. We examined if youth with PNES have a distinct biopsychosocial risk factor ...
Dilokthornsakul Piyameth - - 2014
Medication oversupply is an important problem in the healthcare systems. It causes unnecessary avoidable healthcare costs. Although some studies have determined the magnitude and financial loss due to medication oversupply in western countries, they may not be applicable to Asia-pacific countries. This study aims to determine the prevalence, financial loss, ...
- - 2014
In this century, medical imaging is at the heart of medical practice. Besides providing fast and accurate diagnosis, advances in radiology equipment offer new and previously non-existing options for treatment guidance with quite low morbidity, resulting in the improvement of health outcomes and quality of life for the patients. Although ...
Pfeil A M AM Institute of Pharmaceutical Medicine (ECPM), University of Basel, Basel, - - 2014
Chronic lymphocytic leukaemia (CLL) is the most common leukaemia in European adults. We aimed to evaluate time trends in CLL incidence and medical resource utilisation of CLL patients in the UK. We conducted a retrospective, observational cohort analysis using the UK Clinical Practice Research Datalink (CPRD) comprising mainly primary care ...
Loue Sana S Department of Bioethics, Faculty Development and Diversity, Case Western Reserve University School of Medicine, 10900 Euclid Avenue, Cleveland, OH, 44106, USA, - - 2014
Physicians and other health care workers are increasingly being called upon to bridge the cultural differences that may exist between themselves and their patients. Adequate cross-cultural education is essential if existing health care disparities are to be reduced. We conducted a needs assessment to identify gaps in the cultural competence/sensitivity ...
Ho Weng Hoe WH 1Department of Surgery,Yong Loo Lin School of Medicine,National University of - - 2014
Introduction Every mass gathering presents its unique characteristics that influence medical resource utilization. Medical planning for mass gatherings involves both use of predictive models and analysis of data from similar past events. This study aimed to describe the medical presentations and the unique challenges influencing medical planning at the Formula ...
Walter Clare C Pharmacy Department, Peter MacCallum Cancer Centre, St Andrew's Place, East Melbourne, Victoria, - - 2014
Medication misadventure contributes to unplanned hospital admissions. General practitioners (GPs) may lack experience in managing problems involving complex cancer-related medication. A previous survey explored the unmet needs of lung cancer outpatients and highlighted their desire for more medication information. Inpatient clinical pharmacy services positively impact on patient care. This study ...
Kuntz Jennifer L JL Center for Health Research, Kaiser Permanente Northwest, Portland, USA. Electronic address: - - 2014
Patient-centered approaches to improving medication adherence hold promise, but evidence of their effectiveness is unclear. This review reports the current state of scientific research around interventions to improve medication management through four patient-centered domains: shared decision-making, methods to enhance effective prescribing, systems for eliciting and acting on patient feedback about ...
Pherson Emily C EC Emily C. Pherson, Pharm.D., BCPS, is Clinical Pharmacy Specialist, Internal Medicine, Johns Hopkins Hospital, Baltimore, MD. Kenneth M. Shermock, Pharm.D., Ph.D., is Director, Center for Medication Quality and Outcomes, Johns Hopkins Hospital, and Assistant Professor, General Internal Medicine, Johns Hopkins School of Medicine, Baltimore. Leigh E. Efird, Pharm.D., BCPS, is Clinical Pharmacy Specialist, Internal Medicine; Vi T. Gilmore, Pharm.D., BCPS, is Clinical Pharmacy Specialist, Internal Medicine; and Todd Nesbit, Pharm.D., M.B.A., is Associate Director, Decentralized and Clinical Services, Department of Pharmacy, Johns Hopkins Hospital. Yvonne LeBlanc, Pharm.D., M.B.A., CGP, is Associate Clinical Editor, Natural Standard Research Collaboration, Somerville, MA. Daniel J. Brotman, M.D., SFHM, FACP, is Director, Hospitalist Program, and Associate Professor of Medicine; Amy Deutschendorf, B.S.N., M.S.N., RN, ACNS-BC, is Senior Director, Utilization/Clinical Resource Management; and Meghan Davlin Swarthout, Pharm.D., M.B.A., BCPS, is Division Director, Ambulatory and Care Transitions, Department of Pharmacy, Johns Hopkins Hospital. - - 2014
The development and implementation of a postdischarge home-based, pharmacist-provided medication management service are described. A work group composed of pharmacy administrators, clinical specialists, physicians, and nursing leadership developed the structure and training requirements to implement the service. Eligible patients were identified during their hospital admission by acute care pharmacists and ...
Long Genia G Analysis Group, Inc., Boston, - - 2014
Abstract Objective: To investigate the evolving use and expected impact of pay-for-performance (P4P) and risk-based provider reimbursement on patient access to innovative medical technology. Methods: Structured interviews with leading private payers representing over 110 million commercially-insured lives exploring current and planned use of P4P provider payment models, evidence requirements for ...
Greenley Rachel Neff - - 2014
Objective: To examine longitudinal trajectories of oral thiopurine adherence over a 180-day interval in a sample of youth with inflammatory bowel disease (IBD) and to identify the role of disease activity, length of time since diagnosis, and regimen complexity in predicting adherence trajectory class membership. Method: Participants included 96 adolescents ...
Gellie Anthea A Cabrini-Monash Department of Medicine, Cabrini Institute-Cabrini Research and Education Precinct, 154 Wattletree Rd c/o 183 Wattletree Rd, Malvern, Victoria 3144, - - 2014
There are few certainties in life-death is one of them. Yet death is often thought of today as the 'loss of the battle' against illness, where in traditional societies it was the natural, meaningful, end to life. Medical knowledge and technologies have extended the possibilities of medical care and increased ...
Glina Sidney S Department of Urology, Faculdade de Medicina do ABC, Santo André, São Paulo, - - 2014
Erectile dysfunction is a very prevalent condition and impairs quality of life of men and their partners. The diagnosis strategy of erectile dysfunction has changed, and it is important for every health professional to learn how to deal with erectile dysfunction. Although very prevalent, the sexual dysfunctions, including erectile dysfunction, ...
Friedman-Peleg Keren K School of Behavioral Sciences, The College of Management - Academic Studies, 7 Rabin Boulevard, 75190, Rishon Lezion, Israel, - - 2014
This article traces a critical change in the professional implementation of posttraumatic stress disorder (PTSD): the broadening of its use from an apolitical sign of psychopathology, to an interpretative framework in which clinical questions of diagnosis and treatment intersect with political questions of ethno-national power relations. The aid discourse of ...
Maggio Albane Br - - 2014
The burden of disease from childhood obesity is considerable worldwide, as it is associated with several co-morbidities, such as dyslipidemia, hypertension, type 2 diabetes (T2DM), orthopedic and psychosocial problems. We aimed at determining the prevalence of these complications in a population of children and adolescents with body weight excess. This ...
Okumura Yasuyuki Y Research Department,Institute for Health Economics and Policy,Association for Health Economics Research and Social Insurance and - - 2014
ABSTRACT Background: We aimed to examine trends in the use of psychotropic medications among elderly outpatients with dementia in Japan between 2002 and 2010. Methods: We used data from the 2002-2010 Survey of Medical Care Activities in Public Health Insurance (SMCA-PHI), a nationally representative cross-sectional survey of claims data for ...
Bifulco Maurizio M Department of Medicine and Surgery, University of Salerno, - - 2014
Abstract The link between hygiene and the concept of transmission of infective diseases was established earlier than the birth of microbiology, thanks to the studies of two neglected physicians of maternity clinic, Ignác Fülöp Semmelweis and Oliver Holmes, in the mid-1800s. Surprisingly, centuries earlier, a medieval women physician, Trotula de ...
Burkle Christopher M CM From the Department of Anesthesiology (C.M.B.), the Biomedical Ethics Program, Departments of Health Sciences Research and General Internal Medicine (R.R.S.), and the Department of Neurology (E.F.W.), Mayo Clinic, Rochester, MN. - - 2014
Neurologic determination of brain death is a complex assessment that may be misunderstood by nonspecialists and families. Recent guidelines clarify how to proceed with such an examination and are available to physicians, with the time of death in adults and children being determined by the last defining test-the apnea test. ...
Devaraj Bikash B Department of Colorectal Surgery, Keck School of Medicine, University of Southern California, Los Angeles, - - 2014
Proctocolectomy has been a curative option for patients with severe ulcerative colitis (UC). In recent years, there has been a growing use of medical salvage therapy in the management of patients with moderate-to-severe UC. Proctocolectomy has been a curative option for patients with severe ulcerative colitis. In recent years, there ...
Chang Caroline Y - - 2014
Objective: To determine whether order of medication withdrawal in children with juvenile idiopathic arthritis (JIA) on methotrexate (MTX) and tumor necrosis factor inhibitor (TNFi) combination therapy (CBT) affects flare-free survival (FFS). Methods: This retrospective observational study of 335 patients with polyarticular JIA or enthesitis related arthritis analyzed FFS off medications ...
Hwang De-Kuang DK Department of Ophthalmology, Taichung Veterans General Hospital, Taichung City, Taiwan2Department of Ophthalmology, National Yang-Ming University School of Medicine, Taipei, - - 2014
Medication persistence is an important factor for treatment effect in patients with glaucoma. Evaluating risk factors for refill discontinuation might be helpful for improving persistence and preventing blindness in patients with glaucoma. To estimate the persistence rate with topical glaucoma medication 2 years after diagnosis and evaluate risk factors for ...
Smith Kristine A KA Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Calgary, Calgary, AB, - - 2014
The decision to continue medical therapy or recommend endoscopic sinus surgery (ESS) can be challenging in patients with refractory chronic rhinosinusitis (CRS). The objective of this study was to evaluate continued medical therapy vs ESS for patients with refractory CRS who have severe reductions in baseline disease-specific quality of life ...
Lareau Stephanie A SA Department of Emergency Medicine, Georgia Regents University, Augusta, GA (Drs Lareau and Caudell); Department of Emergency Medicine, Virginia Tech-Carilion Clinic, Roanoke, VA (Dr Lareau). Electronic address: - - 2014
Wilderness medicine has been a part of medical student education for many years and is becoming more popular. To help standardize and improve the student experience, we surveyed current elective directors to gain an understanding of what experts in the field thought were priority elements in a wilderness medicine elective. ...
Thorpe Carolyn T CT Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, University Drive (151C), Building 30, Pittsburgh, PA 15240-1001, USA; Department of Pharmacy and Therapeutics, University of Pittsburgh, 3501 Terrace Street, Pittsburgh, PA 15261, USA. Electronic address: - - 2014
Studies in integrated health systems suggest that patients often accumulate oversupplies of prescribed medications, which is associated with higher costs and hospitalization risk. However, predictors of oversupply are poorly understood, with no studies in Medicare Part D. The aim of this study was to describe prevalence and predictors of oversupply ...
van Houwelingen Hans C HC Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The - - 2014
This paper reviews and discusses the role of Empirical Bayes methodology in medical statistics in the last 50 years. It gives some background on the origin of the empirical Bayes approach and its link with the famous Stein estimator. The paper describes the application in four important areas in medical ...
Hooper Carwyn - - 2014
Virtual patient (VP) cases are interactive computer simulations of real life scenarios that have been used in medical education for over a decade. They are popular with students and staff alike and have been shown to improve knowledge retention, clinical reasoning and decision-making skills. Ethics virtual patient (EVP) cases are ...
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