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Buxbaum Jason - - 2014
With specialty pharmaceutical prices on the rise, patients are often expected to pay anywhere from 30% to 50% of the specialty-tier drug price through co-insurance-based cost sharing. As these prices continue to climb, patients may choose lower-value medications for their medical needs or become nonadherent for cost-related reasons. Value-based insurance ...
Lee Bryan S BS Department of Neurological Surgery, Burkhardt Brain Tumor and Neuro-Oncology Center, Ohio, Cuyahoga, - - 2014
Primary central nervous system lymphoma (PCNSL) is an aggressive type of extra-nodal non-Hodgkin lymphoma. Without treatment, PCNSL is associated with significant morbidity and mortality, including rapid neurological deterioration. In contrast to other high-grade intracranial neoplasms, PCNSL is considered to have a high response rate to conventional medical therapy, especially in ...
Gajria Kavita K Global Health Economics, Outcomes Research and Epidemiology, Shire, Wayne, PA, - - 2014
Untreated attention-deficit/hyperactivity disorder (ADHD) can lead to substantial adverse social, economic, and emotional outcomes for patients. The effectiveness of current pharmacologic treatments is often reduced, due to low treatment adherence and medication discontinuation. This current systematic literature review analyzes the current state of knowledge surrounding ADHD medication discontinuation, focusing on: ...
Hardwick L - - 2014
The paper presents four examples of patients fainting. Although we all undergo yearly CPD updates, until you experience a medical emergency, you can never truly be ready for one.
Scott-Horton Tiffany T University of Illinois at Chicago, College of Pharmacy, Chicago, Illinois, - - 2014
The primary objective was to identify medication-list components preferred by patients. Secondary objectives included identifying a patient-preferred medication-list template, measuring change in patient knowledge and responsibility after using a medication list tailored to patient preference and assessing patient utilization of a personalized medication list. 12-week prospective presurvey and postsurvey from ...
Glab Kristin L KL Worcester, Massachusetts, - - 2014
Accidental falls represent a major public health concern for the elderly population. The use of psychotropic medications, cardiovascular medications, and nonsteroidal anti-inflammatory drugs is associated with an increased risk of falling. The mechanisms by which these medications increase fall risk are not fully understood but may include orthostatic hypotension, sedation, ...
Lazar Susan G SG Clinical Professor of Psychiatry: Georgetown University School of Medicine, George Washington University School of Medicine, Uniformed Services University of the Health Sciences; Supervising and Training Analyst, Washington Psychoanalytic - - 2014
Abstract Psychotherapy is an effective and often highly cost-effective medical intervention for many serious psychiatric conditions. Psychotherapy can also lead to savings in other medical and societal costs. It is at times the firstline and most important treatment and at other times augments the efficacy of psychotropic medication. Many patients ...
Rossignol Daniel A DA Rossignol Medical Center , Irvine, CA , - - 2014
Autism spectrum disorder (ASD) is a neurodevelopmental disorder that affects 1 in 68 children in the United States. Even though it is a common disorder, only two medications (risperidone and aripiprazole) are approved by the U.S. Food and Drug Administration (FDA) to treat symptoms associated with ASD. However, these medications ...
Kohzaki Hidetsugu H Department of Cell Biology, Institute for Virus Research, Kyoto University , Kyoto , Japan ; Department of Molecular Medicine, Graduate School of Medicine, Osaka University , Suita , Japan ; Faculty of Allied Health Science, Yamato University , Suita , - - 2014
Since the completion of the Human Genome Project, technology has developed markedly in fields such as medical genetics and genetic counseling in the medical arena. In particular, this technology has advanced the discovery of and ways of understanding various genes responsible for genetic diseases, and genetic polymorphisms thought to be ...
Runganga Maureen M The Prince Charles Hospital, Chermside, QLD, Australia ; Centre for Research in Geriatric Medicine, The University of Queensland School of Medicine, QLD, - - 2014
Older adults with a range of comorbidities are often prescribed multiple medications, which may impact on their function and cognition and increase the potential for drug interactions and adverse events. This study investigated the extent of polypharmacy and potentially inappropriate medications in patients receiving post-discharge transitional home care and explored ...
Guo Yi-Jen YJ Section of Neurology, Taichung Veterans General Hospital, Taichung, Taiwan; Graduate Institute of Clinical Medical Science, China Medical University, Taichung, - - 2014
Several treatment guidelines for Parkinson's disease (PD) had been proposed in recent decades. The aim of current study was to investigate the initial medication utilized in newly diagnosed PD subjects in Taiwan during an eleven-year period. A total of 7,550 patients with newly diagnosed Parkinsonism were retrospectively enrolled from the ...
Lewis Thomas Lorchan TL http://orcid.org/0000-0002-4167-7427 Warwick Medical School, University of Warwick, Coventry, United Kingdom. - - 2014
The use of mobile medical apps by clinicians and others has grown considerably since the introduction of mobile phones. Medical apps offer clinicians the ability to access medical knowledge and patient data at the point of care, but several studies have highlighted apps that could compromise patient safety and are ...
Kunac Desiree L DL New Zealand Pharmacovigilance Centre, Department of Preventive and Social Medicine, University of Otago. PO Box 913, Dunedin 9054, New Zealand. - - 2014
To determine if primary care clinicians would report medication errors using a new web-based system, and to obtain data illustrating the potential of the information collected to improve medication safety. The New Zealand Pharmacovigilance Centre led the development of the Medication Error Reporting Programme (MERP) which was then piloted over ...
Sorrel Amy Lynn - - 2014
As Congress and the embattled U.S. Department of Veterans Affairs work to resolve overwhelming backlogs in medical care for the nation's veterans, TMA and physicians across the state are enlisting to stand in the gap and help alleviate the documented access-to-care problems. TMA was one of the first state medical ...
Ebrahimi-Fakhari Darius D Ruprecht-Karls-University Heidelberg, Heidelberg Medical School, Heidelberg, - - 2014
The final year of medical school has a unique role for introducing students to their future responsibilities and challenges. At many medical schools, electives at an accredited institution abroad are a common part of the student's final year experience. International electives provide an opportunity for a personal and academic experience ...
Middleton Danielle D FY2, The Queen Elizabeth Hospital, King's Lynn NHS Foundation Trust, - - 2014
Pregnant patients commonly present to the acute medical team with symptoms requiring further investigation. Palpitations are a common reason for presentation on the acute medical take, and most acute physicians will be familiar with the process of investigation. The combination of pregnancy and palpitations raises a broad differential diagnosis and ...
Pander Tanja T Klinikum der LMU München, Institut für Didaktik und Ausbildungsforschung in der Medizin, München, - - 2014
Background: The vogue of social media has changed interpersonal communication as well as learning and teaching opportunities in medical education. The most popular social media tool is Facebook. Its features provide potentially useful support for the education of medical students but it also means that some new challenges will have ...
Clarke John R JR Pennsylvania Patient Safety Authority , Harrisburg, PA - - 2013
The Pennsylvania Patient Safety Authority receives over 235,000 reports of medical error per year. Near miss and serious event reports of common and interesting problems are analysed to identify best practices for preventing harmful errors. Dissemination of this evidence-based information in the peer-reviewed Pennsylvania Patient Safety Advisory and presentations to ...
Read Jennifer P JP Department of Psychology, University at Buffalo, State University of New York, Buffalo, New - - 2014
Posttraumatic stress symptoms (PTSD) and problem alcohol use (ALC) commonly co-occur, but the nature of this co-occurrence is unclear. Self-medication explanations have been forwarded, yet traits such as tendency toward negative emotionality and behavioral disconstraint also have been implicated. In this study we test three competing models (Self-Medication, Trait Vulnerability, ...
Zhu Congcong - - 2013
Synthetic biodegradable elastomers are an emerging class of materials that play a critical role in supporting innovations in bioabsorbable medical implants. This work describes the synthesis and characterization of poly(glycerol-co-sebacate)-cinnamate (PGS-CinA), a biodegradable elastomer based on hyperbranched polyesters derivatized with pendant cinnamate groups. PGS-CinA can be prepared via photodimerization in ...
Reddy Narendra - - 2013
Silk has been considered biocompatible and used for medical applications for centuries. However, most of the silk currently used is produced by the domesticated silkworm, Bombyx mori. Recently, it has been demonstrated that silk produced by saturniidae insects such as Antheraea mylitta, Phylisomia ricini, and Antheraea pernyi had unique properties ...
Herbert Danielle - - 2012
What is the self-reported use of in vitro fertilization (IVF) and ovulation induction (OI) in comparison with insurance claims by Australian women aged 28-36 years? The self-reported use of IVF is quite likely to be valid; however, the use of OI is less well reported. Population-based research often relies on ...
Nagata Takashi - - 2012
The Great East Japan Earthquake occurred on March 11, 2011. In the first 10 days after the event, information about radiation risks from the Fukushima Daiichi nuclear plant was unavailable, and the disaster response, including deployment of disaster teams, was delayed. Beginning on March 17, 2011, the Japan Medical Association ...
Kida Tetsuo - - 2012
DIS has not yet been implemented in Japan as of 2011. Therefore, even if risk was negligible, medical institutions have to entrust radioactive temporal waste disposal to Japan Radio Isotopes Association (JRIA) in the current situation. To decide whether DIS should be implemented in Japan or not, cost-saving effect of ...
Battista Jerry J - - 2012
The January 2010 articles in The New York Times generated intense focus on patient safety in radiation treatment, with physics staffing identified frequently as a critical factor for consistent quality assurance. The purpose of this work is to review our experience with medical physics staffing, and to propose a transparent ...
Lin Elizabeth H B - - 2012
Medication nonadherence, inconsistent patient self-monitoring, and inadequate treatment adjustment exacerbate poor disease control. In a collaborative, team-based, care management program for complex patients (TEAMcare), we assessed patient and physician behaviors (medication adherence, self-monitoring, and treatment adjustment) in achieving better outcomes for diabetes, coronary heart disease, and depression. A randomized controlled ...
Li Xiang-Hui XH Medical Department, General Hospital of Armed Police Forces of P. R. C., Beijing 100039, - - 2012
Earthquakes, floods, droughts, storms, mudslides, landslides, and forest wild fires are serious threats to human lives and properties. The present study aimed to study the environmental characteristics and pathogenic traits, recapitulate experiences, and augment applications of medical reliefs in tropical regions. Analysis was made on work and projects of emergency ...
Kapp Suzanne - - 2012
A study conducted in an Australian home nursing service sought to ascertain whether the provision of funding for compression bandaging and medical footwear would impact on compression therapy use, wound healing and quality of life (QoL) among people with venous leg ulcers. Clients (n = 120) were randomly allocated to ...
Van Vleet Lee M - - 2011
Abstract Introduction. Without bystander cardiopulmonary resuscitation (CPR), cardiac arrest survival decreases 7%-10% for every minute of delay until defibrillation. Dispatcher-assisted CPR (D-CPR) has been shown to increase the rates of bystander CPR and cardiac arrest survival. Other reports suggest that the most critical component of bystander CPR is chest compressions ...
Chaturvedi Arvind K - - 2011
  Prevalence of drugs in fatally injured obese pilots involved in aviation accidents has not been evaluated. Therefore, toxicological findings in such pilots (body mass index ≥30 kg/m(2) ) were examined in a data set derived from the Civil Aerospace Medical Institute's (CAMI's) Scientific Information System for 1990-2005. Aeromedical histories of ...
Bizzini Mario - - 2011
BackgroundSeveral proposals for preparticipation screening to detect risk factors for sudden cardiac death in sports have been published, but referees have been neglected in this respect.MethodsA standardised precompetition medical assessment (comprising a general physical, orthopaedic and cardiac examination and blood analysis) was performed in all 90 referees and assistant referees ...
Ahearn David - - 2011
Background:  In the UK all postgraduate trainees complete an annual online quality assurance survey. If the response rate is poor, then this has significant implications for the validity and usefulness of the data collected. In this article we address the issue of survey response rates, with particular reference to quality ...
Hebert Kathy - - 2011
Caring for heart failure patients with a low socioeconomic status presents a unique set of challenges for health care providers. Heart failure disease management programs can integrate the use of teaching DVDs to overcome deficiencies in health literacy and take advantage of the Wal-Mart/Target $4 dollar medication program to provide ...
O'Hagan F T - - 2011
Introduction Research into work reintegration following cardiovascular disease onset is limited in its clinical and individual focus. There is no research examining worker experience in context during the return to work process. Methods Qualitative case study method informed by applied ethnography. Worker experience was assessed through longitudinal in-depth interviews with ...
Horning Erin L - - 2011
BACKGROUND: The study was conducted to compare lost to follow-up (LTFU) rates in women having a medical abortion who chose follow-up by in-office ultrasound assessment or serum beta human chorionic gonadotropin (β-hCG) testing. METHODS: This retrospective chart review included 865 women who underwent medical abortion in a free-standing outpatient clinic ...
Dudas Robert A - - 2012
Medical knowledge is one of six core competencies in medicine. Medical student assessments should be valid and reliable. We assessed the relationship between faculty and resident global assessment of pediatric medical student knowledge and performance on a standardized test in medical knowledge. Retrospective cross-sectional study of medical students on a ...
Rank Matthew A - - 2012
The relationship between asthma controller medication use and exacerbation rates over time is unclear at the population level. To estimate the change in asthma controller medication use between 2 time periods as measured by the controller-to-total asthma medication ratio and its association with changes in asthma exacerbation rates between 1997-1998 ...
Haden M - - 2011
We report a previously healthy man presenting with life-threatening hyperkalaemia and heart failure. The only possible cause was thought to be the long list of herbal medications he was taking, several of which contained significant amounts of cardiac glycosides. Hyperkalaemia is known to be associated with digoxin toxicity and we ...
Macgregor John M - - 2011
HYPOTHESIS/OBJECTIVES: To describe the therapeutic use of pimobendan in cats, describe the patient population to which it was administered, document potential side effects and report the clinical course following administration of pimobendan in conjunction with standard heart failure therapy. It is hypothesized that cats with advanced heart disease including congestive ...
Suzuki Hideto - - 2011
PURPOSE: Japanese methods of death inquests are still in developmental stages and many problems have been uncovered since an inspection error was reported in 2007. In this study, we investigated the latest results of medicolegal deaths in the Tokyo Metropolis, which is composed of areas with and without the medical ...
Frieden Thomas R - - 2011
Each year, more than 2 million Americans have a heart attack or stroke, and more than 800,000 of them die; cardiovascular disease is the leading cause of death in the United States and the largest cause of lower life expectancy among blacks. Related medical costs and productivity losses approach $450 ...
Tamanna Sadeka - - 2011
Non-invasive ventilation (NIV), the provision of ventilatory assistance without an artificial airway, has emerged as an important ventilatory modality over the last 20 years. Delivery of pressured air at a certain level through a nasal or oro-nasal mask improves oxygenation and reduces ventilatory muscle fatigue. The equipment consists of a ...
Friesner Daniel L - - 2011
Objective: To evaluate the differences in medication dispensing errors between remote telepharmacy sites (pharmacist not physically present) and standard community pharmacy sites (pharmacist physically present and no telepharmacy technology; comparison group).Design: Pilot, cross-sectional, comparison study.Setting: North Dakota from January 2005 to September 2008.Participants: Pharmacy staff at 14 remote telepharmacy sites ...
Litscher Gerhard - - 2011
We investigated the effects of violet laser acupuncture on arterial stiffness and other important parameters of the functional state of the heart such as augmentation index (AIx). This investigation ties together the medical perspectives of Eastern and Western medical practitioners; the Western medical perspective of the functional states of the ...
Kuusio Hannamaria H National Institute for Health and Welfare, Service System Research Unit, Helsinki, Finland. - - 2012
To examine the well-being differences among physicians working in different health care sectors and to test whether psychosocial stressors account for these differences. The well-being indicators used were psychological distress, self-rated health, and work ability. A total of 2,841 randomly selected Finnish physicians (response rate 57 percent) returned the postal ...
Kerenyi M - - 2011
Syringes used to administer intravenous medications in an intensive care unit were cultured, and the isolates were compared with those from positive blood cultures from the same patients. The overall contamination rate was 16%, and syringes used for drugs such as insulin, which support bacterial growth, had higher contamination rates. ...
Bowry Ashna D K - - 2011
Medications are a cornerstone of the prevention and management of cardiovascular disease. Long-term medication adherence has been the subject of increasing attention in the developed world but has received little attention in resource-limited settings, where the burden of disease is particularly high and growing rapidly. To evaluate prevalence and predictors ...
Allan Neil - - 2011
The aim of this study was to audit cardiac arrest documentation within a UK teaching hospital, survey the regional use of proformas for data collection, and consider the need for a standardised national template. A prospective audit comparing cardiac arrest documentation to General Medical Council (GMC) professional standards and the ...
Birati EdoY - - 2011
Telemedicine is the application of advanced telecommunication technology for diagnostic, monitoring and therapeutic purposes. It enables data transmission from the patient's whereabouts or his/her primary care provider to a specialized medical call center. Telecardiology is a highly developed medical discipline involving almost every aspect of cardiology, including acute coronary syndromes, ...
Beeler P E - - 2011
Advanced electronic alerts (eAlerts) and computerised physician order entry (CPOE) increase adequate thromboprophylaxis orders among hospitalised medical patients. It remains unclear whether eAlerts maintain their efficacy over time, after withdrawal of continuing medical education (CME) on eAlerts and on thromboprophylaxis indications from the study staff. We analysed 5,317 hospital cases ...
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