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Mitchell Scott Belinda B Northern Health - The Northern Hospital, Emergency Department, 185 Cooper St Epping, Victoria 3076, Australia. Electronic address: - - 2014
Medication safety is of increasing importance and understanding the nature and frequency of medication errors in the Emergency Department (ED) will assist in tailoring interventions which will make patient care safer. The challenge with the literature to date is the wide variability in the frequency of errors reported and the ...
Peterson Susan M SM Department of Emergency Medicine, The Johns Hopkins University, Baltimore, - - 2014
Despite patient handoffs being well recognized as a potentially dangerous time in the care of patients in the emergency department (ED), there is no established standard and little supporting research on how to optimize the process. Minimizing handoff risks is particularly important at teaching hospitals, where residents often provide the ...
Reilly John J JJ From the Department of Medicine, University of Pittsburgh, - - 2014
Patients with symptomatic chronic obstructive pulmonary disease (COPD) are commonly treated with inhaled medications that fall into three classes: beta-agonists, muscarinic antagonists, and glucocorticoids. Most patients with moderate-to-severe COPD are receiving one or more inhaled agents; inhaled glucocorticoids and inhaled long-acting beta-agonists (LABAs) are more commonly used than are long-acting ...
Rodríguez Charo - - 2014
Despite significant differences in terms of medical training and health care context, the phenomenon of medical students' declining interest in family medicine has been well documented in North America and in many other developed countries as well. As part of a research program on family physicians' professional identity formation initiated ...
Unuvar Umit U Human Rights Foundation of Turkey, Istanbul, Turkey. Electronic address: - - 2014
Torture is a crime against humanity and it is frequently encountered in countries that have a history of military intervention such as Turkey. Torture still exists despite absolute prohibition by human rights and humanitarian law. More than 1 million people were tortured in Turkey since 1980 coup d'état. Documentation of ...
Boettger Soenke S Department of Psychiatry and Psychotherapy,University Hospital - - 2014
Objective: Our aim was to examine the characteristics of delirium in the severely medically ill cancer population on the basis of sociodemographic and medical variables, delirium severity, and phenomenology, as well as severity of medical illness. Method: All subjects in the database were recruited from psychiatric referrals at Memorial Sloan ...
Marinò Michele M Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, - - 2014
Medical treatment of Graves' hyperthyroidism is based on the use of thionamides; namely, methimazole and propylthiouracil. In the past, methimazole was preferred by European endocrinologists, whereas propylthiouracil was the first choice for the majority of their North American colleagues. However, because of the recent definition of a better side-effect profile, ...
Libungan Berglind - - 2014
Invasive treatment (coronary angiography and intervention if feasible) of patients with acute coronary syndrome (ACS) has been shown to lead to better outcomes than medical therapy alone, but the elderly have been under-represented in many of the studies. In the elderly, medical therapy is common in ACS. Fear of complications ...
Yoshida Yasuko Y Graduate School of Pharmaceutical Sciences, Nagoya City University, 3-1 Tanabe-dori, Mizuho-ku, Nagoya, 467-8603, Japan, - - 2014
The role of pharmacists in the healthcare settings is expanding and pharmacists are expected to counsel patients and/or caregivers regarding the appropriate use of a drug. However, we believe that communication between healthcare providers and patients may be limited by overestimation of patients' recognition level of medical terms by providers. ...
Custers Eugène J F M EJ University Medical Center Utrecht , The - - 2014
Abstract Aim: This study describes the introduction and spread of the concept of "illness script" in the medical education literature. Method: First, I will concisely discuss the development of the "script" concept in the general psychological literature and the results of the studies performed to provide it with the necessary ...
Wang Qi - - 2014
Hypertension, stroke and coronary heart disease (CHD) are common diseases that impose a heavy burden on patients and their families, particularly on those living in poor areas. This study examined catastrophic medical payments faced by patients with these diseases and the effectiveness of the new rural cooperative medical system (NRCMS) ...
Anderegg Sammuel V SV Sammuel V. Anderegg, Pharm.D., M.S., BCPS, is Pharmacy Manager, Oncology Service Line, Georgia Regents Medical Center, Augusta, GA; at the time of writing, he was Postgraduate Year 2 Health-System Pharmacy Administration Resident, The University of Kansas Hospital (UKH), Kansas City, and University of Kansas School of Pharmacy, Lawrence. Samaneh T. Wilkinson, Pharm.D., M.S., is Assistant Director of Pharmacy, Clinical Services; and Rick J. Couldry, B.S.Pharm., M.S., FASHP, is Director of Pharmacy, UKH. Dennis W. Grauer, M.S., Ph.D., is Associate Professor and Graduate Program Director, University of Kansas School of Pharmacy. Eric Howser is Decision Support Systems Specialist, UKH. - - 2014
The impact of an innovative medication reconciliation and discharge education program on 30-day readmissions and emergency department (ED) visits was evaluated. An observational pre-post analysis was conducted at an academic medical center to compare rates of hospital readmissions and return to ED visits during three-month periods before and after implementation ...
Johnson Shepard P SP Department of Surgery, Saint Joseph Mercy Hospital, Ann Arbor, MI; Department of Surgery, Section of Plastic Surgery, University of Michigan Health System, Ann Arbor, MI; Section of Plastic Surgery, University of Michigan Medical School, Ann Arbor, - - 2014
Influential think tanks such as the Institute of Medicine have raised awareness about the implications of medical errors. In response, organizations, medical societies, and hospitals have initiated programs to decrease the incidence and prevent adverse effects of these errors. Surgeons deal with the direct implications of adverse events involving patients. ...
Osorio Snezana Nena SN Department of Pediatrics, Weill Cornell Medical College, New York, - - 2014
Unexplained discrepancies between patient reported- and physician-prescribed medication regimens are an important source of potential harm to patients after hospital discharge. However, there are limited data available identifying risk factors associated with discrepancies in medications. Our objective was to describe the epidemiology of unexplained medication discrepancies and identify patient risk ...
Fitzcharles Mary-Ann MA MARY-ANN FITZCHARLES, MB, ChB, Alan Edwards Pain Management Unit, McGill University Health Center, Montreal, Quebec, Canada; and Division of Rheumatology, McGill University, Montreal, Quebec, Canada. SHAHIN JAMAL, MD, Division of Rheumatology, University of British Columbia, British Columbia, Canada. Address correspondence to Dr. Mary-Ann Fitzcharles, Montreal General Hospital, 1650 Cedar Avenue, H3G 1A4, Montreal, Quebec, Canada. E-mail: mary-ann.fitzcharles@muhc.mcgill.ca. Prepared on behalf of the Therapeutics Committee of the Canadian Rheumatology - - 2014
Similar to the enthusiasm for treatment of various ailments that greeted Nicotiana tabacum when brought to Europe from the New World 500 years ago, Cannabis sativa is now hailed as a possible treatment for a multiplicity of symptoms(1). Embraced by physicians and the people, from commoners to the aristocracy, the ...
Kalant Harold H HAROLD KALANT, MD, PHD, FRSC, Department of Pharmacology & Toxicology, University of Toronto and Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Address correspondence to Dr. H. Kalant, Department of Pharmacology & Toxicology, Medical Sciences Building, University of Toronto, 1 King's College Circle, Toronto, Ontario, Canada M5S 1A8. E-mail: - - 2014
On April 1, 2014, Health Canada announced a new approach to the permitted use of herbal cannabis as a medication ("medical marijuana"). Physicians are now required to write prescriptions, which the patients must have filled by producers licensed by Health Canada who will sell standard preparations of known purity. Numerous ...
Platt Michael M Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston, - - 2014
Pharmacotherapy for allergic rhinitis is a mainstay of treatment for patients with mild to severe nasal allergy symptoms. A wide array of medical treatment options is available for both episodic relief and prevention of symptoms. Treatment regimens can be tailored to individual patients based on nasal symptoms, severity, and associated ...
Bramstedt Katrina A KA Bond University School of Medicine, Gold Coast, Queensland, - - 2014
A novel patient-centered approach was used to deliver ethics curriculum to medical students. Two medical school clinicians designed a telemedicine session linking their facilities (across 2 continents). The session, Exploring the Patient Experience Through Telemedicine: Dialysis and End-Stage Renal Disease, allowed second-year medical students to explore various parameters of quality ...
Frich Jan C JC Institute of Health and Society, University of Oslo, Oslo, - - 2014
Medication-overuse headache (MOH) is common in the general population, and most patients are managed in primary health care. Brief Intervention (BI) has been used as a motivational technique for patients with drug and alcohol overuse, and may a have role in the treatment of MOH. To explore GPs' experiences using ...
Farinde Abimbola A Bayshore Medical Center, 4000 Spencer Highway, Pasadena, - - 2014
Recently, medication therapy management has gained significant momentum, which has largely been fueled the desire to optimize patients' medication treatment. The implementation of medication therapy management is proving to be increasingly important in trauma care because of a myriad of issues whether cognitive, mental, or physical that can be experienced ...
Bulloch Marilyn N - - 2014
To describe primarily implicit instruments for assessing medication use in older adults. Literature was identified via PubMed (1966-2014) and Google Scholar using the following search terms: geriatric/medication use, implicit criteria, inappropriate medication use, inappropriate prescribing, older adults/medication use, and polypharmacy. Reference citations from identified publications were also reviewed. All articles ...
Glanville Megan - - 2014
To assess the utility of medication donation by patients and families for redispensing in a nonprofit pharmacy. Cumberland County Medication Access Program (CCMAP) in Fayetteville, NC. CCMAP is a patient assistance pharmacy providing prescription medication to patients who lack health insurance and the financial means to obtain medication. CCMAP was approached ...
Uhlmann Christina C UHLMANN, UNSER, AROLT, and LENCER: University Hospital Muenster, Muenster, Germany; KAEHLER: University Hospital Muenster and University of Groningen, Groningen, Netherlands; HARRIS: Jesse Brown VA Medical Center, Chicago, - - 2014
Background. Up to 75% of patients suffering from schizophrenia do not take their antipsychotic medication in the way it is prescribed. Nonadherence has been shown to be associated with poorer therapy outcomes, higher hospitalization rates, and increased costs for health care systems. One important contributing factor to negative attitudes toward ...
Hill Kevin P KP HILL: McLean Hospital, Belmont, MA, and Harvard Medical - - 2014
With 23 states and the District of Columbia having enacted medical marijuana laws as of August 2014, it is important that psychiatrists be able to address questions about medical marijuana from patients, families, and other health care professionals. The author discusses the medical literature on synthetic cannabinoids and medical marijuana. ...
Kaebnick Gregory E - - 2014
There are three broad themes in this issue of the Hastings Center Report. First, a special report published as a supplement to the issue addresses the medical and health policy issues faced by lesbian, gay, bisexual, and transgender patients. Inside the issue, the two articles take up questions about how ...
Roberts Andrew W AW Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill; Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, - - 2014
Poor medication adherence due to high drug costs is a barrier to optimal health outcomes among low-income uninsured patients with chronic conditions. Charitable pharmacy assistance programs provide medications to such patients, but little is known about the utilization patterns of program participants. We used a retrospective cohort design to investigate ...
De Pasquale C C Department of Formative Science, University of Catania, Italy; Vascular Surgery and Organ Transplant Unit, Department of Surgery, Transplantation and Advanced Technologies, University Hospital of Catania, Italy. Electronic address: - - 2014
The dialysis delivered after a chronic kidney disease (CDK) or any otherwise severe end-stage renal failure is a complex medical task, leading to major medical and psychopathological distress for the patient. The aim of the present study was to analyze the impact of the dialysis experience on the nephrologic patient's ...
Onuigbo M A MA Mayo Clinic College of Medicine, Rochester, Minnesota; Department of Nephrology, Mayo Clinic Health System, Eau Claire, Wisconsin, USA, - - 2014
Background: The potential combination of diuretics- angiotensin-converting enzyme inhibitors- Non-steroidal anti-inflammatory drugs (diuretics-ACEIs-NSAIDs), the so-called 'triple whammy', to produce clinically significant nephrotoxicity in chronic kidney disease (CKD) is often unrecognized. In 2013, in the British Medical Journal, we described accelerated post-operative acute kidney injury (AKI) in CKD patients concurrently on ...
Vogt H Bruce - - 2014
Engagement in meaningful activities is integral to professional identity formation, yet little has been reported in the medical education literature and no studies have focused on the medical student's perspective. This study sought to further define meaningful activities and value to patient care as perceived by third- and fourth-year medical ...
Chen Jasper J - - 2014
Guardianship may be necessary when inpatients lack medical decision-making capacity and are unwilling to go home to be cared for by interested proxy decision makers. Interventions, centered on a clinical pathway, were conducted at Dartmouth-Hitchcock Medical Center (DHMC; Lebanon, New Hampshire). Because guardianship occurs at the interface of clinical care ...
McKaig Donald - - 2014
A study was conducted to evaluate the impact of a reengineered approach to electronic error reporting at a 719-bed multidisciplinary urban medical center. The main outcome of interest was the monthly reported medication errors during the preimplementation (20 months) and postimplementation (26 months) phases. An interrupted time series analysis was ...
Yoshihara S - - 2014
To describe the features of chronic sinusitis associated with the use of tumour necrosis factor (TNF) inhibitors. A retrospective review of the medical records between 2003 and 2011 revealed that five patients had developed chronic sinusitis after the start of TNF inhibitor administration and required rhinological evaluation and treatment. The ...
Destro Juliana Regina JR Center for Health Sciences, Universidade Federal de Santa Catarina, Florianópolis, SC, - - 2014
To analyze the prevalence of medical consultations in the last three months among elderly adults and associated factors. A cross-sectional, population-based study was carried out with 1,705 elderly adults (60+ years of age) in the urban region of Florianópolis, Santa Catarina, Brazil, in 2009 and 2010. The sampling selection was ...
Gohil Kunj - - 2014
New medications may soon offer more effective treatments for the approximately 2.5 million patients globally with schizophrenia. Current therapies in 2012 yielded $5.2 billion in global market sales, but by 2022 that is expected to reach $7.9 billion.
Zeichner Joshua A JA Mount Sinai School of Medicine, New York, New - - 2014
Onychomycosis is a common nail disorder with significant medical impacts and aesthetic consequences. Patients seek treatment for several reasons, including the unsightliness of the nail(s). Even with successful management, it takes months for the diseased nail to appear cosmetically normal. Patients commonly apply nail polish to mask the appearance of ...
Gamble Brenda B Associate Professor, Faculty of Health Sciences, University of Ontario, Institute of Technology, Oshawa, - - 2014
Although the use of performance indicators for the analytical (and highly measurable) phase of the medical laboratory process has had a long and successful history, it is now recognized that the value of a laboratory test is embedded in a system of care. This case study, using both documents and ...
Mirzazadeh Azim A Department of Internal Medicine, Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran. - - 2014
Despite the existence of a large variety of competency frameworks for medical graduates, there is no agreement on a single set of outcomes. Different countries have attempted to define their own set of competencies to respond to their local situations. This article reports the process of developing medical graduates' competency ...
Seo Incheol I Department of Microbiology, Keimyung University School of Medicine, Daegu 704-701, - - 2014
Medication adherence is generally defined as the extent of voluntary cooperation of a patient in taking medicine as prescribed. Adherence to long-term treatment with chronic disease is essential for reducing disease comorbidity and mortality. However, medication non-adherence in chronic disease averages 50%. This study was conducted a genome-wide association study ...
Cheng Ching-Lan CL Institute of Clinical Pharmacy and Pharmaceutical Sciences, College of Medicine, National Cheng Kung - - 2014
Background: The aim of this study was to determine the validity of acute myocardial infarction (AMI) diagnosis coding in the National Health Insurance Research Database (NHIRD) by cross-comparisons of discharge diagnoses listed in the NHIRD with those in the medical records obtained from a medical center in Taiwan.Methods: This was ...
Conrado Daniela J DJ Pharmatherapeutics Clinical Pharmacology, Pfizer Inc., Cambridge, MA, 02139, USA, - - 2014
Our objective was to expand our understanding of the predictors of Alzheimer's disease (AD) progression to help design a clinical trial on a novel AD medication. We utilized the Coalition Against Major Diseases AD dataset consisting of control-arm data (both placebo and stable background AD medication) from 15 randomized double-blind ...
Mannucci Pier Mannuccio PM Scientific Direction, IRCCS Foundation Maggiore Hospital Policlinico, Via Francesco Sforza 28, 20122, Milan, Italy, - - 2014
The dramatic demographic changes that are occurring in the third millennium are modifying the mission of generalist professionals such as primary care physicians and internists. Multiple chronic diseases and the related prescription of multiple medications are becoming typical problems and present many challenges. Unfortunately, the available evidence regarding the efficacy ...
Wu Hanjing Emily HE University of Texas Harris County Psychiatric Center, 2800 South MacGregor Way, Houston, TX, 77021, - - 2014
Antipsychotic medication-induced dysphoria is a relatively under-recognized and understudied effect of antipsychotic medication. Although the term is encountered in clinical practice and in the literature, there is no consensus regarding its exact meaning. This article is a narrative review of the literature on antipsychotic medication and dysphoria based on a ...
Deepak P P Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, - - 2014
Transplacental transfer of tumour necrosis factor-alpha (TNF-α) inhibitors has been shown in mothers receiving therapy for inflammatory bowel disease (IBD). To examine reports of adverse events of these medications in pregnancy. Individual Safety Reports of adverse events (Jan 2003-June 2012) were accessed from the Food and Drug Administration Adverse Event ...
Dudhia Raashika R a Department of Psychology , Stellenbosch University , Matieland , South - - 2014
In an effort to streamline the management of large numbers of patients receiving antiretroviral therapy (ART) in South Africa, adherence clubs were introduced in some districts in the Western Cape since 2008. Adherence clubs are group clinic visits of approximately 30 ART users who receive group adherence counselling and obtain ...
Kim Sung-Kyoung SK Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, - - 2014
The clinical outcomes of some patients with pleural infection may be favorable with medical treatment alone, but in others, the disease progresses and requires additional surgical treatment. However, little is known about the factors affecting this difference. The aim of this study was to investigate the factors predictive of failure ...
Roggen Inge I 1Department of Emergency Medicine,Universitair Ziekenhuis Brussel,Vrije Universiteit - - 2014
On March 4, 2012, an arms dump exploded in a densely populated area in Brazzaville, Republic of the Congo. At least 250 people were killed, 2,500 wounded, and 13,800 left homeless, of which 5,000 were relocated to a newly constructed internally displaced person (IDP) camp. Aim To describe the medical ...
Hepp Zsolt Z Allergan Inc, Global Health Outcomes Strategy and Research, USA - - 2014
Chronic migraine (CM) is a disabling disorder characterized by ≥15 headache days per month that has been shown to significantly reduce quality of life. Migraine-prevention guidelines recommend preventive medications as the standard of care for patients with frequent migraine. The aim of this study was to assess adherence to 14 ...
Regueiro Miguel D MD 1Department of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh School of Medicine Center, Pittsburgh, Pennsylvania; 2Department of Surgery, Division of Surgical Oncology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; 3Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; 4Department of Medicine, Division of Gastroenterology and Hepatology, University of Maryland, Baltimore, Baltimore, Maryland; 5Department of Medicine, Division of Gastroenterology and Hepatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania; 6Department of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina; 7Department of Medicine, Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; 8Department of Internal Medicine, Section of Digestive Diseases, Yale School of Medicine, New Haven, Connecticut; 9Gastroenterology Consultants of Connecticut, New Haven, Connecticut; 10Department of Pathology, Division of Anatomic Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; 11Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Departments of 12Psychiatry, 13Pediatrics, and 14Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and 15Department of Surgery, Division of Colon and Rectal Surgery, University of Pittsburgh School of Medicine, Pittsburgh, - - 2014
Managing patients with inflammatory bowel disease requires multidisciplinary coordination. Technological advances have enhanced access to care for patients and improved physician interactions. The primary aim of our project was to convene diverse institutions and specialties through a multisite virtual conferencing platform to discuss complex patient management. The case conference is ...
Seabrook Heather J - - 2014
Medical applications (apps) for smart phones and tablet computers are growing in number and are commonly used in healthcare. In this context, there is a need for a diverse community of app users, medical researchers, and app developers to better understand the app landscape. In mid-2012, we undertook an environmental ...
Watts Laura L University of Oxford , UK - - 2014
Abstract Objectives: To investigate the motivations for and experiences of patients who actively participate in a workshop to teach medical students about chronic disease. Design: Descriptive study using structured telephone or e-mail-based questionnaire exploring the views of 'patient tutors' who participate in a 'living with chronic disease' workshop. Participants: 'Patient ...
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