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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 ...
Sandholzer Maximilian M Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Härtelstraße 16-18, 04107, Leipzig, Germany, - - 2014
Undergraduate and postgraduate medical education in general practice is complex as a wide medical spectrum needs to be covered. Modern guidelines demand students to be able to recall immense amounts of information relating to the diagnosis and management of clinical problems. With the intent of making a medical textbook digitally ...
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 ...
- - 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 ...
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. ...
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 ...
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 ...
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 ...
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