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Ando Kathryn Akemi KA Department of Emergency Medicine, San Mateo Medical Center, San Mateo, CA, - - 2014
Urologists routinely deal with sensitive issues of urinary function as well as sexuality in daily practice. Even experienced urologists may encounter patients who engage in sexual practices that are novel, unknown, or perhaps disturbing to the provider. This primer will serve as an introduction to sexual practices and lifestyle choices ...
Petrov Maxim S MS Department of Surgery, University of Auckland, Auckland, New - - 2014
The "pancreatic rest" concept is entrenched in the management of acute pancreatitis. As a result, "nonstimulatory" feeding has been widely advocated in patients with this disease, being parenteral nutrition 2-3 decades ago and jejunal tube feeding in the past decade. However, accumulating clinical evidence from the fields of acute pancreatitis ...
Sanford Mark M Adis, Auckland, New - - 2014
Elosulfase alfa (Vimizim™) is a recombinant form of N-acetylgalactosamine-6-sulfatase (GALNS) that was developed by BioMarin Pharmaceutical Inc. as an enzyme replacement therapy for patients with mucopolysaccharidosis type IVA (MPS IVA), also known as Morquio A syndrome. Patients with MPS IVA have a GALNS deficiency, which results in serious musculoskeletal, cardiorespiratory ...
Kahawita Shyalle S MBBS, Ophthalmology Resident Ophthalmology Department, Queen Elizabeth Hospital, Adelaide, - - 2014
Flashes and floaters are common ophthalmic issues for which patients may initially present to their general practitioner. It may be a sign of benign, 
age-related changes of the vitreous or more serious retinal detachment. This article provides a guide to the assessment and management of a patient presenting with flashes ...
Prainsack Barbara B Department of Social Science, Health & Medicine, King's College London, London, United - - 2014
Does participatory medicine always empower patients, or could it also serve as a tool to shift responsibilities from other actors to individual patients?
Appleton Sarah C - - 2014
Polypharmacy is often considered suggestive of suboptimal prescribing, and is associated with adverse outcomes. It is particularly common in the context of cardiovascular disease, but it is unclear whether prescribing of multiple cardiovascular medicines, which may be entirely appropriate and consistent with clinical guidance, is associated with adverse outcome. The ...
Caplan Arnold I AI Skeletal Research Center, Biology Department, Case Western Reserve University, Cleveland, Ohio, - - 2014
To stimulate a broad discussion between academics, practicing physicians, corporate managers, and members of the regulatory community, we describe a proposal for a new regulatory pathway for human cell- and tissue-based products. The new components of the pathway are intended to accelerate patient access to a wide array of novel ...
Liu Xin X Department of Spinal Cord Injury, Institute of Orthopedics and Traumatology of Chinese PLA, General Hospital of Jinan Military Area Command, Jinan, Shandong Province, - - 2014
Paraplegia spasm is a kind of chronic disease which lacks effective treatment; the patients have to endure long-term pain, which is a tough problem for nursing practice. Lots of potential candidate medicines are under investigation, and a new Chinese herb formula is introduced in the current study. In the present ...
Weitzel Kristin W - - 2014
Current challenges exist to widespread clinical implementation of genomic medicine and pharmacogenetics. The University of Florida (UF) Health Personalized Medicine Program (PMP) is a pharmacist-led, multidisciplinary initiative created in 2011 within the UF Clinical Translational Science Institute. Initial efforts focused on pharmacogenetics, with long-term goals to include expansion to disease-risk ...
Lazaridis Konstantinos N - - 2014
There is increasing recognition that genomic medicine as part of individualized medicine has a defined role in patient care. Rapid advances in technology and decreasing cost combine to bring genomic medicine closer to the clinical practice. There is also growing evidence that genomic-based medicine can advance patient outcomes, tailor therapy ...
Berenbaum Francis F Sorbonne Universités, Université Pierre et Marie Curie Paris 06, INSERM UMRS 938, Assistance Publique-Hopitaux de Paris, Department of Rheumatology and DHU i2B, Hôpital Saint-Antoine, Paris, - - 2014
A revolution is underway in the fields of education and health practice. Social media are now considered by the new generations of students, doctors and patients as a useful tool for learning and for doctor-doctor, doctor-patient and patient-patient communications. However, should we be excited by this revolution or afraid of ...
McBride Joshua J JJ Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY, - - 2014
Hypnotherapy is an often misunderstood yet effective therapy. It has been reported to be useful within the field of paediatric respiratory medicine as both a primary and an adjunctive therapy. This article gives a brief overview of how hypnotherapy is performed followed by a review of its applications in paediatric ...
Williams Lorraine E LE East Surrey Hospital, Redhill, Surrey, - - 2014
Physician associates (PAs) are a new profession to the UK. There has been no prior national assessment of the perspectives of doctors who work with PAs with regard to their role. Doctors who supervise PAs were surveyed in late 2012; respondents were found generally to be satisfied with the role ...
Chaipichit Nataporn N Division of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Khon Kaen University, Khon Kaen, - - 2014
To explore how Thai patients assess symptoms as adverse drug reactions (ADRs). Out-patients at two hospitals in Thailand previously reporting suspected ADRs to statins were purposively selected to cover factors relevant to the accuracy of ADR reports. Semi-structured interviews explored the mechanisms participants used to work out whether their symptoms ...
Ghinea Narcyz - - 2014
While ethics and evidence-based medicine are often viewed as separate domains of inquiry and practice, what we know influences what we can ethically justify doing, and what we see as our moral obligations shapes the way we interpret evidence. The boundaries between the moral and epistemic spheres become particularly blurred ...
D Hughes Lloyd L Fifth-year medical student at the University of Dundee, - - 2014
Restraint, 'a measure or condition that keeps someone under control or within limits' (Free Dictionary, 2014), has long been an area of discussion in healthcare settings and includes chemical as well as physical restraint. In clinical practice, there are clearly patients whom it is appropriate to attempt to restrain-and those ...
Urban Rachel R School of Pharmacy, University of Bradford, UK; Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK; Pharmacy Department, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK. Electronic address: - - 2014
Many studies have highlighted the problems associated with different aspects of medicines reconciliation (MR). These have been followed by numerous recommendations of good practice shown in published studies to decrease error; however, there is little to suggest that practice has significantly changed. The study reported here was conducted to review ...
McAlinden Colm C College of Medicine Swansea University - - 2014
During the mid-twentieth century, the role of the doctor was traditionally authoritative and paternalistic. However, in recent times, the practice of medicine has evolved to a more mutual participation based on patient education and informed decision making.
Norris Kim K Lung Cancer Foundation of America, 15 S, Franklin St, New Ulm, MN, 56073, USA. - - 2014
Kim Norris answers questions on the role of the patient advocate within a participatory medicine system.
Sieler Roman R Postdoctoral Researcher, MESH (Medicine Environment Societies Health), Institut Français de Pondichéry, Pondicherry, - - 2014
It is often argued that biomedicine alienates patients from doctors, from ailments and from understanding treatment processes, while indigenous and alternative healing systems are portrayed as respectful of patients and their experience. Specifically, South Indian siddha medicine has been seen as diverging from biomedicine in empowering its patients. This approach ...
- - 2014
Recent years have seen an increased emphasis on evidence-based medicine - treating patients based on the best available evidence. But, while awareness of evidence-based veterinary medicine is increasing, widespread implementation may be hampered by a lack of data. A debate at the BVA Congress in November last year asked whether, ...
Kaunitz Andrew M AM From the University of Florida College of Medicine-Jacksonville, Department of Obstetrics & Gynecology, Jacksonville, - - 2014
Although providing guidance to patients regarding duration of hormone therapy represents a topic surrounded by controversy, clinicians often encounter this issue in practice. As pointed out in the NAMS 2012 Hormone Therapy (HT) Position Statement, determining the optimal duration of HT is challenging both for clinicians and for patients. This ...
Branch William T WT Jr Department of Medicine, Emory University, Atlanta, GA, - - 2014
This paper aims to honour the Hippocratic Oath in modern practice by providing reflections on the development of ways for doctors to know the whole person that have accrued over the five decades to the present. I present a perspective piece, which includes personal reflections and cites relevant literature. Powerful ...
Ohtsu Kensei K Department of Gastroenterology, Fukuoka University Chikushi - - 2014
Background: Mesenteric phlebosclerosis (MP) is a relatively rare disease of the colon. An association between MP and Chinese herbal medicine intake has recently been recognized. Subjects and methods: In the present study, we investigated the association between MP and Chinese herbal medicine intake in 42 patients, including those reported in ...
Ryan Cristín C School of Pharmacy, Queen's University Belfast, Belfast, United - - 2014
Study objectives were to investigate the prevalence and causes of prescribing errors amongst foundation doctors (i.e. junior doctors in their first (F1) or second (F2) year of post-graduate training), describe their knowledge and experience of prescribing errors, and explore their self-efficacy (i.e. confidence) in prescribing. A three-part mixed-methods design was ...
Tait Paul P BPharm, MClinPharm, MSHP, Advanced Practice Pharmacist (Palliative Care), Southern Adelaide Palliative Services, Repatriation General Hospital, Adelaide, - - 2014
There are a number of challenges facing people in the last days of life who wish to receive care in their home environment. This includes timely access to medicines for symptom control. This article outlines the development of a concise list of core medicines that can provide symptom control in ...
Takashi Tsuboi T Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, - - 2014
Antipsychotics sometimes cause sexual dysfunction in people with schizophrenia. The authors report the effectiveness of Saikokaryukotsuboreito (Japanese traditional herbal medicine, Chai-Hu-Jia-Long-Gu-Mu-Li-Tang in Chinese) for antipsychotic-induced sexual dysfunction in two male patients with schizophrenia. The first patient was a 28-year-old man with schizophrenia who suffered erectile dysfunction induced by olanzapine 10 mg/day; ...
Reaves Esther E Aberdeen Royal Infirmary, Aberdeen, Scotland. - - 2014
In New Zealand, the highest prevalence of gout is in Maori and Pacific people. Counties Manukau District Health Board (CMDHB) has the highest Maori and Pacific population of any New Zealand District Health Board. A CMDHB study found that a high proportion of patients with gout were also at increased ...
Hajart Aaron F - - 2014
The provision of care and business of musculoskeletal medicine have evolved signifncalty over the last two decades. It has become ever more important that those who are leading muskuloskeletal medicine practices evolve with the changing healthcare landscape and find new ways to provide higher quliaty and more cost-effetive care. To ...
Galicia-Connolly Elaine E CARE Program, Department of Pediatrics, University of Alberta, Edmonton, Alberta, - - 2014
Previous studies have found that up to 60% of children with neurologic conditions have tried complementary and alternative medicine (CAM). To assess the use of CAM among patients presenting to neurology clinics at two academic centers in Canada. A survey instrument was developed to inquire about use of CAM products ...
Lindell-Osuagwu L L School of Pharmacy, University of Eastern Finland, Kuopio, - - 2013
The European Paediatric Regulation aims to reduce off-label use of medicines in paediatric pharmacotherapy. Prescribing for off-label use and unauthorized medicines was common in the paediatric wards of the Kuopio University Hospital in 2001. To evaluate the possible impact of the Regulation on the prevalence and the frequency on such ...
Lin Jing-Fan JF Department of Traditional Chinese Medicine, Center for Traditional Chinese Medicine, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan; School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 333, - - 2014
Complementary and alternative therapies in treating atopic dermatitis are not uncommon. However, substantial evidence and consensus on treating atopic dermatitis is lacking. The aim of this study is to investigate the characteristics and utilization of traditional Chinese medicine in patients with atopic dermatitis. We retrospectively collected patients with atopic dermatitis ...
Keats John P - - 2013
The modern patient safety movement began around 2000, when attention was drawn to error-related hospital mortality by the Institute of Medicine. Several years later the American College of Obstetricians and Gynecologists addressed safety issues in office practice, in recognition of the migration of increasingly complex surgical procedures to the office ...
Boyd Matthew - - 2013
Medication non-adherence is considered an important cause of morbidity and mortality in primary care. This study aims to determine the effectiveness, cost effectiveness and acceptability of a complex intervention delivered by community pharmacists, the New Medicine Service (NMS), compared with current practice in reducing non-adherence to, and problems with, newly ...
Ringwald Juergen - - 2013
New oral anticoagulants are increasingly used instead of vitamin K antagonists or low molecular weight heparins. Hence, more individuals treated with new oral anticoagulants will seek travel medicine advice. Travel medicine experts should therefore become familiar with new oral anticoagulants and with their impact and role in travel medicine. This ...
Sussex Jon - - 2013
To pilot the use of multicriteria decision analysis to establish and apply a framework of weighted attributes to value orphan medicinal products. Literature searches on the natural history and burden of 40 rare diseases and of how payers assess treatment value and three workshops with, respectively, GlaxoSmithKline managers working on ...
Zhong Linda Ld - - 2013
Functional constipation is a common clinical complaint. Although the effectiveness of Ma Zi Ren Wan for alleviating functional constipation symptoms has been proven in a previous randomized placebo-controlled study, further evidence is needed to make clinical recommendations about Chinese herbal medicine. In particular, a comparison with conventional western medicine for ...
Wolfson Theodore S - - 2013
Diabetes mellitus (DM) affects a significant proportion of the patients evaluated and treated by orthopedic surgeons who specialize in sports medicine. Sports-medicine-related conditions associated with DM include tendinopathy, adhesive capsulitis of the shoulder, and articular cartilage disease. This article reviews the current literature adressing the effect of DM on surgical ...
Coleman Mary Thoesen - - 2013
A growing percentage of physicians are selecting employment over solo practice, and fewer family physicians have hospital admission privileges. Results from surveys of recent medical school graduates indicate a high value placed on free time. Factors to consider when choosing a practice opportunity include desire for independence, decision-making authority, work-life ...
Loder Elizabeth - - 2013
In an effort to draw attention to tests and procedures associated with low-value care in headache medicine, the American Headache Society (AHS) joined the Choosing Wisely initiative of the American Board of Internal Medicine Foundation. The AHS president appointed an ad hoc "Choosing Wisely" task force of the AHS. The ...
Chopra Vineet - - 2013
A Michigan survey found variation in hospitalist-reported experience, practice, opinions, and knowledge related to peripherally inserted central catheters (PICCs). Whether these findings reflect a national trend is unknown. To investigate self-reported PICC practice among adult hospitalists in the United States. Society of Hospital Medicine-administered, anonymous, Web-based survey of practicing, adult, ...
Block Lauren - - 2013
Etiquette-based communication may improve the inpatient experience but is not universally practiced. We sought to determine the extent to which internal medicine interns practice behaviors that characterize etiquette-based medicine. Trained observers evaluated the use of 5 key communication strategies by internal medicine interns during inpatient clinical encounters: introducing one's self, ...
Vyas Krishna S - - 2013
Historically, mediastinoscopy has been the gold standard for the staging of lung cancer. A practice gap exists as the result of a variation in knowledge concerning current trends and practice patterns of mediastinoscopy usage. In addition, there are regional variations in practice-based learning and patient care. Lessons learned during surgeries ...
Ventres William - - 2013
Background: The author reviews his personal history learning to use Electronic Health Records (EHRs) and examination room computers. He asks key questions that pertain to the use of EHRs in practice and discusses the current state of knowledge regarding EHRs and doctor-patient communication. Summary: He notes that-regardless of the ubiquity ...
Muralidhar Kanchi - - 2013
Transoesophageal Echocardiography (TEE) is now an integral part of practice of cardiac anaesthesiology. Advances in instrumentation and the information that can be obtained from the TEE examination has proceeded at a breath-taking pace since the introduction of this technology in the early 1980s. Recognizing the importance of TEE in the ...
Walz Patrick C - - 2013
CME EDUCATIONAL OBJECTIVES 1. Review the most recent American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) guidelines for perioperative management of patients with sleep-disordered breathing (SDB). 2. Highlight perioperative challenges in management of patients with SDB. 3. Discuss significant updates in the SDB literature since the AAO-HNS guideline publication. Snoring ...
Chung Gregory K W K - - 2013
We compared the effects of simulator-based virtual ultrasound scanning practice with classroom-based ultrasound scanning practice on participants' knowledge of focused assessment with sonography for trauma (FAST) window quadrants and interpretation, and on participants' performance on live patient FAST examinations. Novices with little or no ultrasound training experience received simulation-based practice ...
Tuna S S Department of Oncology, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, - - 2013
Purpose: To study the prevalence of the usage of herbal medicines among cancer patients. Methods: This study was carried out between October 1, 2009 and May 31, 2011, by using face-to-face interviews with cancer patients attending oncology departments (clinics and outpatient clinics, chemotherapy units). A special questionnaire was filled in ...
Clerici Carlo Alfredo CA SSD Psicologia, Fondazione IRCCS Istituto Nazionale Tumori, Milan, - - 2013
Andrea Pasta was an eclectic visionary light years ahead of his time. He made numerous contributions to the field of medicine, some recognized by his contemporaries and others so visionary that they are being applied only in modern times. His contributions spanned the disciplines of psychology, gynaecology, haematology, infectious diseases ...
Gay Susan - - 2013
Can patients reliably choose a good doctor online? Inevitably, some will. Many doctors are not comfortable being visible online. So if you do not have a blog or a social media profile, what shows up when a patient Googles you most likely will be something from an online rating site. ...
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