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- - 2014
Course objective By the end of this two-week course, learners will be able to identify patients at risk of medicines non-adherence, and employ strategies to support them in the use of their medicines.
Kinuya Seigo S Department of Nuclear Medicine, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan, - - 2014
The Subcommittee on the Survey of Nuclear Medical Practice in Japan has performed a nationwide survey of nuclear medicine practice every 5 years since 1982 to survey contemporary nuclear medicine practice and its changes over the years. The subcommittee sent questionnaires, including the number and category of examinations as well as ...
Mehdi Zehra Z Department of Ageing & Health, St Thomas' Hospital, London, - - 2014
Geriatric medicine encompasses a diverse nature of medical, social and ethical challenges, and requires a multidimensional, interdisciplinary approach. Recent reports have highlighted failings in the care of the elderly, and it is therefore vital that specialist trainees in geriatric medicine are afforded opportunities to develop their skills in managing this ...
Stahel P F PF Denver Health Medical Centre, University of Colorado, Department of Orthopaedics, School of Medicine, 777 Bannock Street, Denver, Colorado 80204, - - 2014
We explore the limitations of complete reliance on evidence-based medicine which can be diminished by confounding issues and sampling bias. Other strategies which may be reasonably invoked are discussed. Cite this article: Bone Joint J 2014; 96-B:997-9.
Krska Janet J School of Pharmacy, Universities of Greenwich and Kent, Chatham Maritime, Kent, ME4 4TB, UK, - - 2014
Polypharmacy is increasing, seemingly inexorably, and inevitably the associated difficulties for individual patients of coping with multiple medicines rise with it. Using medicines is one aspect of the burden associated with living with a chronic condition. It is becoming increasingly important to measure this burden particularly that relating to multiple ...
Kinnaman Karen A KA From the *Department of Emergency Medicine, Massachusetts General Hospital; †Department of Emergency Medicine, Brigham and Women's Hospital; ‡Division of Emergency Medicine, and §Brain Injury Center, Boston Children's Hospital, Harvard Medical School, Boston, MA; ∥Department of Epidemiology, Colorado School of Public Health, Aurora, CO; ¶Division of Sports Medicine, and #Sports Concussion Clinic, Boston Children's Hospital, Harvard Medical School, Boston; and **Micheli Center for Sports Injury Prevention, Waltham, - - 2014
Despite an increase in concussion diagnoses among pediatric patients, little is known about the management of pediatric patients with concussion in emergency departments (EDs). The objective of this study was to assess strategies used by emergency medicine physicians when treating pediatric patients with concussions. A 17-item questionnaire was e-mailed to ...
Bayme Michael J MJ Surgery Ward A, Soroka University Medical Center, Beer Sheva, - - 2014
More than 11,000 articles lauding alternative medicine appear in the PubMed database, but there are only a few articles describing the complications of such care. Two patients suffering from complications of alternative medicine were treated in our hospital: one patient developed necrotizing fasciitis after acupuncture, and the second developed an ...
Stebbing Justin J Faculty of Medicine, Department of Surgery & Cancer, Imperial College, London, - - 2014
Cancer diagnosis, medicine, prevention and care is changing - all for the better. As opposed to the "old days" of luck, trial and error and toxicity, we are now entering a new dawn due to advances in genomics and our understanding of biology. Personalised medicine or PM (aspects of which ...
Liwa Anthony C AC Department of Clinical Pharmacology, Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences, Mwanza, - - 2014
Hypertension is increasingly common in sub-Saharan Africa, and rates of hypertension control are low. Use of traditional herbal medicines (THM) is common among adults in sub-Saharan Africa and may affect hypertension therapy. We searched Ovid MEDLINE, Ovid EMBASE, and Web of Knowledge in June 2013 to find studies about THM ...
Ko Mimi - - 2014
To survey assesses the perception of pattern identification (PI) diagnosis of Traditional Medicine (TM) by Korean medical doctors (KMDs). A total of 14,485 KMDs affiliated with the Association of Korean Medicine were sent surveys via email, and 1646 (11.1%) responded to the questionnaire on their perception of PI diagnosis. Of ...
Menezes A A Sydney Medical School, The University of Sydney, Sydney, New South Wales, - - 2014
Considerable variability exists in adherence to practice guidelines for Barrett's esophagus (BE). Rapid advances in management approaches to BE led to a new American Gastroenterological Association (AGA) medical position statement in 2011. Our aim was to assess how well members of the AGA Clinical Practice section adhered to these guidelines. ...
Adams Denise D *CARE Program, Department of Pediatrics, University of Alberta, Edmonton, Canada; 8B-11111 Jasper Ave, Edmonton General Hospital, Edmonton, AB, Canada, T5K 0L4 †Department of Urology, University Hospital Bonn, Sigmund-Freud-Strasse 25, 53105 Bonn, Germany ‡Associate Professor, Department of Anesthesiology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43221 §Palladian Health, West Seneca, NY ||Departments of Pediatrics, and of Epidemiology & Community Medicine, University of Ottawa; Chief Scientist, Canadian Agency for Drugs and Technologies in Health ¶Associate Professor, Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta #Division of Pediatric Medicine, Department of Pediatrics, University of Ottawa; Medical Director of Informatics, Children's Hospital of Eastern Ontario; Associate Professor of Pediatrics, University of Ottawa **Director, CARE Program for Integrative Health and Healing; Director, PedCAM Network; Professor, AHFMR Health Scholar, Department of Pediatrics, University of Alberta, Edmonton, Canada; 8B-11111 Jasper Ave, Edmonton General Hospital, Edmonton, AB, Canada, T5K - - 2014
To assess the prevalence and patterns of complementary and alternative medicine (CAM) use among pediatric GI patients at academic clinics in Canada. This survey was carried out at two hospital-based gastroenterology clinics: the Stollery Children's Hospital in Edmonton and the Children's Hospital of Eastern Ontario (CHEO) in Ottawa. CAM use ...
Ruiz Janelle Nicole JN Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY; Stanford School of Medicine, Stanford, - - 2014
Oncologists treating patients with targeted therapies encounter adverse events (AEs) that pose management challenges, lead to dosing inconsistencies, and impact patient quality of life. Oncologists' practices and attitudes in the management of targeted therapy-related AEs in patients with renal cell carcinoma (RCC) are poorly understood. We sought to identify unmet ...
Gerrits Trudie T a University of Amsterdam, Amsterdam Institute of Social Science Research , Oudezijds Achterburgwal 185, 1012 DK , Amsterdam , The - - 2014
When in-vitro fertilization (IVF) was introduced in the 1970s, doctors were criticized for not properly informing prospective users about its possible risks and limited success rates as well as for medicalizing fertility problems. Nowadays, many fertility clinics are seeking to improve their accountability to stakeholders through patient-centred practices. Based on ...
Dieckmann Peter P From the *Danish Institute for Medical Simulation (DIMS), Center for Human Resources, Capital Region of Denmark, Herlev Hospital, Herlev Denmark; †The Danish Research Unit for Hospital Pharmacy, Amgros, Copenhagen, Denmark; ‡Regional Office for Patient Safety, Capital Region of Denmark; §Department of Diagnostic Services, University of Copenhagen, Copenhagen, Denmark; and ∥Danish Society for Patient Safety, Copenhagen, - - 2014
Medicine label design plays an important role in improving patient safety. This study aimed at identifying facilitators and barriers in a medicine label system to prevent medication errors in clinical use by health care professionals. The study design is qualitative and exploratory, with a convenience sample of 10 nurses and ...
Moudgil Kamal D KD Department of Microbiology and Immunology, University of Maryland School of Medicine, 685 W. Baltimore St, HSF-1, Suite 380, Baltimore, MD 21201, - - 2014
Rheumatoid arthritis (RA) is a chronic debilitating autoimmune disease affecting people worldwide. Increasing numbers of RA patients in the west are resorting to various complementary and alternative medicine modalities for relief of symptoms and well-being. Herbal products and acupuncture representing traditional Chinese medicine (TCM) are two of the most commonly ...
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 ...
Dodoo Alexander N O AN Centre for Tropical Clinical Pharmacology and Therapeutics, University of Ghana Medical School, P.O. Box GP 4236, Accra, Ghana, - - 2014
Antimalarial treatment strategies have changed much in the last 15 years, resulting in an increased variety of medicines available. Active pharmacovigilance methods are important for continued safety surveillance of these medicines, particularly in environments in which there is variability in treatments prescribed and limited confirmatory diagnostic capacity as well as limited ...
Fahey Frederic F Department of Radiology, Boston Children׳s Hospital, Harvard Medical School, Boston, MA. Electronic address: - - 2014
The practice of diagnostic nuclear medicine involves the use of ionizing radiation, and thus the potential risk associated with such exposure must be weighed against the benefits to the patient. This requires that the right test with the right dose be administered to the right patient at the right time. ...
Corkery Marie B MB Department of Physical Therapy, Bouvé College of Health Sciences, Northeastern University, Boston, MA - - 2014
To explore the clinical practice of physical therapists and examine adherence to clinical guidelines for treating patients with whiplash associated disorders (WAD). A cross-sectional electronic survey was sent to 1484 licensed physical therapists from the Orthopedic Section of the American Physical Therapy Association and the American Academy of Orthopedic Manual ...
Huang Jeffrey - - 2014
Co-management of surgical patients refers to patient care in which the medicine physician daily assesses acute issues, addresses medical comorbidities, communicates with surgeons, and facilitates patient care transition from the acute care hospital setting. Co-management of surgical patients is fast becoming a common practice, particularly among orthopedic, cardiothoracic, and neurosurgical ...
Cowan Robert P RP Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, - - 2014
Complementary and Alternative Medicine (CAM) approaches are widely used among individuals suffering from headache. The medical literature has focused on the evidence base for such use and has largely ignored the fact that these approaches are in wide use despite that evidence base. This article focuses on the uses of ...
Bilton Diana D Department of Respiratory Medicine, Royal Brompton Hospital, Sydney Street, London SW3 6NP. Electronic address: - - 2014
The recent introduction of mutation specific therapy to a small group of patients with Cystic Fibrosis has created the debate about the affordability of personalised medicine. I would argue strongly that the NHS must find a way to make revolutionary mutation specific therapies available to patients and explore the routes ...
Balfour-Lynn Ian M IM Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London. Electronic address: - - 2014
Personalised medicine refers to a tailored approach to treatment of an individual based on molecular analysis of genes, proteins or metabolites, and commonly involves a companion diagnostic test. It usually applies to small subsets of patients, often with rare diseases. In cystic fibrosis (CF), the best example is the CFTR ...
Jütte Robert R Leiter des Instituts für Geschichte der Medizin der Robert Bosch Stiftung, Straussweg 17, D-70184 Stuttgart, Germany. Electronic address: - - 2014
Samuel Hahnemann (1755-1843) known today as the founder of homoeopathy, was - as far as we know - the first physician who administrated placebos to his patient on a systematic and regular basis. This study is based upon unpublished documents (e.g. patients' letters) in the Archives of the Institute for ...
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?
Gupta Sandeep Kumar SK Department of Pharmacology, Dhanalakshmi Srinivasan Medical College and Hospital, Siruvachur, Perambalur, Tamil Nadu, India - - 2014
Off-label prescribing of medicines is prevalent worldwide because it gives freedom to physicians to apply new therapeutic options based on the latest evidence. Although physicians may lawfully prescribe approved drugs for any use consistent with available scientific data and proper medical practice, but unfortunately, usually this is done without adequate ...
Abdallah Claude C Division of Anesthesiology, Children's National Medical Center, NW, Washington D.C. 20010 - 2970, - - 2014
Rapid sequence intubation (RSI) has been an established practice, but is not without risks to patient. In different situations, a modification of the standard RSI technique may be more appropriate. The definition of a modified rapid sequence intubation (MRSI) is not well-documented. The purpose of this survey was to determine ...
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.
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 ...
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 ...
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