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Physician productivity

Nicholas G Zaorsky, Awad A Ahmed, Junjia Zhu, Stella K Yoo, Clifton D Fuller, Charles R Thomas, Mehee Choi, Emma B Holliday
PURPOSE: Industry payments to physicians are financial conflicts of interest and may influence research findings and medical decisions. We aim to (1) characterize industry payments within radiation oncology; and (2) explore the potential correlation between receiving disclosed industry payments and academic productivity. MATERIALS/METHODS: CMS database was used to extract 2015 industry payments. For academic radiation oncologists, research productivity was characterized by h- and m-indices, as well as receipt of National Institutes of Health (NIH) funding, which is not an industry payment...
September 12, 2018: Journal of the American College of Radiology: JACR
Umberto Maria Musazzi, Paolo Rocco, Cinzia Brunelli, Luisa Bisaglia, Augusto Caraceni, Paola Minghetti
Purpose: In Italy, where the adoption of opioid analgesics in pain management has been historically poor, an increase in opioids consumption occurred between 2000 and 2015. The aim of this study is to assess, through specific time series analyses for trend changes, the impact of different intervening factors - such as the availability of new drugs, the observance of clinical guidelines, changes in prescription regulations, and in reimbursement policies - on opioids sales to community pharmacies in Italy, focusing on the time period 2000-2010...
2018: Journal of Pain Research
Xiaolang Tian, Shan Sun, Xiaojiong Jia, Hua Zou, Shuang Li, Liping Zhang
Purpose: Carbapenem-resistant Enterobacteriaceae (CRE) have been increasingly reported worldwide and pose a serious public threat, but the clinical significance of extended-spectrum β-lactamase (ESBL) production in CRE is not well established. Patients and methods: A retrospective case-case-control study was conducted to identify the clinical characteristics of patients with ESBL-CRE. The susceptibility of isolates obtained from these patients was assessed. The detection of ESBL and carbapenemase-related genes was performed by PCR methods...
2018: Infection and Drug Resistance
Shaho Hasan, Pieta Krijnen, M Elske van den Akker-van Marle, Inger B Schipper, Kees A Bartlema
OBJECTIVE: To measure the effects of a medical scribe in an orthopaedic trauma surgery outpatient clinic on consultation time, patient satisfaction, doctor satisfaction and costs. DESIGN: Cross-sectional study. METHOD: At a level-1 trauma centre in the Netherlands, all standard outpatient trauma consultations were performed either with or without a medical scribe, for a period of 10 weeks. Length of consultation time was defined as the time from commencement of the consultation until the moment the electronic health record had been completely filled out and checked by the surgeon...
August 30, 2018: Nederlands Tijdschrift Voor Geneeskunde
Maryam Farasatinasab, Atefeh Amouzegar, Saeed Safari, Behrooz Ghanbari, Majid Darkahian, Sepideh Emami, Nashmin Pakdaman, Maryam Salili
Objective: Human albumin solution is an expensive colloidal preparation which is commonly used in clinical practice. Due to high cost of albumin, increased rate of the inappropriate use worldwide, and many other reasons, it is imperative to establish a practical protocol to use albumin products and limit its usage. The aim of this study was to identify albumin utilization patterns in a teaching hospital and to demonstrate the importance of the need to reconsider prescribing strategies for albumin administration...
July 2018: Journal of Research in Pharmacy Practice
Guillermo Alberto Perez Fernandez, Montaser Y Ismail
The autosomal dominant polycystic kidney disease (ADPKD) accounts for one out of 400-1000 live births, being a hereditary disorder with cystic and noncystic manifestations as well as extrarenal involvement. The pericardial effusion (PE) in the context of a patient with ADPKD is complex, and it is not entirely defined. Several theories have been proposed. The most accepted, so far, is linked to mutations in the PKD1 gene which can entail an abnormal production of matrix components, matrix-degrading enzymes, and inhibitors of metalloproteinases, and defects in connective tissue which would lead to an abnormal distensibility of the connective tissue...
September 2018: Oman Medical Journal
Stephanie Charles, Nidhi Agrawal, Manfred Blum
OBJECTIVES: Biotin is a component of the vitamin B complex used in standard immunoassays to detect serum levels of various hormones and non-hormones, including thyrotropin (TSH) and thyroxine. These assays involve a strong bond between streptavidin and biotin, which serves as an anchor for measured analytes. Large doses of exogenous biotin for the treatment of certain medical conditions have resulted in assay interference, causing TSH to be spuriously lowered. Smaller doses of biotin found in dietary supplements also have caused assay interference...
June 6, 2018: Nutrition
Jame C Robinson
Issue: Reference pricing is an emerging health insurance benefit design aimed at reducing health costs. In this model, an insurer establishes a maximum payment that it will contribute toward covering the price of a product or service in situations where there is wide price variation for therapeutically similar drugs, diagnostics, or procedures. Experiences to date indicate that reference pricing can influence patients and physicians to switch to less costly options within each therapeutic class, reducing overall drug prices...
September 1, 2018: Issue Brief of the Commonwealth Fund
Pavly Youssef, Roman Povolotskiy, Thayer J Mukherjee, Aron Kandinov, Boris Paskhover
PURPOSE: The aims of this study were as follows: To determine the national incidence of facial fractures among infants, toddlers, and children; to evaluate the types of facial fractures; and to analyze common products/activities associated with the fractures. MATERIALS AND METHODS: A retrospective review was conducted to explore patterns of facial fractures among infants (<1 year), toddlers (1-3 years), and children (3-5 years), using the National Electronic Injury Surveillance System (NEISS) from the Consumer Product Safety Commission (CPSC)...
September 2018: Journal of Cranio-maxillo-facial Surgery
E H Bergene, L Holst, T B Rø, A Steinsbekk
Background: Finding appropriate medicinal product formulations and dosage forms for children can be challenging. Knowledge about considerations behind which medicinal product to prescribe or dispense for children is lacking. Objective: To explore considerations of formulation characteristics of medicinal products made by GPs when prescribing and by pharmacists when dispensing medicines for children 0-6 years of age. Method: A qualitative study was performed by conducting three semi-structured focus groups with GPs and three with pharmacists, using nearly identical thematic interview guides...
September 5, 2018: Family Practice
E Haufe, S Abraham, A Heratizadeh, I Harder, A Zink, E Weisshaar, A Kleinheinz, R von Kiedrowski, M Worm, M Bell, A Wollenberg, K Neubert, P Staubach-Renz, M Hilgers, T Bieber, I Fell, B Homey, I Effendy, M Mempel, K Schäkel, S Beissert, S Weidinger, T Werfel, J Schmitt
BACKGROUND: Clinical registries may provide high-quality evidence on the use and effectiveness of therapeutic interventions under real-life conditions. Adults with moderate-to-severe atopic eczema (atopic dermatitis [AD]) are enrolled into TREATgermany and prospectively followed over at least 2 years. This paper analyses the association between dermatological quality of life and work limitations. MATERIALS AND METHODS: Treatment modalities and a broad set of physician- and patient-reported outcome measures are documented using validated instruments to assess clinical disease severity (EASI [Eczema Area and Severity Index], objective SCORAD [objective-SCORing Atopic Dermatitis]), quality of life (DLQI [Dermatology Life Quality Index]), symptoms (POEM [Patient-oriented Eczema Measure]), global disease severity, as well as patient satisfaction and work limitations including presenteeism (WLQ [Work Limitation Questionnaire])...
September 6, 2018: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
J O'Callaghan, S P Barry, M Bermingham, J M Morris, B T Griffin
Competition arising from the increasing availability of biosimilar medicines has resulted in healthcare savings and has provided greater patient access to high cost therapeutics in Europe. The biosimilar market in the USA is relatively new so the full impact of biosimilar availability remains to be seen. Educational initiatives relating to the use of biosimilar medicines are currently being undertaken by regulators, policy makers and industry. The debate on biosimilars has moved on from the appropriateness of the regulatory framework which governs their approval, to the practice of interchangeability...
September 5, 2018: European Journal of Clinical Pharmacology
Hiroo Wada, Saki Fukumoto, Kengo Tamamura, Go Muto, Jun Ueki, Takeshi Tanigawa
Home oxygen therapy (HOT), also known as long-term oxygen therapy, is prescribed to patients with chronic respiratory failure (CRF) due to advanced respiratory diseases, as it has been shown to improve the prognosis of patients with chronic obstructive pulmonary disease (COPD). However, the therapeutic impact of HOT does not fully reflect the "socialization" of patients, which is one of the final goals of "comprehensive pulmonary rehabilitation", proposed by the Japanese Respiratory Society...
September 5, 2018: Industrial Health
Mario A González-Mariño
OBJECTIVE : To evaluate the need of oncologists for cancer care in Bogotá. MATERIAL AND METHODS : The Ministerio de Salud y Protección Social de Colombia (SISPRO) consultation report of malignant neoplasms is compared to a model of four treatment consultations and two of controls per year, according to the estimation of incidence and prevalence. Based on these data, the need for oncologists is calculated and compared with the registry that this ministry has of independent professionals (private practice in the office) and public and private health care institutions...
January 2018: Revista de Salud Pública
Peter S Graves, Stephen R Graves, Tanvir Minhas, Rebecca E Lewinson, Isabelle A Vallerand, Ryan T Lewinson
BACKGROUND: Emergency department efficiency is a priority across Canada. In the United States, scribes may increase the number of patients seen per hour per physician; however, Canadian data are lacking. We sought to implement scribes in a Canadian emergency department with the hypothesis that scribes would increase the number of patients seen per hour per physician. METHODS: We conducted a 4-month quality improvement pilot study in a community emergency department in Ottawa, Ontario...
July 2018: CMAJ Open
Caroline A Bravo, Diego Llovet, Holly O Witteman, Laura Desveaux, Justin Presseau, Marianne Saragosa, Gratianne Vaisson, Shama Umar, Jill Tinmouth, Noah M Ivers
BACKGROUND: Providing clinical performance data to health professionals, a process known as audit and feedback, can play an important role in health system improvement. However, audit and feedback tools can only be effective if the targeted health professionals access and actively review their data. Email is used by Cancer Care Ontario, a provincial cancer agency, to promote access to a Web-based audit and feedback tool called the Screening Activity Report (SAR); however, current emails that lack behavior change content have been ineffective at encouraging log-in to the SAR...
September 4, 2018: JMIR Human Factors
Kristen E Allen, Susan E Beekmann, Philip Polgreen, Sarah Poser, Jeanette St Pierre, Scott Santibañez, Susan I Gerber, Lindsay Kim
Respiratory syncytial virus (RSV) often causes respiratory illness in adults. Over 40 RSV vaccine and monoclonal antibody products are currently in preclinical development or clinical trials. Because RSV diagnostic practices may impact disease burden estimates, we investigated infectious disease physicians' RSV diagnostic practices among their adult patients.
December 21, 2017: Diagnostic Microbiology and Infectious Disease
Ayelet Rosenthal, Stephanie B Oliveira, Uche Madubuko, Hanan Tanuos, Joseph Schwab, Iona M Monteiro
OBJECTIVE: Infant feeding practices have been shown to differ between immigrants and non-immigrants in the United States. Our study characterizes feeding practices of infants of immigrant versus American-born mothers followed in an inner city Pediatric continuity clinic serving predominantly low socioeconomic status families. METHODS: A survey was given to 102 parents of infants ranging from 12 to 15 months of age who attended the clinic. Parents were asked about their country of origin, ethnic background and time since immigration to the US...
August 31, 2018: Journal of the National Medical Association
Yehuda Melamed
Hyperbaric oxygen (HBO) therapy is the inhalation of 100% oxygen at a pressure of at least 1.4 atmospheres absolute (ATA), 140 kPa, in the hyperbaric chamber. The therapeutic effect is obtained by delivery of oxygen to the tissues dissolved in the plasma and independent of the hemoglobin. At an ambient chamber pressure of 2 to 2.4 ATA, the amount of plasma-dissolved oxygen can reach more than 6 vol %, which is sufficient to supply the body's basic metabolic requirements, while arterial PO2 can reach more than 2,000 mmHg...
August 2018: Harefuah
Diana M Layne, Lynne S Nemeth, Martina Mueller, Marilyn J Schaffner, Karen M Stanley, Mary M Martin, Kenneth A Wallston
AIM: To evaluate the effectiveness of a professionalism taskforce and the prevalence of negative behaviours across interdisciplinary groups at a south-eastern US academic medical centre. BACKGROUND: Negative behaviours within health care organisations may undermine patient safety. These behaviours are associated with decreased productivity, increased turnover, and poor patient and staff outcomes. METHODS: A pre-post study design using an adapted instrument, the Negative Behaviors in HealthCare (NBHC) survey, assessed perceptions of negative behaviours by physicians, clinical, and managerial staff both before and after a professionalism taskforce was convened in 2012 to identify and promulgate key strategies to improve behaviours...
August 31, 2018: Journal of Nursing Management
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