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https://www.readbyqxmd.com/read/28724036/clinical-pharmacology-profile-of-care-in-hepatology-clinic
#1
Talita Rocha Passos, Fabiana Silva Santos, Maria Cleusa Martins, Vanusa Barbosa Pinto, Flair José Carrilho, Suzane Kioko Ono
Since 2010, the Clinical Gastroenterology and Hepatology Division of the Central Institute of Hospital das Clínicas of the University of São Paulo Medical School (HC-FMUSP, in the Portuguese acronym) has been developing specialized electives assistance activities in the Outpatient Specialty Clinic, Secondary Level, in São Paulo NGA-63 Várzea do Carmo. The objective of this study was to analyze the pharmacotherapeutic profile of patients. This is a cross-sectional and retrospective study in which patients were seen at the Hepatology sector and the results were submitted to descriptive statistics...
May 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28722601/rabies-in-myanmar-prevalent-preventable-but-not-prioritized
#2
Thet Thet Mu, Aye Aye Sein, Chit Soe, Nan Phyu Phyu Aung, Tint Tint Kyi, Josh Hanson
Despite the availability of proven measures to prevent the disease, rabies now kills more people in Myanmar than malaria. Although there are challenges in controlling rabies in such a large and culturally diverse country, Myanmar's successful National Malaria Control Program demonstrates what can be achieved with sufficient political, financial, and scientific commitment. Presently, however, Myanmar lacks a comparable program to coordinate the multifaceted approach that is necessary to control rabies. The national government has invested heavily in improving access to postexposure prophylaxis, but there should also be an emphasis on other, more cost-effective strategies, particularly mass canine vaccination, which has been an essential component of successful rabies elimination programs in other countries...
June 12, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28717605/i-s-mu-l-t-first-time-patellar-dislocation-guidelines
#3
Mario Vetrano, Francesco Oliva, Salvatore Bisicchia, Michela Bossa, Angelo De Carli, Luigi Di Lorenzo, Davide Erroi, Alfonso Forte, Calogero Foti, Antonio Frizziero, Giuseppe Gasparre, Alessio Giai Via, Bernardo Innocenti, Umile Giuseppe Longo, Asmaa Mahmoud, Stefano Masiero, Daniele Mazza, Simone Natali, Christian Notarangelo, Leonardo Osti, Johnny Padulo, Leonardo Pellicciari, Fabrizio Perroni, Eleonora Piccirilli, Carlo Ramponi, Giuseppe Salvatore, Alfredo Schiavone Panni, Tania Suarez, Umberto Tarantino, Filippo Vittadini, Maria Chiara Vulpiani, Andrea Ferretti, Nicola Maffulli
Primary traumatic patellar dislocation is common, particularly in young active individuals. A consensus on its management is still lacking. The present work provides easily accessible guidelines to be considered as recommendations for a good clinical practice developed through a process of systematic review of the literature and expert opinion, to improve the quality of care and rationalize the use of resources. LEVEL OF EVIDENCE: Ia.
January 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28715983/addressing-social-anxiety-concurrently-with-prison-based-sex-offender-treatment-a-case-of-individual-needs-in-an-era-of-manualized-treatment
#4
Michael P Lasher, Jon R Webb, Jill D Stinson, Peggy J Cantrell
Emotional regulation may be an underaddressed therapeutic target in sex offender treatment. This article presents a case report of "Adam," a Caucasian male referred to a prison-based sex offender treatment program. Adam's social anxiety was recognized as an antecendent to his sexual offending, and treatment of such, as a critical adjunct to sex offender treatment, is discussed herein. Adam's individualized treatment included aspects of rational emotive behavior therapy and time-limited dynamic psychotherapy...
July 2017: Journal of Correctional Health Care
https://www.readbyqxmd.com/read/28712182/trend-of-irrational-medication-among-the-students-of-department-of-pharmacy-abbottabad-university-of-science-and-technology-in-common-cold-and-flu
#5
Mujeeb Ur Rehman, Saif Ullah Mehsud, Sartaj Ali, Muhammad Ishaq, Mumtaz Ali Khan
BACKGROUND: Common cold and flu are mostly of viral pathogenesis with symptoms in upper respiratory tract. It is highly contagious and close inter-individual contact in winter season increase the spread spectrum. Mis-interpretation with bacterial cause leads to irrationality in its medication. METHODS: A cross-sectional study was conducted among pharmacy department students in February-March 2016. Data were collected through self-administered questionnaire and expressed as percentage frequency...
January 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/28710656/medicine-and-technology-remarks-on-the-notion-of-responsibility-in-the-technology-assisted-health-care
#6
Waldemar Kwiatkowski
The introduction of the modern diagnostic and therapeutic procedures to the medical practice provided a new challenge for the medicine. The art of medicine, with its default purpose of acting for the benefit of health, is therefore required to derive from technological progress effectively and rationally. As a result, the medical ethics has been engaged with the rules of economy and management of deficit medical procedures as well as their rational and fair distribution. The above suggests, that medics, given these recourses, should approach each patient with a consideration to their therapeutic rights...
July 14, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28709422/evaluation-on-equality-and-efficiency-of-health-resources-allocation-and-health-services-utilization-in-china
#7
Jian Sun, Hongye Luo
BACKGROUND: China is faced with a daunting challenge to equality and efficiency in health resources allocation and health services utilization in the context of rapid economic growth. This study sought to evaluate the equality and efficiency of health resources allocation and health services utilization in China. METHODS: Demographic, economic, and geographic area data was sourced from China Statistical Yearbook 2012-2016. Data related to health resources and health services was obtained from China Health Statistics Yearbook 2012-2016...
July 14, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28707707/evidence-for-capitation-reform-in-a-new-rural-cooperative-medical-scheme-in-pudong-new-area-shanghai-a-longitudinal-study
#8
Yanmei Wang, Zhiqun Shu, Jianjun Gu, Xiaoming Sun, Limei Jing, Jie Bai, Xuan Huang, Jiquan Lou, Qunfang Zhang, Ming Li
Currently, China has been experiencing rapid growth of medical costs, serious waste of medical resources, increasing disease burden for residents, and a medical insurance fund deficit. Therefore, an urgent problem that needs to be solved is to choose a rational payment for the insurance system. To empirically evaluate the long-term effects of capitation reform in a New Rural Cooperative Medical Scheme in Pudong New Area, we collected and analysed data regarding financing, fund operation, medical service cost, and medical care-seeking behaviour from 2011 to 2015, a duration that includes data before and after reform...
July 14, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28700631/is-the-level-of-knowledge-a-predictor-of-rational-antibiotic-use-in-serbia
#9
Olga J Horvat, Ana D Tomas, Milica M Paut Kusturica, Alisa V Savkov, Dragica U Bukumirić, Zdenko S Tomić, Ana J Sabo
INTRODUCTION: The objective of this study was to investigate the knowledge, attitudes and behavior regarding antibiotics of the general population. METHODS: The study sample consisted of adult subjects who consulted general practitioners at health centers in Serbia and agreed to complete the questionnaire. A total of 668 questionnaires were distributed; 500 respondents completed the entire questionnaire (response rate 74.85%). RESULTS: The average age was 51...
2017: PloS One
https://www.readbyqxmd.com/read/28695172/women-experiences-of-using-external-breast-prosthesis-after-mastectomy
#10
Zohra Asif Jetha, Raisa B Gul, Sharifa Lalani
OBJECTIVE: The aim of this study was to identify the experiences of breast cancer patients using external breast prostheses (EBP) in the context of the Pakistani society. METHODS: A qualitative descriptive exploratory design was used in the study. In-depth individual interviews were conducted with 15 postmastectomy women using EBP. A semi-structured interview guide with open-ended questions was used for the interviews. The analysis of the data was organized into four categories according to the study questions including reasons for using EBP, feeling about EBP, challenges for using EBP, and coping with lost breast...
July 2017: Asia-Pacific Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28683701/interdisciplinary-approach-to-the-management-of-medical-supplies-in-the-nursing-home-setting
#11
Isabel Quintana Vargas, Ana Moreno Miralles, Mónica Tomás Madrid, Marta Monleón Ruiz, Antonio Montero Bau, Juan Francisco Peris Martí
INTRODUCTION: Given the impact of pressure ulcers in institutionalized elderly people, an interdisciplinary approach to the care of ulcers and the management of medical supplies is essential. The aim of this study is to describe and evaluate the management of medical supplies by an interdisciplinary team in order to promote their rational use in the nursinghome setting. METHODS: An interdisciplinary team was set up, coordinated by a Pharmacy Unit including representatives of 18 elderly nursing homes (1,599 beds)...
July 1, 2017: Farmacia Hospitalaria
https://www.readbyqxmd.com/read/28680874/the-potential-benefits-of-applying-recent-advances-in-esophageal-motility-testing-in-patients-with-esophageal-atresia
#12
REVIEW
Nathalie Rommel, Maissa Rayyan, Charlotte Scheerens, Taher Omari
Infants and children with esophageal atresia commonly present with swallowing dysfunction or dysphagia. Dysphagia can lead to a range of significant consequences such as aspiration pneumonia, malnutrition, dehydration, and food impaction. To improve oral intake, the clinical diagnosis of dysphagia in patients with esophageal atresia should focus on both the pharynx and the esophagus. To characterize the complex interactions of bolus flow and motor function between mouth, pharynx, and esophagus, a detailed understanding of normal and abnormal deglutition is required through the use of adequate and objective assessment techniques...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28678137/will-bundled-payments-lead-to-health-care-rationing-commentary-on-an-article-by-michele-d-apuzzo-md-et-al-all-cause-versus-complication-specific-readmission-following-total-knee-arthroplasty
#13
https://www.readbyqxmd.com/read/28676479/exceptional-requests-for-care-surge-as-rationing-deepens
#14
Gareth Iacobucci
No abstract text is available yet for this article.
July 4, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28676124/evaluation-of-rational-nonsteroidal-anti-inflammatory-drugs-and-gastro-protective-agents-use-association-rule-data-mining-using-outpatient-prescription-patterns
#15
Oraluck Pattanaprateep, Mark McEvoy, John Attia, Ammarin Thakkinstian
BACKGROUND: Nonsteroidal anti-inflammatory drugs (NSAIDs) and gastro-protective agents should be co-prescribed following a standard clinical practice guideline; however, adherence to this guideline in routine practice is unknown. This study applied an association rule model (ARM) to estimate rational NSAIDs and gastro-protective agents use in an outpatient prescriptions dataset. METHODS: A database of hospital outpatients from October 1st, 2013 to September 30th, 2015 was searched for any of following drugs: oral antacids (A02A), peptic ulcer and gastro-oesophageal reflux disease drugs (GORD, A02B), and anti-inflammatory and anti-rheumatic products, non-steroids or NSAIDs (M01A)...
July 4, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28673222/rational-clinical-pathology-assessment-in-the-intensive-care-unit
#16
K S Rachakonda, M Parr, A Aneman, S Bhonagiri, S Micallef
Blood tests are ordered on a daily basis in intensive care units (ICU). There are no widely accepted guidelines for testing requirements. This study investigated the impact on ICU laboratory test costs of a multi-strategy change in practice involving routine blood testing. A single centre, prospective, interventional study using historical controls was undertaken to investigate the impact of ICU specialist authorisation of high-volume routine tests on ICU laboratory test costs. Prior to commencement of the study, ICU nursing and junior ICU doctors were able to order tests...
July 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28672100/warfarin-pharmacogenomics-in-diverse-populations
#17
Justin B Kaye, Lauren E Schultz, Heidi E Steiner, Rick A Kittles, Larisa H Cavallari, Jason H Karnes
Genotype-guided warfarin dosing algorithms are a rational approach to optimize warfarin dosing and potentially reduce adverse drug events. Diverse populations, such as African-Americans (AAs) and Latinos, have greater variability in warfarin dose requirements and are at greater risk for experiencing warfarin-related adverse events compared with individuals of European ancestry. Although these data suggest that patients of diverse populations may benefit from improved warfarin dose estimation, the vast majority of literature on genotype-guided warfarin dosing, including data from prospective randomized trials, is in populations of European ancestry...
July 3, 2017: Pharmacotherapy
https://www.readbyqxmd.com/read/28671739/the-formation-of-homogenous-fapbi3-cssni3-alloys-for-efficient-ideal-bandgap-perovskite-solar-cells
#18
Yingxia Zong, Ning Wang, Lin Zhang, Ming-Gang Ju, Xiao Cheng Zeng, Xiao Wei Sun, Yuanyuan Zhou, Nitin P Padture
The alloying behavior between FAPbI3 and CsSnI3 perovskites is carefully studied for the first time, which has led to the realization of single-phase hybrid perovskites of (FAPbI3)1-x(CsSnI3)x (0<x<1) compositions with anomalous bandgaps. (FAPbI3)1-x(CsSnI3)x perovskites exhibit stable, homogenous composition/microstructure at nanoscale as confirmed by microscopic characterization. The ideal bandgap of 1.3 eV for single-junction solar cell operation is achieved in the rationally-designed (FAPbI3)0.7(CsSnI3)0...
July 3, 2017: Angewandte Chemie
https://www.readbyqxmd.com/read/28670955/equity-in-nursing-care-a-grounded-theory-study
#19
Zahra Rooddehghan, Zohreh ParsaYekta, Alireza N Nasrabadi
BACKGROUND: Equity in providing care is also a major value in the nursing profession. Equitable care aims to provide the entire population with safe, efficient, reliable, and quality nursing services at all levels of health. OBJECTIVES: This study was conducted to explain the process of the realization of equity in nursing care. RESEARCH DESIGN: This qualitative study uses Glaser's approach to grounded theory. Participants and research context: Sample selection began with convenience sampling and continued with purposive sampling...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28670450/non-prescribed-antimicrobial-use-and-associated-factors-among-customers-in-drug-retail-outlet-in-central-zone-of-tigray-northern-ethiopia-a-cross-sectional-study
#20
Negash Hadera Gebrekirstos, Birhanu Demeke Workneh, Yosef Sibhatu Gebregiorgis, Kebede Haile Misgina, Negassie Berhe Weldehaweria, Meresa Gebremedhin Weldu, Hailay Siyum Belay
BACKGROUND: Non-prescribed antimicrobial use and their resistance are among the main public health problems, worldwide. In Ethiopia, particularly in the northern part, the magnitude of non-prescribed antimicrobial use and its major determinants is not yet well known. Thus, this study was done to assess the magnitude of non-prescribed anti-microbial use and associated factors among customers in drug retail outlet in Central Zone, Tigray, Ethiopia. METHODS: A drug retail outlet based cross-sectional study was conducted among adults aged 18 years and above...
2017: Antimicrobial Resistance and Infection Control
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