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Medication synchronization program

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https://www.readbyqxmd.com/read/28478999/integration-of-tactical-ems-in-the-national-park-service
#1
REVIEW
William Will R Smith
The National Park Service (NPS) has domestic responsibility for emergency medical services (EMS) in remote and sometimes tactical situations in 417 units covering over 34 million hectares (84 million acres). The crossover between conflicting patient care priorities and complex medical decision making in the tactical, technical, and wilderness/remote environments often has many similarities. Patient care in these diverse locations, when compared with military settings, has slightly different variables but often similar corresponding risks to the patients and providers...
May 4, 2017: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/28438565/improvements-in-oocyte-competence-in-superovulated-mice-following-treatment-with-cilostazol-ovulation-of-immature-oocytes-with-high-developmental-rates
#2
Ahmed M Taiyeb, Saeeda A Muhsen-Alanssari, William L Dees, Jill Hiney, Michael E Kjelland, Duane C Kraemer, Mundhir T Ridha-Albarzanchi
Exogenous administration of superovulatory hormones negatively affects oocyte competence in mammals. Phosphodiesterase 3A inhibitors were found to improve competence of oocytes matured in vitro in several species, including humans. This study was therefore designed to define oocyte maturation synchronization and competence, in vivo, using superovulated mice treated with cilostazol, a selective phosphodiesterase 3A inhibitor. Swiss Webster mice were superovulated and treated orally with 7.5mg cilostazol once or twice to result in ovulation of immature oocytes at the metaphase I (MI) or germinal vesicle (GV) stage, respectively...
April 22, 2017: Biochemical Pharmacology
https://www.readbyqxmd.com/read/28408171/evaluation-of-the-impact-of-a-residency-in-an-independent-pharmacy-in-rural-mississippi
#3
Meagan Brown, Laurie Fleming, Mary Jean Sewell, Leigh Ann Ross
OBJECTIVES: To evaluate the impact of a postgraduate year 1 (PGY1) community pharmacy residency program on clinical pharmacy service implementation and enhancement in a rural Mississippi community. SETTING: An independent rural community pharmacy in Canton, MS. PRACTICE DESCRIPTION AND INNOVATION: Delivery of clinical pharmacy services provided by PGY1 community residents 1 day a week to an underserved population during an 18-month period...
April 10, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28397055/study-on-multi-density-contrast-agent-fillers-of-duct-casting-based-on-ct-three-dimensional-reconstruction
#4
Hai-Long Huang, Jin-Jun Chen, Yu Wang, Xiao-Yu Chen, Da-Cong Gong
The three-dimensional visualization model of human body duct is based on virtual anatomical structure reconstruction with duct angiography, which realizes virtual model transferred from two-dimensional, planar and static images into three-dimensional, stereoscopic and dynamic ones repectively. In recent years, the multi-duct segmentation and division of the same specimen (or organ) is the focus of attention shared by surgeons and clinical anatomists. On the basis of 4.22 g/cm(3) body bone density, this study has screened out metal oxide contract agent with different density for infusion and modeling, as well as compared and analyzed the effects of three-dimensional image of CT virtual bronchoscopy (CTVB), three-dimensional image of CT maximum intensity projection and three-dimensional model...
April 2017: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/28178576/the-association-of-pre-treatment-hpv-subtypes-with-recurrence-of-vin
#5
Giorgio Bogani, Fabio Martinelli, Antonino Ditto, Mauro Signorelli, Francesca Taverna, Claudia Lombardo, Valentina Chiappa, Umberto Leone Roberti Maggiore, Dario Recalcati, Cono Scaffa, Stefania Perotto, Ilaria Sabatucci, Alice Indini, Domenica Lorusso, Francesco Raspagliesi
OBJECTIVE: To assess whether pre-treatment HPV types are associated with recurrence of high-grade vulvar intraepithelial neoplasia (VIN2+). STUDY DESIGN: Data of consecutive patients with pretreatment HPV DNA test undergoing treatment for VIN2+ were retrospectively collected. Risk factors promoting the risk of VIN2+ persistence and recurrence were analyzed using Kaplan-Meier and Cox hazard proportional models. RESULTS: 64 patients had pretreatment vulvar-vaginal HPV DNA test...
February 1, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28117707/the-basic-act-for-suicide-prevention-effects-on-longitudinal-trend-in-deliberate-self-harm-with-reference-to-national-suicide-data-for-1996-2014
#6
Miharu Nakanishi, Kaori Endo, Shuntaro Ando
A suicide prevention strategy was launched in Japan in 2006 to address the high suicide rate, which had increased considerably since 1998. The national strategy from 2007 involved the enhancement of psychiatric treatment services at emergency medical facilities and supportive observation by individuals close to patients. The national suicide rate has decreased gradually since 2008; however, national information regarding the number of patients who had engaged in deliberate self-harm was absent. Therefore, the present study examined the longitudinal trend in hospital admissions due to deliberate self-harm in Japan...
January 21, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28089522/the-impact-of-medication-synchronization-on-quality-care-criteria-in-an-independent-community-pharmacy
#7
Jessica L Hinson, Gretchen K Garofoli, Betsy M Elswick
OBJECTIVES: To determine the impact of a comprehensive medication synchronization program in an independent community pharmacy by (1) evaluating changes in Electronic Quality Improvement Platform for Plans and Pharmacies (EQuIPP) scores and (2) examining the change in monthly prescription volume. SETTING: Independent community pharmacy in Morgantown, WV. PRACTICE DESCRIPTION: Waterfront Family Pharmacy is a single-location independent community pharmacy located in Morgantown, WV...
March 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28047828/su-f-t-563-delivered-dose-reconstruction-of-moving-targets-for-gated-volumetric-modulated-arc-therapy-vmat
#8
H Chung, C Jeong, S Cho, B Cho
PURPOSE: Actual delivered dose of moving tumors treated with gated volumetric arc therapy (VMAT) may significantly differ from the planned dose assuming static target. In this study, we developed a method which reconstructs actual delivered dose distribution of moving target by taking into account both tumor motion and dynamic beam delivery of gated VMAT, and applied to abdominal tumors. METHODS: Fifteen dual-arc VMAT plans (Eclipse, Varian Medical Systems) for 5 lung, 5 pancreatic, and 5 liver cancer patients treated with gated VMAT stereotactic body radiotherapy (SBRT) were studied...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047795/su-f-e-11-perception-and-implementation-of-collaborative-documentation-technologies-among-medical-physics-educators-and-industry-professionals-a-current-practice-survey
#9
Angela N Johnson
PURPOSE: Collaboration on documents and manuscripts plays a central role in conveying medical physics concepts between interdisciplinary teams, necessary for knowledge-building, acquiring funding, and translating scientific concepts to applied medical solutions. Conventional tools and emerging internet-based solutions are used in generating and disseminating physics documents among teams. This research aimed to gain insights on how medical physics professionals and educators are using collaborative documentation software and team practices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/27776388/the-effects-of-equine-assisted-activities-and-therapy-on-resting-state-brain-function-in-attention-deficit-hyperactivity-disorder-a-pilot-study
#10
Jae Hyun Yoo, Yunhye Oh, Byongsu Jang, Jihye Song, Jiwon Kim, Seonwoo Kim, Jiyoung Lee, Hye-Yeon Shin, Jeong-Yi Kwon, Yun-Hee Kim, Bumseok Jeong, Yoo-Sook Joung
Objective: Equine-assisted activities and therapy (EAA/T) have been used as adjunct treatment options for physical and psychosocial rehabilitation. However, the therapeutic effects on resting-state brain function have not yet been studied. The aim of this study is to investigate the effects of EAA/T on participants with attention-deficit/hyperactivity disorder (ADHD) by comparing resting-state functional magnetic resonance imaging (rs-fMRI) signals and their clinical correlates. Methods: Ten participants with ADHD participated in a 12-week EAA/T program without any medication...
November 30, 2016: Clinical Psychopharmacology and Neuroscience: the Official Scientific Journal of the Korean College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/27720333/evaluation-of-a-refill-synchronization-program-in-two-community-pharmacies
#11
David F Blackburn, David Tran, Courtney Quiring
OBJECTIVES: To describe medication adherence by the proportion of days covered before and after enrollment in a refill synchronization program. METHODS: We conducted a retrospective analysis of medication adherence in 2 pharmacies offering a refill synchronization program. The study population consisted of individuals who received 2 or more medications from any of 15 predefined medication classes within 6 months of enrollment in the synchronization program. Medication adherence and refill consolidation were measured over 6 months before and after enrollment...
October 5, 2016: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/27706085/design-and-construction-of-a-bilateral-haptic-system-for-the-remote-assessment-of-the-stiffness-and-range-of-motion-of-the-hand
#12
Fabio Oscari, Roberto Oboe, Omar Andres Daud Albasini, Stefano Masiero, Giulio Rosati
The use of haptic devices in the rehabilitation of impaired limbs has become rather popular, given the proven effectiveness in promoting recovery. In a standard framework, such devices are used in rehabilitation centers, where patients interact with virtual tasks, presented on a screen. To track their sessions, kinematic/dynamic parameters or performance scores are recorded. However, as Internet access is now available at almost every home and in order to reduce the hospitalization time of the patient, the idea of doing rehabilitation at home is gaining wide consent...
October 1, 2016: Sensors
https://www.readbyqxmd.com/read/27662221/cost-benefit-of-appointment-based-medication-synchronization-in-community-pharmacies
#13
Julie A Patterson, David A Holdford, Kunai Saxena
OBJECTIVES: To evaluate the cost-benefit of appointment-based medication synchronization (ABMS) offered in community pharmacies for patients taking chronic medications to prevent negative outcomes associated with hyperlipidemia, hypertension, and diabetes. STUDY DESIGN: Decision-tree analysis based on published literature and publicly available data. METHODS: Program benefits were based on linking published findings of improvements in medication adherence due to the implementation of an ABMS program to a claims-based study of disease-related medical costs associated with different levels of adherence...
September 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27581252/comparing-the-effect-of-self-instruction-with-that-of-traditional-instruction-in-basic-life-support-courses-a-systematic-review
#14
Ming-Ju Hsieh, Farhan Bhanji, Wen-Chu Chiang, Chih-Wei Yang, Kuo-Liong Chien, Matthew Huei-Ming Ma
AIM: The efficacy of learning basic life support (BLS) through self-instruction is not clearly understood. The aim of our review was to compare the effect of self-instruction with that of traditional instruction on learners taking BLS courses. METHODS: We searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, PsycInfo and SCI-EXPANDED databases for randomized control trials (RCTs) or randomized cluster-controlled trials published from January 1, 1966 to April 25, 2015 which compared self-instruction with traditional instruction in BLS courses...
November 2016: Resuscitation
https://www.readbyqxmd.com/read/27503977/a-synchronized-prescription-refill-program-improved-medication-adherence
#15
Jalpa A Doshi, Raymond Lim, Pengxiang Li, Peinie P Young, Victor F Lawnicki, Joseph J State, Andrea B Troxel, Kevin G Volpp
Synchronizing medication refills-renewing all medications at the same time from the same pharmacy-is an increasingly popular strategy to improve adherence to medication regimens, but there has been little research regarding its effectiveness. In light of increasing policy interest, we evaluated the impact of a pilot refill synchronization program implemented by a large national insurer. A random sample of Medicare Advantage patients receiving mail-order refills for common maintenance medications (antihypertensive, lipid-lowering, or antidiabetic agents) were invited to join the program and followed for twelve months...
August 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27177497/mortality-benefit-of-a-fourth-generation-synchronous-telehealth-program-for-the-management-of-chronic-cardiovascular-disease-a-longitudinal-study
#16
Chi-Sheng Hung, Jiun-Yu Yu, Yen-Hung Lin, Ying-Hsien Chen, Ching-Chang Huang, Jen-Kuang Lee, Pao-Yu Chuang, Yi-Lwun Ho, Ming-Fong Chen
BACKGROUND: We have shown that a fourth-generation telehealth program that analyzes and responds synchronously to data transferred from patients is associated with fewer hospitalizations and lower medical costs. Whether a fourth-generation telehealth program can reduce all-cause mortality has not yet been reported for patients with chronic cardiovascular disease. OBJECTIVE: We conducted a clinical epidemiology study retrospectively to determine whether a fourth-generation telehealth program can reduce all-cause mortality for patients with chronic cardiovascular disease...
May 13, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27023023/prevalence-effectiveness-and-characteristics-of-pharmacy-based-medication-synchronization-programs
#17
REVIEW
Alexis A Krumme, Danielle L Isaman, Samuel F Stolpe, Samantha Dougherty, Niteesh K Choudhry
OBJECTIVES: The burden of visiting pharmacies to fill medications is a central contributor to nonadherence to maintenance medications. Recently, pharmacies have begun offering services that align prescription fill dates to allow patients to pick up all medications on a single visit. We evaluated the prevalence and structure of synchronization programs and evidence of their impact on adherence and clinical outcomes. STUDY DESIGN: Mixed-methods approach consisting of semi-structured interviews, data from surveillance activities, and a systematic literature review...
March 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/26941443/gpu-accelerated-adjoint-algorithmic-differentiation
#18
Felix Gremse, Andreas Höfter, Lukas Razik, Fabian Kiessling, Uwe Naumann
Many scientific problems such as classifier training or medical image reconstruction can be expressed as minimization of differentiable real-valued cost functions and solved with iterative gradient-based methods. Adjoint algorithmic differentiation (AAD) enables automated computation of gradients of such cost functions implemented as computer programs. To backpropagate adjoint derivatives, excessive memory is potentially required to store the intermediate partial derivatives on a dedicated data structure, referred to as the "tape"...
March 1, 2016: Computer Physics Communications
https://www.readbyqxmd.com/read/26874102/a-primary-care-telehealth-experience-in-a-us-army-correctional-facility-in-germany
#19
Christian Swift, Steven M Cain, Michael Needham
OBJECTIVE: To assess the feasibility of using telehealth (TH) equipment and infrastructure within the US Army's European Theater to evaluate and treat inmates with general medical complaints, and perform physicals and medical safety checks in a US Army Correctional Facility (CORFAC). METHODS AND MATERIALS: Synchronous TH encounters were performed using Polycom RealPresence software on providers' computers with high definition cameras on monitors at distant sites and PolyCom HDX9000 Practitioner Cart along with AMD Global Telemedicine devices at the originating site within the CORFAC...
January 2016: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/26566806/development-and-implementation-of-tele-savvy-for-dementia-caregivers-a-department-of-veterans-affairs-clinical-demonstration-project
#20
MULTICENTER STUDY
Patricia C Griffiths, M Kate Whitney, Mariya Kovaleva, Kenneth Hepburn
PURPOSE OF THE STUDY: To test fidelity and preliminary efficacy of Tele-Savvy, an internet-based version of the in-person, evidence-based psychoeducation Savvy Caregiver Program (SCP) for dementia caregivers. Tele-Savvy used synchronous (tele-conferences) and asynchronous components (video modules) to provide program access to caregivers in their homes. DESIGN AND METHODS: SCP experts were surveyed to evaluate Tele-Savvy's fidelity to SCP. A convenience sample of 30 dementia caregivers from the Atlanta VA Medical Center enrolled in the Tele-Savvy clinical demonstration program...
February 2016: Gerontologist
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