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Medication synchronization program

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
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
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
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
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
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
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
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
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
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
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
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
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
Kendra T Butler, Janelle F Ruisinger, Jessica Bates, Emily S Prohaska, Brittany L Melton
OBJECTIVE: To assess participant satisfaction with a community pharmacy-based medication synchronization program. SETTING: A single location of a grocery store pharmacy chain in the Kansas City metropolitan area. PRACTICE DESCRIPTION: A medication synchronization program, Time My Meds (TMM), was implemented in 1 of 20 community pharmacies within the grocery store chain. PRACTICE INNOVATION: Current pharmacy patients taking three or more chronic medications were recruited to enroll in the medication synchronization program...
September 2015: Journal of the American Pharmacists Association: JAPhA
Andrew W Nichols
Competitive swimmers are affected by several musculoskeletal and medical complaints that are unique to the sport. 'Swimmer's shoulder,' the most common overuse injury, is usually caused by some combination of impingement, rotator cuff tendinopathy, scapular dyskinesis, and instability. The condition may be treated with training modifications, stroke error correction, and strengthening exercises targeting the rotator cuff, scapular stabilizers, and core. Implementation of prevention programs to reduce the prevalence of shoulder pathology is crucial...
September 2015: Current Sports Medicine Reports
Matthew Witry
No abstract text is available yet for this article.
August 2015: Journal of Managed Care & Specialty Pharmacy
David Holdford, Kunal Saxena
BACKGROUND: Appointment-based medication synchronization (ABMS) has been associated with greater patient adherence and persistence when patients begin taking chronic medications. It is not known whether similar results will be seen for patients who have been taking chronic medications for 6 months or more. OBJECTIVE: To compare the impact of a community pharmacy chain's ABMS program on medication adherence and persistence of existing users of chronic medications with individuals who are not enrolled in the program...
August 2015: Journal of Managed Care & Specialty Pharmacy
Jung-Wook Kim, Jae-Young Jang, Young Woon Chang, Yong Ho Kim
AIM: To investigate the incidence and distribution of second primary cancers (SPCs) in early gastric cancer (EGC) patients who underwent endoscopic resection (ER), compared to advanced gastric cancer (AGC) patients who underwent surgery. METHODS: The medical records of 1021 gastric cancer (GC) patients were retrospectively reviewed from January 2006 to December 2010. The characteristics and incidence of SPCs were investigated in those with EGC that underwent curative ER (the EGC group) and those with AGC who underwent curative surgical resection (the AGC group)...
July 21, 2015: World Journal of Gastroenterology: WJG
Esther Cubo, Jacques Doumbe, Erero Njiengwe, Paul Onana, Raul Garoña, Josue Alcalde, Joaquin Seco, Natividad Mariscal, Becky Manyi Epundugu, Sixto Cubo, Maria Jesus Coma
BACKGROUND: In Sub-Saharan countries, most patients with Parkinson's disease are underdiagnosed and untreated, with a marked shortage of qualified personnel. OBJECTIVES: To develop a tele-education Parkison's disease program for health providers in Douala (Cameroon). METHODS: Feasibility, satisfaction, pre-post course medical knowledge improvement and patients' access were analyzed. RESULTS: Twenty lectures over the course of a year which connected participants with movement disorder experts using live, synchronous video conferences, and teaching materials were given...
October 15, 2015: Journal of the Neurological Sciences
R Siochi
UNLABELLED: Radiation Oncology is a data intensive discipline. Data moves among various systems (imaging, treatment planning, image guidance and delivery) and the development of troubleshooting methods and appropriate QA and QC measures strongly depends on the medical physicists' understanding of fundamental information technology concepts. This session will cover the concepts involved in networking, data transfer, DICOM and HL7 connectivity, database operations and QA for IT. Databases are at the heart of all modern radiotherapy clinics and are used for planning as well as treatment delivery, and they also drive the observed state of the data at various clients...
June 2015: Medical Physics
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