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Too much medicine

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https://www.readbyqxmd.com/read/28152848/do-perceived-barriers-to-lung-cancer-screening-differ-between-attending-physicians-and-residents
#1
Laura Jones, Katie Marsh, M Patricia Rivera, Paul Molina, Dan Reuland, J Michael Bowling, Katherine Birchard, Susan Maygarden, Louise Henderson
: 192 Background: In February 2015, legislation went into effect requiring Medicare to cover lung cancer (LC) screening with low dose computed tomography (LDCT) for high risk patients. Despite this, much debate and uncertainty exist among physicians about LC screening best practices. We aim to compare perceived barriers to LC screening between resident and attending physicians in Family and Internal Medicine, two departments selected for their high likelihood of seeing patients eligible for LC screening...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28131024/-too-much-medicine-insights-and-explanations-from-economic-theory-and-research
#2
Martin Hensher, John Tisdell, Craig Zimitat
Increasing attention has been paid in recent years to the problem of "too much medicine", whereby patients receive unnecessary investigations and treatments providing them with little or no benefit, but which expose them to risks of harm. Despite this phenomenon potentially constituting an inefficient use of health care resources, it has received limited direct attention from health economists. This paper considers "too much medicine" as a form of overconsumption, drawing on research from health economics, behavioural economics and ecological economics to identify possible explanations for and drivers of overconsumption...
January 18, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28067744/resident-education-in-female-pelvic-medicine-and-reconstructive-surgery
#3
Katie Propst, Adam C Steinberg, David M O'Sullivan, Megan O Schimpf, Christine LaSala
OBJECTIVE: The aim of this study was to evaluate whether obstetrics and gynecology trainees feel satisfied with the female pelvic medicine and reconstructive surgery (FPMRS) education received in residency. METHODS: This is a survey study of obstetrics and gynecology residents in the United States and Puerto Rico during the 2015-2016 academic year. The anonymous 29-question survey was approved by the Hartford HealthCare institutional review board. Responses were included only if the trainee had ever rotated on the FPMRS service...
January 6, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28034950/statins-for-primary-prevention-in-people-with-a-10-10-year-cardiovascular-risk-too-much-medicine-too-soon
#4
Dharani Yerrakalva, Simon J Griffin
No abstract text is available yet for this article.
January 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28002724/too-much-of-a-good-thing-chronic-ifn-fuels-resistance-to-cancer-immunotherapy
#5
James L Reading, Sergio A Quezada
Immune checkpoint blockade (ICB) is revolutionizing cancer medicine, yet the molecular basis of resistance remains unclear. In a recent issue of Cell, Benci et al. (2016) demonstrate that sustained interferon signaling is central to the development of PD-L1-dependent and -independent resistance to ICB.
December 20, 2016: Immunity
https://www.readbyqxmd.com/read/27881558/the-american-heart-association-s-new-institute-for-precision-cardiovascular-medicine
#6
Steven R Houser
No abstract text is available yet for this article.
December 13, 2016: Circulation
https://www.readbyqxmd.com/read/27870086/health-care-for-nfl-players-upholding-physician-standards-and-enhancing-the-doctor-patient-relationship
#7
Laurent Duvernay-Tardif
Beginning my third year with the Kansas City Chiefs and being also a medical student at McGill University, I was at first a little reluctant to comment on Glenn Cohen et al.'s critique of the National Football League's structure involving player health and team doctors, but the opportunity to provide a perspective as both a football player and a medical student was too much to forgo. Because of my athletic and academic background, I am often asked what I think about injuries in professional sports and about the role of sports medicine physicians, and Cohen et al...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27812335/rapid-hplc-quantification-approach-for-detection-of-active-constituents-in-modern-combinatorial-formula-san-huang-xie-xin-tang-shxxt
#8
Tung-Ying Wu, Fang-Rong Chang, Jing-Ru Liou, I-Wen Lo, Tang-Chia Chung, Li-Yao Lee, Chun-Chen Chi, Ying-Chi Du, Man-Hon Wong, Suh-Hang Hank Juo, Chun-Chen Lee, Yang-Chang Wu
San-Huang-Xie-Xin-Tang (SHXXT), one of the most important traditional Chinese medicinal formulas, is comprised by three herbal medicines, the rhizome of Rheum officinale [or Rheum tanguticum (Polygonaceae) (Dahuang in Chinese)], the root of Scutellaria baicalensis (Labiatae) (Huangqin in Chinese), and the rhizome of Coptis chinensis (Ranunculaceae) (Huanglian in Chinese) in the ratios of 2:1:1 or 1:1:1. This study is aimed to quantitate and qualify of SHXXT, by a rapid, convenient, and effective HPLC-PDA approach associated with LC-MS technique...
2016: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/27806472/analytical-assessment-of-belief-about-medicine-among-patients-with-hypertension-a-case-study-on-patients-referred-to-medical-centers
#9
Mohammad Edris Arbabshastan, Azizollah Arbabisarjou, Iraj Zareban, Mahlagha Dehghan, Saeed Pakdel, Sedigheh Iranmanesh
INTRODUCTION & OBJECTIVE: Hypertension (HTN) is one of the major health problems in many countries. Medicinal treatments and lifestyle modification have so far failed to effectively influence blood pressure control. Hence, this study intended to analytically assess the belief about medicine among hypertensive patients who referred to medical centers during 2015. MATERIALS & METHODS: This was a descriptive-analytical, cross-sectional study. The population consisted of all patients who referred to health centers and doctors' offices for internal medicine and heart diseases...
June 30, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27753827/sy-02-3-resolving-ethical-problems-in-hypertension-treatment-trials
#10
Iwao Kuwajima
Since a concept of Evidence-based Medicine appeared in medical field in 1991, modern medical treatment have been remarkably changed.However, delusive belief of EBM without criticism has brought negative aspect, such as utilization of EBM by companies as a tool of promotion of drug or medical device.Although most of clinical trials were financially supported by drug companies. result of clinical trial does not always ended in favor of test drug or device. When negative results appeared, various way were taken by industry such as usage of SPIN, emphasizing secondary endpoint...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27646674/too-much-or-never-enough-a-response-to-treatment-of-opioid-disorders-in-canada-looking-at-the-other-epidemic
#11
EDITORIAL
Joseph K Eibl, Kristen A Morin-Taus, David C Marsh
Prescription opioid (PO) misuse is a major health concern across North America, and it is the primary cause of preventable death for the 18-35 year old demographic. Medication assisted therapy including methadone and buprenorphine, is the standard of care for patients with opioid-dependence. Moreover, both of these medications are recognized as essential medicines by World Health Organization. In Ontario Canada, the availability of medication assisted therapy has expanded substantially, with almost a ten-fold increase number of patients accessing methadone in Ontario in the past decade...
September 20, 2016: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/27642880/sy-02-3-resolving-ethical-problems-in-hypertension-treatment-trials
#12
Iwao Kuwajima
Since a concept of Evidence-based Medicine appeared in medical field in 1991, modern medical treatment have been remarkably changed.However, delusive belief of EBM without criticism has brought negative aspect, such as utilization of EBM by companies as a tool of promotion of drug or medical device.Although most of clinical trials were financially supported by drug companies. result of clinical trial does not always ended in favor of test drug or device. When negative results appeared, various way were taken by industry such as usage of SPIN, emphasizing secondary endpoint...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27629501/-chest-decompression-in-emergency-medicine-and-intensive-care
#13
H Drinhaus, T Annecke, J Hinkelbein
Decompression of the chest is a life-saving invasive procedure for tension pneumothorax, trauma-associated cardiopulmonary resuscitation or massive haematopneumothorax that every emergency physician or intensivist must master. Particularly in the preclinical setting, indication must be restricted to urgent cases, but in these cases chest decompression must be executed without delay, even in subpar circumstances. The methods available are needle decompression or thoracentesis via mini-thoracotomy with or without insertion of a chest tube in the midclavicular line of the 2nd/3rd intercostal space (Monaldi-position) or in the anterior to mid-axillary line of the 4th/5th intercostal space (Bülau-position)...
October 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27516679/porosity-and-health-perspective-of-traditional-persian-medicine
#14
Vahid Tafazoli, Majid Nimrouzi, Babak Daneshfard
BACKGROUND: The authors of this manuscript aimed to show the importance of porosity and condensation in health according to traditional Persian medicine (TPM) with consideration of new evidence in conventional medicine. METHODS: Cardinal traditional medical and pharmacological texts were searched for the traditional terms of takhalkhol (porosity) and takassof (condensity) focused on preventive methods. The findings were classified and compared with new medical findings...
May 2016: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27510898/rita-redberg-an-unwavering-campaigner-against-the-harms-of-too-much-medicine
#15
Jeanne Lenzer
No abstract text is available yet for this article.
August 9, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27417868/the-disposable-author-how-pharmaceutical-marketing-is-embraced-within-medicine-s-scholarly-literature
#16
Alastair Matheson
The best studies on the relationship between pharmaceutical corporations and medicine have recognized that it is an ambiguous one. Yet most scholarship has pursued a simpler, more saleable narrative in which pharma is a scheming villain and medicine its maidenly victim. In this article, I argue that such crude moral framing blunts understanding of the murky realities of medicine's relationship with pharma and, in consequence, holds back reform. My goal is to put matters right in respect to one critical area of scholarly interest, the medical journal publication...
July 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27417863/pharmaceutical-company-corruption-and-the-moral-crisis-in-medicine
#17
Sharon Batt
A much-debated series of articles in the New England Journal of Medicine in May 2015 labeled the pharmaceutical industry's critics "pharmascolds." Having followed the debate for two decades, I count myself among the scolds. The weight of the evidence overwhelmingly supports the claim that pharmaceutical policy no longer serves the public interest; the central questions now are how this happened and what to do about it. I approached three of the most recent books on the industry with these questions in mind...
July 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27414013/what-should-be-the-content-and-frequency-of-performing-a-medical-evaluation-to-determine-fitness-to-wear-a-respirator
#18
Nicole Desautels, Joginder Singh, Joy Burrell, Kenneth D Rosenman
OBJECTIVE: The aim of this study was to assess the standard of care among occupational medicine practioners for determining medical fitness to wear a respirator. METHODS: A 15-item email/telephone survey was conducted of members of the Michigan Occupational and Environmental Medical Association. RESULTS: Sixty-seven percent of occupational medicine practioners who responded performed respirator evaluations; 75% did more than just the required Occupational Safety Health Administration questionnaire...
September 2016: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/27408901/nuclear-medicine-in-the-philippines-a-glance-at-the-past-a-gaze-at-the-present-and-a-glimpse-of-the-future
#19
Patricia A Bautista, Teofilo O L San Luis
While the introduction of radioactive tracers in the study of metabolic pathways has been well-documented in clinical thyroidology as early as 1924, the widespread utilization in other clinical specialties has been hampered by slow developments in radiation-detecting devices and in the production of appropriate radiopharmaceuticals, in addition to the morbid fear of radiation. In the Philippines, the first radioisotope laboratory was established in 1956. Ten years later, the Philippine Society of Nuclear Medicine was formed...
2016: Asia Oceania Journal of Nuclear Medicine & Biology
https://www.readbyqxmd.com/read/27388537/-it-s-all-about-how-you-carry-yourself-about-how-medical-students-conceptualize-professionalism-in-trinidad-tobago
#20
Valerie C Youssef, Dexnell Peters, Farid F Youssef
: Phenomenon: This paper concerns itself with the value system that informs and motivates medical students of the twenty-first century as distinct from earlier cohorts. It notes a shift from an era of altruism within which the medical professional was a 'pillar of society' always 'on duty' and always concerned foremost for the patient to an era in which he/she is just another member of the work force, subject to public scrutiny and criticism, to patient autonomy and to a self-serving ethos which characterizes the present age...
October 2016: Teaching and Learning in Medicine
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