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"Medication on demand"

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https://www.readbyqxmd.com/read/27221231/allograft-augmentation-in-proximal-humerus-fractures
#1
S A Euler, F S Kralinger, C Hengg, M Wambacher, M Blauth
OBJECTIVE: Achieve stable fixation to initially start full range of motion (ROM) and to prevent secondary displacement in unstable fracture patterns and/or weak and osteoporotic bone. INDICATIONS: (Secondarily) displaced proximal humerus fractures (PHF) with an unstable medial hinge and substantial bony deficiency, weak/osteoporotic bone, pre-existing psychiatric illnesses or patient incompliance to obey instructions. CONTRAINDICATIONS: Open/contaminated fractures, systemic immunodeficiency, prior graft-versus-host reaction...
June 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27176061/-bronchial-asthma-many-types-different-therapies
#2
Karl-Christian Bergmann
Around 9 % of the German population is affected by bronchial asthma. This serious problem diminishes the quality of life as well as performance of the patients. Triggers and individual courses of the illness are very diverse. Therapy for mild asthma (stage 1 and 2) can take place at the patient's general practitioner. Is the effect of the medication insufficient, the patient should be referred to a specialist. The aim of the therapy is controlled asthma without symptoms during day or night and patients who only rarely need medication on demand and who are not limited in their daily activities...
May 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/26229456/characteristics-of-prevalent-and-new-copd-cases-in-greece-the-golden-study
#3
Eirini Mitsiki, Eleni Bania, Christos Varounis, Konstantinos I Gourgoulianis, Evangelos C Alexopoulos
BACKGROUND: Greece has one of the highest rates of smoking and chronic obstructive pulmonary disease (COPD) in Europe. AIM: The study aimed to record both the disease characteristics among a sample of Greek COPD patients and the nationwide rates of newly diagnosed COPD cases. METHODS: In this noninterventional, epidemiological cross-sectional study, a representative nationwide sample of 45 respiratory centers provided data on the following: 1) the demographic and clinical characteristics of COPD patients and 2) newly diagnosed COPD cases monitored over a period of 6 months by each physician...
2015: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/25216962/topical-anaesthetic-patches-for-postoperative-wound-pain-in-laparoscopic-gynaecological-surgery-a-prospective-blinded-and-randomised-trial
#4
RANDOMIZED CONTROLLED TRIAL
Sebastian Berlit, Benjamin Tuschy, Joachim Brade, Franz Hüttner, Amadeus Hornemann, Marc Sütterlin
PURPOSE: Aim of this prospective study was to investigate the effectiveness of eutectic mixture of local anaesthetic (EMLA) patches on every abdominal incision for pain relief after gynaecologic laparoscopic surgery. METHODS: A total of 121 women were prospectively randomised to receive either placebo (control group) or EMLA (study group) patches on all abdominal incisions. Postoperative pain was assessed 24 and 48 h after surgery using the short form of the McGill Pain Questionnaire (SF-MPQ)...
March 2015: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/25170361/the-contribution-of-a-clinical-pharmacist-to-the-improvement-of-medication-at-a-geriatric-hospital-unit-in-norway
#5
Turid Veggeland, Sigurd Dyb
UNLABELLED: The aim of the study was to use a clinical pharmacist in order to improve the medication of patients in a geriatric hospital unit. The hospital had no experience of using a clinical pharmacist before. METHODS: A clinical pharmacist participated in the therapeutic team for 27 days during a 4-year period. Drug-related problems were recorded prospectively and discussed before and at the ward round. The results of the physician's decisions on the current day about potential changes in medication proposed by the pharmacist were continuously recorded...
January 2008: Pharmacy Practice
https://www.readbyqxmd.com/read/24784890/preoperative-erectile-function-is-the-only-predictor-of-the-use-of-a-high-number-of-phosphodiesterase-type-5-inhibitors-after-bilateral-nerve-sparing-radical-prostatectomy
#6
G Gandaglia, A Gallina, N Suardi, F Abdollah, N Passoni, M Bianchi, E Zaffuto, A Nini, D Vizziello, A Salonia, F Montorsi, A Briganti
It is well known that the administration of phosphodiesterase type-5 inhibitors (PDE5-Is) may improve erectile function (EF) recovery after bilateral nerve-sparing radical prostatectomy (BNSRP). The aim of our study was to identify predictors of the use of a high number of PDE5-Is (one or more per week) after surgery among 184 patients taking proerectile medications on demand. At a mean follow-up of 22.7 months, 116 patients (63%) recovered EF. Overall, EF recovery rates at 1- and 2- year follow-up were 47...
November 2014: International Journal of Impotence Research
https://www.readbyqxmd.com/read/23053062/can-on-demand-non-sedating-antihistamines-improve-urticaria-symptoms-a-double-blind-randomized-single-dose-study
#7
RANDOMIZED CONTROLLED TRIAL
Karsten Weller, Elena Ardelean, Elisabeth Scholz, Peter Martus, Torsten Zuberbier, Marcus Maurer
Non-sedating H1-antihistamines are the recommended first-line treatment for chronic spontaneous urticaria. While efficacy studies usually apply continuous daily treatment regimens, many patients take their medication on demand. In this randomized, double-blind trial we tested whether on-demand H1-antihistamine desloratadine in standard and higher doses is able to improve the resolution of existing wheals. Symptoms of 29 patients with chronic spontaneous urticaria were followed without treatment on one day and again on another day during the next 3 weeks after a single dose of either 5 mg or 20 mg desloratadine, using different objective measures...
March 27, 2013: Acta Dermato-venereologica
https://www.readbyqxmd.com/read/19284433/restraint-use-among-nursing-home-residents-cross-sectional-study-and-prospective-cohort-study
#8
Gabriele Meyer, Sascha Köpke, Burkhard Haastert, Ingrid Mühlhauser
AIMS AND OBJECTIVES: To investigate (1) the prevalence of physical restraints and psychoactive medication, (2) newly administered physical restraints, frequency of application of the devices and frequency of psychoactive medication on demand during 12-month follow-up and (3) characteristics associated with restraint use in nursing homes. BACKGROUND: High quality data on restraint use in German nursing homes are lacking so far. Such information is the basis for interventions to achieve a restraint-free care...
April 2009: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/18415237/-postoperative-analgesia-with-buprenorphine-a-comparative-study-of-epidural-patient-controlled-intravenous-and-conventional-subcutaneous-administration
#9
J Fähnrich, C Castelano, E Sturzenegger, B Stoll, P Uehlinger, S Geroulanos
Thirty patients who had undergone elective anterolateral thoracotomy were studied in the surgical intensive care unit to compare the analgesic effectiveness of i.v. self-administered buprenorphine (group A) with that of epidural administration (group B) and of s.c. administration by a nurse of 0.3 mg buprenorphine every 3-4 h (group C, controls). Every 2 h the patients were asked to record their subjektive pain level as a percentage on an analogue scale: zero was to be used for no pain and 100% for the most severe pain they could imagine...
December 1990: Der Schmerz
https://www.readbyqxmd.com/read/17066860/-postoperative-pain-management-in-a-tertiary-care-hospital-initial-situation-prior-to-starting-a-quality-assurance-program
#10
B Valentín López, J García Caballero, J M Muñoz Ramón, P Aparicio Grande, J Díez Sebastán, A Criado Jiménez
OBJECTIVE: To characterize the initial situation in postoperative pain management among the services General and Vascular surgery as the first step in developing a program to improve postoperative analgesia. METHODS: An anonymous questionnaire with 14 items covered the characteristics of postoperative pain, information received about analgesic treatments and requesting medication, and degree of satisfaction. The questionnaire was filled in during an early postoperative interview with all patients undergoing surgery in the aforementioned departments...
August 2006: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/16113546/on-demand-therapy-with-pantoprazole-20-mg-as-effective-long-term-management-of-reflux-disease-in-patients-with-mild-gerd-the-orion-trial
#11
RANDOMIZED CONTROLLED TRIAL
T Scholten, C P M Dekkers, K Schütze, T Körner, M Bohuschke, G Gatz
AIMS: To compare safety and efficacy of on-demand pantoprazole 20 mg/40 mg versus placebo in the long-term management of patients with mild gastroesophageal reflux disease (GERD) after heartburn relief. METHODS: A total of 634 patients with endoscopically confirmed GERD grade 0/I and heartburn were included. During the acute phase, patients were treated with pantoprazole 20 mg once daily for 4 weeks. Those patients relieved from heartburn entered the long-term phase, and were randomly assigned to either treatment group pantoprazole 20 mg, 40 mg or placebo...
2005: Digestion
https://www.readbyqxmd.com/read/15370793/use-of-prescribed-and-non-prescribed-medication-for-dyspepsia
#12
Nicole Krol, Jean W M Muris, Geert Schattenberg, Richard Grol, Michel Wensing
OBJECTIVE: To explore patient factors related to the use of prescribed and non-prescribed drugs for dyspepsia in The Netherlands. DESIGN: Patient survey study. SETTING AND SUBJECTS: Questionnaires sent to patients who had a prescription for dyspepsia medication from their general practitioner. MAIN OUTCOME MEASURES: Patient factors related to the on-demand use of prescribed medication and the use of non-prescribed medication for dyspepsia...
September 2004: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/14625604/on-demand-therapy-for-los-angeles-grade-a-and-b-reflux-esophagitis-esomeprazole-versus-omeprazole
#13
RANDOMIZED CONTROLLED TRIAL
Ai-Wen Kao, Bor-Shyang Sheu, Ming-Jen Sheu, Ye-Mei Chang, Shu-Feng Huang, Chiao-Hsiung Chuang, Yung-Ling Lai, Yeh-Heuy Kao
BACKGROUND AND PURPOSE: Reflux esophagitis of Los Angeles grade A or B is more common than grades C and D disease among Taiwanese. This study compared the efficacy of esomeprazole 40 mg and omeprazole 20 mg for starting on-demand therapy for grade A and B reflux esophagitis. METHODS: 100 patients with grade A and B reflux esophagitis were randomized to receive either esomeprazole 40 mg once daily (n = 50) or omeprazole 20 mg once daily (n = 50) for the first 4 weeks...
September 2003: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/12126240/on-demand-treatment-in-patients-with-oesophagitis-and-reflux-symptoms-comparison-of-lansoprazole-and-omeprazole
#14
RANDOMIZED CONTROLLED TRIAL
F Johnsson, B Moum, M Vilien, O Grove, M Simren, M Thoring
BACKGROUND: There are few data on how patients on maintenance treatment of reflux oesophagitis take their medication. This study was designed to investigate the dosing patterns of patients on on-demand treatment and to compare lansoprazole with omeprazole in this regard. METHODS: Patients with reflux oesophagitis, initially treated until absence of symptoms, took capsules of either lansoprazole (30 mg) or omeprazole (20 mg) for 6 months; they were instructed to take the medication only when reflux symptoms occurred...
June 2002: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/11941378/analgesia-and-the-patient-with-osteoarthritis
#15
REVIEW
Johannes W J Bijlsma
Osteoarthritis is the most common form of arthritis, its prevalence increasing with age: as much as 80% of the population over 75 years show radiologic signs of the condition. Symptoms include pain, stiffness, and functional impairment; however, not all patients are symptomatic. Management starts with nonpharmacologic interventions, followed by pharmacologic means, and ultimately by surgical intervention. The management is multidisciplinary and is tailored to the needs of the individual patient. It is, therefore, a good model of collaborative care: multidisciplinary management of a chronic condition for which the patients themselves coordinate the use of the management options, with information and guidance from health care professionals and written materials, as needed...
May 2002: American Journal of Therapeutics
https://www.readbyqxmd.com/read/11729443/optimizing-acid-suppression-therapy
#16
COMPARATIVE STUDY
J L Barnett, M Robinson
Acid-related disorders are caused by an imbalance between acid secretion by the gastric parietal cells and the defensive mechanisms of the gastrointestinal tract to protect against the effects of acid. Therapy for acid-related disorders focuses on the control of acidity. Data collected throughout the last decade have demonstrated that PPIs are the most effective therapy for acid-related disorders: PPIs have proven superior to H2RAs and antacids in numerous studies. Five PPIs are currently available in the United States...
October 2001: Managed Care
https://www.readbyqxmd.com/read/11590949/-joint-charts-in-drug-handling-toward-increased-drug-safety
#17
J L Bourke, I Bjeldbak-Olesen, P M Nielsen, L K Munck
INTRODUCTION: Medication errors contribute to 8% of all hospital admissions. Minimalization of the number of information transferrals and improvement in communication may increase the quality of drug treatment. MATERIAL AND METHODS: The effect of introducing joint charts for prescription and administration on the quality of drug handling in a hospital setting is reported. RESULTS: When separate charts were used the prescriptions in the case records and the nurses' charts for administration did not tally for any of 20 patients...
September 24, 2001: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/11167354/the-role-of-patient-training-in-the-management-of-seasonal-rhinitis-and-asthma-clinical-implications
#18
RANDOMIZED CONTROLLED TRIAL
F Gani, E Pozzi, M A Crivellaro, G Senna, M Landi, C Lombardi, G W Canonica, G Passalacqua
BACKGROUND: Allergic rhinitis is an inflammatory disease often associated with bronchial asthma. Intranasal corticosteroids and oral antihistamines are the first-choice drugs. Patient training is relevant to asthma management, but little is known about its impact on rhinitis. We evaluated the role of patient training in the treatment of allergic rhinitis and its effects on nasal and bronchial symptoms. METHODS: One hundred and one patients (M/F = 62/39, age range 12-62 years) with pollen-induced rhinitis (32 with concomitant mild asthma) were enrolled...
January 2001: Allergy
https://www.readbyqxmd.com/read/10383525/on-demand-therapy-with-omeprazole-for-the-long-term-management-of-patients-with-heartburn-without-oesophagitis-a-placebo-controlled-randomized-trial
#19
RANDOMIZED CONTROLLED TRIAL
T Lind, T Havelund, L Lundell, H Glise, K Lauritsen, S A Pedersen, O Anker-Hansen, A Stubberöd, G Eriksson, R Carlsson, O Junghard
AIM: To observe the natural course of gastro-oesophageal reflux disease (GERD) in patients without oesophagitis following effective symptom relief, and to determine the place of acid pump inhibitor therapy in the long-term management of these patients. METHODS: We investigated the efficacy of on-demand therapy with omeprazole 20 mg or 10 mg, or placebo in a double-blind, randomized multicentre trial. It involved 424 patients with troublesome heartburn without endoscopic evidence of oesophagitis in whom heartburn had been resolved with short-term treatment...
July 1999: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/8403175/a-comparison-of-regularly-dosed-oral-morphine-and-on-demand-intramuscular-morphine-in-the-treatment-of-postsurgical-pain
#20
RANDOMIZED CONTROLLED TRIAL
J P McCormack, C B Warriner, M Levine, N Glick
A randomized, placebo-controlled, double-blind clinical trial was conducted to compare the use of regularly dosed po morphine and on-demand in morphine in 47 patients undergoing total hip arthroplasty. Patients were randomized to receive either 20 mg (initial dose) of regularly dosed morphine (every four hours po) plus breakthrough pain medication on-demand consisting of both 10 mg morphine po and placebo im, or an equivalent regularly dosed oral placebo (every four hours) with breakthrough pain medication consisting of oral placebo and 5-10 mg morphine im...
September 1993: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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