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https://www.readbyqxmd.com/read/29304922/the-appropriate-use-of-opioids-in-the-treatment-of-refractory-restless-legs-syndrome
#1
Michael H Silber, Philip M Becker, Mark J Buchfuhrer, Christopher J Earley, William G Ondo, Arthur S Walters, John W Winkelman
Restless legs syndrome (RLS) is a distinct disorder, differing from chronic pain in many ways. Refractory RLS is characterized by unresponsiveness to dopamine agonists or alpha-2-delta ligands due to inadequate efficacy, augmentation, or adverse effects. This may result in severely impaired quality of life, profound insomnia, and suicidal depression. Opioid therapy is a mainstay in the management of these patients. This article summarizes the basic science and clinical evidence in support of their use, including the positive result of a large controlled multicenter study of 306 subjects, and outlines an approach to their use in clinical practice...
January 2018: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29302181/medical-students-attitudes-toward-torture-revisited
#2
Krista Dubin, Andrew R Milewski, Joseph Shin, Thomas P Kalman
This paper reports the findings of a survey of medical students' attitudes toward torture and discusses variables that may correlate with those attitudes. In late 2016, 483 enrolled medical and MD-PhD students at the Weill Cornell Medical College received an anonymous, institutional review board-approved survey that included questions about torture and its effectiveness, demographic questions, inquiries about personal experiences of harassment or discrimination, and questions regarding engagement in human rights activities...
December 2017: Health and Human Rights
https://www.readbyqxmd.com/read/29290339/encouraging-comprehensive-and-consistent-pharmacist-education-for-provision-of-contraception
#3
Lorinda Anderson, Laura M Borgelt, Paige Clark, Gina Moore
OBJECTIVES: To initiate a call to action for community pharmacists and key stakeholders to encourage comprehensive and consistent education and certification for contraception services, especially in states where laws have been enacted for pharmacist prescribing of hormonal contraceptives. DATE SOURCES: Websites for several boards of pharmacy that have implemented pharmacist training for contraceptive prescribing. SUMMARY: From the authors' perspective of helping to implement laws that allow pharmacist prescribing of contraception in Oregon and Colorado, lessons learned have shown that it is better to have 1 consistent resource for pharmacist certification for the following reasons: 1) Boards of pharmacy are able to ensure patient safety because all pharmacists are providing the same level of care to every patient; 2) retail chain pharmacies and pharmacy managers are assured that all their pharmacists, regardless of state, are trained in a similar and appropriate manner; and 3) pharmacists can be reimbursed through medical insurance for the patient encounter because payers are able to identify and credential pharmacists who pass an approved and accredited certification program...
January 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29286493/twenty-five-years-of-the-national-academy-of-medical-sciences-of-ukraine-progress-and-priorities-for-future-of-radiation-medicine-and-biology
#4
D Bazyka
After the creation of the Academy of Medical Sciences of Ukraine in 1993 the Research Center for Radiation Medicine was among the first institutions to join the Academy (fig. 1). Estab lishing the Academy was among the first steps of the independent Ukrainian government and aimed to provide a high level health care for population. It was extremely needed for the minimization of Chornobyl medical consequences. This choice was related to a growing recognition of the scientific research in fulfilling the Сenter's mission - study of the effects of low dose radiation on human body and radiation protection of the exposed population...
December 2017: Problemy Radiat︠s︡iĭnoï Medyt︠s︡yny Ta Radiobiolohiï
https://www.readbyqxmd.com/read/29280771/effects-of-the-new-york-state-workers-compensation-board-medical-treatment-guidelines-on-return-to-work
#5
Cristina Demian, Bruce Barron, Anthony Almudevar
OBJECTIVE: Examine the association between New York State Workers' Compensation Medical Treatment Guidelines (Guidelines) adherence and return-to-work after occupational low back injuries. Assess adherence to Guidelines by examining diagnostic and treatment utilization. METHOD: Retrospective chart review of cases. Outcomes of interest were lost time duration and diagnostic/treatment utilization rates. Time to event analyses performed using Kaplan Meier plots and Cox proportional hazard model...
December 26, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29261538/the-current-use-of-united-states-medical-licensing-examination-step-1-scores-holistic-admissions-and-student-well-being-are-in-the-balance
#6
Kevin F Moynahan
United States Medical Licensing Examination Step 1 scores increasingly are being used by graduate medical education programs to "screen out" applicants to invite for an interview; medical students with scores below a certain (usually unpublished) point are not considered for an interview. Conversely, many students are extended an interview invitation based solely on their Step 1 scores, prior to the release of their Medical Student Performance Evaluation. In this Invited Commentary, the author discusses why this practice has gained popularity as well as the unintended effects it has had in multiple domains--holistic undergraduate medical education admissions practices, student well-being, and medical school curricula...
December 19, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29242045/defining-the-applicant-pool-for-postgraduate-year-2-categorical-general-surgery-positions
#7
Weston Stover, Sujata Gill, Kim Schenarts, A Alfred Chahine
OBJECTIVE: In the spring of 2010, a categorical general surgery postgraduate year (PGY)-2 position became available at our academic medical center secondary to attrition of a PGY-1 resident. We sought to study the unique characteristics of applicants to that position and to describe the selection process with hopes to stimulate additional studies about the unique challenges of recruiting applicants into advanced standing positions. DESIGN: Applications were received via e-mail and reviewed to characterize the applicant pool...
December 11, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29209442/getting-to-phase-3-an-interview-with-virginia-s-cowen-phd-lmt
#8
EDITORIAL
Ann Blair Kennedy
I feel that it is important to know the stories behind those who are working hard in the field to bring forward massage therapy research. Interviews with massage therapy researchers will now occasionally be included in the Journal as a new editorial feature. The first interview is with Virginia S. Cowen, PhD, LMT a New York State-licensed and NCB board-certified massage therapist with a PhD from Arizona State. She first became interested in massage therapy research while in massage therapy school, and her most recent work is investigating the integration of massage therapy into medical settings...
December 2017: International Journal of Therapeutic Massage & Bodywork
https://www.readbyqxmd.com/read/29200189/medical-surveillance-for-hazardous-drugs-a-qualitative-assessment-of-current-practices
#9
Richard D Newcomb, Rosemary Frasso, Phoebe Cruz, Laura E Breeher, Robin G Molella, Judith Green-McKenzie
OBJECTIVE: The National Institute for Occupational Safety and Health recommends that institutions establish a medical surveillance program for workers who handle hazardous drugs. Our aim was to investigate current practices with occupational medicine practice (OMP) national leaders. METHODS: A series of qualitative telephone interviews were conducted with 11 OMP national leaders from medical centers in 10 states. Interviews were recorded, transcribed, and coded using a directed content analysis...
December 1, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29196906/perceptions-and-attitudes-of-cancer-patients-and-caregivers-towards-enrollment-in-clinical-trials-in-lebanon
#10
Rana Salem, Charbel Matar, Rita Assi, Raafat Alameddine, Sally Temraz, Ali Shamseddine, Deborah Mukherji
The rates of participation in oncology clinical trials (CTs) are relatively lower in the Middle East compared to other areas in the world. Many social and cultural factors underlie the patients' reluctance to participate. To probe the knowledge, attitudes, and perceptions of patients with cancer and their caregivers regarding participation in CTs at our tertiary referral center in Lebanon, we interviewed 210 patients and caregivers visiting the outpatient clinics in the Naef Basile Cancer Institute at the American University of Beirut...
December 2, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29194297/a-crisis-in-competency-the-strategic-and-ethical-imperative-to-assessing-new-graduate-nurses-clinical-reasoning
#11
Joan M Kavanagh, Christine Szweda
AIM: The aim of the study was to assess entry-level competency and practice readiness of newly graduated nurses. BACKGROUND: Literature on success of new graduates focuses primarily on National Council of State Boards of Nursing Licensure Examination (NCLEX-RN) pass rates, creating a false and incomplete picture of practice readiness. METHOD: Posthire and prestart Performance-Based Development System assessments were administered to more than 5,000 newly graduated nurses at a large midwestern academic medical center between July 2010 and July 2015...
March 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29189648/quantifying-cadaver-use-in-physician-assistant-anatomy-education
#12
Mackenzie C Precht, Cynthia C Bennett, Janet M Cope
PURPOSE: To quantify the number of cadavers used in physician assistant (PA) anatomy education and to ascertain the origins of those cadavers. METHODS: An electronic survey was generated and distributed to all schools that had been accredited by the Accreditation Review Commission on Education for the Physician Assistant. Responses were reported using descriptive statistics. RESULTS: The survey had a 49% response rate. Among the responding programs, 79% reported working with 655 cadavers, with an average of one cadaver per 5...
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29178464/perceptions-and-opinions-of-pet-owners-in-the-united-sates-about-surgery-pain-management-and-anesthesia-in-dogs-and-cats
#13
Bradley T Simon, Elizabeth M Scallan, Dirsko J F Von Pfeil, Daniel T Boruta, Rick Wall, Belle M Nibblett, O Odette, Guy Beauchamp, Paulo V Steagall
OBJECTIVE: To evaluate pet owners' perceptions and understanding of surgical pain, perioperative pain management, and anesthesia. STUDY DESIGN: Prospective owner survey. SAMPLE POPULATION: Eight veterinary hospitals each provided 200 surveys for distribution to pet owners. METHODS: A survey evaluated owners' perceptions and opinions related to surgical pain, perioperative pain management, anesthesia in dogs and cats, and owner demographics (sex, age, education, employment, previous surgical experience, and pet ownership) in 8 regions of the United States (Alaska, Florida, Hawaii, Massachusetts, Oregon, Ohio, Texas, Washington, DC)...
November 27, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29176520/baccalaureate-nursing-students-perceptions-regarding-autopsy-experiences
#14
Emily J Cannon, Renee N Bauer
PURPOSE: Since 2012, a medical-surgical nursing course at a midsized state university has provided the opportunity for students to view autopsies with a board-certified forensic pathologist. The autopsies are performed at a midsized hospital relatively close to the campus. The purpose of this study was to discover nursing students' perceptions that emerged during the autopsy experience. METHODS: A convenience sample of 23 baccalaureate nursing students took part in the autopsy experience over a 4-month period...
October 2017: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29172981/biosimilar-products-in-the-modern-u-s-health-care-and-regulatory-landscape
#15
Jesse Peterson, Holly Budlong, Tim Affeldt, Kyle Skiermont, Gregg Kyllo, Al Heaton
Biosimilars have the potential to greatly reduce medication costs in the United States. As of July 1, 2017, 5 biosimilars have been approved by the FDA, but only 2 are available for purchase. This commentary outlines the efforts of an integrated health system to ensure biosimilar accessibility and discusses the current challenges and future implications. We highlight the implementation of a health plan policy and how a health system's formulary committee can encourage use while considering provider perceptions and operational challenges...
December 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29168653/utilizing-biomarkers-in-colorectal-cancer-an-interview-with-ajay-goel
#16
Ajay Goel
Ajay Goel, PhD, is a Professor and Director, Center for Gastrointestinal Research, and Director, Center for Translational Genomics and Oncology, at the Baylor Scott & White Research Institute, Baylor University Medical Center in Dallas, Texas. Dr Goel has spent more than 20 years researching cancer and has been the lead author or contributor to over 240 scientific articles published in peer-reviewed international journals and several book chapters. He is also a primary inventor on more than 15 international patents aimed at developing various biomarkers for the diagnosis, prognosis and prediction of gastrointestinal cancers...
November 23, 2017: Future Oncology
https://www.readbyqxmd.com/read/29165809/medical-industry-at-tumor-board-three-years-analysis-of-the-open-payments-database-and-comparison-of-oncologic-specialties
#17
Amanjit S Baadh, Mikin Patel, Ketan Patel, Osman Ahmed
BACKGROUND AND OBJECTIVES: To analyze and contrast medical industry payments across U.S. oncologic providers, including hematology-oncology (HO), surgical oncology (SO), interventional radiology (IR), and radiation oncology (RO). METHODS: Open-payment-data for each provider including provider specialty, state of practice, industry payor, reason for payment, and amount was compiled for each transaction between 2013 and 2015. Total, mean, and median payment amounts per-provider were calculated for each specialty...
November 22, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29163327/the-state-of-neurocritical-care-fellowship-training-and-attitudes-toward-accreditation-and-certification-a-survey-of-neurocritical-care-fellowship-program-directors
#18
Rajat Dhar, Venkatakrishna Rajajee, Anna Finley Caulfield, Matthew B Maas, Michael L James, Avinash Bhargava Kumar, Stephen A Figueroa, David McDonagh, Agnieszka Ardelt
Neurocritical care as a recognized and distinct subspecialty of critical care has grown remarkably since its inception in the 1980s. As of 2016, there were 61 fellowship training programs accredited by the United Council for Neurologic Subspecialties (UCNS) in the United States and more than 1,000 UCNS-certified neurointensivists from diverse medical backgrounds. In late 2015, the Program Accreditation, Physician Certification, and Fellowship Training (PACT) Committee of the Neurocritical Care Society (NCS) was convened to promote and support excellence in the training and certification of neurointensivists...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/29158039/association-between-the-american-board-of-internal-medicine-s-general-internist-s-maintenance-of-certification-requirement-and-mammography-screening-for-medicare-beneficiaries
#19
Bradley M Gray, Jonathan L Vandergrift, Rebecca S Lipner
BACKGROUND: Breast cancer is a leading cause of death in the United States. Continuing medical education programs such as the American Board of Internal Medicine's Maintenance of Certification (MOC) program can increase early detection of cancers by educating physicians about the benefits of screening. Did the imposition of American Board of Internal Medicine's MOC requirement affect guideline-compliant mammography screening? METHOD: To address this question, we took advantage of a natural experiment that occurred when one group of general internists was required to complete MOC by 2001 because they initially certified in 1991 (MOC required) and another group was grandfathered out of this requirement because they initially certified in 1989 (MOC grandfathers)...
November 17, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29157120/evaluating-nurse-understanding-and-participation-in-the-informed-consent-process
#20
Sydney A Axson, Nicholas A Giordano, Robin M Hermann, Connie M Ulrich
BACKGROUND: Informed consent is fundamental to the autonomous decision-making of patients, yet much is still unknown about the process in the clinical setting. In an evolving healthcare landscape, nurses must be prepared to address patient understanding and participate in the informed consent process to better fulfill their well-established role as patient advocates. RESEARCH OBJECTIVE: This study examines hospital-based nurses' experiences and understandings of the informed consent process...
January 1, 2017: Nursing Ethics
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