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Itzhak Yanovitzky
OBJECTIVE: Prescription drug take-back programs provide a safe and convenient way to dispose of expired, unwanted, or unused medications that people store in homes, thus limiting the potential misuse of prescription drugs. This study evaluated public response to a social marketing campaign promoting a community-based drug take-back program, the American Medicine Chest Challenge. METHOD: A telephone survey was conducted with a representative sample of adults in New Jersey (N = 906) 2 weeks following the conclusion of the statewide collection day event in November 2010...
July 2016: Journal of Studies on Alcohol and Drugs
(no author information available yet)
While most healthcare reforms have thus far been focused outside of the ED, they nonetheless have big implications for emergency providers, according to a panel of experts who discussed the future of emergency care at a conference sponsored by the Brookings Institution in Washington, DC. Going forward, the experts noted that emergency providers need to engage on how to most-effectively deliver higher value while also achieving better alignment with primary care providers. And they highlighted reforms that are already delivering results in pioneering EDs...
July 2015: ED Management: the Monthly Update on Emergency Department Management
Harri Selanne, Tatiana V Ryba, Kirsti Siekkinen, Heikki Kyröläinen, Hannu Kautiainen, Harto Hakonen, Marja Mikkelsson, Urho M Kujala
Participating in competitive sport increases the risk for injuries and musculoskeletal pain among adolescent athletes. There is also evidence that the use of prescription drugs has increased among sport club athletes. The purpose of this study was to evaluate the use of painkillers among young male ice hockey players (IHP) in comparison to schoolboys (controls) and its relation to the prevalence of musculoskeletal pain and problems during activities and sleeping. Information was gathered through a questionnaire, completed by 121 IHP and compared to the responses of 618 age-matched controls...
January 1, 2014: Health Psychology and Behavioral Medicine
A N Wilner, B K Sharma, A Thompson, A Soucy, A Krueger
Our objective was to identify the top MD-office, inpatient and outpatient diagnoses, procedures, drug classes, comorbidities, and cost of health care for people with epilepsy. We examined health insurance claims for 8388 persons with epilepsy (females = 52%, males = 48%; average age = 35 years; privately insured = 78%, and Medicaid-insured = 22%) from eight health insurance plans for the year 2012. All of the top three diagnoses for MD-office place of service were either for other convulsions (780.39) or for epilepsy (345...
December 2014: Epilepsy & Behavior: E&B
Jennifer A Gershman, Andrea D Fass
Reputable medication safety resources are fundamental to assist in reducing medication errors and educating consumers. The purpose of this article is to describe medication safety and pharmacovigilance electronic and mobile resources that are available to pharmacists to enhance patient safety in the ambulatory care setting at the national level through the US Food and Drug Administration (FDA), Drug Enforcement Administration (DEA), American Medicine Chest Challenge, and Institute for Safe Medication Practices (ISMP)...
April 2014: Hospital Pharmacy
Laura S Gold, Diana S M Buist, Elizabeth T Loggers, Ruth Etzioni, Larry Kessler, Scott D Ramsey, Sean D Sullivan
INTRODUCTION: Because receipt of breast imaging likely occurs in nonrandom patterns, selection bias is an important issue in studies that attempt to elucidate associations between imaging and breast cancer outcomes. The purpose of this study was to analyze use of advanced diagnostic imaging in a cohort of patients with breast cancer insured by commercial, managed care, and public health plans by demographic, health insurance, and clinical variables from 2002 to 2009. METHODS: We identified women with breast cancer diagnoses from a Surveillance Epidemiology and End Results (SEER) registry whose data could be linked to claims from participating health plans...
September 2013: Journal of Oncology Practice
Clei Angelo Mocelin, Rodrigo Pires dos Santos
To assess the adequacy of medical prescriptions for community-acquired pneumonia at the emergency department of the Hospital de Clínicas de Porto Alegre, we conducted a prospective cohort study, from January through April 2011. All patients with suspected pneumonia were selected from the first prescription of antimicrobials held in the emergency room. Patients with a description of pneumonia, community-acquired pneumonia, respiratory infection, or other issues related to community-acquired pneumonia were selected for review...
September 2013: Brazilian Journal of Infectious Diseases
R Lakhdhar, M Drissa, H Drissa
BACKGROUND: Atrial septal defect (ASD) is one of the most common causes of congenital heart disease manifested in adulthood. AIM: To describe clinical and likelihood picture of adults over 60 years born with an ASD type II. METHODS: We performed a retrospective study of adult'sASD referred toourinstitutionfrom 1985 through 2010. Clinical, electrocardiographic, echocardiographic and hemodynamic data were reviewed. On follow up study, patients were investigated by echocardiography, ECG and assessed for quality of life by a questionnaire RESULTS: Among forty ASD type II manifested in adulthood which were referred to our department of cardiology five cases of ASD manifested in the sixth decades (2 men and 3 women)...
April 2013: La Tunisie Médicale
V Mondain, F Lieutier, L Hasseine, M Gari-Toussaint, M Poiree, C Lions, C Pulcini
PURPOSE: To describe the antifungal stewardship programme in our hospital and to assess its impact on total antifungal prescriptions and their cost, and on the process of care measures regarding the diagnostic and therapeutic management of invasive aspergillosis and candidaemia. METHODS: We conducted a prospective observational study describing the multifaceted antifungal stewardship programme in place at our French teaching tertiary-care hospital since 2005. Several actions were implemented successively, including the systematic evaluation of all costly antifungal prescriptions (echinocandins, lipid formulations of amphotericin B, posaconazole and voriconazole)...
June 2013: Infection
Ugo Montanari, Domenico Quadrelli, Giuseppe Donato, Maddalena Mercuri, Antonio Scorletti, Franco Berti
In Italian Territory Medicine there is no consolidated habitude, by Family General Practicioners and Paediatricians, to use Guidelines for diagnosis and management of diseases. Therefore, 19 General Practicioners, organized in a cooperative group, have identified a guideline on COPD, a disease often underdiagnosed and inappropriately treated, and verified, over 3 years of application, if it is possible, in clinical practice, to modify diagnostic-therapeutic habitudes. The results - even inferior to expectations for most of the indicators used - showed an increase in the number of cases diagnosed as COPD, possibly linked to a greater use of spirometry and chest Rx...
January 2013: Recenti Progressi in Medicina
Traci C Green, Sarah E Bowman, Madeline Ray, Nickolas Zaller, Robert Heimer, Patricia Case
Diversion of prescription opioids is a widespread problem in the USA. While "doctor shopping" and pill brokering are well-described types of medication diversion, we sought to understand the social dynamic of diversion of prescription opioids and identify other diversion methods. Using qualitative data collected as part of a 12-week Rapid Assessment and Response study of prescription opioid overdose and abuse (the RARx Study) conducted in three communities in two New England states, we reviewed and thematically coded 195 interviews...
August 2013: Journal of Urban Health: Bulletin of the New York Academy of Medicine
J B Kirenga, M Okot-Nwang
BACKGROUND: Asthma is a common chronic disease with high morbidity. In Uganda, the proportion of asthma in health care facilities and the extent to which asthma management guidelines are followed is unknown. OBJECTIVES: To determine the proportion of adult patients diagnosed with asthma and the proportion of asthma patients that receives recommended asthma therapy prescriptions according to Global Initiative for Asthma with GINA management and prevention guidelines, in the chest clinic and accident and emergency (A&E) departments in Mulago Hospital...
March 2012: African Health Sciences
Tingting Chang, Guoping Chang, John W Clark, Rami H Diab, Eric Rohren, Osama R Mawlawi
PURPOSE: Several investigators have shown that noise equivalent count rate (NECR) is linearly proportional to the square of image signal-to-noise ratio (SNR) when PET images are reconstructed using filtered back-projection. However, to our knowledge, none have shown a similar relationship in fully 3D ordered-subset expectation maximization (OSEM) reconstruction. This paper has two aims. The first is to investigate the NECR-SNR relationship for 3D-OSEM reconstruction using phantom studies while the second aim is to evaluate the NECR-SNR relationship using patient data...
October 2012: Medical Physics
C C Grant, A Harnden, D Mant, D Emery, G Coster
BACKGROUND: Although antibiotics are recommended for the primary care management of community-acquired pneumonia, a recent UK study reported that most children admitted to hospital had not received antibiotics. OBJECTIVE: To describe primary care antibiotic use for children subsequently hospitalised with community-acquired pneumonia. DESIGN/METHODS: A case series of 280 children <5 years old hospitalised with pneumonia in Auckland, New Zealand...
January 2012: Archives of Disease in Childhood
Said Alsidawi, James Muth, James Wilkin
INTRODUCTION: Takotsubo Cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, was initially described in Japan in 1990. Both illicit and prescription drugs have added to the growing list of insulting stressors. We describe an interesting case of atypical TTC triggered by adderall overdose. CLINICAL CASE: A 19-year-old female was brought to the Emergency Department after ingesting 30 Adderall tablets. She was complaining of pressure like chest pain and shortness of breath...
November 15, 2011: Catheterization and Cardiovascular Interventions
Pietro Bellissima, Giuseppe Bellissima
We describe the epidemiology, clinical features, radiological findings, therapy and course for 15 patients hospitalized at the Infectious Diseases UOC of Gravina Hospital Caltagirone for a serious respiratory condition with verified infection A (H1N1) from 9 November to 22 December 2009. We retrospectively reviewed medical records, laboratory and instrumental tests performed on hospitalized patients. All patients had significant respiratory impairment: nine had co-morbidities and risk factors such as obesity, pregnancy, immunosuppressant conditions and muscular dystrophy...
March 2011: Le Infezioni in Medicina
Baptiste Vallé, David Camelot, Vincent Bounes, Marc Parant, Florent Battefort, Jean-Louis Ducassé, Michel Pujos
BACKGROUND: The aim of this study was to analyse emergency calls for teleconsultation received at French TMAS relating to cardiovascular pathologies, to assess the relevance of electrocardiogram teletransmission. MATERIAL AND METHODS: A two-year descriptive and retrospective study from the TMAS medical files database. We selected patients whose telemedical request was related to a possible cardiovascular pathology. The French TMAS receives calls from all kinds of ship (passenger or merchant vessel), and our analysis was conducted by comparing passengers and professional seamen...
2010: International Maritime Health
Darrell W Harrington
Many acutely ill medical patients are at significant risk for developing venous thromboembolism (VTE) during hospitalization. Venous thromboembolism risk arises from both the presenting clinical condition as well as predisposing risk factors, such as advanced age. Thromboprophylaxis is underprescribed in these patients. Thrombotic risk assessment could encourage the prescribing of thromboprophylaxis and, therefore, improve patient protection against VTE. Current guidelines from the American College of Chest Physicians and the International Union of Angiology (IUA) recommend thromboprophylaxis with low-dose unfractionated heparin (UFH), a low-molecular-weight heparin (LMWH), or fondaparinux for acutely ill medical patients with VTE risk factors...
November 2010: Hospital Practice (Minneapolis)
Reneé S Holleran
No abstract text is available yet for this article.
September 2010: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Marco Sperandeo, Vincenzo Carnevale, Silvana Muscarella, Giuseppe Sperandeo, Antonio Varriale, Paola Filabozzi, Maria L Piattelli, Vito D'Alessandro, Massimiliano Copetti, Fabio Pellegrini, Lucia Dimitri, Gianluigi Vendemiale
PURPOSE: The aim of this study was to investigate the clinical applicability of transthoracic ultrasound (TUS) in the diagnosis and follow-up of community acquired pneumonia (CAP). METHODS: We designed a pilot study in 15 patients and subsequently investigated 342 patients (206 men and 136 women) consecutively admitted to our Department from September 2005 to November 2009 because of radiographically diagnosed CAP. All patients underwent standard chest radiography, and consequently TUS...
January 2011: European Journal of Clinical Investigation
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