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Defensive Medicine

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181. Economic analysis of bedside ultrasonography (US) implementation in an Internal Medicine department. (PubMed)

Economic analysis of bedside ultrasonography (US) implementation in an Internal Medicine department. The economic crisis, the growing healthcare demand, and Defensive Medicine wastefulness, strongly recommend the restructuring of the entire medical network. New health technology, such as bedside ultrasonography, might successfully integrate the clinical approach optimizing the use of limited resources, especially in a person-oriented vision of medicine. Bedside ultrasonography is a safe (...) and reliable technique, with worldwide expanding employment in various clinical settings, being considered as "the stethoscope of the 21st century". However, at present, bedside ultrasonography lacks economic analysis. We performed a Cost-Benefit Analysis "ex ante", with a break-even point computing, of bedside ultrasonography implementation in an Internal Medicine department in the mid-term. Number and kind estimation of bedside ultrasonographic studies were obtained by a retrospective study, whose data

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2015 Internal and emergency medicine

182. Cellular Therapies in Trauma and Critical Care Medicine: Forging New Frontiers (PubMed)

Cellular Therapies in Trauma and Critical Care Medicine: Forging New Frontiers Trauma is a leading cause of death in both military and civilian populations worldwide. Although medical advances have improved the overall morbidity and mortality often associated with trauma, additional research and innovative advancements in therapeutic interventions are needed to optimize patient outcomes. Cell-based therapies present a novel opportunity to improve trauma and critical care at both the acute (...) are critical areas in need of development. In 2015, the Department of Defense Combat Casualty Care Research Program held a joint military-civilian meeting as part of its effort to inform the research community about this field and allow for effective planning and programmatic decisions regarding research and development. The objective of this article is to provide a "state of the science" review regarding cellular therapies in trauma and critical care, and to provide a foundation from which the potential

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2015 Shock (Augusta, Ga.)

183. Terminalia catappa L.: A medicinal plant from the Caribbean pharmacopeia with anti-Helicobacter pylori and antiulcer action in experimental rodent models. (PubMed)

Terminalia catappa L.: A medicinal plant from the Caribbean pharmacopeia with anti-Helicobacter pylori and antiulcer action in experimental rodent models. Terminalia catappa L. (Combretaceae) is a medicinal plant listed as a pharmacopeia vegetable from Caribbean to treat gastritis. The objective of this study was to evaluate the gastroprotective and healing effect of the aqueous fraction (FrAq) obtained from the leaves of Terminalia catappa and to determine the antiulcer mechanism of action (...) by the activation of defensive mucosa-protective factors, such as increases in mucus production, the nitric oxide (NO) pathway and endogenous prostaglandins. Oral treatment with FrAq for seven and 14 days significantly reduced the lesion area (80% and 37%, respectively) compared to the negative control group. Analyses of MMP-9 and MMP-2 activity from gastric mucosa confirmed the accelerated gastric healing effect of FrAq. This extract also presented considerable activity against Helicobacter pylori. The mass

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2015 Journal of Ethnopharmacology

184. Medical Student Perceptions of Cost-Conscious Care in an Internal Medicine Clerkship: A Thematic Analysis. (PubMed)

included increased time and effort (n = 19), ingrained practices (n = 17), and defensive medicine or fear of missing something (n = 18.)Even with minimal clinical experience, medical students were able to identify instances of lack of attention to cost-conscious care as well as potential solutions. Although students identified the hierarchy in healthcare teams as a potential barrier to improving high value care, most students stated they would feel comfortable engaging the team in discussion. Future (...) Medical Student Perceptions of Cost-Conscious Care in an Internal Medicine Clerkship: A Thematic Analysis. Although as much as 87 % of all healthcare spending is directed by physicians, studies have demonstrated that they lack knowledge about the costs of medical care. Similarly, learners have not traditionally received instruction on cost-conscious care.To examine medical students' perceptions of healthcare delivery as it relates to cost consciousnessRetrospective qualitative analysis

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2015 Journal of General Internal Medicine

185. The malaria co-infection challenge: An investigation into the antimicrobial activity of selected Guinean medicinal plants. (PubMed)

The malaria co-infection challenge: An investigation into the antimicrobial activity of selected Guinean medicinal plants. In sub-Saharan Africa, concomitant occurrence of malaria and invasive infections with micro-organisms such as Gram-positive Staphylococcus aureus, Gram-negative Escherichia coli and yeasts or fungi such as Candida albicans and Aspergillus fumigatus is common. Non-tuberculous mycobacteriosis caused by Mycobacterium chelonae has been recognized as a pulmonary pathogen (...) with increasing frequency without effective therapy. Although less important, the high incidence of Trichophyton rubrum infections along with its ability to evade host defense mechanisms, accounts for the high prevalence of infections with this dermatophyte. Considering the treatment cost of both malaria and microbial infections, along with the level of poverty, most affected African countries are unable to cope with the burden of these diseases. In sub-Saharan Africa, many plant species are widely used

2015 Journal of Ethnopharmacology

186. Less is More: The dangers of too much medicine

Less is More: The dangers of too much medicine Less is More: The dangers of too much medicine - Students 4 Best Evidence A network for students interested in evidence-based health care Menu Less is More: The dangers of too much medicine Posted on January 16, 2015 by Tutorials and Fundamentals Key message Many people throughout the world are rightly concerned that they are not getting enough of the quality healthcare they need. Yet, there is also a growing concern that the opposite issue (...) of overtreatment, and too much medicine, is actually causing harm, as well as increasing costs of care. What is the problem? There is good evidence that in some developed countries, particularly in the US, healthcare providers are overtreating. This means people receive too many unnecessary treatments, tests, and screenings. Additionally, there is also frequent overdiagnosis of many medical conditions. One example of excessive screening is the annual health check-up for otherwise healthy adults. A recent

2015 Students 4 Best Evidence

187. Introduction to systematic reviews in animal agriculture and veterinary medicine.

Introduction to systematic reviews in animal agriculture and veterinary medicine. This article is the first in a series of six articles related to systematic reviews in animal agriculture and veterinary medicine. In this article, we overview the methodology of systematic reviews and provide a discussion of their use. Systematic reviews differ qualitatively from traditional reviews by explicitly defining a specific review question, employing methods to reduce bias in the selection and inclusion (...) of studies that address the review question (including a systematic and specified search strategy, and selection of studies based on explicit eligibility criteria), an assessment of the risk of bias for included studies and objectively summarizing the results qualitatively or quantitatively (i.e. via meta-analysis). Systematic reviews have been widely used to address human healthcare questions and are increasingly being used in veterinary medicine. Systematic reviews can provide veterinarians and other

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2014 Zoonoses and public health

188. Bioactives and Traditional Herbal Medicine for the Treatment of Cardiovascular/Cerebrovascular Diseases (PubMed)

Bioactives and Traditional Herbal Medicine for the Treatment of Cardiovascular/Cerebrovascular Diseases 25031605 2014 07 17 2014 07 21 1741-427X 2014 2014 Evidence-based complementary and alternative medicine : eCAM Evid Based Complement Alternat Med Bioactives and traditional herbal medicine for the treatment of cardiovascular/cerebrovascular diseases. 495323 10.1155/2014/495323 Sheu Joen-Rong JR Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei 110 (...) , Taiwan. Geraldine Pitchairaj P Department of Animal Science, Bharathidasan University, Tiruchirappalli, Tamil Nadu 620 024, India. Yen Mao-Hsiung MH Department of Pharmacology, National Defense Medical Center, Taipei, Taiwan. eng Journal Article 2014 06 16 United States Evid Based Complement Alternat Med 101215021 1741-427X 2014 06 11 2014 06 11 2014 7 18 6 0 2014 7 18 6 0 2014 7 18 6 1 ppublish 25031605 10.1155/2014/495323 PMC4083600

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2014 Evidence-based Complementary and Alternative Medicine : eCAM

189. Open Label Treatment of Severe Tactile Defensiveness With Intrathecal Baclofen

Open Label Treatment of Severe Tactile Defensiveness With Intrathecal Baclofen Open Label Treatment of Severe Tactile Defensiveness With Intrathecal Baclofen - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Open Label Treatment of Severe Tactile Defensiveness With Intrathecal Baclofen The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01352611 Recruitment Status : Withdrawn (No subjects enrolled.) First Posted : May 12, 2011 Last Update Posted : October 6, 2016 Sponsor: University of Missouri-Columbia

2011 Clinical Trials

190. Self-Defense Training in Women With Trauma

Study Start Date : April 2011 Actual Primary Completion Date : August 2013 Actual Study Completion Date : November 2015 Resource links provided by the National Library of Medicine related topics: related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Life skills and self-defense training Women will participate in a therapeutic group which covers education, skills, and empowerment activities. Behavioral: Life skills and self-defense training 8 week class which meets (...) Self-Defense Training in Women With Trauma Self-Defense Training in Women With Trauma - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Self-Defense Training in Women With Trauma The safety and scientific

2011 Clinical Trials

191. Study of Psychological Defense Mechanisms Used by Liver Transplant Patients

Study Completion Date : October 2016 Resource links provided by the National Library of Medicine related topics: Groups and Cohorts Go to Group/Cohort liver transplant patients Population of adult patients awaiting liver transplant, status on the waiting list in the transplant center of University Hospital of Lille. Outcome Measures Go to Primary Outcome Measures : change in Bond Defense Style Questionnaire 88 [ Time Frame: baseline and 6 months and 1 year and 5 years ] Change in psychological (...) Study of Psychological Defense Mechanisms Used by Liver Transplant Patients Study of Psychological Defense Mechanisms Used by Liver Transplant Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Study

2011 Clinical Trials

192. The Aesthetics of Intervention in Defense of the Esoteric (PubMed)

The Aesthetics of Intervention in Defense of the Esoteric 22532729 2012 08 30 2018 11 13 2196-8918 34 1 2011 Spring The Behavior analyst Behav Anal The aesthetics of intervention in defense of the esoteric. 41-5 Deleon Iser G IG Kennedy Krieger Institute and Johns Hopkins University School of Medicine. eng P01 HD055456 HD NICHD NIH HHS United States R01 HD049753 HD NICHD NIH HHS United States Journal Article Switzerland Behav Anal 8303067 0738-6729 2012 4 26 6 0 2012 4 26 6 0 2012 4 26 6 1

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2011 The Behavior Analyst

193. Travel Medicine and Vaccination (Follow-up)

for a family member or giving an adhesive bandage for a blister to a stranger. In the unfortunate circumstance of a poor treatment outcome, a patient's signed release often will not protect a physician from a good lawyer or from a poorly informed jury. In the situation of unplanned medical care, one legal argument used against the Good Samaritan defense has been that possession of any medical equipment showed that the physician had planned to practice medicine and therefore was not protected by the Good (...) Travel Medicine and Vaccination (Follow-up) Travel Medicine and Vaccination: Overview, Travel Medicine: The Big Picture, Pre-travel Medical Preparation Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Emergency Medicine

194. Travel Medicine and Vaccination (Diagnosis)

for a family member or giving an adhesive bandage for a blister to a stranger. In the unfortunate circumstance of a poor treatment outcome, a patient's signed release often will not protect a physician from a good lawyer or from a poorly informed jury. In the situation of unplanned medical care, one legal argument used against the Good Samaritan defense has been that possession of any medical equipment showed that the physician had planned to practice medicine and therefore was not protected by the Good (...) Travel Medicine and Vaccination (Diagnosis) Travel Medicine and Vaccination: Overview, Travel Medicine: The Big Picture, Pre-travel Medical Preparation Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Emergency Medicine

195. Travel Medicine and Vaccination (Treatment)

for a family member or giving an adhesive bandage for a blister to a stranger. In the unfortunate circumstance of a poor treatment outcome, a patient's signed release often will not protect a physician from a good lawyer or from a poorly informed jury. In the situation of unplanned medical care, one legal argument used against the Good Samaritan defense has been that possession of any medical equipment showed that the physician had planned to practice medicine and therefore was not protected by the Good (...) Travel Medicine and Vaccination (Treatment) Travel Medicine and Vaccination: Overview, Travel Medicine: The Big Picture, Pre-travel Medical Preparation Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Emergency Medicine

196. Travel Medicine and Vaccination (Overview)

for a family member or giving an adhesive bandage for a blister to a stranger. In the unfortunate circumstance of a poor treatment outcome, a patient's signed release often will not protect a physician from a good lawyer or from a poorly informed jury. In the situation of unplanned medical care, one legal argument used against the Good Samaritan defense has been that possession of any medical equipment showed that the physician had planned to practice medicine and therefore was not protected by the Good (...) Travel Medicine and Vaccination (Overview) Travel Medicine and Vaccination: Overview, Travel Medicine: The Big Picture, Pre-travel Medical Preparation Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Emergency Medicine

197. Antibiotic agents and the immune mechanisms of defense. (PubMed)

Antibiotic agents and the immune mechanisms of defense. 1102003 1976 01 08 2018 11 13 0028-7091 51 9 1975 Oct Bulletin of the New York Academy of Medicine Bull N Y Acad Med Antibiotic agents and the immune mechanisms of defense. 1039-45 Alexander J W JW eng Journal Article Review United States Bull N Y Acad Med 7505398 0028-7091 0 Anti-Bacterial Agents 9007-36-7 Complement System Proteins IM Anti-Bacterial Agents adverse effects Antibody Formation drug effects Complement System Proteins Humans

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1975 Bulletin of the New York Academy of Medicine

198. The effects of chronic acid loads in normal man: further evidence for the participation of bone mineral in the defense against chronic metabolic acidosis. (PubMed)

The effects of chronic acid loads in normal man: further evidence for the participation of bone mineral in the defense against chronic metabolic acidosis. 5927117 1967 02 10 2018 11 13 0021-9738 45 10 1966 Oct The Journal of clinical investigation J. Clin. Invest. The effects of chronic acid loads in normal man: further evidence for the participation of bone mineral in the defense against chronic metabolic acidosis. 1608-14 Lemann J J Jr Litzow J R JR Lennon E J EJ eng Journal Article United (...) 10 1 0 0 ppublish 5927117 10.1172/JCI105467 PMC292842 J Clin Invest. 1966 Oct;45(10):1601-7 5925517 J Clin Invest. 1955 Feb;34(2):205-12 13233342 J Clin Invest. 1965 Apr;44:507-17 14278167 J Clin Invest. 1931 Jun;10(2):221-49 16693975 Medicine (Baltimore). 1965 Sep;44(5):397-418 5318076 J Clin Invest. 1957 Mar;36(3):373-82 13406050

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1966 Journal of Clinical Investigation

199. Studies on the pathophysiology and some host defense factors in staphylococcal arthritis in the rabbit and on the relationship of aseptic inflammation to infection rate. (PubMed)

Studies on the pathophysiology and some host defense factors in staphylococcal arthritis in the rabbit and on the relationship of aseptic inflammation to infection rate. 5981348 1967 11 14 2018 11 13 0044-0086 39 2 1966 Oct The Yale journal of biology and medicine Yale J Biol Med Studies on the pathophysiology and some host defense factors in staphylococcal arthritis in the rabbit and on the relationship of aseptic inflammation to infection rate. 119-28 Nagel D A DA Albright J A JA

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1966 The Yale journal of biology and medicine

200. The control of operating room infection: discipline, defense mechanisms, drugs, design, and devices. (PubMed)

The control of operating room infection: discipline, defense mechanisms, drugs, design, and devices. 274162 1978 07 26 2018 11 13 0028-7091 54 5 1978 May Bulletin of the New York Academy of Medicine Bull N Y Acad Med The control of operating room infection: discipline, defense mechanisms, drugs, design, and devices. 465-83 Laufman H H eng Journal Article United States Bull N Y Acad Med 7505398 0028-7091 IM Cross Infection prevention & control Humans Operating Rooms Surgical Wound Infection

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1978 Bulletin of the New York Academy of Medicine

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