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Defensive Medicine

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41. Medical malpractice, defensive medicine and role of the “media” in Italy Full Text available with Trip Pro

Medical malpractice, defensive medicine and role of the “media” in Italy For many years until now, Italy has been subjected to an inconsistent and contradictory media campaign. On one hand the "media" present us with bold and reassuring messages about the progress of medical science; on the other hand they are prone to kneejerk criticism every time medical treatment does not have the desired effect, routinely describing such cases as glaring examples of "malasanità", an Italian word (...) of recent coinage used to denote medical malpractice. Newspaper reports of legal proceedings involving health treatment are frequently full of errors and lack any scientific basis.The published data confirm the unsustainably high number of lawsuits against doctors and medical structures, accompanied by demands for compensation arising from true or alleged medical errors or mistakes blamed on the work of health structures.Currently Italian citizens have a greater awareness of their right to health than

2015 Multidisciplinary respiratory medicine

42. Medical Malpractice Litigation Following Primary Total Joint Arthroplasty: A Comprehensive, Nationwide Analysis of the Past Decade. (Abstract)

Medical Malpractice Litigation Following Primary Total Joint Arthroplasty: A Comprehensive, Nationwide Analysis of the Past Decade. The purpose of this study is to (1) characterize the most common reasons of medical malpractice litigation against adult reconstruction surgeons and (2) report on the outcomes of these lawsuits.The Westlaw legal research database was queried for cases between 2008 and 2018 related to total hip and knee arthroplasty (THA and TKA) in the United States. Causes (...) by leg-length discrepancy (26%). Procedural errors were alleged in 72% of cases, while diagnostic and post-surgical errors were cited in 55% and 32% of cases. A defense verdict occurred in 74% of cases, plaintiff verdict in 21%, and parties settled in 5%.Infection and nerve injury were the most common reasons for litigation in TKA and THA, respectively. The most likely outcome of these lawsuits was a jury verdict in favor of the surgeon. Regardless, surgeons should be cognizant of the potential

2019 Journal of Arthroplasty

43. How do doctors in the Netherlands perceive the impact of disciplinary procedures and disclosure of disciplinary measures on their professional practice, health and career opportunities? A questionnaire among medical doctors who received a disciplinary mea Full Text available with Trip Pro

reported changes in their professional practices associated with 'defensive medicine', such as doing more supplementary research (41%) and complying more with patients' wishes (35%).The Dutch disciplinary procedure has strong negative side effects, that disclosing measures seems to increase. Dutch disciplinary law aims to contribute to the quality of professional practice. A safe environment is a basic condition for quality improvement and therefore, disclosure of disciplinary measures should (...) How do doctors in the Netherlands perceive the impact of disciplinary procedures and disclosure of disciplinary measures on their professional practice, health and career opportunities? A questionnaire among medical doctors who received a disciplinary mea Disciplinary procedures can have serious consequences for the health, personal life and professional functioning of doctors. Until recently, specific disciplinary measures (reprimands) were publicly disclosed in the Netherlands. The perceived

2019 BMJ open

44. U.S. Military Medical Evacuation and Prehospital Care of Pediatric Trauma Casualties in Iraq and Afghanistan. (Abstract)

U.S. Military Medical Evacuation and Prehospital Care of Pediatric Trauma Casualties in Iraq and Afghanistan. Background: Traumatic injuries were the most common reason for pediatric admission to military hospitals during the recent wars in the Middle East. We describe injury characteristics and prehospital interventions performed on wartime pediatric trauma casualties in Afghanistan and Iraq, stratified by medical evacuation platform. Methods: We queried the Department of Defense Trauma (...) Registry (DODTR) for all pediatric (age < 18 years) encounters from January 2007 to January 2016. The DODTR is the data repository for all trauma-related injuries managed by deployed US military medical treatment facilities with surgical capabilities. We requested all documented prehospital care, which may have been delivered anywhere from the point-of-injury until a fixed-facility with surgical capabilities. We stratified subjects according to Centers for Disease Control age groupings: <1 year, 1-4

2019 Prehospital emergency care

45. Off-label prescribing of psychotropic medication to children and adolescents

often prescribed off-label for children and adolescents? Marketing authorisation (the product license) is required in order for a manufacturer to sell, advertise and promote a drug for the defined condition and population. Potential new medicines developed by pharmaceutical companies are typically tested first for safety and efficacy in the population most likely to represent the major areas of use, and most commonly, this will be in adults. Very few psychotropic medications are developed (...) of medicines for children and adolescents remains a common and important issue for prescribing practice across child and adolescent psychiatry, paediatrics and primary care. This editorial focusses on psychotropic drug treatment, which plays an essential part in the comprehensive management of a range of child and adolescent psychiatric disorders. Despite a growing evidence base for drug treatment in child and adolescent psychiatric disorders, much psychotropic medication continues to be prescribed off

2017 British Association for Psychopharmacology

46. Dialectical behavior therapy skills training affects defense mechanisms in borderline personality disorder: An integrative approach of mechanisms in psychotherapy. Full Text available with Trip Pro

Dialectical behavior therapy skills training affects defense mechanisms in borderline personality disorder: An integrative approach of mechanisms in psychotherapy. Borderline personality disorder (BPD) is characterized by immature defense mechanisms. Dialectical behavior therapy (DBT) is an effective treatment for BPD. However, understanding the underlying mechanisms of change is still limited. Using a transtheoretical framework, we investigated the effect of DBT skills training on defense (...) mechanisms.In this randomized controlled trial, 16 of 31 BPD outpatients received DBT skills training adjunctive to individual treatment as usual (TAU), while the remaining 15 received only individual TAU. Pre-post changes of defense mechanisms, assessed with the Defense Mechanism Rating Scale, were compared between treatment conditions using ANCOVAs. Partial correlations and linear regressions were conducted to explore associations between defenses and symptom outcome.Overall defense function improved

2018 Psychotherapy research : journal of the Society for Psychotherapy Research Controlled trial quality: uncertain

47. Defeating Cancers’ Adaptive Defensive Strategies Using Thermal Therapies: Examining Cancer’s Therapeutic Resistance, Ablative, and Computational Modeling Strategies as a means for Improving Therapeutic Outcome Full Text available with Trip Pro

Defeating Cancers’ Adaptive Defensive Strategies Using Thermal Therapies: Examining Cancer’s Therapeutic Resistance, Ablative, and Computational Modeling Strategies as a means for Improving Therapeutic Outcome Diverse thermal ablative therapies are currently in use for the treatment of cancer. Commonly applied with the intent to cure, these ablative therapies are providing promising success rates similar to and often exceeding "gold standard" approaches. Cancer-curing prospects may (...) of the strategies used by cancer cells to avoid destruction by immunologic surveillance. Further, these discoveries are now providing insight into the success of the diverse types of ablative therapies utilized in the clinical arena today and into how they directly and indirectly overcome many of the cancers' defensive strategies. Additionally, the manner in which minimally invasive thermal therapy is enabled by imaging, which facilitates anatomical features reconstruction, insertion guidance of thermal probes

2018 Technology in cancer research & treatment

48. Interagency Guideline for Prescribing Opioids for Pain Agency Medical Directors' Group (AMDG)

drug therapy or comorbid medical conditions) Patient has experienced a severe adverse outcome or overdose event Patient has a substance use disorder (except tobacco) Use of opioids is not in compliance with DOH’s pain management rules or consistent with the AMDG Guideline Patient exhibits aberrant behaviors (Table 9) Clinical Recommendations 1. Help the patient understand that chronic pain is a complex disease, and opioids alone cannot adequately address all of the patient’s pain-related needs (...) Appendix D: Urine Drug Testing for Monitoring Opioid Therapy 62 Appendix E: Chronic Pain Syndromes in Cancer Survivors 72 Appendix F: Diagnosis-based Pharmacotherapy for Pain and Associated Conditions 74 Appendix G: Patient Education Resources 76 Appendix H: Clinical Tools and Resources 78 Appendix I: Guideline Development and AGREE II Criteria 81 ACKNOWLEDGEMENTS 87 REFERENCES 89 Interagency Guideline on Prescribing Opioids for Pain [06-2015] 3 Table of Figures and Tables Figure A. Three Item PEG

2015 Washington State Department of Labor and Industries

49. Editorial: Expanding Medical Marijuana Access in Canada

to the use of the phytocannabinoid marijuana (hereafter “herbal cannabis”) in rheumatic diseases. Therapeutic effects have been claimed for various condi- tions for centuries, but herbal cannabis largely fell into medical disfavor because of variable potency and short shelf life, and was superseded by synthetic analgesic agents that could be reliably dosed and studied 2 . As pain relief for rheumatic conditions is commonly cited as a reason for medicinal cannabis use, rheumatologists are increasingly (...) , Current and New As Canada has been at the forefront of legalizing herbal cannabis for medicinal reasons, the timeline for access and current legal status for medicinal herbal cannabis use will be examined. In 2001, Health Canada adopted Marijuana Medical Access Regulations (MMAR), which recognized herbal cannabis as a treatment option for patients with various medical conditions, including severe pain from severe forms of arthritis, when the medical practitioner attested that “conventional treatment(s

2015 Canadian Rheumatology Association

50. Traditional Oriental Medicine for Sensorineural Hearing Loss: Can ethnopharmacology contribute to potential drug discovery? (Abstract)

Traditional Oriental Medicine for Sensorineural Hearing Loss: Can ethnopharmacology contribute to potential drug discovery? In Traditional Oriental Medicine (TOM), the development of hearing pathologies is related to an inadequate nourishment of the ears by the kidney and other organs involved in regulation of bodily fluids and nutrients. Several herbal species have historically been prescribed for promoting the production of bodily fluids or as antiaging agents to treat deficiencies (...) loss and tinnitus have shown in vitro or in vivo beneficial effects for acquired sensorineural hearing loss produced by noise, aging, ototoxic drugs or diabetes. The inner ear is highly vulnerable to ischemia and oxidative damage, where several TOM agents have revealed a direct effect on the auditory system by normalizing the blood supply to the cochlea and increasing the antioxidant defense in sensory hair cells. These strategies have shown a positive impact on maintaining the inner ear potential

2018 Journal of Ethnopharmacology

51. Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations Full Text available with Trip Pro

Term Close search filter search input Article Navigation Close mobile search navigation Article Navigation January 2018 Article Contents Article Navigation Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations Charles E Argoff, MD Department of Neurology, Albany Medical Center, Albany, New York Search for other works by this author on: Daniel P Alford, MD, MPH Department of Medicine, Boston University School of Medicine and Boston Medical Center (...) Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations | Pain Medicine | Oxford Academic ') We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. Search Account Menu Menu Navbar Search Filter Mobile Microsite Search

2018 American Academy of Pain Medicine

52. Patenting of Medical Procedures, Gene Coding and Surgical Devices

definition of the exemption of medical procedures for patent purposes. The Patents Act 2013 says… Human beings, and biological processes for their generation, are not patentable inventions. An invention of a method of treatment of human beings by surgery or therapy is not a patentable invention. An invention of a method of diagnosis practised on human beings is not a patentable invention.”” 2 In Australia medical procedures can be patented. In Australia the right to patent medical procedures was upheld (...) … “The health of my patient will be my first consideration” 4 Accordingly an economic imperative is not essential to the development of medical knowledge by medical practitioners. In addition to the ethical imperative, other non-economic incentives motivate in this field. Medical research is undertaken to raise credibility with others (peers, employers, clients, 1 Law Ethics and Medicine O Mitnovetski and D Nicol Journal of Medical Ethics 2004 2 Patents Act 2013 Section 16 Other exclusions. 3 Rescare 1994

2013 Publication 80

53. Does the Use of High-Flow Nasal Cannula Compared With Conventional Oxygen Therapy in the Peri-intubation Period Reduce Severe Desaturation?

Department of Emergency Medicine San Antonio Uniformed Services Health Education Consortium Fort Sam Houston, TX Michael D. April, MD, DPhil 2nd Brigade Combat Team, 4th Infantry Division Fort Carson, CO Department of Military and Emergency Medicine Uniformed Services University of the Health Sciences Bethesda, MD Thisreviewdoesnotre?ecttheviews or opinions of the US government, Department of Defense or its components, US Army, US Air Force, Fort Carson Post Command, or SAUSHEC EM Residency Program (...) patients. The primary outcome was severe desaturation, de?ned as SpO 2 less than 80% during intubation. 1 Secondary outcomes included peri- intubation complications (composite outcome including severe hypoxemia, signi?cant hypotension or vasopressor use, and cardiac arrest), apneic time, PaO 2 (measured post- preoxygenation and AIRWAY/SYSTEMATIC REVIEW SNAPSHOT Volume 76, no. 3 : September 2020 Annals of Emergency Medicine 339Continued. Outcome No. of Studies HFNC (%) Standard Therapy (%) RR (95% CI

2020 Annals of Emergency Medicine Systematic Review Snapshots

54. Medical Preparedness: Information Regarding the Correlated Activities of the Council of National Defense and the Advisory Commission, the Medical Departments of Government and the Committee of American Physicians for Medical Prepardedness Full Text available with Trip Pro

Medical Preparedness: Information Regarding the Correlated Activities of the Council of National Defense and the Advisory Commission, the Medical Departments of Government and the Committee of American Physicians for Medical Prepardedness 18737302 2008 08 29 2008 11 20 0093-402X 15 5 1917 May California state journal of medicine Cal State J Med Medical Preparedness: Information Regarding the Correlated Activities of the Council of National Defense and the Advisory Commission, the Medical (...) Departments of Government and the Committee of American Physicians for Medical Prepardedness. 136-9 eng Journal Article United States Cal State J Med 0414327 0093-402X 1917 5 1 0 0 1917 5 1 0 1 1917 5 1 0 0 ppublish 18737302 PMC1593041

1917 California state journal of medicine

55. Molecular Hydrogen Therapy For Management Of COVID-19 Full Text available with Trip Pro

research. 2014;4:17-17. 16. Huang CS, Kawamura T, Toyoda Y et al. Recent advances in hydrogen research as a therapeutic medical gas. Free Radic Res. 2010;44(9):971-982. 17. Sano M, Suzuki M, Homma K et al. Promising novel therapy with hydrogen gas for emergency and critical care medicine. Acute Medicine & Surgery. 2018;5(2):113-118. 18. Kouhpayeh, S.; Shariati, L.; Boshtam, M.; Rahimmanesh, I.; Mirian, M.; Zeinalian, M.; Salari-jazi, A.; Khanahmad, N.; Damavandi, M.S.; Sadeghi, P.; Khanahmad, H (...) CB, Tang YC, Xu XJ et al. Hydrogen gas inhalation protects against liver ischemia/reperfusion injury by activating the NF-kappaB signaling pathway. Exp Ther Med. 2015;9(6):2114-2120. 14. Ge L, Yang M, Yang N-N et al. Molecular hydrogen: a preventive and therapeutic medical gas for various diseases. Oncotarget. 2017;8(60):102653-102673. 15. Shen M, Zhang H, Yu C et al. A review of experimental studies of hydrogen as a new therapeutic agent in emergency and critical care medicine. Medical gas

2020 MaHTAS Covid-19 Rapid Evidence Updates

56. Medical School Hotline: John A. Burns School of Medicine University of Hawai‘i at Manoa, Convocation Ceremony Keynote Address, May 14, 2017 Full Text available with Trip Pro

Medical School Hotline: John A. Burns School of Medicine University of Hawai‘i at Manoa, Convocation Ceremony Keynote Address, May 14, 2017 28721314 2019 01 07 2019 01 07 2165-8242 76 7 2017 07 Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Hawaii J Med Public Health Medical School Hotline: John A. Burns School of Medicine University of Hawai'i at Manoa, Convocation Ceremony Keynote Address, May 14, 2017. 199-200 Bono Raquel C RC Director (...) , Defense Health Agency Medical Corps, United States Navy; Robert T. Wong, MD Endowed Lecturer. eng Journal Article United States Hawaii J Med Public Health 101579076 2165-8242 IM Education, Medical, Undergraduate methods Hawaii Humans Leadership 2017 7 20 6 0 2017 7 20 6 0 2019 1 8 6 0 ppublish 28721314 PMC5511338

2017 Hawai'i Journal of Medicine & Public Health

57. Coping With the Stress of Medical Professional Liability Litigation

professional mental health resources ( ). Claims managers and defense attorneys often advise physicians not to speak to anyone regarding any aspect of a medical liability case. Nevertheless, physicians need to express their emotional responses to being sued. Literal adherence to the advice to speak to no one can result in isolation, increased stress, and dysfunctional behavior. Such behavior may jeopardize family and work relationships. The ability to function professionally and to represent oneself (...) Coping With the Stress of Medical Professional Liability Litigation Coping With the Stress of Medical Professional Liability Litigation - ACOG Menu ▼ Coping With the Stress of Medical Professional Liability Litigation Page Navigation ▼ Number 551, January 2013 (Reaffirmed 2016. Replaces Committee Opinion Number 497, August 2011) Committee on Professional Liability This document provides risk management information that is current as of the date issued and is subject to change. This document

2013 American College of Obstetricians and Gynecologists

58. In Patients With Acute Myocardial Infarction and No Hypoxemia, Does Oxygen Therapy Improve Outcomes Compared With No Supplemental Oxygen? Full Text available with Trip Pro

In Patients With Acute Myocardial Infarction and No Hypoxemia, Does Oxygen Therapy Improve Outcomes Compared With No Supplemental Oxygen? In Patients With Acute Myocardial Infarction and No Hypoxemia, Does Oxygen Therapy Improve Outcomes Compared With No Supplemental Oxygen? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 73, Issue 4, Pages 403–405 In Patients With Acute Myocardial Infarction (...) and No Hypoxemia, Does Oxygen Therapy Improve Outcomes Compared With No Supplemental Oxygen? x Brit Long , MD (EBEM Commentator) , x Michael D. April , MD, DPhil (EBEM Commentator) Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX DOI: | Publication History Published online: May 09, 2018 Expand all Collapse all Article Outline Take-Home Message Oxygen therapy does not reduce the risk of all-cause mortality, recurrent ischemia or myocardial

2019 Annals of Emergency Medicine Systematic Review Snapshots

59. Evidence Map - Art Therapy

Evidence Map - Art Therapy 4 July 2019 Prepared for: Department of Veterans Affairs Veterans Health Administration Health Services Research & Development Service Washington, DC 20420 Prepared by: Evidence Synthesis Program (ESP) Center West Los Angeles VA Medical Center Los Angeles, CA Paul G. Shekelle, MD, PhD, Director Evidence Map of Art Therapy Authors: Principal Investigators: Isomi M. Miake-Lye, PhD Paul G. Shekelle, MD, PhD Co-Investigators: Eric A. Apaydin, PhD Selene S. Mak, MPH, PhD (...) Evidence Map Evidence Synthesis Program 1 EVIDENCE REPORT INTRODUCTION Many Veterans desire complementary and integrative health or alternative medicine modalities, and art therapy is one such option. Given VA’s desire to promote evidence-based practice, this evidence mapping project aims to help provide guidance to VA leadership about the distribution of evidence on art therapy to inform policy and future directions for art therapy in VA. The National Organization for Arts in Health (NOAH) identifies

2019 Veterans Affairs Evidence-based Synthesis Program Reports

60. Cardiology consultation for non-cardiac surgery: Medical and legal explorations for clinicians. (Abstract)

risks that must be considered to reduce the potential for major adverse cardiovascular events. There is always a small but inherent risk in surgical procedures. When an adverse outcome occurs there is potential for an allegation of negligence resulting in a detailed autopsy of the medical record. The best defense to an allegation of negligence is comprehensive documentation and a detailed rational for the cardiologist's management decisions.Copyright © 2018 Elsevier B.V. All rights reserved. (...) Cardiology consultation for non-cardiac surgery: Medical and legal explorations for clinicians. Cardiologists performing preoperative cardiac evaluations for non-cardiac surgery have a unique opportunity to assess and optimize the patient's baseline and general health; determine the patient's inherent surgical risk based upon a comprehensive history, physical examination and pertinent laboratory data; ensure the patient has made an informed choice regarding surgery, and identify post-operative

2018 International journal of cardiology

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