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Defensive Medicine

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41. A study shows defensive medicine may reduce medical liability. Why was it ignored?

A study shows defensive medicine may reduce medical liability. Why was it ignored? A study shows defensive medicine may reduce medical liability. Why was it ignored? A study shows defensive medicine may reduce medical liability. Why was it ignored? | | November 20, 2015 233 Shares Did you hear about that recent, groundbreaking study on defensive medicine? Probably not. The sites where I regularly read health policy news — Vox, the Incidental Economist, and the Upshot, for instance — all failed (...) , they are less likely to be sued.” It’s no secret that many physicians perceive that defensive medicine protects them from liability. Depending of which study you read, between 70 and 90 percent of physicians admit to . (That contrasts to 48 percent of government physicians, who, perhaps not coincidentally, are .) Health reformers generally dismiss physicians’ concerns when it comes to defensive medicine and downplay (or, in this case, ignore) studies that legitimize the phenomenon. Instead of acknowledging

2015 KevinMD blog

42. Defensive medicine in neurosurgery: the Canadian experience. (PubMed)

Defensive medicine in neurosurgery: the Canadian experience. OBJECT Recent studies have examined the impact of perceived medicolegal risk and compared how this perception impacts defensive practices within the US. To date, there have been no published data on the practice of defensive medicine among neurosurgeons in Canada. METHODS An online survey containing 44 questions was sent to 170 Canadian neurosurgeons and used to measure Canadian neurosurgeons' perception of liability risk (...) and their practice of defensive medicine. The survey included questions on the following domains: surgeon demographics, patient characteristics, type of physician practice, surgeon liability profile, policy coverage, defensive behaviors, and perception of the liability environment. Survey responses were analyzed and summarized using counts and percentages. RESULTS A total of 75 neurosurgeons completed the survey, achieving an overall response rate of 44.1%. Over one-third (36.5%) of Canadian neurosurgeons paid

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2015 Journal of Neurosurgery

43. Medical malpractice, defensive medicine and role of the “media” in Italy (PubMed)

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

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2015 Multidisciplinary respiratory medicine

44. Chromosome-level genome map provides insights into diverse defense mechanisms in the medicinal fungus Ganoderma sinense (PubMed)

Chromosome-level genome map provides insights into diverse defense mechanisms in the medicinal fungus Ganoderma sinense Fungi have evolved powerful genomic and chemical defense systems to protect themselves against genetic destabilization and other organisms. However, the precise molecular basis involved in fungal defense remain largely unknown in Basidiomycetes. Here the complete genome sequence, as well as DNA methylation patterns and small RNA transcriptomes, was analyzed to provide (...) a holistic overview of secondary metabolism and defense processes in the model medicinal fungus, Ganoderma sinense. We reported the 48.96 Mb genome sequence of G. sinense, consisting of 12 chromosomes and encoding 15,688 genes. More than thirty gene clusters involved in the biosynthesis of secondary metabolites, as well as a large array of genes responsible for their transport and regulation were highlighted. In addition, components of genome defense mechanisms, namely repeat-induced point mutation (RIP

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2015 Scientific reports

45. Emergency medicine autonomy is under siege

Emergency medicine autonomy is under siege Emergency medicine autonomy is under siege - CanadiEM Emergency medicine autonomy is under siege In , by Jesse Kellar February 8, 2017 The opposite of a motivated physician is a burnt-out physician. In healthcare, preventing physician burnout and promoting physician wellness is of increasing importance. Healthcare organizations are under tremendous pressure to retain quality physicians and push physicians to perform at the highest level possible (...) , and a bigger stick (penalty) will prevent poor performance) may be true for some fields, it is not true for many. What motivates us? Pink asserted that organizations which require their employees to perform more complex tasks and/or creative solutions (such as in Emergency Medicine), a simple bonus or pay raise will likely not result in higher performance. In addition to these conclusions, research by Jha, et al. in the New England Journal of Medicine showed no difference in mortality benefit when

2017 CandiEM

46. Dangers in the practice of defensive medicine in hemostasis testing for investigation of bleeding or thrombosis: part I--routine coagulation testing. (PubMed)

Dangers in the practice of defensive medicine in hemostasis testing for investigation of bleeding or thrombosis: part I--routine coagulation testing. Defensive medicine is a term conventionally used for defining the medical (mal)practice of ordering medically questionable diagnostic testing, procedures, or visits, or to avoid high-risk patients or procedures. The practice of defensive medicine may primarily be aimed to reduce exposure to malpractice liability, to avoid patient criticism (...) regarding "medical inaction," or to avoid "missing" some otherwise potential identifiable defect(s). Although the precise impact of defensive medicine in the field of laboratory testing is difficult to estimate from the current literature, the overuse or inappropriate use of laboratory resources ranges from 23 to 67%, and a large part of this can be attributed to medical liability concerns, with apparently little clinical awareness of the adverse consequences that may be associated with this practice

2014 Seminars In Thrombosis And Hemostasis

47. The doctor-patient relationship, defensive medicine and overprescription in Chinese public hospitals: Evidence from a cross-sectional survey in Shenzhen city. (PubMed)

The doctor-patient relationship, defensive medicine and overprescription in Chinese public hospitals: Evidence from a cross-sectional survey in Shenzhen city. Defensive medicine describes physicians' behavioral response to threats from medical malpractice litigation. Previous studies have found widespread practice of defensive medicine that is responsible for the global escalation of health care costs. Defying the traditional explanations, this study, with a case of a Chinese city, reveals (...) the literature on defensive medicine, multivariate analysis revealed that physicians' previous experience of medical disputes is significantly associated with defensive behaviors, particularly overprescription. Low income continued to be a critical predictor, reinforcing the target income hypothesis and suggesting the resilience of perverse economic incentives. This study sheds fresh light on China's recent health policy reforms by highlighting the critical impact of the doctor-patient relationship

2014 Social Science & Medicine

48. The Comparative Safety and Effectiveness of Dabigatran, Versus Rivaroxaban, and Apixaban Utilized in the Department of Defense Non-Valvular Atrial Fibrillation Patient Population: A Retrospective Database Analysis

The Comparative Safety and Effectiveness of Dabigatran, Versus Rivaroxaban, and Apixaban Utilized in the Department of Defense Non-Valvular Atrial Fibrillation Patient Population: A Retrospective Database Analysis The Comparative Safety and Effectiveness of Dabigatran, Versus Rivaroxaban, and Apixaban Utilized in the Department of Defense Non-Valvular Atrial Fibrillation Patient Population: A Retrospective Database Analysis - 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. The Comparative Safety and Effectiveness of Dabigatran, Versus Rivaroxaban, and Apixaban Utilized in the Department of Defense Non-Valvular Atrial Fibrillation Patient Population: A Retrospective Database Analysis The safety

2017 Clinical Trials

49. Characterization of Postoperative Pain in Shoulder Arthroscopy and Knee Arthroscopy and Assessment of the Defense and Veterans Pain Rating Scale for Persistent Pot-Surgical Pain

Characterization of Postoperative Pain in Shoulder Arthroscopy and Knee Arthroscopy and Assessment of the Defense and Veterans Pain Rating Scale for Persistent Pot-Surgical Pain Characterization of Postoperative Pain in Shoulder Arthroscopy and Knee Arthroscopy and Assessment of the Defense and Veterans Pain Rating Scale for Persistent Pot-Surgical Pain - 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. Characterization of Postoperative Pain in Shoulder Arthroscopy and Knee Arthroscopy and Assessment of the Defense and Veterans Pain Rating Scale for Persistent Pot-Surgical Pain (Purple Rain) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators

2017 Clinical Trials

50. In defense of Sigmund Freud

In defense of Sigmund Freud In defense of Sigmund Freud In defense of Sigmund Freud | | November 10, 2017 49 Shares As a medical student, I immortalized myself with my classmates when I informed a lecturing psychiatry professor that I considered Freud’s theories slightly more credible than the nuns’ tales about guardian angels. The lecturer ignored my obnoxious comment and continued his lecture. But Freudians have been on the defensive for the past decade. This trend culminated when the Library (...) the religious right that canceled the Library of Congress tribute. It was rather a combination of feminists and neuropsychiatrists. Freud theorized that unflattering female behavior could be attributed to “penis envy,” a verboten concept in the age of political correctness. But what is truly destroying Freud’s credibility is the exploding field of neuropsychiatry. While medicine has made exponential advances over the past century, the fundamental physiological function for many organs has been understood

2017 KevinMD blog

51. Neuro-immune Interactions in Inflammation and Host Defense: Implications for Transplantation. (PubMed)

Neuro-immune Interactions in Inflammation and Host Defense: Implications for Transplantation. Sensory and autonomic neurons of the peripheral nervous system (PNS) play a critical role in regulating the immune system during tissue inflammation and host defense. Recent studies have identified the molecular mechanisms underlying the bidirectional communication between the nervous system and the immune system. Here, we highlight the studies that demonstrate the importance of the neuro-immune (...) interactions in health and disease. Nociceptor sensory neurons detect immune mediators to produce pain, and release neuropeptides that act on the immune system to regulate inflammation. In parallel, neural reflex circuits including the vagus nerve-based inflammatory reflex are physiological regulators of inflammatory responses and cytokine production. In transplantation, neuro-immune communication could significantly impact the processes of host-pathogen defense, organ rejection, and wound healing

2017 American Journal of Transplantation

52. Cysteine-stabilised peptide extract of Morinda lucida (Benth) leaf exhibits antimalarial activity and augments antioxidant defense system in P. berghei-infected mice. (PubMed)

Cysteine-stabilised peptide extract of Morinda lucida (Benth) leaf exhibits antimalarial activity and augments antioxidant defense system in P. berghei-infected mice. Cysteine-stabilised peptides (CSP) are majorly explored for their bioactivities with applications in medicine and agriculture. Morinda lucida leaf is used indigenously for the treatment of malaria; it also contains CSP but the role of CSP in the antimalarial activity of the leaf has not been evaluated.This study was therefore (...) concentration and activities of glutathione peroxidase, glutathione reductase, superoxide dismutase and catalase in a dose-dependent manner, which was significant (P < 0.05) at higher doses compared to the untreated controls.The results suggest that PPCPE may require bioactivation in vivo in order to exert its antimalarial effect and that PPCPE may augment the antioxidant defense system to alleviate the reactive oxygen species-mediated complications of malaria.Copyright © 2017 Elsevier Ireland Ltd. All

2017 Journal of Ethnopharmacology

53. Morbidity among the Israeli Defense Force response team during Nepal, post-earthquake mission, 2015. (PubMed)

Morbidity among the Israeli Defense Force response team during Nepal, post-earthquake mission, 2015. On 25 April 2015, a 7.8-magnitude earthquake struck Nepal. Soon after, the Israel Defense Force (IDF) dispatched a rapid-response team and opened a tertiary field hospital in Kathmandu. There is limited data regarding the spectrum of diseases among rescue teams to disease-stricken areas. The aim of this study was to assess the morbidity among the field-hospital staff during the mission.The (...) of morbidity and specifically of GI complaints upon arrival to a disaster-stricken area in a developing country is difficult. Medical teams in such missions should be acquainted with treating GI complaints.© International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

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2017 Journal of Travel Medicine

54. Physical Therapy: First Line of Defense Against Sexual Dysfunction

Physical Therapy: First Line of Defense Against Sexual Dysfunction Physical Therapy: First Line of Defense Against Sexual Dysfunction - Students 4 Best Evidence A network for students interested in evidence-based health care Menu Physical Therapy: First Line of Defense Against Sexual Dysfunction Posted on March 29, 2017 by Evidence Reviews Sexual health is an important part of overall mental and physical well-being. For men and women, physical therapy in the context of sexual health takes (...) Williams is a doctor of physical therapy student at the University of Colorado School of Medicine, expected to Graduate in December 2017. She is interested in specializing in outpatient orthopedics with an emphasis on women's health. She has completed her Pelvic Floor Level 1 training, and will be completing a Yoga for Pelvic Pain class in May, both through Herman and Wallace. She is passionate about advocating for the speciality of women's health in physical therapy, and promoting it as the first

2017 Students 4 Best Evidence

55. Linking Epidermal Barrier Function With Anti-Oxidant Defense Mechanisms in Skin Conditions

Enrollment : 300 participants Observational Model: Case-Control Time Perspective: Prospective Official Title: Linking Epidermal Barrier Function With Anti-Oxidant Defense Mechanisms in Skin Conditions Actual Study Start Date : August 4, 2017 Estimated Primary Completion Date : July 1, 2019 Estimated Study Completion Date : July 1, 2020 Resource links provided by the National Library of Medicine related topics: related topics: Groups and Cohorts Go to Group/Cohort Subjects with chronic skin conditions (...) Linking Epidermal Barrier Function With Anti-Oxidant Defense Mechanisms in Skin Conditions Linking Epidermal Barrier Function With Anti-Oxidant Defense Mechanisms in Skin Conditions - 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

2017 Clinical Trials

56. Which Plant Proteins Are Involved in Antiviral Defense? Review on In Vivo and In Vitro Activities of Selected Plant Proteins against Viruses (PubMed)

antiviral defense in plants as they are able to degrade foreign RNA of viral origin. This review aims to provide a comprehensive and up-to-date picture of plant proteins participating in antiviral defense. As a result we discuss proteins conferring plant antiviral resistance and their potential future applications in different fields of life including agriculture and medicine. (...) Which Plant Proteins Are Involved in Antiviral Defense? Review on In Vivo and In Vitro Activities of Selected Plant Proteins against Viruses Plants have evolved a variety of defense mechanisms to tackle virus attack. Endogenous plant proteins can function as virus suppressors. Different types of proteins mediate defense responses against plant viruses. Pathogenesis-related (PR) proteins are activated upon pathogen infections or in different stress situations and their production is one of many

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2017 International journal of molecular sciences

57. Intracellular Eukaryotic Pathogens' Virulence Attributes and Their Interplay with Host Immune Defenses (PubMed)

Intracellular Eukaryotic Pathogens' Virulence Attributes and Their Interplay with Host Immune Defenses 29269994 2018 09 04 2018 11 13 1466-1861 2017 2017 Mediators of inflammation Mediators Inflamm. Intracellular Eukaryotic Pathogens' Virulence Attributes and Their Interplay with Host Immune Defenses. 1264974 10.1155/2017/1264974 Bocca Anamélia Lorenzetti AL Cell Biology Department of Biology Institute, Laboratory of Applied Immunology, University of Brasília, 70910-900 Brasília, DF, Brazil. de (...) Almeida Soares Célia Maria CM Laboratory of Biochemistry and Molecular Biology of the Interaction between Host-Pathogenic Fungi, Biology Institute, University of Goiás, 74001-970 Goiânia, GO, Brazil. Nosanchuk Joshua D JD 0000-0001-9905-5754 Departments of Medicine and Microbiology & Immunology, Albert Einstein College of Medicine, Bronx, NY 10461, USA. Silva-Pereira Ildinete I 0000-0003-1403-9363 Cell Biology Department of Biology Institute, Laboratory of Molecular Biology of Pathogenic Fungi

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2017 Mediators of inflammation

58. Regulation of defensive function on gingival epithelial cells can prevent periodontal disease (PubMed)

Regulation of defensive function on gingival epithelial cells can prevent periodontal disease Periodontal disease is a bacterial biofilm-associated inflammatory disease that has been implicated in many systemic diseases. A new preventive method for periodontal disease needs to be developed in order to promote the health of the elderly in a super-aged society. The gingival epithelium plays an important role as a mechanical barrier against bacterial invasion and a part of the innate immune (...) response to infectious inflammation in periodontal tissue. The disorganization of cell-cell interactions and subsequent inflammation contribute to the initiation of periodontal disease. These make us consider that regulation of host defensive functions, epithelial barrier and neutrophil activity, may become novel preventive methods for periodontal inflammation. Based on this concept, we have found that several agents regulate the barrier function of gingival epithelial cells and suppress

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2017 The Japanese dental science review

59. Candida Host Defense Response After Septic Shock in the Critically Ill

: May 2015 Resource links provided by the National Library of Medicine related topics: Groups and Cohorts Go to Group/Cohort Intervention/treatment Septic shock and candidiasis The realized analyses will be two types: 1/an immunological analysis that is the characterization of the capacities of defense against germs and 2/a search(research) of Candida by microscopic examination and culture on circles of growth but also the research for the genome of the mushroom by a state-of-the-art technique (...) Candida Host Defense Response After Septic Shock in the Critically Ill Candida Host Defense Response After Septic Shock in the Critically Ill - 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. Candida Host

2017 Clinical Trials

60. Effects of Gum Disease Treatment on Host Defense Factors

Effects of Gum Disease Treatment on Host Defense Factors Effects of Gum Disease Treatment on Host Defense Factors - 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. Effects of Gum Disease Treatment on Host (...) Defense Factors (PETREBED) 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: NCT03146975 Recruitment Status : Completed First Posted : May 10, 2017 Last Update Posted : July 2, 2017 Sponsor: Federal University of Minas Gerais Information provided by (Responsible Party): Fernando O Costa, Federal University

2017 Clinical Trials

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