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81. Digital Rehabilitation Environment Augmenting Medical System

Digital Rehabilitation Environment Augmenting Medical System Digital Rehabilitation Environment Augmenting Medical System - 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. Digital Rehabilitation Environment (...) Augmenting Medical System (DREAMS) 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03385993 Recruitment Status : Recruiting First Posted : December 29, 2017 Last Update Posted : February 11, 2019 See Sponsor: University

2017 Clinical Trials

82. Motion Sickness Medications and Vestibular Time Constant

Force Information provided by (Responsible Party): Dror Tal, Medical Corps, Israel Defense Force Study Details Study Description Go to Brief Summary: Sea sickness represents a major limitation on the performance of ships' crew. One of the challenges faced by the physician in the motion sickness clinic when prescribing anti-sea sickness medication is to select the appropriate drug for the patient. Difficulties arise due to high variability in the response to different drugs. In the case of sea (...) Time Constant 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03270839 Recruitment Status : Recruiting First Posted : September 1, 2017 Last Update Posted : September 1, 2017 See Sponsor: Medical Corps, Israel Defense

2017 Clinical Trials

83. Allegations of Failure to Obtain Informed Consent in Spinal Surgery Medical Malpractice Claims. Full Text available with Trip Pro

associated with less severe (temporary or emotional) injury (OR, 0.52; 95% CI, 0.28-0.97; P = .04). In addition, allegations of informed consent were found to be predictive of a defense verdict vs a plaintiff ruling (OR, 0.41; 95% CI, 0.17-0.98; P = .046) or settlement (OR, 0.01; 95% CI, 0.001-0.15; P < .001).Lack of informed consent is an important cause of medical malpractice litigation. Although associated with a lower rate of indemnity payments, malpractice lawsuits, including informed consent (...) Allegations of Failure to Obtain Informed Consent in Spinal Surgery Medical Malpractice Claims. Predictive factors associated with increased risk of medical malpractice litigation have been identified, including severity of injury, physician sex, and error in diagnosis. However, there is a paucity of literature investigating informed consent in spinal surgery malpractice.To investigate the failure to obtain informed consent as an allegation in medical malpractice claims for patients undergoing

2017 JAMA surgery

84. Are Corticosteroids Beneficial in the Treatment of Community-Acquired Pneumonia? (SRS Therapy)

, MD Department of Emergency Medicine Rush University Medical Center Chicago, IL Results Comparison of corticosteroids with control for community-acquired pneumonia. Outcome No. of Studies (No. of Participants) Relative Risk (95% CI) I 2 ,% Mortality (adults with severe CAP) 9 (995) 0.58 (0.40–0.84) 12 Mortality (adults with nonsevere CAP) 4 (868) 0.95 (0.45–2.00) 0 Early clinical failure (adults with severe CAP) 5 (419) 0.32 (0.15–0.70) 74 Early clinical failure (adults with nonsevere CAP) 2 (905 (...) Are Corticosteroids Beneficial in the Treatment of Community-Acquired Pneumonia? (SRS Therapy) TAKE-HOME MESSAGE For adult patients with severe community-acquired pneumonia, corticosteroids reduce morbidity and mortality. For pediatric patients and adults with nonsevere community-acquired pneumonia, corticosteroids appear to reduce morbidity, but not mortality. Are Corticosteroids Bene?cial in the Treatment of Community-Acquired Pneumonia? EBEM Commentators Thomas Seagraves, MD Michael Gottlieb

2018 Annals of Emergency Medicine Systematic Review Snapshots

85. Does Bed Rest or Fluid Supplementation Prevent Post?Dural Puncture Headache? (SRS therapy)

Does Bed Rest or Fluid Supplementation Prevent Post?Dural Puncture Headache? (SRS therapy) TAKE-HOME MESSAGE Neither bed rest nor ?uid supplementation decreases the incidence of headache after dural puncture. Does Bed Rest or Fluid Supplementation Prevent Post–Dural Puncture Headache? EBEM Commentators Michael D. April, MD, DPhil Brit Long, MD Department of Emergency Medicine San Antonio Uniformed Services Health Education Consortium Fort Sam Houston, TX Results The review included 24 trials (...) M, Brandt T, Muller A. Incidence of post-lumbarpuncture syndrome reducedby reinserting the stylet: a randomized prospective studyof 600 patients.J Neurol. 1998;24:589-592. The view(s) expressed herein are those of the author(s) and do not re?ect the of?cial policy or position of Brooke Army Medical Center, the US Army Medical Department, the US Army Of?ce of the Surgeon General, the Department of the Army, the Department of the Air Force and Department of Defense, or the US government. Michael

2018 Annals of Emergency Medicine Systematic Review Snapshots

86. Do Corticosteroids Improve Mortality or Shock Reversal in Patients With Septic Shock? (SRS therapy)

comparisons between interventions when possible within a single trial and indirect Systematic Review Snapshot Volume 71, no. 1 : January 2018 Annals of Emergency Medicine 35such as hyperglycemia, superinfec- tion, and gastrointestinal bleeding. This review does not re?ect the views or opinions of the US government, Department of Defense, US Army, US Air Force, or SAUSHEC EM Residency Program. Editor’s Note: This is a clinical synopsis, a regular feature of the Annals’ Systematic Review Snapshot (SRS (...) adult patients: consensus statements from an international task force by the American College of Critical Care Medicine. Crit Care Med. 2008;36: 1937-1949. 9. Veterans Administration Systemic Sepsis Cooperative Study Group. Effect of high-dose glucocorticoid therapy on mortality in patients with clinical signs of systemic sepsis.NEnglJMed. 1987;317:659-665. 10. Bone RC, Fisher CJ, Clemmer TP, et al. A controlled clinical trial of high-dose methylprednisolone in the treatment of severe sepsis

2018 Annals of Emergency Medicine Systematic Review Snapshots

87. Does Lidocaine Gel Decrease Procedural Pain for Pediatric Urethral Catheterization? (SRS therapy)

: November 2018 Annals of Emergency Medicine 589review and recommendations. J Endourol. 2009;23:821-826. 10. ChenYT,HsiaoPJ,WongWY,etal. Randomized double-blind comparison of lidocaine gel and plain lubricating gel in relieving pain during ?exible cystoscopy.JEndourol. 2005;19: 163-166. This review does not re?ect the views or opinions of the US government, Department of Defense, US Army, US Air Force, or SAUSHEC EM Residency Program. Michael Brown, MD, MSc, Jestin N. Carlson, MD, MS, and Alan Jones, MD (...) Does Lidocaine Gel Decrease Procedural Pain for Pediatric Urethral Catheterization? (SRS therapy) TAKE-HOME MESSAGE Lidocaine gel does not reduce the pain of transurethral bladder catheterization in children younger than 4 years compared with nonanesthetic gel. Further study evaluating lidocaine gel in patients older than 4 years is required. Does Lidocaine Gel Decrease Procedural Pain for Pediatric Urethral Catheterization? EBEM Commentators Brit Long, MD Michael D. April, MD, DPhil Department

2018 Annals of Emergency Medicine Systematic Review Snapshots

88. In Patients With Acute Myocardial Infarction and No Hypoxemia, Does Oxygen Therapy Improve Outcomes Compared With No Supplemental Oxygen?

Outcomes Compared With No Supplemental Oxygen? EBEM Commentators Brit Long, MD Michael D. April, MD, DPhil Department of Emergency Medicine San Antonio Uniformed Services Health Education Consortium Fort Sam Houston, TX Results Authors included 7 randomized controlled trials with 3,842 pa- tients receiving oxygen therapy and 3,860 patients not receiving supplemental oxygen. Time frames for outcome measure- ments ranged from index admis- sion up to 12 months. Most included patients were men (...) on individual study). Investigators included studies only if authors reported outcomes for patients in both the oxygen therapy arm and no oxygen therapy arm. DATA EXTRACTION AND SYNTHESIS Two investigators independently extracted data from included studies. Primary outcomes included all-cause mortality, recurrent ischemia or myocardial infarction, CARDIOLOGY/SYSTEMATIC REVIEW SNAPSHOT Volume 73, no. 4 : April 2019 Annals of Emergency Medicine 403Commentary Acute myocardial infarction is a major cause

2018 Annals of Emergency Medicine Systematic Review Snapshots

89. Medical Student Perceptions of Cost-Conscious Care in an Internal Medicine Clerkship: A Thematic Analysis. Full Text available with Trip Pro

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

2015 Journal of General Internal Medicine

90. Medical Malpractice in Connecticut: Defensive Medicine, Real Problem or a Red Herring – Example of Assessment of Quality Outcomes Variables Full Text available with Trip Pro

Medical Malpractice in Connecticut: Defensive Medicine, Real Problem or a Red Herring – Example of Assessment of Quality Outcomes Variables Using the survey data obtained from doctors in Connecticut, we estimate the "true" costs of defensive medicine and medical malpractice awards via litigation in the overall aggregate picture of U.S. national annual health expenditures.Progressives claim that these costs amount only to approximately 2% of total annual health expenditures, while (...) conservatives claim that these costs are much higher, in the neighborhood of 10%. Conservatives want to reform the current medical malpractice system because the savings could be significant. Progressives claim that this issue is a "red herring" in the overall picture of health care reform and that other factors such as hospital costs, payments to physicians and pharmaceutical prices are the largest contributors to runaway health care costs, currently amounting to 18% of GDP. The health of the national

2012 Acta Informatica Medica

91. 6 things learned from being rejected from medical school

that I classify as my premature quarter-life crisis. Another year had passed, and I began to obsess over my medical school rejection slips. I began to tell myself this story about how far behind I am, reflecting on how different my path to medicine has been in comparison to peers. I made an appointment to see my physician because I needed someone to change the story for me. My doctor walked in as tears submissively streamed down my face. I felt embarrassed as I expressed my concerns, but together we (...) 6 things learned from being rejected from medical school 6 things learned from being rejected from medical school 6 things learned from being rejected from medical school | | January 26, 2019 50 Shares I have spent the greater portion of my 20s enduring a premature quarter-life crisis. Patterns of self-doubt and debilitating anxiety became my new normal. I was rejected from medical school — again. After taking time to process the reality that I would have to wait another year to re-apply, I

2019 KevinMD blog

92. A story of missed opportunities and medical missteps

my father’s test results, comb through the medical literature and extend an ever-watchful eye over my father, noticing patterns of symptoms and potential gateways for intervention. After the devastating missed diagnosis of metastatic recurrence and the resulting small window of opportunity for treatment, I made it my mission to be a perpetual thorn in the side of my father’s medical team- an additional line of defense against mistakes. I can only imagine the rolling eyes and sighs (...) A story of missed opportunities and medical missteps A story of missed opportunities and medical missteps A story of missed opportunities and medical missteps | | January 9, 2019 86 Shares Part 2 of a . My own self-appointed role as my father’s health care advocate during his prostate cancer battle was a natural consequence of my training as a medical researcher. After earning a PhD in medical science, I became the elected family health and wellness guru, offering insight into everything from

2019 KevinMD blog

93. Must-have medical apps for primary care

Must-have medical apps for primary care Must-have medical apps for primary care Must-have medical apps for primary care | | January 23, 2019 10 Shares Earlier this year, we put together a list of what we thought were the . Now at the end of 2018, we’re augmenting that list to give you a full picture of what we think are must-haves medical apps for those in primary care. Quick reference for common obstetric emergencies Many of us in family medicine practice full-scope — including obstetrics (...) and in the U.S. have not changed: postpartum hemorrhage, venous thromboembolism, and severe hypertension of pregnancy. The SMI is an initiative of ACOG District II in New York State. This group links hospitals across the state together and provided health care bundles and education aimed at reducing mortality from these three most common lethal pregnancy complications. is a combination of expert opinion, ACOG position statements, and algorithms supported by evidence-based medicine, clinical practice

2019 KevinMD blog

94. Cytotoxicity of the Defensive Secretion from the Medicinal Insect Blaps rynchopetera Full Text available with Trip Pro

Cytotoxicity of the Defensive Secretion from the Medicinal Insect Blaps rynchopetera Blaps rynchopetera Fairmaire has long been used as a folk medicine by the Yi and Bai ethnic groups in China to treat fever, cough, gastritis, boils, and tumors. In the present study, the cytotoxicity of the defensive secretion (TDS) of B. rynchopetera against AGS Caco-2, HepG2 U251 and Bel-7402 was tested, and the results revealed that TDS had potent cytotoxicity against testing cells with IC50 values of 45.8

2017 Molecules : A Journal of Synthetic Chemistry and Natural Product Chemistry

95. How is defensive medicine understood and experienced in a primary care setting? A qualitative focus group study among Danish general practitioners. Full Text available with Trip Pro

How is defensive medicine understood and experienced in a primary care setting? A qualitative focus group study among Danish general practitioners. Recent years have witnessed a progressive increase in defensive medicine (DM) in several Western welfare countries. In Danish primary and secondary care, documentation on the extent of DM is lacking. Before investigating the extent of DM, we wanted to explore how the phenomenon is understood and experienced in the context of general practice (...) medical actions, carried out mainly because of external demands that run counter to the GP's professionalism. Several sources of pressure to act defensively were identified by the GPs: the system's pressure to meet external regulations, demands from consumerist patients and a culture among GPs and peers of infallibility and zero-risk tolerance.GPs understand DM as unnecessary and meaningless actions driven by external demands instead of a focus on the patient's problem. GPs consider defensive actions

2017 BMJ open

96. Perception of Resources Spent on Defensive Medicine and History of Being Sued Among Hospitalists: Results from a National Survey. Full Text available with Trip Pro

of their estimates. We also ascertained how many reported being sued. Sixty-eight percent of eligible recipients responded. Overall, respondents estimated that 37.5% of healthcare costs are due to defensive medicine. Just over 25% of our respondents, including 55% of those in practice for 20 years or more, reported being sued for medical malpractice. Veterans Affairs (VA) hospital affiliation, more years practicing as a physician, being male, and being a non-Hispanic white individual were all independently (...) Perception of Resources Spent on Defensive Medicine and History of Being Sued Among Hospitalists: Results from a National Survey. The United States spends substantially more per capita for healthcare than any other nation. Defensive medicine is 1 source of such spending, but its extent is unclear. Using a national survey of approximately 1500 US hospitalists, we report the estimates the US hospitalists provided of the percent of resources spent on defensive medicine and correlates

2017 Journal of Hospital Medicine

97. Defensive medicine among neurosurgeons in the Netherlands: a national survey Full Text available with Trip Pro

Defensive medicine among neurosurgeons in the Netherlands: a national survey In defensive medicine, practice is motivated by legal rather than medical reasons. Previous studies have analyzed the correlation between perceived medico-legal risk and defensive behavior among neurosurgeons in the United States, Canada, and South Africa, but not yet in Europe. The aim of this study is to explore perceived liability burdens and self-reported defensive behaviors among neurosurgeons in the Netherlands (...) and compare their practices with their non-European counterparts.A survey was sent to 136 neurosurgeons. The survey included questions from several domains: surgeon characteristics, patient demographics, type of practice, surgeon liability profile, policy coverage, defensive practices, and perception of the liability environment. Survey responses were analyzed and summarized.Forty-five neurosurgeons filled out the questionnaire (response rate of 33.1%). Almost half (n = 20) reported paying less than 5

2017 Acta neurochirurgica

98. Bad Medicine: Defensiveness Full Text available with Trip Pro

Bad Medicine: Defensiveness 28546409 2018 07 02 2018 07 02 1478-5242 67 659 2017 06 The British journal of general practice : the journal of the Royal College of General Practitioners Br J Gen Pract Bad Medicine: Defensiveness. 272 10.3399/bjgp17X691217 Spence Des D Maryhill Health Centre, Glasgow. eng Journal Article England Br J Gen Pract 9005323 0960-1643 Br J Gen Pract. 2017 Aug;67(661):348 28751333 2017 5 27 6 0 2017 5 27 6 0 2017 5 27 6 1 ppublish 28546409 67/659/272 10.3399/bjgp17X691217

2017 The British Journal of General Practice

99. Bad Medicine: Defensiveness Full Text available with Trip Pro

Bad Medicine: Defensiveness 28751333 2017 11 09 2018 12 02 1478-5242 67 661 2017 08 The British journal of general practice : the journal of the Royal College of General Practitioners Br J Gen Pract Bad Medicine: Defensiveness. 348 10.3399/bjgp17X691817 French Fiona F Retired, Aberdeen. E-mail: fionahfrench@hotmail.com. eng Letter Comment England Br J Gen Pract 9005323 0960-1643 0 Antidepressive Agents 12794-10-4 Benzodiazepines IM Br J Gen Pract. 2017 Jun;67(659):272 28546409 Antidepressive (...) Agents adverse effects Benzodiazepines adverse effects Humans Practice Patterns, Physicians' State Medicine United Kingdom 2017 7 29 6 0 2017 7 29 6 0 2017 11 10 6 0 ppublish 28751333 67/661/348-a 10.3399/bjgp17X691817 PMC5519103 Br J Gen Pract. 2017 Jun;67(659):272 28546409

2017 The British Journal of General Practice

100. Art Therapy: A Map of the Evidence

of the Evidence Many Veterans desire complementary and integrative health or alternative medicine modalities, and art therapy is one such option. The National Organization for Arts in Health identifies six “distinct regulated health professions” within the Creative Arts Therapies, which have “a definition of the profession, a legally defensible scope of practice, educational competencies, standards of practice, code of ethics, and evidence-based research.” These include art therapy, dance/movement therapy (...) Art Therapy: A Map of the Evidence Management Briefs eBrief-no163 -- Art Therapy: A Map of the Evidence Enter search terms Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Management Briefs eBrief-no163 -- Art Therapy: A Map of the Evidence Health Services Research & Development Management eBrief no. 163 » Issue 163 December 2019 The report is a product of the VA/HSR&D Evidence Synthesis Program. Art Therapy: A Map

2019 Veterans Affairs - R&D

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