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Defensive Medicine

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121. Efficacy of Complementary and Alternative Medicine Therapies for Posttraumatic Stress Disorder

questions regarding CAM therapies for PTSD is, What effects might one expect of a given intervention relative to no intervention? This clinically relevant question is best addressed by a randomized clinical trial with a no-treatment (waitlist) comparator. However, study designs that withhold or delay treatment to those with PTSD may not be institutionally feasible or ethically defensible. Hence, alternative strategies merit consideration. 4 Efficacy of Complementary and Alternative Medicine Therapies (...) Efficacy of Complementary and Alternative Medicine Therapies for Posttraumatic Stress Disorder Evidence-based Synthesis Program Department of Veterans Affairs Health Services Research & Development Service Evidence-based Synthesis Program Efficacy of Complementary and Alternative Medicine Therapies for Posttraumatic Stress Disorder Department of Veterans Affairs Health Services Research & Development Service August 2011 Investigators: Principal Investigator: Jennifer L. Strauss, Ph.D. Co

2011 Veterans Affairs Evidence-based Synthesis Program Reports

122. Challenging gender bias in the house of medicine

as hard and do not see as many patients as male physicians.” Instead, he said, women doctors prioritize “something else … family, social, whatever.” This perspective was roundly – and rightly – criticized by many women and men both inside and outside of medicine. However, judging by the fact that some people have come to his defense, outdated attitudes persist in some quarters. Earlier this month, the AMA hosted a forum for women in leadership in medicine. There, I heard many ideas, concerns (...) Challenging gender bias in the house of medicine Challenging gender bias in the house of medicine Challenging gender bias in the house of medicine | | September 21, 2018 13 Shares A guest column by the , exclusive to KevinMD.com. Since the 1970s, women have been carving out an increasingly large role in medicine, and the profession is becoming more representative of our society. September is Women in Medicine Month, a great time to acknowledge the changing face of medicine, but also to note

2018 KevinMD blog

123. Following up on a very old case: Abraham Cherrix is alive and well because he finally rejected alternative medicine

Following up on a very old case: Abraham Cherrix is alive and well because he finally rejected alternative medicine Following up on a very old case: Abraham Cherrix is alive and well because he finally rejected alternative medicine | ScienceBlogs Advertisment Search Search Toggle navigation Main navigation Following up on a very old case: Abraham Cherrix is alive and well because he finally rejected alternative medicine By on August 6, 2017. One of the gratifying things about having been (...) blogging so long—nearly 13 years now!—is that you start to see stories that you wrote about a long time ago resurface, allowing you to see the resolution. For instance, I've not infrequently written about people who, mistakenly believing the blandishments of alternative medicine practitioners that they could forego all that nasty chemotherapy and radiation and survive their cancer to live a happy, normal life, made the disastrous decision to eschew conventional medical therapy and pursue alternative

2017 Respectful Insolence

124. Marica Ferri: What can we learn from the evidence based medicine manifesto?

lack of evidence and evidence of non-effectiveness exacerbates defensive rejections of EBM, rather than encouraging advocacy for more investment in research. Professionals and decision makers are uncertain on how to implement and monitor evidence-based interventions and can be tempted by simplistic approaches. What change do we want to achieve? We need a shared understanding of what evidence-based medicine is and how to apply it in everyone’s daily life. We must encourage greater participation (...) Marica Ferri: What can we learn from the evidence based medicine manifesto? Marica Ferri: What can we learn from the evidence based medicine manifesto? - The BMJ ---> The has been launched to improve the implementation of evidence based interventions by pulling together a clear set of achievable goals, and a strong overview of the strategies that work best, to help deliver change better and faster. In some areas, such as the treatment of illicit drugs related problems, evidence based medicine

2017 The BMJ Blog

125. The human touch in medicine: good or bad?

, as a physician, from a litigious perspective. It reminds me of the common medical practice of defensive medicine, where one holds back, or adds otherwise irrelevant, even lengthy, steps to the delivery of medical care, simply because of the fear of legal backlash. It is one of the biggest issues dragging down health care today. I cover this ad nauseam in an upcoming article, aptly called, “Playing Hide and Seek-Damages With Our Degree: The Need for Tort Reform in Health care.” Stay tuned for that. Infusing (...) The human touch in medicine: good or bad? The human touch in medicine: good or bad? The human touch in medicine: good or bad? | | April 17, 2018 29 Shares Humans need human touch Patients sometimes need a shoulder to cry on. When I say that, I normally mean it on a completely figurative level. However, at times, it needs to be interpreted differently. There are instances in a medical encounter where an actual shoulder could be of service — a physical crutch that takes off an emotional load

2018 KevinMD blog

126. How to avoid #MeToo in medicine

How to avoid #MeToo in medicine How to avoid #MeToo in medicine How to avoid #MeToo in medicine | | January 24, 2018 314 Shares Let me say first that any woman who has ever been harassed or assaulted should never be made to feel that it is her fault. It is always the perpetrator’s fault. Men can be boors, or worse, and testosterone can be toxic. I went to Princeton University at a time when the ratio of men to women was 8:1, graduated from medical school in the 1980s, and raised two daughters (...) . I’ve had ample reason and plenty of time to think about strategies to deal with harassment, parry a verbal thrust, and maneuver out of a potentially humiliating or harmful situation. We’re lucky in medicine that we have intellectual qualifications — board scores, professional degrees — that are our primary entryway into medical school and residency programs. We’re not being judged primarily on our looks. Yet many social media comments recently have underscored the fact that some women in medicine

2018 KevinMD blog

127. The lost art of reassurance medicine

on patients — they’re making money from treating patients. Attention has been given to value-based care to curb this practice, but it requires training physicians to order fewer tests and offer more reassurance. Few insurers want to pay for physicians to talk to patients so there’s no incentive for them to practice value-based medicine. And there are legal penalties for not practicing defensive medicine. 5. Defensive medicine protects physicians from litigation. Reassurance and defensive medicine (...) are polar opposites. Reassurance comes from a deeper knowing or mother’s intuition that discourages the need for emergency treatment for every injury or ailment. Physicians who practice defensive medicine advise every patient who experiences something out of the ordinary to seek emergency care. Jean was playing it safe while neglecting her maternal instinct in caring for her parents. 6. People fail to trust themselves and others. It’s too easy to doubt others because we’re human and fallible. Trust

2018 KevinMD blog

128. Cassandra Callender’s cancer is progressing, and the quackery didn’t stop it. Let’s hope real medicine can.

Cassandra Callender’s cancer is progressing, and the quackery didn’t stop it. Let’s hope real medicine can. Cassandra Callender's cancer is progressing, and the quackery didn't stop it. Let's hope real medicine can. | ScienceBlogs Advertisment Search Search Toggle navigation Main navigation Cassandra Callender's cancer is progressing, and the quackery didn't stop it. Let's hope real medicine can. By on June 4, 2017. This is the sort of story that I really hate but feel obligated to discuss. I (...) hate these stories because they usually portend the unnecessary death of a cancer patient, often a child with cancer whose parents refuse chemotherapy or who refuses chemotherapy and is unfortunate enough to have a parent who either has alternative medicine proclivities herself, lacks the guts to tell the child that he's getting treated for his own good and he doesn't have a choice in the matter, or, in a couple of cases that I've discussed, conflates using indigenous people's medicine instead

2017 Respectful Insolence

129. Hallelujah! The mainstream press finally notices quackademic medicine!

medicine. We have integrative medicine,” said Dr. Irene Estores, medical director of the integrative medicine program at the University of Florida Shands Hospital in Gainesville, Fla. Ugh. Double ugh. Has there been a more smarmy, more disingenuous defense of "integrative medicine." My response is: Bullshit. You "integrate" alternative medicine with medicine. Also, as they say, integrating cow pie with apple pie doesn't make the cow pie better; it makes the apple pie worse. That's exactly what's (...) Hallelujah! The mainstream press finally notices quackademic medicine! Hallelujah! The mainstream press finally notices quackademic medicine! | ScienceBlogs Advertisment Search Search Toggle navigation Main navigation Hallelujah! The mainstream press finally notices quackademic medicine! By on March 8, 2017. I've been writing about a phenomenon that I like to refer to as "quackademic medicine," defined as the infiltration into academic medical centers and medical school of unscientific

2017 Respectful Insolence

130. Death by intravenous “turmeric”: Naturopaths circle the wagons and the chair of the Naturopathic Medical Committee of California looks for dirt on conventional medicine

the approximate numbers but needed a reference. One wonders if Field is going to cite Mercola and Null in the proceedings against Kelly. The above exchange strongly indicates that Field will have his finger on the scale of justice in Kelly's favor when his case inevitably comes before his board. It's of a piece with the AANP defense of intravenous curcumin in which conventional medicine is lambasted and portrayed as dangerous, and it's clear that the Kelly's defense will involve claiming that curcumin is safe (...) Death by intravenous “turmeric”: Naturopaths circle the wagons and the chair of the Naturopathic Medical Committee of California looks for dirt on conventional medicine Death by intravenous "turmeric": Naturopaths circle the wagons and the chair of the Naturopathic Medical Committee of California looks for dirt on conventional medicine | ScienceBlogs Advertisment Search Search Toggle navigation Main navigation Death by intravenous "turmeric": Naturopaths circle the wagons and the chair

2017 Respectful Insolence

131. Medicine: noble profession or big business?

. Personal injury and product liability attorneys have been mining medicine for decades. The considerable expense associated with patient awards and litigation defense is eclipsed by costly changes in medical practices not developed out of sound care principles but deployed attempting to immunize against lawsuits. The crushing cost of health care has been an issue for decades and continues unabated. Most efforts to orchestrate change have been dominated by politicians, economists and special interest (...) Medicine: noble profession or big business? Medicine: noble profession or big business? Medicine: noble profession or big business? | | November 24, 2018 585 Shares In 1976 I graduated from medical school and proudly joined the medical profession. Thirty-seven years later, I retired as an employee of the biggest business in the country. In 2016 the medical industry was responsible for 3.3 trillion dollars of expenditure, comprising 18 percent of the United States GDP. For perspective

2018 KevinMD blog

132. Pathogens and Defense: Speakers recap from the 6th EMBO Meeting

Pathogens and Defense: Speakers recap from the 6th EMBO Meeting Pathogens and Defense: Speakers recap from the 6th EMBO Meeting | PLOS ECR Community PLOS Blogs Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental Sciences Multi-disciplinary Sciences Medicine & Health Research Analysis & Scientific Policy Diverse perspectives on science and medicine Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental Sciences Multi-disciplinary Sciences Medicine & Health (...) the ‘Pathogens and Defense’ set from Sunday, Sept. 6th. PLOS had a booth at the EMBO meeting, and PLOS Student Blogger Meredith Wright recaps some of the key speakers from the 2015 meeting. Gillian M. Griffiths, director of the Cambridge Institute for Medical Research and Professor of Immunology and Cell Biology at the University of Cambridge, was a speaker at the 6th EMBO meeting. Photo courtesy of University of Cambridge. Griffiths is the director of the Cambridge Institute for Medical Research

2015 PLOS Blogs Network

133. Criticism of NEJM’s defense of industry-physician relations

will be still be alive on the site for a couple of years. 6093 Posts Menu May 14, 2015 Criticism of NEJM’s defense of industry-physician relations Posted By Categories , , , , Tags , , , , , The following is a guest blog post from one of our contributors, Susan Molchan, MD, a psychiatrist in the Washington, DC, area. In the first of a series of pieces, New England of Journal of Medicine national correspondent Dr. Lisa Rosenbaum wrote, “ .” (You really should read this piece to get its full impact (...) Criticism of NEJM’s defense of industry-physician relations Criticism of NEJM's defense of industry-physician relations Note to our followers: Our nearly 13-year run of daily publication of new content on HealthNewsReview.org came to a close at the end of 2018. Publisher Gary Schwitzer and other contributors may post new articles periodically. But all of the 6,000+ articles we have published contain lessons to help you improve your critical thinking about health care interventions. And those

2015 HealthNewsReview

134. Defense of the Measures: A Tool for Engaging Integrated Care Teams in Outcomes Measurement (Full text)

Defense of the Measures: A Tool for Engaging Integrated Care Teams in Outcomes Measurement 24949161 2014 06 20 2015 06 01 1949-8349 6 2 2014 Jun Journal of graduate medical education J Grad Med Educ Defense of the measures: a tool for engaging integrated care teams in outcomes measurement. 370-2 10.4300/JGME-D-14-00066.1 Warm Eric J EJ Program Director, Categorical Internal Medicine, University of Cincinnati Academic Medicine Center. Jacobs Natalie N Chief Medical Resident, University (...) of Cincinnati Academic Medicine Center. Neville Jennifer J Clinical Instructor, University of Cincinnati Academic Medicine Center. Schauer Daniel D Assistant Professor of Medicine, University of Cincinnati Academic Medicine Center. eng Journal Article United States J Grad Med Educ 101521733 1949-8357 2014 6 21 6 0 2014 6 21 6 0 2014 6 21 6 1 ppublish 24949161 10.4300/JGME-D-14-00066.1 JGME-D-14-00066 PMC4054756

2014 Journal of graduate medical education PubMed abstract

135. Subterfuge and Sabotage: Evasion of Host Innate Defenses by Invasive Gram-Positive Bacterial Pathogens (Full text)

Subterfuge and Sabotage: Evasion of Host Innate Defenses by Invasive Gram-Positive Bacterial Pathogens The development of a severe invasive bacterial infection in an otherwise healthy individual is one of the most striking and fascinating aspects of human medicine. A small cadre of gram-positive pathogens of the genera Streptococcus and Staphylococcus stand out for their unique invasive disease potential and sophisticated ability to counteract the multifaceted components of human innate defense

2014 Annual review of microbiology PubMed abstract

136. The Effect of Vitamin D Supplements on Vitamin D Status, Cardiometabolic Health and Immune Defense in Danish Children

The Effect of Vitamin D Supplements on Vitamin D Status, Cardiometabolic Health and Immune Defense in Danish Children The Effect of Vitamin D Supplements on Vitamin D Status, Cardiometabolic Health and Immune Defense in Danish Children - 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 Effect of Vitamin D Supplements on Vitamin D Status, Cardiometabolic Health and Immune Defense in Danish Children (ODIN Junior) 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: NCT02145195 Recruitment Status : Completed First

2014 Clinical Trials

137. Musculoskeletal Injuries' Prediction Tool for Military Combatants in the Israeli Defense Force

Musculoskeletal Injuries' Prediction Tool for Military Combatants in the Israeli Defense Force Musculoskeletal Injuries' Prediction Tool for Military Combatants in the Israeli Defense Force - 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. Musculoskeletal Injuries' Prediction Tool for Military Combatants in the Israeli Defense Force (FMS) 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: NCT02091713 Recruitment Status : Unknown Verified March 2014 by Dr. Oren Schwarz, Sheba Medical Center. Recruitment

2014 Clinical Trials

138. The Role of Endogenous Lactate in Brain Preservation and Counterregulatory Defenses Against Hypoglycemia

The Role of Endogenous Lactate in Brain Preservation and Counterregulatory Defenses Against Hypoglycemia The Role of Endogenous Lactate in Brain Preservation and Counterregulatory Defenses Against Hypoglycemia - 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 Role of Endogenous Lactate in Brain Preservation and Counterregulatory Defenses Against Hypoglycemia 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: NCT02308293 Recruitment Status : Completed First Posted : December 4, 2014 Last Update Posted

2014 Clinical Trials

139. Self-Affirmation and Defensiveness to Health Messages for the Self vs. a Close Other

and Defensiveness to Health Messages for the Self vs. a Close Other Study Start Date : December 13, 2014 Actual Primary Completion Date : November 10, 2015 Actual Study Completion Date : September 18, 2018 Groups and Cohorts Go to Outcome Measures Go to Primary Outcome Measures : Intentions to lose weight/ talk to doctor [ Time Frame: Immediately post-experiment ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision (...) Self-Affirmation and Defensiveness to Health Messages for the Self vs. a Close Other Self-Affirmation and Defensiveness to Health Messages for the Self vs. a Close Other - 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

2014 Clinical Trials

140. Delayed Umbilical Cord Blood Clamping: First Line of Defense Against Neonatal and Age-Related Disorders (Full text)

Delayed Umbilical Cord Blood Clamping: First Line of Defense Against Neonatal and Age-Related Disorders The aging body is unable to maintain homeostasis in cell genesis and function. Stem cell-based regenerative medicine may reverse aging and treat age-related disorders. This perspective article discusses the therapeutic effects of stem cell transplantation on neonatal diseases, which may have long-lasting benefits affecting even the aging process. In particular, the article highlights

2014 Wulfenia PubMed abstract

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