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E/M Medical Decision Making


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161. Significance of E-cadherin Gene Mutations in Patients With Hereditary Diffuse Gastric Cancer Syndrome: A Systematic Review Full Text available with Trip Pro

al., 2015 5 2:1; Rest unknown 1 3 SRCC 7 Norton et al., 2007 6 2:4 6 6 SRCC 8 Black et al., 2014 4 2:2 4 4 SRCC 9 Herraiz et al., 2012 5 2:3 2 4 SRCC 10 Keller et al., 1999 7 Unknown 2 6 SRCC Total 63 patients 24:19 37 patients with CDH1 mutations 42 positive for DGC Table 2: CDH1 mutation and HDGC association shown in case reports DGC: Diffuse Gastric Cancer; CDH1: Cadherin-1 or E-cadherin; SRCC: Signet Ring Cell Cancer; M: Male; F: Female; HDGC: Hereditary Diffuse Gastric Cancer. Out of 63 (...) . 2013, 13:114. Syngal S, Brand R, Church J, Giardiello FM, Hampel HL, Burt RW: . Am J Gastroenterol. 2015, 110:223-262. Ottenhof NA, De Wilde RF, Morsink FH, et al.: . Hum Pathol. 2012, 43:457-461. Benusiglio PR, Caron O, Consolino E, Duvillard P, Coulet F, Blayau M, Malka D: . Int J Cancer. 2013, 132:2470. Kluijt I, Siemerink EJ, Ausems MG, et al.: . Int J Cancer. 2012, 131:367-376. Frebourg T, Oliveira C, Hochain P, et al.: . J Med Genet. 2006, 43:138-142. Mossey PA, Little J, Munger RG, Dixon MJ

2020 Cureus

162. Theory-based E-health literacy interventions in older adults: a systematic review Full Text available with Trip Pro

delivery [ ]. Electronic content within the scope of health sciences could also provide an overwhelming supply of indispensable knowledge for those who are in pursuit of information for better decision-making alternatives [ , ]. The intrinsic aspect of e-health literacy for older adults, especially those with multiple chronic conditions, physical limitations, and living alone, could be impressive in daily life [ , , ]. Older adults, due to physical limitations and constraints in attending face-to-face (...) portal e-Learning Program (T-PeP) on patients’ knowledge about electronic portals, health decision-making self-efficacy for being proactive in health communication, patients’ self-efficacy for using electronic portals, and e-health literacy in older adults [ ]. Self-efficacy model was the common conceptual model used nearly in all the e-health literacy improvement interventions. For example, the NIA toolkit ( ), which was used in the studies conducted by Xie, had a number of features to improve

2020 Archives of Public Health

163. Factors associated with the decision to investigate child protective services referrals: A systematic review Full Text available with Trip Pro

N = 303 53% Adequate quality, initial sample size not reported, single site Steen and Duran ( ) Examines impact of policies, structures on activity rates Secondary multi‐source data, linear regression NCANDS, other sources N = 44 (unit = state) M = 56% across states (27.470 per 1,000 minor residents) Poor quality, potential for bias, inadequate reporting of methods and findings Schwab et al. ( ) Identifies variables that predict, and patterns in, decisionmaking Two regional sites (TX (...) et al., ; Browne & Saqi, ; Parton, Thorpe, & Wattam, ; Thorpe, ). Such challenges are largely a function of historically insufficient resources, dramatic increases in referrals over time, and ongoing difficulties in maintaining a skilled workforce (General Accounting Office, ) and are periodically compounded by child maltreatment tragedies that result in intense public criticism and scrutiny (Ayre, ; Pollard, ). Challenges extend to the study of child welfare decisionmaking where

2020 Child & family social work

164. Generating evidence to inform health technology assessment of treatments for SLE: a systematic review of decision-analytic model-based economic evaluations Full Text available with Trip Pro

. The economic case for precision medicine . pmid: Sculpher MJ , Claxton K , Drummond M , et al . Whither trial-based economic evaluation for health care decision making? pmid: Footnotes Twitter @Lupusdoc Contributors All authors made substantial contributions to the conception of the study. SG and KP conducted data collection and analysis. SG wrote the manuscript and all authors revised it critically for important (...) Generating evidence to inform health technology assessment of treatments for SLE: a systematic review of decision-analytic model-based economic evaluations Generating evidence to inform health technology assessment of treatments for SLE: a systematic review of decision-analytic model-based economic evaluations | Lupus Science & Medicine Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search

2020 Lupus science & medicine

165. Involving consumers and survivors in mental health policy making

and experiences in decision making and caring processes? Conflicts of interest None declared. Links Primary paper Lancaster, K., Seear, K., Treloar, C., & Ritter, A. (2017). The productive techniques and constitutive effects of ‘evidence-based policy’ and ‘consumer participation’ discourses in health policy processes. Social Science & Medicine , 176 , 60-68. [ ] Other references Slade, M., & Longden, E. (2015). . BMC psychiatry , 15 (1), 285. Photo credits Photo by on Photo by on Photo by on Photo by on Share (...) Involving consumers and survivors in mental health policy making Involving consumers and survivors in mental health policy making Search National Elf Service Search National Elf Service » » » » Involving consumers and survivors in mental health policy making Mar 25 2019 Posted by Involving psychiatric survivors and others with lived experience of mental distress in the development of mental health care policy is clearly a positive step; representing, perhaps, a democratisation of decision

2019 The Mental Elf

166. Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication

. Epling Jr, MD, MSEd (Virginia Tech Carilion School of Medicine, Roanoke); Alex R. Kemper, MD, MPH, MS (Nationwide Children’s Hospital, Columbus, Ohio); Alex H. Krist, MD, MPH (Fairfax Family Practice Residency, Fairfax, Virginia, and Virginia Commonwealth University, Richmond); Martha Kubik, PhD, RN (Temple University, Philadelphia, Pennsylvania); Seth Landefeld, MD (University of Alabama at Birmingham); Carol M. Mangione, MD, MSPH; Michael Silverstein, MD, MPH (Boston University, Boston (...) Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication Recommendation | United States Preventive Services Taskforce Toggle navigation Main navigation Main navigation Recommendation Postmenopausal women The USPSTF recommends against daily supplementation with 400 IU or less of vitamin D and 1000 mg or less of calcium for the primary prevention of fractures in community-dwelling, postmenopausal women. D Men

2018 U.S. Preventive Services Task Force

167. QTc Prolongation and Psychotropic Medications

have shown that induction with buprenorphine was still followed by an increase in QTc interval (125). Special Population: Children and Adolescents Our workgroup has chosen to limit our review to studies involving adults over the age of 18. While psychotropic medications can cause QTc interval prolongation in children and adolescents, there are few studies evaluating these effects. Importantly, additional research is necessary within this population to guide clinical decision-making and avoid (...) General Hospital, Boston, MA; 3 Harvard Medical School, Boston, MA; 4 Department of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, MI; 5 Mount Pearl, Newfoundland, Canada; 6 Department of Psychiatry, Virginia Commonwealth University, Richmond, VA; 7 Department of Psychiatry and Behavioral Sciences, Northwestern Feinberg School of Medicine, Chicago, IL; 8 Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI; 9 Krannert Institute of Cardiology

2018 American Psychiatric Association

168. Withdrawal of, and alternatives to, valproate-containing medicines in girls and women of childbearing potential who have a psychiatric illness

of valproate-containing medicines, other than risks associated with pregnancy, including hepatotoxicity (family history of liver disease represents a contra- indication), hair loss and thrombocytopenia, and these and other potential problems also need to be considered and discussed with patients when making treatment decisions. 3. Switching patients from valproate-containing preparations to alternative medicines Psychiatrists should consider the possibility of a potential pregnancy when assessing (...) of sodium valproate for bipolar disorder in women of childbearing age. BMJ Open, 8 (4), e020450. Royal College of Psychiatrists – Psychopharmacology Committee (2017). College Report 210, Use of licensed medicines for unlicensed applications in psychiatric practice,. London. Siskind, D.J., Lee, M., Ravindran, A., Zhang, Q., Ma, E., Motamarri, B. and Kisely, S. (2018). Augmentation strategies for clozapine refractory schiz- ophrenia: A systematic review and meta-analysis. Australian and New Zealand

2019 British Association for Psychopharmacology

169. Emergency Medicine Early Warning System (EMEWS) In Pilot Sites

: Review 1-hourly Triage 4: Review 2-hourly Triage 5: No review required Reduce frequency of monitoring if in collaboration with a senior clinician or nurse it is deemed appropriate Escalate using ISBAR if: • You are concerned about a patient regardless of triggers • Physiology is abnormal despite triage interventions or if physiology disimproves Na t io nal E m er ge nc y Medicine Pro g ramme Ver s ion 4 | April 201 8 Page 281 | A National Clinical Guideline | Emergency Medicine Early Warning System (...) patient declines a recommendation as a course of action in their care or treatment plan. In these circumstances the decision not to follow a recommendation should be appropriately recorded in the patient’s healthcare record. Published by: The Department of Health Block 1, Miesian Plaza, 50-58 Lower Baggot Street, Dublin 2, D02 XW14, Ireland Tel: +353 (1) 6354000 ISSN 2009-6259. © Department of Health, October, 2018. Citation text Department of Health (2018) Emergency Medicine Early

2018 National Clinical Guidelines (Ireland)

170. Medical Tourism

facilities and medical evacuation to their home country may need to be considered, including adequate insurance to cover such possibilities. ADVICE FOR MEDICAL PRACTITIONERS Medical practitioners should inform prospective patients seeking medical interventions outside Australia and New Zealand of the potential difficulties they may encounter in order to ensure that patients are able to make informed decisions as to the advisability of such a course of action. Approved by: Professional Development (...) . Australian Government - Department of Human Services (DHS) 2016 ‘Reciprocal Health Care Agreements’ . Gaines, J & Nguyen, DB 2016, ‘Medical Tourism’, Yellow Book, CDC health information for international travel 2016 - Centers for Disease Control and Prevention (CDC, USA), . Holliday, R, Bell, D, Jones, M, Probyn, E, & Sanchez Taylor, J 2014, ‘Sun, Sea, Sand and Silicone: Mapping Cosmetic Surgery Tourism’, Economic & Social Research Council-University of Leeds, . Leggat, P 2015, ‘Medical Tourism

2017 Publication 80

171. ImageSim: Building Competency For Visually Diagnosed Tests in Emergency Medicine

documentation of attendance, which limits the potential for improvement in the practicing physician 10 . In an effort to bridge this knowledge-practice gap, we developed a medical education research program which answered a number of important research questions in an effort to make on-line learning effective for the emergency medicine physician 11–16 . After 11 years of research, we have translated this evidence into a validated medical image interpretation learning system called . This is a non-profit 24 (...) ImageSim: Building Competency For Visually Diagnosed Tests in Emergency Medicine ImageSim: Building Competency For Visually Diagnosed Tests in Emergency Medicine - CanadiEM ImageSim: Building Competency For Visually Diagnosed Tests in Emergency Medicine In , by Kathy Boutis January 19, 2018 Visually diagnosed medical tests (e.g. radiographs, electrocardiograms) are the most commonly ordered tests in front-line medicine. As such, front-line health care professionals are faced with the task

2018 CandiEM

172. Induced Pluripotent Stem Cells for Cardiovascular Disease Modeling and Precision Medicine: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Disease in the Young; and Council on Cardiovascular and Stroke Nursing Kiran Musunuru , Farah Sheikh , Rajat M. Gupta , Steven R. Houser , Kevin O. Maher , David J. Milan , Andre Terzic , and Joseph C. Wu and On behalf of the American Heart Association Council on Functional Genomics and Translational Biology; Council on Cardiovascular Disease in the Young; and Council on Cardiovascular and Stroke Nursing Originally published 12 Jan 2018 Circulation: Genomic and Precision Medicine. 2018;11 Abstract (...) disease process within and beyond the cardiovascular system ( ). Figure 1. Induced pluripotent stem cells for cardiovascular disease modeling and precision medicine studies. hPSCs come in several varieties. Human embryonic stem cells (hESCs), first reported in 1998, are derived directly from human embryos. , Because making each hESC line typically entails the destruction of an embryo, the cell line is not matched to any living person. Arguably, this limits the utility of the hESC line for disease

2018 American Heart Association

173. Non-medical Prescription Stimulant Use among Post-secondary Students

academic performance. Increasing the awareness of post-secondary students of the evidence of the effects of stimulants and potential harms associated with non- medical prescription stimulant use will help equip them with the knowledge they require to make informed decisions about use. This review also identified populations for whom prevention efforts could be focused or tailored (e.g., for sorority and fraternity members, students experiencing high levels of stress, etc.). There is a general lack (...) review. Non-medical Prescription Stimulant Use among Post-secondary Students Canadian Centre on Substance Use and Addiction • Centre canadien sur les dépendances et l’usage de substances Page 14 References American College Health Association (2016). National college health assessment II: Canadian reference group data report. Hanover, Md.: Author. Arria, A. M., Caldeira, K. M., Kasperski, S. J., O’Grady, K. E., Vincent, K. B., Griffiths, R. R., & Wish, E. D. (2010). Increased alcohol consumption

2018 Canadian Centre on Substance Abuse

174. Interdisciplinary Models for Research and Clinical Endeavors in Genomic Medicine: A Scientific Statement From the American Heart Association

Council on Genomic and Precision Medicine; Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Radiology and Intervention; Council on Peripheral Vascular Disease; Council on Quality of Care and Outcomes Research; and Stroke Council Kiran Musunuru , Pankaj Arora , John P. Cooke , Jane F. Ferguson , Ray E. Hershberger , Kathleen T. Hickey , Jin-Moo Lee , João A.C. Lima , Joseph Loscalzo , Naveen L. Pereira , Mark W. Russell , Svati H (...) include scientists and clinicians actively working as teams to study patients and populations recruited in clinical settings and communities to make genomics discoveries—through the combined efforts of data scientists, clinical researchers, epidemiologists, and basic scientists—and to rapidly apply these discoveries in the clinic for the prediction, prevention, diagnosis, prognosis, and treatment of cardiovascular diseases and stroke. The highly publicized US Precision Medicine Initiative, also known

2018 American Heart Association

175. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications (Second Edition)

procedural bleeding risk. Unlike ASA (aspirin), the platelet effects of these drugs are directly related to systemic plasma drug concentrations and influenced by the pharmacokinetic clearance of these medications. Once steady-state concentrations have been achieved, terminal half-life is a predictive time parameter to guide decision making. For NSAIDs, terminal half-lives and half-lives are interchangeable and equivalent. Because NSAIDs are well absorbed and absorption is not the limiting factor, half (...) syndrome. Because of the lack of effect on platelet function with COX-2 selective inhibitors and perioperative bleeding risks, these medications do not need to be stopped. | Summary recommendation for aspirin A patient- and procedural-specific strategy is recommended when deciding whether to continue or discontinue aspirin in the perioperative period for interventional pain procedures. Decision making should include an understanding of the reason for aspirin utilization, vascular anatomy surrounding

2018 American Society of Regional Anesthesia and Pain Medicine

176. Gene expression profiling and immunohistochemistry tests for personalised management of adjuvant chemotherapy decisions in early breast cancer ? a Rapid Assessment

referral page as the current document. 1 INTRODUCTION AND SCOPE Gene expression profiling (GEP) and expanded immunohistochemistry (IHC) tests aim to improve decision-making relating to adjuvant chemotherapy for women with early breast cancer. The RIZIV/INAMI was contacted by breast cancer specialists to evaluate the options of reimbursement for these tests. After a pre-assessment of the literature, it became clear that no randomized trials are available yet, and the RIZIV/INAMI asked the KCE to provide (...) to give additional prognostic information and guide the decision on whether or not to offer chemotherapy. Some tests require samples to be sent away for central review following surgery which make cause a delay of up to a few weeks. 5 3.2 Gene expression profiling (GEP) Gene expression profiling tests assess the identity and number of messenger ribonucleic acid (mRNA) transcripts in a specific tissue sample. Gene expression profiling gives information about the activity of genes that give rise

2015 Belgian Health Care Knowledge Centre

177. Minimally Invasive Prostatic Vapor Ablation for the Treatment of BPH in Large Prostates (Rezūm XL)

unless these studies might clinically interfere with the current study endpoints (e.g., limit use of study-required medication, etc.). Any significant medical history that would pose an unreasonable risk or make the subject unsuitable for the study. Inability to provide a legally effective "Informed Consent Form" and/or comply with all the required follow-up requirements. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor (...) Years ] Percent IPSS Responders at 3 years [ Time Frame: 3 Years ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible

2018 Clinical Trials

178. Prevalence of self-medication in university students: systematic review and meta-analysis Full Text available with Trip Pro

also have its root in the illegal sale of medicines (14). Young people are among the most vulnerable to self- medication. In particular, students, because of their higher educational level and ability to find information about 847 EMHJ – Vol. 26 No. 7 – 2020 Review medications through the Internet, are more likely to self- medicate (15,16). A precise and reliable estimate of the self- medication rate is important for health decision-makers and policy-makers so they can design and implement (...) %) was more than twice the prevalence of self-medication in non-medical students (47.7%), which, as hypothesized before, could be because medical stu- dents generally have a greater awareness and knowl- edge about drugs (113). Students of medical sciences sometimes try different drugs which they will use in their future profession. In addition, the frequent use of medicines during their training in health centres and their easy access to medications could make them more likely to use medications to treat

2020 Eastern Mediterranean Health Journal

179. Artificial Intelligence Education and Tools for Medical and Health Informatics Students: Systematic Review Full Text available with Trip Pro

—another grand challenge for medical informatics. Artificial Intelligence in Medicine 1998 Mar;12(3):197-225. [ ] Frize M, Frasson C. Decision-support and intelligent tutoring systems in medical education. Clin Invest Med 2000;23:266-269. [ ] Zhao H, Li G, Feng W. Research on Application of Artificial Intelligence in Medical Education. 2018 Aug 10 Presented at: International Conference on Engineering Simulation and Intelligent Control (ESAIC); 2018; Changsha, China p. 340-342. [ ] Chary M, Parikh S (...) JG, De S, Hall RW, Johansen E, Meglan D, Peng GC. Telehealth innovations in health education and training. Telemed J E Health 2010 Feb;16(1):103-106 [ ] [ ] [ ] Kabassi K, Virvou M, Tsihrintzis GA, Vlachos Y, Perrea D. Specifying the personalization reasoning mechanism for an intelligent medical e-learning system on Atheromatosis: An empirical study. IDT 2008 Oct 07;2(3):179-190. [ ] Klar R, Bayer U. Computer-assisted teaching and learning in medicine. International Journal of Bio-Medical

2020 JMIR medical education

180. Complementary and alternative medicine recommendations for depression: a systematic review and assessment of clinical practice guidelines Full Text available with Trip Pro

May 2]. Available from: . 8. Freeman MP, Fava M, Lake J, Trivedi MH, Wisner KL, Mischoulon D. Complementary and alternative medicine in major depressive disorder: the American Psychiatric Association task force report. J Clin Psychiatry. 2010;71(6):669–81. 9. Barnes PM, Powell-Griner E, McFann K, Nahin RL. Complementary and alternative medicine use among adults: United States, 2002. Semin Integr Med. 2004;2(2):54–71. Available from: , [cited 2020 May 3]. . 10. Elkins G, Rajab MH, Marcus J (...) ]. . 20. Ventola CL. Current Issues Regarding Complementary and Alternative Medicine (CAM) in the United States. Pharm Ther. 2010;35(8):461–8 Available from: . [cited 2020 May 7]. 21. Clevenger SF. Knowledge and attitudes towards utilizing complementary and alternative medical (CAM) treatments by mental health practitioner from various disciplines. J Tradit Complement Med. 2018; Available from: . [cited 2020 May 6]. . 22. Guidelines I of M (US) C on S for DTCP, Graham R, Mancher M, Wolman DM

2020 BMC complementary medicine and therapies

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