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E/M Medical Decision Making

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161. Personalized Health Assessment Related to Medications (Project PHARM)

information United States, Washington University of Washington Recruiting Seattle, Washington, United States, 98105 Contact: Irene M Geisner, Ph.D. 206-419-8999 Contact: Nicole Fossos-Wong, B.S. 206-685-1499 Principal Investigator: Irene M Geisner, Ph.D. Principal Investigator: Jason R Kilmer, Ph.D. Principal Investigator: M. Dolores Cimini, Ph.D. Principal Investigator: Amelia M Arria, Ph.D. Sub-Investigator: Mary E Larimer, Ph.D. Sub-Investigator: Christine M Lee, Ph.D. Sub-Investigator: Isaac C Rhew (...) Personalized Health Assessment Related to Medications (Project PHARM) Personalized Health Assessment Related to Medications (Project PHARM) - 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. Personalized

2017 Clinical Trials

162. Real-Time Monitoring and Evaluation of a Visual-Based Cervical Cancer Screening Program Using a Decision Support Job Aid (PubMed)

aggregated statistics were broadcast on a public website. Screening organizations were able to assess the number of patients screened, alongside treatment rates, and the patients who tested positive and required treatment in real time, which allowed them to make adjustments as needed. The real-time M&E enabled by "smart" diagnostic medical devices holds promise for broader use in screening programs in low-resource settings. (...) Real-Time Monitoring and Evaluation of a Visual-Based Cervical Cancer Screening Program Using a Decision Support Job Aid In many developing nations, cervical cancer screening is done by visual inspection with acetic acid (VIA). Monitoring and evaluation (M&E) of such screening programs is challenging. An enhanced visual assessment (EVA) system was developed to augment VIA procedures in low-resource settings. The EVA System consists of a mobile colposcope built around a smartphone

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2016 Diagnostics

163. Acute appendicitis in young children: cost-effectiveness of US versus CT in diagnosis - a Markov decision analytic model

Acute appendicitis in young children: cost-effectiveness of US versus CT in diagnosis - a Markov decision analytic model Acute appendicitis in young children: cost-effectiveness of US versus CT in diagnosis - a Markov decision analytic model Acute appendicitis in young children: cost-effectiveness of US versus CT in diagnosis - a Markov decision analytic model Wan MJ, Krahn M, Ungar WJ, Caku E, Sung L, Medina LS, Doria AS Record Status This is a critical abstract of an economic evaluation (...) followed by computed tomography, were cost-effective, but the risk of cancer induced by radiation from a single abdominal computed tomography was not negligible and should be considered in the decision-making process. There were some uncertainties regarding the methods and the data, but the authors' conclusions appear to be appropriate. Type of economic evaluation Cost-utility analysis Study objective The objective was to compare the cost-effectiveness of ultrasonography, computed tomography

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2009 NHS Economic Evaluation Database.

164. Proof of Concept Study of EMBalance Decision Support System to Evaluate Balance Disorders

College, London Study Director: Linda M Luxon, CBE BSc FRCP FRCPE Royal College of Physicians More Information Go to Additional Information: Publications: Royal College of Physicians, Hearing and Balance Disorders, Report of a working party (2007) Available at: https://www.rcplondon.ac.uk/sites/default/files/documents/hearing-and-balance-disorders.pdf. [Accessed 29 September 2008] Keen, P. & Morton, M. S. (1978). Decision Support Systems: An Organizational Perspective, Addison-Wesley Eom, S. & Kim, E (...) intervention: V1: appointment with a non-specialist doctor with the support of the DSS V2: appointment with an overseeing expert V3: DSS Customised Vestibular Physiotherapy V4: follow-up visit with the overseeing expert Other: Decision Support System (DSS) The EMBalance DSS is a program which summarises and structures clinical information. The structuring of medical information is based on algorithms that have been developed and are employed via the DSS platform. The non-specialist doctors who use the DSS

2016 Clinical Trials

165. National Mobile Asthma Management System-E Project

National Mobile Asthma Management System-E Project National Mobile Asthma Management System-E Project - 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. National Mobile Asthma Management System-E Project (...) years, application softwares of mobile-phones for asthma have gradually increased, studies suggested that application of these application softwares can make treatment more standard, reduce asthma attacks, help patients to control their asthma, improve adherence and these application softwares also show many other advantages. This study is a prospective, multi center, randomized, controlled study, aims to evaluate the efficacy of application softwares in asthma patients, provide a new tool to asthma

2016 Clinical Trials

166. Energy Balancing Modeling and Mobile Technology to Support e-Weight Loss

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 for Study: 18 Years to 70 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Body mass index (BMI) between 27 and 45 kg/m^2 Exclusion Criteria: Self-report of health problems that make weight loss or unsupervised exercise unsafe or unreasonable A heart (...) Energy Balancing Modeling and Mobile Technology to Support e-Weight Loss Energy Balancing Modeling and Mobile Technology to Support e-Weight Loss - 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. Energy

2016 Clinical Trials

167. External validation of clinical prediction models using big datasets from e-health records or IPD meta-analysis: opportunities and challenges. (PubMed)

ST5 5BG, Staffordshire, UK r.riley@keele.ac.uk. Ensor Joie J Research Institute for Primary Care and Health Sciences, Keele University, Keele ST5 5BG, Staffordshire, UK. Snell Kym I E KI Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, UK. Debray Thomas P A TP Julius Centre for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands Cochrane Netherlands, University Medical Center Utrecht, Utrecht, Netherlands. Altman Doug G DG (...) Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. Moons Karel G M KG Julius Centre for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands Cochrane Netherlands, University Medical Center Utrecht, Utrecht, Netherlands. Collins Gary S GS Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University

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2016 BMJ (Clinical research ed.)

168. Make a Journal Feel as if it Was Mailed Back From the Future

access a medical journal blog will have better knowledge of the information contained in a journal, measured by CME-based questions of journal articles than they would if they only received links to the journal's site. Specifically, the investigators will randomize participants into 3 groups with all interventions done by e-mail: group 1 is the usual care group, and will receive no intervention except for a reminder every six months to take a test of journal-based Continuing Medical Education (CME (...) -based questions. The investigators expect that both groups 1, usual care, and 2, e-mailed links to articles, will have a similar low score as the investigators found in a preliminary study of anesthesiologists who were presented with a set of journal-based CME questions. Public Health Significance. This study will demonstrate the utility of journal based blogs as a support to physicians in their effort to remain up to date with developing medical knowledge. Condition or disease Intervention

2015 Clinical Trials

169. The Effect of a Mobile Health Decision Support System on Diagnosis and Management of Obesity, Tobacco Use, and Depression in Adults and Children (PubMed)

Avenue, Given Courtyard, S356, Burlington, VT 05405. Choi Jeeyae J College of Nursing, University of Wisconsin - Milwaukee, PO Box 413, Milwaukee, WI 53201-0413. John Rita Marie RM School of Nursing, Columbia University, 630 W. 168 Street, New York, NY 10032. Lee Nam-Ju NJ College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu Seoul 110-799. Mendonca Eneida E Department of Biostatistics and Medical Informatics and Department of Pediatrics, University of Wisconsin - Madison, H6/550 (...) The Effect of a Mobile Health Decision Support System on Diagnosis and Management of Obesity, Tobacco Use, and Depression in Adults and Children 25821418 2018 11 13 1555-4155 10 10 2014 The journal for nurse practitioners : JNP J Nurse Pract The Effect of a Mobile Health Decision Support System on Diagnosis and Management of Obesity, Tobacco Use, and Depression in Adults and Children. 774-780 Bakken Suzanne S School of Nursing, Columbia University, 630 W. 168 Street, New York, NY 10032

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2014 The journal for nurse practitioners : JNP

170. Brilinta (ticagrelor) Tablets - medical review

Brilinta (ticagrelor) Tablets - medical review CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 022433Orig1s000 MEDICAL REVIEW(S) DIVISION OF CARDIOVASCULAR AND RENAL PRODUCTS Complete Response Review Addendum Sponsor Safety Reporting Submissions: NDA 22-433 and IND 65,808 SD 632 Drug: ticagrelor (Brilinta™) Indication: reduce the rate of thrombotic events in patients with acute coronary syndromes (ACS) Sponsor: AstraZeneca Review date: June 8, 2011 Reviewer: Thomas A. Marciniak, M.D (...) . Medical Team Leader On April 20, 2011, we met with AstraZeneca (AZ) staff to discuss progress on the reviews of the complete response for NDA 22-433. Because my review and that of the IND reviewer, Dr. Martin Rose, had suggested significant problems with AZ’s handling of serious adverse events (SAEs), I added to the end of the agenda a discussion of these problems. The minutes for the meeting filed on May 19, 2011, summarize that discussion as follows: “There was some discussion regarding

2011 FDA - Drug Approval Package

171. Duration of effect of oral long-acting stimulant medications for ADHD throughout the day

Duration of effect of oral long-acting stimulant medications for ADHD throughout the day Duration of effect of oral long-acting stimulant medications for ADHD throughout the day Duration of effect of oral long-acting stimulant medications for ADHD throughout the day Brams M, Moon E, Pucci M, Lopez FA CRD summary This review found that most long-acting stimulants conferred benefits in populations with attention-deficit/hyperactivity disorder for up to 12 hours as measured by mathematics tests (...) quality, which made it difficult to make a judgment on the reliability of the results of the trials. Clinical heterogeneity for the included medications justified the authors' decision to summarise the results in a narrative synthesis. Methodological flaws in the review process may have led to errors and biases. These and the lack of information on the quality of the included studies mean that the results should be interpreted with caution and made the reliability of the conclusions unclear

2010 DARE.

172. Medical schools should be prioritising nutrition and lifestyle education

professional training, Am J Clin Nutr 2014 ajcn.073544; First published online March 19, 2014. doi:10.3945/ajcn.113.073544 [2] Reported by the BBC in 2010 and again by The Guardian in 2016: , [accessed Aug 23 2017] [3] Adams, K., Kohlmeier, M. and Zeisel, S. (2010). Nutrition Education in U.S. Medical Schools: Latest Update of a National Survey. Academic Medicine , [online] 85(9), pp.1537-1542. Available at: [Accessed 3 Mar. 2017]. [4] Chung, M., van Buul, V., Wilms, E., Nellessen, N. and Brouns, F. (2014 (...) for pharmaceutical decision-making, but rarely empirical data about the impacts of nutrition or exercise (of course, there is also the problem that less evidence in this field is available). This undervaluation of nutritional knowledge continues when it comes to professional expectations. It is rightly required that doctors stay up to date with the continuously revised NICE guidelines in specialties such as oncology. This ongoing learning is seen as a mark of medicine’s progress. But changes in nutritional

2017 The BMJ Blog

173. Does Female Genital Mutilation Have Health Benefits? The Problem with Medicalizing Morality

identity, and personal experience all factor into their decision. In a separate , Freedman stated that he had circumcised his own son on his parents’ kitchen table. “But I did it for religious, not medical reasons,” he wrote. “I did it because I had 3,000 years of ancestors looking over my shoulder.” Arguing that it is “not illegitimate” for parents to consider such social and spiritual “realms [in] making this nontherapeutic, only partially medical decision,” Freedman went on to say that “protecting (...) international , 83 (S1), 22-27. Gruenbaum, E. (1996). . Medical Anthropology Quarterly , 10 (4), 455-475. Hammond, T., & Carmack, A. (2017). . The International Journal of Human Rights , 21 (2), 189-218. Hodges, F. (1997). . In Sexual Mutilations (pp. 17-40). New York: Springer US. Hodžić, S. (2013). . Cultural Anthropology , 28 (1), 86-109. Johnsdotter, S., & Essén, B. (2010). . Reproductive Health Matters , 18 (35), 29-37. Johnson, M. (2010). Ethnicities , 10 (2), 181-207. Lightfoot-Klein, H., Chase, C

2017 Journal of Medical Ethics blog

174. Hillary Clinton is “medically unfit to serve” as President and Donald Trump has narcissistic personality disorder: Stop this uninformed medical speculation about the candidates!

and Donald Trump has narcissistic personality disorder: Stop this uninformed medical speculation about the candidates! By on August 18, 2016. I’ve been debating whether to write about this for a while now, given that the first article that I noticed about it was first published a week and a half ago. Part of the reason for my reluctance is that it would be too easy for politics to be dragged into this more than I generally like. Of course, I don’t make a secret of my political leanings, but I usually (...) don’t go out of my way to be an explicitly political blogger. I do, however, frequently write about areas where science and medicine intersect, and when I do I always come down on the side of science and rationality. This brings us to a trope that has popped up in the media that Hillary Clinton is somehow “medically unfit” to be President. I first learned of this smear on August 10, when I found the latest e-mail release from the American Association of Physicians and Surgeons (AAPS), written by its

2016 Respectful Insolence

175. Michigan HB 5126: Endangering children by making nonmedical vaccine exemptions easier to obtain

eradicated many diseases from our population, but they're making a dangerous comeback. In 2014, Michigan had a drop of 5% in the number of children immunized and we now rank 47th in the nation. Michigan has the sixth highest rate of non-medical immunization waivers for kindergarten entry—meaning we have many children entering school who are not immunized. Two bills introduced this week in the state Legislature would curtail efforts to improve Michigan’s childhood immunization rate and further endanger (...) their exit. to post comments By Gizmo (not verified) on 14 Dec 2015 to post comments By Science Mom (not verified) on 14 Dec 2015 The Macomb County medical director is interviewed saying it's not really changing people's minds about the vaccinations: "The parents who are making these waiver appointments are very committed [to getting those waivers.] I'm not aware of any changing minds," he says. Instead, the TAXPAYERS are paying a ton of money in vain on these classes and staff members for thousands

2015 Respectful Insolence

176. Clinical decision support tools for osteoporosis disease management: a systematic review of randomized controlled trials

Clinical decision support tools for osteoporosis disease management: a systematic review of randomized controlled trials Clinical decision support tools for osteoporosis disease management: a systematic review of randomized controlled trials Clinical decision support tools for osteoporosis disease management: a systematic review of randomized controlled trials Kastner M, Straus S E CRD summary The authors found that multi-component tools targeting both physicians and patients may improve (...) a need for more rigorous evaluations to find the optimal disease management for osteoporosis. Funding No external funding source. Bibliographic details Kastner M, Straus S E. Clinical decision support tools for osteoporosis disease management: a systematic review of randomized controlled trials. Journal of General Internal Medicine 2008; 23(12): 2095-2105 PubMedID DOI Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Disease Management; Fractures, Bone /etiology /prevention

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2008 DARE.

177. Comparison of utility of blood cultures from intravascular catheters and peripheral veins: a systematic review and decision analysis

Comparison of utility of blood cultures from intravascular catheters and peripheral veins: a systematic review and decision analysis Comparison of utility of blood cultures from intravascular catheters and peripheral veins: a systematic review and decision analysis Comparison of utility of blood cultures from intravascular catheters and peripheral veins: a systematic review and decision analysis Falagas M E, Kazantzi M S, Bliziotis I A CRD summary This study concluded that for various patient (...) and decision analysis. Journal of Medical Microbiology 2008; 57(Part 1): 1-8 PubMedID DOI Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Bacteremia /complications /diagnosis /drug therapy; Blood /microbiology; Blood Specimen Collection /standards; Catheterization, Central Venous /standards; Catheters, Indwelling /adverse effects /microbiology; Decision Making; Humans AccessionNumber 12008103638 Date bibliographic record published 01/12/2008 Date abstract record published 08/07

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2008 DARE.

178. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the Diagnosis and Treatment of Acromegaly

American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the Diagnosis and Treatment of Acromegaly 1 AACE Guidelines Laurence Katznelson, MD; John L. D. Atkinson, MD; David M. Cook, MD, FACE; Shereen Z. Ezzat, MD, FRCPC; Amir H. Hamrahian, MD, FACE; Karen K. Miller, MD American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice are systematically developed statements to assist health care professionals in medical decision (...) making for specific clinical conditions. Most of the content herein is based on literature reviews. In areas of uncertainty, professional judgment was applied. These guidelines are a working document that reflects the state of the field at the time of publication. Because rapid changes in this area are expected, periodic revisions are inevitable. We encourage medical professionals to use this information in conjunction with their best clinical judgment. The presented recommendations may

2011 American Association of Clinical Endocrinologists

179. AACE Medical Guidelines for Clinical Practice for Diagnosis and Treatment of Menopause

AACE Medical Guidelines for Clinical Practice for Diagnosis and Treatment of Menopause 1 AACE Guidelines Neil F. Goodman, MD, FACE; Rhoda H. Cobin, MD, MACE; Samara Beth Ginzburg, MD; Ira A. Katz, MD, FACE; Dwain E. Woode, MD American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice are systematically developed statements to assist health care professionals in medical decision making for specific clinical conditions but are in no way a substitute for a medical (...) for, their best clinical judgment. The presented recommendations may not be appropriate in all situations. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances. Copyright © 2011 AACE.2 AACE Menopause Guidelines Revision Task Force Cochairpersons Neil F . Goodman, MD, F ACE Rhoda H. Cobin, MD, MACE Task Force Members Samara Beth Ginzburg, MD Ira A. Katz, MD, F ACE Dwain E. Woode, MD Reviewers Pauline M. Camacho, MD, F ACE JoAnn E

2011 American Association of Clinical Endocrinologists

180. High-Value, Cost-Conscious Health Care: Concepts for Clinicians to Evaluate the Benefits, Harms, and Costs of Medical Interventions

to adopt a strategy and should not be used for decision making. Dominance and Extended Dominance The demonstrates the concept of dominance. A dominated intervention is more expensive and less effective than another intervention. The denotes another possible situation in which we show interventions A, B, C, and D as in the , but we now also include intervention E, which is to the right and below the cost-effectiveness frontier. Appendix Figure. Extended dominance. The cost-effectiveness ratios (...) , MHA, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106; e-mail, . Current Author Addresses: Dr. Owens: Stanford University, 117 Encina Commons, Stanford, CA 94305. Dr. Qaseem: American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106. Dr. Chou: Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code BICC, Portland, OR 97239. Dr. Shekelle: West Los Angeles Veterans Affairs Medical Center, 11301 Wilshire Boulevard

2011 American College of Physicians

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