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12201. Electronic communication with patients: evaluation of distance medicine technology

included smoking cessation, emergency department visits, general activity and knowledge; outcomes for mammography use were changes in number of mammograms; outcomes for osteoarthritis were scores on the Arthritis Impact Measurement Scales (AIMS); outcomes for tobacco use prevention were changes in tobacco use. Telephone reminders: outcomes included appointment-keeping rates, immunisation rates, medication compliance, diabetic foot problems and disability associated with arthritis. Interactive telephone (...) Electronic communication with patients: evaluation of distance medicine technology Electronic communication with patients: evaluation of distance medicine technology Electronic communication with patients: evaluation of distance medicine technology Balas E A, Jaffrey F, Kuperman G J, Boren S A, Brown G D, Pinciroli F, Mitchell J A Authors' objectives To evaluate the controlled evidence on the efficacy of distance medicine technologies in clinical practice and health care outcome. Searching

1997 DARE.

12202. Computer telephony: automated calls for medical care

reporting make it difficult to verify the findings. Authors' objectives To assess the evidence for computer telephony system (CTS)-based medical interventions. Searching MEDLINE (from 1966 to April 2003), CINAHL (from 1982 to April 2003) and the Cochrane Controlled Trials Register were searched using the search terms listed in the review. The reference lists of retrieved studies, reviews and reference books were also handsearched. The search was restricted to studies published in English. Study (...) of chronic diseases. Participants included in the review The authors did not explicitly state an eligible participant group for inclusion. Articles in psychological and psychiatric care (including alcohol, tobacco and drug addiction) were excluded. The included studies were of patients of varying age and ethnic groups in a variety of settings, such as a public health clinic, university hospital, internal medicine clinic, cancer clinic and the general community. Outcomes assessed in the review The authors

2003 DARE.

12203. Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs

Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs Chabal C, Fishbain D A, Weaver M, Heine L W Record Status This is a critical abstract of an economic evaluation (...) completers only. The primary outcome measures were reported for the LTU group and included: satisfaction (overall satisfaction, ease of use/convenience, effectiveness of pain management, quality of device, and comfort of the stimulation); change in pain interference, actual pain relief, and change in medication use from pre-TENS use; change in therapy use; patient perceptions for change in activity level, pain management, help in return to work, and medication use. The effects of potential confounding

1998 NHS Economic Evaluation Database.

12204. Medical outcomes and antimicrobial costs with the use of the American Thoracic Society guidelines for outpatients with community-acquired pneumonia

. The unit costs of the antimicrobial agents were estimated using the published average wholesale price of the least expensive generic equivalent from the 1993 drug Red Book. Statistical analysis of costs The total costs per patient were reported as medians, both for the total figures per patient and the average daily cost per patient. Student's t test was used to compare the groups in terms of costs. A multivariate regression analysis was used to control for the effects of differences in variables (...) Medical outcomes and antimicrobial costs with the use of the American Thoracic Society guidelines for outpatients with community-acquired pneumonia Medical outcomes and antimicrobial costs with the use of the American Thoracic Society guidelines for outpatients with community-acquired pneumonia Medical outcomes and antimicrobial costs with the use of the American Thoracic Society guidelines for outpatients with community-acquired pneumonia Gleason P P, Kapoor W N, Stone R A, Lave J R, Obrosky D

1997 NHS Economic Evaluation Database.

12205. Literature review to inform purchasing of counselling in general practice

assessed in the review No a priori criteria were defined. Effectiveness of counselling was assessed using the following outcomes: measures of morbidity including physician referral, psychiatric interviews and screening with General Heath Questionnaire; criterion-based diagnostic assessments such as the National Institute of Mental Health's Diagnostic Interview Schedules; physician prescribing practices; patients' use of psychotropic medication; number of patient visits to primary care physicians (...) Literature review to inform purchasing of counselling in general practice Literature review to inform purchasing of counselling in general practice Literature review to inform purchasing of counselling in general practice Hansell A, Bonnet J Authors' objectives To examine recent evidence for provision of counselling in general practice to inform service planning for Primary Care Groups (PCGs). Searching The following sources were searched: Cochrane Library (1999 issue 2) and the Department

1999 DARE.

12206. Has general practitioner computing made a difference to patient care: a systematic review of published reports

, BIDS and GPLit were searched from 1984-1994 using the terms 'computers in medicine', 'primary care', 'family practice' and 'medical informatics. Books, bibliographies and conference proceedings were also searched and references were supplied by colleagues. Study selection Study designs of evaluations included in the review Controlled studies with samples formed randomly, quasi randomly, or using selected, concurrent or historical control groups. The designs of individual studies were not stated (...) Has general practitioner computing made a difference to patient care: a systematic review of published reports Has general practitioner computing made a difference to patient care: a systematic review of published reports Has general practitioner computing made a difference to patient care: a systematic review of published reports Sullivan F, Mitchell E Authors' objectives To review findings from studies of the influence of desktop computers on primary care consultations. Searching MEDLINE

1995 DARE.

12207. Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care

Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care Venning P, Durie A, Roland M, Roberts C, Leese B Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Nurse practitioners working as part of primary care teams alongside general practitioners as first point of contact in primary care for patients requesting an appointment on the same day. Type of intervention Treatment. Economic study type Cost-effectiveness analysis

2000 NHS Economic Evaluation Database.

12208. Relative costs and effectiveness of specialist and general internist ambulatory care for patients with 2 chronic musculoskeletal conditions

and laboratory procedures. Two rheumatologists identified the medication. The resource use data were estimated from actual data. The unit costs were derived from the Boston University Medical Centre 1995 costs, except for medication costs which were based on average wholesale costs from the 15 Drug Topics Red Book. Discounting was carried out because the costs were incurred during more than one year. A discount rate of 3% was used. The unit costs were presented separately from the quantities of resources (...) . Relative costs and effectiveness of specialist and general internist ambulatory care for patients with 2 chronic musculoskeletal conditions. Journal of Rheumatology 2002; 29(7): 1488-1495 PubMedID Other publications of related interest Ware JE, Sherbourne CD. The MOS 36-item Short Form Health Survey (SF-36). I. Conceptual framework and item selection. Medical Care 1992;30:473-83. Kazis L, Miller D, Skinner K, et al. Health related quality of life in patients served by the Department of Veterans Affairs

2002 NHS Economic Evaluation Database.

12209. The relationship between consultation length, process and outcomes in general practice: a systematic review

The relationship between consultation length, process and outcomes in general practice: a systematic review The relationship between consultation length, process and outcomes in general practice: a systematic review The relationship between consultation length, process and outcomes in general practice: a systematic review Wilson A, Childs S Authors' objectives To examine the association between the average consultation time of primary care physicians and consultation process and health outcome (...) eligible. The included studies measured the average consultation length by objective timing of the individual consultation, dividing the consultation session by the number of patients seen, or using the booking interval. Studies were conducted in the USA, Wales, UK, Scotland, the Netherlands and Sweden. Participants included in the review Studies of primary care physicians were eligible for inclusion. Primary care physicians were defined as first contact doctors and included specialist physicians

2002 DARE.

12210. Patients with chronic asthma found medicine information to be unclear or confusing, did not receive complete information on medicine use and side effects, and found leaflets to be unhelpful Full Text available with Trip Pro

minute focus groups. After describing their medication related experiences, patients were asked to comment on 5 leaflets about asthma medicine (reliever and preventer inhalers, generic and branded broad spectrum antibiotics, and a generic oral steroid). Audiotapes were transcribed verbatim, and themes and categories were generated. MAIN FINDINGS 10 themes were identified. (1) Information experiences . Almost half of the patients felt that the information they received met their needs and helped them (...) . We are the experts: people with asthma talk about their medicine information needs. Patient Educ Couns 2004 ; 53 : 167 –74. Q What are the medication related experiences and perceptions of patients with chronic asthma? What are their views on mandatory leaflets provided by drug manufacturers? DESIGN Qualitative study. SETTING 6 community pharmacies in Leeds, UK. PATIENTS 23 patients (age range 13–82 y, 52% women) with asthma (duration 3 to >40 y). METHODS Patients participated in 1 of four 90

2006 Evidence-Based Mental Health

12211. In children who are receiving routine vaccinations, is there any evidence that giving antipyretic medication reduces the immune response to the vaccine?

antipyretic medication reduces the immune response to the vaccine? We searched the TRIP and Medline databases and found no guidelines or studies that suggest antipyretic medication reduces the immune response to the vaccine. The CKS (PRODIGY) guidance on childhood immunisations, the Green Book (Immunisation Against Infectious Disease) and the NHS Immunisations websites [4] all advise giving an antipyretic, i.e. paracetamol or ibuprofen to children experiencing fever following vaccination: " Parents should (...) also be advised: To give a dose of paracetamol or ibuprofen if fever develops, and keep the child cool by removing excessive clothing and bedding. If fever persists after a second dose, they should seek medical advice." [1] The Green Book discusses the management of vaccine-induced adverse events following immunisation in chapter 8. It states: " Fevers over 37.5¢ªC are common in children and are usually mild. Advice on the use and appropriate dose of paracetamol or ibuprofen liquid to prevent

2007 TRIP Answers

12212. Is there any medical evidence that shows the reason why patients on warfarin are recommended to have their warfarin levels done after the influenza or pneumococcal vaccine?

Is there any medical evidence that shows the reason why patients on warfarin are recommended to have their warfarin levels done after the influenza or pneumococcal vaccine? Is there any medical evidence that shows the reason why patients on warfarin are recommended to have their warfarin levels done after the influenza or pneumococcal vaccine? - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words (...) &As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain this collection for a historical and research reasons. More results What is Trip? Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care. Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto

2006 TRIP Answers

12213. Are there any medical conditions which would lead to un-explained episodes of hypothermia in a 4 year old child who is otherwise well?

, multiple trauma, pancreatitis, prolonged cardiac arrest, and uremia. Hypothermia may be related to drug administration; such medications include beta-blockers, clonidine, meperidine, neuroleptics, and general anesthetic agents. Ethanol, phenothiazines, and sedative-hypnotics also reduce the body’s ability to respond to low ambient temperatures.” An online book, Pediatric Emergency Medicine [2] has a long list of potential causes of hypothermia in children and infants (see URL below). References 1) 2 (...) Are there any medical conditions which would lead to un-explained episodes of hypothermia in a 4 year old child who is otherwise well? Are there any medical conditions which would lead to un-explained episodes of hypothermia in a 4 year old child who is otherwise well? - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere

2008 TRIP Answers

12214. What is the guidance regarding second vaccination with Pneumovac. My Problem is that I have patients who have moved to the area in a nursing home with incomplete medical records. In some there is no h

What is the guidance regarding second vaccination with Pneumovac. My Problem is that I have patients who have moved to the area in a nursing home with incomplete medical records. In some there is no h What is the guidance regarding second vaccination with Pneumovac. My Problem is that I have patients who have moved to the area in a nursing home with incomplete medical records. In some there is no history of them having Pneumovac although I feel that some may have due to history of chronic chest (...) ) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain this collection for a historical and research reasons. More results What is Trip? Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality

2008 TRIP Answers

12215. What general vacines should HIV positive patients have and how effective are they?

are links to appropriate guidelines: The Green Book, Chapter 7, Immunisation of People with underlying medical Conditions. British HIV Association (2006) Immunisation guidelines for HIV-infected adults. Medical Foundation for AIDS & Sexual Health , HIV in Primary Care Answered 27 October 2008 Follow us: © 2019 Trip Database Ltd. company number 04316414. Trip is proud to be made in the UK. (...) What general vacines should HIV positive patients have and how effective are they? What general vacines should HIV positive patients have and how effective are they? - Trip Database or use your Google+ account Turning Research Into Practice ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches

2008 TRIP Answers

12216. Return to Work After Hand Injury: the Role of Medical, Demographic and Psycho-Social Factors

research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 60 Years (Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Individuals will be recruited from those referred to occupational therapy department at Soroka Medical Center. Criteria Inclusion Criteria: The individual worked until he/she was injured Traumatic hand injury including (...) Return to Work After Hand Injury: the Role of Medical, Demographic and Psycho-Social Factors Return to Work After Hand Injury: the Role of Medical, Demographic and Psycho-Social 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

2008 Clinical Trials

12217. A Comparison of Primary Care and Traditional Internal Medicine Residents

of Primary Care and Traditional Internal Medicine Residents 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: NCT00224224 Recruitment Status : Completed First Posted : September 22, 2005 Last Update Posted : April 3, 2008 Sponsor: Weill Medical College of Cornell University Information provided by: Weill (...) Medical College of Cornell University Study Details Study Description Go to Brief Summary: The goal of this study is to identify objective differences between primary care and traditional medicine residents in clinical performance, continuity of care and utilization of resources. Specifically, this retrospective study will analyze the database collected by CLIMACS, the computer system at Cornell Internal Medicine Associates (CIMA). This system is used for clinical and administrative purposes

2005 Clinical Trials

12218. Medicinal Plant Use for Treating Inflammation Among Dominicans in New York City and the Dominican Republic

of this study is to determine medical plant knowledge and use among Dominican traditional healers and patients in New York City and in the Dominican Republic. This study will comprise two parts. In Part I, Dominican medicinal plant users and Dominican traditional healers in New York City will be questioned about the medicinal plant species they know and how they are used for prevalent illnesses. The same number of participants will be interviewed in the Dominican Republic, allowing for detailed comparisons (...) Measures : Identification of culturally important medicinal plants [ Time Frame: June 2010 ] 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

2005 Clinical Trials

12219. Bibliometric analysis of the American Journal of Veterinary Research to produce a list of core veterinary medicine journals Full Text available with Trip Pro

articles in zone 2, and 1,409 journals produced 7,422 cited articles in zone 3.A core collection of veterinary medicine journals would include 49 veterinary medicine journals from zones 1 and 2. Libraries supporting a veterinary curriculum or veterinary research should also include veterinary medical journals from Zone 3, as well as provide access to journals in non-veterinary subjects such as biochemistry, virology, orthopedics, and surgery and a selection of general science and medical journals. (...) of productivity to create a core list of journals most frequently used by veterinary medical researchers.The majority of items cited were journals (88.8%), followed by books (9.8%) and gray literature (2.1%). Current sources of information were favored; 65% of the journals and 77% of the books were published in 1990 or later. Dividing the cited articles into 3 even zones revealed that 24 journals produced 7,361 cited articles in the first zone. One hundred thirty-nine journals were responsible for 7,414 cited

2006 Journal of the Medical Library Association

12220. In a medical bookshop Full Text available with Trip Pro

In a medical bookshop 17263941 2007 07 31 2008 11 20 0960-1643 57 535 2007 Feb The British journal of general practice : the journal of the Royal College of General Practitioners Br J Gen Pract In a medical bookshop. 161 Vernon Gervase G eng Journal Article England Br J Gen Pract 9005323 0960-1643 IM Attitude of Health Personnel Empathy Family Practice Humans Reference Books, Medical 2007 2 1 9 0 2007 8 1 9 0 2007 2 1 9 0 ppublish 17263941 PMC2034186

2007 The British Journal of General Practice

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