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41. Utilization of an interprofessional integrated clinical education experience to improve medical and physical therapy student comfort in treating patients with disabilities. (Abstract)

Utilization of an interprofessional integrated clinical education experience to improve medical and physical therapy student comfort in treating patients with disabilities. The purpose of this study is to examine the impact of an interprofessional education (IPE) clinical experience for medical and physical therapy students on students' comfort levels and attitudes toward patients with disabilities.Forty students were recruited for this study, 20 from the College of Medicine and 20 from (...) with disabled persons (IDP) failed to find statistically significant changes in respondent scores due to the intervention (P > 0.05).Both medical and physical therapy students reported increased comfort in dealing with rehabilitation situations after attending the IPE clinical experience. This supports the use of clinical encounters with individuals with disabilities as component of education on treating patients with disabilities.

2019 Education for health (Abingdon, England) Controlled trial quality: uncertain

42. Medical History in Art: A brief history of one of the most symbolic tools in medicine

Medical History in Art: A brief history of one of the most symbolic tools in medicine Medical History in Art: A brief history of one of the most symbolic tools in medicine - CanadiEM Medical History in Art: A brief history of one of the most symbolic tools in medicine In by Tetyana Maniuk March 31, 2018 Laennec – Unknown artist (Click for larger image) Yesterday (March 30th, 2018) was National Doctor’s Day in the United States, and we thought it would be fitting to do a feature on arguably one (...) when done by experienced cardiologists, this may not be the case for the average physician. 8 Moreover, Verhgese et al (2015) found that of 208 medical error vignettes, 63% were caused by failure to even perform a physical exam and a large portion of the rest was due to doing a poor one. 9 Maybe one day the traditional physical exam will be completely replaced by the likes of POCUS or other advanced imaging. For now, a well done and appropriate physical exam is still part of the physician’s

2018 CandiEM

43. Herbal cannabis and pharmaceutical cannabinoid treatment following motor vehicle accidents: A state of the science review

of prescription drug therapy 1 1.2 ICBC prescription medication funding policy 2 1.3 Herbal cannabis and pharmaceutical cannabinoids in clinical medical practice in Canada 2 2.0 An overview of a graduated evidence-informed, ICBC funding model 3 2.1 Funding policy decisions within a graduated, evidence informed ICBC funding model 5 2.2 Pharmaceutical cannabinoid medications for regulatory approved indications (LEVEL 1) 6 2.3 Pharmaceutical cannabinoids for indications without regulatory approval (LEVEL 2) 6 (...) and a doctor’s prescription which, to some extent, it adjudicates as to the appropriateness of diagnosis and the type and volume of drugs prescribed. Decisions regarding funding of herbal cannabis and pharmaceutical cannabinoidss fit within this well established ICBC funding policy framework. 1.3 Herbal cannabis and pharmaceutical cannabinoids in clinical medical practice in Canada The application of scientific medical knowledge of herbal cannabis and pharmaceutical cannabinoid therapy to clinical medical

2020 Therapeutics Letter

44. Correlates of Non-Medical Prescription Drug Misuse Among a Treatment-Seeking Population: A Comparison with Illicit Drug Users Full Text available with Trip Pro

Correlates of Non-Medical Prescription Drug Misuse Among a Treatment-Seeking Population: A Comparison with Illicit Drug Users Prescription drugs (PD) undoubtedly help people with various physical or psychiatric ailments. Nevertheless, they are often diverted and misused (use without prescription or for purposes/in ways not intended by the prescriber). This study compared the sociodemographic and clinical correlates of those who misused PDs, used illegal drugs and co-ingested both, to identify (...) those who were at a high risk of misusing these drugs. Retrospective analysis of the treatment outcome monitoring (TOM) data for the period of 2013⁻2017 identified 1369 subjects for the study; 295 patients presented with PD use disorder (PDUD alone), 811 with illegal drug use disorder (IDUD alone), and 263 had both PDUD and IDUD. The study sample included treatment seeking population (Singaporeans and permanent residents). TOM data included data collected through direct interviews (addiction

2018 International journal of environmental research and public health

45. Association Between Modifiable Risk Factors and Pharmaceutical Expenditures Among Adults With Atherosclerotic Cardiovascular Disease in the United States: 2012–2013 Medical Expenditures Panel Survey Full Text available with Trip Pro

Association Between Modifiable Risk Factors and Pharmaceutical Expenditures Among Adults With Atherosclerotic Cardiovascular Disease in the United States: 2012–2013 Medical Expenditures Panel Survey Atherosclerotic cardiovascular disease (ASCVD) causes most deaths in the United States and accounts for the highest healthcare spending. The association between the modifiable risk factors (MRFs) of ASCVD and pharmaceutical expenditures are largely unknown.We examined the association between MRFs (...) and pharmaceutical expenditures among adults with ASCVD using the 2012 and 2013 Medical Expenditure Panel Survey. A 2-part model was used while accounting for the survey's complex design to obtain nationally representative results. All costs were adjusted to 2013 US dollars using the gross domestic product deflator. The annual total pharmaceutical expenditure among those with ASCVD was $71.6 billion, 33% of which was for medications for cardiovascular disease and 14% medications for diabetes mellitus

2017 Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

46. Integration of musculoskeletal physical therapy care in the patient-centred medical home (IMPaC): protocol for a single-site randomised clinical trial. Full Text available with Trip Pro

Integration of musculoskeletal physical therapy care in the patient-centred medical home (IMPaC): protocol for a single-site randomised clinical trial. Annually, >50% of the US population reports musculoskeletal (MSK) pain to a provider, with direct healthcare costs exceeding $185 billion. The number of MSK complaints and the associated costs are projected to rise, increasing demand for and burden on providers. Establishing new care models to decrease inefficiencies may lower costs and optimise (...) care delivery. The purpose of the Integration of Musculoskeletal Physical Therapy Care in the Patient-Centred Medical Home (IMPaC) study is to compare initial evaluation by a physical therapist (PT) integrated into primary care versus initial evaluation by a primary care provider (PCP) for patients with an MSK complaint.This single-site, randomised clinical trial will test the hypothesis that a PT within a primary care facility as the initial evaluating provider for patients with an MSK complaint

2018 BMJ open Controlled trial quality: uncertain

47. For mild hypertension in low-risk adults, harms of drug therapy outweigh benefits

. A recently published in JAMA Internal Medicine sought to clarify the benefits and harms of drug therapy in low-risk adults with mild hypertension using data from 40,000 patients in an electronic health records database in the United Kingdom. The authors compared the outcomes of persons aged 18 to 74 with mild hypertension who were prescribed anti-hypertensive medications within 12 months of diagnosis to those in similar untreated persons. Persons with a history of CVD, left ventricular hypertrophy (...) For mild hypertension in low-risk adults, harms of drug therapy outweigh benefits The AFP Community Blog: For mild hypertension in low-risk adults, harms of drug therapy outweigh benefits | Tuesday, November 6, 2018 - Kenny Lin, MD, MPH Prior to publication of the controversial , stage 1 or "mild" hypertension was defined as a systolic blood pressure of 140-159 mm Hg and/or diastolic blood pressure of 90-99 mm Hg. Although guidelines have recommended that persons with mild hypertension receive

2018 The AFP Community Blog

48. AAPM medical physics practice guideline 10.a.: Scope of practice for clinical medical physics Full Text available with Trip Pro

AAPM medical physics practice guideline 10.a.: Scope of practice for clinical medical physics The American Association of Physicists in Medicine (AAPM) is a nonprofit professional society whose primary purposes are to advance the science, education, and professional practice of medical physics. The AAPM has more than 8000 members and is the principal organization of medical physicists in the United States. The AAPM will periodically define new practice guidelines for medical physics practice (...) to the recommendation is considered necessary to conform to this practice guideline. Should and Should Not: Used to indicate a prudent practice to which exceptions may occasionally be made in appropriate circumstances.© 2018 American Association of Physicists in Medicine. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

2018 Journal of Applied Clinical Medical Physics

49. Evaluation of the current status of Rehabilitation, Physical Medicine and Naturopathy education 10 years after the reform of the Medical Licensure Act – a nationwide survey of German Medical Universities Full Text available with Trip Pro

Evaluation of the current status of Rehabilitation, Physical Medicine and Naturopathy education 10 years after the reform of the Medical Licensure Act – a nationwide survey of German Medical Universities Introduction: After the reform of the German Medical Licensure Act of 2003, Rehabilitation, Naturopathy and Physical Medicine were integrated into one discipline to be taught in Medical University. The aim of this survey is to determine the outcome of this change by evaluating the current (...) methods were not in evidence. Lecturers were generally pleased to be working with the combination of the three disciplines. Conclusion: Future medical education should improve upon teaching coordination and aim towards a common curriculum for these three disciplines. Expected future changes to medical curricula will provide opportunities to improve the implementation of Rehabilitation, Physical Medicine and Naturopathy in teaching and research.

2017 GMS journal for medical education

50. Intrapartum care for women with existing medical conditions or obstetric complications and their babies

medical conditions or obstetric complications and their babies (NG121) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Last updated April 2019 Page 24 of 961.6.11 Be aware that non-steroidal anti-inflammatory drugs can add to the risk of bleeding. 1.6.12 Before discharge from hospital, inform women with bleeding disorders of the risk of secondary bleeding postpartum and how to access care. T o find out why the committee (...) Intrapartum care for women with existing medical conditions or obstetric complications and their babies Intr Intrapartum care for women with apartum care for women with e existing medical conditions or obstetric xisting medical conditions or obstetric complications and their babies complications and their babies NICE guideline Published: 6 March 2019 www.nice.org.uk/guidance/ng121 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

51. [Interaction between antihypertensive therapy and exercise training therapy requires drug regulation in hypertensive patients]. Full Text available with Trip Pro

[Interaction between antihypertensive therapy and exercise training therapy requires drug regulation in hypertensive patients]. Exercise training could interact with the pharmacological therapy of hypertension, increasing the effects of these medications.To assess the effects of 12 weeks of physical training on blood pressure of hypertensive or diabetic patients, already receiving pharmacological therapy.Twelve participants with diabetes and hypertension, 16 participants with hypertension (...) mm Hg in participants with diabetes and hypertension, participants with hypertension and healthy participants, respectively. Diastolic blood pressure decreased by 9 and 6 mmHg in participants with diabetes and hypertension and hypertension alone, respectively.There is a decrease in blood pressure among hypertensive participants receiving pharmacological therapy, after a period of physical training.

2016 Revista Medica De Chile

52. Factors associated with physical and sexual violence by police among people who inject drugs in Ukraine: implications for retention on opioid agonist therapy. Full Text available with Trip Pro

Factors associated with physical and sexual violence by police among people who inject drugs in Ukraine: implications for retention on opioid agonist therapy. Ukraine's volatile HIV epidemic, one of the largest in Eastern Europe and Central Asia, remains concentrated in people who inject drugs (PWID). HIV prevalence is high (21.3% to 41.8%) among the estimated 310,000 PWID. Opioid agonist therapy (OAT) is the most cost-effective HIV prevention strategy there, yet OAT services are hampered (...) , as well as random sampling. We analysed correlates of police violence by multiple factors, including by gender, and their effects on duration of OAT retention. Self-reported physical and sexual violence by police were the two primary outcomes, while retention on OAT was used as a secondary outcome.Overall, 1033 (64.0%) PWID reported being physically assaulted by police, which was positively correlated with currently or previously being on OAT (69.1% vs. 60.2%; p<0.01). HIV prevalence rates were higher

2016 Journal of the International AIDS Society

53. Effects of kinesiotaping versus non-steroidal anti-inflammatory drugs and physical therapy for treatment of pes anserinus tendino-bursitis: A randomized comparative clinical trial. Full Text available with Trip Pro

Effects of kinesiotaping versus non-steroidal anti-inflammatory drugs and physical therapy for treatment of pes anserinus tendino-bursitis: A randomized comparative clinical trial. Pes anserinus tendino-bursitis is a condition caused by repetitive friction over the bursa or direct trauma to knee joint and it presents with proximal medial tibial pain and swelling. The aim of this study is to determine the effects of kinesiotaping in comparison with naproxen and physical therapy in treatment (...) of pes anserinus tendino-bursitis.In a randomized comparative clinical trial 56 patients with clinical diagnosis of pes anserinus tendino-bursitis were randomly assigned to kinesiotaping and naproxen/physical therapy (28 patients in each group). Kinesiotaping on the tender area in the form of space-correction (lifting) technique was used and repeated for three times with a one-week interval. Another group received naproxen (250mg TID for 10 days) and ten sessions of daily physical therapy. The visual

2016 The Physician and sportsmedicine Controlled trial quality: uncertain

54. A randomized multicentre trial to compare revascularization with optimal medical therapy for the treatment of chronic total coronary occlusions Full Text available with Trip Pro

A randomized multicentre trial to compare revascularization with optimal medical therapy for the treatment of chronic total coronary occlusions The clinical value of percutaneous coronary intervention (PCI) for chronic coronary total occlusions (CTOs) is not established by randomized trials. This study should compare the benefit of PCI vs. optimal medical therapy (OMT) on the health status in patients with at least one CTO.Three hundred and ninety-six patients were enrolled in a prospective (...) in the PCI group and 7.3% cross-overs in the OMT group. At 12 months, a greater improvement of SAQ subscales was observed with PCI as compared with OMT for angina frequency [5.23, 95% confidence interval (CI) 1.75; 8.71; P = 0.003], and quality of life (6.62, 95% CI 1.78-11.46; P = 0.007), reaching the prespecified significance level of 0.01 for the primary endpoint. Physical limitation (P = 0.02) was also improved in the PCI group. Complete freedom from angina was more frequent with PCI 71.6% than OMT

2018 EvidenceUpdates

55. Recommendations: Prehospital Emergency Medical Services (EMS) COVID-19

notification, EMS providers should continue to communicate with the designated point of contact at the receiving facility with updates on the patient’s condition and ETA to facilitate reception of the patient immediately upon arrival. 3.9 Air Medical Transport Considerations Ground transport should be prioritized for stable PUIs even with extended transport distance as most medical transport aircrafts do not have a physical separation between the cockpit and the patient cabin. Flight Crew Precautions (...) Recommendations: Prehospital Emergency Medical Services (EMS) COVID-19 Prehospital Emergency Medical Services (EMS) C O V I D - 19 R e c o m m e n d a t i o n s Draft document, Version 4.4. March 27, 2020 PAN AMERICAN HEALTH ORGANIZATION (PAHO/WHO) | www.paho.org Prehospital Emergency Medical Services Prehospital Emergency Medical Services (EMS) COVID-19 Recommendations | 1 Contents Introduction 2 Section 1: DISPATCH / CALL MANAGEMENT 3 Section 2: PRE-TRANSPORT / EMS ON SCENE 4 Section 3: EMS

2020 WHO Coronavirus disease (COVID-19) Pandemic

56. The Geriatricians’ Perspective on Medical Services to Residential Aged Care Facilities (RCFs) in Australia.

Comprehensive Medical Assessments and Care Plans and assisting them with access to the multidisciplinary team enhancements and allied health funding. Multidisciplinary practice models that include a geriatrician, nurses, and allied health therapists, are the cornerstone of hospital and ambulatory geriatric medicine, and there is good evidence for the efficacy of this model in reducing decline in physical functioning. [54]. The Transition Care Program in Australia has allowed for the development (...) The Geriatricians’ Perspective on Medical Services to Residential Aged Care Facilities (RCFs) in Australia. Australian and New Zealand Society for Geriatric Medicine Position Statement No’s 9 and 10 The Geriatricians’ Perspective on Medical Services to Residential Aged Care Facilities (RCFs) in Australia. Revised August 2011 Companion paper regarding the NZ perspective to follow. 1. The demand for residential aged care in Australia continues to grow as the population ages. 2. Dementia, chronic

2020 Australian and New Zealand Society for Geriatric Medicine

57. Update on COVID-19 epidemiology and impact on medical care in children: April 2020

) and underline the primary importance of meticulous environmental cleaning [ ] . Managing children and youth infected with symptomatic COVID-19 No treatment for COVID-19 is proven to be effective at the present time, and early reports from trials of hydroxychloroquine in adults have not demonstrated any beneficial effect on morbidity or mortality [ ] . Several Canadian universities, research centres, and medical organizations have recommended against using of off-label, investigational therapies (...) (PHAC) has suggested that wearing a non-medical mask can prevent spread of respiratory droplets from contaminating others or landing on surfaces. Both the PHAC and the American Academy of Pediatrics (AAP) have indicated that masks covering the nose and mouth can be used by adults and by children over 2 years of age in community settings, for short periods, when physical distancing measures cannot be taken [ ] [ ] . Remind patients that touching the mask is a risk factor for contamination of hands

2020 Canadian Paediatric Society

58. Evaluating drugged driving: Effects of exemplar pain and anxiety medications. (Abstract)

Evaluating drugged driving: Effects of exemplar pain and anxiety medications. Distracted and drug-influenced driving presents a major risk for traffic safety morbidity and mortality. As part of an ongoing research program, we examined the effects of a commonly prescribed combination of medications for pain relief: alprazolam, a benzodiazepine, and a hydrocodone preparation, a combination opiate and acetaminophen, on a simulated driving protocol.Utilizing a within-subjects design, we recruited 8 (...) healthy experienced drivers without major physical and psychological histories. Using a double-blind, placebo-controlled crossover design, we administered placebo, alprazolam alone, hydrocodone/acetaminophen, and the combination of the 2 drugs in a standardized simulated driving protocol. Measures of lateral and longitudinal control were collected and the data were reduced and statically analyzed.The study observed clear detrimental effects of alprazolam on driving measures of lateral control

2019 Traffic injury prevention Controlled trial quality: uncertain

59. Teaching Physical Examination to Medical Students on Inpatient Medicine Teams: A Prospective, Mixed-Methods Descriptive Study. Full Text available with Trip Pro

Teaching Physical Examination to Medical Students on Inpatient Medicine Teams: A Prospective, Mixed-Methods Descriptive Study. Physical examination (PE) is a core clinical competency, and the internal medicine clerkship is a premiere venue for students to develop PE skills. However, clinical rotations often lack opportunities for real-time instruction. We sought to measure the frequency, content, and factors affecting PE instruction during the internal medicine clerkship. We conducted (...) to affect PE instruction. In brief, we found that residents and attending physicians who are part of internal medicine teaching services do not routinely emphasize PE instruction.© 2018 Society of Hospital Medicine.

2018 Journal of Hospital Medicine

60. Sustainability of physical exam skills in a resident-led curriculum in a large internal medicine program with competency based medical education Full Text available with Trip Pro

Sustainability of physical exam skills in a resident-led curriculum in a large internal medicine program with competency based medical education Competency Based Medical Education (CBME) designates physical examination competency as an Entrustable Professional Activity (EPA). Considerable concern persists regarding the increased time burden CBME may place on educators. We developed a novel physical examination curriculum that shifted the burden of physical examination case preparation (...) and performance assessment from faculty to residents. Our first objective was to determine if participation led to sustainable improvements in physical examination skills. The second objective was to determine if resident peer assessment was comparable to faculty assessment.We selected physical exam case topics based on the Objectives of Training in the Specialty of Internal Medicine as prescribed by the Royal College of Physicians and Surgeons of Canada. Internal Medicine residents compiled evidence-based

2018 Canadian medical education journal

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