CLINICAL MEDICINE
The B-SMART Appropriate Medication-Use Process: A Guide for Clinicians to Help Patients--
Part 2: Adherence, Relationships, and Triage.
Part 2 of the B-SMART process--a guide to appropriate medication use--describes: adherence tools and reminders, relationships, and triage. Elements include: involving patients in the decision making, simplifying dosage regimens, education about the medication, self-management training, ongoing reinforcement and motivation, and positive relationships.
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Image Diagnosis: Interesting Computed Tomography Scans
from the Emergency Department.
Three examples of intracranial hemorrhage are described and visualized on computed tomography scans: subdural, subarachnoid, and intraparenchymal hemorrhage.
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Corridor Consult
What Do I Do with My Morbidly Obese Patient? A Detailed Case Study of Bariatric Surgery in Kaiser Permanente Southern California.
Most bariatric surgery studies have shown excellent weight-loss rates for up to two years after surgery, and that most patients maintain the loss for up to ten years. This article summarizes the bariatric surgery process through a detailed case study of how Kaiser Permanente Southern California screens, prepares, and follows patients.
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Corridor Consult
A Practical Drug Allergy Update:
What You Need to Know About Drug Allergies But Did Not Learn in Medical School.
The majority of adverse drug reactions are nonallergic. Of 275 individuals who reported ten or more drug “allergies,” 92% were women (mean age 67 years), and 60% had a diagnosis of depression or serious mental illness. The single most important thing that clinicians can do is not to use antibiotics outside the setting of bacterial infections.
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