Vital Signs: More Than Half of Patients Discussed Health Information Found Online With Their Physician in the Past Year

2005 ◽  
Vol 36 (9) ◽  
pp. 2
Keyword(s):  
Health Information ◽  
Vital Signs ◽  
The Past

scholarly journals Tuberculous Sacroiliitis after a Penicillin Injection: A Case Report

2020 ◽  
Author(s):  
Mohammad Darvishi ◽  
Sana Rashidi ◽  
Setayesh Abazari
Keyword(s):  
Sacroiliac Joint ◽  
Vitamin B6 ◽  
Laboratory Data ◽  
Vital Signs ◽  
Major Health ◽  
The Past ◽  
Osteoarticular Tuberculosis ◽  
Lung Auscultation ◽  
The Right ◽  
Time Of Admission

Tuberculosis is one of the major health problems in developing countries affecting different organs such as bone and joints. One of the most important involvements of osteoarticular tuberculosis is that of the sacroiliac joint. In addition, its incidence has increased over the past several years. Early diagnosis is necessary to prevent further disorders such as neurological and surgical complications. We report a tuberculous arthritis case in the right sacroiliac joint, which developed after penicillin injection. The patient was a 32-year-old man admitted to Besat hospital, Tehran, Iran. He complained of pain, erythema and swelling in his right buttock starting approximately 17 years previously, after a penicillin injection, which was followed by the emergence of an orifice with yellow secretions. Over the years, the secretions continued but the pain, swelling and erythema were resolved. At the time of admission, his vital signs were stable and normal. In the physical examination, an orifice with a small amount of yellow secretion was detected on the right buttock as claimed by the patient. Lung auscultation was clear. No lymphadenopathy was detected. Laboratory data were normal. During hospitalization, initial antibiotic therapy was prescribed. After Mycobacterium tuberculosis was detected in culture, a 4-drug anti-TB therapy encompassing rifampin, isoniazid, ethambutol and pyrazinamide was prescribed for 18–24 months, in addition to daily vitamin B6 and pantoprazole.

Personal Health Records Systems Go Mobile

2011 ◽  
pp. 750-772
Author(s):  
Phillip Olla ◽  
Joseph Tan
Keyword(s):  
Health Information ◽  
Mobile Device ◽  
Personal Health Record ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Record ◽  
Health Records ◽  
Extant Literature ◽  
The Past ◽  
Secure Environment

This chapter provides an overview of mobile personal health record (MPHR) systems. A Mobile personal health record is an eclectic application through which patients can access, manage, and share their health information from a mobile device in a private, confidential, and secure environment. Personal health records have evolved over the past three decades from a small card or booklet with immunizations recorded into fully functional mobile accessible portals, and it is the PHR evolution outside of the secure healthcare environment that is causing some concerns regarding privacy. Specifically, the chapter reviews the extant literature on critical evaluative components to be considered when assessing MPHR systems.

scholarly journals Hospital and Health Information Systems – Current Perspectives

2011 ◽  
Vol 20 (01) ◽  
pp. 73-82
Author(s):  
M. Ball ◽  
C. Boyer ◽  
P. L. Elkin ◽  
K. Ishikawa ◽  
C. Jaffe ◽  
...  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Information Systems ◽  
Developing Nations ◽  
Entire Group ◽  
Next Generation ◽  
Government Officials ◽  
Patient Centered ◽  
The Past ◽  
Writing Group

SummaryTo celebrate over 30 years of health information systems’ (HIS) evolution by bringing together pioneers in the field, members of the next generation of leaders, and government officials from several developing nations in Africa to discuss the past, present, and future of HISs.Participants gathered in Le Franschhoek, South Africa for a 2 ½ day working conference consisting of scientific presentations followed by several concurrent breakout sessions. A small writing group prepared draft statements representing their positions on various topics of discussion which were circulated and revised by the entire group.Many new tools, techniques and technologies were described and discussed in great detail. Interestingly, all of the key themes identified in the first HIS meeting held over 30 years ago are still of vital importance today: Patient Centered design, Clinical User Support, Real-time Education, Human-computer Factors and Measuring Clinical User Performance, Meaningful use.As we continue to work to develop next-generation HISs, we must remember the lessons of the past as we strive to develop the solutions for tomorrow.

Participants as Partners in Genetic Research

2016 ◽  
Author(s):  
Rebecca Dresser
Keyword(s):  
Health Information ◽  
Genetic Research ◽  
Practical Reasons ◽  
Research Subjects ◽  
Genetic Studies ◽  
The Past ◽  
The People ◽  
Study Results ◽  
Traditional Approaches

This chapter focuses on subject-centered developments in genetic research. Modern genetic research requires scientists to collect, store, and study DNA samples and health information from thousands of people. In the past, researchers have been allowed to use DNA samples and information without consent. Researchers have not been required to explain study results to subjects, nor have they been required to compensate people who contribute samples and health information to genetic studies. Experts developed these practices without input from the people whose contributions are essential to the genetic research enterprise. A growing amount of evidence shows that many research subjects and prospective subjects disagree with these traditional approaches. For ethical and practical reasons, subjects should have a greater role in determining how genetic research is conducted.

Are High-Dose Perioperative Steroids Necessary in Patients Undergoing Colorectal Surgery Treated with Steroid Therapy Within the Past 12 Months?

2011 ◽  
Vol 77 (10) ◽  
pp. 1295-1299 ◽  
Author(s):  
Karen Zaghiyan ◽  
Gil Melmed ◽  
Zuri Murrell ◽  
Phillip Fleshner
Keyword(s):  
Colorectal Surgery ◽  
Chart Review ◽  
Vital Signs ◽  
Hemodynamic Instability ◽  
Beta Blockade ◽  
High Dose ◽  
The Past ◽  
Significant Difference ◽  
Inflammatory Bowel ◽  
A Prospective Study

Patients previously on corticosteroids within 1 year before surgery are routinely treated with perioperative high-dose corticosteroids. However, there is little evidence to support this practice. We postulated that patients off steroids but treated with corticosteroids within 1 year before surgery may be safely managed without perioperative steroids. A chart review was performed on patients with inflammatory bowel disease (IBD) treated with corticosteroids within 1 year before surgery. Patients received either perioperative high-dose steroids (HDS) or no steroids (NS). Perioperative vital signs were assessed. Forty-nine operations were performed. Eleven patients received HDS and 38 patients received NS. Aside from a higher incidence of tachycardia (heart rate greater than 100 beats/min) in the HDS group (82%) compared with the NS group (42%), there was no significant difference in hemodynamic instability between the two groups. One patient in the NS group required a single dose of intraoperative vasopressor after aggressive beta-blockade. All other episodes of hemodynamic instability resolved with no intervention, fluid boluses, or blood transfusion. No patients required rescue high-dose steroids for adrenal insufficiency. In patients with IBD undergoing major colorectal surgery, treated with corticosteroids within the past year, management without perioperative steroids seems safe. A prospective study assessing perioperative corticosteroid dosing is in progress.

scholarly journals Patient portals and personal health information online: perception, access, and use by US adults

2016 ◽  
Vol 24 (e1) ◽  
pp. e173-e177 ◽  
Author(s):  
Sue Peacock ◽  
Ashok Reddy ◽  
Suzanne G Leveille ◽  
Jan Walker ◽  
Thomas H Payne ◽  
...  
Keyword(s):  
Health Care ◽  
Health Information ◽  
Health Care Providers ◽  
Race And Ethnicity ◽  
Personal Health Information ◽  
Personal Health ◽  
Care Providers ◽  
Patient Portals ◽  
The Past ◽  
Patient Race

Background: Access to online patient portals is key to improving care, but we have limited understanding of patient perceptions of online portals and the characteristics of people who use them. Methods: Using a national survey of 3677 respondents, we describe perceptions and utilization of online personal health information (PHI) portals. Results: Most respondents (92%) considered online PHI access important, yet only 34% were offered access to online PHI by a health care provider, and just 28% accessed online PHI in the past year. While there were no differences across race or ethnicity in importance of access, black and Hispanic respondents were significantly less likely to be offered access (P = .006 and <.001, respectively) and less likely to access their online PHI (P = .041 and <.001, respectively) compared to white and non-Hispanic respondents. Conclusion: Health care providers are crucial to the adoption and use of online patient portals and should be encouraged to offer consistent access regardless of patient race and ethnicity.

Cyclic Antidepressant Poisoning: A Review and Case Report

1993 ◽  
Vol 6 (2) ◽  
pp. 89-102 ◽  
Author(s):  
Henry Cohen ◽  
Robert S. Hoffman ◽  
Mary Ann Howland
Keyword(s):  
Supportive Care ◽  
Tricyclic Antidepressants ◽  
Vital Signs ◽  
The United States ◽  
Qrs Complex ◽  
The Past ◽  
Life Threatening ◽  
Gastrointestinal Decontamination ◽  
Cns Depression ◽  
Intravenous Sodium

Although newer cyclic antidepressants have been introduced over the past several years, the tricyclic antidepressants (TCAs) continue to be the leading cause of morbidity from drug overdose in the United States. Overdose features depend on the particular cyclic antidepressant ingested and its pharmacological properties, and can include CNS depression, cardiac arrhythmias, hypotension, seizures, and anticholinergic symptomatology. Life-threatening symptomatology almost always begins within 2 hours, and certainly within 6 hours, after arrival to the emergency department. Plasma TCA levels are unreliable predictors of TCA toxicity and are not recommended. An ECG with a prolonged QRS complex more than 100 msec seems to be the best indicator of serious sequelae with TCAs. Management consists of stabilization of vital signs, gastrointestinal decontamination, intravenous sodium bicarbonate, and supportive care. Agents once thought to be useful for the treatment of cardiac dysrhythmias and seizures such as phenytoin and physostigmine should be avoided. The future of TCA antibody fragments in the treatment of TCA overdose seems promising. Newer and, to some degree, safer antidepressants in overdose have recently been introduced, and they include fluoxetine, trazodone, and sertraline. Amoxapine, bupropion, and maprotiline seem to be as toxic as the TCAs. A significant interaction between cyclic antidepressants and monoamine-oxidase inhibitors exists. Management includes supportive care and basic poison management. Prevention of poisoning seems to be the most logical and effective method of maintaining patient safety. TCAs should be avoided in children younger than 6 years old. All adults with suicidal ideations should receive no more than a 1-week supply (about 1 g) of drug. Finally consideration should be given to using one of the newer, safer antidepressants in all patients with suicidal ideations.

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