OBJECTIVE To describe priority setting for admissions in a hospital critical care unit and to evaluate it using the ethical framework of "accountability for reasonableness. DESIGN Qualitative case study and evaluation using the ethical framework of accountability for reasonableness. SETTING A medical/surgical intensive care unit in a large urban university-affiliated teaching hospital in To...

BACKGROUND At the drug scene some major shifts were observed, more and more reports highlighted the abuse of prescription medication. Despite the importance of controlled medication in treatment child and adolescent disorders, this increase may be a factor which influence misuse and nonmedical use of prescribed drugs among adolescents. SUBJECT AND METHODS Croatian data from ESPAD survey in 20...

The purpose of this longitudinal study (N = 2,745) was to determine whether adolescents' recent medical use of anxiolytic or sleep medication was associated with increased incidence of using someone else's prescription for these classes of medication (nonmedical use). Data were collected from adolescents attending 5 Detroit area secondary schools between December and April in 3 consecutive acad...

CONTEXT Little is known about the incorporation of integrative medicine (IM) and complementary and alternative medicine (CAM) into family medicine residency programs. OBJECTIVE The Society for Teachers of Family Medicine (STFM) approved a set of CAM/IM competencies for family medicine residencies. We hope to evaluate whether residency programs are implementing such competencies into their cur...

This study investigates the role of retail pharmacy ownership in opioid epidemic. Using data prescription orders, we show that compared with chain pharmacies, independent pharmacies dispense 39.1 percent more opioids and 60.5 OxyContin. After an becomes a pharmacy, dispensing decreases. OxyContin reformulation, which reduced nonmedical demand but not legitimate medical demand, at least one-thir...

There are many patients with inflammatory acne vulgaris who are not compliant or eligible to consume acne medications, such as oral antibiotics or isotretinoin. PubMed and Medline databases were searched for all related articles. All finding were summarized and chronologically presented in the tables. Nonmedical device-based therapies largely improve the treatment of active inflammatory acne vu...

OBJECTIVES To develop a framework for defining the potential value of diagnostic testing, and discuss its implications for the health-care delivery system. METHODS We reviewed the conceptual and empirical literature related to the valuing of diagnostic tests, and used this information to create a framework for characterizing their value. We then made inferences about the impact of this framew...

The global crisis of antibiotic resistance has reached a point where, if action is not taken, human medicine will enter a postantibiotic world and simple injuries could once again be life threatening. New antibiotics are needed urgently, but better use of existing agents is just as important. More appropriate use of antibiotics in medicine is vital, but the extensive use of antibiotics outside ...