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Retrospective evaluation of propofol usage and selected adverse events in adult patients meloxicam 15mg for sale. Retrospective evaluation of medication appropriateness and clinical pharmacist drug therapy recommendations for home-based primary care veterans order meloxicam 15 mg otc. Analysis of clinical intervention documentation by dispensing pharmacists in a teaching hospital meloxicam 7.5mg cheap. Mapping the future of hospital information systems: priorities for nursing applications buy 15mg meloxicam mastercard. The Electronic Pharmaceutical Dossier: an effective aid to documenting pharmaceutical care data. How frequently and in what amount: Medication breaks by transition between hospital and community care. Development of a pharmacist-coordinated system of chemotherapy protocols in an integrated healthcare delivery organization. Using computers to identify non-compliant people at increased risk of osteoporotic fractures in general practice: a cross-sectional study. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Proceedings - the Annual Symposium on Computer Applications in Medical Care 1993;144-8. Creating a healthcare culture of patient safety: A retrospective analysis of change readiness associated with the implementation of computerized provider order entry 2006. An extra dose of safety: Installation of a bar-coding system drives an entire workflow redesign at a non-profit hospital and healthcare network. Evaluation of a pharmacist-initiated E-script transcription service for discharged patients. Pen to keyboard: A multidisciplinary approach to transitioning from a paper to an electronic medication administration record. Design, implementation and evaluation of a clinical decision support system to prevent adverse drug events. Exclude - Not a Primary Study E-102 Delgado Sanchez O, Escriva Torralva A, Vilanova Bolto M, et al. Older adults’ attitudes towards and perceptions of ‘smart home’ technologies: A pilot study. Information integrity in healthcare enterprises: Strategies for mitigation of medical errors. A computer based medical consultation for antibiotherapy useful for mediccal practitioner. The new telemedicine paradigm: Fully automated real time web-centric expert system to support diabetes diagnosis. Evaluating the impact of an ambulatory computerized provider order entry system on outcomes in a community-based multispecialty health system. Prompting clinicians about preventive care measures: A systematic review of randomized controlled trials. Improving hypertension control: Impact of computer feedback and physician education. Journal of the American Health Information Management Association 2009;80(3):32-6. Journal of the American Health Information Management Association 2009;80(1):56-7. Adaption of bar code technology to an existing controlled drug record-keeping system. Chemotherapy error reduction: a multidisciplinary approach to create templated order sets. Clinic pharmacist’s use of prescription assistance programs to impact patient compliance. Description and outcomes of a custom Web-based patient occurrence reporting system developed for Baylor University Medical Center and other system entities. Struggling to invent high-reliability organizations in health care settings: Insights from the field. Reduction of clinic telephone consultation workload through a novel process using physician extenders and computer-based medication refill algorithms. Reducing drug costs at a Veterans Affairs hospital by increasing market-share of generic fluoxetine. Priorities and strategies for the implementation of integrated informatics and communications technology to improve evidence-based practice. Monitoring pharmacy expert system performance using statistical process control methodology. Medical decision making using the analytic hierarchy process: choice of initial antimicrobial therapy for acute pyelonephritis.

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Marfan syndrome is an excellent example of pleiotropy (choice E) discount 7.5 mg meloxicam overnight delivery, but this principle refers to the fact that a single mutation can affect multiple aspects of the phenotype order meloxicam 7.5 mg fast delivery, so it would not explain the pattern observed in this pedigree order 15mg meloxicam with mastercard. Pleiotropy refers to the multiple effects exerted by a single mutation and thus describes the two features observed in this patient effective 15mg meloxicam. Allelic heterogeneity is observed in osteogenesis imperfecta (choice A), but allelic hetero- geneity causes variable expression in patients and is not the principle described here. Osteogenesis imperfecta is a good example of a disease in which locus heterogeneity (choice C) is observed, but this principle refers to the fact that a mutation in either the type 1 pro collagen gene on chromosome 7 or the type 1 procollagen gene on chromo- some 17 can result in imperfect formation of the trimeric protein. A single mutation at either the chromosome 7 or chromosome 17 locus is sufficient to cause the disease, so multiple mutations (choice D) do not explain the pattern. Imprinting refers to the differential transcriptional activity of genes inherited from the father versus the mother. Under mitochondrial inheritance (choice B), only an affected mother can transmit the disease phenotype; the offspring of affected males are always unaffected. The other modes of inheritance can influence the relative proportions of affected indi- viduals who belong to one gender or the other (e. If both parents are heterozygotes, there is a 75% chance that their offspring will receive one or two copies of the disease-causing gene (i. Frameshift mutations (choice A) are the result of the deletion or insertion of a series of. Although the insertion or deletion of a single nucleotide would produce a frameshift, it is highly unlikely that it would alter only a single amino acid. An in-frame mutation (choice B) is the insertion or deletion of a multiple of three nucleotides, so this single-nucleotide substitution cannot be an in-frame mutation. A nonsense mutation (choice D) is a single nucleotide substitution that produces a stop codon and thus truncation of the polypeptide. Thus, more than a sirigle amino acid would be altered in a typical splice-site mutation. Pleiotropy refers to the appearance of apparently unrelated characteristics resulting from a single genetic defect. It is often the result of the presence of a single altered molecule in multiple locations in the body, so that the single mutation has effects in multiple organ systems. In Marfan syndrome, for example, a defect in the fibrillin gene causes manifestations of the disease in the eye, aorta, and joirits. Anticipation (choice A) describes the finding that in some pedigrees, a disease trait occurs in earlier and earlier age groups as the generations progress. It is often a finding in pedi- grees in which trinucleotide repeat expansions are linked to disease expression. Imprinting (choice B) r~fers to the selective inactivati~n of a gene in one ~f the parental sexes during gametogenesis. Males and females inactivate different regions on several autosomal chromosomes, so that the maternal or paternal source of such a chromosome may have different results in the progeny. Incomplete penetrance (choice C) indicates that a certain fraction of individuals with a disease-producing genotype develop no symptoms. An example is hemochromatosis in which 1/300 people in the United States have the disease-producing genotype, but only about 1/2,000 ever show symptoms of the disease. Locus heterogeneity (choice D) refers to the case in which a mutation in anyone of several distinct genetic loci can result in a single disease phenotype. In most cases, the presence of a second, normal X chromosome in these female heterozygotes will prevent the expression of the disease. In some cases, however, inactivation of the normal X-chromosome may occur in an unusually high percentage of her cells. If this happens, most cells will have the X-chromosome with the mutation, and even though she is heterozygous she may manifest symptoms (manifesting heterozygote). Her father is unaf- fected by this X-linked recessive trait and therefore necessarily has the normal allele. The woman has inherited the disease-causing allele from her mother but as a carrier should have 50% normal enzyme activity and should not show symptoms. Variable expression (choice E) refers to the situation in which"individuals with the disease- producing genotype havevarying degrees of phenotypic expression. This patient has fragile X syndrome, which is the most common cause of inherited mental retardation and, after trisomy 21, is the second most common" cause of genetically associated mental deficiencies. The standard diagnostic testing for fragile X syndrome uses molecular genet- ic techniques. Fragile X is also seen in females where learning disabilities and mild mental retardation characterize the syndrome.

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Patient was placed in the dorsal lithotomy position and draped and prepped in the usual manner cheap 15mg meloxicam amex. Once the stent was visualized cheap meloxicam 7.5mg overnight delivery, it was grasped with the grasping forceps and removed as the scope was withdrawn cheap 7.5mg meloxicam otc. What imaging technique was used for positioning the patient to ensure that the shock waves would strike the calculus? Female Reproductive Organs • Describe the functional relationship between the Ovaries female reproductive system and other body Fallopian Tubes systems cheap 7.5mg meloxicam visa. Uterus and Vagina • Recognize, pronounce, spell, and build words related Mammary Glands Menstrual Cycle to the female reproductive system. Pregnancy • Describe pathological conditions, diagnostic and Labor and Childbirth therapeutic procedures, and other terms related to Menopause the female reproductive system. Connecting Body Systems–Female Reproductive • Explain pharmacology related to the treatment of System female reproductive disorders. Medical Word Elements • Demonstrate your knowledge of this chapter by Pathology completing the learning and medical record Menstrual Disorders activities. The female reproductive system is composed of Included in these structures are the (5) labia mino- internal and external organs of reproduction. Anterior view Sacrum Peritoneal cavity (1) Ovary (2) Fallopian tube (3) Uterus (oviduct) Urinary bladder Rectum Pubis Urethra (7) Clitoris Cervix (5) Labia minora Anus (6) Labia majora (4) Vagina Perineum (8) Bartholin gland B. Anatomy and Physiology 351 Anatomy and Physiology This section introduces important female reproductive system terms and their definitions. Gestation (pregnancy) of less than 36 weeks is -ation: process (of) regarded as premature. The female reproductive organs include the ovaries, The corpus luteum degenerates at the end of a non- fallopian tubes, uterus, and vagina. Estrogen and progesterone influence designed to produce ova (female reproductive cells), the menstrual cycle and menopause. They also pre- transport the cells to the site of fertilization, provide pare the uterus for implantation of the fertilized a favorable environment for a developing fetus egg, help maintain pregnancy, promote growth of through pregnancy and childbirth, and produce the placenta, and play an important role in develop- female sex hormones. The (1) ovaries are almond-shaped glands located The (6) fimbriae are fingerlike projections that in the pelvic cavity, one on each side of the uterus. If structures called (2) graafian follicles, each contain- the egg unites with a spermatozoon, the male ing an ovum. When an ovum ripens, the (3) mature reproductive cell, fertilization or conception takes follicle moves to the surface of the ovary, ruptures, place. If conception does not occur, the ovum dis- and releases the ovum; a process called ovulation. The area The (7) uterus contains and nourishes the embryo between the vaginal orifice and the anus is known from the time the fertilized egg is implanted until as the perineum. It is a muscular, hollow, invert- be surgically incised to enlarge the vaginal opening ed–pear-shaped structure located in the pelvic area for delivery. Their biological role is to secrete ing consists of folds of mucous membrane that milk for the nourishment of the newborn; a give the organ an elastic quality. Breasts begin to develop excitement, the vaginal orifice is lubricated by during puberty as a result of periodic stimulation secretions from (12) Bartholin glands. In addi- of the ovarian hormones estrogen and proges- tion to serving as the organ of sexual intercourse terone and are fully developed by age 16. Es- and receptor of semen, the vagina discharges men- trogen is responsible for the development of strual flow. It also acts as a passageway for the (1) adipose tissue, which enlarges the size of the delivery of the fetus. Breast size to the vaginal orifice, is composed of erectile tissue is primarily determined by the amount of fat that is richly innervated with sensory endings. The around the glandular tissue but is not indicative clitoris is similar in structure to the penis in the of functional ability. Each breast is composed of Anatomy and Physiology 353 Rib Pectoral muscle Mammary lobule (2) Lactiferous duct (3) Nipple Supraclavicular lymph node (1) Adipose tissue Internal mammary lymph node Axillary lymph node (3) Nipple (4) Areola (1) Adipose tissue Breast tissue Lymph vessel Figure 12-3. Menstrual Cycle 15 to 20 lobules of milk-producing glands that are drained by a (2) lactiferous duct, which Menarche, the initial menstrual period, occurs at opens on the tip of the raised (3) nipple. Circling puberty (about age 12) and continues approxi- the nipple is a border of slightly darker skin called mately 40 years, except during pregnancy. During pregnancy, the breasts duration of the menstrual cycle is approximately enlarge and remain so until lactation ceases. Phase Description Menstrual Days 1 to 5 Uterine endometrium sloughs off because of hormonal stimulation; a process that is accompa- nied by bleeding. The detached tissue and blood are discharged through the vagina as menstrual flow. Ovulatory Days 6 to 14 When menstruation ceases, the endometrium begins to thicken as new tissue is rebuilt.

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Exclude - Not a Primary Study Can e-prescribing reduce drug costs under capitation? Exclude - Not a Primary Study What’s hot in the chain drug market - A report on the technology agenda based on a survey of nearly 40 large and small chains meloxicam 7.5mg for sale. Exclude - Not a Primary Study Advanced technologies to lower healthcare costs and improve quality purchase 15mg meloxicam amex. Exclude - Not a Primary Study Scanning medication barcodes improves accuracy at Lehigh Valley Hospital safe 15 mg meloxicam. Exclude - Not a Primary Study Use these tools to comply with patient safety goals cheap meloxicam 7.5mg free shipping. Exclude - Not a Primary Study Computer feedback promotes generic drug prescribing. Exclude - No Outcomes of Interest e-prescriptions: Surescripts making a difference? Exclude - Not a Primary Study E-scripts to provide new loyalty opportunities for pharmacy. Exclude - Not a Primary Study Where we are headed with technology - What industry executives have to say. Exclude - Not a Primary Study “As directed” is never acceptable for prescription directions and frequency. Exclude - Not a Primary Study At a tipping point: Transforming medicine with health information technology a guide for consumers. Exclude - Not a Primary Study Bar coding helps hospitals reduce medication errors. Exclude - Not a Primary Study Medication safety issue brief: Bar code implementation strategies. Exclude - Not a Primary Study Strategies to reduce medication errors with reference to older adults. Exclude - Not a Primary Study Study shows limited use of electronic medical records. Exclude - Not a Primary Study A primer on the new physician self-referral exceptions and anti-kickback safe harbors for electronic prescribing and electronic health records technology. Exclude - Not a Primary Study Health information technology promotion act of 2006. Exclude - Not a Primary Study Ontario’s medication management system - Transformation wanted! Exclude - Not a Primary Study Regulatory changes affecting health information exchanges. Exclude - Not a Primary Study Saving lives, reducing costs: Computerized physician order entry lessons learned in community hospitals. Exclude - Not a Primary Study Barriers to equitable access to quality health information with emphasis on developing countries. Exclude - Not a Primary Study Designing inherent safety into electronic medication order entry systems. Exclude - Not a Primary Study Determining health informatics workforce needs in developing countries. Exclude - Not a Primary Study E-10 Endorsing the adoption of electronic medical records and health information exchange systems that improve the quality, safety and value of health care. Exclude - Not a Primary Study Evaluations of the impact of eHealth technologies in developing countries: A systematic review. Exclude - Not a Primary Study Health information exchange: From start up to sustainability. Exclude - Not a Primary Study House Bill 134: An act relative to electronic prescribing for prescription drugs. Exclude - Not a Primary Study Interoperability standards for health information systems. Exclude - No Outcomes of Interest E-11 Interoperable digital identity management in the electronic exchange of health information. Exclude - Not a Primary Study Leapfrog Group releases its first ‘top hospitals’ list. Exclude - Not a Primary Study E-12 Registries for evaluating patient outcomes: A user’s guide. Exclude - Not a Primary Study Report from the health information protection taskforce to the state alliance for e-health. Exclude - Not a Primary Study Second report from the health care practice taskforce to the state alliance for e-health. Exclude - Not a Primary Study Security standards: Implementation for the small provider.