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http://www.webmedcentral.com/images/Header_Logo.giftext/html2012-01-29T11:12:10+01:00http://www.webmedcentral.com/Prof. Maged N Kamel BoulosOn Social Media in Health Literacy
http://www.webmedcentral.com/article_view/2936
This short, non-exhaustive article considers health literacy in the era of the Social and Mobile Web. We briefly discuss with some examples the important role that social media are playing today in health literacy, the associated risks, and the workarounds to mitigate those risks. We conclude by providing some guidelines and pointers to key online resources and bibliography about the subject.text/html2013-12-05T06:59:55+01:00http://www.webmedcentral.com/Dr. Yasuo OshimaExposure to acetaminophen and potential risk of abnormal behaviors reported in influenza and non-influenza patients. Case-control study with the Japan Adverse Drug Event Reporting
http://www.webmedcentral.com/article_view/4452
Background: Our preliminary analyses of an adverse event database found a “signal” on actaminophen-associated abnormal behavior. Abnormal behavior by Japanese children taking oseltamivir has been repeatedly reported and described. However there is no literature dealing with acetaminophen-associated abnormal behaviors, which is analyzed and further described in this paper.
Methods: 216,945 records registered to JADER between 2004 and 2011 were analyzed. Age, sex, reporting year, and underlying illness were compared between cases of abnormal behavior and controls without abnormal behavior. Multivariate logistic regression modeling was used to investigate confounding and interaction with age group, gender, reporting year, and an underlying disease.
Results: Of 4,544 acetaminophen-treated cases, 260 (5.7% [95%CI; 5.2-6.4]) exhibited abnormal behaviors. Of the 260 cases, factors associated with abnormal behavior were male (196 case; 75.4% [69.7 – 80.5]), under 20 years old (242; 93.1% [89.3 – 95.8]), reported in 2007 or 2008 (169; 65.0% [58.9 – 70.8]), and with influenza (253; 97.3% [94.5 – 98.9]) as an underlying disease. Multivariate logistic regression analysis indicated a relationship between influenza and acetaminophen and an interaction between acetaminophen and oseltamivir. According to subgroup analysis with influenza (n=2,164), patients taking oseltamivir had fewer abnormal behaviors, because teenagers had been reported to be at high risk for abnormal behaviors and doctors were advised to avoid prescribing oseltamivir to them.
Conclusion: Acetaminophen-associated abnormal behavior occurred mostly in persons with influenza. Given the relationship to influenza and the interaction of oseltamivir, the reported acetaminophen-associated abnormal behaviors were most likely induced by the underlying disease, not by the drug itself.text/html2018-09-07T08:44:26+01:00http://www.webmedcentral.com/Dr. Deepak GuptaAsk Joint Commission: What Say When Overlay?
http://www.webmedcentral.com/article_view/5508
The prevalence of overlays (overwriting) in electronic medical record (EMR) system has been well established. The literature is abundant in regards to the consequences of overlays for patient safety, the technical costs of cleaning EMR from its overlays, and the essentiality to prevent overlays. However, it is not clear what the healthcare providers should do when caring a patient with known overwritten EMR. It is our suggestion that there can be a futuristic parallel system wherein a temporary EMR system allows the electronic documentation of patient care during the times when permanent EMR system is blocking access to its overwritten EMRs for getting them cleansed.