Filtered By:
Therapy: Chemotherapy

This page shows you your search results in order of date. This is page number 3.

Order by Relevance | Date

Total 56 results found since Jan 2013.

CMS Proposed Patient Relationship Categories for MACRA
Patient engagement and patient satisfaction have been a core principle of healthcare reform under ACA and MACRA. The Centers for Medicare and Medicaid Services (CMS) recently released for public comment its proposed physician-patient relationship categories, a first step toward a Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requirement that the agency establish classification code sets for such physician-patient relationships. The patient relationship categories and codes are intended to help CMS more effectively measure resource use, a major performance category under the Merit-based Incentive Payment Syst...
Source: Policy and Medicine - May 18, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Narrative Matters: On Our Reading List
Editor’s note: “Narrative Matters: On Our Reading List” is a monthly roundup where we share some of the most compelling health care narratives driving the news and conversation in recent weeks. Stunting The Growth Of Children With Disabilities Parents of children with severe disabilities concerned about being able to physically care for their children as they grow up are finding hope in a treatment known as “growth-attenuation therapy,” but questions about the ethics of the therapy, and a lack of long-term outcomes data, mire the treatment in controversy. In The New York Times Magazine, Genevieve Field tells the...
Source: Health Affairs Blog - March 30, 2016 Category: Health Management Authors: Jessica Bylander Tags: Elsewhere@ Health Affairs Featured Narrative Matters autism heart disease On Our Reading List Source Type: blogs

DM / DNB Cardiology Entrance Mock Test 20
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test. Start Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 20. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rat...
Source: Cardiophile MD - February 26, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs

DM / DNB Cardiology Entrance Mock Test 4
Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled. If loading fails, click here to try again Click on the 'Start' button to begin the mock test. After answering all questions, click on the 'Get Results' button to display your score and the explanations. There is no time limit for this mock test. Start Congratulations - you have completed DM / DNB Cardiology Entrance Mock Test 4. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rate...
Source: Cardiophile MD - January 18, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Featured Source Type: blogs

Clinician-Led Stewardship To Curb Medical Excess
In a recent New England Journal of Medicine (NEJM) perspective, Durand and colleagues propose “medical-imaging stewardship.” They believe that imaging can be more appropriately used through “provider-led imaging stewardship,” based on the model of antimicrobial stewardship. Antimicrobial stewardship is a hospital program composed of an expert pharmacist and infectious disease physician. Its goal is to improve appropriateness of antimicrobial use through restriction of antibiotics, post-prescription review, and education. Clinician-led stewardship could limit overuse and improve care beyond antimicrobial use or imag...
Source: Health Affairs Blog - November 30, 2015 Category: Health Management Authors: Dan Morgan Tags: Costs and Spending Health Professionals Hospitals Innovations in Care Delivery Medicare Quality antimicrobials Choosing Wisely Patient Safety patient uses of evidence Physicians Source Type: blogs

Right Care Action Week — rational care
I wrote yesterday about how a broken healthcare system favors overuse of procedures. Today I will discuss rational care. Remember the goals of the Lown Institute: We think healthcare should be affordable, effective, rational and available to all. Rational means in accordance with reason or logic. Hardly a day goes by that I don’t see irrational care. Why it happens is complicated. Patients may expect irrational care. Doctors and nurses can get pushed into delivering it. Then, insidiously, unreasonable and illogical care become normal; and rational care stands out as an outlier. Some examples: It’s not rational ...
Source: Dr John M - October 19, 2015 Category: Cardiology Authors: Dr John Source Type: blogs

Anthracycline cardiotoxicity – clinical types
Anthracyclines are very effective in the chemotherapy of cancer. But their Achilles heel is cardiotoxicity. Three clinical types of anthracycline cardiotoxicity have been described: 1) Acute – usually occurring within two weeks of initiation of treatment, with the first dose or first course of chemotherapy 2) Early onset chronic – usually occurring within a year. This is the most frequent type and presents with features suggesting dilated cardiomyopathy 3) Late onset chronic – occurs years or even decades later. The post Anthracycline cardiotoxicity – clinical types appeared first on Cardiophile MD.
Source: Cardiophile MD - June 5, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs

Venous thromboembolism in cancer – Cardiology MCQ
Which of the following cancer has the highest relative risk of venous thromboembolism? a) Pancreatic cancer b) Brain cancer c) Multiple myeloma d) Colonic cancer Correct answer: c) Multiple myeloma Multiple myeloma has forty six fold risk of venous thromboembolism than healthy controls while brain cancer has twenty fold and pancreatic cancer sixteen fold relative risk. But by absolute numbers, most episodes occur with lung, colon and prostate  cancer [1]. Chemotherapy confers six fold extra risk though chemotherapy per se is not considered an indication for prophylactic anticoagulation in ambulatory patients, the exceptio...
Source: Cardiophile MD - June 2, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs

Because there is nothing else to do
If you ever hear your doctor say we are going to do something because there is nothing else to do, be afraid. Be very afraid. First of all, it should be self-evident that if caring and empathy and relief of suffering count as doing something, there is always something to do for patients. A growing problem in medicine, especially in death-denying specialities like cardiology and oncology, is that having nothing else to do translates to not having a cure, or a promise of immortality. In times past, such misthink wasn’t so hazardous. Now, however, the inability to see failing organs as the natural order has never been ...
Source: Dr John M - November 8, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

CoQ10: Powerful Supplement for Health
Discussion of the Evidence, Scope, Benefits and Risk. Please take a look at this discussion as I’m certain it will help answer some important questions. In addition, some very informative research about coenzyme Q10 can be found in the science section of our website. Coenzyme Q10 is one of the most fundamentally important nutritional supplements I recommend and use in my clinical practice not just for patients with heart disease, but to support brain health and general health as well. We generally recommend 100mg daily, and 200mg daily for those on statins, beta-blockers, or tricyclic antidepressants. The post CoQ10: Pow...
Source: Renegade Neurologist - A Blog by David Perlmutter, MD, FACN - August 19, 2014 Category: Neurologists Authors: gbadmin Tags: Science Supplements beta-blockers blood pressure Cardiovascular disease Cholesterol CoQ10 heart lipitor migraines Statins toprol zocor Source Type: blogs

Delayed cardiac complications of radiotherapy
Radiation damages the vascular endothelium leading to accelerated coronary atherosclerosis. Due to improvement in radiotherapy techniques, radiation associated cardiac damage is lesser with modern techniques. Most cases occur in those who have undergone mediastinal radiation in a younger age for diseases like Hodgkins disease for which longer survival gives a chance for long term cardiac issue to manifest. Radiotherapy for breast cancer is another important cause of cardiac complications of radiotherapy. Radiation induced cardiac damage is enhanced with concomitant use of adriamycin based chemotherapy. Important delayed c...
Source: Cardiophile MD - August 12, 2014 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs

Trastuzumab and cardiotoxicity
Trastuzumab is useful for the chemotherapy of breast cancers which are HER2 (human epidermal growth factor receptor-2) positive, which constitute about one fifth of cases of breast cancer. Untreated, HER2 positive cases have a poorer prognosis than negative cases [Moja L et al. Trastuzumab containing regimens for early breast cancer. Cochrane Database Syst Rev. 2012 Apr 18; 4:CD006243]. Adding trastuzumab as an adjuvant chemotherapeutic agent for one year has a significant impact on improving survival in HER2 positive breast cancer [Smith I et al (HERA Study team). 2-year follow-up of trastuzumab after adjuvant chemotherap...
Source: Cardiophile MD - July 11, 2014 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

The truth about early diagnosis — this is more than just a Mammogram story
The British Medical Journal published a monumental study on screening mammography this week. It’s garnered a ton of media coverage because the findings provocatively question the sacrosanct idea that early detection of breast cancer saves lives. Imagine that…Imagine if the entire pink machine was misguided. Of course, for people who have been willing to squint hard and look through the haze of hype, this news does not surprise. In two sentences, this is the story: Detecting disease earlier prolongs survival from that disease (you have it longer), but it may not improve the death rate. That’s because many ...
Source: Dr John M - February 13, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

Critical Care Compendium update
LITFL’s Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care. Currently there are almost 1,500 entries with more in the works… Some pages are more developed than others, and all the pages are being constantly revised and improved. Links to new references and online resources are added daily, with an emphasis on those that are free and open access (FOAM!). These pages originated from the FCICM exam study notes created by Dr Jeremy Fernando in 2011, and have been updated, modified and added to since. As such will be particularly us...
Source: Life in the Fast Lane - November 17, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Critical Care Compendium Education eLearning Emergency Medicine Featured CCC LITFL collection Source Type: blogs

End of life care – A great American tragedy.
“Why don’t we die the way we say we want to die? In part because we say we want good deaths but act as if we won’t die at all.” Katy Butler, WSJ There is a humanitarian crisis unfolding right now in nearly every hospital in this nation. Aggressive life-prolonging care of the elderly too often results in extending suffering and loss of autonomy. “Bad deaths” are on the rise. As a physician witness to this, I feel shame. As a fellow human, I feel sadness. Acclaimed American journalist Katy Butler has written an essay (and book) that I believe may help spark the changes needed to quell this crisis. I’ve...
Source: Dr John M - September 11, 2013 Category: Cardiology Authors: Dr John Source Type: blogs