вторник, 1 ноября 2011 г.
суббота, 29 октября 2011 г.
Acid suppressing medication assoc with inc fractures, infections
Proton pump inhibitors, medications that suppress acid in the stomach, appear to be associated with fractures in postmenopausal women and bacterial infections in many patients, and higher doses do not appear any more beneficial for treating bleeding ulcers, according to a series of reports in the May 10 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. An additional report finds that introducing guidelines for proton pump online pharmacy viagra use into clinical settings may reduce rates of inappropriate prescriptions. "A staggering 113.4 million prescriptions for proton pump inhibitors are filled each year, making this class of drugs, at $13.9 billion in sales, the third highest seller in the United States," writes Mitchell H. Katz, M.D., of the San Francisco Department of Public Health, in an editorial accompanying the reports. These medications effectively treat inflammation of the esophagus, gastroesophageal reflux disease (GERD), ulcers and several other conditions, but evidence suggests that between 53 percent and 69 percent of proton pump inhibitor prescriptions are for inappropriate indications, he notes.
Proton pump inhibitors are often used to treat dyspepsia, or indigestion, in the absence of ulcers, inflammation or severe GERD. "That proton pump inhibitors relieve dyspepsia is without question, but at what cost (and I do not mean financial)? Five studies in this issue of the Archives help to answer this question."
The studies find that:
Use of proton pump inhibitors appears modestly associated with the risk of total fractures in postmenopausal women. Shelly L. Gray, Pharm.D., M.S., of University of Washington, Seattle, and colleagues studied 161,806 women between ages 50 and 79 in the Women's Health Initiative Study. Over eight years of follow-up, they found no decrease in bone mineral density or increase in risk of hip fractures, but an increased risk of spine and forearm or wrist fractures in addition to total fractures.
Daily proton pump inhibitor use is associated with an estimated 74 percent increase in infection with Clostridium difficile, report Michael D. Howell, M.D., M.P.H., of Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, and colleagues in an analysis of more than 100,000 patients discharged form hospitals in a five-year period. In another report, Amy Linsky, M.D., of Boston Medical Center, and colleagues studied about 1,200 patients being treated for C difficile and found a 42 percent increased risk of recurrence if proton pump inhibitors were used.
High-dose proton pump inhibitors do not appear to be associated with reduced rates of additional bleeding, surgical intervention or death in patients with bleeding ulcers when compared with regular proton pump inhibitor therapy. Chih-Hung Wang, M.D., and colleagues at National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, performed a meta-analysis of seven randomized trials published before August 2009 and involving 1,157 patients. The results did not change when other factors, including severity of recent hemorrhage and the method of medication administration, were considered.
Implementing standardized guidelines based on medical evidence appeared to be associated with reductions in prescriptions for proton pump inhibitors at one facility, report Patrick S. Yachimski, M.D., M.P.H., and colleagues at Massachusetts General Hospital and Harvard Medical School, Boston (and now of Vanderbilt University Medical Center, Nashville). Among a group of 942 patients, the number of inpatients receiving proton pump inhibitor prescriptions decreased from 27 percent before guidelines to 16 percent after, and prescriptions at discharge decreased from 16 percent to 10 percent.
вторник, 3 мая 2011 г.
List of Complaints Against Mental Health Practitioners and Counselors In Washington State
In April 2006 the Seattle Times ran a series under the title "License to Harm" exposing sexual abuse in the field of medicine in the the State of Washington. Using their online database of offenders, we were able to generate a list of those practitioners who are/were involved in the field of mental order cialis in some capacity.
Out of 443 original complaints in the database, 159 were from the field of mental cheap cialis. This is more than one third of all complaints, which is more than their fair share of the offenses.
These we detail below. We have preserved the individual links to the online database for each person in the list below. These are sorted by Specialty first, then by Name
License type | Name | State complaint |
Applicant - Registered Counselor | CHARD, RALPH K. | Failure to disclose criminal conviction |
Applicant - Registered Counselor | MERCER, MATTHEW G. | Application denied for prior criminal sex conviction in Montanna |
Applicant - Registered Counselor | PLATT, VERNON W. | "After licensed, criminally convicted of 2nd degree rape of a child and 1st degree child molestation" |
Applicant - Registered Counselor | REYES, GABINO M. | "Prior to license, criminally convicted of 1st degree rape of a child" |
Chemical Dependency Professional | ABILD, GORDON W. | Sexual contact with a patient |
Chemical Dependency Professional | BANKS, NATALIE B. | Sexual contact with a client |
Chemical Dependency Professional | BROTHERTON, MICHAEL D. | Sexual contact with a client |
Chemical Dependency Professional | DISMORE, ROBERT D. | Sexual contact with a client |
Chemical Dependency Professional | GAMBER, JOHN B. | Sexual contact with a client |
Chemical Dependency Professional | HARRIS, STEVEN C. | "After licensed, criminally convicted of 1st degree child molestation" |
Chemical Dependency Professional | LAYCOCK, KIMBERLY M. | Sexual contact with a patient |
Chemical Dependency Professional | LINS, LINDA C. | Sexual contact with a client |
Chemical Dependency Professional | MCDONALD, THOMAS E. | Sexual misconduct |
Chemical Dependency Professional | TRIPLETT, DOROTHY M. | Sexual contact with a client |
Counselor - Certified Marriage/Family Therapist | DONNEN, MICHAEL L. | Sexual contact with a client |
Counselor - Certified Mental Health | DEVINCENT, JACQUELYNE A. | Sexual contact with a patient |
Counselor - Certified Mental Health | TURSKY, STUART P. | Sexual contact with a client |
Counselor - Certified Mental Health | WHITE, LAWRENCE N. | Sexual contact with a patient |
Counselor - Certified Mental Health | WOLFE, CONSTANCE | Sexual contact with a client |
Counselor - Licensed Marriage/Family Therapist | COWAN, A L. | Sexual contact with a client |
Counselor - Licensed Marriage/Family Therapist | SHELTON, DAVID L. | Sexual misconduct |
Counselor - Licensed Mental Health | ADAMS, HOMER S. | Sexual contact with a client |
Counselor - Licensed Mental Health | ARAD, HEMDA | Sexual contact with a patient |
Counselor - Licensed Mental Health | CARBARY, PRESTON L. | Sexual contact with a client |
Counselor - Licensed Mental Health | COLEMAN, PATRICK L. | Sexual contact with a client |
Counselor - Licensed Mental Health | DITTY, BYRON D. | Inappropriate physical contact with a patient |
Counselor - Licensed Mental Health | NEELY, ROBERT M. | Sexual misconduct |
Counselor - Licensed Mental Health | PEARSON, ROBERT P. | Sexual contact with a client |
Counselor - Licensed Mental Health | PRITCHETT, GREGORY E. | Transmitted child pornography to patient via computer |
Counselor - Licensed Mental Health | REYNOLDS, MICHELLE D. | Sexual misconduct |
Counselor - Licensed Mental Health | RUSCIGNO, VICKI L. | Sexual misconduct with client |
Counselor - Registered | ALEXANDER, RONALD W. | Sexual contact with a client |
Counselor - Registered | BARRETT, OWEN V. | Sexual contact with a client |
Counselor - Registered | BATES, JAMES L. | Sexual contact with a client |
Counselor - Registered | BAUER, COREY M. | Sexual contact with a client |
Counselor - Registered | BAUER, GWENDOLYN S. | Sexual contact with a patient |
Counselor - Registered | BECKSTROM, DIMITY P. | Sexual contact with a client |
Counselor - Registered | BLANK, DENNIS C. | Sexual contact with a client |
Counselor - Registered | BOUTON, DEAN O. | Sexual contact with a client |
Counselor - Registered | BRADY, LARRY G. | Sexual contact with a patient |
Counselor - Registered | BROWN, JOHN W. | Sexual contact with a client |
Counselor - Registered | BROWN, LAURA L. | Sexual contact with a client |
Counselor - Registered | BURFORD, JAMIE L. | Sexual contact with a client |
Counselor - Registered | BURR, KENNETH A. | Sexual contact with a client |
Counselor - Registered | CARLSEN, LISA J. | Sexual contact with a client |
Counselor - Registered | CLARK, JOHN E. | Making sexual advances to a patient |
Counselor - Registered | CLINE, RICHARD T.. | Inappropriate physical contact with a patient |
Counselor - Registered | COOK, JOHN R. | Sexual contact with a client |
Counselor - Registered | COVELL, LARRY C. | Sexual contact with a client |
Counselor - Registered | DANIEL, TIMOTHY D. | Sexual contact with a client |
Counselor - Registered | DAVISON, GORDON A. | Sexual contact with a client |
Counselor - Registered | DELAGASSE, RENE C. | Sexual contact with a client |
Counselor - Registered | DESHAZO, RICKIE L. | Sexual contact with a client |
Counselor - Registered | DOWNEY, CYNTHIA J. | Sexual contact with a client |
Counselor - Registered | DUNAWAY, DAVID M. | Sexual contact with a client |
Counselor - Registered | DURHAM, JAMES F. | "After licensed, criminally convicted of lewd conduct involving juveniles" |
Counselor - Registered | DYER, THOMAS G. | Sexual contact with a client |
Counselor - Registered | ERICKSON, BEAU | Sexual contact with a client |
Counselor - Registered | FERGUSON, DANIEL S. | Sexual misconduct |
Counselor - Registered | FISHBACK, MICHAEL A. | Sexual contact with a client |
Counselor - Registered | FOX, DANNY E. | Sexual contact with a client |
Counselor - Registered | GARDNER, KATHY D. | Inappropriate physical contact with a patient |
Counselor - Registered | GIESE, JENNIFER L. | Sexual contact with a client |
Counselor - Registered | GOFF, JAMES H. | Sexual contact with a client |
Counselor - Registered | GOODMAN, PETER J. | Sexual contact with a client |
Counselor - Registered | GORDON, KATHY | Sexual contact with a client |
Counselor - Registered | GRANT, ANTHONY W. | Sexual contact with a client |
Counselor - Registered | GRAVES, KEVIN R. | Sexual contact with a client |
Counselor - Registered | HADDAD, EMILE F. | Inappropriate physical contact with a patient |
Counselor - Registered | HAMILTON, CHARITY A. | Sexual contact with a client |
Counselor - Registered | HARRAH, NATALIE A. | Sexual contact with a client |
Counselor - Registered | HAWLEY, STEVEN J. | Sexual contact with a client |
Counselor - Registered | HAYTE, PAUL A. | "After licensed, criminally convicted of sexual contact with a minor" |
Counselor - Registered | HELLMANN, JAMES A. | Sexual contact with a client |
Counselor - Registered | HOOKS, ANDREA L. | Sexual contact with a client |
Counselor - Registered | IGEIN, GODWIN O. | Sexual contact with a client |
Counselor - Registered | IRVING, WILLIAM S. | Sexual contact with a client |
Counselor - Registered | JASSO, SERVANDO | Sexual contact with a client |
Counselor - Registered | JOEHNK, DANIEL W. | Sexual contact with a patient |
Counselor - Registered | JONES, JUDITH E. | Sexual contact with a client |
Counselor - Registered | KAVANAUGH, DONAL M. | Sexual contact with a client |
Counselor - Registered | KELTY, JAMES G. | Sexual contact with a client |
Counselor - Registered | KEOUGH, MICHAEL P. | Sexual contact with a client |
Counselor - Registered | KESTER, CAROL A. | Sexual contact with a client |
Counselor - Registered | KINSEY, OSCAR L. | Sexual contact with a client |
Counselor - Registered | KLINK, WILLIAM R. | Sexual contact with a client |
Counselor - Registered | KOCH, WILLIAM A. | Sexual contact with a client |
Counselor - Registered | KORNELIS, CLARICE J. | Sexual contact with a client |
Counselor - Registered | LEGGEE, RICHARD B. | Investigated for prior criminal conviction |
Counselor - Registered | LOUDEN, JOHN R. | Sexual misconduct |
Counselor - Registered | LUDLOW, KENNETH W. | Inappropriately touching juvenile |
Counselor - Registered | MARVIN, TERRY A. | Inappropriate physical contact with a patient |
Counselor - Registered | MASSEY, WILLIAM R. | Sexual contact with a patient |
Counselor - Registered | MCBRIDE, GREGORY T. | Sexual contact with a client |
Counselor - Registered | MEYER, EVELYN J. | Sexual contact with a client |
Counselor - Registered | MILLER, ALLAN | Sexual misconduct |
Counselor - Registered | MILLER, RICHARD A. | Sexual contact with a client |
Counselor - Registered | NEFF, STEVEN G. | Sexual misconduct |
Counselor - Registered | OLSON-HERNANDEZ, BECKY S. | Sexual contact with a client |
Counselor - Registered | PARKS, FRED A. | Sexual contact with a client |
Counselor - Registered | PARLOTZ, ROBERT D. | Sexual contact with a client |
Counselor - Registered | PETERSON, STEVEN W. | Kissed underage girl and sent sexualized messages |
Counselor - Registered | PICHETTE, WILLIAM J. | Failure to disclose criminal conviction |
Counselor - Registered | PRICE, JOHN A. | Sexual misconduct |
Counselor - Registered | RADECKI, JOHN C. | Sexual misconduct |
Counselor - Registered | RAINERI, JOSEPH V. | Sexual contact with a client |
Counselor - Registered | RICE, GREGORY R. | "After licensed, criminally convicted of possessing child pornography and sexual exploitation of a minor" |
Counselor - Registered | RIDOUT, TRACY M. | Sexual contact with a client |
Counselor - Registered | RITCHIE, PAUL C. | Sexual contact with a client |
Counselor - Registered | RODRIGUEZ, DAVID A. | Sexual contact with a client |
Counselor - Registered | ROSMARIN, EDWARD T. | Sexual contact with a client |
Counselor - Registered | ROSS, DONALD R. | "Failure to disclose numerous criminal convictions, including 2nd degree rape." |
Counselor - Registered | SALO, LINDA D. | Sexual misconduct |
Counselor - Registered | SASET, MEHAN | Sexual contact with a client |
Counselor - Registered | SCROGGIE, DANIEL C. | Sexual contact with a client |
Counselor - Registered | SHELTON, LARRY E. | Sexual contact with a client |
Counselor - Registered | SITEK, JEFFREY J. | Sexual contact with client's mother |
Counselor - Registered | SKEATES, TERENCE R. | Sexual abuse of a patient |
Counselor - Registered | SMITH, DREW | Sexual contact with a client |
Counselor - Registered | SMITH, ISAAC | Sexual contact with a client |
Counselor - Registered | SMITH, TERRANCE L. | Sexual contact with a patient |
Counselor - Registered | SORENSEN, RONDA M. | Sexual contact with a client |
Counselor - Registered | SOSBEE, ROBERT E. | Sexual contact with a client |
Counselor - Registered | SPEES, MARK A. | Sexual contact with a client |
Counselor - Registered | SPENS, MICHAEL R. | Failure to disclose prior discipline for sexual misconduct of a client in Oregon |
Counselor - Registered | STACY, SHEILA M. | Sexual contact with a client |
Counselor - Registered | STEPP, MERVIN L. | "After licensed, criminally convicted of 1st degree child molestation" |
Counselor - Registered | STRATTON, LAWRENCE G. | Sexual contact with a client |
Counselor - Registered | STURZENEGGER, DALE E. | Sexual contact with a client |
Counselor - Registered | TRAVER, RAYMOND R. | Sexual contact with a patient |
Counselor - Registered | TRAYLOR, JOHN M. | Sexual contact with a client |
Counselor - Registered | TUCKER, PAUL D. | Sexual contact with a client |
Counselor - Registered | VANDERGRIFF, CHARLES M. | Inappropriate physical contact with client |
Counselor - Registered | VANVOORST, PHILIP K. | Sexual misconduct |
Counselor - Registered | WILES, DUANE B. | Failure to disclose previous criminal conviction for indecent liberties |
Counselor - Registered | WOOD, JOSHUA G. | Sexual contact with a client |
Counselor - Registered | YARBROUGH, RICHELLE L. | Sexual contact with a client |
Counselor - Registered | ZAFERATOS, TAMARA S. | Sexual contact with a client |
Hypnotherapist - Registered | ANDERSON, ROSS E. | Sexual contact with a client |
Hypnotherapist - Registered | HUGHES, PHILLIP S. | Sexual contact with a client |
Hypnotherapist - Registered | PATCHELL, TEGWITH E. | Failure to disclose criminal conviction |
Hypnotherapist - Registered | PRINGER, BYRON C. | Sexual contact with a patient |
Hypnotherapist - Registered | SPEED, LANCE E. | Sexual misconduct |
Psychologist | ANDERSON, M. D.. | Sexual contact with a patient |
Psychologist | BROWN, NATHAN C. | Sexual contact with a patient |
Psychologist | DESEVE, KENNETH L. | Sexual contact with a client |
Psychologist | FORD, BRIAN L. | Sexual contact with a client |
Psychologist | FRESE, GLEN A. | Sexualized treatment sessions |
Psychologist | HOWLAND, CHRISTOPHER S. | Inappropriate physical contact with client |
Psychologist | KUBACKI, STEVEN R. | Sexual contact with a client |
Psychologist | LAZERE, RICHARD | Sexual contact with a client |
Psychologist | LEKSA, BRUCE J. | Sexual contact with a patient |
Psychologist | MAST, PHYLLIS B. | Sexual contact with a client |
Psychologist | O'DONNELL, PATRICK G. | Sexual contact with a patient |
Psychologist | PESKIND, ARTHUR W. | Sexual misconduct |
Psychologist | SCOTT, MONTE L. | Sexual contact with a client |
Psychologist | STALLONE, THOMAS M. | Sexual contact with a client |
Social Worker - Licensed | CRANE, EDIE | Sexual contact with a client |
Social worker - Licensed | VANDENBUSH, WILLIAM | Sexual contact with a client |
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