The U.S. Department of Health and Human Services Office of the Inspector General has issued a report concerning "high use" and "questionable use" ultrasound. Findings include those geographic areas where occurrences are most frequent, as well as the most common elements that characterize questionable use. While not its primary focus, emergency physician performed bedside ultrasound is within th...

Overuse can be defined as the chronic overloading of muscles in daily life activities resulting in physical complaints such as muscle fatigue and pain. Overuse can develop in case of a reduced capacity of muscle to endure loads due to paresis (slight or partial paralysis), but also when normal muscle is chronically overloaded, for instance when a muscle has to compensate for other paretic muscl...

the problems that plainly exist in the NHS. Introducing medical audit, developing better information systems, devolving budgets to doctors whose decisions commit the expenditure of public money, revising the element of cross boundary flows in the RAWP (Resource Allocation Working Party) formula, searching for ways of rewarding rather than penalising productive hospitals, and controlling excessi...

Context—Given the rising costs of health care, policy makers are increasingly interested in identifying the inefficiencies in our health care system. Objective—To determine whether the overuse and misuse of health care services in the ambulatory setting has decreased in the past decade. Design and Setting—Cross-sectional analysis of the 1999 and 2009 National Ambulatory Medical Care Survey (NAM...

Background Youth soccer injuries are common and of increasing concern, with sport specialization occurring at younger ages. Limited research is available regarding overuse injuries and risk factors in young female athletes. Purpose To identify the number and rate of overuse injuries in female soccer players (ages 12-15 years), describe the anatomic location and type of injury, and evaluate co...

Introduction: Smartphone overuse is a dependence syndrome seen among certain smartphone users. Some users exhibit problematic behaviors related to overuse. addiction causes health impacts and changes in health. Present studywas conducted assess the its B.Sc. (Hons.) Nursing students at All India Institute of Medical Sciences, Jodhpur. Methodology:Descriptive survey design was used total 148 sam...

OBJECTIVES To describe and compare both overuse and underuse of diagnostic upper gastrointestinal endoscopy in different settings. DESIGN Merging of data from three prospective observational studies. The appropriateness and necessity of indications for gastroscopy were evaluated using explicit criteria developed by a standardized expert panel method (RAND-UCLA). Inappropriate endoscopies repr...

Background: Overuse of injections is a common problem in many low-income and middle income countries. Whil

Little is known about the true extent and severity of overuse injuries in sport, largely because of methodological challenges involved in recording them. This study assessed the prevalence of overuse injuries among Norwegian athletes from five sports using a newly developed method designed specifically for this purpose. The Oslo Sports Trauma Research Center Overuse Injury Questionnaire was dis...

BACKGROUND This observational community pharmacy-based study aimed to investigate headache characteristics and medication use of persons with regular headache presenting for self-medication. METHODS Participants (n = 1205) completed (i) a questionnaire to assess current headache medication and previous physician diagnosis, (ii) the ID Migraine Screener (ID-M), and (iii) the Migraine Disabilit...