Abstract:
:When the patent on fluoxetine expired in 2001, prices for it fell sharply and marketing decreased. We investigated how market share for fluoxetine changed with the introduction of the generic. Prescribing information was tracked at a military hospital where providers knew the cost of medication, but were not compelled to use the cheaper form. Market share for fluoxetine among selective serotonin reuptake inhibitors was observed for the 64 months surrounding the introduction, and changes were examined by linear regression analysis. Results showed that in the 32 months before the introduction of the generic, fluoxetine maintained a relatively steady share of prescriptions. After the introduction of the generic, fluoxetine steadily lost market share over time. No significant relationship could be seen between drug company visits and gains for their individual products. Examination of all Department of Defense prescriptions for the 16 months surrounding the introduction of generic fluoxetine showed a similar drop in its market share.
journal_name
Mil Medjournal_title
Military medicineauthors
McLay R,Klinski Adoi
10.7205/milmed.173.1.100subject
Has Abstractpub_date
2008-01-01 00:00:00pages
100-4issue
1eissn
0026-4075issn
1930-613Xjournal_volume
173pub_type
杂志文章abstract:OBJECTIVE:A cavum septum pellucidum is an anatomical variant that is usually considered an incidental finding of little clinical significance. This is a fluid-containing structure between the lateral ventricles whose walls exhibit lateral bowing and are 10-mm apart or greater. It has been hypothesized that enlarged cys...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00009
更新日期:2011-10-01 00:00:00
abstract::Microparticle immunoenzymatic assay (MEIA) is a new, ultrasensitive technique recently introduced for detection of prostatic specific antigen (PSA). It is easily performed, totally automated, and cheaper and faster than radioimmunometric techniques. In this study, the levels of PSA in 194 males with urologic problems ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract::Mindfulness meditation training has been shown to reduce stress and improve short-term memory for military personnel. However, no studies have investigated the effects of in-person and virtual world (VW) mindfulness training on Post-Traumatic Stress Disorder (PTSD) or Attention Deficit Hyperactivity Disorder (ADHD) sy...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx227
更新日期:2018-03-01 00:00:00
abstract::The development of more effective medical simulators requires a collaborative team effort where three kinds of expertise are carefully coordinated: (1) exceptional medical expertise focused on providing complete and accurate information about the medical challenges (i.e., critical skills and knowledge) to be simulated...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00265
更新日期:2013-10-01 00:00:00
abstract::Post-residency fellowship education has traditionally been a transitionary phase toward a possible career involving medical research and teaching. The increasing sophistication required for performing medical research, the emphasis on molecular medicine, significant overcrowding in specialty disciplines, high student ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::Before 2011, Army commanders were unable to achieve complete visibility of soldiers possessing temporary medical limitations. The creation of time-limited definitions and technical categorization of this group, now known as the medically not ready (MNR) population, eventually allowed its quantification. With heightene...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00131
更新日期:2014-11-01 00:00:00
abstract:INTRODUCTION:The purpose of our study is to compare pectoralis major tears in active duty military personal repaired surgically in the forward deployed setting to those performed in the Continental United States. MATERIALS AND METHODS:Retrospective comparison of all pectoralis major tendon repairs performed at Madigan...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz068
更新日期:2019-12-01 00:00:00
abstract::The Military Health Services System (MHSS) is undergoing major modifications brought about by the Department of Defense health care reform program (TRICARE), a dynamic, multi-dimensional reform initiative affecting health care delivery to eligible beneficiaries. Military managers of the MHSS are currently being impact...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1996-04-01 00:00:00
abstract:INTRODUCTION:Military-connected youth are at increased risk for experiencing distinct psychosocial and behavioral health vulnerabilities. Although behavioral health interventions have been developed to treat vulnerabilities in military-connected youth, little is known about the methodological quality of studies evaluat...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-17-00060
更新日期:2017-11-01 00:00:00
abstract::Blunt impact assessment of the Advanced Combat Helmet (ACH) is currently based on the linear head response. The current study presents a methodology for testing the ACH under complex loading that generates linear and rotational head motion. Experiments were performed on a guided, free-fall drop tower using an instrume...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy282
更新日期:2019-03-01 00:00:00
abstract::Headaches are a typical presentation to a military medical department or emergency room. Having a broad differential diagnosis and utilizing a thorough physical exam can assist providers in honing down the list of pathology and in identifying potentially life-threatening causes of cephalgia such as intracranial tumors...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy401
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Methemoglobinemia is a potentially life-threatening complication of local anesthetic sprays employed in upper endoscopy. There is limited information available on the incidence of this complication, and no prospective trial has ever undertaken to evaluate subclinical levels of methemoglobinemia. OBJECTIVE:T...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/MILMED-D-13-00035
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION:Post-traumatic stress disorder (PTSD) is a severe and debilitating condition affecting a significant proportion of the veteran community. A substantial number of veterans with PTSD fail to benefit from trauma-focused psychological therapies or pharmacotherapy or are left with residual symptoms, and therefo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa149
更新日期:2020-09-18 00:00:00
abstract::Cognitive dysfunction is commonly observed among individuals with alcohol use disorder (AUD) and trauma exposure and is, in turn, associated with worse clinical outcomes. Accordingly, disruptions in cognitive functioning may be conceptualized as a trans-disease phenomenon representing a potential high-yield target for...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00228
更新日期:2016-07-01 00:00:00
abstract::The establishment of the first dental office of the Croatian Dental Corps (CDC) in the city of Zadar represented at the same time the beginning of the CDC. This article describes the front-line experience of a dentist who volunteered to provide basic medical help, which eventually laid the groundwork for providing gen...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::This paper examines the role and implementation of a casualty processing unit (CPU) developed by a multi-service group during Operation Desert Storm in Saudi Arabia. Data were obtained from review of flight manifests, fleet hospital admission records, 24-hour follow-up of patients admitted to Fleet Hospital 15, and pa...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract::Fixed wing aircraft are the primary means of deployment for designated U.S. contingency forces. The majority of logistical constraints medical units encounter during deployment (in support of contingency forces) are a direct result of limited airframes dedicated to their movement into an area of operations. The compet...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::This case study describes the rehabilitation of 10 active duty U.S. soldiers with exertional rhabdomyolysis. The pathophysiology of rhabdomyolysis is discussed. The initial management is concerned with accurate diagnosis and monitoring of laboratory values to prevent complications. Active and passive range of motion, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract::Isotonic, isosmotic lavage is a safe and effective means of mechanical preparation of the large bowel for left colon surgery. In this prospective, randomized trial comparing lavage with a more traditional three-day bowel preparation, the lavage was well tolerated, led to decreased preoperative hospital days, and produ...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1989-04-01 00:00:00
abstract::This study explores what factors influence whether active duty U.S. military personnel enroll their families in Department of Defense (DoD) or non-DoD dental insurance plans. The data come from a 26-site, cross-sectional survey of U.S. service members conducted from April 1994 to January 1995. A prestratified, randoml...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:A cuffed bag valve mask (BVM) is the most common device used by emergency medical responders to ventilate patients. The BVM can be difficult for users to seal around the patient's mouth and nose. An intraoral mask (IOM) with snorkel-like design may facilitate quicker and better ventilation particularly under...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy304
更新日期:2019-03-01 00:00:00
abstract::This study demonstrated that traits and features associated with several types of personality disorders are related to work performance and the ability to conform to requirements of military life. The Schedule for Nonadaptive and Adaptive Personality and a peer nomination procedure were used to assess traits associate...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.3.207
更新日期:2004-03-01 00:00:00
abstract::This study investigates the effects of long-term passive heat exposure and a 16-week basic military training program on heat acclimatization. Thirty recruits were tested on the zero (T1), 2nd (T2), 6th (T3), and 16th (T4) weeks of the basic military training program. The trials involved 1 hour of marching on a treadmi...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract::Studies have shown that 21% to 51% of African-American women (AAW) reported breastfeeding, lagging behind Caucasian (61%-71%) and Hispanic (67%-71%) women despite breastfeeding's health benefits. This study aimed to assess AAWs "intent" to breastfeed and describe the relationship among knowledge, age, education, parit...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.2.111
更新日期:2004-02-01 00:00:00
abstract:UNLABELLED:U.S. Marines perform mission tasks under heavy loads which may compromise performance of combat tasks. However, data supporting this performance decrement are limited. PURPOSE:The aim of this study was to determine the effects of load on performance of combat-related tasks. METHODS:Subjects (N=18) ran a mo...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00432
更新日期:2015-03-01 00:00:00
abstract::This article addresses a topic that is part of the public consciousness yet is seldom explored in the public health literature: presidential promotion of health-related behaviors through words and example. The article explores the history of what some American presidents, as individuals, have conveyed to the populatio...
journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-12-00416
更新日期:2013-04-01 00:00:00
abstract::State-of-the-art three-dimensional motion analysis systems, which are utilized to predict, diagnose, and treat many musculoskeletal and neurological disorders, are expensive and space consuming. These systems have only been widely used in large research facilities because of their lack of this transportability. Since ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy312
更新日期:2019-03-01 00:00:00
abstract::Non-cardiogenic pulmonary edema (NCPE) is a rare entity manifested by pulmonary edema with normal pulmonary arterial pressures. NCPE has been described in children and recently reported in adults. Onset is rapid and late recognition or inappropriate treatment may lead to a fatal outcome. Most adult cases have been att...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract:INTRODUCTION:Military helicopters are increasingly agile and capable of producing significant G forces experienced in the longitudinal (z) axis of the body in a head-to-foot direction (+Gz). Dehydration and fatigue can adversely affect a pilot's +Gz tolerance, leading to +Gz-induced symptomatology occurring at lower +G...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00073
更新日期:2016-11-01 00:00:00
abstract::As a result of Operation Desert Storm, a neurology service was established in the Fort Leonard Wood MEDDAC. Between January 1 and April 30, 1991, a total of 315 new neurology patients were seen in consultation. This number plus all the follow-up visits add up to a total of 750 clinical encounters during that period. T...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00