a cohort study in general practice between 1977 and 2007

... the long rains between March and May and the short rains between November and December The area receives an average rainfal1 of about 475 mm per annum with a range from 237 mm in some area to 698 ... µm aperture and washed continuously until all fecal matter was washed off and the water was clear The gut washings were placed into polyurethane bags and marked with a felt pen then placed in a ... ileocecal junction Cuts were made between the ligatures to divide the gastrointestinal tract into stomach, small intestines and large intestines In this case the stomach and smal1 intestines were...

Ngày tải lên: 07/08/2014, 18:20

... practice for healthcare workers 20 A stratified sample of general practices in the Netherlands was adopted in order to obtain a nationally representative sample with regard to practice size and degree ... Marineau D, et al: Patient safety in the ambulatory setting A clinician-based approach J Gen Intern Med 2004, 19(7):719-725 11 Sandars J, Esmail A: The frequency and nature of medical error in ... calculating the prevalence of patient safety incidents in Dutch general practice and the associated 95% confidence intervals An exploratory analysis was conducted on those patient safety incidents...

Ngày tải lên: 10/08/2014, 10:23

... Bayram C, O'Halloran J, Knox S: General practice activity in Australia 2005–06 In General practice series no 19 AIHW cat no GEP 19 Canberra: Australian Institute of Health and Welfare; 2007 Walker ... printed educational material, dissemination and, audit and feedback The trials had varying success in changing certain behaviours of the included practitioners and provide some information about ... concentrate on delivering the CPG's key messages, namely that diagnostic x-rays are rarely necessary in the management of acute LBP and that advising patients to remain active reduces pain and disability...

Ngày tải lên: 11/08/2014, 05:22

... manufacturer Aerocrine® recommended an elevated level at FENO > 20 ppb (as intermediate level) and a level of FENO > 35 ppb as a clear indication for an eosinophilic inflammation in adult patients ... analyzer seems to be effective for ruling in and ruling out asthma in general practice Asthma could be ruled in satisfyingly with a cut-off at FENO > 46 ppb Mild and moderate to severe asthma ... with asthma had the highest average of FENO levels Patients with COPD and with an overlap of COPD and asthma were significantly older and had more pack years of smoking than asthma patients (p...

Ngày tải lên: 12/08/2014, 14:20

... counting data EpiData version 3.1 was used for data registration and STATA version (STATA Corporation®, Texas, USA) for statistical analysis Ethics In accordance with Danish regulations, the study ... first draft MS and AL contributed to the design of the study and the interpretation of the data and made a critical revision of the manuscript All authors have read and approved the final manuscript ... related to increased survival, which makes severe sepsis a condition which is important to identify and treat as early as possible [2,12,13] days after arrival, including clinical examinations as...

Ngày tải lên: 25/10/2012, 09:56

... formation, which may lead to hypoxia and hypoxemia in pregnant women and has an important influence on maternal health as well as on placental and fetal development Our study has several limitations The ... Valencia, Spain 5Andalusian School of Public Health (EASP), Campus de la Cartuja s/n, Granada, Spain 6Department of Public Health, Rey Juan Carlos University, 28922, Alcorcón, Madrid, Spain Authors’ ... parental and pregnancy characteristics associated with birth outcomes We also examined individual NO2 levels and maternal and pregnancy characteristics Association between exposure to residential...

Ngày tải lên: 17/02/2014, 22:20

... resulting in an averaged spatially resolved concentration pattern for each wind class Various input data was taken into account in the calculations as described earlier [18,19], including annual data ... were assessed for all addresses in the study area, using GIS and the three Dutch national standard methods for air quality modelling (considering intra-urban road traffic, traffic on highways, and ... home address, using a combination of continuous monitoring data and GIS based dispersion modelling techniques, taking into account both the spatial and temporal variation in air pollution In addition,...

Ngày tải lên: 06/03/2014, 19:20

... interpretation of the data EPA has been involved in PAR1 detection (WB, IF and IHC), and has been participated actively in the analysis and interpretation of the data TAV has been involved in the analysis ... by CONACyT (Salud-CO1-03 and Salud-20081-CO1-87152) We thank Margarita Alvarez for technical support processing paraffin samples and Alejandro Cabrera for invaluable help using Stata program References ... implicated in tumour invasion and metastasis development and in a near future, PAR1 could become an ideal candidate for assessing new targets for drugs in the early diagnosis and treatment of metastasis...

Ngày tải lên: 18/06/2014, 15:20

... Training We developed a 1-hour interactive training course for participating GPs and practice assistants to cover: patient enrolment and obtaining informed consent, an explanation of the handling ... comprising not only technical integration, but also an on-site practice training session and an evaluation of barriers to its routine use Participation and practice sample As this was a pilot study, ... [30] A typical single-handed German GP may see 50 to 100 patients per day There are no specialised practice managers, and the practice assistant must complete all administrative and medical tasks...

Ngày tải lên: 18/06/2014, 18:20

... and by practical and attitudinal barriers that have been associated with the implementation of HRQoL measurement in clinical practice Practical barriers that have been reported include general ... include several crucial specifications (instant scoring and graphical output of the data, instant availability of data to physicians, guaranteing patient privacy) b) by observing patients' ability ... is assessed by means of computers that can generate an output which can instantly be accessed by clinicians The aim of the present study was to gain more insight in the practical and attitudinal...

Ngày tải lên: 18/06/2014, 19:20

... further away from reflect increasingly impaired bilateral coordination Impairments in gait asymmetry and bilateral coordination of gait in stroke patients The gait of the stroke patients is characterized ... the at home and clinical settings [36,37] Often, patients post-stroke prefer to regain a symmetrical walking pattern because of reasons related to appearance and self-image Quantification of GA ... the data, supervised data-entry, performed dataanalysis and interpretation, conducted the writing and approved the final version of the article EA supervised data-entry, performed data-analysis,...

Ngày tải lên: 19/06/2014, 08:20

... study, was the examining physician at the baseline and the follow ups, participated and contributed substantial in the analysis and in the interpretation of data Acknowledgements This research was ... participated and contributed substantial in the analysis and in the interpretation of data, RL discussed and con- Table 2: Hand-arm vibration exposure in relation to prospective white fingers Variable ... subjects examined 1986) At baseline and at follow up a questionnaire was answered at the time for a medical examination The baseline and the follow up investigations were all performed during the...

Ngày tải lên: 20/06/2014, 00:20

... and lamivudine in preventing early and late transmission of HIV-1 from mother to child in Tanzania, South Africa, and Uganda (Petra study) : a randomised, double-blind, placebo-controlled trial ... their infants only In a doubleblind, randomized, placebo-controlled trial conducted in South Africa, Uganda and Tanzania, the rate of MTCT was 8.9% in the group where mothers and infants initiated ... coverage and quality of intrapartum obstetric care services In Botswana, 97% of pregnant mothers have access to antenatal care and 94% to safe institutional delivery whereas in Addis Ababa, 90%...

Ngày tải lên: 20/06/2014, 08:20

... manuscript RR participated in the statistical analysis and the drafting of the manuscript PE participated in the design of the study and the drafting of the manuscript All authors read and approved ... Selective Serotonin Reuptake Inhibitor *Amitriptyline, Clomipramine, Clemastine, Desloratadine, Hydroxyzine, Loratadine, Montelukast and Tolterodine Nordin Olsson et al Health and Quality of Life ... response variable and MAI groups, age, sex and number of drugs as explanatory variables we basically found similar results The difference in EQ-5D index between group A and group C was statistically...

Ngày tải lên: 20/06/2014, 15:20

... and by practical and attitudinal barriers that have been associated with the implementation of HRQoL measurement in clinical practice Practical barriers that have been reported include general ... include several crucial specifications (instant scoring and graphical output of the data, instant availability of data to physicians, guaranteing patient privacy) b) by observing patients' ability ... is assessed by means of computers that can generate an output which can instantly be accessed by clinicians The aim of the present study was to gain more insight in the practical and attitudinal...

Ngày tải lên: 20/06/2014, 16:20

... for qualitative variables and mean and standard deviation for quantitative variables The association between the existence of at least one moderate/serious accident versus no accident and the ... that half of accidents in his series involved falls An analysis of these injuries shows that, as well as being able to walk, the predisposing factors here include being an inpatient and taking ... the univariate analysis to have P < 0.1, using a backward modelling strategy As some patients had several accidents (or as an individual who has had an accident may be more likely to have more),...

Ngày tải lên: 08/08/2014, 23:21

... 0.38 Medial tibial plateau area Physical activity Baseline medial tibial area Lateral tibial plateau area Baseline lateral tibial area aFactors were defined as follows: age = percentage change per ... annual change and annual percentage change of tibial plateau bone area Change in this area was obtained by subtracting the bone area at baseline from that at follow-up The annual change was calculated ... change in medial tibial bone area, and grade of medial joint-space narrowing explained 4.6% of variance in annual percentage change in medial tibial bone area BMI and grade of medial joint-space...

Ngày tải lên: 09/08/2014, 06:22

... anti-MCV-positive RA patients had more radiographic damage at all time points (P < 0.005) Value of the anti-MCV test in early arthritis At baseline, RA patients had a higher median ESR, CRP and SHS, and a higher ... determined at baseline and anti-MCV levels were measured at baseline and at and years of follow up Analysis The baseline characteristics of the RA patients and UA patients were compared using Student's ... and anti-CCP2 Radiographs of hands and feet were obtained at baseline, and at and years The number of erosions and the joint space narrowing were scored according to the Sharp/van der Heijde method...

Ngày tải lên: 09/08/2014, 10:22

... study was to analyze the baseline characteristics, clinical features, overall symptomatic response, and complication rate after SEMS placement in patients with benign and malignant central airway ... mean ± SD (continuous variables) Time variables are expressed as median and interquartile range (IQR) Data were compared between patients with benign and patients with malignant conditions Categorical ... conformation to irregular airways, epithelialization within the stent that allows for mucociliary clearance, and a greater ease of placement [16] Granuloma formation and stent fracture have been...

Ngày tải lên: 10/08/2014, 09:21