primary care in the 1990s

... implementing the integration of all six elements of HIV care into the primary care clinics In the other nine intervention clinics, the STRETCH team identified the need to integrate further elements ... during the intervention: further developing the intervention in consultation with staff at management and clinic level; involvement in initial training and continuing support of nurse training ... STRETCH coordinator The trainers then trained all nurses at the 16 intervention clinics, including designated ART nurses and those working in primary care, commencing in August 2007 A minimum of...

Ngày tải lên: 10/08/2014, 11:20

... extent they themselves have been involved in providing care We then look at people’s views about receiving care: the perceived likelihood that people will receive appropriate care in the future, ... Shopping Getting in and out of a bed or chair Light housework 7% 4% 4% C ooking\ preparing meals 4% Moving around at home 3% Bathing or showering 3% Dressing and undressing 3% Taking care of finances ... “Health and Long-Term Care INTRODUCTION Confronted with rising long-term care needs due to an increasingly ageing population, the European Union is supporting the Member States in their efforts to...

Ngày tải lên: 05/03/2014, 18:20

... "the best way." Men, due to the fact that they are less open to criticism and less willing to express their feelings, they are more subject to doing things the wrong way and never even realizing ... feelings out in the open, instead of keeping them locked up inside Thus people are more honest with each other and can work their difficulties out before they explode.Conclusion It is definitely ... return to the innocent times of Auden where love seemingly was true and carried no strings There does seem to be a problem with the increased fragmentation of society in regards to finding love...

Ngày tải lên: 02/04/2014, 17:59

... studies is reasonable [41] Furthermore the BMI and the percentage of smokers in our study sample were comparable to findings in the primary care population in the US and Germany [42-44] http://www.hqlo.com/content/7/1/19 ... about the additional impact of comorbid conditions on QoL in diabetics, especially in unselected patients as in primary care [5,6] With increasing age QoL depends more and more on the individual ... Sachsen-Anhalt and the AOK Rheinland-Pfalz for support in sending out the study material to their insured and for the preparation of claims data for sampling purposes We thank Burgi Riens and Ralf Kninider...

Ngày tải lên: 18/06/2014, 19:20

... results in the precipitation of the molecular clusters out of the solution into the primary carbonaceous nanoparticles These primary nanoparticles, having inherited the functional groups of HMF on their ... participated in the data analysis and drafting of the manuscript XDS contributed in the planning of the experimental program and in discussing of carbon sphere formation mechanism DKZ contributed in the ... nanoparticles in carbonaceous spheres This mechanism differs significantly from the conventional understanding in the open literature Competing interests The authors declare that they have no competing interests...

Ngày tải lên: 20/06/2014, 23:20

... furanic species The continued growth in size of the cross-linked furanic species eventually results in the precipitation of the molecular clusters out of the solution into the primary carbonaceous ... of the cross section of the sample, capturing both populations of the large and small spheres Micrograph (f) shows the details of the interior of the carbonaceous sphere, revealing that the interior ... participated in the data analysis and drafting of the manuscript XDS contributed in the planning of the experimental program and in discussing of carbon sphere formation mechanism DKZ contributed in the...

Ngày tải lên: 21/06/2014, 17:20

... emphasized the potentially universal features of health care But the health care industry in the United States is distinct from those in the rest of the industrialized world in several respects The ... Medicare and Medicaid Other examples of the private sector’s dominance include organizations concerned with maintaining professional standards and quality in the health care industry These include ... Studies, which, beginning in the mid-1970s, introduced me to the field of health administration and policy From outstanding figures in this field, including Ronald Andersen, Odin Anderson, Theodore R Marmor,...

Ngày tải lên: 29/06/2014, 09:20

... ,srednuaS ,513-782 pp de dn2 ygolocnO lacinilC laminA llamS ).sde( GE newEcaM ,JS worhtiW :nI metsys lateleks eht fo sromuT CR wartS 58-18 ,03 ,4991 cossA psoH minA mA J )0991-7891( sgod 79 fo yduts ... detaitnereffided fo serutaef gnigami RM dna ,TC ,cihpargoidaR M maradnuS ,R lednaK ,ML etihW ,KK innU ,F inotreB ,EL dloW ,ED regneW ,AL llerttiL 91-41 ,24 ,1002 dnuosartlU loidaR teV sgod ni amocrasordnohcoetso ... fo segats etal eht ni ylno sngis lacinilc wohs ,sromut fo noissergorp wols gniyalpsid esoht yllaicepse dna ,esaesid evisnetxe htiw stneitap ynam ,revewoH snaicinilc rof egnellahc elbadimrof a neeb...

Ngày tải lên: 07/08/2014, 20:23

... multiplying the sampling weight of the provider and the sampling weight of the patient within the provider as previously described [6] These weights were used to estimate the numbers of patients in care ... resulted in an incomplete sampling frame at the second stage – but not necessarily in any bias, unless not being included in the sampling frame was related to having had an OI diagnosed during 1998 In ... or were in care for HIV infection Once they did receive medical care, they would have been included in our sampling frame and could contribute to the OI incidence estimates, even if they had...

Ngày tải lên: 10/08/2014, 05:20

... using SAS, version After excluded individuals contributing data during the first year that the cohort contributed data to the NA-ACCORD to remove individuals who may have been previously in care, ... 1997 to 12% in 2007, pvalue < 0.01) Finally, among individuals who had an AIDS-defining diagnosis at first presentation for care, the proportion of older individuals who had ≥2 AIDSdefining diagnosis ... HIV treatment initiation guideline adherence if effective testing and treatment interventions target older individuals Finally, our data suggest older individuals are entering into care with advanced...

Ngày tải lên: 10/08/2014, 05:21

... highlighting the need for training of HCWs in the integrated management of HIV/AIDS, TB and other priority primary care diseases Attention to the quality of clinical care provided while increasing ... content is minimal: the training includes a single powerpoint presentation used during the introductory session to provide a program overview The training is supported by a desk blotter containing a ... for trainers, so they were chosen from the staff working at sites implementing PALM PLUS training, minimizing the need for travel to other sites A total of 14 HCWs took part in the training program...

Ngày tải lên: 10/08/2014, 11:20

... participated in the histopathological analysis, and in the coordination of the study KHL participated in the draft of the study, and contributed to the work on the histopathology of the case including ... Glioblastoma in the pineal region is a very rare disease However, in middle aged patients, a heterogeneously ringenhanced mass in the pineal region with leptomeningeal dissemination on MR imaging can ... surgery and was the coordinator of the study JTY summarized the patient notes and carried out the literature search KIY participated in the draft of the study, and in the conception of the study MCL...

Ngày tải lên: 11/08/2014, 21:22

... implement changes in individual intensive care units.” Indeed, physicians want to improve their delivery of care, but often lack an understanding of the basic theories that are necessary for their quality ... understanding of pathophysiology and pharmacokinetics, few clinicians or researchers possess formalized training in systems thinking, the process of quality improvement, concepts regarding changing ... Terrace, Illinois: Joint Commission; 1998 Berwick DM: Developing and testing changes in delivery of care Ann Intern Med 1998, 128:651-656 Reinertsen JL: Physicians as leaders in the improvement...

Ngày tải lên: 12/08/2014, 18:21

... especially in critical care Largely due to the media, the general public is aware that current technology is capable of indiscriminately maintaining some vital bodily functions, but they may not ... to reconcile the interests of society, patients, their families, and critical care practitioners, using logic and reaching agreement on common goals In the coming months, Critical Care Forum will ... (both in clinical practice and research) than our colleagues in other fields Often we are challenged either to facilitate decision-making or to resolve conflicts between the health care team and the...

Ngày tải lên: 12/08/2014, 18:21

... strides have been made in defining ethical principles to guide end-of-life care in the 35 years since a panel reached consensus on guidelines to define brain death [20] Nevertheless, it is important ... Critical care: why there is no global bioethics J Med Philos 1998, 23:643-651 22 European Society of Intensive Care Medicine: International Consensus Conference in Intensive Care Medicine: Preliminary ... and sedation in dying intensive care unit patients BMC Med Ethics 2002, 3:3 [http://www.biomedcentral.com/1472-6939/3/3] Campbell ML: Forgoing life-sustaining therapy: how to care for the patient...

Ngày tải lên: 12/08/2014, 19:22

... treated at the closest hospital Crit Care 2005, 9 :in press Frykberg ER: Terrorist bombings in Madrid Crit Care 2005, 9 :in press Martinez C, Gonzalez D: The World Trade Center attack: doctors in the ... critical incident management Crit Care 2001, 5:315-317 Lingard L, Espin S, Evans C, Hawryluck L: The rules of the game: interprofessional collaboration on the intensive care unit team Crit Care 2004, ... Similarities to the 1988 earthquake in Armenia: time to teach the public life-supporting first-aid? Crit Care 2001, 5:312-314 Hammond J, Brooks J: The World Trade Center attack: helping the helpers: the...

Ngày tải lên: 12/08/2014, 20:20

... dramatic, in terms of both life-saving and ICU resources In summary, the use of AEDs by the average person may be considered one of the greatest advances in critical care medicine during the past ... research efforts [8] In addition to evaluating the concept of markedly abbreviating the time taken to provide effective training for the masses [13], recent investigations using sophisticated (but ... endotracheal intubation, mechanical ventilation, therapeutic hypothermia, and various intravenous pharmacological infusions [10,11] Therefore, with the rapid use of AEDs by random bystanders, the usual...

Ngày tải lên: 12/08/2014, 23:21

... critical care in the developing world There are two major challenges to providing critical care in the least developed countries [17] First, there is little infrastructure to deliver health care in ... provision of intensive care [10,11] In North America, intensive care consumes up to 1% of the GDP [12,13], and critical care services tend to dominate clinical expenditures in other jurisdictions ... access to safe drinking water and public health, and one generation from the plight of the extreme poor Another 2.5 billion live in the middle-income world, mostly in cities, with incomes of a few...

Ngày tải lên: 13/08/2014, 11:22

... access the toll free hotline if they used the dedicated cell phone company Many people, using the other main cell phone provider in Kenya, were unable to access the toll free hotline In addition, there ... during the worst days of rioting, MSF was able to keep at least one clinic open Within the clinics, the triage system was put in place to deal with the sudden influx of trauma victims Regular primary ... conceived the idea, collated the information from the field, and was the principal author IvE was medical coordinator during the time of the violence and contributed to the history of the events...

Ngày tải lên: 13/08/2014, 13:21

... on behalf of China Critical Care Clinical Trial Group (CCCCTG): Clinical review: Critical care medicine in china mainland Crit Care 2010, 14:206 Depasse B, Pauwels D, Somers Y, Vincent JL: A profile ... these countries resulting from acute illness or injury, acute care surely should have a place in the curriculum Competing interests The author declares that he has no competing interests Published: ... as the Global Healthcare Workforce Alliance [5] are currently working to minimize the deficiency of 4.3 million healthcare workers in developing countries With a high proportion of deaths in these...

Ngày tải lên: 13/08/2014, 20:21