psychologists in the primary care team

... Clinical Therapeutics/Volume ], Number ], 2016 Limitations of the Current Standards of Care for Treating Gout and Crystal Deposition in the Primary Care Setting: A Review Robert ... may provide new ways for reaching the sUA target and also “curing” the disease (Clin Ther 2016;]:]]]–]]]) & 2016 The Authors Published by Elsevier HS Journals, Inc Key words: gout, hyperuricemia, ... uricosuric drugs, xanthine oxidase inhibitors INTRODUCTION This article outlines several important issues regarding the management of patients with gout The topics discussed include best practices

Ngày tải lên: 04/12/2022, 15:13

... readily available) in primary care settings in low-income countries; and they can be managed in typical primary care settings in middle-income and low-income countries Therefore, having a national ... the primary care level, especially those in preventive medicine, are insufficient (v) Information and research: The health information system in the district is weak, and there is no specific information ... for strengthening equity and efficiency of primary health care in low-resource settings WHO PEN is considered as an important step for integrating NCDs into primary health care and initiating reforms

Ngày tải lên: 24/10/2022, 12:08

... [237] In the US this information has resulted in a rapid increment of Breast Fellowship, recognizing that appropriate training is one of the key factors in improving quality of care Currently, the ... surgery In this procedure, the skin flap covering the breast gland and the nipple-areola complex (NAC) are preserved In some cases the major ducts are removed In the past, the nipple has been routinely ... occurred in the last two decades Surgeons, once solely interested in the extipartion of the primary tumor, are now faced with the need to incorporate a great deal of information, and to manage increasingly

Ngày tải lên: 09/08/2014, 03:21

... Overall interpretation Low back pain is a frequent presenting problem in primary care settings However, the use of x-rays in clinical management of low back pain is relatively infrequent In the theory ... ageing) were retained in the regression model, together explaining 16.5% of the variance in the scenario score (Table 4) Predicting behavioural intention With the range of possible scores for intention ... Lumbar spine imaging for low back pain in primary care settings is an example of an evidence to practice gap Low back pain is an extremely common presentation in primary care However, lumbar spine

Ngày tải lên: 10/08/2014, 10:23

... reorganizing primary care but also the primary/ secondary care interface) At the end of the process, nearly all participants agreed with the key features of the intervention, including the two ... services Strengthen primary care • Maintain the PCP as the main medical practitioner • Integrate health professionals into a multidisciplinary team • Introduce a case manager collaborating with PCPs ... collected during the individual interviews, was presented to the group for discussion and in order to refine the findings In the following sessions, participants were asked develop their expectations

Ngày tải lên: 11/08/2014, 05:21

... Counselling (SEC) intervention The therapists who administered the interventions were regular staff of community drug services that took part in the trial All therapists received an intensive training ... infection in injecting drug users HCV transmission risk behaviours include injecting drugs, the sharing of injecting equipment, not cleaning and reusing drug paraphernalia, alcohol misuse, cocaine ... prevention including the need to reduce sharing of injecting equipment and safer injecting practices It was intended to be a non-interactive intervention in order to contrast with the EPC, and

Ngày tải lên: 11/08/2014, 18:20

... pain was treated either by reducing or by discontinuing the propofol (if being adminis- tered) or opioid infusion. Pain was treated with an opioid bolus dose and an increase in the opioid infusion ... (four centres in Belgium, eight in Germany, one in The Netherlands, four in Spain, four in the UK). In total, 152 patients were randomized, in a double-blind manner, to receive either a remifentanil ... Pain was assessed by the investigator/study nurse using a six point Pain Intensity (PI) scale, as follows: 1 = no pain, 2 = mild pain, 3 = moderate pain, 4 = severe pain, 5 = very severe pain,

Ngày tải lên: 12/08/2014, 20:20

... 5Consultant in Internal Medicine, Head of Department of Intensive Care, Intensive Care Unit, Hospital Geral de Santo António, Oporto, Portugal 2Consultant Corresponding author: Cristina Granja, cristinagranja@oninet.pt ... stressors during an ICU stay, with the aim of preventing or decreasing them [7-10] This study has two aims: to recollect the experiences felt by patients during their ICU stay, by using an original questionnaire, ... relating to memories retained by the patients, the environment in the ICU, the relationship with health care professionals, dreams, nightmares, sleep disturbances, difficulties in concentrating

Ngày tải lên: 12/08/2014, 20:21

... predefined clinical conditions and the development of acute lung injury by using the American–European consensus definition; the frequency of lung injury development outside the intensive care ... knowledge in two ways. First, our finding that most patients entering the ICU do so on the day of developing their clinical insult is new, and it under- scores the potential need for rapid intervention ... whom they may be mis- taken. Second, for the intensivist, the question is whether these patients with ALI should be left on the ward, or whether their outcomes would be better if they received care

Ngày tải lên: 13/08/2014, 08:20

... infection, expected health gains are min- imal and the decision is driven by the change in costs. Most of these costs represent the value of obtaining increased capac- ity within the ICU, rather ... conceive of the study and obtain funding. DP aided in defining the clinical context and helped to draft the manuscript. NG conceived of the study and obtained funding, participated in its design ... resources within the healthcare system. Our second analysis, using PSA, introduces the uncertainty associated with the decision. Based on current information, the MR catheters are the optimal decision

Ngày tải lên: 13/08/2014, 16:20

... consequence of such find- ings, the most recent update to the guidelines of the Infectious Diseases Society of America includes a recommendation for the use of an echinocandin for the initial management ... 30. • These data underline the importance of the APACHE II score as a prognostic indicator of clinical outcome in patients receiving antifungal therapy in both the ICU and the non-ICU setting. ... the subgroups, there was a disparity in the racial composition of the ICU and non-ICU groups in this worldwide study. The percentage of Black subjects in the ICU group was less than that in the

Ngày tải lên: 13/08/2014, 19:20

... replacement therapy in the intensive care unit: results from The Beginning and Ending Supportive Therapy for the Kidney (BEST Kidney) Study Nattachai Srisawat 1 , Loredo Lawsin 1,2 , Shigehiko Uchino ... of acute renal replacement therapy in the intensive care unit: results from The Beginning and Ending Supportive Therapy for the Kidney (BEST Kidney) Study. Critical Care 2010 14:R46. Submit your ... and minimum nursing cost of CRRT on the left. The box represents the 1 st and 3 rd quartiles of the nursing-cost range. The thick solid line represents the median difference in nursing costs for

Ngày tải lên: 13/08/2014, 20:21

... less than the initial creatinine on entry to the ICU and not obviously AKI (n = 45) If a preadmission creatinine was not available, then the lowest value of either the initial creatinine on entry ... ratio is interpreted as the odds ratio for a 10-fold increase in the variable We defined two cut points The "optimal cut point" is the uCysC concentration at the point on the ROC curve closest ... general intensive care unit (ICU) patients uCysC and plasma creatinine were measured at entry to the ICU AKI was defined as a 50% or 0.3-mg/dL increase in plasma creatinine above baseline Sepsis

Ngày tải lên: 13/08/2014, 20:22

... with insulin save lives in intensive care? J Clin Invest 2004, 114:1187-1195 91 Savage DB, Petersen KF, Shulman GI: Mechanisms of insulin resistance in humans and possible links with inflammation ... and in? ?? am matory responses, with a dramatic increase in circulating TNF-α when intraportal glucose was adminis- tered. Fasting on the other hand seemed to attenuate the response to endotoxin. ... control by intensive insulin therapy in adult intensive care units: the Glucontrol study. Intensive Care Med 2009, 35:1738-1748. 16. Dandona P, Chaudhuri A, Ghanim H, Mohanty P: Anti -in? ?? ammatory

Ngày tải lên: 13/08/2014, 21:20

... beginning, Number of days since hospital admission before the patients were included in the study; TPN duration, Total duration of the TPN in days; Norepinephrine, Medium dose of norepinephrine ... clinical effect on reducing infectious complications Taking into account that TLRs play a central role in the activation of the innate system, hence leading to the activation of different intracellular ... example, glutamine stimulates the formation of heat shock protein 70 in monocytes by enhancing the stability of mRNA [2,3], influences the redox potential of the cell by enhancing the formation

Ngày tải lên: 14/08/2014, 07:21

... the activation of the immune system in circumstances of inflammation and infection, and have been associated with increased mortality in different populations of non-intensive care patients In ... concentrations within the first week of intensive care in a large cohort of well characterized intensive care unit (ICU) patients, in order to investigate potential regulatory mechanisms and evaluate the prognostic ... prospectively The clinical course of patients was observed in a follow-up period by directly contacting the patients, the patients’ relatives or their primary care physician Patients who met the criteria

Ngày tải lên: 14/08/2014, 07:21

... preventative interventions and enhance the power of clinical studies examining such interventions. The finding that BSI was independently associated with a three-fold increased risk of death from the ... evidence of catheter infection. This sug- gests that the v irulence of the micro organism rather than the source of infection may be more important in determining outcome. Finding an association ... ions making this one of the largest studies of BSI in intensive care. We did not have detailed clinical information includ- ing exact trigger for drawing blood cultures, antimicro- bial therapy,

Ngày tải lên: 14/08/2014, 08:21

... three trials tested the efficacy of the combination of acetaminophen, aspirin, and caffeine (Excedrin®) in migraine patients (studies recently published and not included in the AHCPR Technical ... variety of oral codeinecontaining agents, including acetaminophen plus codeine and proprietary combinations of ∗ ∗ acetaminophen, codeine, and doxylamine (Mersyndol® ) or buclizine (Migraleve® ) ... with status migrainosus (Grade C) • Lidocaine— Intranasal Findings: Limited studies reported lidocaine superior to placebo in relieving acute migraine headache at 15 minutes The incidence of recurrence...

Ngày tải lên: 21/02/2014, 12:20

... delivered to them in their office by a primary care physician/psychiatrist team; tailored, individualized feedback regarding their interviewing skills (either during or at the end of the study), and ... using the MacArthur Initiative on Depression and Primary Care Toolkit for clinicians [35] The team visited clinicians individually or as a group according to the collective preference of clinicians ... skills training program in a one-on-one or small group format with other clinicians in the practice who were also assigned to this intervention The program featured a CD-ROM containing the clinician’s...

Ngày tải lên: 11/08/2014, 05:21