... three trials tested the efficacy of the combination of acetaminophen, aspirin, and caffeine (Excedrin®) in migraine patients (studies recently published and not included inthe 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...
... clinically relevant impact on their daily lives These data indicate a need for an improved approach to GERD management intheprimarycare setting, tailoring treatment on an individual basis in ... including the RDQ, GIS and the Gastrointestinal Symptoms Rating Scale, may be one such instrument, providing more accurate and sensitive quantification of the symptoms and the impact of these in patients ... all patients visiting their primarycare practitioner within the specified identification period were included inthe study population and irrespective of the number of times they visited that...
... delivered to them in their office by a primarycare 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 PrimaryCare Toolkit for clinicians [35] Theteam 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 inthe practice who were also assigned to this intervention The program featured a CD-ROM containing the clinician’s...
... the German-ACIC, the G-ACIC Feasibility testing and validation in different primarycare institutions The final German version was delivered to different primarycare settings in Switzerland (two ... for all health care organizations in other German speaking countries However it can be assumed that the difficulties in transforming usual care into care congruent with the Chronic Care Model are ... obtained (Table 1) The group practices and single handed practices scored lower in all subscales compared to the baseline scores of the original testing The group practices showed for five of the...
... training course After the training course, 18 of the 22 GPs inthe intervention group (82%) attended information meetings; 16 of the 25 NPs and GP assistants (64%) attended feedback meetings ... part in focus groups on delivering culturally appropriate carein our previous study [27] This may explain the baseline scores of the group on scale four, the self-reported actions inthe intervention ... delivery The absolute value of the observed differences was modest, so the results should be interpreted with care Nevertheless, they suggest that the intervention has been successful in eliciting...
... the German-ACIC, the G-ACIC Feasibility testing and validation in different primarycare institutions The final German version was delivered to different primarycare settings in Switzerland (two ... for all health care organizations in other German speaking countries However it can be assumed that the difficulties in transforming usual care into care congruent with the Chronic Care Model are ... obtained (Table 1) The group practices and single handed practices scored lower in all subscales compared to the baseline scores of the original testing The group practices showed for five of the...
... population in India All adolescents were included inthe study if they were inthe 11 grade (to avoid the symptoms of depression due to educational stress of appearing for board examination inthe 10th ... Competing interests The author(s) declare that they have no competing interests Authors' contributions MB was involved in conception, drafting and revising the final draft PDM and SR were involved ... were involved in conception and approving the final version of the manuscript PSSR was involved in conception, designing, data analysis and interpretation, drafting and approving the final version...
... using the Clinical Informacomputerised physician order entry (CPOE) using the Clinical Information System with 95% confidence intervals Hand-written prescribing (HWP) data collection began on the ... for bias inthe results and is a limitation of the study Medical errors are among the leading causes of death inthe United States In its highly publicised report, the Institute of Medicine estimates ... non-intercepted and intercepted errors were combined) The limitations of this study and the potential for bias discussed previously must be borne in mind when interpreting these results Some of the...
... defined as calculated creatinine clearance less than 50 ml/minute The parameters needed to calculate the creatinine clearance were always available in both the PB-U and the C-U In addition to the ... month after the completion of the study, the ICIS was implemented inthe two other remaining units Approval of the ethics committee was obtained; informed consent was waived A surgical ICU-independent ... errors An independent panel, consisting of one clinical pharmacist, not involved inthe registration part of the study, and two intensive care specialists, evaluated independently the severity...
... word, whether they are skimming the text for general meaning or scanning it to pick out specific information Other things to keep in mind are: When choosing texts consider not only their difficulty ... a poem Reading aloud inhibits most pupils and forces them to concentrate on what they are saying as opposed to what they are reading and the meaning is very often lost Writing Inprimary schools, ... help the pupils to predict the general content of the text Discuss the subject and ask questions to elicit language and to stimulate the pupils' interest inthe text before they begin reading...
... preventing the spread of disease in their child care setting Assist providers in establishing, developing and promoting written policies regarding health and safety in their child care setting Help ... clothes soiled with stool inthe child care setting Because of the risk of splashing and gross contamination of hands, sinks, and bathroom surfaces, rinsing increases the risk that you, other ... is the most important thing they look for when seeking child care, a healthy and safe environment is at the top of the list With this in mind, child care providers must include parents in their...
... discharge and pain are the most common clinical findings of acute bacterial sinus infections, the location of the facial pain may suggest which sinuses are involved. Pain inthe cheeks suggests maxillary sinusitis, whereas pain in ... antigens, it can further enhance the response by stimulating the immune system. The ciliated epithelium continually beats, propelling the mucus in a synchronized fashion toward the natural opening or ostium of each sinus. These ostia drain into the nasal cavity. The mucus is then propelled to the nasopharynx to be swallowed. At this point the ... so forth may also irritate the nasal linings. Furthermore, infection by a virus or bacteria may irritate the nasal linings. The swelling that occurs may cause the narrow openings inthe nose and sinus cavities to narrow even further or ...
... see this is to perceive the importance for moral thinking of the other arm of the dilemma facing the father inthe example above, that is, the value of the family or the community which communitarians ... ethical decision-making in health care, how are we to reach even local consensus inthe making of ethical decisions of the kind confronting the father at the beginning of this introduction? What seems ... another, as well as the subsequent inclination to educate their mutual offspring Next, there is a basic inclination which is peculiar to man, namely the inclination to discern the truth of things...
... Slapping, hitting, punching, beating, burning, sexual assault and rough handling Name calling, yelling, insulting, threatening, imitating, swearing, ignoring, isolating, excluding from meaningful ... done? 2.2 Findings The following are a summary of the findings of the research 2.2.1 Role and importance of the Elderly inthe Community Despite the changing socio-economic structures of the African ... medical fields, they reckoned that: the quality and depth of training in geriatrics was equal to the training in other specialized fields such as pediatrics Yet they felt that their training for pediatrics...
... organizations incorporate teamcare into practice in a variety of settings • steps for forming and maintaining a successful team • eight case studies that demonstrate real-world teamcarein several ... for teamcare and evaluate the effectiveness of the model in improving health care quality and reducing costs.[24] Their findings will help guide future efforts to integrate and disseminate the ... hospitals to integrate care by holding them jointly responsible for Medicare quality and costs 15 Redesigning the Health CareTeam Other telehealth programs The Indian Health Service is expanding its...
... 25-hydroxyvitamin D lost inthe urine [24] This process is facilitated by megalin, a protein located on the renal epithelial cell which binds to the DBP-25-hydroxyvitamin D complex to facilitate the recovery ... contrast, the prevalence of vitamin D insufficiency inthe healthy controls was 66.5% (14/20) (p = 0.003); there was no significant difference inthe prevalence of vitamin D insufficiency between the ... D insufficient However, the prevalence of vitamin D insufficiency is even higher in subjects admitted to the intensive care unit with critical illness We also demonstrate that vitamin D binding...
... Cancer incidence in people with AIDS in Italy Int J Cancer 2010 Gingues S, Gill MJ: The impact of highly active antiretroviral therapy on the incidence and outcomes of AIDS-defining cancers in Southern ... version of the manuscript was seen and approved by all authors The corresponding author held the final responsibility for submitting the manuscript for publication 15 16 17 Competing interests The authors ... over one month Chemotherapeutic agents used included bleomycin, vinblastine, vincristine, etoposide, cyclophosamide, adriamyacin and prednisone There were no standard chemotherapeutic regimens;...
... characteristics of pathogens causing HAP These findings suggest areas for intervention and for developing guideline for prevention and control of HAP in HCFs THESIS STRUCTURE The thesis consists of 129 ... be inhaled by susceptible individuals through the dissemination of either airborne droplet nuclei or small particles (< 5μm )in the respirable size range containing infectious agents that remain ... malfunctioning or if visibly contaminated Specific instructions can be found inthe CDC guidelines for preventing HAP, 2003 Measures that can decrease the risk of aspiration include positioning the...
... role inthe seedling mortality, and thus inthe regeneration dynamics of these species Indeed, D guianensis is one of the species with the highest mortality rate inthe experimental plots in Paracou ... position (the sub-family Caesalpinioideae inthe Leguminosae) and to other studies in Africa (eg, Alexander and Högberg, 1986; Fassi and Moser, 1991) .The Caesalpinioideae sub-family is the dominant ... ture In DISCUSSION AND CONCLUSIONS been The different tree species inthe tropical rain forest of the French Guyana obviously display a wide range of strategies in exploring the soil and using...