... 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 ... 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 ... completed the procedures in a private area of the clinic The research assistant described the study and obtained verbal consent to complete a 10-minute depression screening interview in a private...
... 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 ... of We therefore developed a German translation of the ACIC and tested the instrument in different primarycare settings in Switzerland Methods Assessment of Chronic Illness Care (ACIC) The ACIC ... known in other countries [1,14] The organizations for the initial testing of the German version of the ACIC in Switzerland may not be representative for all health care organizations in other...
... 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 ... of We therefore developed a German translation of the ACIC and tested the instrument in different primarycare settings in Switzerland Methods Assessment of Chronic Illness Care (ACIC) The ACIC ... known in other countries [1,14] The organizations for the initial testing of the German version of the ACIC in Switzerland may not be representative for all health care organizations in other...
... preventing the spread of disease in their child caresetting Assist providers in establishing, developing and promoting written policies regarding health and safety in their child caresetting Help ... materials) in their child caresetting that increase the risk of disease • Ask providers to describe the procedure that will reduce the spread of illnesses inthe child caresetting • Ask the class ... clothes soiled with stool inthe child caresetting Because of the risk of splashing and gross contamination of hands, sinks, and bathroom surfaces, rinsing increases the risk that you, other...
... between the lesion and the superficial vein system or through an incompetent perforating vein Inthe case of a popliteal artery pseudoaneurysm there should be a localisation of the lesion within the ... http://www.jmedicalcasereports.com/content/2/1/307 clinical explanations and access to ultrasound examination enabled early diagnosis of this case Competing interests The authors declare that they have no competing interests Inthe past, the ... difficult Colour Doppler ultrasonographic findings should reveal neither flow nor communication between the popliteal vein and the lesion in either case These findings may help differentiate between...
... From Insulin Therapy • The Joint Commission considers insulin to be of the highest-risk medicines inthe inpatient setting – Consequences of errors with insulin therapy can be catastrophic • In ... therapies reduce insulin needs? 19 Calculating the SC Insulin Dose • Establish the 24-hour insulin requirement by extrapolating from the average intravenous insulin dose required over the previous ... • Initiate prandial doses of rapid-acting analogue with the first dietary trays, even if patient is receiving IV insulin infusion Find a 6- to 8-h interval during IV insulin infusion when the...
... diagnosed in primary- care settings [9] Although several depression screening instruments are available, their psychometric properties in a primary- care paediatric settinginthe Indian context has ... 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...
... function (FIQ) and the intensity and interference of pain which these subjects have in their daily lives (BPI) The linear relationships found using the FIQ illustrated that an increase inthe impact ... level, lower increases of the impact are accompanied by higher cost increments A similar phenomenon was observed using the BPI using the pain interference index For example, an increase inthe degree ... on the use of health care and non-health care resources were collected from the database Prior to the interview, the selected patients were contacted to inform them about the study, obtain their...
... applied to primarycare settings directly or can potentially be derived for use inprimarycare settings of IT recommended inthe Institute of Medicine's report 'Crossing the Quality Chasm' The scale ... summarized in Table and operationalize the constructs contained in each domain for use in our survey The survey instrument is presented in an additional file Given the focus on primary care, many ... of delivering depression care [56,71] Inthe context of primary care, the key coordination variables are MHS location, difficulty in arranging specialist referrals, and coding/billing practices...
... What we know about primarycare teams that would inform the development of a more effective intervention to overcome these barriers inprimarycare settings? Primarycare clinics are complex adaptive ... translational research inprimarycare settings by examining the sustainability of the intervention The specific objectives are to: Evaluate the effectiveness and sustainability of PF to improve ... be stronger in intervention clinics Determine: the cost of the intervention from the perspective of the organization providing the PF intervention activities; the net cost (revenue minus cost of...
... applied to primarycare settings directly or can potentially be derived for use inprimarycare settings of IT recommended inthe Institute of Medicine's report 'Crossing the Quality Chasm' The scale ... summarized in Table and operationalize the constructs contained in each domain for use in our survey The survey instrument is presented in an additional file Given the focus on primary care, many ... of delivering depression care [56,71] Inthe context of primary care, the key coordination variables are MHS location, difficulty in arranging specialist referrals, and coding/billing practices...
... reduction in its use, a sustained reduction inthe Kollef et al examined the influence of a scheduled change in antibiotic on the incidence of nosocomial infections among patients undergoing cardiac ... improve the efficacy of antimicrobial therapy by increasing the likelihood for adequate initial treatment of infections [6] Antimicrobial de-escalation There is increasing clinical evidence suggesting ... Critical Care August 2001 Vol No Kollef Table Practices promoting the optimization of antimicrobial use inthe intensive care unit setting Provide adequate initial treatment of serious infections...
... 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 ... to investigate the impact of CPOE, without decision support, on MEs inthe critical caresettingThe data collected were viewed in terms of proportion of errors, patient outcomes arising from 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...
... 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...
... 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 ...