screening in the primary care setting

... 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

... towards screening, and perceived behavioral control towards implementing screening practices in the primary care setting In these urban practices prior to this study, clinicians acknowledged that they ... Training & education A To provide incentives for completing training I Developed training video B To have clinic staff provide reinforcement for training II Both group and individual training ... clinicians in urban low-income primary care settings with the information to undertake screening, we sought to contribute to the knowledge base by identifying challenges for developmental screening

Ngày tải lên: 02/03/2020, 17:17

... Reducing the Incidence of Catheter-Associated Urinary Tract Infections in the Acute Care Setting Using Evidence-Based Guidelines 151 Marklew, A., Urinary Catheter Care in the Intensive Care Unit ... drainage bag www.intechopen.com Reducing the Incidence of Catheter-Associated Urinary Tract Infections in the Acute Care Setting Using Evidence-Based Guidelines 145 3.7 Meatal care Routine care ... to the urinary tract and no alternate source These guidelines will pertain to patients with indwelling catheters, including short term (30 days) in the acute care setting These guidelines in

Ngày tải lên: 26/02/2024, 11:40

... 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 ... 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 ... 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

Ngày tải lên: 24/10/2022, 12:08

... is to perceive the importance for moral thinking of the other arm of the dilemma facing the father in the example above, that is, the value of the family or the community ... In their book The Patient in the Family... means that they tend to explain moral problems such as that experienced by the father in the example above in terms of the competing ... of the complainant and the association no longer coincide, and the complainant has every right to leave The complainant has no right to demand a change in the rules against the

Ngày tải lên: 07/03/2014, 04:20

... done? 2.2 Findings The following are a summary of the findings of the research. 2.2.1 Role and importance of the Elderly in the Community Despite the changing socio-economic structures of the African ... viewed Compounding the inadequacy of the existing policy is their insensitivity to the unique... exist within communities that can intervene The efficacy of such institutions (in intervention) ... they were asked to equate that geriatrics training with training in other specialized medical fields, they reckoned that: the quality and depth of training in geriatrics was equal to the

Ngày tải lên: 22/03/2014, 14:20

... contaminated respiratory equipment. According to the findings of some studies conducted in the United States and in the Europe, the mortality rate in the patients with of HAP caused by common ... 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 ... multidisciplinary approach is implemented in combination with efforts on methods that could improve the behavior of HCWs in patient care Institute... have seen a swing in the pattern of infecting

Ngày tải lên: 25/07/2014, 13:57

... structure pre- vailing in the region and are found: - along the Saint Elie track in the ECEREX research zone (Sarrailh, 1984). The soils here are developed on the Bonidoro ... either roots of mature trees (roots were traced from the base of the tree) or seedlings at different distances from the corresponding mother trees. Fine roots were carefully ... and Moser, 1991). The Caesalpinioideae sub-family is the dominant group of trees in the Guyanas, in diver- sity, density and biomass (Puig et al, 1990). The species Dicorynia

Ngày tải lên: 08/08/2014, 19:21

... [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 ... study to determine the defining features of an intervention customized to the context of care The method should be tested in other healthcare settings with other populations Further research will ... 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

... researchers in the field of prevention interventions in addiction [6] Methods The study was conducted in phases, a screening phase and an intervention phase Screening phase Injecting drug users presenting ... provided the benefits of developing and introducing behavioural interventions of the EPC and SEC and the DBS screening for Hepatitis C Moreover the main lessons learnt were that piloting of a new intervention ... 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

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

... 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. ... 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 ... 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

... 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 ... 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 ... 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...

Ngày tải lên: 11/08/2014, 05:21