acquired infectious diseases in primary care

... Guidelines in Primary Care, 2008 is intended for primary care clinicians, including not only residents and practicing physicians in the ties of family medicine, internal medicine, pediatrics, and obstetrics ... for her assistance in contacting and taining information from professional societies and updating internet ad- dresses, as well as the following professional societies for providing updates/feedback ... adoles-cents in primary care settings.1 Parents should routinely receive instructions on monitoring their adolescent’s social and recreational activities for use of alcohol.a 2 The finding of alcohol

Ngày tải lên: 10/08/2014, 18:21

... counseling about potential risks and benefits Evidence is insufficient to recommend for or against routine CBE alone, or teaching or performing routine BSE http://www.aafp.org/online/en/home/clinical/ ... main way of preparing samples of cervical cells for screening (http://guidance.nice.org.uk/Routine screening is not recommended http://screening.iarc.frhttp://www.cancerscreening Trang 7Routinely ... inadequate evidence that screening with endometrial sampling or transvaginal ultrasound screening with transvaginal ultrasound will result in unnecessary additional examinations because of low specificity

Ngày tải lên: 10/08/2014, 18:21

... http://www.nhlbi.nih.gov/guidelines/cholesterol/ atp3upd04.htm Trang 6Recommends routine screening of individuals with major CHD risk uncertain Makes no recommendation for or against routine screening for lipid disorders in ... High-risk individuals are already candidates for intensive risk reducing therapies In clinically selected, intermediate-risk patients, it may be reasonable to use EBCT or MDCT to refine clinical ... lipid-lowering therapies (Circulation 2006;114:1761–1791) Trang 9Insufficient evidence to recommend for or against routine screening for dementia.1 Screening instruments are useful for detecting multiple

Ngày tải lên: 10/08/2014, 18:21

... 2004 Persons at increased risk a Insufficient evidence to recommend for or against routine screening. CDC 2006 Persons at increased risk a Perform routine counseling, testing, and appropriate ... Recommends against routine serological screening for HSV to prevent neonatal HSV infection. a a Women who develop primary HSV infection during pregnancy have highest risk for transmitting HSV infection ... recommends screening. 1. USPSTF makes no recommendation for or against routine screening for HIV in adolescents and adults who are not at increased risk for HIV infection. 2. Initial screening test:

Ngày tải lên: 10/08/2014, 18:21

... traits are at increased risk of initiating and progressing in smoking behaviors (Pediatrics 2006;117:1216) http://www.aafp.org/online/en/ home/clinical/exam.htmlhttp://www.ahrq.gov/clinic/ uspstf/uspstbac.htm ... (2007) (CONTINUED) Cancer Type Minimize Risk Factor Exposure Strength of Evidence That Modifying or Avoiding Risk Factor Vitamin E Selenium Lycopene Inadequate Inadequate Inadequate invasive breast ... Cancer Type Minimize Risk Factor Exposure Strength of Evidence That Modifying or Avoiding Risk Factor – about 24% increased incidence of invasive breast cancer with combination HRT – increased

Ngày tải lên: 10/08/2014, 18:21

... abstain Reinforce and support continued adherence to recommendations.Renegotiate drinking goals as indicated (eg, if the medical condition changes or if an abstaining patient wishes to resume drinking) ... bodily harm (drinking and driving, operating machinery, swimming)relationship trouble (family or friends) role failure (interference with home, work, or school obligations) run-ins with the law ... (tremors, sweating, nausea, or insomnia when trying to quit or cut down) kept drinking despite problems (recurrent physical or psychological problems) spent a lot of time drinking (or anticipating or

Ngày tải lên: 10/08/2014, 18:21

... DIABETES Intensify insulin A1c≥ 7% Add basal insulin (most effective) Add sulfonylurea(least expensive) Metformin Add basal insulin(no hypoglycemia) Add basal orintensify insulinIntensive insulin + ... ¶: depending on local prevalence of bacterial β-lactamases; §: azithromycin, clarithromycin, dirithromycin, roxithromycin; ƒ: gatifloxacin, levofloxacin, moxifloxacin MDI: metered-dose inhaler ... CATARACT IN ADULTSNotes: 1 Begin evaluation only when patients complain of a vision problem or impairment Identifying impairment in visual function during routine history and physical examination

Ngày tải lên: 10/08/2014, 18:21

... 5APPENDIX I: SCREENING INSTRUMENTSSENSITIVITY AND SPECIFICITY OF SCREENING TESTS FOR PROBLEM DRINKING SCREENING INSTRUMENTS: ALCOHOL ABUSEInstrument Name Screening Questions/Scoring Threshold Score ... given in parentheses Scores range from 0 to 40, with a cutoff score of ≥ 5 indicating hazardous drinking, harmful drinking, or alcohol dependence.) 1) How often do you have a drink containing alcohol? ... screening tool for hazardous alcohol intake and related disorders in primary care: A validity study BMJ 1997;314:420 SCREENING PROCEDURES FOR PROBLEM DRINKING (CONTINUED) Trang 8APPENDIX I: SCREENING

Ngày tải lên: 10/08/2014, 18:21

... receive influenza vaccine. • Influenza vaccine is recommended annually for children aged ≥ 59 months with certain risk factors, health-care workers, and other persons (including household members) in ... vaccine (PPV). (Minimum age: 2 years) • Administer for certain high-risk groups See MMWR 1997;46(No RR-8):1–24, and 5 Influenza vaccine (Minimum age: 6 months for trivalent inactivated influenza ... vaccine [TIV]; 5 years for live, attenuated influenza vaccine [LAIV]) • Influenza vaccine is recommended annually for persons with certain risk factors, care workers, and other persons (including

Ngày tải lên: 10/08/2014, 18:21

... health out-comes in primary care is inconsistent [3,4] In this paper, we consider the structure of the information exchange networks in a primary care practice as a potential determinant of the uptake ... gathering and dissemination informa-tion A study of primary care partnerships in Australia found that independent staff played a crucial role in holding partnerships together [11] A study in the ... understanding is required of appropriate methodologies for collecting and analyzing social network data in primary care set-tings In particular, efficient and effective ways for col-lecting reliable primary

Ngày tải lên: 11/08/2014, 05:21

... Ornstein - ornstesm@musc.edu * Corresponding author Abstract Background: Assessing the quality of primary care is becoming a priority in national healthcare agendas Audit and feedback on healthcare ... measures within multiple clinical domains, efforts to improve quality in one area may yield a decline in quality in another area In such circumstances, a summary measure may provide clinicians and ... algorithm and preliminary findings were presented to clinicians participating in site visits or attending the 2005 and 2006 PPRNet A-TRIP network meetings, feedback was favorable During site visits,

Ngày tải lên: 11/08/2014, 05:22

... previous research Developing the clinical team in primary care practice is important to successfully implementing change in prac-tice In a case study of one exemplary primary care practice without ... openness to innovation perceive team effectiveness [38] Notably, nurses in pri-mary care practices generally support clinical guidelines, and their role and influence within primary care is in a process ... stroke Top Health Inf Manage 2001, 22(2):52-58. 25. Feifer C, Ornstein SM: Strategies for increasing adherence to clinical guidelines and improving patient outcomes in small primary care practices

Ngày tải lên: 11/08/2014, 05:22

... health out-comes in primary care is inconsistent [3,4] In this paper, we consider the structure of the information exchange networks in a primary care practice as a potential determinant of the uptake ... gathering and dissemination informa-tion A study of primary care partnerships in Australia found that independent staff played a crucial role in holding partnerships together [11] A study in the ... understanding is required of appropriate methodologies for collecting and analyzing social network data in primary care set-tings In particular, efficient and effective ways for col-lecting reliable primary

Ngày tải lên: 11/08/2014, 16:20

... from an inner city Primary Care Trust in NW England All practice staff were expected to attend two afternoon training sessions The training sessions were observed by members of the training team ... practitioners (GPs), nursing staff and administrative, and support staff Development of the WISE training package The aims of the training are outlined in Table 1 The content of the training package was ... and explain the way in which new or modified practices of thinking, enacting, and organising work associated with WISE are operationa-lised in healthcare In order to understand the embed-ding of

Ngày tải lên: 11/08/2014, 16:20

... reducing clinical inertia in primary care physicians Aim of the study Our program goal is to improve adherence to evidence-based guidelines and to reduce clinical inertia in primary care physicians, ... understanding of existing barriers to high-quality diabetes care and allowed us to incorporate innovative change interventions, such as interdisciplinary teams operating on the primary/spe-cialty care ... opinion leaders and experts in diabetes care [41] Modeling phase In the modeling phase, we delineated the components of our complex intervention and the underlying mecha-nisms by which they influence

Ngày tải lên: 11/08/2014, 16:21

... ‘shared’ model of client involvement in decision making, called shared decision making, has received increased interest in both research and clinical settings Shared decision making (SDM) facilitated ... existing domains of involvement (communication between clients and clinicians about decision making; efforts made by the client in relation to decision making; and efforts made by the clinician in ... being seen in primary care settings with improved access to evidence-based treatments and compared this to usual care As part of the CCM intervention, participants were informed about, and involved

Ngày tải lên: 11/08/2014, 16:21

... (SOMS-2) in primary care (PC) settings Methods: An adapted version of the SOMS-2 was filled in by persons attending a PC unit All medically unexplained symptoms were further ascertained in a clinical ... clinical interview and by contacting the patient's physicians and examining medical records, attaining a final clinical symptom evaluation (FCSE) An interview yielded the diagnosis of Clinical ... were obtained by contacting the surgeon in charge Based on all information collected a final con-sensus about the symptom was reached (explained or unexplained), yielding the Final Clinical Symptom

Ngày tải lên: 11/08/2014, 16:22

... becoming important in critical care Infectious Diseases in Critical Care Medicine (third edition) remains the only book exclusively dedicated to infectious diseases in critical care Importantly, Infectious ... not trained in infectious diseases It is written by clinicians in infectious diseases in critical care and is meant as a handbook to provide valuable information not included in critical care textbooks ... noninfectious diseases remain an important component of infectious diseases in the second edition The second edition of Infectious Diseases in Critical Care Medicine emphasizes differential clinical...

Ngày tải lên: 06/03/2014, 06:20

... health? Maintaining mental wellbeing • sleep as an activity • keeping mentally active • memory Maintaining physical wellbeing • nutrition • pain • keeping physically active Occupation in the home ... and older living at home, in the community, in supported housing or in residential care homes • they included interventions and activities that promote or sustain mental wellbeing in older people, ... dementia and their carers in health and social care, managing depression in primary and secondary care, assessing and preventing falls in older people, obesity, commonly used methods to increase physical...

Ngày tải lên: 05/03/2014, 18:20

... difficulties in disseminating research findings to primary care providers Research on implementing screening and brief alcohol intervention showed personal meetings to effect most behaviour change in GPs, ... drinking is also used loosely to cover those who have experienced minimal as opposed to serious harm 1.2.3 HARMFUL DRINKING Harmful drinking is defined in the International Classification of Diseases ... interviewing techniques should be considered when delivering brief interventions for harmful drinking in primary care Staff who deliver motivational interviewing should be appropriately trained 1+...

Ngày tải lên: 08/03/2014, 14:20