screening and treating in primary care

... (FEV1 and FVC) were conducted in the morn-ing between 8:00 am and 11:00 am at all visits Following screening, patients entered a 2-week run-in period, during which their COPD had to remain stable ... Spirometry training was given prior to initiating the study and a repeat training session was given during the initiation visit Spot checks on the calibration of spirome-ters were conducted during the ... and safety of tiotropium in COPD patients in primary care – the SPiRiva Usual CarE (SPRUCE) study Daryl Freeman*1, Angela Lee2 and David Price1 Address: 1 Department of General Practice and Primary...

Ngày tải lên: 12/08/2014, 15:20

... sound and cognition c) Mindful Stretching and Mindful Walking – developing awareness of bodily sensations through movement d) The 3-minute breathing space – an exercise in bringing attention into ... effort participants invested in developing their own mindfulness practice and improvements in psy-chological well-being This is in keeping with previous findings that suggest strong links between consistent ... and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Andy Finucane and Stewart W Mercer* Address: General Practice and Primary...

Ngày tải lên: 01/11/2022, 08:34

... using the BPI using the pain interference index For example, an increase in the degree of pain interference by 1 point (0- to 10-point scale) is associated with a total annual cost increase ... interval of subjects included in each interval. BPI-I, Brief Pain Inventory – Pain interference subscale. [...]... participated in the interpretation of data and in the preparation ... between the total, indirect, and health care costs and the degree of interference in daily activities caused by the pain as measured by the 11-point numeric rating scale. Finally, when patients...

Ngày tải lên: 09/08/2014, 14:20

... personal care (for example, shopping, laundry, keeping warm) − staying active and increasing daily mobility − getting information on accessing services and benefits − home and community safety − using ... developing training programmes and setting competencies, standards and continuing professional development schemes • NHS and local authority senior managers, human resources and training providers ... Health and social care services have an important role in promoting and maintaining physical activity, health and independence (DH 2005a, DH 2005b) There is a decline in physical activity with increased...

Ngày tải lên: 05/03/2014, 18:20

... BRIEF INTERVENTIONS FOR HAZARDOUS AND HARMFUL DRINKING drinking Within the literature, the terms “brief” and “minimal” interventions cover a range from one five minute interaction to several 45 minute ... of interviewing B Motivational interviewing techniques should be considered when delivering brief interventions for harmful drinking in primary care. þ Staff who deliver motivational interviewing ... the detection of hazardous drinking than CAGE (attempts to Cut back on drinking, being Annoyed at criticisms about drinking, feeling Guilty about drinking, and using alcohol as an Eye-opener;...

Ngày tải lên: 08/03/2014, 14:20

... practice and promoting clinical excellence We provide physicians in the United Kingdom and overseas with education, training and support throughout their careers As an independent body representing ... Collaborating Centre for Chronic Conditions Funded to produce guidelines for the NHS by NICE PARKINSON’S DISEASE National clinical guideline for diagnosis and management in primary and secondary care ... against worsening neurological disability Thus, a considerable degree of judgement is required in tailoring individual therapy and in timing treatment initiation It is hoped that this guideline...

Ngày tải lên: 31/03/2014, 13:20

... indicate testing fasting blood glucose within two years and LDL within one year, measuring BP within six months, and having active prescriptions for aspirin, a sta-tin, and an angiotensin-modifying agent ... measuring BP and glycosylated haemoglobin within six months, and having active pre-scriptions for a statin and an angiotensin-modifying agent For patients with IHD, a maximum score of 6 would indicate ... the targets recommended in guidelines for glucose, LDL, and BP; and the prescriptions rates for insulin, beta blockers, angiotensin-modifying agents, aspirin, and statins Analysis Descriptive...

Ngày tải lên: 10/08/2014, 10:23

... teaching points rarely altering clinical practice Finding strategies to implement EBM at the point-of-care is critical as moni-toring agencies and payers are increasingly using EBM guidelines ... Participating primary care providers (n = 149) were randomized and intervention providers were trained in the use of the new iCPR tool Rates of iCPR tool triggering in the intervention and control ... After randomization, all providers were invited to standar-dized educational forums for consent and training (if randomized to the intervention) Provider Training All providers allocated to the intervention...

Ngày tải lên: 10/08/2014, 11:20

... guide-lines and patient clinical outcomes between baseline and Year 1 and baseline and Year 2 of the intervention (see section on Project Outcomes) The time offset in the roll-out of the intervention ... with audit and feedback, consensus building, and goal setting, the practices are supported in changing practice behavior by incorporating chronic care model elements These elements include (a) ... innovative approaches for translating best practices for chronic disease care into daily primary care practice routines Primary care plays a crucial role in the prevention and management of cardiovascular...

Ngày tải lên: 10/08/2014, 11:20

... informed our 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 ... aspects of care, is fully in line with the latest insights and findings on high-quality chronic care, and high-quality diabetes care in particular [9,19,46-53] The differences between the AQIP and the ... diabetologist (opinion leader): Evidence based guidelines Evidence-based guidelines and principles of shared care The use of insulin The use of insulin Patient-centered counseling Peer review Standard...

Ngày tải lên: 11/08/2014, 16:21

... 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 ... ‘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 ... 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

... manufacturing Manipulation of workers Dose, and maintaining chemical substances Strategies and targets based on protecting the source receiving the exposure with contaminants at current and in future ... each kind of work and avoid reusing the old comforters Limiting the spreading out lead in living environment surrounding It is forbidden to put food, drink, and cigarettes near the manufacturing ... examine in recruitment Periodically health examine People who have signals in infecting lead should be treated, stopped working and changed their job B SOLUTIONS FOR MANAGING WORKERS’ HEALTH Individual...

Ngày tải lên: 29/03/2014, 10:39

... its financial activities in an enterprise fund as required by generally accepted accounting principles and because gain contingencies have been recorded in the financial statements, in the opinion ... deductions and employer contributions in accordance with statutes and collective bargaining agreements, maintains and reconciles reserves, and remits premiums to insurance carriers and employee ... the following types of examinations: Financial audits attest to the fairness of the financial statements of agencies They examine the adequacy of the financial records and accounting and internal...

Ngày tải lên: 20/06/2014, 02:20

... managing the Health Fund; however, they are ineffective in meeting statutory financial reporting standards, defining and controlling rate stabilization reserves, monitoring and executing insurance ... expenses results in a significant reporting weakness that is misleading to all users In addition, generally accepted accounting principles require that the underwriting gains and interest income, which ... true financial condition of and cost to operate the Health Fund The Governmental Accounting Standards Board of the Financial Accounting Foundation (GASB) issues accounting and financial reporting...

Ngày tải lên: 20/06/2014, 02:20

... An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements An audit also includes assessing the accounting principles used and significant ... accounting principles In addition, the financial statements referred to above include net underwriting gains of $17,400,084 and interest income of $2,096,938 that are recorded in the deposit with insurance ... offsetting credits being recorded as other financing sources of $14,383,869, and beginning fund balance of $5,113,153 In our opinion, such amounts are considered to be gain contingencies, since...

Ngày tải lên: 20/06/2014, 02:20

... that stand in isolation The former are included under marketing and law; the latter are considered education Marketing refers to attempts to manage behavior by offering reinforcing incentives and/ or ... license") or cease behaving incorrectly (e.g., "if you stop drinking and driving, we will reinstate your license") In both education and law, the self-interest of the society and its managers is ... include behaving in an unhealthy manner (e.g., smoking, drinking excessively, having a high-fat diet), having large families, polluting, and littering When society is asked to fund the health care needs...

Ngày tải lên: 18/02/2014, 02:20

... of three and more indicating higher inequality in the state of health care All other states had a value between two and three indicating the degree of inequality in maternal health care Table ... combined to form a composite index, often referred to as the wealth index and the PCA is the most frequently used method in deriving the wealth index The utility of wealth index in explaining ... household in defining poverty Booysen, Maltitz and Rand (2008) extended the work of Sahn and Stiefel to seven African countries and found a decline in the poverty in five of these countries Srinivasan...

Ngày tải lên: 05/03/2014, 10:20

... percentage points higher participation rates for men in countries like Austria, Germany and Spain, and for females in the Netherlands and Sweden Moreover, we show that the declining health condition ... Survey of Health, Ageing and Retirement in Europe (SHARE) is a multi-disciplinary and cross-national dataset that contains information on the individual life circumstances of, in principle, all eligible ... are given in Table 4.17 As the table indicates, more than one third of the decline in male participation is due to health in Sweden and Switzerland Also in Denmark, Germany and Spain, this impact...

Ngày tải lên: 05/03/2014, 18:20

... stock and is maintained through inputs by individuals and households and from health care institutions It would be expected that prolonged exposure to higher or lower quality health care institutions ... self-reported health and a number of measures of three dimensions of care – access, interpersonal relationships and continuity in primary care These were appointment time, waiting time and travel time ... differences in the quality of primary care have a role in explaining the gap between rich and poor children’s health in the UK Even if there is some gap in the quality of the service provided to rich and...

Ngày tải lên: 14/03/2014, 09:20

... noting that when both m1 and Q are increasing, birth weight is increasing at the rate, θ As long as m1 is increasing, every unit increase in Q increases birth weight by θ, so that a unit increase ... facilities in Kenya in the 1990s provided curative and preventive care, including family planning and vaccinations, a situation that still prevails However, preventive care and family planning are ... on joint demand for health inputs and health production that are reviewed in the paper is applicable in other economic investigations, such as the analyses of joint demands for agricultural inputs...

Ngày tải lên: 14/03/2014, 09:20