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Restrictive practices are used in response to conflict and aggression in psychiatric inpatient settings. Reducing such practices is the focus internationally of policy and legislative change, many initiatives, and a growing body of research. Safewards is a model and a set of 10 interventions designed to reduce conflict and containment in inpatient services. In the current study, we aimed to ass...
Main results 5 RCTs met the selection criteria. 3 trials compared hydrogel as a method of debridement with standard wound care (good wound care or gauze). 1 trial compared hydrogel with larval therapy. 1 trial compared surgical debridement with conservative care. In all 5 trials, the primary outcome was complete wound closure. Sample sizes ranged from 29 to 172 patients. In 4 studies, follow up...
BACKGROUND Until the beginning of this decade the assumption was that the Helicobacter pylori prevalence increases with the age of the population under consideration. More and more epidemiological studies have been suggestive of constancy in Helicobacter pylori prevalence, but to date there has been no long-term follow-up study in a large group of children confirming this hypothesis. METHODS ...
Bronchopulmonary dysplasia (BPD) is the most common complication of preterm birth, and remains a major problem in pediatric pulmonology units. The decision of discharging from the Neonatal Unit should be based on a thorough assessment of the condition of the patient and compliance with certain requirements, including respiratory and nutritional stability, and caregiver education on disease mana...
Objective: to evaluate the results of arthroscopic treatment of refractory adhesive capsulitis of the shoulder associated as for improved range of motion after a minimum follow up of six years. Methods: from August 2002 to December 2004, ten patients with adhesive capsulitis of the shoulder resistant to conservative treatment underwent arthroscopic surgery. One interscalene catheter was placed ...
first follow up test results, 188 (84%) attended for a second follow up appointment, usually a week later. Gonorrhoea was detected in three women (2%). Reinfection was suspected in two cases, but the third was considered to be a treatment failure. Of the 185 women with satisfactory second follow up test results, 117 (63%) attended for a third follow up appointment, up to four weeks later. N gon...
OBJECTIVE To compare blood pressure control, satisfaction, and adherence to drug treatment in patients with treated hypertension followed up by their family physicians either every three months or every six months for three years. DESIGN Randomised equivalence clinical trial. Settings 50 family practices in south eastern Ontario, Canada. PARTICIPANTS 609 patients aged 30-74 years with essen...
BACKGROUND Self-reported weights and heights can be subject to gender, socio-economic, and other biases. On the other hand, obtaining measured anthropometric data can pose a significant respondent burden. METHODS Seattle Obesity Study II (SOS II) participants (n = 419) provided self-reported height, weight, and demographic data through an interviewer-assisted behavior survey. Participants wer...
The prognosis for oesophageal cancer is poor with a median survival of 3-5 months and recurrences are frequent. The best chance of cure is successful surgery and pre-operative chemoradiotherapy is used to try and improve outcomes. However, patients may either not respond or may progress during therapy and it is important to differentiate the responders from non-responders. Clinical parameters s...
STUDY OBJECTIVE The purpose of the study was to examine default rates in tuberculosis treatment in two hospitals in north India with different follow up arrangements. DESIGN The study was a retrospective cohort study. SETTING Two hospitals were involved. One was the District Tuberculosis Centre for the Kulu Valley area of Himachal Pradesh. The other was a private mission hospital serving th...
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