Levels of cocaine and other psychoactive substances in atmospheric particulate matter (PM) were determined in urban environments representing distinct social behaviours with regard to drug abuse: night-life, university and residential areas. Three cities (with population>1 million and <0.3 million inhabitants) were selected. Mean daily levels of drugs in PM were 11-336 pg/m3 for cocaine, 23-34 ...

UNLABELLED In 2004, Ghana started implementing a National Health Insurance Scheme (NHIS) to remove cost as a barrier to quality healthcare. Providers were initially paid by fee - for - service. In May 2008, this changed to paying providers by a combination of Ghana - Diagnostic Related Groupings (G-DRGs) for services and fee - for - service for medicines through the claims process. OBJECTIVE ...

BACKGROUND Several evaluations of the cost-effectiveness (CE) of menopausal hormone therapy (MHT) have been reported. The aim of this study was to systematically and critically review economic evaluations of MHT since 2002, after the Women's Health Initiative (WHI) trial results on MHT were published. METHODS The inclusion criteria for the review were: CE analyses of MHT versus no treatment,...

CONTEXT From 1981 to 2001, 46 000 refugees who fled the 36-year civil conflict in Guatemala for Chiapas, Mexico were under the protection of the United Nations High Commissioner for Refugees. OBJECTIVES To estimate the prevalence of mental illness and factors associated with poor mental health of underserved Guatemalan refugee communities located in Chiapas, Mexico, since 1981 and to assess n...

It is a challenge to ensure high-quality palliative care. The aim was investigate the perceptions of health care professionals (HCPs) working in combined acute oncology-palliative unit regarding quality received by patients and how important patients. A Swedish total-survey cross-sectional study including 41 HCPs (54% response rate) conducted with 52 items Quality from Patient’s Perspective – P...

The goal of automated symptom management has often been narrowly defined as collection and reporting of data. Yet, an automated system can do more. These s ystems can mimic h uman reassurance f or patients th at their symptoms have been recognized. Patient engagement has long been recognized as central in symptom management. An electronic system was b uilt to co llect the Treatment Related Symp...

Objective: There is increasing evidence that the symptoms of obsessive-compulsive disorder lie on discrete dimensions. Relatively little work has, however, explored the relationship between such factors and response to pharmacotherapy. Method: Data from a multi-site randomized placebo-controlled study of citalopram in obsessive-compulsive disorder were analyzed. Factor analysis of individual it...

OBJECTIVE: The purpose of the current study was to evaluate the frequency of co-occurring attention-deficit/hyperactivity disorder (ADHD) symptoms in a well-defined cohort of children with autism spectrum disorders (ASDs) and to examine the relationship between ADHD symptoms and both adaptive functioning and health-related quality of life as reported by parents or other primary caregivers. METH...

Tracheostomy is secured with sutures and tapes, and inner cannula inserted Simon and colleagues are to be commended for their effort in reviewing articles published since 1985 on the incidence and risk factors associated with mortality following percutaneous dilatational tracheostomy (PDT) [1]. An important milestone in an attempt to reduce surgery-related complications was the introduction of ...