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PubMedDate not supplied

Healing breathwork.

Explore the source record for details and available documents.

Breathing Exercises↗
PubMed2000

Latex allergy: creating a safe environment.

Latex allergy is a serious problem for health care providers and the general public. Understanding the problem and following several simple suggestions can safeguard patients and workers in health care settings.

Health Personnel↗
PubMed2002

[General practice in a modern health care system--consequences for medical records, education and practice (2)].

Exemplified by studies on the predictive value of standardised history taking of angina pectoris, part 2 of this contribution describes the different significance of medical diagnostics in dependency from different levels of the health care system (general practice, cardiologic drop-in clinic, university hospital). Because of different prevalences (pre-test probability) and in spite of exactly the same symptoms the probability of actual coronary heart disease is highly different. The specific post-test probability can be explained and calculated by Bayes' theorem. It becomes evident why general practitioners have to be cautious in adopting recommendations, if those recommendations are based on studies which were done with patients in specialised health care settings. As a consequence from the reflections and empirical findings presented, it becomes better comprehensible what general practice is not and which perspectives for research, education and practice are resulting.

Angina Pectoris↗
PubMedDate not supplied

Nutritional care for adults in hospital.

Despite the fact that up to 40% of hospital patients may be malnourished, many nutritional referrals are inconsistent or inappropriate. Recent research has raised awareness of nutrition, but wide variations remain in the assessment and referral procedures used by hospital trusts. The final best practice statement in our series emerged from the responses of nursing and dietetic staff across Scotland. The statement focuses on five aspects of nutritional care: admission to hospital; nursing management of nutritional care; nutritional screening and documentation; criteria for nutritional referrals, and education and training.

Humans↗
PubMedDate not supplied

Myocardial infarction: Part 1.

Informed nursing care is crucial in effective treatment and rehabilitation of the patient following MI. The National Service Framework for Coronary Heart Disease should be integrated into nursing practice.

Causality↗
PubMed2002

Cost-effectiveness analyses in obstetrics & gynecology. Evaluation of methodologic quality and trends.

OBJECTIVE: To evaluate methodologic quality and trends of cost-effectiveness analyses (CEAs) published in Obstetrics & Gynecology. STUDY DESIGN: Ten methodologic principles that should be incorporated in CEAs are used to evaluate CEAs published in Obstetrics & Gynecology from 1966 through 1999. We included articles that were cost-effectiveness or cost-benefit analyses or performed such analyses as part of their studies. RESULTS: Thirty-four CEAs met our inclusion criteria. Seven (20%) analyses adhered to 10, five (15%) to 9, and two (6%) to 8 of the 10 methodologic principles. The mean (+/- SD, median) number of principles to which studies adhered was 5.7 (+/- 3.3, 4). Studies had high compliance (> or = 85%) with principles of research questions, probabilities and effectiveness measures. Studies significantly improved over time in adherence to principles of time frame, perspective, costs, incremental analysis, sensitivity analysis, discounting and total score (all P < .05). CONCLUSION: The CEAs evaluated adhered to approximately half the methodologic principles for performing CEAs but showed significant improvements in quality over time. Understanding the methodology of CEAs is critical for researchers, editors and readers to accurately interpret the results of the growing body of CEA studies.

Cost-Benefit Analysis↗
PubMed2002

Heart failure: is there a role for angiotensin II receptor blockers?

Angiotensin II receptor blockers (ARBs) directly inhibit the angiotensin II type 1 receptors, which suppresses the renin-angiotensin-aldosterone system (RAAS). Six ARBs are approved in Canada for the treatment of hypertension, none are yet approved for the treatment of heart failure (HF). Evidence comparing ARBs to angiotensin converting enzyme inhibitors (ACEIs) in HF is still limited. A recent meta-analysis of 17 clinical trials could not confirm that ARBs are superior to ACEIs in reducing either mortality or hospitalization in HF patients. ARBs may be used as an alternative in HF patients intolerant of ACEIs. A meta-analysis indicates that, compared to using an ACEI alone, adding an ARB to an ACEI carries the potential for additional benefits in terms of reduced hospitalization, but not mortality. However, the FDA determined there is currently insufficient evidence of such additional benefit when valsartan is combined to an ACEI in patients with HF.

Angiotensin Receptor Antagonists↗