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Health care providers are paying more and more attention toclinical handovers. Previous studies have found that poor handovers resulted in adverse effects for patients. This study aims to determine the effectiveness of the standardized pre-notification process, from emergency medical services (EMS) toin-hospital care, with specific cognitive aid based on ATMIST.
In February 2018, a prospective field test of the effectiveness ofastandardized handover tool based on the ATMIST acronym was conducted in 11 Prague hospitals. The Emergency Medical Dispatch Centre used the form to record the information from the Crews (Protocol 1). The hospital dispatch centre (Protocol 2) used the same form to record the information from the EMS Dispatching. Both protocols were then compared and monitored to determine whether the information from the field was correctly transferred to the hospital. Signature items from the ATMIST form in different groups were empirically set tofind out if the level of awareness of the personnel differs between groups.
Two hundred and sixty-nine Protocols 1 and 2 (37.41% of all pre-notifications) were analysed. There were 7,262 possible pieces of information to be transferred in total. 82.78% (n=6012) of all information was transferred correctly. The group analyses show no differences between the clinical condition of the patient and the awareness of the health care providers.
This is first study evaluating the use of a standardized handover tool for telecommunication handover. The clinical condition of patients did not play any role in how the information was transferred.
This is first study evaluating the use of a standardized handover tool for telecommunication handover. RMC-6236 The clinical condition of patients did not play any role in how the information was transferred.
This study was aimed to investigate the effects of sodium benzoate in chronic unpredictable mild stress (CUMS)-induced depression model in rats.
Male rats were exposed to CUMS stress for 6 weeks which includes with multiple unpredictable stressors to induce depression related symptoms and the treatment with sodium benzoate was started at the 4th week ofstress protocol (i.e. on the 22nd day) for 21 days during stress protocol .
CUMS significantly increased the immobility period in the forced swimming test and decrease sucrose consumption in the sucrose preference test in rats. In the prefrontal cortex region (PFC) of the brain, a significant decline in the Brain-derived neurotrophic factor (BDNF) levels and Protein kinase A (PKA) was observed in rats. However, sodium benzoate (400 and 800 mg/kg i.p.) significantly restored sucrose preference behavior as well as reduced immobility in CUMS-subjected rats in a dose-dependent manner, suggesting the antidepressant potential of sodium benzoate. Also, sodium be unpredictable stress-subjected rats.
We conducted a meta-analysis to compare the febuxostat and allopurinol in hyperuricemic patients diagnosed with or without Gout.
We searched the Pubmed, Cochrane and Embase electronic databases to identify the studies concerning febuxostat versus allopurinol in treatment of hyperuricemic subjects and/or gout updated to May, 2020. After rigorous evaluation on quality, the data was extracted from included publications.
A total of 10 articles involving 6989 subjects were included, with 4841 receiving febuxostat and 2148 using allopurinol. The pooled analysis showed that the febuxostat group (40, 80, or 120 mg QD) was greater in reducing serum urate levels than the allopurinol group (200 or 300 mg) (RR=1.56, 95% CI=1.37-1.78, P<0.00001). In addition, daily dosing of febuxostat 80 mg had greater efficacy tothat of febuxostat 40 mg (RR=1.47, 95% CI=1.34-1.60, P<0.00001), and febuxostat 120 mg/day was associated with lower serum urate levels versus febuxostat 80mg/day (RR=1.08, 95% CI=1.02-1.13, P=0.004). In terms of the adverse events, the pooling overall adverse events data did achieve advantage in the febuxostat group (RR=0.96, 95% CI=0.92-1.00, P=0.04). While, liver function test abnormalitie , diarrhea, skin rashes, musculoskeletal and connective tissue disorders, gastrointestinal disorders, headaches, the statistical significance between the two groups fail to be achieved (P≥0.05).
Febuxostat was superior in reducing the serum urate levels ofhyperuricemic patients, while with an acceptable tolerability profile than allopurinol. Moreover, our result suggested that dose titration to febuxostat 120 mg daily was superior to other daily dosing with regard to urate-lowering efficacy.
Febuxostat was superior in reducing the serum urate levels of hyperuricemic patients, while with an acceptable tolerability profile than allopurinol. Moreover, our result suggested that dose titration to febuxostat 120 mg daily was superior to other daily dosing with regard to urate-lowering efficacy.
Panic disorder and agoraphobia not only affect the patients themselves but also may have a detrimental effect on their intimate relationships. A problem arising in the intimate sphere could be a trigger, a modulator, a maintenance factor, or the result of the panic disorder and agoraphobia. The consequences of panic disorder include increased demands on the non-affected partner to adapt, which may prove to be too challenging for some to manage. Panic disorder and agoraphobia can also change earlier relationship patterns which may result in partnership dysfunction. This review explores the effect of panic disorder and agoraphobia upon partnership problems and satisfaction.
Relevant studies were identified via PubMed and Web of Science, published between January 1970 and April 2020. The search terms included "panic disorder", "agoraphobia", "marital problems", "marital conflicts" and "marital adjustment". Further references were found in reviews, books, and book chapters of the relevant papers. A total of 1
To compare the effect of low-dose prednisolone (PSL) (≤5 mg/day) and high-dose PSL (>5 mg/day) therapy on the QOL and activity of daily living (ADL) in patients with MG.
A total of 679 patients with MG underwent a survey using Japanese versions of the MG-QOL 15-J and MG-ADL scales. Higher scores of these scales suggest deterioration of the QOL and ADL, respectively.
The total MG-QOL 15-J scores of the high-dose group (27.0±13.8) were significantly higher than those of the low-dose group (20.9±14.6). Similarly, the total MG-ADL scores of the high-dose group (6.3±4.1) were significantly higher than those of the low-dose group (5.3±4.1).
These results showed that the QOL of patients in the low-dose group appeared better than that in the high-dose group. Low-dose PSL therapy may help achieve minimal manifestations level in Japanese patients with MG.
These results showed that the QOL of patients in the low-dose group appeared better than that in the high-dose group. Low-dose PSL therapy may help achieve minimal manifestations level in Japanese patients with MG.
Homepage: https://www.selleckchem.com/products/rmc-6236.html
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