PURPOSE This qualitative study explored the impact and appropriateness of structured pro-active care reviews by practice nurses for patients with chronic or recurrent depression and dysthymia within the ProCEED trial. ProCEED (Pro-active Care and its Evaluation for Enduring Depression) was a United Kingdom wide randomised controlled trial, comparing usual general practitioner care with structur...

BACKGROUND The female is programmed to nurture one fetus and to take care of one neonate at a time; hence, twin pregnancy is associated with an increased risk of preterm deliveries, perinatal morbidity, and mortality and maternal complications. This study aimed to determine the twinning rate, and maternal and fetal outcomes of all twin pregnancies managed at the Niger Delta University Teaching ...

Reliable synthesis of the various rapidly expanding bodies of evidence is vital for the process of evidence-informed decision-making in environmental policy, practice and research. With the rise of evidence-base medicine and increasing numbers of published systematic reviews, criteria for assessing the quality of reporting have been developed. First QUOROM (Lancet 354:1896–1900, 1999) and then ...

BACKGROUND Schizophrenia is a devastating disorder not only for the patients but also for their caregivers. The caregivers of the patients suffer from psychological distress but receive minimum support from psychiatric services. Objectives were to assess the stress level in caregivers of patients with schizophrenia and to determine the association of stress with demographic variables of caregiv...

Microbial transglutaminase (MTG) is widely used as a protein crosslinking enzyme. Pro-transglutaminase from Streptomyces mobaraensis was expressed in Escherichia coli as a fusion protein carrying a C-terminal histidine tag (pro-MTG-His(6)) under high-density culture. A new method of on-column activation was designed for production. According to SDS-PAGE, 88.9% of pro-MTG-His(6) was transferred ...

BACKGROUND Blindness can cause psychosocial distress leading to maladjustment if not mitigated. Maladjustment is a secondary burden that further reduces quality of life of the blind. Adjustment is often personalized and depends on nature and quality of prevailing psychosocial support and rehabilitation opportunities. This study was aimed at identifying the pattern of psychosocial adjustment in ...

BACKGROUND Prolactinomas are the most common type of functional pituitary tumours. The objective of this study was to determine demographic profile of patients with prolactinomas, and to compare the outcomes in patients treated with Cabergoline versus those receiving Bromocriptine treatment. METHODS This descriptive study was conducted at Endocrinology Section, Department of Medicine, Aga Kha...

In this paper, non first normal form relations (or NFRa) are discussed. First the authors define compoai t ion of tuplea to introduce NFR and discuss some properties. Then canonical forma of NFRa are defined using Vest” operations. This is optimal in the sense that every 1NF relation can be always transformed into canonical ones and canonical forma have the desired properties to some extent. Al...

Resumen. Se determinan condiciones suficientes bajo las cuales la solucion z(t; q) de un problema parabólico abstracto semilineal de la forma d dt z(t) = A(q)z(t) + F (q, t, z(t)) es derivable Fréchet con respecto al parámetro q. Se prueba que la derivada de Fréchet Dqz(t; q) es la solución de un problema de valores iniciales lineal no homogéneo en el espacio de estados Z. Se provee una forma e...