BACKGROUND Perceptions and beliefs about treatment can influence patients' adherence to treatment regimens. Perceptions, in turn, are often shaped by patients' sociocultural context. Nepal and the Nepalese have unique sociocultural traditions and beliefs, and their perceptions of diabetes treatment remain largely unexplored. This study explored Nepalese participants' perceptions of diabetes tre...

conclusions findings reveal a significant degree of prescription errors, emphasizing the need for stringent surveillance. results a total of 227 case notes were reviewed, 129 (56.8%) of which belonged to male patients. no medication was prescribed for 13 patients, whereas 697 drug prescriptions (excluding intravenous fluids) were given for 214 patients, equaling 3.25 drugs/patient; antibiotics ...

This report consolidates previous recommendations and adds new ones for infection control in dental settings. Recommendations are provided regarding 1) educating and protecting dental health-care personnel; 2) preventing transmission of bloodborne pathogens; 3) hand hygiene; 4) personal protective equipment; 5) contact dermatitis and latex hypersensitivity; 6) sterilization and disinfection of ...

Heparin induced thrombocytopenia (HIT) is a prothrombotic syndrome initiated by platelet-activating auto-antibodies with potentially devastating complications. Once the diagnosis of HIT is suspected, discontinuation of heparin and treatment with an alternative anticoagulant are mandatory. While established drugs for HIT are no longer available, parenteral factor Xa inhibitors, thrombin inhibito...

INTRODUCTION Central venous catheters (CVCs) have become essential tools for the management of patients in modern medical practice (1). They are used for the administration of intravenous fluids, medications, blood products, parenteral nutrition fluids, to provide haemodialysis, and to monitor the hemodynamic status of patients (2,3). Estimates of their use in the United States alone suggest th...

TOPIC: Education, Research, and Quality Improvement TYPE: Original Investigations PURPOSE: Parenteral fluid intake in acute care is typically consists of bolus maintenance IV fluids, parenteral nutrition, diluent considerations for medications. The hidden contribution from small volume parenterals (SVP) medications (e.g. antibiotics, antifungals, antivirals, chemotherapy, chemotherapy support d...

OBJECTIVE The objective of this study was to compare intramuscular (IM) ziprasidone to conventional IM medications (haloperidol combined with lorazepam) for the treatment of severe agitation in adolescents (age 12-17). METHODS We retrospectively identified consecutive severe agitation episodes (defined as requiring physical restraint) in adolescents treated with either IM ziprasidone or conve...

Emergency-medicine clinical researchers concentrate on optimizing diagnostic workups and treatment protocols, as well as improving throughput in an emergency department. This past year has yielded a wealth of clinical research focused on headache, which should streamline the diagnostic workup of nontraumatic headaches (particularly the search for subarachnoid hemorrhage) and several comparative...

Patients with community-acquired pneumonia often present with cough, fever, chills, fatigue, dyspnea, rigors, and pleuritic chest pain. When a patient presents with suspected community-acquired pneumonia, the physician should first assess the need for hospitalization using a mortality prediction tool, such as the Pneumonia Severity Index, combined with clinical judgment. Consensus guidelines fr...