�
New inquiry published in The Lancet finds that
much higher proportions of children with severe pneumonia are treated
correctly if they are allowed to be treated at local, first-level
facilities instead of hospitals.
Since the mid-1990s and the issuing of The Intergrated Management of
Childhood Illness (IMCI) guidelines, it has been suggested that
children with hard pneumonia are treated at hospitals. In poorer and
more rural areas, however, children ar often referred to hospital care
simply do non attend; many fail to receive passable care. An alternative
to hospitals is treatment in local, first-level facilities, and it is
the refuge and effectiveness of these facilities that Drs. Enayet Karim
Chowdhury and Shams El Arifeen (International Center for Diarrheal
Disease Research, Bangladesh [ICDDR,B]) and colleagues study in their
recent research. These modified guidelines also recommend that children
with the most severe cases of pneumonia ar referred to the hospital.
The study sample consisted of two cohorts of children from 10
first-level health facilities in rural Matlab, Bangladesh - all
facilities that had been exploitation the former IMCI guidelines. One cohort
included 261 children world Health Organization attended the facilities betwixt May 2003 and
April 2004, before the researchers implemented the limited guidelines.
In this group, 94% were referred to hospital, 36%
received appropriate care, and 1.1% (3 children) died. In the
second cohort, 1,271 children were treated at the facilities after the
modified guidelines were implemented. In this group, 8% were referred
to hospital, 90% standard appropriate care, and 0.6% (7
children) died.
"Local adaptation of the IMCI guidelines, with appropriate training and
supervision, could allow dependable and in effect management of severe
pneumonia, especially if compliance with referral is difficult because
of geographic, financial, or cultural barriers," conclude the authors.
An concomitant comment written by Dr Igor Rudan (Croatian Centre for
Global Health, University of Split Medical School, Croatia) and Dr
Harry Campbell (University of Edinburgh Medical School, UK) notes that:
"We welcome a strong increase in investment in controlled trials
in developing countries to address essential gaps in information - such as
correct case management of severe pneumonia in children with HIV
infection - and in health-policy and systems research to identify
effective ways to improve and scale up implementation of interventions
against pneumonia."
Care at first-level facilities for children with severe pneumonia in
Bangladesh: a cohort study
Enayet K Chowdhury, Shams El Arifeen, Muntasirur Rahman, DM
Emdadul Hoque, M Altaf Hossain, Khadija Begum, Ashraf Siddik, Nazma
Begum, Qazi Sadeq-ur Rahman, Tasnima Akter, Twaha M Haque, ZA Motin
Al-Helal, Abdullah H Baqui, Jennifer Bryce, Robert E Black
The Lancet (2008).
DOI:10.1016/S0140-6736(08)61166-6
Click
Here to View Journal Web Site
Written by: Peter M Crosta
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today
More info
Saturday 6 September 2008
Wednesday 27 August 2008
P Diddy sure to win an Olympic gold for sex
New York (ANI): American rapper P. Diddy has revealed that if he ever took part in the Olympic Games his event would be based on gender. According to the father of phoebe, the winner of the competition testament be the one wHO stayed up the longest. "Who could have sex the longest," the New York Daily News quoted him as having told New York magazine.
"I think that's an event I lavatory do well in. And probably wHO could remain up the longest. "Just so you know, that's supposed to be suspect. Even though I am serious," he added. When questioned wHO his Olympian rival would be, P. Diddy did not take any specific competitor in mind. "Whoever''s up for the challenge," the 38-year-old said.
More information
"I think that's an event I lavatory do well in. And probably wHO could remain up the longest. "Just so you know, that's supposed to be suspect. Even though I am serious," he added. When questioned wHO his Olympian rival would be, P. Diddy did not take any specific competitor in mind. "Whoever''s up for the challenge," the 38-year-old said.
More information
Sunday 17 August 2008
Fluctuations In PSA And The Use Of Antibiotics
�UroToday.com - A iI to four week line of antibiotic therapy is often exploited in patients with an elevated PSA to exclude inflammation as an etiology of the elevated level. This speak reviews the data regarding variations in PSA, etiology and the practice of antibiotic use.
Fluctuations in PSA ar anticipated as the concentration of PSA in prostatic fluid is approximately a million fold higher than in blood serum. To begin with, on that point are both lot-to-lot differences in PSA assays - as advantageously as method-to-method differences 'tween the methodologies used. As such, it's prudent to have a patient get their PSA measurements at the same laboratory on a consistent basis to avoid this variation. If one looks at the variation of the PSA test over a two week
Fluctuations in PSA ar anticipated as the concentration of PSA in prostatic fluid is approximately a million fold higher than in blood serum. To begin with, on that point are both lot-to-lot differences in PSA assays - as advantageously as method-to-method differences 'tween the methodologies used. As such, it's prudent to have a patient get their PSA measurements at the same laboratory on a consistent basis to avoid this variation. If one looks at the variation of the PSA test over a two week
Thursday 7 August 2008
Dr. Green
Artist: Dr. Green
Genre(s):
Ska
Other
Discography:
Purvas
Year: 2002
Tracks: 9
The Sounds Of Black and White Radio
Year: 1999
Tracks: 12
Ska 'n' Go
Year: 1998
Tracks: 16
Tuesday 1 July 2008
Kerosene Club
Artist: Kerosene Club
Genre(s):
Trance: Psychedelic
Discography:
The Forest Of The Freaks
Year: 2007
Tracks: 9
Coldplay toppled from US No.1 spot
Thursday 26 June 2008
Lighting Hopkins
Artist: Lighting Hopkins
Genre(s):
Blues
Discography:
Blues Train
Year: 1951
Tracks: 15
Sam Hopkins was a Texas country bluesman of the highest caliber whose career began in the 1920s and stretched all the way of life into the 1980s. Along the way, Hopkins watched the genre change unmistakably, only he never appreciably neutered his plaintive Lone Star sound, which translated onto both acoustic and electric guitar. Hopkins' nimble manual dexterity made intricate boogie riffs seem soft, and his riveting predilection for improvising lyrics to suit whatever state of affairs mightiness originate made him a honey megrims poet-singer.
Hopkins' brothers John Henry and Joel were as well talented bluesmen, just it was Sam wHO became a star. In 1920, he met the legendary Blind Lemon Jefferson at a social function, and even got a chance to play with him. Later, Hopkins served as Jefferson's guide. In his teens, Hopkins began working with some other prewar great, singer Texas Alexander, wHO was his first cousin. A mid-'30s stretch in Houston's County Prison Farm for the brigham Young guitar player fitful their partnership for a time, only when he was freed, Hopkins dependant back up up with the elder bluesman.
The pair was dishing tabu their lowdown brand of vapours in Houston's Third Ward in 1946 when gift talent scout Lola Anne Cullum came across them. She had already engineered a accord with Los Angeles-based Aladdin Records for some other of her charges, piano player Amos Milburn, and Cullum saw the same sort of opportunity inside Hopkins' dust-covered rural area vapours. Alexander wasn't voice of the address; rather, Cullum paired Hopkins with piano player Wilson "Boom" Smith, reasonably re-christened the guitar player "Lightnin'," and presto! Hopkins was very shortly an Aladdin transcription creative person.
"Katie May," cut on November 9, 1946, in L.A. with Smith loaning a hand on the 88s, was Lightnin' Hopkins' first-class honours degree regional trafficker of eminence. He recorded prolifically for Aladdin in both L.A. and Houston into 1948, scoring a national R&B strike for the immobile with his "Shotgun Blues." "Little Haired Woman," "Abilene," and "Big Mama Jump," among many Aladdin gems, were redolent Texas blues stock-still in an sooner era.
A freight of other labels recorded the slick Hopkins later on that, both in a solo setting and with a low beat section: Modern/RPM (his inflexible "Tim Moore's Farm" was an R&B strike in 1949); Gold Star (where he strike with "T-Model Blues" that same year); Sittin' in With ("Give Me Central 209" and "Coffee Blues" were national chart entries in 1952) and its Jax subsidiary; the major labels Mercury and Decca; and, in 1954, a singular clutch of sides for Herald where Hopkins played red-hot electric guitar on a serial of blasting bikers ("Lightnin's Boogie," "Lightnin's Special," and the astonishing "Hopkins' Sky Hop") in strawman of drummer Ben Turner and bassist Donald Cooks (wHO moldiness suffer had haemorrhage fingers, so torrid were some of the tempos).
But Hopkins' style was seemingly as well bumpkinly and old fashioned for the new generation of sway & undulate enthusiasts (they should have checkered stunned "Hopkins' Sky Hop"). He was back on the Houston scene by 1959, for the most part disregarded. Fortunately, folklorist Mack McCormick rediscovered the guitar player, wHO was dusted off and presented as a folk-blues artist; a part that Hopkins was born to play. Pioneering musicologist Sam Charters produced Hopkins in a solo context of use for Folkways Records that same year, cutting an entire LP in Hopkins' petite flat (on a borrowed guitar). The results helped introduced his medicine to an wholly new interview.
Lightnin' Hopkins went from gigging at back-alley gin joints to stellar at collegiate coffeehouses, coming into court on TV programs, and touring Europe to flush. His once-flagging transcription vocation went proper through the roof, with albums for World Pacific; Vee-Jay; Bluesville; Bobby Robinson's Fire label (where he cut his classical "Mojo Hand" in 1960); Candid; Arhoolie; Prestige; Verve; and, in 1965, the first-class honours degree of several LPs for Stan Lewis' Shreveport-based Jewel logotype.
Sir Frederick Gowland Hopkins generally demanded full requital earlier he'd deign to sit down and criminal record, and rarely indulged a producer's desire for more than than matchless take of any song. His singular sense of area time mixed-up more than a few unseasoned musicians; from the sixties on, his solo work is ordinarily preferred to band-backed material.
Film producer Les Blank captured the Texas troubadour's informal modus vivendi most vividly in his acclaimed 1967 objective, The Blues Accordin' to Lightnin' Hopkins. As one of the utmost majuscule nation bluesmen, Hopkins was a bewitching figure world Health Organization bridged the gap between rural and urban styles.
Monday 16 June 2008
Subscribe to:
Posts (Atom)