October 26, 2006
Stopping A Person Snoring
If your partner snores, then the article below will be a great help in aiding you to figure out how to stop a person from snoring.
Contrary to common belief, the solution is not in expensive surgeries, but some time-honored anti-snoring devices that don’t involve surgery. Though snoring may appear to some to be a minor problem that could be easily resolved by just waking your partner, there is much more to it than what meets the eye.
It is best that you understand the problem, its causes and what are the best methods to put an end to it. Surgical methods can be dangerous and very often do not solve the problem entirely. It is best to get the details from a few qualified and reputable physicians so that… [read on here: How To Stop A Person From Snoring]
October 25, 2006
Prioritizing The Time Management
October 24, 2006
A Quiz on Setting Relationship Goals
October 23, 2006
ORIGINAL INVESTIGATION: Effectiveness of a Guideline for Venous Thromboembolism Prophylaxis in Elderly Post-Acute Care Patients: A Multicenter Study With Systematic Ultrasonographic Examination
Background Thromboprophylaxis in elderly patients, including post–acute care patients, is at variance with scientific evidence. The purpose of this study was to determine whether a multifaceted intervention was followed by a decrease in deep venous thrombosis (DVT).
Methods A prospective preintervention-postintervention study was conducted in 1373 patients (preintervention phase, n = 709; postintervention phase, n = 664), aged 65 years or older, enrolled in 33 hospital-based post–acute care facilities in France. An evidence-based guideline addressing pharmacologic and mechanical prophylaxis was implemented through a multifaceted intervention. The main outcome measure was any DVT diagnosed at routine comprehensive ultrasonography performed by registered angiologists.
Results A DVT was found in 91 patients (12.8%) in the preintervention phase and in 52 patients (7.8%) in the postintervention phase (P = .002). The decrease in DVT involved the calf (7.1% vs 3.6%; P = .005) and the proximal venous segments (5.8% vs 4.2%; P = .18) and remained significant after adjusting for risk factors (adjusted odds ratio of any DVT, 0.58; 95% confidence interval, 0.39-0.86). Pharmacologic prophylaxis with either low-molecular-weight heparin at the high-risk dose, unfractionated heparin, and vitamin K antagonist was similar in the 2 study groups, whereas patients in the postintervention group were more likely to use graduated compression stockings (27.4% vs 34.6%; P = .004) and less likely to receive low-molecular-weight heparin at the low-risk dose (24.7% vs 18.5%; P = .006), which was not recommended by our guideline.
Conclusions A multifaceted intervention addressing venous thromboembolism prophylaxis in post–acute care patients can be followed by a significant decrease in the rate of any DVT in elderly patients. More active interventions are needed to enforce compliance with evidence-based guidelines.