Newshan & Schuller-Civitella (2003) demonstrated that TT is safe and effective to be implemented on hospitalized patients. A large-scale study was conducted during 1998 and 2000 on 605 patients who received TT at St. John’s Riverside Hospital. Qualitative data revealed that 48% patients (n=259) with pain experienced the reduced pain suffering; 48% patients (n=254) were found to have physiological response relating to relaxation; 90%(n=83) patients found TT very helpful or helpful by using Patient satisfactory survey. Only 12% (n=605) patients reported no change; in addition, 20% fell into sleep during sessions. However, the lack of predominated time for TT treatment and a compare group; the self-admitted questionnaire and the convenience sample at the single holistic department cannot be generalized to a particular disease.
The lack of attention of depression has become worse throughout the years in America. Because of its positive rating of treatment, Electroconvulsive therapy can treat adolescents with depression and dysthymia. In contrast to the treatment of depression in adults, medication has a limited role for treating adolescent depression. ECT can heal depression in approximately one month according to scientific research “there is considerable variability in the trajectories, but most commonly there is progressive symptomatic improvement within the first week and complete remission within 3 to 4 week.”(Avery) Adolescents are likely to be noncomplian... ... middle of paper ... ...n. “Electroconvulsive Therapy in Children and Adolescents: Brief Overview and Ethical Issues” American Academy of Child and Adolescent Psychiatry. AACAP Ethics Committee, 1 January.
The sample composed of 101 patients with recent suicidal and harmful behaviours. They went through one year of DBT. It resulted in a decreased rate of 50% likely to make a suicide attempt and self-harmful acts. This also included patients being less likely to dropout of treatment and received fewer psychiatric hospitalizations or emergency visits (Lois et al., 2017). This study suggests that DBT can successfully inhibit symptoms of BPD.
However, two patients with endoscopic release had worsening of symptoms and underwent open CTS release 9 months and 5 months respectively after the intial procedure9. Only 1 patient with open CTS experienced worsening of symptoms and underwent a repeat open release 12 months after the first procedure9. One of the disadvantages of this study is that the post operative pain is rated by patients and there may be some bias associated with this as patient pain tolerance is subjective and may differ9. Additionally, patients were not blinded as blinding patient throughout surgery and follow up is not possible, thus this creates observed differences and biasness9. A randomized study by Trumble et al to compare endoscopic and open carp... ... middle of paper ... ...oscopic and open carpal tunnel release.
Study done by Buckley D reported that only 18 out of 71 patients (25%) had perfect technique, 26 (37%) had adequate technique and 27 (38%) had poor technique and the patients most likely to have poor technique were those using a Metered Dose Inhaler (M.D.I. ).Study by Molimard et al.  also reported similar results that at least 76 % of the MDI users made >/ 1 mistake . In our study initial education on inhaler use was predominantly provided by doctors (55%) followed by trained nurses (24.70%) and around 12 % of the patients were taught by relative , or a neighbouring patient .It was also found that the association between correctness of various steps was significantly related to the steps being taught by the doctor (Table no.4). Approximately 6% of the patients had self taught the technique with the help of brochures .Only 2% of patients received their initial training from pharmacists.
Topiramate (TPM) is an antiepileptic drug commonly used to control epilepsy. There have been several studies conducted to evaluate efficacy and safety of topiramate to control seizure in women during pregnancy. The study, Pharmacokinetics of topiramate during pregnancy, reported that pregnancy affects the pharmacokinetics of topiramate, in most cases reducing the drug plasma concentration and thus decreasing seizure-control in patients. In a sample size of 15 women who were treated with TPM during a total of 17 pregnancies, there was approximately a 40% reduction in topiramate-plasma concentration in the second and third trimesters, and an insignificant reduction in the first trimester. However, since the drop of the topiramte level varied greatly for each subject, the study recommends drug monitoring for patients using topiramate during pregnancy in order to reach therapeutic dose.1 In another case report, Serum concentration/dose ratio of topiramate during pregnancy, 12 women who used topiramate during a total of 15 pregnancies were monitored for the effectiveness of the drug.
2010). At the end of the assessment a total of score ranges from 0- 125 was given to patients and classify them either as high risk or low risk for fall. In phase 3, the researchers used icons such as : Bed poster composed of short text, for example " Please Call, Don't Fall " icons and they have found to be effective in fall reduction for patients 65 years or older. Moreover, they have created patient education handout in different languages, and made it available to all patients( Dykes,et al, 2010). These evidence based interventions were not found to be effective for younger patients, however, they were very effective et reducing the numbers of falls for the elderly population ( Dykes, et al.,2010).
The authors split their results into two groupings, beginning with a comparison within each gender between the placebo treatment and each dosage of analgesic. For the women they found that only the dosage of 10mg of nalbuphine provided consistent analgesic effects. In the case of 5mg and 20 mg there was an initial slight improvement in pain management, however it was quickly lost and pain ratings were similar to placebo. For the men they found an array of effects. Only at the highest dose of analgesia did they find any improvement in pain management, although the effect was temporary, and at the end of the recorded 3 hours there was no difference compared to placebo.
Follow up mean creatinine in recovered patients after 6 weeks came out to be 2.47mg/dl ± 1.23 s.d. treated conservatively, whereas in patients requiring dialysis it was 3.65mg/dl ± 1.65 s.d.
The aim of this particular study was two-fold. First, the authors studied the possibility and practicality of reducing the HIV risk among adolescent girls through the utilization of a small group, community-based setting. Secondly, the effectiveness and usefulness of such an intervention was determined and further analyzed using a controlled design. In the examination of statistical conclusion validity pertaining to this study, one threat that is imperative for the reader to consider lies in the low statistical power of the study. With 129 girls recruited, less than half (62) attended either the HIV or control intervention groups with only 48 completing the three month follow up session.