The higher the number of YES responses, the greater the risk for alcoholism; when introduced by a non-prompting question "Do you have a drink now and then?" ; , a score of 2 or more "Yes" answers has a 95% positive predictive value for alcoholism. Follow-up to these responses can provide the patient with informational literature, a discussion of continued healthcare treatment and the impact of alcohol use abuse, or a referral to a treatment counselor or facility. While not foolproof, the CAGE questionnaire's utility and ease of use make a case for its being an integral part of screening. Too often, however, it is not used at all. Alcohol abuse and dependence are serious and difficult chronic problems, but diverse treatment options exist. The primary care physician is usually the professional who first addresses the problem and can initiate treatment plans. Physicians are the frontline troops; by accepting this role in the recognition of problem drinking, they can have significant results in reversing the impact alcohol abuse has on everyone. Sources available on request.
90 days ; to allow for the stabilisation of their clinical situation after starting dialysis. The numbers involved were 303 342 89% ; for the MRU and 368 394 93% ; for the RSU patients, as shown in Table 17, for example, medicines.
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Introduction and objectives: Patients suffering from lower respiratory tract infections require empiric treatment with broad spectrum antibiotics which work against gram positive and gram negative pathogens including drug resistant isolates. The aim of this phase III clinical trial was evaluation of safety and efficacy of a oral third generation cephalosporin as a monothotherapy for empiric treatment of L.R.T.I. Material and Methods: In this open label, non-comparative, prospective study 30 patients were having age greater than 18 years were enrolled in the study. All patients were given oral Ceftamet Pivoxyl HCL 500 mg every 12 hrs. for 7 days as a empiric monotherapy. Patients were evaluated for clinical outcome, microbiological response and ADR. Out of 30 patients 20 66% ; were males and 10 33% ; were females. Favourable outcome cure or improvement ; were found in 27 90% ; patients. Number of positive sputum culture was 25 out of 30 patients on day 1 and only 3 at the end of treatment. Out of total 30 patients: AECB - 15, Acute Bronchitis - 07, CAP - 03 and Acute Exacerbation of Bronchial Asthma 05. Most common bacterias isolated were S. pyogenes-12 48% ; , K pneumonia - 11 44% ; , E. coli - 01 4% ; , Psuedomonas 01 4% ; . Overall microbiological eradication was found in 22 patients 88% ; out of 25 bacteriologically evaluable patients. The results were comparable with previous study, the treatment was overall well tolerated. Conclusion: Our data suggests that ceftamet pivoxyl HCL is an appropriate choice for empiric treatment of lower respiratory tract infections.
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Weather and vicious wind, the mud again and other, unpredictable threats. Kendra was quickly learning a fatalistic approach to enemy fire. She'd been wounded once, a "mere nick" that had burned and stung for days. Sooner or later, one would get her. She was more worried, to the point of occasional nightmares, of the risk of capture. She could expect harsh, punitive treatment from the UNPF if caught. Besides the existing charges of alleged embezzlement, of murder of her friends, of fleeing pursuit and the provable charge of desertion, there were the potential charges of transferring classified information, aiding the enemy and fighting under a foreign flag. She tried to ignore all that. She knew the truth and where her allegiance lay if no one else did. She was taking tremendous risks, but she was accomplishing much. That thought brought her back to the present. It was an ambush again. They were tracking another pacification team as they went from farm to farm, registering people, seizing anything deemed a threat and anything the team took a fancy to. Her opinion of her former service was still sinking into the depths. She also had a battle going on within herself. The incident in the winter with the prisoners was by far the worst atrocity she'd been involved in, but it was not the only one. On several occasions she'd shot prisoners and she'd beaten several brutally for intelligence. Justifying it as "necessary" didn't help either legally or ethically and it was getting harder to determine right from wrong in this war. International law called for humane treatment of prisoners and their release if facilities were not available. Practicality dictated that anyone who knew details of her insurgents had to die. As far as intelligence, she needed the information to keep herself and her people alive. She was willing to torture to do that. She shook her head fractionally and brought herself back to the present yet again. It was a surprisingly gentle day and, being early spring, the insects were not yet out in force. The ground was still damp, cold and frosty in spots. She itched from twigs and rocks poking her and wished again she'd taken the time to clear the area. Visibility and hearing were good and she had both audio and optical sensor gear borrowed from Dak. It was lighter and less restrictive than her helmet's ensemble, if not as well armored. She decided the tradeoff was worth it. The Peacekeepers were now taking heavy automated weapons on all convoys and more personnel and vehicles. It was getting far harder to surprise and disable them. Kendra expected that trend to continue and heavier vehicles to be included shortly. Without support weapons, the odds would keep stacking against her people until they were all dead or gave up the task as hopeless. She supposed at that point she'd have to decide between a suicidal lone war, as her military oath seemed to require, or a life as a farm woman on a UN colony, dreading discovery for her past. Neither appealed much. This operation was being done slightly differently, because of the increased enemy capabilities. Instead of trying to overwhelm the force, deliberate hints of insurgent activity were being placed. That would hopefully get the soldiers out of their vehicles and into a good position. Of course, they were all using lethal weapons out here now. Whether or not they were authorized, Kendra hadn't been able to find out, but they'd abandoned the restraining weapons for rifles and grenades. Kyle had set up a false ambush below them, complete to a shooting blind. It had been occupied long enough to leave evidence for the sensors. Now he, Kendra and their neighbors the Goranas were situated above and around that site. Dak and Sandra were across the road to take care of stragglers. Kendra supposed that soon the forces would.
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