Complementary and alternative medicines for acute respiratory infections: systematic review of qualitative studies
|
|
- Shanon Gardner
- 5 years ago
- Views:
Transcription
1 Complementary and alternative medicines for acute respiratory infections: systematic review of qualitative studies Dr Merlin Willcox, Dr Emily Donovan, Dr Shereen Nabil, Dr Mio Hu, Dr Nia Roberts, Dr Miriam Santer
2 Systematic review of qualitative studies Research questions: What do patients, health workers and the public think about the use of CAM for the treatment of acute respiratory infections (ARIs)? What are the barriers and facilitators to the use of CAM for reducing the over-use of antibiotics for ARIs? 2
3 Search strategy Six databases were searched: MEDLINE, EMBASE, Allied and Complementary Medicine Database (AMED), Dissertation and theses global, COREHOM, CINAHL and Web of Science Core Collection from inception to June 2017 Search terms for Acute Respiratory infections (excluding pneumonia) Complementary therapies Qualitative studies 3
4 4
5 Included studies: settings 7 from high-income countries: 3 from UK (Glasgow, Leeds, London focussing on ethnic minorities) 1 from Germany 3 from US (focussing on ethnic minorities) 12 from middle-income countries: 6 from Africa: Morocco, Ethiopia, Nigeria, S Africa 5 from Asia: India, Bangladesh, Indonesia, Philippines 1 from South America: Mexico 5
6 Included studies: focus 17/19 focussed on parents treatment-seeking for their children Only 2 asked about adults management of their own illness NO studies focussing on majority Caucasian population in the UK or most of Europe 6
7 Analysis Thematic analysis (Thomas & Harden) Descriptive themes Analytical themes (major categories) Explanatory model 7
8 Descriptive themes Themes Favour use of CAM Favour use of antibiotics Beliefs about cause of illness Cold; spiritual Bacteria Beliefs about severity of illness Beliefs about effectiveness of treatment Beliefs about safety Availability, cost and convenience Reliable advice Social acceptability Mild CAM treats the cause, and the whole person Fewer side-effects than chemical drugs Home remedies are cheap and easily available Recommendation from trusted family, friend or health professional Other people are using CAM; tradition severe Antibiotics work faster Fear of side-effects of CAM Easy availability of antibiotics (eg from community health volunteers) Trust in clinicians to decide when antibiotics ae needed Mothers are able to take autonomous decisions; modernisation ; belief CAM is illegal 8
9 Explanatory model Trusted advice from family, health workers, (internet) Beliefs about treatments: efficacy and safety uncertainty Beliefs about illness: Cause and severity Decision on which treatment to use Treatment availability, cost and convenience Social acceptability
10 Implications Interventions to improve appropriate use of CAM and antibiotics should focus on: Providing reliable advice to patients on the severity and cause of their specific ARI Providing trusted advice to patients (and indeed to health professionals) on safety and effectiveness of CAM and antibiotics for specific ARIs Improving the availability and convenience and lowering the cost of appropriate treatments.
11 Complementary and alternative medicines for acute respiratory infections: development and piloting of patient information sheets Dr Merlin Willcox, Dr Esther van der Werf
12 Overview of systematic reviews Of the CAM treatments with positive results in the reviews, only 2 are available in the UK 12
13 13
14 Andrographis paniculata reduces duration of cough and sore throat 33 trials, comprising 7175 patients Outcome Measure (95% CI) Mean severity of cough (Standardised mean difference) Time to symptom resolution (days) Andrographis alone compared to usual care Time to symptom resolution (days) Andrographis PLUS usual care compared to usual care alone (-0.67 to -0.10) days (-5.5 to -1.5) days (-1.58 to -0.97) 14
15 Pelargonium sidoides 15
16 Pelargonium sidoides liquid improves recovery from acute bronchitis in adults 16
17 Pelargonium sidoides liquid extract for acute sinusitis Outcome Placebo Group Pelargonium Group Difference Number needed to treat Complete recovery by day 21 (in adults) 9.6% 60.8% 51.2% 2 17
18 Conclusions P. sidoides may be effective in relieving symptoms of acute bronchitis and sinusitis Adverse events were more common with P. sidoides than placebo, but none were serious Overall quality of evidence is low 18
19 Question 1: patient decision aid or patient information sheet? Feedback from GPs: treatment of ARIs is not a complex decision, so does not require a decision aid We should discourage patients from seeing Drs for simple respiratory infections Provide information on over-the-counter treatments Incorporate into existing evidence-based information sheets: Acute cough / bronchitis Acute otitis media Acute sinusitis 19
20 20
21 21
22 Some research studies have shown that two herbal remedies can help with cough symptoms. Andrographis paniculata This plant has been used as a traditional medicine in India for hundreds of years. Some studies have shown that it reduces cough, and has few side-effects (mainly stomach upset). Patients who took Andrographis improved 3 ½ days faster than those who took no treatment. Patients who took Andrographis alongside other usual treatments improved more than one day faster than those who took only other usual treatments. Andrographis capsules are available from Pukka herbs. Kaloba (Pelargonium sidoides) This preparation comes from the root of a flower, which has been used in South African traditional medicine for hundreds of years. Several studies have shown this helps to relieve the symptoms of cough and bronchitis, both in children and in adults. Side-effects are rare and not serious (mainly upset stomach). The liquid preparation (alcohol extract) is more effective than tablets. It is available from Boots and Holland & Barrett. 22
23 23
24 Patient information on sinusitis Kaloba (Pelargonium sidoides) This preparation comes from the root of a South African flower. One study has shown that liquid preparation (alcohol extract) helps to treat acute sinusitis in adults. Side-effects are rare and not serious (mainly upset stomach).it is available from Boots and Holland & Barrett. 24
25 Patient information on sore throat Andrographis paniculata A few studies have shown that this Indian herb can help sore throats to get better faster, and has few side-effects (mainly stomach upset). Patients who took Andrographis alone improved almost 4 days faster than those who just used usual treatments. Andrographis capsules are available from Pukka herbs. 25
26 Suggestions for improvement from patient participation group Broadly positive: they are interested in this information Suggest to include information on cost of remedies magnitude of risk of side-effects Interactions with modern medicines Consider recommending remedies which are not available in UK (e.g. Sinupret) 26
27 Suggestions for improvement from GPs 3 meetings with a total of about 40 GPs Some GPs felt that this information would be useful Others felt that there is not yet enough evidence to recommend any of these products. There is also little evidence on other recommended home remedies like honey & lemon, but they are free. Requested more information on interactions with modern medications. 27
28 Next steps We also need more research on home remedies Would this encourage funders to fund further, better clinical trials? Need to evaluate effect of information leaflets on a representative sample of patients will they reduce use of antibiotics? 28
Reducing the need for antibiotics The contribution of Complementary and Alternative Medicine CONFERENCE ON JUNE 6, 2018 IN BRUSSELS
Reducing the need for antibiotics The contribution of Complementary and Alternative Medicine CONFERENCE ON JUNE 6, 2018 IN BRUSSELS Authors: Erik Baars, Eefje Belt, Klaus von Ammon, Thomas Breitkreuz,
Wellness along the Cancer Journey: American Indian, Alaska Native, and Complementary Healing
Wellness along the Cancer Journey: American Indian, Alaska Native, and Complementary Healing Alternative & Native Healing Rev. 10.8.15 Suppl. Page 1 WELLNESS ALONG THE CANCER JOURNEY: AMERICAN INDIAN,
The antibiotic crisis: Is there a role for traditional herbal remedies?
The antibiotic crisis: Is there a role for traditional herbal remedies? The ATAFUTI project: testing the antimicrobial potential of bearberries Professor Michael Moore on behalf of the ATAFUTI trial team
Echinacea: Immunity and Upper Respiratory Tract Infections
Echinacea: Immunity and Upper Respiratory Tract Infections Emily McMillen California State University, Chico, NFSC 345-02, May 2012 ABSTRACT Extracts from the herb Echinacea have been used to treat symptoms
OM s Health Corner Top 10 Herbs to Boost Lung Health
Top 10 Herbs to Boost Lung Health With the winter season well on its way, fighting off viral and bacterial infections, as well as an array of symptoms within the respiratory system tend to take a lot longer
Akinbodewa AA, Babatunde KM, Adejumo OA, Lamidi OA. Kidney Care Centre, University of Medical Sciences, Ondo, Ondo state.
THE KNOWLEDGE, ATTITUDE AND USE OF HERBAL MEDICINAL PLANTS AMONG HEALTH CARE WORKERS: A PILOT STUDY Akinbodewa AA, Babatunde KM, Adejumo OA, Lamidi OA Kidney Care Centre, University of Medical Sciences,
Mechanism of Action of Antibiotics. Benefits vs. Harms. Notable Adverse Effects. C. Difficile. Antibiotic Resistance. QT prolongation/gi upset
Mechanism of Action of Antibiotics Benefits vs. Harms Actual Bactericidal Bacteriostatic Proposed Virucidal Patient anxiolytic Clinician anxiolytic Promotes patient and clinician happiness Cure Symptom
Using mixed methods approach in a health research setting
Using mixed methods approach in a health research setting Dr Caroline Bulsara, School of Primary, Aboriginal and Rural Health Care, University of Western Australia Reasons why people prefer one methodology
Understanding Respiratory Illnesses
Understanding Respiratory Illnesses Respiratory illnesses can make you very sick. Some respiratory illnesses are not serious. A cold may make you feel sick for a few days, but you will get better. Other
Voted #1 Immune Formula *
Voted #1 Immune Formula * Because Wellness Works! Year after year Wellness Formula has been voted #1 immune supplement in America s health food stores. Wellness received this honor in the industry s leading
Understanding Respiratory Illnesses
Understanding Respiratory Illnesses Respiratory illnesses can make you very sick. Some respiratory illnesses are not serious. A cold may make you feel sick for a few days, but you will get better. Other
Causes Of Chest Congestion
How to Get Rid of Chest Congestion and Cough Fast: Home 4.3 (86.92%) 26 votes Almost every person experiences a chest congestion at some stage, especially during colder months, when the immune system of
CAN AZITHROMYCIN CAUSE VAGINAL BLEEDING
CAN AZITHROMYCIN CAUSE VAGINAL BLEEDING Can Azithromycin Cause Vaginal Bleeding Azithromycin capsules or tablets Can azithromycin be taken with alcohol Azithromycin best time to take Azithromycin for pneumonia
GPs' experiences and perceptions of benzodiazepine prescribing in Western primary care settings: a systematic review and meta-synthesis
GPs' experiences and perceptions of benzodiazepine prescribing in Western primary care settings: a systematic review and meta-synthesis Coral Sirdifield, Research Assistant www.cahru.org.uk Overview What
YOUR ULTIMATE FLU SURVIVAL GUIDE CHICKEN SOUP, HERBAL REMEDIES, ANTIVIRAL DRUGS, OH MY! HERE S EVERYTHING YOU NEED TO KNOW.
YOUR ULTIMATE FLU SURVIVAL GUIDE CHICKEN SOUP, HERBAL REMEDIES, ANTIVIRAL DRUGS, OH MY! HERE S EVERYTHING YOU NEED TO KNOW. IS IT THE FLU OR JUST A REALLY BAD COLD? The flu is a contagious respiratory
Allergies & Immunity
Written by the Editors of Examine.com Updated June 24, 2014 Medical Disclaimer & Important Note This guide is a general health-related information product, intended for healthy adults over the age of 18.
Haematology Mycophenolate Mofetil Information for patients
Haematology Mycophenolate Mofetil Information for patients page 2 Why have I been prescribed this medication? You have been prescribed mycophenolate mofetil as you have immune thrombocytopenia (ITP) or
Is your cold, sore throat, earache or cough getting you down?
Is your cold, sore throat, earache or cough getting you down? Sore throat Blocked nose Sinusitis Runny nose Earache Tonsillitis Cough Cold and Flu A guide to understanding your symptoms Understand your
Module 3: Interaction with patients educating patients and advising on self-care
Module : Interaction with patients educating patients and advising on self-care Continuing professional development module from the Global Respiratory Infection Partnership Learning objectives Acknowledge
Tacrolimus. Information for patients about using the drug Tacrolimus.
Tacrolimus Information for patients about using the drug Tacrolimus. Your consultant has recommended you start treatment with tacrolimus. This leaflet has been developed to provide you with additional
Herbal Remedies: Herbs That Cure Sickness, Improve Health And Fight Disease By Brian Yi
Herbal Remedies: Herbs That Cure Sickness, Improve Health And Fight Disease By Brian Yi Handbook of Asian American Health - Page 27 - Google Books Result - Table 3.2 Concept of health and disease prevention:
Alternative Therapies for Acute Upper Respiratory Infections in Children
Alternative Therapies for Acute Upper Respiratory Infections in Children Don Brown, ND Institute of Women s Health and Integrative Medicine October 24, 2009 1 Upper Respiratory Tract Infections (URIs)
Why doesn t my doctor prescribe me any antibiotics?
Why doesn t my doctor prescribe me any antibiotics???? In respiratory tract infections, antibiotics are usually ineffective What is an acute respiratory infection? An acute respiratory infection occurs
Appropriate Antibiotic Prescribing. Frank Romanelli, Pharm.D., MPH, AAHIVP Professor & Associate Dean Paul F. Parker Endowed Professor of Pharmacy
Appropriate Antibiotic Prescribing Frank Romanelli, Pharm.D., MPH, AAHIVP Professor & Associate Dean Paul F. Parker Endowed Professor of Pharmacy Objectives Discuss CDCs Core Elements of abx stewardship.
2017 GLOBAL PAIN INDEX (GPI) Better for Everyone
2017 GLOBAL PAIN INDEX (GPI) Better for Everyone Contents: GPI Australia Report 2017 At A Glance Executive Summary Pain Is Everywhere In Australia Pain Makes Us Poorer Professionals Pain Is Isolating We
Drug information. Baricitinib BARICITINIB. is used to treat rheumatoid arthritis. Helpline
Drug information Baricitinib BARICITINIB is used to treat rheumatoid arthritis Helpline 0800 5200 520 1 Introduction Baricitinib is a drug that can help prevent your condition causing damage to your body.
Helping TB patients quit smoking: the potential impact, WHO recommendations and country experience
Helping TB patients quit smoking: the potential impact, WHO recommendations and country experience Dr Dongbo Fu Prevention of Noncommunicable Diseases World Health Organization 1 Outline Why national TB
Running head: COMMON COLD AND BRONCHITIS 1
Running head: COMMON COLD AND BRONCHITIS 1 Common Cold and Bronchitis Name: Institution: COMMON COLD AND BRONCHITIS 2 Common Cold and Bronchitis Bronchitis also labeled in medical terminology as acute
Azithromycin and Chronic Obstructive Pulmonary Disease (COPD) Information for patients
Azithromycin and Chronic Obstructive Pulmonary Disease (COPD) Information for patients page 2 What is azithromycin? Azithromycin is a type of antibiotic called a macrolide antibiotic. Antibiotics are used
Oral N-Acetyl CystieneTablets. Patient Information
Oral N-Acetyl CystieneTablets Patient Information Author ID: AA Leaflet Number: Resp 001 Version: 4 Name of Leaflet: Oral N-Acetyl Cystiene Tablets Date Produced: August 2017 Review Date: August 2019 N-acetyl
Influenza. What Is Influenza?
Flu is usually a mild, but uncomfortable disease. You can treat it yourself by staying home and drinking plenty of fluids. What Is?, often just called the flu, is the most common disease in the world,
Assessment of G8 Commitments on Maternal, Newborn and Child Health
Assessment of G8 Commitments on Maternal, Newborn and Child Health Robin Lennox Researcher, G8 Research Group June 13, 2010 In January 2010, Canadian prime minister Stephen Harper announced that maternal,
Epidemiology of Unimmunized Children:
Epidemiology of Unimmunized Children: Systematic Review of the Peer-Reviewed Literature Global Immunization Division Centers for Disease Control and Prevention Atlanta, Georgia October 29, 2009 1 Outline
Diagnosis and Treatment of Respiratory Illness in Children and Adults Guideline
Member Groups Requesting Changes: Lakeview Clinic Marshfield Clinic Mayo Clinic South Lake Pediatrics Response Report for Review and Comment January 2013 Diagnosis and Treatment of Respiratory Illness
Adolescents' use of prescribed drugs and over-the-counter preparations
Journal of Public Health Medicine Vol. 18, No. 4, pp. 437-442 Printed in Great Britain Adolescents' use of prescribed drugs and over-the-counter preparations Regina Dengler and Heather Roberts Abstract
World Immunization Week 2013
CAMPAIGN ESSENTIALS World Immunization Week 2013 Protect your world get vaccinated World Health Organization 2013. All rights reserved. Document number: WHO/World-Immunization-Week/2013.1 This document
Antibiotics need you!
Antibiotics need you! Fight antibiotic resistance one patient at a time Help patients with upper respiratory tract infections get the symptomatic relief they need without contributing to antibiotic overuse
Featured Topic: Omega-3, Phospholipids and Peptides (3 slides)
Featured Topic: Omega-3, Phospholipids and Peptides (3 slides) Fish Consumption Advice FDA and EPA recently urged pregnant women to increase their fish consumption FDA research shows 20% of pregnant women
Name: Disease. Class: Date: 88 minutes. Time: 87 marks. Marks: level 1, 2 and 3. Increasing demand. Comments:
Disease Name: Class: Date: Time: 88 minutes Marks: 87 marks Comments: level 1, 2 and 3. Increasing demand Q1. Microorganisms can cause disease. (a) Draw one line from each disease to the correct description.
The pillars defining our quality care. We Care!
The pillars defining our quality care We Care! 1 What is Anaesthesia? Anaesthesia stops you feeling pain and other sensations. It can be given in various ways and does not always make you unconscious.
A meta-synthesis of clinicians experiences and perceptions of benzodiazepine prescribing: implications for the integration of health services
A meta-synthesis of clinicians experiences and perceptions of benzodiazepine prescribing: implications for the integration of health services Coral Sirdifield, Susan Chipchase, Sybil Anthierens, Hanne
Boots Decongestant Tablets with Paracetamol (Paracetamol, Pseudoephedrine Hydrochloride)
Information for the user Boots Decongestant Tablets with Paracetamol (Paracetamol, Pseudoephedrine Hydrochloride) Read all of this leaflet carefully because it contains important information for you. This
Oral anti-cancer treatment
Oral anti-cancer treatment Information for patients Chemotherapy Name Hospital No Your consultant is Anti-cancer treatment is the term used to describe medicines used to treat cancer, including chemotherapy.
Strategies to increase the uptake of the influenza vaccine by healthcare workers: A summary of the evidence
Strategies to increase the uptake of the influenza vaccine by healthcare workers: A summary of the evidence This evidence summary document has been prepared for the National Collaborating Centres for Public
Fatigue and Chronic Fatigue Syndrome
Fatigue and Chronic Fatigue Syndrome Introduction Nearly everyone struggles with being overtired or overworked from time to time. Temporary fatigue usually has a specific cause. It is easily treated. Chronic
ANUSALVE. Q: Can this cream be used internally? A: Yes - ANUSALVE is safe to use internally.
GENERAL Q: What is Sprunk-Jansen s mission? A. It is simple to put herbal remedies back on the global map where they belong to work alongside modern medicine in harmony with it. Q. What is the basis for
Drug information. Tofacitinib TOFACITINIB. is used to treat rheumatoid arthritis and psoriatic arthritis. Helpline
Drug information Tofacitinib TOFACITINIB is used to treat rheumatoid arthritis and psoriatic arthritis Helpline 0800 5200 520 1 Introduction Tofacitinib is a drug that can help prevent your condition causing
[PDF] Macrobiotic Home Remedies: Your Guide To Traditional Healing Techniques
[PDF] Macrobiotic Home Remedies: Your Guide To Traditional Healing Techniques It is simple in its approach and powerful in its effectâ a diet of natural foods and the use of non-invasive home remedies
Eradicating cervical cancer. Our role in making it a reality
Eradicating cervical cancer Our role in making it a reality An estimated 49,000 women are living with or beyond a cervical cancer diagnosis Each year 3,200 women are diagnosed with cervical cancer and
300 3PORTUGUESE 65M GLOBAL WHO WE ARE WE OFFER PORTUGUESE
WHO WE ARE PORTUGUESE WE OFFER Licensing out Contract Manufacturing Packaging Services EU Batch Release R&D Services Marketing & Distribution Medinfar is a fully integrated Pharmaceutical Company with
Toddler congestion medicine
Toddler congestion medicine Search Lemon dries up congestion and honey provides a soothing coating, says Lane Johnson, MD, associate professor of clinical family and community medicine at the. 20-1-2018
Diabetes in Underserved Youth. Antoinette Moran, MD University of Minnesota
Diabetes in Underserved Youth Antoinette Moran, MD University of Minnesota In the last 3 years Dr. Moran has Disclosures Served on an DSMB for Novo Nordisk Served on advisory boards for Debiopharm, Vertex,
Complementary & Alternative Medicine. Integrative Therapies:
Complementary & Alternative Medicine Integrative Therapies: By: Melanie Santos RNIII, BSN, OCN, CMSRN Salinas Valley Memorial Healthcare System Five Branches University Student : March 2019 WHAT IS CAM?
Our plans to prescribe fewer medicines that can be bought without a prescription What do you think?
I I rth West London Collaboration of Clinical Commissioning Groups Our plans to prescribe fewer medicines that can be bought without a prescription What do you think? 1 Prescriptions Prescribe is where
Small Group Facilitator s Guide Doctoring 101 The ETHNICS Mnemonic
Small Group Facilitator s Guide Doctoring 101 The ETHNICS Mnemonic Schedule and Brief Agenda: I. Briefly introduce the agenda and specific learning objectives (10 min) II. Discussion of Health Beliefs
Appendix 3 Sample size and cost of surveys
Appendix 3 Sample size and cost of surveys Here we estimate the sample sizes needed to carry out prevalence of infection and disease, incidence of disease and verbal autopsy surveys in the 22 high burden
The common cold is an acute, respiratory tract
Paediatrica Indonesiana VOLUME 52 November NUMBER 6 Original Article Effects of Phyllanthus niruri on the severity of the common cold in children Ari Dwi Ratna Kusumaningrum, Sumadiono, Yati Soenarto Abstract
Apple Cider Vinegar Research has shown Apple Cider Vinegar cure high cholesterol, diabetes, sore throats and heart burn.
Home Remedies Winter home remedy drink What you need: Ginger juice one cup Lemon Juice one cup Garlic Juice one cup Apple cider Vinegar one cup How to make: Crush ginger and garlic separately Squeeze to
Surgery to remove the spleen (elective splenectomy)
Surgery to remove the spleen (elective splenectomy) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that
Dietary supplement use in cancer patients: is there a link to psychosocial wellbeing?
Dietary supplement use in cancer patients: is there a link to psychosocial wellbeing? Kathryn Taylor Clinical Psychologist St George s Cancer Care Centre St George s Cancer Care Centre Dietary supplements
C o u g h s n e e z i n g h o t f l a s r u n n y n o
C o u g h s n e e z i n g h o t f l a s r u n n y n o WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms Cough and Hot flashes and including Common cold,
Palliative Care Asking the questions that matter to me
Palliative Care Asking the questions that matter to me THE PALLIATIVE HUB Adult This booklet has been developed by the Palliative Care Senior Nurses Network and adapted with permission from Palliative
Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library)
A systematic review of smoking cessation and relapse prevention interventions in parents of babies admitted to a neonatal unit (after delivery) Divya Nelson, Sarah Gentry, Caitlin Notley, Henry White,
Sharing the Results from Asia. World Bank, June 2008
Sharing the Results from Asia World Bank, June 2008 Objectives 24 case studies in Latin America (7), Asia (7) and Africa (10) all with the aim: To increase the understanding of the impacts of rural mobility
Cough syrup with codeine ingredients
Cough syrup with codeine ingredients This Homemade Cough Remedy is a spicy, honey-cider syrup potent enough to calm a cough and sooth a sore throat. Over the past few years, this handy little remedy has.
PROJECT Ntshembo: Improving adolescent health and interrupting mother-infant transfer of health risk in Africa. INDEPTH Network
PROJECT Ntshembo: Improving adolescent health and interrupting mother-infant transfer of health risk in Africa INDEPTH Network Overview Transitions across countries Transitions within countries - South
Glaucoma screening. A global perspective. Contents. Introduction
Glaucoma screening A global perspective Introduction Rather than referring to a single condition, glaucoma is a term used to describe a range of disorders affecting the optic nerve. This, combined with
Proposed changes to prescribing in Croydon. Lambeth. NHS prescriptions in Lambeth
Proposed changes to prescribing in Croydon Lambeth NHS prescriptions in Lambeth 1 NHS Lambeth Clinical Commissioning Group 1. Introduction We are seeking your views on our proposals to make some changes
Making Mental Health Services work for Men. Chris Stein, Senior Project Officer, Men s Health Forum
Making Mental Health Services work for Men Chris Stein, Senior Project Officer, Men s Health Forum MAKING MENTAL HEALTH SERVICES WORK FOR MEN Where have we been and where are we now? What do effective
A complete guide to running the Know your Bugs session
A complete guide to running the Know your Bugs session Know Your Bugs Introduction The aim of this session is to bring together everything the participants have learnt throughout the course and to get
INFORMATION FOR YOUNG WOMEN FEMALE CIRCUMCISION
INFORMATION FOR YOUNG WOMEN FEMALE CIRCUMCISION WOMEN S HEALTH IN THE NORTH All girls have the right to control what happens to their bodies and the right to say NO to circumcision. INFORMATION FOR YOUNG
Looking after your lungs
choking awareness! Looking after your lungs Useful information and top tips Colds and chest infections can be common, especially in the autumn and winter months. It is therefore very important that you
Protecting your child against flu
Protecting your child against flu Information for the parents of children aged from 2 to 13 (year 8 at school) Flu mmunisation 2014/15 Helping to protect everyone, every winter This year, the flu vaccine
Active Bystander Behavior: Extended Analysis from the Sexual Conduct: Culture and Respect Survey Tyler Anderson 16 Grinnell College
Active Bystander Behavior: Extended Analysis from the Sexual Conduct: Culture and Respect Survey Tyler Anderson 16 Grinnell College Author s note: This document represents the results of a Mentored Advanced
The Global Magnitude and Consequences of Unsafe Abortion Susheela Singh, Ph.D Vice President for Research
The Global Magnitude and Consequences of Unsafe Abortion Susheela Singh, Ph.D Vice President for Research Regional meeting on Postabortion Care May 2010, Alexandria, Egypt Summary The magnitude of unsafe
Latest Press Release. Half life calculator for oxycodone
corp@stantec.com Latest Press Release Half life calculator for oxycodone S Search Results for adverse effects of drugs. Proton-Pump Inhibitors: Dangerous and Habit- Forming Heartburn Drugs [hide all summaries].
Information about Your Anaesthetic and Pain Control After Surgery
Information about Your Anaesthetic and Pain Control After Surgery Information for patients Specialist Support If you require this leaflet in another language, large print or another format, please contact
Access to reproductive health care global significance and conceptual challenges
08_XXX_MM1 Access to reproductive health care global significance and conceptual challenges Dr Lale Say World Health Organization Department of Reproductive Health and Research From Research to Practice:
Strengthening integration of TB and tobacco control in primary care through ICT tools
Strengthening integration of TB and tobacco control in primary care through ICT tools Dongbo Fu WHO/PND/TFI 1 Outline Background Scientific foundations Potential impact PND-GTP earlier collaboration and
Package Leaflet: Information for the user. Digestisan oral drops
Package Leaflet: Information for the user Digestisan oral drops Read all of this leaflet carefully before you start taking this product because it contains important information for you. Always take this
Interventions To Improve Antibiotic Prescribing for Uncomplicated Acute Respiratory Tract Infections
Clinician Summary Breathing Conditions Respiratory Tract Infections Interventions To Improve Antibiotic Prescribing for Uncomplicated Acute Respiratory Tract Infections Focus of This Summary This is a
What was the study about?
Dear Reader, Pharmaceutical companies (sponsors) plan and conduct clinical studies to test medicines. Afterwards, they write study reports. A study report describes how a study was done and what the results
Antibiotic Resistance Knowledge Survey Results: Comparison of the 1999 and 2000 Surveys October 2000
Antibiotic Resistance Knowledge Survey Results: Comparison of the 1999 and 2000 Surveys October 2000 North Dakota State Data Center North Dakota State University IACC 424 - P.O. Box 5636 Fargo, North Dakota
Drug information. Secukinumab SECUKINUMAB. is used to treat psoriatic arthritis and ankylosing spondylitis. Helpline
Drug information Secukinumab SECUKINUMAB is used to treat psoriatic arthritis and ankylosing spondylitis Helpline 0800 5200 520 1 Introduction Secukinumab is a drug that can help prevent your condition
The GP s and staff wish all our patients a very Merry Christmas and a happy New Year!
This newsletter has been printed in the surgery for you to read, please feel free to take Issue 12 Newsletter Winter 2017 The GP s and staff wish all our patients a very Merry Christmas and a happy New
NORLAND AVENUE PHARMACY PRESCRIPTION COMPOUNDING FOR GENERAL PRACTICE
DECEMBER 2011 PRESCRIPTION COMPOUNDING N ORLANDA VENUEP HARMACY. COM We customize individual prescriptions for the specific needs of our patients. INSIDE THIS ISSUE: Antibiotic Suppositories 2 Influenza
Critical appraisal and qualitative research: exploring sensitivity analysis
1 Sub-brand to go here ESRC Research Methods Festival, St Catherine s College Oxford, 30 th June to 3 rd July Session 11: Systematic reviews (1) Critical appraisal and qualitative research: exploring sensitivity
Beyond the neurologist: the importance of a multidisciplinary approach in SSA. Catherine Dotchin
Beyond the neurologist: the importance of a multidisciplinary approach in SSA Catherine Dotchin Consultant Geriatrician Northumbria Healthcare NHS Foundation Trust Overview Lack of specialist doctors evidence
Consumer Assessment of Wrigley s Alpine Gum
Consumer Assessment of Wrigley s Alpine Gum Group Members: Adam Benner Michael Casserly Christine Chen Michelle Halabaso Anide Jean April 22, 2004-1- Agenda Background Objective Research Goals Executive
Worldwide Regulatory Perspective on Herbal Drugs & Herbal formulations
Dr.Mohan Krishna.,M.Pharm.,Ph.D professor Krishna Teja Pharmacy College Tirupathi Worldwide Regulatory Perspective on Herbal Drugs & Herbal formulations 2 Terminology Herbal Substances are mainly whole,
AZITHROMYCIN H PYLORI TREATMENT
AZITHROMYCIN H PYLORI TREATMENT Azithromycin H Pylori Treatment How long does it take to feel the effects of azithromycin Azithromycin effect on human cells Can you drink beer when taking azithromycin
Interventions and innovations at community level to improve antibiotic access and use: global overview
Interventions and innovations at community level to improve antibiotic access and use: global overview Kathleen Holloway Regional Advisor Essential Drugs and Other Medicines WHO South East Asia Regional
Chapter 12: Talking to Patients and Caregivers
Care Manager Skills IV Chapter 12: Talking to Patients and Caregivers Working With Patients with Bipolar Disorder or PTSD This chapter provides an introduction to working with patients who are suffering
medicine (CAM): group of practices used Alternative medicine: group of practices used as an Integrative medicine: use of conventional medicine in
Chapter 17: Complementary and Alternative Medicine Approaches to Health Care Complementary and alternative medicine (CAM) is a group of diverse medical and health care systems, practices, and products
Diagnosis and Treatment of Respiratory Illness in Children and Adults
Page 1 of 9 Main Algorithm Annotations 1. Patient Reports Some Combination of Symptoms Patients may present for an appointment, call into a provider to schedule an appointment or nurse line presenting
Tacrolimus. Information for Parents/Carers
Tacrolimus Information for Parents/Carers St Michael s C Ward 01 878 4258 01 878 4431 Main Hospital Number 01 878 4200 What is tacrolimus and what is it used for? Tacrolimus is an immunosuppressant drug,
colds and flu Introduction KEY MESSAGES
colds and flu New insights: Cold and flu Introduction Colds and flu are responsible for more visits to the pharmacy than any other infectious illness. While severity of influenza differs from year to year,
Arthroscopy of the ankle. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.
Arthroscopy of the ankle Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the information
WHERE DO MEDICINES COME FROM?
WHERE DO MEDICINES COME FROM? KEY STAGE 1 STORY TEACHER S NOTES Slide 1 Have the children felt poorly? Can they sympathise with Ellie? What sort of illnesses have they had? What makes you ill? Bacteria