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1. MacDonald N: Palliative care: An essential component of cancer control. CMAJ 158: 1709-1716, 1998 Kirkbride P: The role of radiation therapy in palliative care. J Palliat Care 11: 19-26, 1995 Dixon P: Palliative radiotherapy in Canada. Can J Oncol 6: 74-83, 1996 suppl ; 4. Stevens G, Firth I: Audit in radiation therapy: Long-term survival and cost of treatment. Australas Radiol 41: 29-34, 1997 Stevens G, Firth I: Clinical audit in radiation oncology: Results from one centre. Australas Radiol 40: 47-54, 1996 Anonymous: A prospective survey of radiotherapy in Sweden. Acta Oncol 35: 47-56, 1996 suppl ; 7. Priestman TJ: Palliative radiotherapy in the UK. Can J Oncol 6: 69-73, 1996 suppl ; 8. Duncan G, Duncan W, Maher EJ: Patterns of palliative radiotherapy in Canada. Clin Oncol 5: 92-97, 1993 Coia LR, Owen JB, Maher EJ, et al: Factors affecting treatment patterns of radiation oncologists in the United States in the palliative treatment of cancer. Clin Oncol 4: 6-10, 1992 National Cancer Institute of Canada: Canadian Cancer Statistics 1999. Toronto, Canada, 1999 11. The Canada Health Act. Statutes of Canada, Chapter 6, sect 12, 1984 12. Tyldesley S, Zhang-Salomons J, Groome PA, et al: Association between age and the utilization of radiotherapy in Ontario. Int J Radiat Oncol Biol Phys 47: 469-480, 2000 Paszat LF, Mackillop WJ, Groome PA, et al: Radiotherapy for breast cancer in Ontario: Rate variation associated with region, age and income. Clin Invest Med 21: 125-134, 1998 Johnston GM, Gibbons L, Burge FI, et al: Identifying potential need for cancer palliation in Nova Scotia. CMAJ 158: 1691-1698, 1998 Puckett CD ed ; : The Educational Annotation of ICD-9-CM. Reno, NV, Channel, 1986 16. Statistics Canada: 1996 Census: Profile of Enumeration Areas, Profile Series--Nova Scotia. Ottawa, Canada, Geography Division, Statistics Canada, 1997, Catalogue No. 95F0185XDB96001a 17. Statistics Canada: Postal Code Conversion File: May 1998 Postal Codes--Reference Guide. Ottawa, Canada, Geography Division, Statistics Canada, 1998, Catalogue No. 92F0027XDB. 18. Statistics Canada: Postal Code Population Weight File: May 1996 Postal Codes--Reference Guide. Ottawa, Canada, Geography Division, Statistics Canada, 1998, Catalogue No. 93F0040XDB 19. Wilkins R: Geocodes PCCF Version 2 User's Guide: Automated Geographic Coding Based on the Statistics Canada Postal Code Conversion File. Ottawa, Canada, Health Statistics Division, Statistics Canada, 1996 20. Krieger N: Overcoming the absence of socioeconomic data in medical records: Validation and application of a census-based methodology. J Public Health 92: 703-710, 1992 Mustard CA, Derksen S, Berthelot JM, et al: Assessing ecologic proxies for household income: A comparison of household and neighbourhood level income measures in the study of population health status. Health Place 5: 157-171, 1999 Anderson RT, Sorlie P, Backlund E, et al: Mortality effects of community socioeconomic status. Epidemiology 8: 42-47, 1997 Fraleigh JB: Calculus with Analytic Geometry ed 3 ; . Reading, MA, Addison-Wesley, 1990 24. Brundage MD, Dixon PF, Mackillop WJ, et al: A real-time audit of radiation therapy in a regional cancer centre. Int J Radiat Oncol Biol Phys 43: 115-124, 1999 Nova Scotia Health Act. R.S., code 195, sect 1, part VII, 101.1-101.2, 1989 26. Gaudette LA, LaBillois T, Bao R-N, et al: Quality assurance for the Canadian Cancer Registry, in Symposium '96 Nonsampling Errors: Proceedings. Ottawa, Canada, Minister of Industry, 1997, pp 229-238, Statistics Canada, Catalogue No. 11-522-XPE 27. Agresti A: An introduction to categorical data analysis. New York, NY, John Wiley & Sons, 1996 28. Riley GF, Potosky AL, Lubitz JD, et al: Medicare payments from diagnosis to death for elderly cancer patients by stage at diagnosis. Med Care 33: 828-841, 1995 Christakis NA, Escarce JJ: Survival of Medicare patients after enrollment in hospice programs. N Engl J Med 335: 172-178, 1996 Rabow MW, Hardie GE, Fair JM, et al: End-of-life care content in 50 textbooks from multiple specialties. JAMA 283: 771779, 2000 Mackillop WJ, Fu H, Quirt CF, et al: Waiting for radiotherapy in Ontario. Int J Radiat Oncol Biol Phys 30: 221-228, 1994 Brown JS, Eraut D, Trask C, et al: Age and the treatment of lung cancer. Thorax 51: 564-568, 1996 Hunt R, McCaul K: Coverage of cancer patients by hospice services: South Australia, 1990 to 1993. Aust N Z J Public Health 22: 45-48, 1998 and cleocin.
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According to a 1999 Institute of Medicine report, approximately 7000 deaths occur each year due to medication errors. Thousands more result in mild to severe symptoms. Many of these errors are the result of name confusion: drug names that sound-alike and look-alike. Often, the indications and doses are the same or similar. In some cases, patients being treated by EMS or in the emergency department do not pronounce the names of their medications correctly, leading to confusion. The following are just some of the drug name mix-ups that health professionals should be aware of: Methadone and Metadate Olanzapine and clozapine Keppra and Kaletra Celebrex and Celexa Serzone and Seroquel Zyrtec and Zyprexa, Aantac Symbyax and Cymbalta Narcan and Norcuron Accutane and Accupril Chlorpromazine and chlorpropamide Hydrocodone and hydrocortisone Azithromycin and erythromycin Xanax and Zantwc Lamictal and lamivudine, Ludiomil, Lomotil MgSO4 magnesium sulfate ; and MSO4 morphine sulfate ; Any drug and it's extended release form Ex. Depakote and Depakote ER ; How can health professionals minimize the risk of drug name mix-ups? Write drug names clearly on prescriptions and in patient charts Speak clearly and spell out the name when giving verbal orders or reports Do not use abbreviations for drug names, dosage units or directions Ask patients why they are taking the drug Check the strength of the drug Read the name off of the original Rx bottle; take the bottle to the ED when transporting patients If the patient doesn't have the bottle, call the poison center with a description of the tablet or capsule for help in identifying it.
Er was recruited ceases to be an HPSA during the term of the written agreement, the payments made under the written agreement will continue to satisfy this paragraph for the duration of the written agreement not to exceed three years ; . There is no requirement that the practitioner make referrals to, be in a position to make or influence referrals to, or otherwise generate business for the entity as a condition for receiving the benefits, provided, however, that for purpose of this paragraph, the entity may require as a condition for receiving benefits that the practitioner maintain staff privileges at the entity. The practitioner is not restricted from establishing staff privileges at, referring any service to, or otherwise generating any business for any other entity of his or her choosing. The amount or value of the benefits provided by the entity may not vary or be adjusted or renegotiated ; in any manner based on the volume or value of any expected referrals to or business otherwise generated for the entity by the practitioner for which payment may be made in whole or in party under Medicare, Medicaid or nay other Federal health care programs. The practitioner agrees to treat patients receiving medical benefits or assistance under any Federal health care program in a nondiscriminatory manner. At least 75 percent of the revenues of the new practice must be generated from patients residing in an HPSA or a "medically underserved area" MUA ; , or who are part of a "medically underserved population" MUP ; , all are as defined in paragraph a ; of this section. The payment or exchange of anything of value may not directly or indirectly benefit any person other than the practitioner being recruited ; or entity in a position to make or influence referrals to the entity providing the recruitment payments or benefits of items or services payable by a Federal health care program. Notably, the anti-kickback statute is an intent-based statue, which is broadly worded and has been interpreted to include any arrangement, one purpose of which is to induce referrals. While the safe harbor regulations define practices that are not subject to the antikickback statute, failure to comply with a safe harbor does not make an arrangement per se illegal. Instead, the particular facts and circumstances surrounding the arrangement must be carefully scrutinized. In this regard, although there is not a safe harbor that applies to recruitment payments outside of the HPSA context, it may reduce risk if all of the other requirements of the safe harbor, which do not involve HPSA issues, are met and clomid.
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BCPWA Society, with the assistance of Oak Tree Clinic and other AIDS organizations, has secured the first monthly nutritional supplement benefit MNSB ; for an HIV-positive child in BC. Under current Ministry of Human Resources regulations, only HIV-positive adults on disability are eligible for an MNSB allotment of up to $225 for nutritious food, bottled water, and vitamins and minerals. "Children in BC have access to lifesaving therapy, but medication alone is not enough. Nutrition is a fundamental part of HIV therapy as malnutrition can develop quickly in HIV-positive children and the consequences can be devastating, " said Dr. Jack Forbes, co-director of Oak Tree Clinic at the Children's and Women's Health Centre of BC. The drug maker did not know whether over-the-counter 20mg doses of omeprazole would produce similar results; therefore, it does not recommend combining the treatments. BMS also reminded patients to be cautious when dosing medicines such as cimetidine Tagamet ; and ranitidine Zantav ; with atazanavir until further research is conducted. Source: Aidsmap medical equipment or simply not following universal hospital cleaning procedures? Since the cleaning services at St. Paul's Hospital was contracted out to the private sector, hospital cleaning standards may be falling below the threshold of safety for many people, especially for HIV-positive persons. If you have personally become ill from either visiting or staying at St. Paul's Hospital, or if you are simply concerned about this possibility, we would like to hear your concerns. Please contact BCPWA Society's Community Representation & Engagement Standing Committee CRE ; at 604.646.5338 or email cre bcpwa.
Some experts are concerned that people on atazanavir Reyataz ; who also take acid-reducing drugs may not absorb enough atazanavir, risking drug resistance and treatment failure. A few small studies have examined atazanavir's interactions with proton pump inhibitors such as omeprazole Losec Nexium Zanprol ; and histamine-2 blockers like ranitidine Zanta Pylorid ; . As a result of these studies, atazanavir's manufacturer, Bristol-Myers Squibb, currently recommend that proton pump inhibitors should not be used if you are taking atazanavir and that histamine-2 blockers should be taken twelve hours apart from atazanavir. Last month, two teams of doctors and pharmacists called these recommendations into question for people taking ritonavir-boosted atazanavir. Both teams have found that the patients who had taken proton pump inhibitors - either omeprazole or rabeprazole Pariet ; - alongside ritonavir-boosted atazanavir neither had significantly reduced blood levels of atazanavir, nor were more likely to `fail' anti-HIV treatment. It's clear that more studies are needed to find out once and for all if there is a significant interaction, but until those results are available, people taking ritonavir-boosted atazanavir together with proton pump inhibitors should either have therapeutic drug-level monitoring TDM ; done in order to make sure atazanavir blood levels are adequate, or continue to follow the current recommendation and use alternative acid-reducing drugs and floxin and zantac.
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Iskandar, M., Atom, B., Hull, T., Dharmaputra, N. & Azwar, Y. 1996 ; . Unraveling the mysteries of maternal death in West Java: Reexamining the witnesses. Depok: Center for Health Research, Research Institute University of Indonesia. Jeffery, R. & Jeffery, P. M. 1993 ; . Traditional birth attendants in rural North India: The social organization of childbearing. In S. Lindenbaum & M. Lock Eds. ; , Knowledge, power, and practice: The Jenkins, G. 2001 ; . Modernization and postmodernization in the changing roles and identities of midwives in rural Costa Rica. In R. Davis-Floyd, S. Cosminsky & S. L. Pigg. Eds. ; . 2001 ; . Daughters of time: The shifting identities of contemporary midwives [Special issue] Medical Anthropology 20 2-3 ; . Johnson, K. C. & Daviss, B. A. 2001, October ; . Results of the CPM Statistics Project 2000: A prospective study of births by Certified Professional Midwives In North America. Abstract presented at the annual meeting of the American Public Health Association, Atlanta, GA. Jordan, B. 1993 ; . Birth in four cultures Rev. ed. ; . Prospect Heights, IL: Waveland Press. Jordan, B. 1997 ; . Authoritative knowledge and its construction. In R. Davis-Floyd & C. Sargent Eds. ; , Childbirth and authoritative knowledge: Cross-cultural perspectives pp. 55-79 ; . Berkeley: University of California Press. Kroeger, M. 1996 ; . Final consultant report. CHN III Project, Provincial Department of Health Central Java, Indonesia. MacDorman, M. & Singh, G. 1998 ; . Midwifery care, social and biomedical risk factors, and birth outcomes in the USA. Journal of Epidemiology and Community Health 52: 310-317. Martin, E. 1987 ; . The woman in the body. Boston: Beacon Press. Paine, L. L., Dower, C. M. & O'Neil, E. 1999 ; . Midwifery in the 21st century: Recommendations from the Pew Health Professions Commission UCSF Center for the Health Professions 1998 Taskforce on Midwifery. Journal of Nurse Midwifery 44 4 ; : 341-348. Pigg, S. L. 1997 ; . Authority in translation: Finding, knowing, naming, and training "Traditional birth attendants" in Nepal. In R. Davis-Floyd & C. Sargent Eds. ; , Childbirth and authoritative knowledge: Cross-cultural perspectives pp. 233-262 ; . Berkeley: University of California Press. politics of change pp 42-58 ; . Berkeley: University of California Press. Rooks, J. P. 1997 ; . Midwifery and childbirth in America. Philadelphia: Temple University Press. Rooks, J. P. 1999 ; . Evidence-based practice and its applications to childbirth care for low-risk women. Journal of Nurse- Midwifery 44 4 ; : 355-369. Rothman, B. K. 1982 ; . In labor: Women and power in the birthplace. New York: W.W. Norton. Rothman, B. K. 1989 ; . Recreating motherhood: Ideology and technology in patriarchal society. New York: W. W. Norton. Sargent, C. 1989 ; . Maternity, medicine, and power: Reproductive decisions in urban Benin. Berkeley: University of California Press. Schaef, A. 1992 ; . Women's reality Rev. ed. ; . San Francisco: Harper. Secretria de Programacin y Presupuesto. 1979 ; . Encuesta Mexicana de fecundidad, primer informe nacional. Mexico: Secretaria de Programacion y Presupuesto. Secretaria de Salud SSA--this agency was formerly known as the Secretaria de Salud y Asistencia, and is still abbreviated as SSA ; . 1994 ; . La partera tradicional en la atencion materno infantil en Mexico. Available: ssa.gob.mx. University of California Press. University of Minnesota Press. Ventura, S. J., Martin, J. A., Curtin, S. C., Menacker, R. & Hamilton, B. E. 2001 ; . Births: Final data for 1999. National Vital Statistics Reports 49: 1. Hyattsville, Maryland: National Center for Health Statistics. Wagner, M. 1997 ; . Confessions of a dissident. In R. Davis-Floyd & C. Sargent Eds. ; Childbirth and authoritative knowledge: Cross-cultural perspectives pp. 366-396 ; . Berkeley: University of California Press. Weigers, T. 1997 ; . Home or hospital birth: A prospective study of midwifery care in the Netherlands. Unpublished doctoral disseration: Leiden University, NIVEL, Utrecht and fluoxetine.
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Some of the most enthusiastic supporters of a pathological interpretation of schizophrenia are the relatives of patients.20 Madness tends to generate intense levels of fear in both the people who experience it21 and the people who witness others undergoing the experience.22 This fear plays an important role in galvanising relatives into support of the medical model, and in shaping their goals. The importance of relatives as an interest group lies in their immediacy to the problems that arise when a person manifests unusual thoughts and beliefs. It is usually the relatives who are the first people to become aware when a family member begins to experience unusual mental phenomena. They are often alarmed at the sudden change in the person and frequently become confused and fearful about the situation -- fearful both for themselves and for the person manifesting the symptoms. The first inclination of relatives is to seek help and advice and this is usually readily available from the medical profession.23 Of the three meta-models for explaining the symptoms of schizophrenia -- the medical, mystical and myth-of-mental-illness models -- the latter two, mystical and myth-of-mental illness, are likely to seem absurd to relatives.24 Relatives usually see themselves as managing a crisis situation and these two models might look as if they are designed to exacerbate madness. The medical model, on the other hand, with its ability to medicate and pacify the relative, and to supply a causal explanation that satisfies normal scrutiny, can be highly attractive. The relatives of schizophrenics frequently belong to support groups which are growing increasingly powerful as mental health lobby groups both in the United States25 and Australia. A review of some of the literature directed at members of these support groups indicates strong collective support for the medical model. A pamphlet, for instance, published by the Department of Health in New South Wales which was directed specifically at relatives of schizophrenics, lists 13 points of advice on "The Role of Relatives and Friends". The fourth point is "Help to ensure that medication is taken as prescribed."26.
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