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95 to 99% +5 mmHg - Oregon School
95 to 99% +5 mmHg - Oregon School

... - CPGs - MI - Audit Checklist ...
slide kit - Women for Positive Action
slide kit - Women for Positive Action

... Women’s Interagency HIV Study (WIHS) • Almost two-fold increased AIDS risk among coinfected women who never had a CD4 count <200 cells/μL or were ART-naïve2 • These findings suggest the need for earlier and more aggressive HIV and HCV treatment in coinfected individuals ...
The Roadmap - Ending HIV Epidemic in Houston
The Roadmap - Ending HIV Epidemic in Houston

... men (MSM) (all ethnicities and ages), heterosexual African Americans, and transgender individuals. We recommend expanding routine HIV testing and expanding the market for pre-exposure prophylaxis (PrEP)—the daily pill that has over a 90% chance of protecting people from the virus. In addition, becau ...
Summary Guideline for Therapeutic Drug Monitoring (TDM) in Adults
Summary Guideline for Therapeutic Drug Monitoring (TDM) in Adults

... achieved, the drug concentration measured may still be sub-therapeutic. The resultant dose increase could result in toxic levels once steady state is reached. ...
Sodium Chloride Injection, USP
Sodium Chloride Injection, USP

... Clinical studies of Sodium Chloride Injection, USP did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in the responses between elderly and younger patie ...
Enquiry Answering Guidelines 2015
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... multiple disease states, atopic patients). Laboratory and diagnostic tests should indicate if there is a non-drug cause, ADRs are often a diagnosis of exclusion. ...
Amiodarone - American Medical Education Center
Amiodarone - American Medical Education Center

... Identify the four different classifications of antiarrhythmic drugs. List the major electrophysiologic actions of amiodarone. Recognize situations in which amiodarone would be indicated, including those situations during a code in which ACLS guidelines are followed. Identify IV and PO doses of amiod ...
The epidemiology of human immunodeficiency virus–associated
The epidemiology of human immunodeficiency virus–associated

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AMERICAN ACADEMY OF PEDIATRICS “Inactive” Ingredients in
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A Guide to Treatment with Serostim ®
A Guide to Treatment with Serostim ®

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Druginduced acute liver failure: Results of a U.S. multicenter
Druginduced acute liver failure: Results of a U.S. multicenter

... natural products, vitamins, minerals, dietary supplements, and recreational and illicit compounds have been reported to cause DILI5-7 (albeit, some only occasionally); prevalences are mostly less than 1 in 100,000 to 1 in 10,000 patients, but are occasionally more frequent.6 Estimates of the burden ...
pediatric concscious sedation
pediatric concscious sedation

... Use WRAMC OP 433 Note-Obtain separate consent for sedated procedure ...
Medicare Prescription Drug Benefit Manual Table of Contents Transmittals for Chapter 6
Medicare Prescription Drug Benefit Manual Table of Contents Transmittals for Chapter 6

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Levetiracetam for the Treatment of Epilepsy
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HIV Infection and Adolescents
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HIV Management in Obstetrics
HIV Management in Obstetrics

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Pre-Exposure Prophylaxis brief overview
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Recommendations of the OxyContin and Heroin Commission
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... is skyrocketing, opioid overdose deaths are steadily increasing and while support for these addiction treatment programs has increased, it is not sufficient to meet the needs of this growing problem. The Massachusetts OxyContin and Heroin Commission was established under Chapter 302 Section 56 of th ...
Neglected Diseases - WHO archives
Neglected Diseases - WHO archives

... movement, and the changing political power equilibrium, may also globalise diseases that so far have remained in distant parts of the world. The recent SARS epidemic and the outbreaks in the West of multidrug resistant tuberculosis4,5 are warning signs of a growing threat. The issue of neglected dis ...
Why Am I Having So Much Trouble Curing The Pyoderma?
Why Am I Having So Much Trouble Curing The Pyoderma?

... are not responding to empirical therapy or may be complicated by Gram-negative organisms, when it is suspected that the infecting microorganism is resistant to the antimicrobial being used, when increasing the dose of the antimicrobial might have side effects, or when an antimicrobial might be very ...
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Societal Costs of Prescription Opioid Abuse, Dependence, and
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... reported that 12.5 million Americans had used prescription pain relievers for nonmedical purposes, up from 11.0 million in 2002 [1]. Of this 12.5 million population, approximately 1.7 million met the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for abuse or dependence [2]. ...
Relapse or Relapse Prevention: A Choice
Relapse or Relapse Prevention: A Choice

... • 6. The patient doesn’t buy into the concept that they cannot safely use any moodaltering/addicting drug. – They actually have the glass of wine or don’t consult on an Rx or OTC medication e.g. talk with sponsor first or their PHP monitor. ...
p - Know Pain Educational Program
p - Know Pain Educational Program

... √ = promising evidence of potential benefit; X = limited, mixed or no evidence to support use National institutes of Health. Chronic Pain and CAM: At a Glance. Available at: http://nccam.nih.gov/health/pain/chronic.htm. Accessed: July 29, 2013. ...
Managing for rational medicine use
Managing for rational medicine use

... resistant strains of bacteria or the malaria parasite. Health gains stemming from the discovery of antimicrobial agents are in jeopardy because of the spread of microbes that are resistant to inexpensive first-choice, or first-line, medicines. Resistance to antimicrobials is a natural biological phe ...
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Harm reduction



Harm reduction (or harm minimization) is a range of public health policies designed to reduce the harmful consequences associated with various human behaviors, both legal and illegal. Harm reduction policies are used to manage behaviors such as recreational drug use and sexual activity in numerous settings that range from services through to geographical regions. Critics of harm reduction typically believe that tolerating risky or illegal behaviour sends a message to the community that such behaviours are acceptable and that some of the actions proposed by proponents of harm reduction do not reduce harm over the long term.Needle-exchange programmes reduce the likelihood of users of heroin and other drugs sharing the syringes and using them more than once. Syringe-sharing can lead to infections such as HIV or hepatitis C can spread from user to users through the reuse of syringes contaminated with infected blood. Needle and syringe programme (NSP) and Opioid Substitution Therapy (OST) outlets in some settings offer basic primary health care. Safe injection site are legally sanctioned, medically supervised facilities designed to address public nuisance associated with drug use and provide a hygienic and stress-free environment for drug consumers. The facilities provide sterile injection equipment, information about drugs and basic health care, treatment referrals, and access to medical staff.Opioid replacement therapy (ORT), or opioid substitution therapy (OST), is the medical procedure of replacing an illegal opioid, such as heroin, with a longer acting but less euphoric opioid; methadone or buprenorphine are typically used and the drug is taken under medical supervision. Another approach is Heroin assisted treatment, in which medical prescriptions for pharmaceutical heroin (diacetylmorphine) are provided to heroin-dependent people. Toronto's Seaton House became the first homeless shelter in Canada to operate a ""wet shelter"" on a ""managed alcohol"" principle in which clients are served a glass of wine once an hour unless staff determine that they are too inebriated to continue. Previously, homeless alcoholics opted to stay on the streets often seeking alcohol from unsafe sources such as mouthwash, rubbing alcohol or industrial products which, in turn, resulted in frequent use of emergency medical facilities.A high amount of media coverage exists informing users of the dangers of driving drunk. Most alcohol users are now aware of these dangers and safe ride techniques like 'designated drivers' and free taxicab programmes are reducing the number of drunk-driving accidents. Many schools now provide safer sex education to teen and pre-teen students, who may engage in sexual activity. Since some adolescents are going to have sex, a harm-reductionist approach supports a sexual education which emphasizes the use of protective devices like condoms and dental dams to protect against unwanted pregnancy and the transmission of STIs. Since 1999 some countries have legalized prostitution, such as Germany (2002) and New Zealand (2003).Many street-level harm-reduction strategies have succeeded in reducing HIV transmission in injecting drug users and sex-workers. HIV education, HIV testing, condom use, and safer-sex negotiation greatly decreases the risk to the disease.
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