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12041. Panic Disorder and its Management

disorders and alcohol use disorders had high remission rates [ ] . Alcohol and substance misuse can complicate the picture and these can be used in some cases to self-medicate. Medical conditions These may co-exist but one would not generally use the term panic disorder if the symptoms arise directly from the physical illness. Cardiovascular disease such as mitral valve prolapse, cardiomyopathy and hypertension are associated. Chronic obstructive airways disease and migraine headaches are also present (...) . Trained and supervised personnel should be involved in the delivery of treatment, working to empirically grounded protocols. 1-2 hours a week is suitable for most people over a four-month period. Briefer of about seven hours may be appropriate for some patients, combined with self-help materials. More intensive CBT over a shorter period of time may be suitable for some patients. Overall, there is evidence of a moderate treatment effect with psychological treatments in primary care. Medication General

2008 Mentor

12042. Panic Disorder

disorders and alcohol use disorders had high remission rates [ ] . Alcohol and substance misuse can complicate the picture and these can be used in some cases to self-medicate. Medical conditions These may co-exist but one would not generally use the term panic disorder if the symptoms arise directly from the physical illness. Cardiovascular disease such as mitral valve prolapse, cardiomyopathy and hypertension are associated. Chronic obstructive airways disease and migraine headaches are also present (...) . Trained and supervised personnel should be involved in the delivery of treatment, working to empirically grounded protocols. 1-2 hours a week is suitable for most people over a four-month period. Briefer of about seven hours may be appropriate for some patients, combined with self-help materials. More intensive CBT over a shorter period of time may be suitable for some patients. Overall, there is evidence of a moderate treatment effect with psychological treatments in primary care. Medication General

2008 Mentor

12043. Pelvic Fractures

Pelvic Fractures Pelvic Fractures. Minor and major Pelvic Fractures | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Pelvic Fractures Authored by , Reviewed by | Last edited 17 Aug 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You (...) due to blood loss. They result from very high-energy trauma such as those generated in road traffic accidents, crush injuries or falls from height. They require urgent hospital treatment. Less severe, stable fractures which do not damage the structural integrity of the pelvic ring can result from lower-energy impact. They typically involve fractures of only one of the pelvic bones. Fractures of pubic rami with insignificant or minimal trauma can be a presentation of osteoporosis. Avulsion

2008 Mentor

12044. Patient Satisfaction - Assessing and Achieving?

, a meeting with patients could be organised by: Advertisement in the waiting room at least two weeks before the meeting. Write to a random sample of patients at least three weeks before a proposed meeting. Advertisement in the practice newsletter. Leaflet handed out by reception staff or a notice on the side of prescriptions. Patient satisfaction in the new General Medical Services contract The PCT bases payments on the results of an annual postal survey of the practice's patients. The practice may also (...) in a version designed to be sent out by post. An advantage of giving out the questionnaires in the surgery is that they can relate to an individual GP; postal surveys do not generally relate to a named doctor. Quality and Outcomes Framework - summary of patient indicators (2009-10), patient experience domain There are 91.5 points available in total. [ ] Patient experience of length of consultations - PE1 : the length of routine booked appointments with the doctors in the practice is not less than 10

2008 Mentor

12045. Obstetric Ultrasound

Obstetric Ultrasound Obstetric Ultrasound. Learn about Obstetric ultrasound | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Obstetric Ultrasound Authored by , Reviewed by | Last edited 14 Dec 2018 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European (...) Guidelines. You may find one of our more useful. In this article In This Article Obstetric Ultrasound In this article Obstetric ultrasound was first introduced in the late 1950s. It is now widely used and has become a useful tool in monitoring and diagnosis. Ultrasound scans use sound waves which are considered safe for mother and baby. Booking scan The first ultrasound scan is usually performed between 10-13 weeks [ ] . The purpose is to: Diagnose pregnancy. Accurately determine gestational age

2008 Mentor

12046. Systematic reviews of complementary therapies – an annotated bibliography. Part 3: Homeopathy Full Text available with Trip Pro

Systematic reviews of complementary therapies – an annotated bibliography. Part 3: Homeopathy Complementary therapies are widespread but controversial. We aim to provide a comprehensive collection and a summary of systematic reviews of clinical trials in three major complementary therapies (acupuncture, herbal medicine, homeopathy). This article is dealing with homeopathy. Potentially relevant reviews were searched through the register of the Cochrane Complementary Medicine Field (...) , the Cochrane Library, Medline, and bibliographies of articles and books. To be included articles had to review prospective clinical trials of homeopathy; had to describe review methods explicitly; had to be published; and had to focus on treatment effects. Information on conditions, interventions, methods, results and conclusions was extracted using a pretested form and summarized descriptively.Eighteen out of 22 potentially relevant reviews preselected in the screening process met the inclusion criteria

2001 BMC Complementary and Alternative Medicine

12047. Endophthalmitis Vitrectomy Study (EVS)

Trial) Allocation: Randomized Primary Purpose: Treatment Study Start Date : February 1990 Actual Study Completion Date : January 1995 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Outcome Measures Go to Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn (...) more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: Child, Adult, Older Adult Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Men and women were eligible for entry into the EVS if they had clinical signs and symptoms of bacterial endophthalmitis in an eye that had cataract surgery or lens implantation within 6 weeks of onset

1999 Clinical Trials

12048. Brain Plasticity of Verbal Memory in the Blind

for this study. Healthy, sighted individuals may participate in Part 1 of the study, which is designed to find appropriate words to use in tests for Part 2 of the study. Part 2 will include sighted people and blind people. It will examine whether the (visual) brain in blind people is processing mnemonic information in a way that helps with day-to-day memory functions. Blind participants in this study must have lost their sight by age 4. Candidates will be screened with a medical interview and examination (...) not recognize the word with a 1) high level of confidence or 2) low level of confidence. Session 2: Participants hear a noun over a loudspeaker and have to find an appropriate verb for it, such as the verb (read) for the noun (book). Part 2 - MRI Scanning and TMS Experiments (5 - 7 sessions) Magnetic resonance imaging (MRI): Participants perform the same procedures as described above for Part 1 while undergoing MRI of the brain. For this test, the subject lies on a table inside the MRI scanner - a narrow

2003 Clinical Trials

12049. Interactive Computer Treatment for Panic Disorder

and Interventions Go to Outcome Measures Go to Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 65 Years (...) Details Study Description Go to Brief Summary: This study will develop an interactive computer-based version of cognitive behavioral therapy (CBT) and compare its effectiveness to book-based CBT for the treatment of panic disorder. Condition or disease Intervention/treatment Phase Panic Disorder Behavioral: Computer Based Cognitive Behavioral Therapy Phase 1 Detailed Description: Panic disorder (PD) is a highly prevalent and debilitating condition. Unfortunately, many people with PD go untreated

2003 Clinical Trials

12050. Evaluating Yoga for Chronic Low Back Pain

Details Study Description Go to Brief Summary: This study will compare the effectiveness of yoga classes, exercise classes, and a self-care book in the management of pain and function for people with low back pain. Condition or disease Intervention/treatment Phase Low Back Pain Behavioral: Yoga Behavioral: Exercise Not Applicable Detailed Description: Back problems are among the most prevalent conditions affecting adults and are a leading reason for using complementary or alternative medical (CAM (...) provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 20 Years to 64 Years (Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion criteria: Group Health Cooperative enrollee Uncomplicated low back pain At least moderate pain levels Exclusion criteria: Sciatica persisting 3 or more months after physician visit History of cancer (other than nonmelanoma skin cancer) Severe disk problems Unstable medical conditions Back

2003 Clinical Trials

12051. Ambulatory Care Quality Improvement (ACQUIP)

' health and function along with routine clinical data and information about clinical guidelines. Methods: This study was a randomized trial conducted at the General Internal Medicine Clinics of seven VA facilities. Each participating GIMC is organized into discrete firms staffed by different groups of providers who care for different patients. One randomly selected firm received the intervention and one served as control. Patients who made at least one GIMC visit in the last year were eligible (...) to participate. Patients were surveyed at baseline to determine active medical problems. Subsequent mailings included a general evaluation of health status (SF-36), a satisfaction questionnaire and, as appropriate, one of six condition-specific questionnaires: the Seattle Angina Questionnaire, the Seattle Obstructive Lung Disease Questionnaire, the Hopkins Symptom Checklist (depression), and questionnaires regarding diabetes, drinking, and hypertension. Clinical/utilization data were downloaded weekly from

2001 Clinical Trials

12052. Isotretinoin in Preventing Skin Cancer

staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 2 Years and older (Child, Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria DISEASE CHARACTERISTICS: Diagnosis of autosomal recessive disorder xeroderma pigmentosum Diagnosis must be documented by the clinical signs and symptoms listed in standard text books, e.g.: Sun sensitivity Increased number of freckles and other pigmentary (...) Date : February 2004 Resource links provided by the National Library of Medicine related topics: related topics: available for: resources: Arms and Interventions Go to Outcome Measures Go to Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research

2001 Clinical Trials

12053. Autologous Stem Cell Transplant Followed by Donor Stem Cell Transplant in Treating Patients With Relapsed or Refractory Lymphoma

: Treatment Official Title: A Phase I/II Study of Autologous Stem Cell Transplantation Followed by Nonmyeloablative Allogeneic Stem Cell Transplantation for Patients With Relapsed or Refractory Lymphoma - A Multi-center Trial Study Start Date : September 1999 Actual Primary Completion Date : January 2016 Estimated Study Completion Date : September 1, 2019 Resource links provided by the National Library of Medicine related topics: resources: Arms and Interventions Go to Arm Intervention/treatment (...) up to 3 years ] Number of patients surviving without disease by interval. Chemosensitive and chemoresistant subjects will be analyzed separately. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below

2000 Clinical Trials

12054. Worcester Heart Attack Community Surveillance Study

this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: up to 100 Years (Child, Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria No eligibility criteria Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using (...) Medical Publisher's (Book Chapter), Califf R, Wagner G, Mark D, (Eds) p. 548-558, 1988 Gore JM, Goldberg RJ, Alpert JS, Dalen JE: Increased Use of Diagnostic Procedures in Patients with Acute Myocardial Infarction: The Worcester Heart Attack Study. In: Trends in Coronary Heart Disease Mortality. Luepker RV, Higgins MH (Eds). Oxford University Press, 1988. Layout table for additonal information ClinicalTrials.gov Identifier: Other Study ID Numbers: 1075 First Posted: May 26, 2000 Last Update Posted

2000 Clinical Trials

12055. Epidemiology and Pulmonary Response To Organic Dust Exposure

the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: up to 100 Years (Child, Adult, Older Adult) Sexes Eligible for Study: Male Accepts Healthy Volunteers (...) : No Criteria No eligibility criteria Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Publications: Merchant JA: Agricultural Respiratory Disease, In: Seminars in Respiratory Medicine - Vol. 7, Number 3. Thieme Inc, pp 211-224, New York, 1986 Merchant JA: Silicosis Issues - Past, Present, Future. Published in Book: Silica, Silicosis, and Cancer: Controversy in Occupational Medicine, 1986, Goldsmith DF, Winn DM, Shy CM (Eds), Praeger Special Studies, Praeger Scientific

2000 Clinical Trials

12056. Tucson Epidemiology Study of Chronic Obstructive Lung Diseases

in the Atmospheric Environment: A Discussion. J Air Polln Control Assn, 33(9):832-834, 1983 Lebowitz MD, Dodge RR, Holberg CJ, Corman G, Boyer B: Daily Symptoms Related to Indoor Pollution in Adult Asthmatics and Non-Asthmatics. Am J Epidemiol, 118(3):419, 1983 Burrows B: COPD: A New Look at DX and RX of an Old Problem. Modern Med, pp. 114-126, March, 1983 Burrows B, Knudson RJ, Quan SF, Kettel LJ: Respiratory Disorders: A Pathophysiologic Approach, 2nd Ed. Revised. Chicago: Year Book Medical Publishers, Inc (...) : An International Comparison. Med Thoracica, 10:189-93, 1988 Lebowitz MD: Allergy Sufferers in the Southwest. Medical and Health Annual Chicago: Encyclopedia Britannica, pp. 274-276, 1988 Burrows B: Distribution of Allergy in the General Population. In: Bronchits IV. Proceedings Royal Van Gorcum Assen. The Netherlands. pp. 3-13, 1989 Burrows B: Allergy and Its Relationship to Asthma, Bronchial Reactivity and Chronic Airways Obstruction: An Epidemiological Perspective. In: S.T. Weiss and D. Sparrow (Eds

2000 Clinical Trials

12057. National Longitudinal Mortality Study (NLMS)

. Study Design Go to Layout table for study information Study Type : Observational Study Start Date : July 1983 Actual Study Completion Date : December 2009 Groups and Cohorts Go to Outcome Measures Go to Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact (...) the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: up to 100 Years (Child, Adult, Older Adult) Sexes Eligible for Study: Male Accepts Healthy Volunteers: No Criteria No eligibility criteria Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Additional Information: Study Data/Documents: Identifier: NLMS Public-use IPD through BioLINCC. Registration is required for access

2000 Clinical Trials

12058. Exercise Training and Plasma Lipoproteins in Man

Go to Outcome Measures Go to Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 25 Years to 49 Years (Adult (...) Detailed Description: BACKGROUND: Evidence appears to be fairly conclusive that obesity has adverse effects on health and longevity when the relative body weight is 40 percent above desirable weight based on insurance industry tables of weights. The close association between obesity, hypertension, hypercholesterolemia, non-insulin dependent diabetes mellitus, an excess of certain cancers and other medical problems makes it imperative that interventions be directed to change the lifestyles and behaviors

1999 Clinical Trials

12059. Hypertension Detection and Follow-up Program (HDFP)

with fixed diastolic blood pressure over 105 mm Hg. Similar trends occurred for those with fixed diastolic blood pressure between 90 and 104 mm Hg. Results and current trends from other studies supported these findings. However, prior to inception of the Hypertension Detection and Follow-up Program (HDFP), it was not known whether benefits from antihypertensive therapy applied to all hypertensives in the general population and whether making use of existing medical knowledge could significantly reduce (...) , and antihypertensive program could significantly reduce morbidity and mortality in hypertensives in the general population. The planning of the trial, including the development of a protocol and manual of operations, began in 1971. Between February 1973 and May 1974, 158,906 persons were screened for high blood pressure in 14 communities. A total of 10,940 hypertensive participants were randomized. The primary hypothesis tested by the trial was that intensive blood pressure control under stepped care for five

1999 Clinical Trials

12060. Low Back Pain Patient Education Evaluation

intervention that allows subjects to talk with each other and with health professionals via an Internet discussion group. The intervention consists of a book and a videotape and is based on interaction with other participants in the program and health professionals through a closed password protected moderated Internet discussion group. Outcome measures include health behaviors, such as exercise; health status, such as pain and disability; and health care use, such as number of visits to doctors and other (...) Actual Primary Completion Date : February 2002 Actual Study Completion Date : February 2002 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: email discussion group Procedure: Patient education evaluation No Intervention: rancomized control group usual care Outcome Measures Go to Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important

1999 Clinical Trials

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