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121. The 3-Shot Hepatitis B Vaccine – Do I Need to Restart the Series if I Am Off the Recommended Schedule?

with the first shot of the 3 shot series. I’m HbsAg positive (Reading says >250 IU/ml). And my HBV-DNA test says 91 IU/ml (1.96 Log value). My wife is HbsAg Negative and she got 2 out 3 HepB vaccine(Engerix) shots (0, 1 month). 1. How safe is to have sex(Unprotected) after 2 doses? If it is not safe now, when exactly she would be completely protected? 2. What treatment is recommended (Oral Medicine or Interferon)? We consulted couple of doctors and we got different opinions. 3. Any other precautions I/my (...) + miu, could i possibly aquire hepa b? Hello: Your hepatitis B surface antibody level is above 10 mIU/mL, so you should be protected against infection. For more information, please read: Good luck. hello im positive for hepa b, can i get vaccine for hepa b? Hello: If you are already infected with hepatitis B and test positive for the hepatitis B surface antigen (HBsAg), then the vaccine will not help you. The vaccine contains only HBsAg, which is the viral protein that covers the surface

2017 hepbblog

122. Six-monthly appointment spacing for clinical visits as a model for retention in HIV Care in Conakry-Guinea: a cohort study. (PubMed)

in circumstances where access to healthcare is restricted.A retrospective cohort study in 2014 of the outcome of a group of stable patients (viral load ≤1000 copies/μl) enrolled voluntarily in R6M compared with a group of stable patients continuing standard one to three monthly visits in Conakry. Log-rank test and Cox proportional hazards model were used to compare rates of attrition (deaths and defaulters) from care between the two groups. A linear regression analysis was used to describe the trend or pattern (...) system in Guinea. R6M could be rolled out as the model of care for stable patients where and when feasible as a strategy likely to improve retention in HIV care.

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2017 BMC Infectious Diseases

123. Patient Modesty: Volume 81

and so what got said is limited but hopefully the message can be reinforced with some comments. You have to be logged in to comment, and as yet I have not found where I can register so as to comment. If someone figures that out, I'd appreciate hearing it. I would add that the search feature they have does not seem very robust either. Even if articles can't say everything that you would like to say or can't say it forcefully enough, the more articles that get out there the more awareness (...) is enough give us a choice. They’ve been brow beaten for so long by the system, they’re brainwashed on the idea they will be completely exposed and humiliated and that’s the way it is. The other group of guys are the ones that haven’t had to use the system yet. They naively believe the healthcare system is going to protect their privacy and respect their dignity. Then they go in for an exam or test & come out of the encounter shell shocked when they see what we were saying is how it is. The other road

2017 Bioethics Discussion Blog

124. Ch, ch, ch, changes…

manipulators, dry needlers, K-tapers, machiners that go buzz who also promote and bombard us with claims that getting quick and significant changes in our patients’ symptoms helps them buy into our active treatments and improves our outcomes and success rates. I disagree Despite these claims, I don’t think we need to change things that much or that quickly for many of our patients to have successful outcomes. Now as a young, eager, and rather annoying junior physio I was taught to always test-retest (...) . But that’s no excuse to roll over and take the easy option. If we as healthcare professionals are not prepared to take the harder path, then why should we expect our patients to do the same. We need to lead by example. We need to stop looking for the easy yet unpredictable, unreliable quick fix, and focus our efforts on the harder more stable, more reliable, more challenging long term changes. As the late great David Bowie said… Ch,ch, ch, changes… turn and face the strange,Time may change me, but you

2017 The Sports Physio blog

125. Ch, ch, ch, changes…

manipulators, dry needlers, K-tapers, machiners that go buzz who also promote and bombard us with claims that getting quick and significant changes in our patients’ symptoms helps them buy into our active treatments and improves our outcomes and success rates. I disagree Despite these claims, I don’t think we need to change things that much or that quickly for many of our patients to have successful outcomes. Now as a young, eager, and rather annoying junior physio I was taught to always test-retest (...) . But that’s no excuse to roll over and take the easy option. If we as healthcare professionals are not prepared to take the harder path, then why should we expect our patients to do the same. We need to lead by example. We need to stop looking for the easy yet unpredictable, unreliable quick fix, and focus our efforts on the harder more stable, more reliable, more challenging long term changes. As the late great David Bowie said… Ch,ch, ch, changes… turn and face the strange,Time may change me, but you

2017 The Sports Physio blog

126. Reducing Acquisition of CMV Through Antenatal Education

Collaborators: University College, London Kingston University University of Cambridge CMV Action Information provided by (Responsible Party): Christine Jones, St George's, University of London Study Details Study Description Go to Brief Summary: The evidence to date indicates that educational strategies may be effective at reducing antenatal CMV infection, however these have not been tested in the UK. In phase 1 of the study, the investigators will co-design an educational intervention with pregnant women (...) and families affected by congenital CMV with the aim of reducing the risk of acquisition of CMV in pregnancy. In phase 2 of the study, the investigators will use this educational intervention in a randomised controlled trial (RCT) as part of a feasibility study to generate the data required for the design of a future main RCT. Should the future main RCT show that the educational intervention is effective in reducing the risk of primary CMV infection in pregnancy, the intervention could be rolled out

2017 Clinical Trials

127. "Can A Prescribed Walking Program With or Without Monitoring Impact Dizziness in the Older Adults?"

, head injuries, MS or PD; Active BPPV (patients with positive dix hallpike and/or roll test) Inability to walk without physical assistance. 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 the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03403400 Contacts Layout table for location contacts Contact (...) and dynamic stability, function, and participation in people with dizziness. The primary purpose of this study is to evaluate the impact of walking as an exercise component of VR on both primary and secondary vestibular-specific outcome measures. The primary outcomes are mCTSIB, TUG test, DGI, and DHI, while the secondary outcomes are the total number of visits and length of interventions (in weeks). The second purpose is to evaluate whether pedometers increase the adherence of older adults

2017 Clinical Trials

128. Total Therapy XVII for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia and Lymphoma

Measures : Event-free survival of ALL patients (EFS) [ Time Frame: At 3.5 years after enrollment of the last participant ] 5-year EFS: Kaplan-Meier estimates of EFS curve of ALL patients will be computed and compared historically with those of the St. Jude Children's Research Hospital's (SJCRH) TOTXVI study (NCT00549848). All eligible patients entered on the current TOT17 study will be included in these comparisons. Comparisons by log-rank tests will be made both un-stratified and stratified by risk (...) Frame: 3.5 years after enrollment of the last patient ] Kaplan-Meier estimates of OS curve of ALL patients will be computed and compared historically with those of the St. Jude Children's Research Hospital's (SJCRH) TOTXVI study (NCT00549848). All eligible patients entered on the current TOT17 study will be included in these comparisons. Comparisons by log-rank tests will be made both un-stratified and stratified by risk groups. EFS of LLy patients [ Time Frame: 3.5 years after enrollment

2017 Clinical Trials

129. Effect of Egg Consumption on Cardiometabolic Health in Prediabetic Subjects.

and resting blood pressure. Condition or disease Intervention/treatment Phase PreDiabetes Other: Egg based breakfast foods Other: Non-egg based breakfast foods Not Applicable Detailed Description: This is a randomized, crossover study that includes two screening visits and two 4-week test periods separated by a 4-week washout. Subjects will consume two eggs/day (12 eggs/week consumed over 6 days per week, provided as breakfast foods such as burrito-type roll-up, egg sandwich and omelet) or non-egg based (...) to consume the breakfast foods in their entirety each day, for the duration of the 28 day test period, and to record daily study food intake. Subjects will receive diet instruction on the incorporation of food substitutions during the test period to maintain habitual energy intake. Compliance will be assessed using the Daily Log intake and number of foods consumed based on returned foods. An intravenous glucose tolerance test (IVGTT) will be completed at baseline and the end of each treatment period

2017 Clinical Trials

130. Did the experimental cancer drug 3-Bromopyruvate (3-BP) cause the deaths of cancer patients at a German alternative medicine clinic?

, published on Friday, reports more than I have been able to discover thus far. First, of all, we learn the treatment that is suspected of having caused the deaths of these three patients and the poisoning of at least two more, 3-BP. Second, we learn that this is a cancer drug that was developed at Johns Hopkins University but has not yet been tested in clinical trials. Then we learn: The drug in question, 3-Bromopyruvate (3BP), has been hailed by some researchers as a potential breakthrough, but so far (...) in the Dutch newspaper De Telegraaf that I couldn't find. *German publishers were successful in getting a ruling that forces news on German public TV and radio, paid for by the general public, to be de-publicized after a week. (*rolls eyes at the German court system*) to post comments By Nanea Taylor (not verified) on 23 Aug 2016 It's currently for one specific type of cancer. Blackwood had cancerous lumps the size of golf balls in the lymph nodes in his neck and those the size of grapefruits under his

2016 Respectful Insolence

131. Laboratory Diagnosis of Tuberculosis by Sputum Microscopy: The Handbook

or molecular testing only is requested refrigeration is not required • Store specimens to be cultured in a refrigerator or keep as cool as possible – Do not freeze What you need • Permanent marker to write details on the side of the container • Plastic bag for each specimen • Transport box • Master List of specimens • Laboratory Request Forms Approved secondary packaging (transport box) must: • Be leak proof and strong • Contain absorbent material, bench roll etc. • Keep Laboratory Request Forms separate (...) **. Moreover, microscopy can be decentralised to peripheral laboratories. Despite its advantages sputum smear microscopy does fall short in test sensitivity, especially for certain patient groups such as those living with HIV/AIDS, and also in the laboratory diagnosis of childhood and extrapulmonary disease. New diagnostic tools endorsed by WHO (such as liquid culture, line probe assay, Xpert MTB/RIF) overcome many of the limitations of smear microscopy, especially for patients living with HIV/AIDS

2013 International Union Against TB and Lung Disease

132. Impact of Percutaneous Coronary Intervention Performance Reporting on Cardiac Resuscitation Centers

Impact of Percutaneous Coronary Intervention Performance Reporting on Cardiac Resuscitation Centers Impact of Percutaneous Coronary Intervention Performance Reporting on Cardiac Resuscitation Centers | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies (...) of data and to individual providers using a rolling 3-year period of data. Any hospital or operator found to be an outlier is notified. The hospital-specific outcomes are reported publicly and can be found at . For patients with cardiogenic shock or STEMI, factors including age, renal failure, left main PCI, emergency or salvage procedure, ejection fraction <30%, and cardiogenic shock were noted to be significant predictors. As a result of the recognition of the limitations of risk modeling in some

2013 American Heart Association

133. Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease

Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you (...) platelet receptor. Increased shear stress, such as occurs normally in arterioles or pathologically in stenotic vessels, can result in platelet activation independently of endothelial damage resulting from vWF multimer extension exposing active sites to bind platelet glycoprotein Ib-IX-V. Platelets bind and become temporarily tethered to vWF. The bond is then released; platelets roll on the endothelium; and a new glycoprotein Ib-IX-V/vWF bond forms. In the absence of endothelial damage or an artificial

2013 American Heart Association

134. Prehospital Cervical Spinal Immobilization After Trauma

and Manix tested the effectiveness of strapping techniques to reduce lateral motion of the spine of adults restrained on a backboard. Subjects were restrained on a wooden backboard with 4 different strapping techniques. The backboard was rolled to the side, and lateral motion of the torso was measured. The authors found that additional strapping securing the torso to the backboard reduced lateral motion of the torso. Finally, the traditional method of moving a patient onto a long backboard has typically (...) victims. Farrington , championed the concept of prehospital immobilization. Dick and Land note in their review of spinal immobilization devices that techniques of prehospital spinal immobilization appeared in standard EMS texts and in the American Academy of Orthopedic Surgeons Committee on Injuries Emergency text as early as 1971. Initially, the preferred method to immobilize the cervical spine was the use of a combination of a soft collar and a rolled-up blanket. This was followed

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2013 Congress of Neurological Surgeons

136. Unstable vs Stable Training… A Guest Blog by Micah Kust

rolling their eyes and facepalming so hard you could hear the sound over the internet. Some even made parody videos which are hilarious but upset others claiming its disrespectful… *insert eye roll here* So what is the purpose of unstable surface training? Does it help produce faster, stronger, better athletes? Is it needed? Well, I’ll pass over to Micah to find out more… Unstable vs Stable Balance Training by Micah Kust Once we determine which athletes require lower extremity (LE) balance training we (...) . In this situation, we run the risk of negatively affecting our athletes training and performance if we decide to use UST. Cressey, West, Tiberio et al. investigated the potential effects of a 10 week lower body unstable surface training on athletic performance in healthy athletes. The athletes were tested on jump, sprint and agility performance measures. “The primary findings of this study were that 10 weeks of lower-body UST attenuated improvements in both short- and long-lasting SSC jumping performance and 40

2019 The Sports Physio blog

137. Patient Dignity (Formerly: Patient Modesty): Volume 95

in healthcare settings I try to avoid using any name at all and just speak directly. I know that a number of the tests or procedures I have had in recent years have been due to uncertainty, and that's OK with me. The doctors have been trying to rule something in or rule something out and have been clear on that being the reason when seeking my consent. Physical exams are just another aspect of ruling possibilities in or out, and in the absence of symptoms just assessing general health. I'm OK with all

2019 Bioethics Discussion Blog

138. Nonnutritive Sweeteners: Current Use and Health Perspectives

Nonnutritive Sweeteners: Current Use and Health Perspectives Nonnutritive Sweeteners: Current Use and Health Perspectives | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free (...) of studies. In particular, experimental studies designed to test the effects of NNS on health outcomes in food are particularly challenging, because replacing added sugars with NNS alters dietary composition (ie, assuming portion size is not reduced, the relative proportions of fat, protein, and carbohydrate may be changed or the nature of the carbohydrate alone may be changed) in ways that can add potential confounding to the simple comparison of added sugars versus NNS. The majority of the human data

2012 American Heart Association

139. Heart Disease and Stroke Statistics?2012 Update

Heart Disease and Stroke Statistics?2012 Update Heart Disease and Stroke Statistics—2012 Update | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 Free Access article Share on Jump to Free Access article Heart Disease and Stroke Statistics—2012 Update A Report From the American

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2012 American Heart Association

140. Measurement and Interpretation of the Ankle-Brachial Index

Measurement and Interpretation of the Ankle-Brachial Index Measurement and Interpretation of the Ankle-Brachial Index | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access (...) % Confidence limit for limbs without PAD 0.97 Sumner and Strandness, 1979 48 Control subjects Normal minus 2 SD (1.08±0.08) 0.92 Bernstein et al, 1982 Patients with angiographically significant PAD 95% Confidence limit for limbs without PAD 0.85 Ouriel et al, 1982 218 PAD patients (56 limbs not tested, 247 limbs with claudication, 58 with rest pain, ulcers, or gangrene), 25 control subjects (<30 y old, no RF, triphasic Doppler waveforms) ROC curve analysis 0.97 Stoffers et al, 1996 Community and vascular

2012 American Heart Association

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