Sandra Lin, M.D.
- Professor of Otolaryngology - Head and Neck Surgery
https://www.hopkinsmedicine.org/profiles/results/directory/profile/0018013/sandra-lin
Comorbidity Narcolepsy can co-occur with bipolar symptoms lymphoma nitroglycerin 2.5mg on line, depressive treatment plan goals and objectives purchase discount nitroglycerin on line, and anxiety disorders symptoms endometriosis buy 6.5mg nitroglycerin amex, and in rare cases with schizophrenia treatment 24 seven buy nitroglycerin once a day. Comorbid sleep apnea should be considered if there is a sudden aggravation of preexisting narcolepsy. Evidence by polysomnography of at least five obstructive apneas or hypopneas per hour of sleep and either of the following sleep symp to ms: a. Nocturnal breathing disturbances: snoring, snorting/gasping, or breathing pauses during sleep. Evidence by polysomnography of 15 or more obstructive apneas and/or hypopneas per hour of sleep regardless of accompanying symp to ms. Specifiers Disease severity is measured by a count of the number of apneas plus hypopneas per hour of sleep (apnea hypopnea index) using polysomnography or other overnight moni to ring. However, the exact number and thresholds may vary according to the specific measurement techniques used, and these numbers may change over time. Regardless of the apnea hypopnea index (count) per se, the disorder is considered to be more severe when apneas and hypopneas are accompanied by significant oxygen hemoglobin desaturation. Diagnostic Features Obstructive sleep apnea hypopnea is the most common breathing-related sleep disorder. It is characterized by repeated episodes of upper (pharyngeal) airw^ay obstruction (apneas and hypopneas) during sleep. The cardinal symp to ms of obstructive sleep apnea hypopnea are snoring and daytime sleepiness. Obstructive sleep apnea hypopnea in adults is diagnosed on the basis of polysom nographic findings and symp to ms. Specific attention to disturbed sleep occurring in association with snoring or breathing pauses and physical findings that increase risk of obstructive sleep apnea hypopnea. Associated Features Supporting Diagnosis Because of the frequency of nocturnal awakenings that occur with obstructive sleep apnea hypopnea, individuals may report symp to ms of insomnia. Rarely, individuals may complain of difficulty breathing while lying supine or sleeping. Hypertension may occur in more than 60% of individuals with obstructive sleep apnea hypopnea. Prevalence Obstructive sleep apnea hypopnea is a very common disorder, affecting at least l% -2% of children, 2%-15% of middle-age adults, and more than 20% of older individuals. In the general community, prevalence rates of undiagnosed obstructive sleep apnea hypopnea may be very high in elderly individuals. Prevalence may be particularly high among males, older adults, and certain racial/ethnic groups. Gender differences decline in older age, possibly because of an increased prevalence in females after menopause. Then, as obesity prevalence increases in midlife and females enter menopause, obstructive sleep apnea hypopnea again increases. Obstructive sleep apnea hypopnea usually has an insidious onset, gradual progression, and persistent course. Typically the loud snoring has been present for many years, often since childhood, but an increase in its severity may lead the individual to seek evaluation. Although obstructive sleep apnea hypopnea can occur at any age, it most commonly manifests among individuals ages 40-60 years. Spontaneous resolution of obstructive sleep apnea hypopnea has been reported with weight loss, particularly after bariatric surgery. In young children, the signs and symp to ms of obstructive sleep apnea hypopnea may be more subtle than in adults, making diagnosis more difficult to establish. Symp to ms such as snoring are usually parent-reported and thus have reduced sensitivity. Agitated arousals and unusual sleep postures, such as sleeping on the hands and knees, may occur. Nocturnal enuresis also may occur and should raise the suspicion of obstructive sleep apnea hypopnea if it recurs in a child who was previously dry at night. Daytime mouth breathing, difficulty in swallowing, and poor speech articulation are also common features in children. Children younger than 5 years more often present with nighttime symp to ms, such as observed apneas or labored breathing, than with l^havioral symp to ms. In children older than 5 years, daytime symp to ms such as sleepiness and behavioral problems. Children with obstructive sleep apnea hypopnea also may present with failure to thrive and developmental delays. In young children, obesity is a less common risk fac to r, while delayed growth and "failure to thrive" may be present. The major risk fac to rs for obstructive sleep apnea hypopnea are obesity and male gender. The prevalence of obstructive sleep apnea hypopnea is approximately twice as high among the first-degree relatives of probands with obstructive sleep apnea hypopnea as compared with members of control families.
As part of the literature symptoms urinary tract infection order nitroglycerin 2.5 mg line, a comprehensive media expose highlighted the lack of 40 oversight and reporting for physician initiated sexual assaults treatment of hyperkalemia buy nitroglycerin 2.5mg with mastercard. However symptoms renal failure purchase genuine nitroglycerin on line, the laws on manda to ry 41 reporting apply to all perpetra to rs regardless of status with respect to a competent victim symptoms 4dpiui purchase nitroglycerin 2.5 mg overnight delivery. Thus, 42 in order to remedy the issue of manda to ry reporting, the legal requirements must be put under 43 further scrutiny. The possibility of false claims arising from increasing reporting requirements 44 has already been addressed by requiring chaperones for sensitive patient examinations. Given 26 the vast scope of practice related to licensing and credentialing, the Federation of State Medical 27 Boards may not be the most appropriate body to address issues relating to drafting manda to ry 28 reporting laws for sexual misconduct claims. It is paramount that above all 33 else, the safety of patients and the integrity of the patient-physician relationship is preserved. The precedent of model parity legislation 44 pursued by the American Psychiatric Association in 1996 with the Mental Health Parity Act Previous Table of Contents Next 1 under President Bush was later extended with the Patient Protection and Affordable Care Act in 2 2010 under President Obama. Evaluation of sexual misconduct complaints: the Oregon Board of Medical Examiners, 1991 to 1995. Medical boards often shield doc to rs guilty of sexual misconduct, investigation finds. Physicians Reported to the National Practitioner Data Bank for Sexual Misconduct, 2003-2013. Sexual Violation of Patients by Physicians: A Mixed-Methods, Explora to ry Analysis of 101 Cases. Doc to rs & Sex Abuse License to Betray: Pain Broadcast at Previous Table of Contents Next Last. Abusive Doc to rs: How the Atlanta Newspaper Exposed a System That Tolerates Sexual Misconduct by Physicians. Even the American Academy of Neurology has not set recommendations for driving 8 restrictions after an episode of loss of consciousness. Non-syncope conditions include but are not limited to seizures, 24 hypoglycemia, metabolic conditions, drug or alcohol in to xication, and concussion due to head 25 trauma. The underlying mechanism of syncope is presumed to be cerebral hypoperfusion, 26 whereas non-syncope conditions are attributed to different mechanisms. This non-standardized approach often leads to disparate 10 laws governing the same situation in different states, creating confusion for those traveling or 11 moving. As it currently 21 stands, most states either have a manda to ry seizure-free interval prior to resumption of driving 22 or individualized assessments on a case-by-case basis. That being said, there are no data showing any of these three system prevent 24 au to mobile accidents. Furthermore, studies show that individuals with epilepsy are more likely 25 to be in serious au to mobile accidents independent of antiepileptic use. However, there is no data showing reduced accident rates 33 correlated with specific driving recommendations. Existing Large-Scale Tuition Assistance Models 10 11 Several institutions have enacted programs to cover some or all their medical students with 12 partial to full tuition aid. This effort was funded by a single anonymous 22 donation of $3 million to cover an approximate annual cost of $25,000 per student. The 26 fund is directed to wards students demonstrating the greatest financial need (an estimated 20% 27 of students), with up to 50% of students receiving some form of financial assistance, mostly as 28 scholarships. During the dedicated research year, students will receive both 34 full tuition coverage and a $23,000 stipend. The program is reportedly funded through Cleveland 35 Clinic endowments and hospital operations. In exchange, seven years of 39 service in the Armed Forces is required after graduation. This support aims to improve care for 40 veterans and their families by augmenting the quantity of healthcare providers in the Armed 41 Forces. Comparison on the Structure and Funding of Tuition-Free Programs 5 6 the following table includes a comparison of the type of medical programs which offer tuition 7 free or tuition reduced programs. Each program was compared by examining the type of 8 institution (private, public, or federal), whether they offered an allopathic or osteopathic degree, 9 the starting year of the tuition free program, the approximate value of the to tal tuition per year, 10 the percentage of tuition covered, the receipts of the reduced tuition and the funding source of 11 the program. Medical Type Tuition Total % Recipients Funding Source Program of Free Tuition Tuition Institut Program Covered ion Start Year New York Private 2018 $55,000 100%; All current Predominantly Universit M. Two studies have also shown that 16 there is little to no direct correlation with debt levels and specialty choice, once again 17 highlighting the lack of definitive evidence on the causation between tuition-free programs and 18 specialty choice. For 10 this analysis, the minimum of the 95% confidence interval is a cost of $38,226, which only 33% 11 of medical schools (all of which are privately funded) could cover utilizing only tuition and fees. As these initiatives 19 continue to develop, they present not only a method to immediately address the ongoing issue, 20 but also, and more importantly, provide objective, real-world measures regarding a variety of 21 interventions to curbside medical student indebtedness. Currently, a body of evidence anecdotally and subjectively 26 demonstrates a causation between medical education debt and student or trainee specialty 27 choice. However, there is a paucity of studies that objectively investigate this association. Thus, 28 at this time no definitive conclusion can be stated regarding this subject matter. As more 29 schools implement tuition-free and tuition-reduced programs, the pool of objective data will 30 grow, enabling a crucial and objective evaluation of this potential relationship. Subsequent 31 studies are necessary to analyze the long-term impact of medical student indebtedness and 32 specialty choice. Further, these subsequent studies shall also investigate the long-term 33 sustainability of these tuition-free and tuition-reduced programs for the development of future 34 advocacy efforts. An entire medical school class will get free tuition thanks to an anonymous $3 million donation. Mayo Clinic gets its largest gift ever: $200 million to train doc to rs of the future. A Retrospective Analysis of the Relationship Between Medical Student Debt and Primary Care Practice in the United States. Financial Implications of Increasing Medical School Class Size: Does Tuition Cover Costfi Regions 1, 2, 3, 4, 5, and 6 does not 24 include criteria for applicants who run from the floor and the requirement that they submit 25 their election materials within 60 days of their election to retain their position. Region 4 34 has no clause detailing the determination of the Region Delegation Chair. The most popular 24 method to determine quorum is one-third of to tal chapters with a minimum of 3 states in 25 that region present. Only 26 Regions 2 and 5 require half of all chapters to be present with a minimum of 4 and 3 27 states, respectively. Regions 31 3 allocates one vote, however that vote is for each medical school including their satellite 32 campuses. Region 6 also allocates one vote per medical school; however, it fails to clarify 33 if that one vote is for each medical school and all its satellite campuses or if each separate 34 campus would receive its own vote. Region 1 allows for each campus to receive two 35 votes, one for the Delegate and the second for the Alternate Delegate. One vote is 37 given for every 100 students enrolled with each additional 50 giving the campus another 38 vote.
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Similarly medications errors buy nitroglycerin 6.5mg without a prescription, despite a high preva lence of a to pic conditions symptoms 5-6 weeks pregnant effective 6.5 mg nitroglycerin, such as allergic rhinitis symptoms ruptured ovarian cyst purchase nitroglycerin canada, in chil 138 systematic reviews or meta-analyses that were 57-59 distributed to the panel members symptoms xanax is prescribed for discount nitroglycerin 2.5 mg without prescription. Most studies, however, do not consider the allergy status of children, and it is unknown ogy, (c) explicit search strategy, and (d) valid data if those with proven allergies might respond differently. The final data set retained was 20 systematic reviews or meta-analyses that met Methods inclusion criteria. The reviewers concluded that speech-language pathology, advanced practice nursing, and the original guideline action statements remained valid but consumer advocacy. Suggestions and one in-person meeting during which it defined the were also made for new key action statements. Strength of Action Terms in Guideline Statements and Implied Levels of Obligation. In some clearly identified circumstances, strong recommendations may be made based on lesser evidence when high-quality evidence is impossible to obtain and the anticipated benefits strongly outweigh the harms. Recommendation A recommendation means that the benefits exceed the harms Clinicians should also generally follow a (or, in the case of a negative recommendation, that the harms recommendation but remain alert to new exceed the benefits), but the quality of evidence is not as high information and sensitive to patient (grade B or C). Option An option means that either the quality of evidence is suspect Clinicians should be flexible in their decision (grade D) or that well-done studies (grade A, B, or C) show making regarding appropriate practice, little clear advantage to one approach versus another. Less frequent variation in practice is was used to facilitate creating actionable recommendations expected for a strong recommendation than what might be 63 and evidence profiles. Options offer the most 65 the updated guideline then underwent GuideLine Imp opportunity for practice variability. Guidelines represent the summary appraisals and modified an advanced draft of the best judgment of a team of experienced clinicians and meth guideline based on the appraisal. The final draft of the updated odologists addressing the scientific evidence for a particular 66 clinical practice guideline was revised based on comments to pic. A scheduled value judgments on the desirability of various outcomes review process will occur at 5 years from publication or sooner associated with management options. A major goal of the panel was to be intended to reduce inappropriate variations in clinical care, transparent and explicit about how values were applied and produce optimal health outcomes for patients, and minimize to document the process. The evidence-based approach to guideline develop ment requires that the evidence supporting a policy be iden Financial Disclosure and Conflicts of Interest. The cost of devel tified, appraised, and summarized and that an explicit link oping this guideline, including travel expenses of all panel between evidence and statements be defined. Potential based statements reflect both the quality of evidence and the conflicts of interest for all panel members in the past 5 balance of benefit and harm that is anticipated when the years were compiled and distributed before the first confer statement is followed. The definitions for evidence-based ence call and were updated at each subsequent call and in statements are listed in Tables 4 and 5. After review and discussion of these disclo 67 Guidelines are never intended to supersede professional sures, the panel concluded that individuals with potential judgment; rather, they may be viewed as a relative con conflicts could remain on the panel if they (1) reminded the straint on individual clinician discretion in a particular panel of potential conflicts before any related discussion, Downloaded fromo to . Grade Treatment Diagnosis Prognosis a a a A Systematic review of randomized trials Systematic review of cross-sectional Systematic review of inception cohort b studies with consistently applied studies reference standard and blinding b B Randomized trials or observational Cross-sectional studies with consistently Inception cohort studies studies with dramatic effects or highly applied reference standard and blinding consistent evidence C Nonrandomized or his to rically controlled Nonconsecutive studies, case-control Cohort study, control arm of a studies, including case-control and studies, or studies with poor, randomized trial, case series, or case observational studies nonindependent, or inconsistently control studies; poor quality prognostic applied reference standards cohort study D Case reports, mechanism-based reasoning, or reasoning from first principles X Exceptional situations where validating studies cannot be performed and there is a clear preponderance of benefit over harm aA systematic review may be downgraded to level B because of study limitations, heterogeneity, or imprecision. Strong recommendation based on systematic fashion: a key action statement in bold, followed by the review of diagnostic studies with a preponderance of benefit strength of the recommendation in italics. Several paragraphs subsequently discuss the evidence base Quality improvement opportunity: To improve supporting the statement. For some cal process/effectiveness) statements, where the evidence base demonstrates clear ben Aggregate evidence quality: Grade A, systematic efit, the role of patient preference for a range of treatments review of cross-sectional studies with a consistent may not be relevant (eg, intraoperative decision making), reference standard but clinicians should provide patients with clear and com Level of confidence in evidence: High prehensible information on the benefits. This will facilitate Benefit: Improve diagnostic certainty; reduce false patient understanding and shared decision making, which in negative diagnoses caused by effusions that do not turn leads to better patient adherence and outcomes. The practical Role of patient preferences: Very limited tips in Table 7 may help increase success in performing Exceptions: None pneumatic o to scopy and making the procedure comfortable Policy level: Strong recommendation for children. When pneumatic o to scopy is inconclusive, Differences of opinion: None tympanometry can be used to improve diagnostic accuracy, as outlined in the next key action statement. Conversely, pneumatic o to scopy can help avoid false-positive diagnoses caused by surface changes or abnormalities in the tympanic membrane without middle ear Action Statement Profile for Statement 2 effusion. Pneumatic O to scopy Tip Rationale After attaching the speculum to the o to scope, the bulb should stay compressed after blocking the speculum if there are no air squeeze the pneumatic bulb fully, then firmly leaks; if the bulb opens (eg, the pressure is released), check the speculum for a cover the tip of the speculum with your finger and tight fit and the bulb and tubing for leaks. Choose a speculum that is slightly wider than the A speculum that is to o narrow cannot form a proper seal and will give false ear canal to obtain an air-tight seal. Before inserting the speculum, squeeze the Squeezing the bulb first allows the examiner to apply both negative pressure (by pneumatic bulb halfway (about 50% of the bulb releasing the bulb) and positive pressure (by further squeezing). Insert the speculum deep enough in to the ear canal Limiting insertion to the cartilaginous (outer) portion of the ear canal is painless, to obtain an air-tight seal but not deep enough to but deep insertion that to uches the bony ear canal and periosteum can be very cause pain. Examine tympanic membrane mobility by squeezing Many children have negative pressure in their middle ear space, so both positive and releasing the bulb very slightly and very gently pressure (squeezing the bulb) and negative pressure (releasing the bulb) are several times. Value judgments: None (Figure 4) is a graph of energy admitted to the tympanic Intentional vagueness: the individual who performs membrane and middle ear in response to air pressure intro tympanometry is not specified and could be the duced to the ear canal. Acoustic energy is transmitted to the clinician or another health professional; whether to ear canal, and an internal microphone measures the reflected use portable or table to p tympanometry is at the dis sound while the pressure is varied from negative to positive. Tympanometry can also objectively assess tympanic mem brane mobility for patients who are difficult to examine or do not to lerate insufflation. Understanding Tympanometry Tympanometry provides an objective assessment of tympa Figure 4. The height of the nic membrane mobility, eustachian tube function, and tracing may vary but is normal when the peak falls within the 2 middle ear function by measuring the amount of sound stacked rectangles. The A tracing (upper) indicates an abnormally D energy reflected back when a small probe is placed in the flexible tympanic membrane, and the A tracing (lower) indicates 73 S ear canal. The procedure is usually painless, is relatively an abnormally stiff tympanic membrane; the presence of a well simple to perform, and can be done with a portable screen defined peak, however, makes the likelihood of effusion low. Tympanometry as an Adjunct to Pneumatic O to scopy Tympanometry is a useful adjunct to pneumatic o to scopy because it provides objective evidence of middle ear status. All studies examin ing test performance of pneumatic o to scopy have used expe rienced o to scopists with special training, validation, or both. There are no specific studies that validate the perfor mance characteristics of tympanometry as a confirma to ry, or adjunctive, test with pneumatic o to scopy. A normal ear canal volume for used (eg, A, B, and C), measuring static admittance and 74 children is between 0. A low equiva tance (Y) is the amount of energy absorbed by the tympanic lent ear canal volume can be caused by improper placement membrane and middle ear, measured in mmho or mL. Peak of the probe (eg, pressing against the ear canal) or by tympanometric air pressure estimates the middle ear pres obstructing cerumen. A high equivalent ear canal volume sure, which is normally around zero and is expressed in dec occurs when the tympanic membrane is not intact because apascals (daPa) or mmH20. Abnormal tympanometric width (250 daPa or greater) combined with low peak admittance had a sensitivity of 83% and a specificity of 87% when Supporting Text 76 compared with a myringo to my gold standard. In neonate ears with confirmed middle after a failed newborn screening and the need to educate ear disease, 226-Hz tympanograms are not reliably different parents and caregivers regarding the reasons for failure and from those obtained from normal ears. Conversely, 31% had delayed return studies with a predominance of benefit over harm. How common is middle ear fluid in Middle ear fluid is a very common cause of a failed newborn hearing screen and is found in about children who fail a hearing 6 of every 10 children who fail. So if your child still has some hearing loss after getting tubes, keep in mind that hearing could still improve over time.
For children ages 6-18 years symptoms 13dpo purchase nitroglycerin with a mastercard, aggressive behavior that occurs as part of an adjustment disorder should not be considered for this diagnosis symptoms 5dp5dt fet purchase nitroglycerin pills in toronto. Diagnostic Features the impulsive (or anger-based) aggressive outbursts in intermittent explosive disorder have a rapid onset and medications dictionary nitroglycerin 2.5mg overnight delivery, typically symptoms nausea dizziness buy 6.5 mg nitroglycerin with amex, little or no prodromal period. Outbursts typically last for less than 30 minutes and commonly occur in response to a minor provocation by a close intimate or associate. The aggressive outbursts are generally impulsive and/ or anger-based, rather than premeditated or instrumental (Criterion C) and are associated with significant distress or impairment in psychosocial function (Criterion D). Associated Features Supporting Diagnosis Mood disorders (unipolar), anxiety disorders, and substance use disorders are associated with intermittent explosive disorder, although onset of these disorders is typically later than that of intermittent explosive disorder. Prevaience One-year prevalence data for intermittent explosive disorder in the United States is about 2. Development and Course the onset of recurrent, problematic, impulsive aggressive behavior is most common in late childhood or adolescence and rarely begins for the first time after age 40 years. The core features of intermittent explosive disorder, typically, are persistent and continue for many years. Individuals with a his to ry of physical and emotional trauma during the first two decades of life are at increased risk for intermittent explosive disorder. Gender-Related Diagnostic Issues In some studies the prevalence of intermittent explosive disorder is greater in males than in females (odds ratio = 1. D ifferential Diagnosis A diagnosis of intermittent explosive disorder should not be made when Criteria A1 and/ or A2 are only met during an episode of another mental disorder. In contrast to intermittent explosive disorder, disruptive mood dysregulation disorder is characterized by a persistently negative mood state. Finally, a diagnosis of disruptive mood dysregulation disorder should not be made for the first time after age 18 years. However, the level of impulsive aggression in individuals with antisocial personality disorder or borderline personality disorder is lower than that in individuals with intermittent explosive disorder. However, when a sufficient number of impulsive aggressive outbursts also occur in the absence of substance in to xication or withdrawal, and these warrant independent clinical attention, a diagnosis of intermittent explosive disorder may be given. The level of impulsive aggression in individuals with a his to ry of one or more of these disorders has been reported as lower than that in comparable individuals whose symp to ms also meet intermittent explosive disorder Criteria A through E. Comorbidity Depressive disorders, anxiety disorders, and substance use disorders are most commonly comorbid with intermittent explosive disorder. In addition, individuals with antisocial personality disorder or borderline personality disorder, and individuals with a his to ry of disorders with disruptive behaviors. Has deliberately engaged infire setting with the intention of causing serious damage. Often stays out at night despite parental prohibitions, beginning before age 13 years. If the individual is age 18 years or older, criteria are not met for antisocial personality disorder. The person appears more concerned about the effects of his or her actions on himself or herself, rather than their effects on others, even when they result in substantial harm to others. The individual does not put forth the effort necessary to perform well, even when expectations are clear, and typically blames others for his or her poor performance. Shallow or deficient affect: Does not express feelings or show emotions to others, except inways that seem shallow, insincere, or superficial. Specify current severity: Mild: Few if any conduct problems in excess of those required to make the diagnosis are present, and conduct problems cause relatively minor harm to others.
Adherence to anti-tuberculosis treatment among pulmonary tuberculosis patients: a qualitative and quantitative study symptoms 10 days before period nitroglycerin 2.5 mg on-line. Evaluation of adherence to national treatment guidelines among tuberculosis patients in three provinces of South Africa medicine neurontin generic nitroglycerin 6.5 mg mastercard. The efect of directly observed therapy on the rates of drug resistance and relapse in tuberculosis medications ok for pregnancy buy nitroglycerin online. Increased incidence of multidrug-resistant tuberculosis in diabetic patients on the bellevue chest service denivit intensive treatment order nitroglycerin with paypal, 1987 to 1997. Treatment of tuberculosis in a rural area of Haiti: directly observed and non-observed regimens. Has directly observed treatment improved outcomes for patients with tuberculosis in southern Tailandfi Tuberculosis treatment outcomes: directly observed therapy compared with self-administered therapy. Anuwatnonthakate A, Limsomboon P, Nateniyom S, Wattanaamornkiat W, Komsakorn S, Moolphate S, et al. Directly observed therapy and improved tuberculosis treatment outcomes in Tailand. Directly observed treatment is associated with reduced default among foreign tuberculosis patients in Tailand. Compliance with tuberculosis treatment afer the implementation of the directly observed treatment, short-course strategy in the city of Carapicuiba, Brazil. The efects on tuberculosis treatment adherence from utilising community health workers: a comparison of selected rural and urban settings in Kenya. Directly-observed and self-administered tuberculosis treatment in a chronic, low-intensity confict setting in India. Directly observed treatment for tuberculosis in pharmacies compared with self administered therapy in Spain. Current status of treatment completion and fatality among tuberculosis patients in Spain. Directly observed therapy reduces tuberculosis-specifc mortality: a population-based follow-up study in Taipei, Taiwan. Contribution of traditional healers to a rural tuberculosis control programme in Hlabisa, South Africa. Efectiveness of urban community volunteers in directly observed treatment of tuberculosis patients: a feld report from Haryana, North India. Efectiveness of and results from directly observed treatment of tuberculosis patients by health-care workers vs. Efectiveness of a community-based observation of anti-tuberculosis treatment in Bangalore City, India, 2010-2011. Efectiveness of community-based directly observed treatment for tuberculosis in an urban setting in Tanzania: a randomised controlled trial. Direct observation of treatment for tuberculosis: a randomized controlled trial of community health workers versus family members. Innovative community-based approaches doubled tuberculosis case notifcation and improve treatment outcome in Southern Ethiopia. Efectiveness of a government-organized and hospital-initiated treatment for multidrug-resistant tuberculosis patients: a retrospective cohort study. Garden B, Samarina A, Stavchanskaya I, Alsterlund R, Ovregaard A, Taganova O, et al. Food incentives improve adherence to tuberculosis drug treatment among homeless patients in Russia. A controlled comparison of directly observed therapy vs self-administered therapy for active tuberculosis in the urban United States. A knowledge translation intervention to improve tuberculosis care and outcomes in Malawi: a pragmatic cluster randomized controlled trial. Health extension workers improve tuberculosis case detection and treatment success in southern Ethiopia: a community randomized trial. A randomised trial of the impact of counselling on treatment adherence of tuberculosis patients in Sialkot, Pakistan. Food incentives to improve completion of tuberculosis treatment: randomised controlled trial in Dili, Timor-Leste. Economic support to improve tuberculosis treatment outcomes in South Africa: a pragmatic cluster-randomized controlled trial. Randomised controlled trial of food supplements in patients with newly diagnosed tuberculosis and wasting. Estrategia educativa para incrementar el cumplimien to del regimen antituberculoso en Chiapas, Mexico. Shared vision a health education project designed to enhance adherence to anti-tuberculosis treatment. Evaluation of a unifed treatment regimen for all new cases of tuberculosis using guardian-based supervision. High tuberculosis notifcation and treatment success rates through community participation in central Sulawesi, Republic of Indonesia. Success of community-based directly observed anti-tuberculosis treatment in Mongolia. Evaluation of community contribution to tuberculosis control in Cape Town, South Africa. Household members and health care workers as supervisors of tuberculosis treatment. Cost-efectiveness of home-based care versus hospital care for chronically ill tuberculosis patients, Francis to wn, Botswana. Tuberculosis treatment delivery in high burden settings: does patient choice of supervision matterfi Cohort analysis of directly observed treatment outcomes for tuberculosis patients in urban Pakistan. Enhancing management of tuberculosis treatment with video directly observed therapy in New York City. Home videophones improve direct observation in tuberculosis treatment: a mixed methods evaluation. A patient education program to improve adherence rates with antituberculosis drug regimens. Implication communautaire aux soins tuberculeux dans 3 districts sanitaires du Burkina Faso. Efectiveness of a strategy to improve adherence to tuberculosis treatment in a resource-poor setting: a cluster randomized controlled trial. Lay health worker-supported tuberculosis treatment adherence in South Africa: an interrupted time-series study. A randomised study of two policies for managing default in out-patients collecting supplies of drugs for pulmonary tuberculosis in a large city in South India. Kunawararak P, Pongpanich S, Chantawong S, Pokaew P, Traisathit P, Srithanaviboonchai K, Plipat T. Tuberculosis treatment with mobile-phone medication reminders in northern Tailand. Short course chemotherapy: a controlled study of indirect defaulter retrieval method. Managing medication compliance of tuberculosis patients in Haiti with medication moni to rs. Efectiveness of electronic reminders to improve medication adherence in tuberculosis patients: a cluster-randomised trial. Impact of community tracer teams on treatment outcomes among tuberculosis patients in South Africa. Use of eCompliance, an innovative biometric system for moni to ring of tuberculosis treatment in rural Uganda. High rate of non-compliance with anti-tuberculosis treatment despite a retrieval system: A call for implementation of directly observed therapy in Saudi Arabia.
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