Poor inhaler technique and inferior asthma outcomes are evident in older adults. Reviews comparing metered dose inhaler (MDI) and dry powder inhaler (DPI) techniques across older adults and younger ...cohorts are scarce. This systematic review aimed to determine whether differences exist between such cohorts with regards to the number and type of MDI and DPI errors made. A systematic literature search was conducted in Embase, Medline and PubMed from July 1 to December 31, 2016. Studies were selected in accordance with preset inclusion criteria, relevant data were extracted, and quality was assessed with validated checklists. 14 studies were identified. Evidence suggests a negative correlation between advancing age and correct technique across MDI and varying DPI devices when examined collectively. Differences appear to exist between older adult and younger cohorts prescribed MDIs in error types. There is evidence of age-associated differences in the number and type of inhaler technique errors. Further research is required to assess outcomes in individual DPIs, reproducibility and the effects of confounders.
The information, skills and habits that users and students can gain with librarian intervention and partnership support and facilitate lifelong learning. The authors in the current issue described ...how librarians at the University of Wisconsin-La Crosse assessed reference desk interactions based on library program student learning outcomes, rather than a traditional user satisfaction scale, and also illustrated how teaching could and should occur in reference desk interactions, going beyond basic transactions. Both academic and public libraries can support continued learning by providing high-quality information, providing training in various literacies and connecting users with community programs.
Faulkner explores the financial literacy resources patrons can discover or access on the webpages of the largest 48 US public libraries to assess the strength of public libraries' current support to ...patrons seeking assistance with personal financial matters. ...the annotated bibliography is an excellent source for discovering what has been studied, researched or written on information literacy in several spheres in 2021. The over 400 annotations from the team of 14 authors led by Gardner include a variety of sources on K-12 education, children and adolescents; academic and professional programs; everyday life, community and the workplace; libraries and health information literacy; multiple library types; and other information literacy research and theory.
Focusing on professional development, what strategies have we implemented to support librarians in a changing learning environment? Looking in the rearview mirror, back to March 2020, academic ...librarians have adjusted how they support students, researchers, faculty and administrators. To our question of how we can better support success in today's complex and demanding learning environment, Kline presents both a clear and urgent rationale for librarians to use systemic methods and an action-oriented approach to better understand their graduate students and provide better supports.
Isoniazid preventive therapy (IPT) is effective in treating tuberculosis (TB) infection and hence limiting progression to active disease. However, the durability of protection, associated factors and ...cost-effectiveness of IPT remain uncertain in low-and-middle income countries, Uganda inclusive. The Uganda Ministry of health recommends a single standard-dose IPT course for eligible people living with HIV (PLHIV). In this study we determined the incidence, associated factors and median time to TB diagnosis among PLHIV on Antiretroviral therapy (ART) who initiated IPT.
We conducted a retrospective cohort study at eleven The AIDS Support Organization (TASO) centers in Uganda. We reviewed medical records of 2634 PLHIV on ART who initiated IPT from 1st January 2016 to 30th June 2018, with 30th June 2021 as end of follow up date. We analyzed study data using STATA v.16. Incidence rate was computed as the number of new TB cases divided by the total person months. A Frailty model was used to determine factors associated with TB incidence.
The 2634 individuals were observed for 116,360.7 person months. IPT completion rate was 92.8%. Cumulative proportion of patients who developed TB in this cohort was 0.83% (22/2634), an incidence rate of 18.9 per 100,000 person months. The median time to TB diagnosis was 18.5 months (minimum- 0.47; maximum- 47.3, IQR: 10.1-32.4). World Health Organization (WHO) HIV clinical stage III (adjusted hazard ratio (aHR) 95%CI: 3.66 (1.08, 12.42) (P = 0.037) and discontinuing IPT (aHR 95%CI: 25.96(4.12, 169.48) (p = 0.001)), were associated with higher odds of TB diagnosis compared with WHO clinical stage II and IPT completion respectively.
Incidence rates of TB were low overtime after one course of IPT, and this was mainly attributed to high completion rates.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
6.
Editorial: Mash-Ups Watstein, Sarah Barbara
Reference services review,
06/2024, Letnik:
52, Številka:
2
Journal Article
PDF
