998 resultados para Alicante (Valencian Community : Province)
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This report details the efforts of the community action network in Iowa.
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This report details the efforts of the community action network in Iowa.
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Community School District Audit Report
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Monthly newsletter for the Iowa Department of Public Health
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Monthly newsletter for the Iowa Department of Public Health
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[Traditions. Asie. Inde. Province de Madras [i.e. Chennai]. Etat du Tamil Nadu. Thanjavur]
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This document is intended to assist Iowa communities in making informed decisions on combining school and public library services. It provides decision-makers with a means of assessing the feasibility of establishing a combined library and, if the decision is made to proceed, with a Planning Guide that addresses the many areas of library operations that need to be considered if the combined library is to be successful. Alternatives to combining libraries exist. Contracted services provide one such option. There are many areas where school and public libraries can and should collaborate in order to provide better service to the community. These alternatives are also outlined in this document.
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[Traditions. Asie. Inde. Présidence de Madras [i.e. Chennai]. Ceded Districts]
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[Traditions. Asie. Inde. Présidence de Madras [i.e. Chennai]. Etat du Kerala. Région du Malabar]
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[Traditions. Asie. Inde. Province de Madras [i.e. Chennai]. État du Kérala. Kochi]
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Community College Audit Reports
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Other Audit Reports - Special Investigation
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Background: Clinical practices and guidelines may differ regarding the management of inpatients with community-acquired pneumonia (CAP). Methods: The management of 152 consecutive CAP inpatients (70+/-17 years) admitted to a teaching hospital was analyzed retrospectively and compared with published data and an evidence-based guideline developed at our institution. Results: Of the patients studied, 64% had a high prognostic score index (PSI), 14% were admitted to the ICU, and 4.6% died. Initially, patients received either a one-drug (47%) or a two-drug (53%) antibiotic regimen. None of the 20 PSI parameters, and neither the PSI nor admission to the ICU, was associated with the initial antibiotic regimen. Agreement between current practice and our guideline was low (kappa=0.16). Following the recommendations would have led to a decrease of 51% in the initial two-drug regimen. The duration of i.v. antibiotherapy was higher in patients following the two-drug regimen (142+/-150 vs. 102+/-60 h, P<0.05). Chest physiotherapy (CP) and bronchodilatators (BD) were prescribed in 72% and 54% of cases, respectively (median duration 10 days). Conclusions: The variations observed in the clinical management of CAP inpatients were not in agreement with published guidelines. The overuse of a two-drug regimen, CP, and BD necessitates the development and implementation of evidence-based guidelines proposing detailed steps for the management of CAP inpatients.
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Community School District Audit Report
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Community School District Audit Report - Special Investigation