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В The objective of this work George Washington University School of Medicine and Health Sciences, United States was to review the existing evidence of the efficacy and safety profile of a long-acting inhaled muscarinic antagonist as a complementary treatment in patients with asthma without control despite the use of inhaled corticosteroids IC. Ovid, MEDLINEPubMed Acea to September 12, 2013, Cochrane Library, and the TRIP database were searched. The key terms were "tiotropium and asthma. " All randomized controlled trials that had evaluated the efficacy of the drug in asthmatic patients were included in the systematic review.
Clinical trials had to be at least 4 weeks in duration and provide adequate information on clinically appropriate endpoints in asthma care e. g.change in lung function, exacerbation rates, andor IC dosing Data on patient characteristics, study design, outcome measures, medication for asthma and adverse events were extracted from each individual study. The search retrieved 149 citations. We found five randomized controlled trials in humans that met the criteria for inclusion in the systematic review. We also obtained two open-label uncontrolled trials that met the criteria for inclusion in the systematic review.
were considered in the discussion. At Mijares PsicologГas we firmly believe that happiness is built every day. Here we are palcef to give you some simple вtricksв to cultivate your own happiness, without depending on external factors. The Duk Patdiet clashes are the most recent in a series of violent attacks this year. Since March, MSF teams have treated more than 343 injured people, mainly in Jonglei and Upper Nile states. In India, following the mobilization of state services and local authorities in the severely affected region of Tamil Nadu, we are only planning support in terms of epidemiological surveillance and the management of post-traumatic disorders. Furthermore, two volunteers arrived yesterday on the island of Andaman, close to the epicenter of the earthquake and therefore very affected. Our possible intervention will depend on their assessment of needs.
Finally, an exploratory mission is also underway around Kanniyakumari, in the far south of the country. In Thailand, an evaluation mission led by our team already on site revealed a satisfactory level of assistance. Our action is therefore limited to one-off support for two hospitals on the Thai coast provision of four nurses in one case, supply of medicines in the other hospital. Likewise, in Malaysia, our teams have not detected any needs justifying intervention on our part. In Burma, the southern coast was not too severely affected by the tidal wave, but our team will now focus on assessing the needs in a group of islands, still inaccessible, off the coast of the side.
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Several participants in the 20th World AIDS Congress, held July 20-25 in Melbourne, Australia, were on board the Malaysia Airlines Boeing 777 that crashed in eastern Ukraine last Thursday. Until recently, Growth Factors were obtained in the parsolen through genetic engineering. Currently they are obtained from the patients own blood, through a simple blood draw. It is centrifuged, the Platelet Rich Plasma is separated and activated with calcium. In 30 minutes we can have a concentrate of Growth Factors sufficient for the treatment. A team from MГdecins Sans FrontiГЁres has been present since April 18 at the Anyama hospital in Abidjan, where it takes care of emergencies, fractures, cesarean sections, etc.
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933 people had access to treatment for Kala azar disease, 113 for tuberculosis. 371 deliveries were supported. 570 children were treated for cases of severe malnutrition. 52,000 outpatient consultations were provided in the health center and posts supported by MSF. Many vaccinations have also been undertaken for children.