Blood screen findings in a two year cohort of newly arrived refugees to Sydney

Objectives To describe the prevalence of certain health conditions in newly arrived refugees to Sydney, and thereby help inform screening practices. Study type A clinical audit of routinely collected pathology results. Methods Demographics and pathology results from a nurse-led health assessment program for newly arrived refugees over the two years 2013 and 2014 were analysed. Prevalences of screened conditions were calculated and compared by countries of birth and other demographic features. A specific category of those from Middle Eastern countries was created for comparative analysis. Results Pathology results were analysed for 3307 persons from a total of 4768 seen by the program (69.4%). Anaemia was found in 6% of males and 7.6% of females. Vitamin D deficiency (1%) countries

Angiotensin-converting enzyme activity and inhibition in dogs with cardiac disease and an angiotensin-converting enzyme polymorphism

OBJECTIVE The objective of this study was to evaluate angiotensin-converting enzyme (ACE) activity in dogs and with and without an ACE polymorphism in the canine ACE gene, before and after treatment with an ACE inhibitor. METHODS Thirty-one dogs (20 wild-type, 11 ACE polymorphism) with heart disease were evaluated with ACE activity measurement and systolic blood pressure before and after administration of an ACE inhibitor (enalapril). RESULTS Median pre-treatment ACE activity was significantly lower for ACE polymorphism dogs than for dogs with the wild-type sequence ( P=0.007). After two weeks of an ACE inhibitor, ACE activity was significantly reduced for both genotypes (wild-type, P<0.0001; ACE polymorphism P=0.03); mean post-therapy ACE activity was no different between the groups. CONCLUSION An ACE polymorphism is associated with lower levels of ACE activity. Dogs with the polymorphism still experience suppression of ACE activity in response to an ACE inhibitor. It is possible that the genetic status and ACE activity of dogs may impact the response of dogs with this variant to an ACE inhibitor

The Grizzly, February 19, 1982

Union Victim of Apparent Vandalism • Bomberger to be Closed After Hours if Vandalism Continues • Foreign Language Career Day: Getting an Edge in Business • Arnold to Join Administration • Reagan: Friend of the Forces • Richter Urges Campus Involvement • Parents Notified of Possible Changes in Aid • Fraternities and Presidents • Meistersingers Begin Spring Concert Tour • English Department Considers Changes • News Briefs: Astronomer to Speak at Ursinus College; Winning Photographer to Conduct Courses at Ursinus College • Joan Jett at the Tower: I Don\u27t Care About a Bad Reputation • Winterfest 1982 • Pi Nu Epsilon: New Members Honored • UC Represents Bahrain in Model UN • USGA Notes • Aggies Buried by UC Women • Women Lose Thriller • Women\u27s Badminton • Sports Briefs: Aquabears Drop One to F&M; Men\u27s Intramural B-ball; Gymnasts Vault to Best Scores • Men\u27s Hoops Takes Two Out of Three • Grapplers Record Best in UC Historyhttps://digitalcommons.ursinus.edu/grizzlynews/1073/thumbnail.jp

Water, sanitation and hygiene for the prevention of diarrhoea

Background Ever since John Snow’s intervention on the Broad St pump, the effect of water quality, hygiene and sanitation in preventing diarrhoea deaths has always been debated. The evidence identified in previous reviews is of variable quality, and mostly relates to morbidity rather than mortality

Guidance for Evidence-Informed Policies about Health Systems: Assessing How Much Confidence to Place in the Research Evidence

In the third paper in a three-part series on health systems guidance, Simon Lewin and colleagues explore the challenge of assessing how much confidence to place in evidence on health systems interventions

Using qualitative synthesis to explore heterogeneity of complex interventions

Background: Including qualitative evidence on patients' perspectives in systematic reviews of complex interventions may reveal reasons for variation in trial findings. This is particularly the case when the intervention is for a long-term disease, as management may rely heavily on the efforts of the patient. Inclusion though seldom happens, possibly because of methodological challenges, and when it does occur the different forms of evidence are often kept separate. To explore heterogeneity in trial findings, we tested a novel approach to integrate qualitative review evidence on patients' perspectives with evidence from a Cochrane systematic review.Methods: We used, as a framework for a matrix, evidence from a qualitative review on patients' perspectives on helping them manage their disease. We then logged in the matrix whether the interventions identified in a Cochrane review corresponded with the patient perspectives on how to help them. We then explored correspondence. The Cochrane review we used included 19 trials of interventions to improve adherence to therapy in HIV/AIDS patients. The qualitative review we used included 23 studies on HIV/AIDS patients' perspectives on adherence; it translated the themes identified across the studies into recommendations in how to help patients adhere. Both reviews assessed quality. In the qualitative review they found no difference in findings between the better quality studies and the weaker ones. In the Cochrane review they were unable to explore the impact of quality in subgroup analysis because so few studies were of good quality.Results: Matrix tabulation of interventions and patients' perspectives identified a range of priorities raised by people infected with HIV-1 that were not addressed in evaluated interventions. Tabulation of the more robust trials revealed that interventions that significantly improved adherence contained more components considered important by patients than interventions where no statistically significant effect was found.Conclusions: This simple approach breaks new ground in cross tabulating qualitative evidence with the characteristics of trialled interventions. In doing so it tests the assumption that patients are more likely to adhere to interventions that match more closely with their concerns. The potential of this approach in exploring varying content and rates of success in trialled complex interventions deserves further evaluation