Fever caused by exogenous pathogens,also called upper respiratory infection( URI),refers to a classification of exogenous diseases induced by invasion of six pathogenic factors into the body leading to disharmony betw...Fever caused by exogenous pathogens,also called upper respiratory infection( URI),refers to a classification of exogenous diseases induced by invasion of six pathogenic factors into the body leading to disharmony betw een nutrient Qi and defensive Qi and imbalance of Yin and Yang. As an extremely common symptom or sign,it is frequently seen in various processes of acute and chronic diseases. In recent years,traditional Chinese medicine( TCM) has achieved a certain efficacy in the treatment of fever caused by exogenous pathogens,such as modified formulae,Chinese patent drugs,self-made formulae,acupuncture,moxibustion and so on.This article mainly explored the key points of common syndromes,TCM nursing methods and health guidance of fever caused by exogenous pathogens,in order to further develop the advantages of TCM,improve its efficacy and standardize its nursing behavior.展开更多
BACKGROUND: Currently there is very limited data in the literature assessing the prevalence of antihistamine prescription, and there is no local prevalence data about the prescription of antihistamine agents among pri...BACKGROUND: Currently there is very limited data in the literature assessing the prevalence of antihistamine prescription, and there is no local prevalence data about the prescription of antihistamine agents among primary practitioner and emergency physicians. The objectives are 1) to report the prevalence of antihistamine prescription for children less than 6 years old with acute upper respiratory infection and 2) to explore the associated factors for the prescription practice.METHODS: This is a cross-sectional study. All consecutive cases of paediatric patients aged 6 or below who presented to the emergency department during a study period of one week from April 1 to July 4, 2009 with diagnosis of acute upper respiratory infection were included. Totally 162 patients were included.RESULTS: Among the 162 cases, 141(87%) patients were prescribed one antihistamine of any group. Sixty(37%) patients were prescribed two or more antihistamines. In multivariate logistic regression model, age was found to be signi? cantly(P<0.001) associated with multiple antihistamine prescription(OR=1.042, 95%CI=1.02 to 1.06). Years of graduation of attending physician for more than 5 years was also a strong predictor of multiple antihistamine prescription(OR=4.654, 95%CI=2.20 to 9.84, P<0.001).CONCLUSION: In the local emergency department, patients' age and the years of graduation from medical school of the attending physician were predictors of multiple antihistamine prescription for acute upper respiratory infections for children aged less than 6.展开更多
文摘Fever caused by exogenous pathogens,also called upper respiratory infection( URI),refers to a classification of exogenous diseases induced by invasion of six pathogenic factors into the body leading to disharmony betw een nutrient Qi and defensive Qi and imbalance of Yin and Yang. As an extremely common symptom or sign,it is frequently seen in various processes of acute and chronic diseases. In recent years,traditional Chinese medicine( TCM) has achieved a certain efficacy in the treatment of fever caused by exogenous pathogens,such as modified formulae,Chinese patent drugs,self-made formulae,acupuncture,moxibustion and so on.This article mainly explored the key points of common syndromes,TCM nursing methods and health guidance of fever caused by exogenous pathogens,in order to further develop the advantages of TCM,improve its efficacy and standardize its nursing behavior.
文摘BACKGROUND: Currently there is very limited data in the literature assessing the prevalence of antihistamine prescription, and there is no local prevalence data about the prescription of antihistamine agents among primary practitioner and emergency physicians. The objectives are 1) to report the prevalence of antihistamine prescription for children less than 6 years old with acute upper respiratory infection and 2) to explore the associated factors for the prescription practice.METHODS: This is a cross-sectional study. All consecutive cases of paediatric patients aged 6 or below who presented to the emergency department during a study period of one week from April 1 to July 4, 2009 with diagnosis of acute upper respiratory infection were included. Totally 162 patients were included.RESULTS: Among the 162 cases, 141(87%) patients were prescribed one antihistamine of any group. Sixty(37%) patients were prescribed two or more antihistamines. In multivariate logistic regression model, age was found to be signi? cantly(P<0.001) associated with multiple antihistamine prescription(OR=1.042, 95%CI=1.02 to 1.06). Years of graduation of attending physician for more than 5 years was also a strong predictor of multiple antihistamine prescription(OR=4.654, 95%CI=2.20 to 9.84, P<0.001).CONCLUSION: In the local emergency department, patients' age and the years of graduation from medical school of the attending physician were predictors of multiple antihistamine prescription for acute upper respiratory infections for children aged less than 6.
