Monday, February 27, 2012

Should I use antibiotics for conjunctivitis in children

A group of doctors from the United Kingdom conducted a randomized, double-blind study to compare the effectiveness of eye drops with chloramphenicol and placebo in children with infectious conjunctivitis in ambulatory practice. The study involved 326 children between the ages of 6 months. up to 13 years. Every eighth child in the UK every year there is an episode of acute infectious conjunctivitis. Usually in such cases, the doctor prescribes an antibiotic for topical use. 

However, data on whether use of antibiotics in infectious conjunctivitis are contradictory. The children were randomized into 2 groups: a group of chloramphenicol and placebo - for 163 children. Each patient climbed swab for bacteriological and virological investigations. The primary outcome was recovery on day 7 of treatment. The state was estimated based on the diaries of children who completed their parents. Follow-up period was 6 weeks, during which determined the frequency of relapses. Failed to conduct follow-up of nine children (one of the chloramphenicol group and 8 in the placebo group).
His recovery was observed in 140 (86%) of 162 patients in the chloramphenicol and 128 (83%) of 155 children of the control group. Recurrence of conjunctivitis for 6 weeks was observed in 7 patients (4%) children treated with antibiotics, and 5 (3%) receiving placebo. Differences in these parameters were not statistically significant. Causative agent of bacterial eradication rate was higher in the group receiving the antibiotic (40%), compared with the placebo group (23%), but this had no effect on clinical recovery. Adverse drug reactions are equally rare in both groups of children. 

At present, the occurrence of acute infectious conjunctivitis is a standard local application of antibiotics. However, due to increased antibiotic resistance need to use antibiotics for conjunctivitis is controversial. The results of this study also indicate that the pinkeye caused to the children in the outpatient setting is prone to self-resolve, and usually use antibiotics in these situations is not required.

Monday, February 20, 2012

Career Myth 1 - The Graduate Can Easily Find High-Paying Job

Myth 1. The graduate can easily find high-paying job

Typically, such a view appears when you hear the magic story of how a health systems manager and classmate got a job immediately began to receive $ 2,000. Or my mother's friend in conversation to show off his son - a successful IT-engineer with experience three months. Do not blindly believe everything they say, and expect a lot at once. 

Expert Opinion. "Indeed, often the requirements to graduate salaries, are clearly too high - confirms the belief Anistsyna, head of recruiting personnel center" UNITY ". - We need to clearly understand that a person who has experience with 4-5 courses in the specialty, the salary will be higher than someone who just learned. Also, initially at a higher income may qualify the graduate, who, in addition to a diploma, are there any additional knowledge (for example, several foreign languages) or a diploma of specialized courses. " 
Experience suggests. "Parents and friends are always assured me that an engineer - it is a profitable profession, so soon after graduation, the money will flow to me a river - shares their story, Elena Pakhomov, a young professional. - After graduating, I was certain this will go out the door, and there - all of the employers. Add to this that was 2008, my expectations may be called, to say the least, naive. In the end I got a job with a very low salary.  

But patience and a little effort! In two months I have received an average salary in a year - above average, and two parents and friends promised the money is really there. Only now I know - it's the work. "Tips. 
A. To start viewing jobs in your area of ​​interest. This can be done at specialized sites and advertisements in newspapers and magazines. 
Two. On this basis, estimate the average wage, which you may qualify. 
Three. In an interview immediately Speak career opportunities and job prospects in the company, find out what it takes.