Dear Dr. Trisha:
Your question # 4 encouraged me to ask this following:
In a patient with acute chest pain, the physician in the emergency room
could request CPK, transaminase and ultimately LDH, so, Why does these
enzimes increase in that sequence? Does anyone know an article with the
explanation?
Many thanks and a warm handshake
Arturo Marti-Carvajal,
Universidad de Carabobo
Venezuela
At 15:22 7/03/99 -0000, you wrote:
>Dear list members
>
>Can anyone direct me to any good literature or websites on the following
queries. I ask because I'm preparing a new book chapter on aspects of
implementing EBM:
>
>1. Is there a source of up-to-date data on 'costs per QALY' for some
representative health interventions, for the purposes of illustrating this
concept (and its limitations)?
>
>2. Does anyone use a critical care pathway for thrombolysis in cases of
suspected acute myocardial infarction, and if so, have they audited whether
such an approach reduces door-to-needle time?
>
>3. Is there an Internet discussion list, research colloquium or other
interest group for health professionals who are interested in exploring
different methods of explaining risk to patients?
>
>4. What is the definitive article or articles to cite in response to the
question "Which Korotkoff sound should we use to measure diastolic blood
pressure in a standardised way, and why?"
>
>By the way, in response to my last request, about organisational change
and EBM, I haven't forgotten my promise to post a summary of the responses
back to the list. That request brought me a flood of books and articles
which I'm still ploughing through. Doesn't seem to be an easy answer; have
decided to reflect some more on it all. Watch this space!
>
>Best wishes to all - and thanks as usual for your help.
>
>trish
>Dr Trish Greenhalgh
>
>Senior lecturer in primary health care
>Unit for Evidence-Based Practice and Policy
>Joint Department of Primary Care and Population Sciences
>Royal Free and University College London Schools of Medicine
>Whittington Hospital
>London N19 5NF
>
>Direct line tel: + 44 (0) 171 288 5731
>Personal Assistant (Marcia Rigby): + 44 (0) 171 288 3246
>Fax: + 44 (0) 171 281 8004
>
>web http://www.ucl.ac.uk/primcare-popsci/uebpp/uebpp.htm
>
>email [log in to unmask]
>
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