What are the clinical guidelines for acute sore throat treatment?

Acute pharyngitis or tonsillitis is characterized by the inflammation of posterior pharynx and tonsils is a pretty common complaint that we might see with patients. Some are caused by several viruses and others are from different strains of bacteria. Nevertheless, patients’ main complaints are the symptom of pain and discomfort. After reading the article, Effect of Oral Dexamethasone Without Immediate Antibiotics vs Placebo on Acute Sore Throat in Adults A Randomized Clinical Trial it shows several limitations.1 It doesn’t give much information regarding treatment of specific diagnosis. Those given dexamethasone will show no significant difference in symptoms resolution but have more pain relief after 48 hours. Out of 565 randomized participants, 288 were given dexamethasone and 277 received a placebo. After 24 hours, not much difference between the two groups. Even with antibiotics versus delay antibiotic treatment, the results were pretty similar. After 48 hours, 35.4% of patients that received dexamethasone over all experienced resolution of discomfort where 27.7% of the placebo weren’t as successful. Several questions need to be asked and answered. Where can I find the best available evidence to support the patient’s complaint? As I tend to use Up-To-Date for a quick search and reference. After reading this article, should I change the way I practice? Well, that depends. Does this study show the exact or very similar complaints to mine? Will my patients benefit from oral steroids for his/her complaint? Sure, some can given the right situation but oral steroids is only to relief the symptom of pain. It doesn’t treat the problem. Viral pharyngitis will have to run its course of symptoms. Bacterial pharyngitis will need antibiotics. We all know that oral steroids will not cure bacterial infections. Are there other ways of treatment that is just as effective? What are the clinical guidelines for acute sore throat treatment?2 How about the patient’s preference? It’s a laundry list of questions to make a safe diagnosis with the most effective, less invasive with cost conscience answer. From someone who has treated thousands of patients complaining of sore throat, oral steroids would not be my go-to treatment to subside any discomfort from the complaint. Whatever happened to Motrin or Tylenol?3 Studies has also shown that acute sore throat should be treat with self-medication. Although this article was well written, the use of oral corticosteroid has not convinced me to routinely treat acute sore throat with anything but Motrin or Tylenol for pain relief. Oral steroids like dexamethasone doesn’t take in effect until after 48 hours which means it doesn’t reduce the time off for work or school. So, for me, unless given the right patient with severe sore throat and diff swallowing, over the counter analgesic with supportive care is the way I will continue to practice.

Write a a paper comparing and contrasting between the two papers “Learning to Read” by Frederick Douglass and “To Teachers” by Rabindranath Tagore.

Write a a paper comparing and contrasting between the two papers “Learning to Read” by Frederick Douglass and “To Teachers” by Rabindranath Tagore. Both papers deal with oppression, power, and trapping the human mind from education.

Discuss the historical development of Western Civilization to the present, including the key political, social and economic forces that shaped the West.

The Crusades had reopened trade between the Eastern world and the West from the 12th century on. A new merchant class had developed which became richer and more influential than the nobility. Feudalism began to decline and the monarchs became more dependent on the merchants than the nobles. Explain why the major European countries started to explore new areas of the globe, what the role of mercantilism was, how PortugaL set the pace of exploration, and the effect the opening of the Atlantic had on Europe. Your essay should be at least four (4) pages in length. Your grade will be determined using the following breakdown- 60%- Content- detailed responses to questions 20%- Clarity and organization 10%- Proper use of citations and sources 10%- Timeliness of submission This essay addresses outcomes- 1. Discuss the historical development of Western Civilization to the present, including the key political, social and economic forces that shaped the West. 2. Discuss varying interpretations of institutions, people, practices and events throughout this period, including ideologies and motivations. 3. Identify and analyze events throughout this period, such as the rise of Russia and Prussia, the French Enlightenment, the French Revolution, Socialism, the Russian Revolution, world Wars, the Cold war, and the rise of militant, political Islam..

Explain what a text says, shows, suggests, “sells”and to analyze “how” it does so, that is, in what manner it attempts to make its case

Explain what a text says, shows, suggests, “sells”and to analyze “how” it does so, that is, in what manner it attempts to make its case. You need to supply evidence in the form of references to and quotations from whatever you are analyzing to support your claims about it. Your goal is to persuade your readers to see what you see in the text, to understand the text the way you do, to get readers to nod their heads in agreement.

Pahom’s dream in Part VII also seems to recapitulate the three real estate ventures.

In Tolstoy’s story “How Much Land Does a Man Need?” Pahom has real estate dealings involving three tracts of land: the initial tract close to his village; a second tract “beyond the Volga”; and a third tract owned by the Bashkirs. Pahom’s dream in Part VII also seems to recapitulate the three real estate ventures. Examine these three accounts and the dream; argue that his encounter with the Bashkirs for the third tract of land is a recapitulation and a mirroring of the previous two encounters and the dream. What is the thematic function of essentially repeating the same story? State the theme in twenty-five words or less.

Describe Janie’s relationship to her Grandmother Nanny.

1. Describe Janie’s relationship to her Grandmother Nanny. What values or beliefs does her grandmother voice and how are Janie’s deviations from those values or beliefs integral to the development of her character over the course of the novel?

2. Describe and analyze Janie’s relationship with Tea Cake. To what extent does she achieve a sense of selfhood or self-realization through this relationship? In your view, does the novel depict the emergence of a “liberated” or “empowered” woman?

Based on your knowledge, what types of products do not fit well in the E-commerce model? Why?

  1. Is information systems (IS) performance linked to business performance?  Share a specific company example that you feel supports your position.
  2. Based on your knowledge, what types of products do not fit well in the E-commerce model?  Why?
  3. Have you ever been involved in any step of the System development life cycle? If so, what did you learn? If not, how does the system development life cycle impact an organization?