A STUDY ON SETTING OF NUMERICAL TARGETS FOR COMPREHENSIVE MANAGEMENT PLAN OF PUBLIC FACILITIES AND INFRASTRUCTURES

Chronic obstructive pulmonary disease (COPD) is a common cause of disability and death in Canada. Moreover, morbidity and mortality from COPD continue to rise and the economic burden is enormous. The main goal of the Canadian Thoracic Society (CTS) Evidence-Based Guidelines is to optimize early diagnosis, prevention and management of COPD in Canada. Targeted spirometry is strongly recommended to expedite early diagnosis in smokers and exsmokers who develop respiratory symptoms, and who are at risk for COPD. Smoking cessation remains the single most effective intervention to reduce the risk of COPD and to slow its progression. Education, especially self-management plans, are key interventions in COPD. Therapy should be escalated in accordance with the increasing severity of symptoms and disability. Long acting anticholinergics and beta2-agonist inhalers should be prescribed for patients who remain symptomatic despite short-acting bronchodilator therapy. Inhaled steroids should not be used as first line therapy in COPD, but have a role in preventing exacerbations in patients with more advanced disease who suffer recurrent exacerbations. Management strategies consisting of combined modern pharmacotherapy and nonpharmacotherapeutic interventions (eg, pulmonary rehabilitation/exercise training) can effectively improve symptoms, activity levels, and quality of life, even in patients with severe COPD. Acute exacerbations of COPD cause significant morbidity and mortality and should be treated promptly with bronchodilators and a short course of oral steroids; antibiotics should be prescribed for purulent exacerbations. Patients with advanced COPD and respiratory failure require a comprehensive management plan that incorporates structured end-of-life care.

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Challenges of ecosystem restoration in Louisiana – availability of sediment and its management

Proceedings of the International Association of Hydrological Sciences ◽

10.5194/piahs-367-455-2015 ◽

2015 ◽

Vol 367 ◽

pp. 455-462 ◽

Cited By ~ 2

Author(s):

S. M. Khalil ◽

A. M. Freeman

Keyword(s):

Ecosystem Restoration ◽

Management Plan ◽

Sediment Management ◽

Sediment Sources ◽

Land Loss ◽

Comprehensive Management ◽

Regional Strategies ◽

Coastal Louisiana ◽

Restoration Effort ◽

Sediment Resources

Abstract. Human intervention has impaired the Mississippi River’s ability to deliver sediment to its delta wetlands, and as a consequence acute land loss in coastal Louisiana has resulted in an unprecedented ecocatastrophe. To mitigate this degradation, an unparalleled restoration effort is underway. For this effort to be successful and sustainable, various sediment input mechanisms must be integrated, including: building appropriate sediment-diversions; beneficially using the millions of cubic metres of sediment dredged annually from navigational channels; harvesting deposits of sand and suitable sediment from the river and offshore; and related sediment management activities that are compatible with other uses of the river. A comprehensive sediment management plan has been developed to identify and delineate potential sediment sources for restoration, and to provide a framework for managing sediment resources wisely, cost effectively, and in a systematic manner. The Louisiana Sediment Management Plan provides regional strategies for improved comprehensive management of Louisiana's limited sediment resources.

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An Empirical Study on the Location and Management Plan of Public Facilities in the Rural Center Place by Declining Population

Journal of the Korean Institute of Rural Architecture ◽

10.14577/kirua.2018.20.3.27 ◽

2018 ◽

Vol 20 (3) ◽

pp. 27-35

Author(s):

Sung-Jin Park ◽

◽

In-Ho Kang

Keyword(s):

Empirical Study ◽

Management Plan ◽

Public Facilities

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Pediatric SLE—towards a comprehensive management plan

Nature Reviews Rheumatology ◽

10.1038/nrrheum.2011.15 ◽

2011 ◽

Vol 7 (4) ◽

pp. 225-233 ◽

Cited By ~ 40

Author(s):

Hermine I. Brunner ◽

Jennifer Huggins ◽

Marisa S. Klein-Gitelman

Keyword(s):

Management Plan ◽

Comprehensive Management ◽

Pediatric Sle

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The Biology, Medical Management, and Podiatric Implications of Menopause

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-92-8-437 ◽

2002 ◽

Vol 92 (8) ◽

pp. 437-443 ◽

Cited By ~ 2

Author(s):

Arthur H. Friedlander ◽

Lester J. Jones

Keyword(s):

United States ◽

Hormone Replacement ◽

The United States ◽

Management Plan ◽

Estrogen Deprivation ◽

Related Factors ◽

Comprehensive Management ◽

Age Related ◽

Foot Biomechanics

Approximately 36 million women in the United States are in the postmenopausal phase of life, creating unique challenges for the provision of compassionate, comprehensive podiatric medical treatment. Long-term estrogen deprivation arising from menopause in association with age-related factors disproportionately increases the risk of ischemic heart disease, osteoporosis, and concomitant podiatric complications. This article discusses the physiologic basis of menopause, hormone replacement therapy and its effects on osteoporosis, and other podiatric implications of menopause. Podiatric physicians caring for larger numbers of peri- and postmenopausal women must formulate a comprehensive management plan for treating fractures that arise from a combination of estrogen-deprivation osteoporosis and abnormal foot biomechanics. (J Am Podiatr Med Assoc 92(8): 437-443, 2002)

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State of the Art Compendium: Canadian Thoracic Society Recommendations for Management of Chronic Obstructive Pulmonary Disease

Canadian Respiratory Journal ◽

10.1155/2004/946769 ◽

2004 ◽

Vol 11 (suppl b) ◽

pp. 7B-59B ◽

Cited By ~ 42

Author(s):

Denis E O’Donnell ◽

Shawn Aaron ◽

Jean Bourbeau ◽

Paul Hernandez ◽

Darcy Marciniuk ◽

...

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Early Diagnosis ◽

Pulmonary Disease ◽

Management Strategies ◽

Management Plan ◽

Morbidity And Mortality ◽

Chronic Obstructive ◽

Activity Levels ◽

Obstructive Pulmonary Disease ◽

Comprehensive Management

Chronic obstructive pulmonary disease (COPD) is a common cause of disability and death in Canada. Moreover, morbidity and mortality from COPD continue to rise, and the economic burden is enormous. The main goal of the Canadian Thoracic Society’s evidence-based guidelines is to optimize early diagnosis, prevention and management of COPD in Canada. The main message of the guidelines is that COPD is a preventable and treatable disease. Targeted spirometry is strongly recommended to expedite early diagnosis in smokers and former smokers who develop respiratory symptoms, and who are at risk for COPD. Smoking cessation remains the single most effective intervention to reduce the risk of COPD and to slow its progression. Education, especially self-management plans, are key interventions in COPD. Therapy should be escalated on an individual basis in accordance with the increasing severity of symptoms and disability. Long-acting anticholinergics and beta-2-agonist inhalers should be prescribed for patients who remain symptomatic despite short-acting bronchodilator therapy. Inhaled steroids should not be used as first line therapy in COPD, but have a role in preventing exacerbations in patients with more advanced disease who suffer recurrent exacerbations. Acute exacerbations of COPD cause significant morbidity and mortality and should be treated promptly with bronchodilators and a short course of oral steroids; antibiotics should be prescribed for purulent exacerbations. Patients with advanced COPD and respiratory failure require a comprehensive management plan that incorporates structured end-of-life care. Management strategies, consisting of combined modern pharmacotherapy and nonpharmacotherapeutic interventions (eg, pulmonary rehabilitation and exercise training) can effectively improve symptoms, activity levels and quality of life, even in patients with severe COPD.

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Association of Implementation of a Comprehensive Preconception-to-Pregnancy Management Plan With Pregnancy Outcomes Among Chinese Pregnant Women With Type 1 Diabetes: The CARNATION Study

10.2337/figshare.13623029.v1 ◽

2021 ◽

Author(s):

Xueying Zheng ◽

Daizhi Yang ◽

Sihui Luo ◽

Jinhua Yan ◽

Xiaohui Guo ◽

...

Keyword(s):

Pregnant Women ◽

Pregnancy Outcome ◽

Pregnancy Outcomes ◽

Prospective Cohort ◽

Retrospective Cohort ◽

Adverse Pregnancy Outcome ◽

Management Plan ◽

Comprehensive Management ◽

Adverse Pregnancy

Objective To investigate the effect on pregnancy outcome of integrating a comprehensive management plan for type 1 diabetic (T1D) patients into the WHO universal maternal care infrastructure. Research Design and Methods A comprehensive preconception-to-pregnancy management plan for women with T1D was implemented in 11 centers from eight Chinese cities during 2015–2017. Sequential eligible pregnant women (n=133 out of 137 initially enrolled) with T1D and singleton pregnancies attending these management centers formed the prospective cohort. The main outcome was severe adverse pregnancy outcome comprising maternal mortality, neonatal death, congenital malformation(s), miscarriage in the second trimester and stillbirth. We compared pregnancy outcomes in this prospective cohort with two control groups with the same inclusion and exclusion criteria: a retrospective cohort (n=153) of all eligible pregnant women with T1D attending the same management centers during 2012–2014 and a comparison cohort (n=116) of all eligible pregnant women with T1D receiving routine care during 2015–2017 in 11 different centers from seven cities. Results The rate of severe adverse pregnancy outcome was lower in the prospective cohort (6.02%) than in either the retrospective cohort (18.30%, adjusted odds ratio[aOR]=0.31, 95% CI 0.13–0.74) or the contemporaneous comparison cohort (25.00%, aOR=0.22, 95% CI 0.09–0.52). Conclusion The substantial improvements in the prospective cohort are evidence of a potentially clinically important effect of the comprehensive management plan on pregnancy outcomes among Chinese pregnant women with pregestational T1D. This supports the development of similar approaches in other countries.

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Hereditary angioedema: Comprehensive management plans and patient support

Allergy and Asthma Proceedings ◽

10.2500/aap.2020.41.200059 ◽

2020 ◽

Vol 41 (6) ◽

pp. S38-S42

Author(s):

Diane Paige ◽

Njeri Maina ◽

John T. Anderson

Keyword(s):

Hereditary Angioedema ◽

Treatment Options ◽

Management Plan ◽

Essential Elements ◽

Care Providers ◽

Patient Support ◽

Education Access ◽

Comprehensive Management ◽

Management Plans ◽

Patient Will

Hereditary angioedema (HAE) is a rare disease. Regardless, patients with HAE have access to multiple state-of-the-art medications available for on-demand use and prevention that reduce the frequency and burden of HAE attacks. These treatments have greatly reduced the burden of disease and helped patients achieve improved quality of life. However, with greater numbers of therapeutic options, HAE care has become more complex. In this review, we addressed essential elements of an individualized comprehensive management plan for a patient with HAE. We focused on access to an expert physician, ongoing patient education, access to effective treatment options, coordination of care and management of treatment logistics, ongoing monitoring of attacks and treatments, and other resources for patient support. This plan will need to be communicated with the patient and other care providers, especially during emergent conditions, and accommodate the patient’s lifestyle with consideration for work, school, travel, etc. Periodically, the physician and the patient will need to review information about attacks, triggers, and treatments to identify areas for improvement and update the plan.

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