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To explore factors associated with inadequate recommendation of PPI, we conducted univariate analyses comparing patients who received an adequate PPI recommendation with those who did not.
Gastroesophageal reflux disease Univariate analysis revealed that factors associated with a lower risk of inadequate recommendation for PPIs were endoscopy [odds ratio (OR) 0.18, 95% confidence interval (CI) 0.12 0.16], testing for H. pylori (OR 0.1, 95% CI 0.06 0.18), NSAID (OR 0.15, 95% CI 0.08 0.25) or oral anticoagulation (OR 0.4, 95% CI 0.22 0.69).
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Inadequate recommendations for PPIs in discharge letters are frequent.
In a second step, we performed logistic regression analysis to calculate the probability of receiving an inadequate PPI recommendation.
After adjustment with multivariate analysis, endoscopy (OR 0.13, 95% CI 0.08 0.22), testing for H. pylori (OR 0.1, 95% CI 0.06 0.18), co-medication of NSAIDs (OR 0.14, 95% CI 0.09 0.21) or oral anticoagulation (OR 0.24, 95% CI 0.12 0.49) remained significant factors that decreased the risk of inadequate PPI recommendation (R 0.48).
We also conclude that a strictly biomedical education exacerbates maladaptive beliefs, and consequently results in inadequate activity recommendations.
Another recommended that the 'health status of the population be improved'; a non-specific recommendation inadequate to guide decision-making.
There is a substantial body of evidence on the efficacy of FLU in humans but this is inadequate for the recommendation of its off-label use in veterinary clinical practice.
Consequences of inadequate eating habits; Recommendation of adequate intake of nutrients; Health promotion strategies.
The materials will be developed around the following key messages: Consequences of inadequate eating habits; Recommendation of adequate intake of nutrients; Health promotion strategies.
Following the WHO/FAO recommendation, inadequate fruit and vegetable consumption in this study was defined as consuming less than five servings (or 400 grams) of fruits and vegetables per day, and adequate fruit and vegetable consumption was defined as consuming five or more servings of fruits and/or vegetables per day (3).
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