However, in our setting, in the absence of an alternative test, presumptive treatment would generally be given to all suspected cases resulting in unnecessary malaria treatment and missed opportunities to detect and treat the actual cause of the febrile illness.
Such research would need to consider targeted delivery to high-risk groups such as primiparous women, screening as an alternative to presumptive treatment, and the relative cost-effectiveness of other maternal health interventions such as provision of essential obstetric care.
The included trials were all conducted in first-level health facilities in rural areas of Africa, where the majority of malaria cases occur, and where RDTs offer the only feasible alternative to presumptive treatment of malaria based on clinical symptoms alone.
Johnson and Weld offer a (to borrow a phrase from this election season) YUGE alternative to the presumptive Republican nominee, businessman Donald Trump, as well as the Democrat's presumptive nominee, former Secretary of State Hillary Clinton, and could potentially be an electoral threat as well, as the party is on track to be on the ballot in all 50 states in November.
Poorly organized and without an alternative to the presumptive nominee, they had nonetheless hoped to gain some concessions during last week's meeting of the convention rules committee.
Kasich suspended his presidential campaign earlier this month after failing to break through among Republican voters as a moderate alternative to the perceived extremes of presumptive nominee Donald Trump and his closest challenger, Texas senator Ted Cruz.
The national Republican party is cracking up the fastest, with Donald Trump the presumptive nominee and the much-hated Ted Cruz the only alternative.
The alternative, he said, is a guaranteed victory for presumptive Democratic presidential nominee Hillary Clinton -- and the loss of Republican control of both houses of Congress.
Thrombocytopenia with microangiopathic haemolytic anaemia (peripheral non-autoimmune anaemia with schizocytes) and no alternative diagnosis is considered sufficient to establish a presumptive diagnosis of TMA.
As with the other presumptive limits established in this guideline, you may determine that an alternative level of control is appropriate based on your consideration of the relevant statutory factors.
