Chronic inflammatory response syndrome: a review of the evidence of clinical efficacy of treatment.

Chronic Inflammatory Response Syndrome (CIRS) is an acquired medical condition characterized by innate immune dysregulation following respiratory exposure to water-damaged buildings (WDB). This chronic syndrome involves a range of symptoms that simultaneously affecting multiple organ systems. The purpose of this literature review was to search the published literature for successful treatments for chronic inflammatory response syndrome, an under-recognized, underdiagnosed, multisymptom multisystem illness that can affect up to 25% of the population, thus representing a silent epidemic.

Development of a culturally enhanced caregiver-facilitated language nutrition intervention "+Language is Medicine" to address developmental delay in Diné (Navajo) toddlers.

Introduction: Developmental Delay (DD) is highly common in American Indian and Alaska Native (AI/AN; Indigenous) toddlers and leads to high numbers of AI/AN children who eventually need special education services. AI/AN children are 2.89 times more likely to receive special education compared to other children in the U.

Quality improvement project: Optimal post-void residual urine volume to guide intermittent catheterization in hospitalised older persons with acute retention of urine.

Introduction: There is no consensus on the optimal postvoid residual urine volume (PVRU) as a cut-off value prior to performing intermittent catheterisation (IMC). We did a quality improvement project to determine a reasonable PVRU for use in the hospital setting.

Materials And Methods: All patients admitted to the five geriatric medicine wards in a geriatric department over a 5- month period who developed acute retention of urine were included in the project.