Background: The effectiveness of inhaled salbutamol in routine care depends particularly on prescribed dosage and applied inhalation technique. To achieve maximum effectiveness and to prevent drug-related problems, prescription and administration need to work in concert. Methods: We performed a controlled intervention pilot study with 4 consecutive groups in a general paediatric unit and assessed problems in salbutamol prescribing and administration. Control group [i]: Routine care without additional support. First intervention group [ii]: We carried out a teaching session for nurses aimed at preventing problems in inhalation technique. Independently from this, a pharmacist counselled physicians on problems in salbutamol prescribing. Second intervention group [iii]: Additionally to the first intervention, physicians received standardised feedback on the inhalation technique. Follow-up group [iv]: Subsequently, without any delay after the second intervention group had been completed, sustainability of the measures was assessed. We performed the chi-square test to calculate the level of significance with p ≤ 0.05 to indicate a statistically significant difference for the primary outcome. As we performed multiple testing, an adjusted p ≤ 0.01 according to Bonferroni correction was considered as significant. Results: We included a total of 225 patients. By counselling the physicians, we reduced the number of patients with problems from 55% to 43% (control [i] vs. first intervention [ii], n.s.). With additional feedback to physicians, this number was further reduced to 25% ([i] vs. [iii], p < 0.001). In the follow-up [iv], the number rose again to 48% (p < 0.01 compared to feedback group). Conclusions: Teaching nurses, counselling physicians, and providing feedback on the quality of inhalation technique effectively reduced problems in salbutamol treatment. However, for success to be sustained, continuous support needs to be provided. Trial registration: German Clinical Trials register: DRKS00006792.

Ob als Sonntagsbraten oder als willkommene Abwechslung auf dem Grill: Wild aus der Region ist zu jeder Jahreszeit von Natur aus ein Genuss und eine ebenso gesunde wie köstliche Alternative zu Rind oder Schwein. Redaktionsschluss: 30. März 2015

Background: The effectiveness of inhaled salbutamol in routine care depends particularly on prescribed dosage and applied inhalation technique. To achieve maximum effectiveness and to prevent drug-related problems, prescription and administration need to work in concert. Methods: We performed a controlled intervention pilot study with 4 consecutive groups in a general paediatric unit and assessed problems in salbutamol prescribing and administration. Control group [i]: Routine care without additional support. First intervention group [ii]: We carried out a teaching session for nurses aimed at preventing problems in inhalation technique. Independently from this, a pharmacist counselled physicians on problems in salbutamol prescribing. Second intervention group [iii]: Additionally to the first intervention, physicians received standardised feedback on the inhalation technique. Follow-up group [iv]: Subsequently, without any delay after the second intervention group had been completed, sustainability of the measures was assessed. We performed the chi-square test to calculate the level of significance with p ≤ 0.05 to indicate a statistically significant difference for the primary outcome. As we performed multiple testing, an adjusted p ≤ 0.01 according to Bonferroni correction was considered as significant. Results: We included a total of 225 patients. By counselling the physicians, we reduced the number of patients with problems from 55% to 43% (control [i] vs. first intervention [ii], n.s.). With additional feedback to physicians, this number was further reduced to 25% ([i] vs. [iii], p < 0.001). In the follow-up [iv], the number rose again to 48% (p < 0.01 compared to feedback group). Conclusions: Teaching nurses, counselling physicians, and providing feedback on the quality of inhalation technique effectively reduced problems in salbutamol treatment. However, for success to be sustained, continuous support needs to be provided. Trial registration: German Clinical Trials register: DRKS00006792.

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Nicht nur zur Weihnachtszeit steht Wild aus heimischen Wäldern bei den sächsischen Köchen hoch im Kurs. Die Zubereitung von Wildfleisch ist gar nicht schwer. Als kleine Anregung bieten wir ausgewählte Gerichte an, die Ihnen die Vielfalt der Zubereitung bei einfacher Umsetzung näherbringen. Außerdem stellen wir jagdbare Wildarten vor und geben Antworten auf häufige Fragen rund um die Zubereitung von Wild. Probieren Sie doch die Rezepte einfach mal aus! Redaktionsschluss: 15.11.2021

Aus der Natur auf den Tisch – mit Rezeptvorschlag. Redaktionsschluss: 30.09.2015

Das Buch ediert den Text einer Rezeptsammlung, die in den Jahren 1898/99 in der Küche des Prinzen Friedrich August von Sachsen aufgeschrieben wurde. Zudem erläutert eine ernährungshistorische Abhandlung die Charakteristika der Dresdner Hofküche, die pars pro toto für die feine Küche in Deutschland um 1900 steht. Damit wird erstmals in einer neueren Studie das hohe kulinarische Niveau dokumentiert, das es vor dem Ersten Weltkrieg in Deutschland gab und das neben der Industrialisierung der Ernährung bislang kaum beachtet wurde.

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