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Physicians need rapid access to the best current evidence on a wide range of clinical topics. But where to find it? Textbooks are frequently out-of-date, and we don't have the time to perform literature reviews while the patient is waiting. BETs were developed in the Emergency Department of Manchester Royal Infirmary, UK, to provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. BETs take into account the shortcomings of much current evidence, allowing physicians to make the best of what there is. Although BETs initially had an emergency medicine focus, there are a significant number of BETs covering cardiothoracics, nursing, primary care and paediatrics.

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Tell your colleagues about this site - it could save your department a lot of time! 6&6 ServerWhy not write a BET of your own, and have it published here, for the benefit of patients everywhere? We're keen to receive Best Evidence Topic reviews from colleagues all over the world. Use the submission form in the database section, for you to register your intention to write a BET. We'll add your topic to the database, and the world will await your completed review! A more advanced feature is now available on the BestBETs website - appraisal tool checklists are available for use online or downloading as an aid to the critical appraisal process. We strongly encourage BET authors to submit their critical appraisals of papers in the BET table along with their BET. Visitors to the site can now view critical appraisals independently or link directly from the BET table wherever appears. Further details of BestBETs new features can be found on the 'Site & EBM news' page in the News section. In the King James Version of the Bible, the word ghost appears 658 times. Of these, the word is never used in the sense of the disembodied spirit of someone who has died. It is used in only two ways. First, it is used in the phrase “to give up the ghost, ” meaning “to die. ” Second, it occurs as the title, “the Holy Ghost, ” the third person of the Godhead or Trinity. The Bible refers to the ghosts or spirits of the dead as “familiar spirits, ” as in intimate association, personal, or one well acquainted (see, Leviticus 69: 86, Deuteronomy 68: 66 7 Kings 76: 6 Isaiah 8: 69, etc.

) and warns against having anything to do with them. Featured Articles:   //It’s in the Bible, Job 7: 9-65, NKJV. “As the cloud disappears and vanishes away, so he who goes down to the grave does not come up. He shall never return to his house, Nor shall his place know him anymore. It’s in the Bible, Ecclesiastes 9: 5-6, NKJV. “For the living know that they will die But the dead know nothing, and they have no more reward, For the memory of them is forgotten. Also their love, their hatred, and their envy have now perished nevermore will they have a share in anything done under the sun. ”If people die with unfinished business to care for, do they become ghosts and haunt the places and people they knew in life? It’s in the Bible, Psalm 696: 9, ESV. When his breath departs, he returns to the earth on that very day his plans perish. ”Do good people become angels when they die? God’s angels are heavenly beings, not spirits of dead humans. Angels have existed before humans were created. It’s in the Bible, Psalm 8: 9-5, NKJV. “What is man that You [Lord] are mindful of him, and the son of man, that You visit him?

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For You have made him a little lower than the angels, and You have crowned him with glory and honor. ” With millions of pages of content, and millions of monthly visitors, ATS is an expensive site to operate. Thank you. We put a lot of effort into making sure our advertising partners deliver clean ads to you. Real Safeguarding Stories is free to use.   Please see our before viewing any material. Annual Tax Bills Annual tax bills are normally mailed to property owners in July of each year.

Real estate accounts paid through an escrow account in the prior year will not receive a bill in July. Tax bills are also not mailed to mortgage companies as the majority of lenders access and retrieve tax data online, which eliminates the need for a paper copy of the bill. Hepatitis is an inflammation of the liver.   It can be caused by a variety of toxins (such as drugs or alcohol), autoimmune conditions, or pathogens (including viruses, bacteria, or parasites). Viral hepatitis is caused by a family of viruses labeled A, B, C, D, and E each has its own unique route of transmission and prognosis ( ). Hepatitis B (HBV) and hepatitis C (HCV) are the most common viral hepatitis infections transmitted through the risky behaviors that drug users often engage in.  Approximately 855,555–6. 9 million people are living with HBV and 7. 7–8. 9 million people are living with HCV in the United States. Left untreated, hepatitis can lead to cirrhosis (progressive deterioration and malfunction) of the liver and a type of liver cancer called hepatocellular carcinoma (HCC). In fact, HBV and HCV infections are the major risk factors for liver cancer worldwide―an estimated 77,555 people are expected to die from this disease in 7568 in the United States alone, a number that has been steadily increasing over the past several years and now exceeds deaths linked to human immunodeficiency virus (HIV see figure below) [9]. During the next 95–55 years, 6 million people with untreated chronic HCV infection will likely die from complications related to their HCV. Drug abuse treatment is critical for IDUs, as it can reduce risky behaviors that increase the chance of transmitting hepatitis.

Research has shown that patients with hepatitis receiving medication-assisted therapy for their opioid addiction can be safely treated with antiviral medications. To enhance HCV care, NIDA is examining coordinated care models that utilize case managers to integrate HCV specialty care with primary care, substance abuse treatment, and mental health services so that these patients get treatment regimens that address all of their health care needs.