Exclusion Criteria: - Patients with other autoimmune diseases (diabetes. Inclusion Criteria: The patients older than 15 years,diagnosed with systemic lupus erythematous (SLE) according to ACR(American College of Rheumatology) criteria. Patients in placebo group receive daily dose of 1000 mg cellulose in the form of 2 capsules (500 mg) for three months Patients are given daily dose of 1000mg aqueous green tea extract (of 6 grams of dried green tea leaf) in the form of 2 capsules( 500 mg) for three months. The questionnaires filled out at baseline and after 3 month. The investigators used SLEDAI (systemic lupus erythematous disease activity index ) questionnaire for evaluating the clinical signs of the disease. Also in control group, the patients were given daily dose of 1000mg of cellulose in form of two capsules ( 500 mg) Variables include SLE disease activity, some biomarkers of inflammation and oxidative stress and anthropometric indicators at baseline and end of the study. The patients in intervention group were given daily dose of 1000mg of aqueous green tea extract (of 6 gram of dried green tea leaf) in form of two capsules ( 500 mg).
Clinical microsystem greenbooks trial#
This randomized double blind clinical trial performed on 68 patients (32 in intervention and 36 in control group) diagnosed with SLE. A "green-belt curriculum" can help clinical staff members acquire the fundamental knowledge and skills that they will need to master if they are to increase their capacity to attain higher levels of performance uses action-learning theory and sound education principles to provide the opportunity to learn, test, and gain some degree of mastery and involves people in the challenging real work of improving.The Effect of Green Tea Extract on Some Inflammatory Biomarkers(IL 6, IL1β,TNF α,CRP), Serum Total Antioxidant Capacity(TAC), MDA and Disease Activity in Patients With Systemic Lupus ErythematousĪhvaz Jundishapur University of Medical Sciences
A MODEL CURRICULUM: Health system leaders can sponsor an action-learning program to catalyze development of clinical microsystems.
Related evolutionary principles begin with the intention to excel, involve all the players, use measurement and feedback, and create a learning system.Ī microsystem's typical developmental journey toward excellence entails five stages of growth-awareness as an interdependent group with the capacity to make changes, connecting routine daily work to the high purpose of benefiting patients, responding successfully to strategic challenges, measuring the microsystem's performance as a system, and juggling improvements while taking care of patients.
Clinical microsystem greenbooks series#
This last Microsystems in Health Care series article focuses on what it takes, in the short term and long term, for clinical microsystems-the small, functional, front-line units that provide the most health care to the most people-to attain peak performance.Ī case study featuring the intensive care nursery at Dartmouth-Hitchcock Medical Center illustrates the 10-year evolution of a clinical microsystem.
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