SYNOPSIS Medication is a major, often primary treatment modality used in the management of headache. However,even the most thorough and well designed therapeutic regimen with appropriate medication will failwithout patient compliance. This study was designed to evaluate compliance among headache patientsbeing treated with prescribed medication. One hundred consecutive new outpatients presenting to aheadache clinic were interviewed extensively in regard to their use of prescribed medication.Fifty‐two patients (52%) were initially determined to be non‐compliant with their medication. Ten patientswho were initially considered compliant were noted to be non‐compliant during a three month follow‐upperiod. Significant in this number were three medication abusers and two alcoholics. Reasons fornon‐compliance varied widely. Age, sex, educational level and headache diagnosis were not predictive foreither compliance or non‐compliance.Discussion centers on the importance of a detailed history of medication use in headache patients,reasons for non‐compliance, and recommendations to assist compliance among headache patients.
The invasive New Zealand mudsnail Potamopyrgus antipodarum is now well established in rivers in the western United States and is rapidly expanding its range. Potamopyrgus antipodarum is most likely to be spread to new waters via contaminated equipment. To assess a possible method for controlling their spread, we conducted a desiccation and freezing experiment on seven size-classes of P. antipodarum to determine mortality at different temperatures and low or high humidity. Our results show that P. antipodarum does not survive freezing or desiccation at high temperatures with low humidity. At all temperatures, larger P. antipodarum generally survived desiccation longer than smaller ones, and for all size-classes mortality generally increased with increased exposure time. We recommend thoroughly freezing or drying potentially contaminated equipment to limit the spread of P. antipodarum to uninfected aquatic ecosystems.
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