A cohort of 446 763 individuals including 61 460 with acute myocardial infarction was acquired. Taking any dose of NSAIDs for one week, one month or more than a month was associated with an increased risk of myocardial infarction. With use for one to seven days, the probability of increased myocardial infarction risk (posterior probability of odds ratio >1.0) was 92% for celecoxib, 97% for ibuprofen, and 99% for diclofenac, naproxen, and rofecoxib. The corresponding odds ratios (95% credible intervals) were 1.24 (0.91 to 1.82) for celecoxib, 1.48 (1.00 to 2.26) for ibuprofen, 1.50 (1.06 to 2.04) for diclofenac, 1.53 (1.07 to 2.33) for naproxen, and 1.58 (1.07 to 2.17) for rofecoxib. Greater risk of myocardial infarction was documented for the higher dose of NSAIDs. With use for longer than one month, risks did not appear to exceed those associated with shorter durations.
About this course: Learn to provide psychological first aid to people in an emergency by employing the RAPID model: Reflective listening, Assessment of needs, Prioritisation, Intervention, and Disposition. This specialized course provides perspectives on injuries and trauma that are beyond those physical in nature. The RAPID model is readily applicable to public health settings, the workplace, the military, faith-based organisations, mass disaster venues, and even the demands of more commonplace critical events, e.g., dealing with the psychological aftermath of accidents, robberies, suicide, homicide, or community violence. In addition, the RAPID model has been found effective in promoting personal and community resilience.
Participants will increase their abilities to:
– Discuss key concepts related to PFA
– Listen reflectively
– Differentiate benign, non-incapacitating psychological/ behavioural crisis reactions from more severe, potentially incapacitating, crisis reactions
– Prioritize (triage) psychological/ behavioral crisis reactions
– Mitigate acute distress and dysfunction, as appropriate
– Recognise when to facilitate access to further mental health support
– Practice self-care
Your profession should not limit you from pursuing your passion. I am a banker and a first responder at DTB along Mombasa road. Even when in the office, in case there is an accident, the guards and my colleagues alert me and I attend to the casualty. My work is to give first aid and arrange for transportation of the casualty to the hospital either by our service providers or good samaritans. I do this not only at my workplace, but wherever I go, as I always carry my first aid kit with me. It’s my passion and will always do it as long as I am in this world.
Assistant Manager, Operations Department
Diamond Trust Bank (DTB)