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Trials have not applied randomized methods to compare whether disul ram is more effective when combined with some psychosocial treatments rather than others. The largest treatment effect size in the disul ram literature (although in a small sample of 42 patients) was seen by Azrin (1976) in a study in which supervised disul ram was added to community reinforcement therapy (see Bigelow, 2001 and 1, this volume.) and marital behavioural therapy. Azrin found almost 100% abstinence over 2 years in the 20 disul ram patients. In the studies of Azrin and colleagues (Azrin, 1976; Azrin et al., 1982), when disul ram was shown to produce an added advantage, it had been part of a contract and ingestion was supervised. Duckert & Johnsen (1987) studied the use of disul ram combined with a behaviour therapy approach which permitted patients to choose their own goals, including controlled drinking . Some patients used the disul ram intermittently, and interspersed this with drinking; some patients used it to deal with high-risk situations they had identi ed in the psychological therapy. Compared to non-users of disul ram, users consumed signi cantly less alcohol by the end of the study. Disul ram has been used with apparent success with acamprosate (see below), in a study where random allocation was made to either acamprosate or placebo, and some patients also chose to take disul ram. The longest time to relapse was seen in patients taking both drugs (Besson et al., 1998).

The Back up computer button in the Backup and Restore Center backs up everything on your primary hard disk (drive C:). That includes Windows Vista and all of your installed programs. That backup takes considerably more time and storage space than a file backup. But it offers the advantage of being able to recover everything in the event of a disaster that makes your hard disk inoperable. A complete PC backup is also different from a file backup in that it doesn t allow you to restore only specific lost files. It s an all-or-none thing. The most common use is to make a brand-new empty replacement hard disk contain exactly the same stuff that was on the old hard disk the last time you made a backup. You don t need to back up your entire PC often, because the vast majority of files in your Windows and Program Files folders rarely, if ever, change. How often you back up is entirely up to you. The usual recommendation is every six months. To back up your entire hard disk, click the Back up computer button. A wizard opens to take you through the process step by step. You ll need to choose where you want to place your backup image. If your primary hard drive is partitioned into multiple logical drives, you can choose in include or exclude those. Just make your selections and click Next on each page. When you ve finished, the backup will begin. It will run in the background so you can continue to use your computer during the backup process.

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Avoid This One Mistake Lea ng through his interview notes, Eric stared at the lines, arrows, and keywords that lled the pages. But he sensed that he was missing something important. During the interview, he certainly learned a lot, but he didn t have enough detail. From the information he had, he could not construct a complete picture of his interviewee s area of responsibilities, which he knew he had to have. Eric s predicament is a common occurrence. You feel good when you wrap up an interview, but later nd holes in the information you need. Many interviewees keep the conversation at a high level for fear of swamping you with detail or having to spend the afternoon explaining every last nuance to you. It s your responsibility to nd the middle ground

Surgical wounds are, by their very nature, premeditated wounds. This allows the surgeon to attempt to reduce any risks of complication to a minimum. However, as increasingly sophisticated surgery is performed, often on relatively elderly patients, complications are still a hazard. One aspect of nursing care is to monitor the progress of the wound, so that there is early identi cation of any problems.

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