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Practice guidelines

Tarek Turk, Mohamed Tamer Elhady, Sherwet Rashed, Mariam Abdelkhalek, Somia Ahmed Nasef, Ashraf Mohamed Khallaf, Abdelrahman Tarek Mohammed, Andrew Wassef Attia, Purushottam Adhikari, Mohamed Alsabbahi Amin, Kenji Hirayama, Nguyen Tien Huy
BACKGROUND: Several influential aspects of survey research have been under-investigated and there is a lack of guidance on reporting survey studies, especially web-based projects. In this review, we aim to investigate the reporting practices and quality of both web- and non-web-based survey studies to enhance the quality of reporting medical evidence that is derived from survey studies and to maximize the efficiency of its consumption. METHODS: Reporting practices and quality of 100 random web- and 100 random non-web-based articles published from 2004 to 2016 were assessed using the SUrvey Reporting GuidelinE (SURGE)...
2018: PloS One
Stephen Birch, Myeong Soo Lee, Terje Alraek, Tae-Hun Kim
INTRODUCTION: As positive evidence emerges for the use of an intervention to treat a health problem, the intervention gradually becomes incorporated into treatment guidelines (TGs) or clinical practice guidelines (CPGs) that are related to that health problem. To assess whether this general hypothesis can apply to acupuncture, 96 health problems were identified for which positive conclusions in systematic reviews and meta-analyses regarding the effectiveness of acupuncture have been made and then searched for TGs or CPGs that have recommended the use of acupuncture...
June 18, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Abir Bouaoun, Latifa Ben Omrane, Mohamed Mogaadi, Wièm Douira Khomsi, Asma Zidi, Azza Hammou
The purpose of this study was to assess and analyze the radiation doses during head pediatric CT from different CT units within six Tunisian hospitals representing different geographic regions in order to optimize the dose given and minimize the radiology risk to this category of patients and towards the derivation of national diagnostic reference levels. Patient data and exposure parameters were collected for four age groups (<1, 1-5, 5-10 and 10-15 y). Clinical protocols and exposure settings were analyzed...
April 18, 2018: Radiation Protection Dosimetry
Angela Beatrice Scardovi, Renata De Maria
Peripartum cardiomyopathy (PPCM) is a relatively rare cardiac disease that manifests itself in the final stage of pregnancy and in the first months after delivery in women with no previous history of cardiovascular disease. The incidence of PPCM varies widely across geographic areas and seems to be on the rise as a result of increased awareness and socioeconomic changes. PPCM recognizes a still partially undefined multifactorial etiology. Various pathogenetic hypotheses have been proposed, that range from autoimmune mechanisms to myocarditis to the hormonal hypothesis for aberrant, antiangiogenic and cardiotoxic prolactin (PRL) production, apoptosis, prolonged exposure to tocolytic drugs, malnutrition and genetic predisposition...
April 2018: Giornale Italiano di Cardiologia
Donato Mele, Gabriele Pestelli, Andrea Luisi, Vittorio Smarrazzo, Filippo Trevisan, Roberto Ferrari
Echocardiography is the most commonly used technique for evaluating patients with mitral regurgitation (MR) and estimating MR severity. However, in clinical practice, echocardiographic assessment of MR severity remains challenging in many cases, particularly in patients with forms of intermediate or borderline severity. The main causes are the improper application of the echocardiographic methods for assessment of MR severity and the lack of a validated standardized approach for quantification of various types of MR, including organic and functional MR...
June 2018: Giornale Italiano di Cardiologia
Mario Vitali, Francesca Sorbo, Martino Mistretta, Giovanna Coriale, Marisa Patrizia Messina, Giovanni Alessandrini, Fabio Attilia, Claudia Rotondo, Simona Gencarelli, Roberta Ledda, Domenica Galli, Mauro Ceccanti
RIASSUNTO. Introduzione. La tutela della salute mentale in Italia, dopo la Legge Basaglia del 1978, è caratterizzata da trattamenti (di norma volontari) erogati da servizi centrati sulla comunità, che hanno allargato gli interventi al contesto di vita dell'individuo, alla sua rete di appartenenza e ai gruppi sociali di riferimento. La doppia diagnosi è definita dall'OMS come la «coesistenza nel medesimo individuo di un disturbo dovuto al consumo di sostanze psicoattive e di un altro disturbo psichiatrico»...
May 2018: Rivista di Psichiatria
Cynthia A Lien
No abstract text is available yet for this article.
July 2018: Anesthesia and Analgesia
Frode Kolstad, Harald Breivik
No abstract text is available yet for this article.
December 29, 2017: Scandinavian Journal of Pain
William Kromka, Michael Cameron, Ramin Fathi
BACKGROUND: Full-thickness skin grafting is a well-established technique in the reconstruction of various tissue defects and wounds. However, lack of uniformity in the procedure of closing and securing the grafts has led to a wide range of different techniques. OBJECTIVE: This article reviews the use of tie-over bolster dressings compared to basting sutures for the fixation and postsurgical immobilization of full-thickness skin grafts (FTSGs), discusses details of each method, and proposes a practice guideline for the closure of FTSGs...
June 1, 2018: Journal of Cutaneous Medicine and Surgery
N Kumar Tyagi, S Dhesy-Thind
Background: A number of clinical practice guidelines (cpgs) concerning breast cancer (bca) screening and management are available. Here, we review the strengths and weaknesses of cpgs from various professional organizations and consensus groups with respect to their methodologic quality, recommendations, and implementability. Methods: Guidelines from four groups were reviewed with respect to two clinical scenarios: adjuvant ovarian function suppression (ofs) in premenopausal women with early-stage estrogen receptor-positive bca, and use of sentinel lymph node biopsy (slnb) after neoadjuvant chemotherapy (nac) for locally advanced bca...
June 2018: Current Oncology
Claudia Friedl, Emanuel Zitt
Secondary hyperparathyroidism (sHPT) is a frequently occurring severe complication of advanced kidney disease. Its clinical consequences include extraskeletal vascular and valvular calcifications, changes in bone metabolism resulting in renal osteodystrophy, and an increased risk of cardiovascular morbidity and mortality. Calcimimetics are a cornerstone of parathyroid hormone (PTH)-lowering therapy, as confirmed by the recently updated 2017 Kidney Disease: Improving Global Outcomes chronic kidney disease - mineral and bone disorder clinical practice guidelines...
2018: Drug Design, Development and Therapy
Ahmad S Hersi, Yahya S Alhebaishi, Omar Hamoui, Taher Hassan, Adel Khalifa Hamad, Mohamed Magdy, Hani Sabbour, Sameh Shaheen
Clinical guidelines for the prevention of stroke in patients with nonvalvular atrial fibrillation (NVAF) are available from several international cardiology associations. Patients with NVAF in the Middle East and North Africa (MENA) region present unique challenges and opportunities related to differences in geography, practice patterns, and patient demographics that are as yet unaddressed in practice guidelines. This review aims to offer a practical perspective on the management of NVAF in patients in MENA and draws on evidence-based guidelines as well as real-world evidence and expert opinion...
April 2018: Journal of the Saudi Heart Association
Vidura Jayasinghe, Pk Buddhika Mahesh, Cmd Sooriaarachchi, Jimutha Jayalath, Weranga Karunarathne, S N Liyanage
Background and Aims: Non-adherence to standard fasting guidelines may result in perioperative complications. We aimed to determine the association between pre-operative over-fasting and post-operative vomiting amongst children undergoing bone marrow aspiration under general anaesthesia. Methods: A prospective cohort study was conducted from May 2015 to April 2016 in children undergoing bone marrow aspiration under general anaesthesia and their caregivers. Children fasted for ≥3 hours from last clear fluid intake constituted the exposed group ( n = 202) while children fasting for <3 h constituted the non-exposed group ( n = 202)...
May 2018: Indian Journal of Anaesthesia
Emily G Stokes, Roger Hughes, David M Shaw, Helen T O'Connor, Kathryn L Beck
Sports nutrition recommendations provide guidance on dietary strategies to optimise sports performance. However, research indicates that young athletes often find it difficult to follow these guidelines in practice. Limited research exists on the determinants that influence adherence to sports nutrition guidelines. This study aimed to explore the perceptions and determinants of eating for health and performance in high-level male adolescent rugby union players. Determinants were explored using semi-structured individual interviews in New Zealand high-level male rugby union players ( n = 20, 16⁻18 years)...
May 28, 2018: Sports (Basel)
Fabian Lamster, Matthias Jäger
Psychotherapy of psychotic disorders Abstract. The efficacy of psychotherapy for individuals with psychotic disorders is well documented and its implementation is recommended by international guidelines. Goals of psychotherapeutic interventions are reduction of symptoms, prevention of relapse, improvement of cognitive, emotional and social functioning, social integration and participation, and enhancement of quality of life as well as self-perception. Cognitive-behavioral and family interventions, cognitive and social trainings as well as psychoeducation are particularly recommended according to the literature...
June 2018: Therapeutische Umschau. Revue Thérapeutique
Nadia M Fida, Mohammed Hassanien, Muhammad Shahid Shamim, Reem Alafari, Rania Zaini, Shagufta Mufti, Abdulmonem Al-Hayani, Mohammed Farouq, Hassan Al-Zahrani
BACKGROUND: Medical education has a longstanding tradition of using logbooks to record activities. The portfolio is an alternative tool to document competence and promote reflective practice. This study assessed the acceptance of portfolio use among Saudi undergraduate medical students. METHODS: Portfolios were introduced in the 2nd through 5th years at King Abdulaziz University over a two-year period (2013-2015). At the end of each academic year, students completed a mixed questionnaire that included a self-assessment of skills learned through the use of portfolio...
June 17, 2018: Medical Teacher
Wen-Yi Yang, Lutgarde Thijs, Zhen-Yu Zhang, Kei Asayama, José Boggia, Tine W Hansen, Takayoshi Ohkubo, Jørgen Jeppesen, Katarzyna Stolarz-Skrzypek, Sofia Malyutina, Edoardo Casiglia, Yuri Nikitin, Yan Li, Ji-Guang Wang, Yutaka Imai, Kalina Kawecka-Jaszcz, Eoin O'Brien, Jan A Staessen
BACKGROUND: Guidelines on the required number of ambulatory blood pressure (ABP) readings focus on individual patients. Clinical researchers often face the dilemma of applying recommendations and discarding potentially valuable information or accepting fewer readings. METHODS: Starting from ABP recordings with ≥30/≥10 awake/asleep readings in 4277 participants enrolled in eight population studies in the International Database on Ambulatory Blood Pressure in Relation to Cardiovascular Outcomes (IDACO), we randomly selected a certain number of readings (from 30 to 1 awake and 10 to 1 asleep readings) at a time over 1000 bootstraps at each step...
June 17, 2018: Blood Pressure
David F Chang, Nick Mamalis
These Guidelines for the Cleaning and Sterilization of Intraocular Surgical Instruments were written by the Ophthalmic Instrument Cleaning and Sterilization (OICS) Task Force, comprised of representatives of the American Society of Cataract and Refractive Surgery, the American Academy of Ophthalmology, and the Outpatient Ophthalmic Surgery Society. These consensus subspecialty guidelines include evidence-based recommendations regarding issues that may be unique to the cleaning and sterilization of intraocular instrumentation...
June 13, 2018: Journal of Cataract and Refractive Surgery
Charles Guenancia, Rodrigue Garcia
Why? The potential risks of sport for an ICD recipient include appropriate and inappropriate shocks, device damage and worsening of the underlying cardiopathy. These risks should be compared to the physical and psychological benefits of exercise. Where? Due to different medico-legal contexts and considering the results of recent studies, the new US guidelines are more permissive than the European guidelines regarding sport practice in ICD recipients. Who? The underlying context (structural or electrical cardiopathy, psychological impact) should be assessed before any decision is taken...
June 13, 2018: La Presse Médicale
A V J Rozeboom, L T Klumpert, M Koutris, L Dubois, C M Speksnijder, F Lobbezoo, J de Lange
The treatment of mandibular condyle fractures has been the subject of considerable discussion, especially whether open or closed treatment should be used. There is a need for practical,evidence-based guidelines, and both objective and subjective parameters should be measured. To date, fewstudies have considered clinically relevant subjective parameters. This study was performed to evaluate the outcomes of the treatment of condylar fractures using the Mandibular Function Impairment Questionnaire (MFIQ) and the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and to compare the outcomes of open and the closed treatment...
June 13, 2018: International Journal of Oral and Maxillofacial Surgery
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