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https://www.readbyqxmd.com/read/30516646/management-of-intracranial-haemorrhage-unruptured-aneurysms-and-arteriovenous-malformations-during-and-after-pregnancy
#1
Monica Acciarresi, Riccardo Altavilla, Maria G Mosconi, Valeria Caso
PURPOSE OF REVIEW: The absolute risk of pregnancy-associated intracranial haemorrhage (ICH) has been reported to be relatively low and often associated with high risks of life-long disabilities and mortality. The aim of this narrative review was obtaining a better understanding of the current management practices for ICH, unruptured aneurysms and/or arteriovenous malformations during pregnancy, as well as the effects of future pregnancies, and the uses of oral contraceptive or HRT. RECENT FINDING: General guidelines for the management of ICH are used for pregnant women but additional expedient and thorough evaluation of foetal viability and its gestational age are requested...
November 30, 2018: Current Opinion in Neurology
https://www.readbyqxmd.com/read/30516495/visceral-gnathostomiasis-with-simultaneous-damage-to-the-upper-and-lower-parts-of-the-gastrointestinal-tract
#2
V Shypulin, A Neverovskyi, V Cherniavskyi, A Puzyrenko
In this article, we described a rare atypical clinical case of tropical helminthiasis - a visceral gnathostomiasis with simultaneous damage of the upper and lower parts of the gastrointestinal tract. The visceral form is the rarest variant and among the literary data, only single cases of this form are described in the world. Therefore the management of such patients requires an individual and balanced approach since it is almost impossible to predict the consequences of any medical interventions. This determines the clinical uniqueness of this case and requires further research of clinical guidelines for the management of such injuries...
October 2018: Georgian Medical News
https://www.readbyqxmd.com/read/30511044/comparison-of-guidelines-for-the-management-of-rectal-cancer
#3
E Luzietti, G Pellino, S Nikolaou, S Qiu, S Mills, O Warren, P Tekkis, C Kontovounisios
A comparison between NCCN, ESMO and JSCCR Guidelines is presented, concerning the treatment of rectal cancer, with an analysis and discussion of their discrepancies. Differences indicate areas for research.
December 2018: BJS open
https://www.readbyqxmd.com/read/30508852/-2018-esc-esh-guidelines-for-the-management-of-arterial-hypertension-what-s-new-with-regard-to-our-older-people
#4
Ute Hoffmann, Jan-Marc Thrun
In the "2018 ESC/ESH Guidelines for the management of arterial hypertension" there are new blood pressure (BP) recommendations with regard to older patients based on randomized controlled trials and well-conducted meta-analyses performed during the last years.It is recommended to base the diagnosis of hypertension on repeated office BP measurements under standardized conditions and in older people in out-of-office BP measurement with ABPM and/or HBPM if logistically and economically feasible. Furthermore lying and standing BP measurements should also be considered in subsequent visits in older people to exclude orthostatic hypotension...
December 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/30505491/risk-stratification-of-severe-aortic-stenosis-according-to-new-guidelines-long-term-outcomes
#5
Andrea Colli, Eleonora Bizzotto, Laura Besola, Dario Gregori, Francesca Toto, Erica Manzan, Gino Gerosa
Background: Current ESC and ACC/AHA guidelines for the management of valvular heart disease assign a class Ia indication for aortic valve replacement (AVR) only to patients with symptomatic severe aortic valve stenosis and asymptomatic patients with depressed left ventricular ejection fraction (LVEF <50%) or positive exercise test. We examined the long-term outcomes for patients undergoing AVR for aortic stenosis over a 11-year period at our institution compared to current international guidelines for AVR...
October 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/30499924/2018-esc-esh-guidelines-for-the-management-of-arterial-hypertension-erratum
#6
(no author information available yet)
No abstract text is available yet for this article.
January 2019: Journal of Hypertension
https://www.readbyqxmd.com/read/30497191/analysis-of-high-frequency-pbto2-measures-in-traumatic-brain-injury-insights-into-the-treatment-threshold
#7
(no author information available yet)
OBJECTIVEBrain tissue hypoxia is common after traumatic brain injury (TBI). Technology now exists that can detect brain hypoxia and guide corrective therapy. Current guidelines for the management of severe TBI recommend maintaining partial pressure of brain tissue oxygen (PbtO2) > 15-20 mm Hg; however, uncertainty persists as to the optimal treatment threshold. The object of this study was to better inform the relationship between PbtO2 values and outcome for patients with TBI.METHODSPbtO2 measurements were prospectively and automatically collected every minute from consecutive patients admitted to the San Francisco General Hospital neurological ICU during a 6-year period...
October 1, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/30485913/tackling-undernutrition-in-the-asian-healthcare-setting-a-southeast-asian-expert-consensus
#8
Doris Hui Lan Ng, Albert Albay, Samuel Teong Huang Chew, Carole Glencorse, Jesus Fernando Inciong, Nguyen Viet Quynh Thu, Veeradej Pisprasert, Siti Setiati, Maw Pin Tan, Ling Hui Claytor
BACKGROUND AND OBJECTIVES: Malnutrition is under-recognized and under-treated in Asia due to resource constraints, lack of awareness and knowledge among healthcare professionals and patients, and lack of standardized procedures for malnutrition management. While international guidelines for the management of malnutrition are available, they may not be easily applicable to the patient population and healthcare settings within Southeast Asia. This paper provides consensus recommendations, developed by the Regional Nutrition Working Group, to foster evidence-based nutritional care in Southeast Asia to improve patient outcomes...
2018: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/30483721/clinical-practice-guidelines-for-the-management-of-brain-tumours-a-rehabilitation-perspective
#9
Woo-Jin Kim, Klara Novotna, Bhasker Amatya, Fary Khan
OBJECTIVE: To critically appraise published clinical practice guidelines (CPGs) for brain tumours, and to synthesize evidence-based recommendations from a rehabilitation perspective. METHODS: A comprehensive literature search included: health science databases, CPG clearinghouse/developer websites, and grey literature up to March 2018. All brain tumour CPGs that reported systematic methods for evidence search, and clearly defined recommendations supporting evidence for rehabilitation interventions were included...
November 28, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/30482703/review-of-the-2017-european-society-of-cardiology-s-guidelines-for-the-management-of-acute-myocardial-infarction-in-patients-presenting-with-st-segment-elevation-and-focused-update-on-dual-antiplatelet-therapy-in-coronary-artery-disease-developed-in-collaboration
#10
REVIEW
https://www.readbyqxmd.com/read/30482370/sport-related-injury-and-pain-classification
#11
Ilya Igolnikov, Rollin M Gallagher, Brian Hainline
Pain is common in athletes, and pain management in sport has traditionally been equated with injury management. Although both pain and injury interfere with sport performance, they are not synonymous. Acute musculoskeletal injury commonly manifests as nociceptive pain, inflammatory pain, or both. Pain that persists beyond expected injury recovery must account for all potential contributors to pain, including ongoing biomechanical abnormalities, underlying pathophysiology, and psychosocial issues. Pain chronification involves multiple pathophysiologic and neurobehavioral processes that lead from acute injury-related pain to subacute and chronic pain, and must be distinguished from an ongoing biomechanical overuse pattern...
2018: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/30478244/revised-american-thyroid-association-guidelines-for-the-management-of-medullary-thyroid-carcinoma
#12
(no author information available yet)
No abstract text is available yet for this article.
November 26, 2018: Pediatrics
https://www.readbyqxmd.com/read/30477407/replacing-hospital-based-epilepsy-clinics-with-rural-epilepsy-clinics-and-education-in-uganda-impact-on-attendance
#13
Christopher Harris, Bwambale George, Unity Harris, Mary Munyagwa, Anne Greenough
BACKGROUND: A high proportion of the Ugandan population with epilepsy receive no treatment. AIM: To determine whether introduction of an agreed multidisciplinary guideline and establishment of a local clinic outside the hospital and four rural satellite clinics improved attendance and follow-up by children with epilepsy in Western Uganda. METHODS: A multidisciplinary team from Kagando Hospital, Kasese, south-west Uganda created a guideline for the management of epilepsy...
November 27, 2018: Paediatrics and International Child Health
https://www.readbyqxmd.com/read/30475956/pan-asian-adapted-esmo-clinical-practice-guidelines-for-the-management-of-patients-with-metastatic-gastric-cancer-a-jsmo-esmo-initiative-endorsed-by-csco-ksmo-mos-sso-and-tos
#14
K Muro, E Van Cutsem, Y Narita, G Pentheroudakis, E Baba, J Li, M-H Ryu, W I Wan Zamaniah, W-P Yong, K-H Yeh, K Kato, Z Lu, B C Cho, I M Nor, M Ng, L-T Chen, T E Nakajima, K Shitara, H Kawakami, T Tsushima, T Yoshino, F Lordick, E Martinelli, E C Smyth, D Arnold, H Minami, J Tabernero, J-Y Douillard
The most recent version of the European Society for Medical Oncology (ESMO) Clinical Practice Guidelines for the diagnosis, treatment and follow-up of gastric cancer was published in 2016, and covered the management and treatment of local, locoregional, locally advanced and metastatic disease. At the ESMO Asia Meeting in November 2017 it was decided by both ESMO and The Japanese Society of Medical Oncology (JSMO) to convene a special guidelines meeting immediately after the JSMO Annual Meeting in 2018. The aim was to adapt the ESMO 2016 guidelines to take into account the ethnic differences associated with the treatment of metastatic gastric cancer (mGC) in Asian patients...
November 22, 2018: Annals of Oncology: Official Journal of the European Society for Medical Oncology
https://www.readbyqxmd.com/read/30475943/pan-asian-adapted-esmo-clinical-practice-guidelines-for-the-management-of-patients-with-metastatic-oesophageal-cancer-a-jsmo-esmo-initiative-endorsed-by-csco-ksmo-mos-sso-and-tos
#15
K Muro, F Lordick, T Tsushima, G Pentheroudakis, E Baba, Z Lu, B C Cho, I M Nor, M Ng, L-T Chen, K Kato, J Li, M-H Ryu, W I Wan Zamaniah, W-P Yong, K-H Yeh, T E Nakajima, K Shitara, H Kawakami, Y Narita, T Yoshino, E Van Cutsem, E Martinelli, E C Smyth, D Arnold, H Minami, J Tabernero, J-Y Douillard
The most recent version of the European Society for Medical Oncology (ESMO) Clinical Practice Guidelines for the diagnosis, treatment and follow-up of oesophageal cancer was published in 2016, and covered the management and treatment of local/locoregional disease, limited disease, locally advanced disease and the management of advanced/metastatic disease. At the ESMO Asia Meeting in November 2017 it was decided by both ESMO and the Japanese Society of Medical Oncology (JSMO) to convene a special guidelines meeting immediately after the JSMO Annual Meeting in 2018...
November 22, 2018: Annals of Oncology: Official Journal of the European Society for Medical Oncology
https://www.readbyqxmd.com/read/30474104/bone-targeted-therapy-in-early-breast-cancer
#16
Katarzyna J Jerzak, Jacques Raphael, Danielle N Desautels, Phillip S Blanchette, Ivan Tyono, Kathleen I Pritchard
Aromatase inhibitors (AIs) play an important role in the adjuvant treatment of hormone receptor-positive breast cancer, but they are associated with bone loss and increased fracture risk. Although several guidelines for the management of osteoporosis and osteopenia exist, their algorithms do not account for the use of AIs. In this article, we describe the role of bone-targeted therapies, specifically for managing early breast cancer, by reviewing their bone-specific and cancer-specific benefits.
November 15, 2018: Oncology (Williston Park, NY)
https://www.readbyqxmd.com/read/30473127/no-164-consensus-guidelines-for-the-management-of-chronic-pelvic-pain
#17
John F Jarrell, George A Vilos, Catherine Allaire, Susan Burgess, Claude Fortin, Robert Gerwin, Louise Lapensee, Robert H Lea, Nicholas A Leyland, Paul Martyn, Hassan Shenassa, Paul Taenzer
OBJECTIVE: To improve the understanding of chronic pelvic pain (CPP) and to provide evidence-based guidelines of value to primary care health professionals, general obstetricians and gynaecologists, and those who specialize in chronic pain. BURDEN OF SUFFERING: CPP is a common, debilitating condition affecting women. It accounts for substantial personal suffering and health care expenditure for interventions, including multiple consultations and medical and surgical therapies...
November 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/30470427/evolution-of-care-for-the-veterans-and-active-duty-service-members-with-disorders-of-consciousness
#18
REVIEW
Michelle Peterson, Blessen C Eapen, Mary Himmler, Pawan Galhotra, David Glazer
The Veteran Health Administration Polytrauma Rehabilitation Center Emerging Consciousness Program (ECP) has served veterans and service members with disorders of consciousness (DOC) over the past 10 years. The ECP has evolved to meet the unique needs of this patient population, including updating admission criteria to follow evidence-based guidelines for the management of DOC, expanding the use of treatment modalities, and monitoring longitudinal outcomes. The authors review current assessment tools, medical management, and interventions and describe the current state of the ECP and how the evolution of the ECP has enhanced the care of veterans and service members with DOC...
February 2019: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/30468566/differences-between-the-international-guideline-and-national-guidelines-for-the-management-of-diabetic-foot-disease
#19
C N Parker, J J Van Netten, T J Parker, L Jia, H Corcoran, M Garrett, C F Kwok, A Nather, M T Que, G Srisawasdi, P Wraight, P A Lazzarini
AIM: No studies have investigated if national guidelines to manage diabetic foot disease differ from international guidelines. This study aimed to compare guidelines of Western Pacific nations with the International Working Group on the Diabetic Foot (IWGDF) guidance documents. METHODS: The 77 recommendations in five chapters of the 2015 IWGDF guidance documents were used as the international gold standard reference. The IWGDF national representative(s) from 12 Western Pacific nations were invited to submit their nation's diabetic foot guideline(s)...
November 23, 2018: Diabetes/metabolism Research and Reviews
https://www.readbyqxmd.com/read/30462560/chronic-spontaneous-urticaria-treated-with-omalizumab-report-of-two-cases
#20
Giovanna Malara, Claudio Sciarrone
Chronic spontaneous urticaria (CSU) is a relatively common skin disease whose etiopathogenesis, as well as other factors influencing disease manifestations, are not fully understood. Mast cell function is recognised as having a central role in CSU signs and symptoms. Therapeutic options are limited; a number of drugs, recommended by international guidelines for the management of urticaria, lack regulatory approval for CSU and are prescribed off label. Omalizumab, a recombinant humanized anti IgE antibody, has recently received the approval for CSU treatment in Europe after an appropriate clinical development...
November 21, 2018: Journal of Dermatological Treatment
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