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"Guidelines" AND (Treatment Or Prevention Or Diagnosis)

Volker Köllner, Stefan Rupp
Fibromyalgia syndrome (FMS) is one of the most common chronic pain syndromes. In a representative survey, 2.1% of the German population was affected in 2013, whereby the diagnosis can only be made on the basis of subjective complaints. This article should provide concrete information on the disease concept, diagnosis, therapy, rehabilitation and socialmedical assessment at the FMS. The basis for this is the second update of the S3 guideline to the FMS adopted in 2017.
August 2018: Die Rehabilitation
Marina Batalini de Macedo, César Ambrogi Ferreira do Lago, Eduardo Mario Mendiondo
Climate change scenarios tend to intensify extreme rainfall events and drought in Brazil threatening urban water security. Low Impact Development (LID) practices are decentralized alternatives for flood mitigation and prevention. Recently, their potential has increasingly been studied in terms of stormwater harvesting. However, there is still a lack of knowledge about their potentialities in subtropical climate regions. Therefore, this study evaluated the behavior of a bioretention cell in a Brazilian city, during the dry period, which is critical in terms of pollutant accumulation and water availability...
August 4, 2018: Science of the Total Environment
Edgardo Cristiano, Juan Ignacio Rojas, Patricio Abad, Tarso Adoni, Jorge Barahona, Jefferson Becker, Adriana Carrá, José Flores, Manuel Fruns, Nora Fernández Liguori, Orlando Garcea, Juan García Bónito, Diego Giunta, Fernando Gracia, Fernando Hamuy, Miguel A Macias Islas, Cárlos Navas, Liliana Ordoñez Boschetti, Liliana Patrucco, Douglas K Sato, Jorge Correale
Despite the availability of a large amount of information regarding the management and care of relapsing remitting multiple sclerosis (RRMS) patients, there is scant information about recommendations on how to care for primary progressive MS (PPMS) patients. The objective of this study was to review how PPMS patients should be assessed and cared for in Latin America (LATAM). METHODS: A panel of neurology experts from LATAM dedicated to the diagnosis and care of MS patients gathered virtually during 2017 and 2018 to carry out a consensus recommendation on the diagnosis and treatment of PPMS patients in LATAM...
July 31, 2018: Journal of the Neurological Sciences
Jennifer K Sun, Adam R Glassman, Wesley T Beaulieu, Cynthia R Stockdale, Neil M Bressler, Christina Flaxel, Jeffrey G Gross, Michel Shami, Lee M Jampol
OBJECTIVE: Present rationale, guidelines, and results of ranibizumab treatment for proliferative diabetic retinopathy (PDR) in Diabetic Retinopathy Clinical Research Network ( Protocol S. DESIGN: Post hoc analyses from a randomized clinical trial. PARTICIPANTS: Three hundred and five participants with 394 study eyes having PDR without prior PRP. INTERVENTION: Post hoc analyses from a randomized clinical trial of 0...
August 7, 2018: Ophthalmology
Jay S Hanas, James R Hocker, Govindan Ramajayam, Vasudevan Prabhakaran, Vedantam Rajshekhar, Anna Oommen, Josephine J Manoj, Michael P Anderson, Douglas A Drevets, Hélène Carabin
Neurocysticercosis is associated with epilepsy in pig-raising communities with poor sanitation. Current internationally recognized diagnostic guidelines for neurocysticercosis rely on brain imaging, a technology that is frequently not available or not accessible in areas endemic for neurocysticercosis. Minimally invasive and low-cost aids for diagnosing neurocysticercosis epilepsy could improve treatment of neurocysticercosis. The goal of this study was to test the extent to which patients with neurocysticercosis epilepsy, epilepsy of unknown etiology, idiopathic headaches and among different types of neurocysticercosis lesions could be distinguished from each other based on serum mass profiling...
August 7, 2018: Experimental Parasitology
Gary H Lyman, Kari Bohlke, Lorenzo Cohen
No abstract text is available yet for this article.
August 2018: Journal of Oncology Practice
Mallory Woiski, Suzan de Visser, Helena van Vugt, Anneke Dijkman, Nico Schuitemaker, Claudia van Meir, Johanna Middeldorp, Anjoke Huisjes, Ben W Mol, Jan Molkenboer, Desiree Moonen-Delarue, Martijn Oudijk, Leonie van Rheenen-Flach, Robert Rijnders, Paula Pernet, Martina Porath, Sander de Wit, Richard Grol, Hubertina Scheepers, Rosella Hermens
OBJECTIVE: To assess adherence to the national postpartum hemorrhage guideline and Managing Obstetric Emergencies and Trauma course instructions and its determinants in the Netherlands. METHODS: A prospective observational multicenter study in 16 Dutch hospitals analyzing data from medical records of 398 women at high risk for postpartum hemorrhage, of which 293 were supplemented with data from prospective video recordings. Adherence to guideline-based quality indicators for prevention, management, and organization of postpartum hemorrhage care was measured...
August 6, 2018: Obstetrics and Gynecology
Brayden N Kameg, Donna G Nativio
BACKGROUND AND PURPOSE: Primary care providers who encounter children are often the first line of contact for individuals with gender dysphoria, which occurs when sex assigned at birth is incongruent with one's true, expressed sexual identity. Because those with untreated gender dysphoria are at risk of a variety of negative outcomes, including mood symptomatology, suicidality, substance use disorders, and other psychosocial risk factors, it is critical that health care providers are adept in the provision of holistic, patient-centered care...
August 6, 2018: Journal of the American Association of Nurse Practitioners
Anyela Marcela Castañeda Anaya, Jae-Kyu Choi, Chang-Soon Lee, Euna Oh, Youngwon Kim, Jee Youn Moon, Pyung Bok Lee, Yong-Chul Kim
Although ketamine infusion therapy (KIT) has been used extensively for the treatment of chronic persistent pain, there remains high heterogeneity in the administration protocols. The aim of this study was to assess the current clinical use and the infusion protocols of KIT in South Korea and to compare the protocol details with previous relevant studies.In the first phase, an online survey about KIT, including protocol information, was distributed to pain physicians managing chronic pain patients at 47 teaching hospitals registered in the Korean Pain Society...
August 2018: Medicine (Baltimore)
Yasmeen Abu-Fraiha, Hila Elyashar-Earon, David Shoseyov, Malena Cohen-Cymberknoh, Shoshana Armoni, Eitan Kerem, Michael Wilschanski
CONTEXT: In 2012, The North American CF Foundation published new guidelines for the treatment of vitamin D deficiency in individuals with CF. OBJECTIVE: The objectives of our study were to assess the efficacy of these guidelines, and to test the effect of increasing vitamin D dosage on pulmonary function and exacerbations. DESIGN: Pulmonary function tests and serum concentrations of 25-hydroxyvitamin D [25(OH)D] were measured one year prior to increasing vitamin D dosage according to the guidelines and at least one year later...
August 8, 2018: Journal of Pediatric Gastroenterology and Nutrition
Christiane E Beck, Lars Witt, Lisa Albrecht, Nils Dennhardt, Dietmar Böthig, Robert Sümpelmann
OBJECTIVES: Current guidelines recommend 6 h of fasting for solids before anaesthesia. However, prolonged fasting may lead to discomfort, hunger, thirst, misbehaviour and lipolysis. To prevent this, a more liberal fasting regimen has been empirically implemented in our children's hospital, allowing a shorter fasting time of 4 h for a standardised light breakfast. AIM: The aim of this study was to determine the gastric emptying time after a standardised light breakfast in healthy children...
August 7, 2018: European Journal of Anaesthesiology
Sasha Strul, Penny Straughn
There is currently no well-defined guideline for treatment and management of patients with keratitis-ichthyosis-deafness (KID) syndrome, and most patients will face disabling vision loss due to corneal neovascularization and cicatrization. We offer this case as an example of how we can improve visual acuity (VA) and quality of life even in advanced cases of corneal neovascularization. We showcase the use of gas-permeable (GP) contact lenses to provide useful, functional VA in a patient with long-standing visual impairment secondary to corneal neovascularization and irregularity due to KID syndrome...
August 7, 2018: Eye & Contact Lens
A Clinton White, Hector H Garcia
PURPOSE OF REVIEW: The goal of this review is highlight recent developments regarding neurocysticercosis, including recently developed guidelines. RECENT FINDINGS: Recent diagnostic criteria highlight the importance of neuroimaging in establishing a diagnosis. Monoclonal antibody-based antigen detection and the enzyme-linked immunotransfer blot can be confirmatory. Management should be guided by the form of disease. Single enhancing lesions and one to two viable parenchymal cysticerci can be treated with short courses of albendazole and corticosteroid...
August 7, 2018: Current Opinion in Infectious Diseases
Lorenzo Rinaldo, Diane M Johnson, Roanna L Vine, Alejandro A Rabinstein, Giuseppe Lanzino
OBJECTIVE Clinical trials forming the basis of current guidelines for the management of intracranial aneurysms have relied on patient-reported modified Rankin Scale (mRS) scores to assess functional outcome. The effect of patient demographics on perception of disability and, by extension, patient-reported mRS score, is not well understood. METHODS A consecutive series of patients with a previously treated or untreated unruptured intracranial aneurysm (UIA) prospectively underwent a structured interview with a trained nurse...
August 10, 2018: Journal of Neurosurgery
Marco Zucconi, Andrea Galbiati, Fabrizio Rinaldi, Francesca Casoni, Luigi Ferini-Strambi
Restless Legs Syndrome/Willis-Ekbom Disease (RLS/WED) is a sleep disorder characterized by an urge to move the legs, frequently associated or triggered by unpleasant sensations in the lower limbs that affects approximately 2.5% of adults. Therapy and management of RLS/WED require long term interventions, since the typical manifestation of this disorder is chronic. Areas covered: In this review, we provide an update regarding the treatment of RLS/WED with particular attention to future challenges for its management...
August 10, 2018: Expert Review of Neurotherapeutics
A Beaumont, A Campbell, F Grace, N Sculthorpe
INTRODUCTION: Ageing is associated with a progressive decline in cardiac and vascular health, resulting in an increased risk of cardiovascular disease (CVD). Lifestyle factors such as exercise have emerged as a primary therapeutic target in the prevention of CVD, yet older individuals are frequently reported as being the least active, with 1 in four adults failing to meet the physical activity guidelines. In contrast, well trained older individuals (Masters athletes) have superior functional capacity than their sedentary peers and are often comparable with young non-athletes...
August 10, 2018: Current Cardiology Reviews
Antoinette Moran, Kubendran Pillay, Dorothy Becker, Andrea Granados, Shihab Hameed, Carlo L Acerini
Cystic fibrosis (CF) is the most common lethal genetic autosomal recessive disease in Caucasians, with a worldwide prevalence of 1 in ~2500 live births. Cystic fibrosis related diabetes (CFRD) is the most common co-morbidity in CF. There are important pathophysiologic differences between CFRD and type 1 and type 2 diabetes Table 1, which necessitate a unique approach to diagnosis and management. Factors specific to CF which impact glucose metabolism include the loss of total islets leading to both insulin and glucagon deficiency, chronic and acute inflammation and infection which cause fluctuating insulin resistance, a requirement for high caloric intake because of increased energy expenditure and malabsorption, risk of life-threatening malnutrition, and gut abnormalities including delayed gastric emptying, altered intestinal motility, and liver disease...
August 9, 2018: Pediatric Diabetes
Diana Cavaye, Daniel P Roberts, Gemma L Saravanos, Zhen Y Hsu, Risa Miyajima, Louise E Randall, Eliot Dd Salmon, Yi Le Tan, Jean A Tucker, Seng K Yeoh, Philip N Britton
AIM: Bronchiolitis is a common respiratory illness and is a leading cause of hospitalisation in infancy. We aimed to appraise three recent national bronchiolitis guidelines produced by the Australasian Paediatric Research in Emergency Departments International Collaborative, the National Institute for Health and Care Excellence in the UK and the American Academy of Pediatrics. METHODS: A group of final-year medical students and one senior clinician used the AGREE II tool to appraise each guideline in two stages...
August 9, 2018: Journal of Paediatrics and Child Health
Daiki Tsuji, Kenichi Suzuki, Yohei Kawasaki, Koichi Goto, Reiko Matsui, Nobuhiko Seki, Hironobu Hashimoto, Toshihiro Hama, Takeharu Yamanaka, Nobuyuki Yamamoto, Kunihiko Itoh
PURPOSE: The triplet antiemetic regimen is recommended for cisplatin-based highly emetogenic chemotherapy, in the current guidelines for antiemetic prophylaxis. Although risk factors related to chemotherapy-induced nausea and vomiting (CINV) have been identified by several prior studies, there are only few studies evaluating risk factors associated with the prophylactic triplet antiemetic therapy, particularly in palonosetron use. The present study aimed to reveal the risk factors related to CINV development in patients receiving cisplatin and to compare CINV risk factors between palonosetron and granisetron use...
August 10, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Francesca De Felice, Lavinia Grapulin, Alessandra Pieroni, Francesca Salerno, Gianna Maria D'Elia, Alessandro Pulsoni, Daniela Musio, Vincenzo Tombolini
To report the clinical results after definitive radiotherapy (RT) for indolent primary cutaneous B cell lymphoma (pcBCL). The data concerning all patients treated for indolent pcBCL with RT with a curative intent between 1992 and 2012 were reviewed. All cases were (re)classified according to the World Health Organization (WHO) guidelines. A total of 42 patients with biopsy-proven primary cutaneous follicle center lymphoma (pcFCL) and primary cutaneous marginal zone lymphoma (pcMZL) were included. The median follow-up is 9...
August 10, 2018: Annals of Hematology
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