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https://www.readbyqxmd.com/read/30338913/aapm-medical-physics-practice-guideline-10-a-scope-of-practice-for-clinical-medical-physics
#1
Jessica Clements
The American Association of Physicists in Medicine (AAPM) is a nonprofit professional society whose primary purposes are to advance the science, education, and professional practice of medical physics. The AAPM has more than 8000 members and is the principal organization of medical physicists in the United States. The AAPM will periodically define new practice guidelines for medical physics practice to help advance the science of medical physics and to improve the quality of service to patients throughout the United States...
October 19, 2018: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/30338235/spiritual-interventions-for-preventing-hiv-aids-in-iran
#2
Zeinab Ghaempanah, Nadereh Memaryan, Mostafa Kochakzaei, Mehrdad Kazemzadeh Atoofi, Abul Fadl Mohsin Ebrahim
Developing health programs based on the beliefs and values of communities has a great impact. Given the priority and importance of AIDS and its transmission through high-risk sexual behaviors, we sought to design a religious/spiritual intervention for preventing AIDS. Relevant statements were extracted from the literature and spiritual/religion documents, and the study questions were reviewed by a modified Delphi consensus panel. The statements were arranged in four areas of recipients, main components, providers, and settings for spiritual interventions...
July 2018: Journal of Advanced Pharmaceutical Technology & Research
https://www.readbyqxmd.com/read/30336844/recommendations-for-the-nomenclature-of-cognitive-change-associated-with-anaesthesia-and-surgery-2018
#3
REVIEW
L Evered, B Silbert, D S Knopman, D A Scott, S T DeKosky, L S Rasmussen, E S Oh, G Crosby, M Berger, R G Eckenhoff
Cognitive change affecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identified up to 7.5 yr afterwards. Importantly, other studies have identified that the incidence of cognitive change is similar after non-cardiac surgery...
November 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/30335692/international-liver-transplantation-society-asian-consensus-on-the-management-of-hepatitis-c-virus-infection-in-resource-limited-setting-from-noncirrhotic-to-decompensated-disease-and-following-liver-transplantation
#4
Michael R Charlton, Edward J Gane, Akash Shukla, Bekhbold Dashtseren, Davaadorj Duger, David H Muljono, Diana A Payawal, Ganbolor Jargalsaikhan, Hery D Purnomo, Ian H Cua, Irsan Hasan, Jose Sollano, Khin Maung Win, Laurentius A Lesmana, Mohammad Salih, Pham Thi Thu Thuy, Ravi Shankar, Vivek A Saraswat
BACKGROUND: The population of Asia exceeds 4.4 billion people. Chronic hepatitis C virus (HCV) infection in Asia is characterized by specific distribution of genotypes, lack of access to specific therapeutic agents, relatively high cost of treatment, and lack of experienced healthcare providers. Clear consensus on the diagnosis, management, and monitoring of HCV infection specific to the Asian region is a major unmet need. The consensus guidelines documents that have been published to date by major medical societies presume access to an array of direct acting antiviral agents and diagnostic tests that are not broadly applicable to resource limited settings, including Asia...
October 17, 2018: Transplantation
https://www.readbyqxmd.com/read/30334064/-4th-universal-definition-of-myocardial-infarction-2018-what-is-new
#5
C Brinkmann, J Schofer
The 4th universal definition of myocardial infarction consensus document is a further development of the document from 2012. It highlights the discrimination between myocardial injury and infarction and in particular the periprocedural occurrence of increased troponin levels. The chapter on cardiac biomarkers deals with the problems of comparison of various troponin assays and the kinetics of troponin in acute myocardial infarction. The definition of the 5 types of myocardial infarction underwent only minor changes...
October 17, 2018: Herz
https://www.readbyqxmd.com/read/30327332/european-recommendations-for-good-practice-in-addition-to-an-evidence-based-guidelines-programme-rationale-and-method-of-development
#6
Nathalie Vermeulen, Nathalie Le Clef, Zdravka Veleva, Arianna D'Angelo, Kelly Tilleman
The evidence-based approach is considered the gold standard of medical guidance. However, for some topics, it may be inappropriate to address them in an evidence-based guideline, as evidence for most of their aspects is absent or limited. Other topics may require only technical recommendations on how to perform a procedure, which are generally not covered in the published literature.In addition to an existing guideline programme, the European Society of Human Reproduction and Embryology has recently developed a manual for the development of (consensus-based) recommendations for good practice...
October 16, 2018: BMJ evidence-based medicine
https://www.readbyqxmd.com/read/30326523/lower-extremity-free-tissue-transfer-in-the-setting-of-thrombophilia-analysis-of-perioperative-anticoagulation-protocols-and-predictors-of-flap-failure
#7
Michael V DeFazio, James M Economides, Ersilia L Anghel, Eshetu A Tefera, Karen K Evans
AIM:  No consensus exists regarding the optimal strategy for perioperative thromboprophylaxis in high-risk microsurgical populations. We present our experience with lower extremity free tissue transfer (FTT) in thrombophilic patients and compare outcomes between non-stratified and risk-stratified anticoagulation protocols. METHODS:  Between January 2013 and December 2017, 57 patients with documented thrombophilia underwent FTT for non-traumatic, lower extremity reconstruction by a single surgeon...
October 16, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/30325806/recommendations-for-the-nomenclature-of-cognitive-change-associated-with-anaesthesia-and-surgery-2018
#8
L Evered, B Silbert, D S Knopman, D A Scott, S T DeKosky, L S Rasmussen, E S Oh, G Crosby, M Berger, R G Eckenhoff
Cognitive change affecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identified up to 7.5 yr afterwards. Importantly, other studies have identified that the incidence of cognitive change is similar after non-cardiac surgery...
November 2018: Anesthesiology
https://www.readbyqxmd.com/read/30325748/recommendations-for-the-nomenclature-of-cognitive-change-associated-with-anaesthesia-and-surgery-2018
#9
L Evered, B Silbert, D S Knopman, D A Scott, S T DeKosky, L S Rasmussen, E S Oh, G Crosby, M Berger, R G Eckenhoff
Cognitive change affecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identified up to 7.5 yr afterwards. Importantly, other studies have identified that the incidence of cognitive change is similar after non-cardiac surgery...
October 16, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30325016/recommendations-for-the-nomenclature-of-cognitive-change-associated-with-anaesthesia-and-surgery-2018
#10
Lis Evered, Brendan Silbert, David S Knopman, David A Scott, Steven T DeKosky, Lars S Rasmussen, Esther S Oh, Greg Crosby, Miles Berger, R G Eckenhoff
Cognitive change affecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identified up to 7.5 yr afterwards. Importantly, other studies have identified that the incidence of cognitive change is similar after non-cardiac surgery...
November 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30324338/recommendations-for-the-nomenclature-of-cognitive-change-associated-with-anaesthesia-and-surgery-2018
#11
L Evered, B Silbert, D S Knopman, D A Scott, S T DeKosky, L S Rasmussen, E S Oh, G Crosby, M Berger, R G Eckenhoff
Cognitive change affecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identified up to 7.5 yr afterwards. Importantly, other studies have identified that the incidence of cognitive change is similar after non-cardiac surgery...
October 16, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30322471/-recommendations-of-the-main-clinical-practice-guidelines
#12
Sònia Miravet I Jiménez
The development of new drugs to treat hyperglycemia in persons with type 2 diabetes mellitus and recent cardiovascular safety studies of these new molecules have created the need to update the various clinical practice guidelines and consensus documents on the approach and treatment of this highly prevalent disease. Metformin continues to be the first-line drug. Dipeptidyl peptidase-4 inhibitors are oral lipid-lowering drugs with specific characteristics favouring their use in primary care. Among other characteristics, these drugs have few drug-drug interactions, can be easily combined with other drugs, are well tolerated, have a neutral effect on weight, and have a low risk of producing hypoglycaemic episodes, all of which encourages their prescrip-tion...
June 2018: Semergen
https://www.readbyqxmd.com/read/30322468/-use-of-dipeptidyl-peptidase-4-inhibitors-in-patients-with-diabetes
#13
Francisco Carlos Carramiñana Barrera
New drugs have been added to the treatment of type 2 diabetes mellitus. These drugs have represented an advance in the physiopathological approach to the disease, with the possibility of acting on the different mechanisms involved in raised blood glucose levels and allowing treatment to be individualised, as recommended in clinical practice guide-lines and consensus documents. The incretins were added to the therapeutic arsenal of diabetes in 2006. This group in-cludes glucagon-like peptide-1 receptor antagonists and dipeptidyl peptidase-4 inhibitors (marketed in Spain in 2007), which act on the incretin system in the gut, reducing glycae-mia, with a decreasing or neutral effect on weight and with a low risk of hypoglycaemic episodes...
June 2018: Semergen
https://www.readbyqxmd.com/read/30322329/italian-expert-panel-consensus-statement-on-the-optimal-use-of-pd-1-blockade-therapy-in-classical-hodgkin-lymphoma
#14
Pier Luigi Zinzani, Armando Santoro, Arturo Chiti, Secondo Lastoria, Antonio Pinto, Lugi Rigacci, Giovanni Barosi, Martina Pennisi, Paolo Corradini
Programmed death 1 (PD-1) blocking antibodies now represent a major advance in the treatment of patients with classical Hodgkin lymphoma (cHL) who relapse after autologous stem cell transplantation (ASCT) and pre- and/or post-ASCT brentuximab vedotin or after at least three lines of therapy. However, uncertainties still remain on the optimal use of these agents in refractory Hodgkin disease. A panel of experts was convened to produce a consensus document aimed at providing practice recommendations for the optimal use of PD-1 blocking antibodies in cHL, especially on pretreatment selection and evaluation of cHL patients' response and treatment length, management of PD-1 blockade therapy-treated patients, evaluation and management of toxicity...
October 15, 2018: Leukemia & Lymphoma
https://www.readbyqxmd.com/read/30321193/cost-effectiveness-of-interventions-for-medically-unexplained-symptoms-a-systematic-review
#15
Margreet S H Wortman, Joran Lokkerbol, Johannes C van der Wouden, Bart Visser, Henriëtte E van der Horst, Tim C Olde Hartman
BACKGROUND: In primary and secondary care medically unexplained symptoms (MUS) or functional somatic syndromes (FSS) constitute a major burden for patients and society with high healthcare costs and societal costs. Objectives were to provide an overview of the evidence regarding the cost-effectiveness of interventions for MUS or FSS, and to assess the quality of these studies. METHODS: We searched the databases PubMed, PsycINFO, the National Health Service Economic Evaluation Database (NHS-EED) and the CEA registry to conduct a systematic review...
2018: PloS One
https://www.readbyqxmd.com/read/30320708/appraisal-of-the-emergency-nurse-practitioner-specialty-role
#16
Karen Sue Hoyt, Dian Dowling Evans, Jennifer Wilbeck, Elda Ramirez, Donna Agan, Diane Tyler, Lorna Schumann
The role of the Emergency Nurse Practitioner (ENP) has evolved as a specialty and is appreciated within the context of the 2008 Consensus Model document (APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee, 2008). The first in a series of five articles, this article describes the appraisal of the ENP role as well as the specialty and the distinctive role of the ENP. The second article, Emergency Nurse Practitioner Practice Analysis: Report and Implications of the Findings, presents research to support the scientific basis of emergency specialty practice and content validity for a national certification program...
October 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30320562/guidelines-and-recommendations-on-the-clinical-use-of-shear-wave-elastography-for-evaluating-thyroid-nodule1
#17
Hui-Xiong Xu, Kun Yan, Bo-Ji Liu, Wen-Ying Liu, Li-Na Tang, Qi Zhou, Jin-Yu Wu, En-Sheng Xue, Bin Shen, Qing Tang, Qin Chen, Hong-Yuan Xue, Ying-Jia Li, Jun Guo, Bin Wang, Fang Li, Chun-Yang Yan, Quan-Shui Li, Yan-Qing Wang, Wei Zhang, Chang-Jun Wu, Wen-Hui Yu, Su-Jin Zhou
Ultrasound elastography has been introduced into clinical practice for a decade and arisen continuous increasing attention worldwide. Shear wave elastography (SWE) is a further extension of ultrasound elastography on the basis of strain elastography, providing a two-dimensional distribution map of tissue stiffness and quantitative measurement of the tissue stiffness in Young's modulus (kPa) and/or shear wave speed (m/s). The Society of Ultrasound in Medicine, Chinese Medical Association (CMA) has recently released a series of guidelines for the use of SWE, including the technique and principle of SWE, and use of SWE in liver fibrosis, breast, thyroid, and musculoskeletal system...
October 10, 2018: Journal of Neuromuscular Diseases
https://www.readbyqxmd.com/read/30320525/recommendations-for-the-appropriate-structure-communication-and-investigation-of-tobacco-harm-reduction-claims-an-official-american-thoracic-society-policy-statement
#18
Frank T Leone, Kai-Håkon Carlsen, David Chooljian, Laura E Crotty Alexander, Frank C Detterbeck, Michelle N Eakin, Sarah Evers-Casey, Harold J Farber, Patricia Folan, Hasmeena Kathuria, Karen Latzka, Shane McDermott, Sharon McGrath-Morrow, Farzad Moazed, Alfred Munzer, Enid Neptune, Smita Pakhale, David P L Sachs, Jonathan Samet, Beth Sufian, Dona Upson
RATIONALE: The tobacco harm reduction literature is replete with vague language, far-reaching claims, and unwarranted certainty. The American Thoracic Society has increasingly recognized the need for a framework for reliably making such claims. Evidence-based standards improving the scientific value and transparency of harm reduction claims are expected to improve their trustworthiness, clarity, and consistency. METHODS: Experts from relevant American Thoracic Society committees identified key topic areas for discussion...
October 15, 2018: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/30318572/occult-uterine-malignancy-during-laparoscopic-supracervical-hysterectomy
#19
Iwona Gawron, Krzysztof Skotniczny, Artur Ludwin
OBJECTIVES: To estimate the incidence of occult uterine malignancies during laparoscopic supracervical hysterectomy (LSH). MATERIAL AND METHODS: Retrospective cohort study based on archival data (2010-2016) of the Department of Gynecology and Oncology, Jagiellonian University. RESULTS: Medical records of 696 women, who underwent LSH were analyzed. Two occult sarcomas (2/696; 0.29%, 0.003, 95% CI: 0.001 to 0.01), including one case of low-grade endometrial stromal sarcoma (ESS) with co-occurring atypical endometrial hyperplasia (AH) and one case of high-grade ESS were found postoperatively...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/30318395/current-options-and-recommendations-for-the-treatment-of-thoracic-aortic-pathologies-involving-the-aortic-arch-an-expert-consensus-document-of-the-european-association-for-cardio-thoracic-surgery-eacts-the-european-society-for-vascular-surgery-esvs
#20
Martin Czerny, Jürg Schmidli, Sabine Adler, Jos C van den Berg, Luca Bertoglio, Thierry Carrel, Roberto Chiesa, Rachel E Clough, Balthasar Eberle, Christian Etz, Martin Grabenwöger, Stephan Haulon, Heinz Jakob, Fabian A Kari, Carlos A Mestres, Davide Pacini, Timothy Resch, Bartosz Rylski, Florian Schoenhoff, Malakh Shrestha, Hendrik von Tengg-Kobligk, Konstantinos Tsagakis, Thomas R Wyss, Document Reviewers, Nabil Chakfe, Sebastian Debus, Gert J de Borst, Roberto Di Bartolomeo, Jes Lindholt, Wei-Guo Ma, Piotr Suwalski, Frank Vermassen, Alexander Wahba, Moritz C Wyler von Ballmoos
No abstract text is available yet for this article.
October 11, 2018: European Journal of Vascular and Endovascular Surgery
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