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Consensus document

Mitchell A Rees, Jonathan R Dillman, Christopher G Anton, Mantosh S Rattan, Ethan A Smith, Alexander J Towbin, Bin Zhang, Andrew T Trout
PURPOSE: To assess inter-radiologist agreement using the Society of Abdominal Radiology-American Gastroenterological Association (SAR-AGA) consensus recommendations for reporting CT/MR enterography exams in pediatric and young adult small bowel Crohn disease (CD). METHODS: Institutional review board approval was obtained for this HIPAA-compliant retrospective investigation; the requirement for informed consent was waived. 25 CT and 25 MR enterography exams performed in children and young adults (age range: 6-23 years) between January 2015 and April 2017 with a distribution of ileal CD severity (phenotype) were identified: normal or chronic CD without active inflammation (40%), active inflammatory CD (20%), stricturing CD (20%), and penetrating CD (20%)...
August 17, 2018: Abdominal Radiology
Jayaraj Krupa, Jeyalatchagan Sureshkumar, Rajendran Silambarasan, Kanagaraj Priyadarshini, Muniappan Ayyanar
BACKGROUND: Ethnobotanical studies are recognized as effective methods of finding locally important plants for discovery of crude drugs. Siddha medicinal system is prevailed in south Indian states principally in Tamil Nadu and gaining recognition as alternative medicine among the indigenous communities for their primary healthcare needs. OBJECTIVES: The study was aimed to explore and document folk medicinal plant knowledge among the local people in Puliyankudi village of Thiruvarur District, Tamil Nadu, India...
August 14, 2018: Journal of Ayurveda and Integrative Medicine
Leopoldo Pérez de Isla, Santiago Díaz Sánchez, Jorge Pagola, Gonzalo García de Casasola Sánchez, Teresa López Fernández, Ignacio Manuel Sánchez Barrancos, Patricia Martínez-Sánchez, Antonio Zapatero Gaviria, Manuel Anguita, Antonio Lorenzo Ruiz Serrano, Juan Torres Macho
This document summarizes the concept of focused cardiac ultrasound, the basic technical aspects related to this technique, and its diagnostic objectives. It also defines training requisites in focused cardiac ultrasound. This consensus document has been endorsed by the Spanish Society of Internal Medicine (SEMI), the Spanish Society of Family and Community Medicine (semFYC), the Spanish Society of Neurology (SEN), and the Spanish Society of Cardiology (SEC).
August 14, 2018: Revista Española de Cardiología
Mark E Baker, Joel G Fletcher, Mahmoud Al-Hawary, David Bruining
Computed tomography enterography and magnetic resonance enterography are essential in the evaluation and treatment of patients with Crohn's disease. As such, examination reporting must use standardized nomenclature for effective communication. This report documents an interdisciplinary consensus of the Society of Abdominal Radiology, the Society of Pediatric Radiology, and the American Gastroenterology Association on the computed tomography enterography/magnetic resonance enterography imaging findings and imaging-based morphologic phenotypes...
September 2018: Radiologic Clinics of North America
Pierre Salaun, Ileana Desormais, François-Xavier Lapébie, Alessandra Bura Rivière, Victor Aboyans, Philippe Lacroix, Vincent Bataille, Joël Constans, Carine Boulon Md
The hemodynamic definition of critical limb ischemia (CLI) has evolved over time but remains controversial. We compared the prediction of major amputation by 3 hemodynamic methods. Patients were selected from the Cohorte des Patients ARTériopathes cohort of patients hospitalized for peripheral arterial disease. Patients with CLI were enrolled according to the Trans-Atlantic Inter-Society Consensus Document on Management of Peripheral Arterial Disease II definition and followed up for at least 1 year. We compared the major amputation rate according to initial ankle pressure (AP), systolic toe pressure (STP), and forefoot transcutaneous oxygen pressure (TcPO2 ); 556 patients were included and divided into surgical (264) and medical (292) groups...
August 16, 2018: Angiology
Hiroki Sato, Terasu Honma, Takashi Owaki, Kentaro Tominaga, Junji Yokoyama, Shuji Terai
BACKGROUND: Eosinophilic gastroenteritis (EoGE) can be diagnosed on the basis of histologic criteria; however, the pathology is considered to be heterogeneous. There is no consensus on the management of this enigmatic disorder with an unknown etiology. PATIENTS AND METHODS: Data for patients diagnosed with EoGE and followed up over a 1-year period were analyzed. Their symptoms, patterns of flares, and type of treatment were documented. The shift in peripheral blood eosinophil levels was also examined...
August 14, 2018: European Journal of Gastroenterology & Hepatology
Julian Thompson, Marius Rehn, Stephen J M Sollid
BACKGROUND: Helicopter EMS (HEMS) teams may perform a variety of clinical, managerial and transport functions during major incident management. Despite national and international variations in HEMS systems, the rapid delivery of HEMS personnel with advanced skills in major incident management and clinical scene leadership has been crucial to the delivery of an effective medical response at previous incidents. This document outlines the Best Practice Advice of the European HEMS and Air Ambulance Committee (EHAC) Medical Working Group on how HEMS and Pre Hospital Critical Care teams may maximise the positive impact of their resources in the event of Major Incidents...
August 15, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Rui Jing, Haiyuan Li, Xiaoping Hu, Wenjing Shang, Ruiqing Shen, Chengjin Guo, Qingyun Guo, Krishna V Subbarao
Potato (Solanum tuberosum L.) is one of the most important staple foods in many parts of the world including China. In recent years, Verticillium wilt has become a severe threat to potato production in China. During 2015 to 2016, 287 samples of symptomatic potato plants were collected from 15 counties in five provinces from northern China. One hundred and eighty-seven Verticillium-like colonies were isolated from these samples and identified to species based on cultural and morphological characteristics, and multigene phylogeny based on the partial sequences of actin (ACT), elongation factor 1-alpha (EF1α), glyceraldehyde-3-phosphate dehydrogenase (GPD), and tryptophan synthase (TS) genes...
August 15, 2018: Plant Disease
J Spertino, E Rozas Muñoz, L Curto Barredo, I Figueras Nart, A Gimenez Arnau, E Serra Baldrich, M Bonfill-Ortí, V Expósito-Serrano, A Guilabert, G Melé Ninot, M Villar Buil, J Garcias Ladaria, X García Navarro, M Vilavella, I Bielsa Marsol, G Aparicio Ortiz, C Baliu Piqué, A Álvarez Abella, N Lamas Domenech, J M Mascaró, S Gómez, J I Torné Gutiérrez, A Vicente Villa
BACKGROUND AND OBJECTIVE: Pivotal trials with omalizumab for treatment of chronic spontaneous urticaria (CSU) are generally run over 12 to 24weeks. However, in clinical practice, many patients need longer treatment. In this article, we present an algorithm for treatment with omalizumab. MATERIAL AND METHODS: The consensus document we present is the result of a series of meetings by the CSU working group of "Xarxa d'Urticària Catalana i Balear" (XUrCB) at which data from the recent literature were presented, discussed, compared, and agreed upon...
August 11, 2018: Actas Dermo-sifiliográficas
Chris Cooper, Andrew Booth, Jo Varley-Campbell, Nicky Britten, Ruth Garside
BACKGROUND: Systematic literature searching is recognised as a critical component of the systematic review process. It involves a systematic search for studies and aims for a transparent report of study identification, leaving readers clear about what was done to identify studies, and how the findings of the review are situated in the relevant evidence. Information specialists and review teams appear to work from a shared and tacit model of the literature search process. How this tacit model has developed and evolved is unclear, and it has not been explicitly examined before...
August 14, 2018: BMC Medical Research Methodology
Deborah Korenstein, Susan Chimonas, Brooke Barrow, Salomeh Keyhani, Aaron Troy, Allison Lipitz-Snyderman
Importance: Overuse of medical tests and treatments is an increasingly recognized problem across health systems; best practices for reducing overuse are not clear. Framing the problem in terms of the spectrum of potential patient harm is likely to be an effective strategy for clinician and patient engagement in efforts to reduce overuse, but the scope of negative consequences of overuse for patients has not been well described. Observations: We sought to generate a comprehensive conceptual map documenting the processes through which overused tests and treatments lead to multiple domains of negative consequences for patients...
August 13, 2018: JAMA Internal Medicine
Tilahun Tolossa Jima, Moa Megersa
This paper reports an ethnobotanical study that focused on the traditional medicinal plants used by local communities to treat human diseases. Ethnobotanical study of medicinal plants was carried out from June 25 to September 5, 2015, in Berbere district of Oromia region, Ethiopia. The study focused on documentation of medicinal plants used to treat various human diseases in the study area. Ethnobotanical data were collected using semistructured interviews, group discussion, guided field walks, and observations with participants...
2018: Evidence-based Complementary and Alternative Medicine: ECAM
Scott W Cheatham, Kyle R Stull
BACKGROUND: University and collegiate education of the human myofascial system is commonly taught in basic science courses such as anatomy. Allied health programs may expand upon these concepts by teaching interventions such as myofascial release in clinical education courses. Self-myofascial release (SMR) with a device such as a foam roller is an emerging intervention that has become popular among clinicians and active individuals. Currently, it's unknown if allied health programs provide SMR education...
July 2018: Journal of Bodywork and Movement Therapies
Abdullah Dalar, Muzaffer Mukemre, Murat Ünal, Fevzi Özgökçe
ETHNOPHARMACOLOGICAL RELEVANCE: This study serves as the first investigation of the knowledge of traditional medicinal plants used in Ağrı Province. The mountainous and strongly fragmented area, diversity of local flora, limited access to modern medicines because of the people's seminomadic lifestyle, and harsh climatic conditions have prompted the locals to benefit from natural resources, principally plants. AIM OF THE STUDY: Although the use of medicinal plant is common in the area, documentation and inventory analysis are not available on the plant taxa used in traditional medicine in Ağrı Province...
August 9, 2018: Journal of Ethnopharmacology
Günter Ollenschläger, Timo Wirth, Sabine Schwarz, Julia Trifyllis, Corinna Schaefer
BACKGROUND: As early as 1997, the German Guideline for Guidelines laid down patient participation in guideline development as the cornerstone of good, trustworthy medical guidelines. The German Guideline Assessment Tool (DELBI) published in 2005 requires patients or relatives to be involved in the development of medical guidelines. Ideally, this should be effected through membership in the author group. The Association of the Scientific Medical Societies in Germany (AWMF) recommends this approach for the so-called S3 guidelines (systematically developed guidelines) and S2k guidelines (consensus-based guidelines)...
August 7, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
Rebecca O'Hara, Heather Rowe, Louise Roufeil, Jane Fisher
Objective The aim of this study was to determine whether endometriosis meets the definition for chronic disease in Australian policy documents. Methods A qualitative case study approach was used to thematically analyse the definitions contained in Australian chronic disease policy documents and technical reports. The key themes were then compared with descriptions of endometriosis in peer-reviewed literature, clinical practice guidelines and expert consensus statements. Results The search yielded 18 chronic disease documents that provided a definition or characteristics of chronic disease...
August 10, 2018: Australian Health Review: a Publication of the Australian Hospital Association
Renato Renison Moreira Oliveira, Gisele Lopes Nunes, Talvâne Glauber Lopes de Lima, Guilherme Oliveira, Ronnie Alves
BACKGROUND: Taxonomic identification of plants and insects is a hard process that demands expert taxonomists and time, and it's often difficult to distinguish on morphology only. DNA barcodes allow a rapid species discovery and identification and have been widely used for taxonomic identification by targeting known gene regions that permit to discriminate these species. DNA barcode sequence analysis is usually carried out with processes and tools that still demand a high interaction with the user or researcher...
August 8, 2018: BMC Bioinformatics
Kris M Mogensen, Sandra Bouma, Amanda Haney, Vincent W Vanek, Ainsley Malone, Sadeq A Quraishi, Peggi Guenter
BACKGROUND: Malnutrition is a significant problem for hospitalized patients in the United States. Nutrition assessment is an important step in recognizing malnutrition; however, it is not always performed using consistent parameters. METHODS: A survey among U.S. American Society for Parenteral and Enteral Nutrition (ASPEN) members was conducted to collect data on nutrition assessment parameters used in hospitals and to establish how facilities use their electronic health record (EHR) to permit data retrieval and outcome reporting...
August 8, 2018: Nutrition in Clinical Practice
Ana Cruz, Célia M D Sales, Paula Alves, Gabriela Moita
The original theory of psychodrama proposed by Moreno in 1921 has been adjusted and re-interpreted by several authors over the last three decades. This resulted in the proliferation of techniques whose definitions and contexts of application are unclear and poorly documented in the literature. The purpose of this review was three-fold: (1) to identify the psychodramatic techniques currently used for research and clinical purposes, (2) to extract and create a list of core techniques which are consensually used by psychodramatists, and which reflect the main principles of the Morenian theory of psychodrama, and (3) to propose an operationalised definition of the core psychodramatic techniques identified...
2018: Frontiers in Psychology
Khafsa Malik, Mushtaq Ahmad, Rainer W Bussmann, Akash Tariq, Riaz Ullah, Ali S Alqahtani, Abdelaaty A Shahat, Neelam Rashid, Muhammad Zafar, Shazia Sultana, Syed N Shah
Hypertension is one of the most important factors responsible for cardiovascular ailments worldwide. It has been observed that herbal products and alternative herbal therapies played a significant role in decreasing hypertension. The aim of the current study is to provide significant ethnopharmacological information, both qualitative and quantitative on medicinal plants related to hypertension from Northern Pakistan. The documented data were quantitatively analyzed for the first time in this area. A total of 250 participants were interviewed through semi-structured discussions and questionnaires...
2018: Frontiers in Pharmacology
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