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Appropiateness criteria

Kelly De Schuyter, Tom Lodewyck
OBJECTIVE AND IMPORTANCE: We present a case of hemophagocytic lymphohistiocytosis (HLH), giving insight in how to establish diagnosis and start appropiate treatment. CLINICAL PRESENTATION: A 45-year-old male presented at the emergency ward with high fever and pancytopenia. Repeat bone marrow aspirates showed hemophagocytosis. Extensive work-up with exclusion of other infectious and malignant diseases, eventually lead us to the diagnosis of hemophagocytic lymphohistiocytosis...
December 2017: Acta Clinica Belgica
Barthélémy Tosello, Lionel Dany, Pierre Bétrémieux, Pierre Le Coz, Pascal Auquier, Catherine Gire, Marie-Ange Einaudi
BACKGROUND: When an incurable fetal condition is detected, some women (or couples) would rather choose to continue with the pregnancy than opt for termination of pregnancy for medical reasons, which, in France, can be performed until full term. Such situations are frequently occurring and sometimes leading to the implementation of neonatal palliative care. The objectives of this study were to evaluate the practices of perinatal care french professionals in this context; to identify the potential obstacles that might interfere with the provision of an appropriate neonatal palliative care; and, from an opposite perspective, to determine the criteria that led, in some cases, to offer this type of care for prenatally diagnosed lethal abnormality...
2015: PloS One
Olfa Hellara, Abir Debbabi, Nabil Ben Chaabene, Wafa Ben Mansour, Hichem Loghmari, Wissem Melki, Fathia Bdioui, Leila Safer, Hammouda Saffar
AIM: 1) To assess the applicability of EPAGE criteria in there first version (EPAGE I) in clinical practice, 2) to assess colonoscopy appropriateness using EPAGE I criteria, 3) to compare colonoscopy appropriateness and findings. METHODS: Four hundred and eighty-seven consecutive diagnostic colonoscopies were included. The appropriateness of the indication of colonoscopy was appreciated using a scoring system on the basis of the EPAGE criteria in there first version (EPAGE I)...
February 2014: La Tunisie Médicale
José Luis Caniego Monreal
Although most vasculitis require histological proof for a definitive diagnosis, diagnostic imaging can be very helpful in this regard, allowing a proper evaluation of the vascular system and monitoring the response to treatment. Even though vasculitis is constituted by different pathological substrates, they show a common semiologic pattern from a radiological standpoint which is represented by inflammation, arterial wall thickening, and potential secondary development of vascular stenosis, occlusions or aneurysms...
September 2010: Reumatología Clinica
Juan Manuel Miranda, Lucero Mendoza, Luis Javier Jara, Ulises Angeles
OBJECTIVE: In patients with proliferative lupus nephritis treated with IV cyclophosphamide, analyze urinary tract infection (UTI) as a cause of treatment delay and renal relapses, compared with lupus nephritis patients without infection. PATIENTS AND METHODS: We studied SLE patients (ACR criteria) with renal biopsy showing nephritis class IV. All patients received monthly intravenous cyclophosphamide (CYC) treatment during 6 months. Thereafter patients were assigned to 2 groups: patients who developed UTI, and those who did not; renal function tests, UTI and renal relapses were bimonthly evaluated during one year (follow-up period)...
January 2007: Reumatología Clinica
J Weissenfeld, S Stock, M Lüngen, A Gerber
Substituting generic formulations of the same chemical agent is a common practice in German health care on the basis of so called rebate contracts. The substitution of a medication may affect the patients' adherence or result in adverse events. While adverse events which may be caused by the pharmacological activity of the agent itself can be explained, some non-specific side effects cannot be substantiated referring to pharmacological factors. These adverse reactions are summarized under the term nocebo effect...
July 2010: Die Pharmazie
C Oros, Maria Voroneanu
UNLABELLED: General and practical training, knowing of safe methods of preanesthesia, pain and anxiety control and establishing a good relation with the patient are some of the most important methods of patient management in the dental office. The final goals of the methods are to obtain a calm patient, haemodinamic equilibrated and safely prepared for the surgery. MATERIAL AND METHOD: Our study was performed on 448 patients. Different methods of preanesthesia were used by administrating per oral, intravenous, intramuscular, according with DAS score: Midazolam, Diazepam + Algocalmin, Xanax...
October 2009: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
B Henkelmann, K W Schramm, C Klimm, A Kettrup
The isotope dilution method is characterized by the use of appropiately labelled standard compounds in conjunction with mass spectrometry coupled to chromatographic systems. Although the isotope dilution method seems to be a simple procedure, some quality criteria for sample preparation, measurement and quantification have to be considered. Furthermore, archiving and documentation of analysis data as well as the use of reference materials to validate the analysis method are important with regard to European standard regulations for quality assurance...
March 1996: Analytical and Bioanalytical Chemistry
Monika Kmieciak Le Corguillé, Marianne Gaudric, Philippe Sogni, Hervé Roche, Catherine Brézault, Barbara Dieumegard, Daniel Couturier, Stanislas Chaussade et al.
UNLABELLED: Criteria for appropriateness of colonoscopy have been elaborated by an European Panel (EPAGE). OBJECTIVES: 1) To assess the feasibility of EPAGE criteria in clinical practice, 2) to assess colonoscopy appropriateness using EPAGE criteria, 3) to compare colonoscopy appropriateness and findings. PATIENTS AND METHODS: Four hundred and six consecutive examinations were included. The referral indication was judged using a scoring system on the basis of the EPAGE criteria...
February 2003: Gastroentérologie Clinique et Biologique
R Gitzelmann, N U Bosshard
In screening programmes testing newborns for galactose-1-phosphate uridyltransferase and/or galactose, partial enzyme deficiency is frequently discovered. This is shown for one laboratory in Switzerland where 104 newborns were singled out from a total of 476,000. Of these, 72 had partial transferase deficiency below 9 mumol/h per g Hb and were assumed to be compound heterozygotes for "classical" galactosemia and the Duarte variant. Present day management of compound heterozygotes consisting of lactose-free diet for 4 months is described and discussed in the light of published opinion...
1995: European Journal of Pediatrics
J R Hüppe, H J Schneider
Comparison of industrial film with long processing time and "90-second-Film" with film-screen combination showed the first type with long processing time to be distinctly superior. Number and shape of tiny clustered microcalcification were taken as criteria for correct visualization. Under present technical and geometrical conditions only industrial type film with long processing time gives high diagnostic accuracy in early breast cancer which depends to a large degree on proper delineation of microcalcifications...
May 1977: Der Radiologe
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