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Clinical guidlines

Thomas Wilke, Martin Wehling, Steffen Amann, Rupert M Bauersachs, Björn Böttger
BACKGROUND AND STUDY OBJECTIVES: The assessment of the renal function of patients with a deep vein thrombosis/pulmonary embolism (VTE patients) is of utmost importance for the selection/dosage of an agent in the initial anticoagulation management of these patients because the majority of available anticoagulants are cleared renally. Specifically, there is a high risk of drug accumulation and subsequent bleedings in patients with severe renal insufficiency. Consequently, specific recommendations have been made for the initial anticoagulation management of these patients in both product labels and AWMF treatment recommendations: some drugs should not be used in these patients, for other drugs a careful use, intensified screening (anti-Xa), or, in the case of enoxaparin, a dose-adjustment are recommended...
August 2015: Deutsche Medizinische Wochenschrift
J Weiss, M Rau, H Bantel, H Bock, M Demir, J Kluwe, M Krawczyk, A Pathil-Warth, J M Schattenberg, F Tacke, E Roeb, A Geier
BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) currently is one oft the most common reasons for chronic liver injury in the western world. In the European and American population the prevalence is up to 30 %. The medical supply of German patients with NAFLD is variable and has not been analyzed to date. METHODS: We sent questionnaires to all university liver centers in Germany (11 questions) concerning the medical supply of patients with NAFLD. Questions included the rate of patients with fatty liver disease in the outpatient clinics, metabolic comorbidities and the kind of assignment...
June 2015: Zeitschrift Für Gastroenterologie
A G Schreyer, G Layer
UNLABELLED: Diverticular disease and diverticulitis represent an increasingly common disease especially in patients with advanced age. The German Society of Digestive and Metabolic Diseases (DGVS) as well as the German Society of General and Visceral Surgery (DGAV) in collaboration with the German Radiology Society (DRG) created and published S2k guidelines regarding this topic. Knowledge of the diagnosis and therapy of this common disease is extremely important for the radiologist for the daily clinical routine...
August 2015: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
Sabetian Soudabeh, Ardekani Ali M, Hodjat Mahshid, Akhondi Mohammad Mehdi, Soltanghoraee Haleh, Amirjannati Naser, Lakpour Niknam, Sadeghi Mohammad Reza
INTRODUCTION: Azoospermia affects more than 10% - 15% of infertile male subjects attending infertilty clinics. At present, testicular biopsy is the golden standard procedure for evaluating spermatogenesis status in men with azoospermia. Semen collection and analysis is a non-invasive method and has proven to be valuable in the evaluation of spermatogenesis. Identification of seminal plasma markers with testicular or extra-testicular origins have a great value in predicting the prescence of sperm in testicular tissue and presumptive cause of azoospermia...
April 2010: Journal of Reproduction & Infertility
Zhe Zhang, Gang Deng, Dandan Huang, Wenyu Guo, Deyi Xu, Yong Du, Xiaoxian Tang, Yong Yu, Danfei Deng
OBJECTIVE: To investigate the molecular genetic basis of samples with ABO typing discrepancy and provide the guidline for identification and clinical transfusion for these samples. METHODS: Six cases with similar serological characteristics were collected. Serological method, PCR-SSP and direct sequencing of ABO gene were used to explore the underlying mechanism. Condition of clinical transfusion of patients was also reviewed. RESULTS: Three conditions were related with the ABO blood type discrepancy, which included weaken antigen (2 cases), weakened antibody (3 cases) and ABO subtype (1 case)...
June 2013: Zhonghua Yi Xue Yi Chuan Xue za Zhi, Zhonghua Yixue Yichuanxue Zazhi, Chinese Journal of Medical Genetics
V Procházka, Z Kala, M Jíra, K Starý, S Bohatá, I Penka
INTRODUCTION: Laparoscopic adrenalectomy has become a standard surgical procedure for the most of adrenal gland disorders. Hormonal active adenomas, feochromocytomas even some malignant tumors are the most frequent indications. The number of operations for accidentally diagnosed foci has grown rapidly. It has been suggested to revise recommendations specifying criteria, based on which incidentaloma is indicated for adrenalectomy. The aim of this work is to compare the results of adrenalectomies for hormonal active lesions and incidentalomas...
April 2012: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Evelyn Fischer, Felix Beuschlein, Martin Bidlingmaier, Martin Reincke
The Endocrine Society guidelines suggest to screen patients with primary aldosteronism (PA) free of hypertensive medications or alternatively to switch to drugs known to have minimal influence on the aldosterone to renin ratio (ARR). We retrospectively investigated the impact of such strategy on clinical outcome. 25 patients with PA and 25 with essential hypertension (EH) were studied. Initially all subjects were evaluated biochemically and received if possible an adjustment of their medication following the guidlines...
March 2011: Reviews in Endocrine & Metabolic Disorders
Christos D Liapis, Peter F Bell, Dimitri P Mikhailidis, Juhani Sivenius, Andrew Nicolaides, Jose Fernandes e Fernandes, Giorgio Biasi, Lars Norgren
Herein, we present the European Society for Vascular Surgery Guidelines pertinent to the secondary prevention of cerebrovascular events in patients with carotid artery stenosis including lipid lowering therapy, antiplatelet therapy and other risk factor modification. These recommendations are based on current evidence from clinical trials. There is a need for aggressive prevention treatment in patients with carotid artery disease. We also discuss the diagnosis and grading of carotid artery stenosis.
September 2010: Current Vascular Pharmacology
Z Holub, M Mára
OBJECTIVE: The objective of this paper is give to guideline to the management of myoma, fertility and pregnancy. DESIGN: Review. SETTING: Czech Society Gynecological Endoscopy. MATERIAL AND METHOD: The bibliographic data from Medline were reviewed from literature using the key words: fibroid - fertility - pregnancy. CONCLUSION: The clinical guidline was preparared after the aalysed data were supplied using the material of CSGE...
October 2008: Ceská Gynekologie
Wuttichai Thanapongsathron, Burapa Kanjanabut, Tamnoon Vaniyapong, Santapol Thaworncharoen
BACKGROUND/OBJECTIVE: From December 1997 to April 1998, 122 appendectomies were done in Cambodian refugees at Borai Hospital, Thailand. 44% of the pathological reports were acute appendicitis, 20% were eosinophilic appendicitis and 36% were unremarkable appendix. What is the etiology of unremarkable appendix in right lower quadrant (RLQ) abdominal pain? How to decrease appendectomy in the unremarkable group? By using the advantages of laparoscopic technique, the authors are looking for the diagnosis and management guidline of this condition...
June 2005: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Mitsunori Sakatani, Yoshiki Nakajima
The non-tuberculous mycobacteriosis (NTM) is not a unitary disease. It is a general term for the bronchopulmonary diseases caused by any mycobacterium other than M. tuberculosis. We don't call the pulmonary "pseudomoniosis" for the diffuse bronchiectasis caused by Pseudomonas aeruginosa, though conditions of the disease looks like NTM. The name of NTM represents that the causativebacteria belong to the same species with M. tuberculosis which causes serious pulmonary infectious disease. The pulmonary diseases caused by M...
January 2006: Kekkaku: [Tuberculosis]
Sakiko Ohga, Kenichi Shikata, Hirofumi Makino
Diabetes has become the most common single cause of end stage renal disease. Nephrotic syndrome is often manifested in the progression of diabetic nephropathy. Diabetic nephropathy has several pathways for development, such as glomerular hyperfiltration, upregulation of protein kinase C, advanced glycation end products, activation of polyol pathway, increased oxidative stress and upregulation of growth factors. Intensive control of blood pressure and the use of angiotensin converting enzyme inhibitor or angiotensin receptor blocker can protect the progression of nephropathy with nephrotic syndrome...
October 2004: Nihon Rinsho. Japanese Journal of Clinical Medicine
(no author information available yet)
An essential function of both the Association for Applied Psychophysiology and Biofeedback (AAPB) and the Society for Neuronal Regulation (SNR) is the systematic evaluation of psychophysiological interventions that have been developed for the treatment of medical and psychiatric disorders. In order to address scientific concerns regarding the efficacy of specific clinical applications of biofeedback, these two societies formed and Efficacy Task Force. The process to be used in the assessment of treatment efficacy, specificity and clinical utility is presented in the form of a template that will serve as the foundation for a series of scientific reviews and practice guidlines to be published by both societies...
December 2002: Applied Psychophysiology and Biofeedback
Robert Liston, Joan Crane, Emily Hamilton, Owen Hughes, Susan Kuling, Catherine MacKinnon, Helen McNamara, Ken Milne, Bryan Richardson, Marie-Josée Trépanie
OBJECTIVE: This guideline defines the standards pertaining to the application and documentation of fetal surveillance in labour that will decrease the incidence of birth asphyxia while maintaining the lowest possible rate of obstetrical intervention. Both high- and low-risk obstetrical populations are considered. It is intended that this guideline could be used by all persons providing intrapartum care in Canada, including nurses, physicians, and midwives. OPTIONS: Consideration has been given to methods of fetal surveillance currently available in Canada, including intermittent auscultation, electronic fetal monitoring (alone and when paired with vibro-acoustic or scalp stimulation and fetal scalp blood sampling), the "admission strip," computerized heart rate analysis, fetal oxygen saturation monitoring, fetal electrocardiogram analysis, and near-infrared spectroscopy...
March 2002: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Lionel A. Mandell
Clinical management of community-acquired pneumonia (CAP)--and Streptococcus pneumoniae infection in general--are controversial. Multiple sets of guidlines exist. This article reviews CAP, S. pneumoniae infection and drug resistance, the four sets of guidlines currently in use in North America, and the data upon which the agencies establishing those guidlines have based their consclusions, particularly about drug resistance and treatment failures. The article also considers the role of penicillin in the treatment of pneumococcal pneumonia...
February 2001: Current Infectious Disease Reports
J Yoshikawa
Two-dimensional echocardiography has been the reference standard for establishing the clinical diagnosis of mitral valve prolapse. Superior systolic displacement of the mitral leaflets, however, is not necessary abnormal. Whether and at what point leaflet displacement uniquely describes a pathologic process should not be accepted without defining the pattern of normal mitral leaflet motion. One should combine informations from phonocardiograms, Doppler color flow mapping and two-dimensional echocardiograms in an effort to avoid the artifice of using two-dimensional echocardiography as a categoric reference standard and to establish new clinical guidline or criteria that distinguish pathologic mitral valve prolapse from normal superior systolic displacement of the mitral leaflets...
1986: Journal of Cardiography. Supplement
R D Cane, N Buchanan
The clinical features and treatment of 34 patients with myocardial contusion is presented. The value of specific clinical features for diagnosis is discussed. Guidlines for therapy are presented.
April 1978: Intensive Care Medicine
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