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https://www.readbyqxmd.com/read/28741723/analysis-of-the-incidence-and-factors-predictive-of-outcome-in-patients-with-head-and-neck-cancer-with-pulmonary-nodules
#1
Richard Green, Mark T Macmillan, Theofano Tikka, Lorna Bruce, John T Murchison, Iain J Nixon
BACKGROUND: The management of pulmonary nodules is challenging; unfortunately, little is known about the incidence and significance of pulmonary nodules in patients with head and neck cancer. METHODS: A review was conducted of 400 consecutive patients with head and neck cancer. Imaging was reviewed to identify the incidence of nodules and patient, tumor, and radiological factors associated with the risk of malignancy. RESULTS: Nodules were found in 58% of patients, with a malignant rate of 6%...
July 25, 2017: Head & Neck
https://www.readbyqxmd.com/read/28703064/guidance-on-oxygen-use-in-adults
#2
Kimberley Hackett
Essential facts Oxygen is one of the most commonly used drugs in emergency medicine and before publication of the first British Thoracic Society (BTS) 2008 guideline, emergency departments and ambulance services gave oxygen to almost all breathless or seriously ill patients.
July 13, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28666721/follow-up-of-high-risk-bladder-cancer-is-it-safe-to-perform-fluorescence-endoscopy-multiple-times-in-the-same-patient
#3
Maria Apfelbeck, Tobias Grimm, Alexander Kretschmer, Alexander Buchner, Birte-Swantje Schneevoigt, Friedrich Jokisch, Markus Grabbert, Gerald Schulz, Christian G Stief, Alexander Karl
PURPOSE: As the use of fluorescence endoscopy is recommended today by different guidelines during the follow-up of high-grade non-muscle-invasive bladder cancer, the aim of this study is to analyze whether the multiple use of hexylaminolevulinate (HAL) for TUR-BT can be performed safely within the same patient over a time interval. METHODS: Data of patients diagnosed and treated with HAL-TUR-B at our institute between 2008 and 2013 were analyzed. Special interest was given to side effects observed during the instillation of the substance, on the whole day of the instillation and during the entire hospital stay...
June 27, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/28622988/organotins-and-new-antifouling-biocides-in-water-and-sediments-from-three-korean-special-management-sea-areas-following-ten-years-of-tributyltin-regulation-contamination-profiles-and-risk-assessment
#4
Nguyen Hoang Lam, Hui-Ho Jeong, Su-Dong Kang, Dae-Jin Kim, Mi-Jo Ju, Toshihiro Horiguchi, Hyeon-Seo Cho
A simultaneous monitoring study on organotins (butyltins and phenyltins) and most frequently used alternative antifouling biocides (Irgarol 1051, Diuron, Sea-Nine 211 and M1) in water and sediments (n=44) collected from three Special Management Sea Areas operated by Korean government. The lower concentration of butyltins (BTs) than that of new antifouling biocides (NEW) was found in water but the significant greater concentration of BTs than that of NEW was still found in sediments. The tributyltin (TBT) levels in water exceeded the chronic criterion to protect seawater aquatic life at several sites...
June 13, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/28507176/bts-guideline-for-oxygen-use-in-adults-in-healthcare-and-emergency-settings
#5
B R O'Driscoll, L S Howard, J Earis, V Mak
No abstract text is available yet for this article.
June 2017: Thorax
https://www.readbyqxmd.com/read/28331822/risk-assessment-in-relation-to-the-detection-of-small-pulmonary-nodules
#6
REVIEW
John K Field, Michael W Marcus, Matthijs Oudkerk
The National Lung Cancer Screening trial (NLST) demonstrated that individuals assigned to the LDCT screening arm had a 20% lower mortality than those who were assigned to the conventional chest radiography. The NLST was thoroughly analyzed by the US Preventive Task Force on CT Screening and they recommended that lung cancer screening should be implemented. A number of other countries have also recommended implementation, whilst others are awaiting the outcome of the NELSON Trial. However, recommendations for the management of CT screen detected nodules have only recently had any clarity...
February 2017: Translational Lung Cancer Research
https://www.readbyqxmd.com/read/28323273/hydrogen-and-methane-based-breath-testing-in-gastrointestinal-disorders-the-north-american-consensus
#7
Ali Rezaie, Michelle Buresi, Anthony Lembo, Henry Lin, Richard McCallum, Satish Rao, Max Schmulson, Miguel Valdovinos, Salam Zakko, Mark Pimentel
OBJECTIVES: Breath tests (BTs) are important for the diagnosis of carbohydrate maldigestion syndromes and small intestinal bacterial overgrowth (SIBO). However, standardization is lacking regarding indications for testing, test methodology and interpretation of results. A consensus meeting of experts was convened to develop guidelines for clinicians and research. METHODS: Pre-meeting survey questions encompassing five domains; indications, preparation, performance, interpretation of results, and knowledge gaps, were sent to 17 clinician-scientists, and 10 attended a live meeting...
May 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/28236150/trace-elements-in-muscle-of-three-fish-species-from-todos-os-santos-bay-bahia-state-brazil
#8
Carolina Oliveira de Santana, Taíse Bomfim de Jesus, William Moura de Aguiar, Washington de Jesus Sant'anna Franca-Rocha, Carlos Alberto Caroso Soares
In this study, an analysis was performed on the concentrations of the trace elements Al, As, Ba, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, V, and Zn in muscle of two carnivorous and one planktivorous fish species collected at Todos os Santos Bay (BTS). The accumulation order of the trace elements in Lutjanus analis was Al >Zn >Fe >Cr >Ba >Ni. In Cetengraulis edentulus, the order was Al >Fe >Zn >Cr >Ni >Mn >As. In the species Diapterus rhombeus, the order was Al >Fe >Zn >Cr >Ni >Mn >Cd...
March 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28224348/a-need-to-reconsider-guidelines-on-management-of-primary-spontaneous-pneumothorax
#9
Jiyoon Yoon, Parthipan Sivakumar, Kevin O'Kane, Liju Ahmed
BACKGROUND: The key guidelines in the management of primary spontaneous pneumothorax (PSP) include the 2010 British Thoracic Society (BTS) Pleural Disease guideline and 2001 American College of Chest Physicians (ACCP) Consensus Statement. Current recommendations are dependent on radiographic measures which differ between these two guidelines. The aim of this study is to compare size classification of PSP cases, according to BTS and ACCP guidelines, and to evaluate guideline compliance...
December 2017: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28185492/avoiding-hospital-admission-in-copd-impact-of-a-specialist-nursing-team
#10
REVIEW
Karen Cox, Susan C Macleod, Caroline J Sim, Arwel W Jones, Jacqui Trueman
Chronic obstructive pulmonary disease (COPD) is a common, preventable and incurable disease. The costs of caring for patients with COPD is estimated to be more than £800 million a year for acute hospital admissions alone ( Department of Health, 2012 ). The hospital-at-home model is increasingly being adopted for COPD patients following British Thoracic Society (BTS) guidelines for the delivery of hospital admission-avoidance schemes ( BTS, 2007 ). The aim of this case-note review was to evaluate the safety and effectiveness of a specialist nurse-led acute respiratory assessment service working with COPD patients in the community...
February 9, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28142139/long-term-oxygen-therapy-comparison-of-the-german-and-british-guidelines
#11
Friederike Sophie Magnet, Sarah Bettina Schwarz, Jens Callegari, Carl-Peter Criée, Jan Hendrik Storre, Wolfram Windisch
BACKGROUND: The German guideline on long-term oxygen therapy (LTOT) was published in 2008 by the German Respiratory Society (DGP), while the British Thoracic Society (BTS) published their most recent guideline in 2015. OBJECTIVES: The aim of the present article was to highlight the major areas of consensus and disagreement in the recently published BTS and DGP guidelines on LTOT. METHODS: The BTS and DGP guidelines were directly compared in terms of congruencies and differences...
2017: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/28081511/spatiotemporal-distributions-of-butyltin-compounds-in-various-intertidal-organisms-along-the-samcheok-and-tongyeong-coasts-of-korea
#12
Taewoo Kim, Seungyeon Jeon, Seongjin Hong, Sung Joon Song, Bong-Oh Kwon, Jongseong Ryu, Jong Seong Khim
Thirteen years ago, the Korean Government introduced a regulation prohibiting the use of tributyltin (TBT), which was a component of antifouling paints. A subsequent decline in the concentration of butyltins (BTs) was recorded in seawater and the sediment, however, the current concentration of BTs in biota has not been well documented. The spatiotemporal distribution and concentration of BTs was recorded in biota from 2013 to 2015 along the coasts of Samcheok and Tongyeong using GS/MSD analysis. Crustaceans contained the greatest concentrations of BTs, followed by gastropods, fishes, and bivalves...
April 2017: Chemosphere
https://www.readbyqxmd.com/read/27685819/spontaneous-pneumothorax-a-collapse-in-management
#13
G Watson, N Salter, J Ryan
Revised guidelines for the management of spontaneous pneumothoraces were published by the British Thoracic Society in 2010, however compliance remains poor. A retrospective review was performed on patients diagnosed with a pneumothorax over a 26 month period (January 2012 to March 2014). Of the 57 patients identified, 43 (75%) were diagnosed with spontaneous pneumothorax. 12 patients (21%) had pre-existing lung disease, and 16 patients (28%) admitted to having had a previously documented pneumothorax. 19 patients (33%) were reported as smokers...
March 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27651907/step-4-stick-or-twist-a-review-of-asthma-therapy
#14
Mariel G Slater, Ian D Pavord, Dominick E Shaw
Many people with asthma do not achieve disease control, despite bronchodilators and inhaled corticosteroid therapy. People with uncontrolled asthma are at higher risk of an asthma attack and death, with mortality rates estimated at 1000 deaths/year in England and Wales. The recent National Review of Asthma Deaths (NRAD) report, 'Why asthma still kills', recommended that patients at step 4 or 5 of the British Thoracic Society/Scottish Intercollegiate Guidelines Network (BTS/SIGN) guidance must be referred to a specialist asthma service...
2016: BMJ Open Respiratory Research
https://www.readbyqxmd.com/read/27631108/multicenter-external-validation-of-two-malignancy-risk-prediction-models-in-patients-undergoing-18f-fdg-pet-for-solitary-pulmonary-nodule-evaluation
#15
MULTICENTER STUDY
Simone Perandini, G A Soardi, A R Larici, A Del Ciello, G Rizzardi, A Solazzo, L Mancino, F Zeraj, M Bernhart, M Signorini, M Motton, S Montemezzi
OBJECTIVES: To achieve multicentre external validation of the Herder and Bayesian Inference Malignancy Calculator (BIMC) models. METHODS: Two hundred and fifty-nine solitary pulmonary nodules (SPNs) collected from four major hospitals which underwent 18-FDG-PET characterization were included in this multicentre retrospective study. The Herder model was tested on all available lesions (group A). A subgroup of 180 SPNs (group B) was used to provide unbiased comparison between the Herder and BIMC models...
May 2017: European Radiology
https://www.readbyqxmd.com/read/27617367/combination-therapies-for-smoking-cessation-a-hierarchical-bayesian-meta-analysis
#16
REVIEW
Sarah B Windle, Kristian B Filion, Joseph G Mancini, Lauren Adye-White, Lawrence Joseph, Genevieve C Gore, Bettina Habib, Roland Grad, Louise Pilote, Mark J Eisenberg
CONTEXT: Treatment guidelines recommend the use of combination therapies for smoking cessation, particularly behavioral therapy (BT) as an adjunct to pharmacotherapy. However, these guidelines rely on previous reviews with important limitations. This study's objective was to evaluate the efficacy of combination therapies compared with monotherapies, using the most rigorous data available. EVIDENCE ACQUISITION: A systematic review and meta-analysis of RCTs of pharmacotherapies, BTs, or both were conducted...
December 2016: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27582089/vilanterol-and-fluticasone-furoate-for-asthma
#17
REVIEW
Kerry Dwan, Stephen J Milan, Lynne Bax, Nicola Walters, Colin Powell
BACKGROUND: Vilanterol (VI) is a long-acting beta2-agonist (LABA) that binds to the beta2-adrenoceptor on the airway smooth muscle, producing bronchodilation. LABA therapy, which is well established in adults as part of the British Thoracic Society (BTS) Guidelines for the Management of Asthma, leads to improvement in symptoms and lung function and reduction in exacerbations. At present, the commonly used LABAs licensed for use in asthma management (formoterol and salmeterol) require twice-daily administration, whereas VI is a once-daily therapy...
September 1, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27540214/a-really-wheezy-way-to-save-money
#18
Grace Li, Ofran Almossawi, Hasna Dulfeker, Vicky Jones, Felicity Taylor
AIM: To compare the palatability of oral non-soluble and oral soluble prednisolone tablets in paediatric patients admitted to the general paediatric wards in an acute London Trust. METHOD: As part of ongoing quality improvement initiatives, the Paediatric and Pharmacy departments compared tolerability of soluble versus non-soluble prednisolone in a group of 27 patients. Using a modified 5 point hedonic scale with 'smiley' faces we measured palatability and tolerance (swallowed versus refusal or vomiting) over two three week periods: the first period whilst soluble prednisolone was dispensed (n=17) and the second period after the switch to non-soluble prednisolone had been made (n=10)...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27487190/quality-improvement-in-acute-ischemic-stroke-care-in-taiwan-the-breakthrough-collaborative-in-stroke
#19
Fang-I Hsieh, Jiann-Shing Jeng, Chang-Ming Chern, Tsong-Hai Lee, Sung-Chun Tang, Li-Kai Tsai, Hsun-Hsiang Liao, Hang Chang, Kenneth A LaBresh, Hung-Jung Lin, Hung-Yi Chiou, Hou-Chang Chiu, Li-Ming Lien
In the management of acute ischemic stroke, guideline adherence is often suboptimal, particularly for intravenous thrombolysis or anticoagulation for atrial fibrillation. We sought to improve stroke care quality via a collaborative model, the Breakthrough Series (BTS)-Stroke activity, in a nationwide, multi-center activity in Taiwan. A BTS Collaborative, a short-term learning system for a large number of multidisciplinary teams from hospitals, was applied to enhance acute ischemic stroke care quality. Twenty-four hospitals participated in and submitted data for this stroke quality improvement campaign in 2010-2011...
2016: PloS One
https://www.readbyqxmd.com/read/27433170/korean-asthma-guideline-2014-summary-of-major-updates-to-the-korean-asthma-guideline-2014
#20
REVIEW
Deog Kyeom Kim, Yong Bum Park, Yeon-Mok Oh, Ki-Suck Jung, Ji Hong Yoo, Kwang-Ha Yoo, Kwan Hyung Kim
Asthma is a prevalent and serious health problem in Korea. Recently, the Korean Asthma Guideline has been updated by The Korean Academy of Tuberculosis and Respiratory Diseases (KATRD) in an effort to improve the clinical management of asthma. This guideline focuses on adult patients with asthma and aims to deliver up to date scientific evidence and recommendations to general physicians for the management of asthma. For this purpose, this guideline was updated following systematic review and meta-analysis of recent studies and adapting some points of international guidelines (Global Initiative for Asthma [GINA] report 2014, National Asthma Education and Prevention Program [NAEPP] 2007, British Thoracic Society [BTS/SIGN] asthma guideline 2012, and Canadian asthma guideline 2012)...
July 2016: Tuberculosis and Respiratory Diseases
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