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JOURNAL ARTICLE
H L Hempel, M P Engbersen, J Wakkie, B J van Kelckhoven, W de Monyé
Purpose: The aim was to evaluate the impact of CAD software on the pulmonary nodule management recommendations of radiologists in a cohort of patients with incidentally detected nodules on CT. Methods: For this retrospective study, two radiologists independently assessed 50 chest CT cases for pulmonary nodules to determine the appropriate management recommendation, twice, unaided and aided by CAD with a 6-month washout period. Management recommendations were given in a 4-point grade based on the BTS guidelines...
2022: European Journal of Radiology Open
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JOURNAL ARTICLE
Natascia Di Iorgi, Giovanni Morana, Marco Cappa, Ludovico D'Incerti, Maria Luisa Garrè, Armando Grossi, Lorenzo Iughetti, Patrizia Matarazzo, Maria Parpagnoli, Gabriella Pozzobon, Mariacarolina Salerno, Iacopo Sardi, Malgorzata Gabriela Wasniewska, Stefano Zucchini, Andrea Rossi, Mohamad Maghnie
Background: Growth hormone deficiency (GHD) is the first and most common endocrine complication in pediatric brain tumor survivors (BTS). GHD can occur due to the presence of the tumor itself, surgery, or cranial radiotherapy (CRT). Aims: This study aimed to evaluate management and adherence to current guidelines of the Italian centers engaged in the diagnosis and follow-up of GHD patients with BTS. Methods: A multidisciplinary scientific board of pediatric endocrinologists, oncologists and radiologists with neuroimaging expertise discussed and reviewed the main issues relating to the management of GHD in pediatric BTS and developed a survey...
2022: Frontiers in Endocrinology
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JOURNAL ARTICLE
François Talles Medeiros Rodrigues, Ana Paula de Lima Ferreira, Kennedy Freitas Pereira Alves, Thais Vitorino Marques, Daniel Florentino de Lima, Larissa Coutinho de Lucena, Shirley Lima Campos, Wagner Souza Leite, Ricardo Oliveira Guerra, Amandine Rapin, Maria das Graças Rodrigues de Araújo, Redha Taiar
Vascular endothelium insults caused by high serum glucose levels affect the oxygen supply to tissues, via the microvascular endothelium, resulting in an increased perfusion heterogeneity. These insults may lead to the underuse of blood capillaries, while other vessels are overused and effectively overload their oxygen supply capacity, which eventually causes damages to distal parts of the peripheral nervous system. Therefore, the proprioceptive and exteroceptive feedback information will be gradually lost and contribute to a mobility reduction...
June 25, 2022: Diagnostics
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JOURNAL ARTICLE
Ju G Nam, Jin Mo Goo
With the rapidly increasing number of chest computed tomography (CT) examinations, the question of how to manage lung nodules found in asymptomatic patients has become increasingly important. Several nodule management guidelines have been developed that can be applied to incidentally found lung nodules (the Fleischner Society guideline), nodules found during lung cancer screening (International Early Lung Cancer Action Program protocol [I-ELCAP] and Lung CT Screening Reporting and Data System [Lung-RADS]), or both (American College of Chest Physicians guideline [ACCP], British Thoracic Society guideline [BTS], and National Comprehensive Cancer Network guideline [NCCN])...
July 8, 2022: Seminars in Respiratory and Critical Care Medicine
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JOURNAL ARTICLE
C Elliott, S McCaul, J Hayes
Aim We assessed the effectiveness of an AHP-led rehabilitation service for patients with Covid-19 respiratory failure post-discharge from Cavan Hospital. Methods Of the 140 patients discharged from Cavan hospital with Covid-19, from March to June 2020, 3.6% required MV or HFNC. Using BTS guidelines a pathway was established. Patients underwent a 6 week post discharge telephone assessment. Of the 12 eligible patients only four agreed to participate. Assessments included mMRC dyspnoea score, Nijmegen questionnaire and HADS score...
February 17, 2022: Irish Medical Journal
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JOURNAL ARTICLE
Loredana Maggi, Claudia Celletti, Maurizio Mazzarini, David Blow, Filippo Camerota
BACKGROUND: Low-back pain is a worldwide pain syndrome causing important limitations to daily activity. Common treatment guidelines recommend drugs and exercise. AIM: To evaluate the efficacy of a standardized NeuroMuscular Taping (NMT) lumbar application in reducing pain and improving function associated with back-school therapy (BST). METHODS: Single-blind randomized controlled trial. The experimental group was treated with BTS followed by three applications of NMT over 8 days and the control group who underwent only BST...
January 6, 2022: Aging Clinical and Experimental Research
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REVIEW
Joy John Mammen, Edwin Sam Asirvatham, Charishma Jones Sarman, Varsha Ranjan, Bimal Charles
BACKGROUND: Blood transfusion services (BTS) in India have progressed significantly during the last three decades. However, there is still inequity in the availability and access to blood due to various demand and supply-side issues. Appropriate laws, regulations, policies, and guidelines are critical to ensure universal access to blood. AIMS AND OBJECTIVES: This article aims to review the evolution and current status of legal, regulatory, and policy framework and analyses the issues, challenges, and opportunities for improvement of BTS in India...
July 2021: Asian Journal of Transfusion Science
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REVIEW
Prarthna Chandar Kulandaisamy, Sakthidev Kulandaisamy, Daniel Kramer, Christopher Mcgrath
Malignant pleural effusion (MPE) occurs in 15% of all cancer patients and usually portends poor prognosis while also serving to limit the patient's quality of life. Palliation of symptoms has been the goal for the management of these effusions while keeping the patient's hospital stay to a minimum. Traditionally, this has been achieved by chest tube drainage followed by the instillation of sclerosing agents, such as talc, in the pleural space. A recent increase in evidence for the effectiveness and convenience of indwelling pleural catheters has changed the management of MPE, which is reflected in the guidelines released by the American Thoracic Society as well their European Counterpart (ERS/BTS)...
November 26, 2021: Journal of Clinical Medicine
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JOURNAL ARTICLE
Samman Rose, Sundus Sardar, Sreethish Sasi, Dabia Hamad S H Al Mohanadi, Ahmed Ali A A Al-Mohammed, Muhammad Zahid
Prescription of oxygen therapy has traditionally poor compliance across the globe and mostly given to patients on verbal orders leading to under or overuse. The British Thoracic Society (BTS) guidelines (2017) recommend that oxygen therapy must be prescribed. Our study aimed to assess the prescription practice of oxygen therapy for patients admitted to acute medical assessment unit and general medical wards at Hamad General Hospital, Qatar and to achieve 80% compliance of valid oxygen therapy prescription implementing the quality improvement model against the BTS guidelines...
November 2021: BMJ Open Quality
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JOURNAL ARTICLE
Yevgeniy Vayntrub, Eric Gartman, Linda Nici, Matthew D Jankowich
British Thoracic Society (BTS) guidelines recommend using the Herder model to risk-stratify lung nodules after positron emission tomography (PET). However, this approach has not been adequately evaluated, particularly among Veterans. A single-center retrospective cohort study was carried out in U.S. Veterans with pulmonary nodules assessed by PET to validate the Herder model; decision analysis using risk thresholds from the BTS guidelines was performed. One hundred subjects met inclusion criteria. Area under the curve of the Herder model for predicting malignancy was 0...
December 2021: Lung
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REVIEW
S Peacock, D Briggs, M Barnardo, R Battle, P Brookes, C Callaghan, B Clark, C Collins, S Day, N Diaz Burlinson, P Dunn, R Fernando, S Fuggle, A Harmer, D Kallon, D Keegan, T Key, E Lawson, S Lloyd, J Martin, J McCaughan, D Middleton, F Partheniou, A Poles, T Rees, D Sage, E Santos-Nunez, O Shaw, M Willicombe, J Worthington
All UK H&I laboratories and transplant units operate under a single national kidney offering policy, but there have been variations in approach regarding when to undertake the pre-transplant crossmatch test. In order to minimize cold ischaemia times for deceased donor kidney transplantation we sought to find ways to be able to report a crossmatch result as early as possible in the donation process. A panel of experts in transplant surgery, nephrology, specialist nursing in organ donation and H&I (all relevant UK laboratories represented) assessed evidence and opinion concerning five factors that relate to the effectiveness of the crossmatch process, as follows: when the result should be ready for reporting; what level of donor HLA typing is needed; crossmatch sample type and availability; fairness and equity; risks and patient safety...
February 2022: International Journal of Immunogenetics
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JOURNAL ARTICLE
Robert C Free, Matthew Richardson, Camilla Pillay, Kayleigh Hawkes, Julie Skeemer, Rebecca Broughton, Pranabashis Haldar, Gerrit Woltmann
BACKGROUND: A specialist pneumonia intervention nursing (SPIN) service was set up across a single National Health Service Trust in an effort to improve clinical outcomes. A quality improvement evaluation was performed to assess the outcomes associated with implementing the service before (2011-2013) and after (2014-2016) service implementation. RESULTS: The SPIN service reviewed 38% of community-acquired pneumonia (CAP) admissions in 2014-2016. 82% of these admissions received antibiotic treatment in <4 hours (68...
August 2021: BMJ Open Respiratory Research
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JOURNAL ARTICLE
Désireeé Larenas-Linnemann, Jorge Salas-Hernández, Blanca E Del Río-Navarro, Jorge A Luna-Pech, Elsy Maureen Navarrete-Rodríguez, Laura Gochicoa, María Carmen Cano-Salas, Ulises Noel García-Ramírez, Carmen López-Estrada, José Antonio Ortega-Martell, Ambrosio Aguilar-Aranda, Sergio Caretta-Barradas, Martín Bedolla-Barajas, Robert Camargo, Francisco J Cuevas-Schacht, Margarita Fernández-Vega, Carlos García-Bolaños, Claudia Garrido-Galindo, Alejandro Jiménez-Chobillón, Carlos Juárez-Ortiz, María Carmen Larios-García, Héctor León-Molina, Alejandra Macías-Weinmann, Eric Martínez-Infante, Norma E Martínez-Jiménez, Rocío Esmeralda Mateos-Martínez, Jaime Mellado-Ábrego, Víctor Manuel Mendoza-Romero, Carol Vivian Moncayo-Coello, Sergio Monraz-Pérez, Gabriel Montes, Francisco Ignacio Ignacio Ortiz-Aldana, Carlos Lenin Pliego-Reyes, Adela Reyes, Irasema Rodríguez-Godínez, Héctor Hernán Ruiz-Gutiérrez, Andrés Sánchez-González, César F Segovia-Montero, Saraí Carmen Toral-Freyre, Jorge Vázquez-García
BACKGROUND: Asthma continues to be one of the most frequent chronic respiratory diseases in our country. New methods for diagnosis and treatment have been described; accordingly, the international guidelines were renewed. OBJECTIVE: To create a national platform for the development of updated guidelines, solidly based on evidence: Comprehensive Asthma Management (Spanish acronym: MIA). METHODS: MIA uses the ADAPTE method. The MIA development group consists of experts in pulmonology-allergology-methodology and representatives of 13 institutions and societies of specialties that manage asthma...
2021: Revista Alergia Mexico: Organo Oficial de la Sociedad Mexicana de Alergia e Inmunología, A.C
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REVIEW
Ahmed A Shokeir, Saddam Hassan, Tamer Shehab, Wesam Ismail, Ismail R Saad, Abdelbasset A Badawy, Wael Sameh, Hisham M Hammouda, Ahmed G Elbaz, Ayman A Ali, Rashad Barsoum
Objective : To present the first Egyptian clinical practice guideline for kidney transplantation (KT). Methods : A panel of multidisciplinary subspecialties related to KT prepared this document. The sources of information included updates of six international guidelines, and review of several relevant international and Egyptian publications. All statements were graded according to the strength of clinical practice recommendation and the level of evidence. All recommendations were discussed by the panel members who represented most of the licensed Egyptian centres practicing KT...
January 3, 2021: Arab Journal of Urology
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JOURNAL ARTICLE
Mark M Hammer, Sumit Gupta, Chung Yin Kong
PURPOSE: To evaluate nodule management guidelines in a simulated cohort of Lung Reporting and Data System (Lung-RADS) 4 nodules based on real-world data. MATERIALS AND METHODS: In this retrospective study, 100 000 patients were simulated from 151 patients with Lung-RADS 4 nodules (from January 2010 to August 2018). Each patient in the simulation was managed with each algorithm, and health outcomes were accumulated based on interventions and delays to cancer diagnosis...
April 2021: Radiology. Cardiothoracic imaging
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JOURNAL ARTICLE
Jo Congleton
No abstract text is available yet for this article.
May 2021: Drug and Therapeutics Bulletin
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JOURNAL ARTICLE
Fatma Guezguez, Hend Knaz, Ichraf Anane, Mohamed Bougrida, Helmi Ben Saad
OBJECTIVE: To compare the percentages of children with and without airway obstruction (obstructive and non-obstructive groups, respectively) presenting a "clinically significant" BDR according to the following definitions: GINA : FEV1 increase >12% predicted (∆Predicted ), ATS/ERS : FEV1 increase ≥12% initial (∆Initial ) and ∆FEV1 absolute (∆) ≥200ml and/or ∆FVCInitial ≥12% and ∆FVC ≥200ml, British thoracic society ( BTS) : ∆FEV1Initial ≥12%, National asthma education and prevention program ( NAEPP ): ∆FEV1Initial ≥12% and ∆FEV1 >200ml, Group of research on advances in pediatric pneumology: ∆FEV1Initial ≥12% or ∆PEFInitial ≥20%, and South African thoracic society ( SATS ): ∆FEV1Initial ≥12% or ∆FEV1 >200ml and/or ∆FVCInitial ≥12% or ∆FVC >200ml...
March 22, 2021: Expert Review of Respiratory Medicine
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COMPARATIVE STUDY
Niamh M Brady, Hatem Ali, Fiona Biggins, Aimun Ahmed
The most recent British Transplant Society (BTS) guidelines recommend that office blood pressure (BP) monitoring in living donors is sufficient for the assessment of hypertension (HTN) and those with BP >140/90 should be further assessed using ambulatory BP monitoring (ABPM). ABPM can detect diurnal and nocturnal variation in BP, thus it can identify masked HTN. The aim of the current study is to assess reliability of ABPM vesus office BP monitoring for assessment in living kidney donors. Office and ABPM of all potential kidney donors at a single center from April 2009 to March 2017 were retrospectively reviewed and compared...
November 2020: Saudi Journal of Kidney Diseases and Transplantation
#39
JOURNAL ARTICLE
Muhammad Jawad, Caroline Apsey
Aims Current British Thoracic Society (BTS) guidelines only recommend thrombolysis of pulmonary embolism (PE) in patients who are haemodynamically compromised. Newer evidence suggests a mortality benefit for the thrombolysis of sub-massive PE with right ventricular strain. We wanted to assess the outcome and safety of thrombolysis in patients with sub-massive PE in a DGH. Methods The notes for patients with sub-massive PE and thrombolysis from a two-year period were reviewed. Evidence of right ventricular strain and myocardial necrosis based on bedside echocardiography, computed tomography (CT) scan and troponin T were indications for thrombolysis...
November 6, 2020: Curēus
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JOURNAL ARTICLE
Robin Condliffe, Paul Albert, Raza Alikhan, Emma Gee, Daniel Horner, Laura Hunter, Phillip Jacobs, Rachel Limbrey, Michael Newnham, Wendy Preston, Sheena Patel, Laura-Jane Smith, Jay Suntharalingam
INTRODUCTION: The purpose of the quality standards document is to provide healthcare professionals, commissioners, service providers and patients with a guide to standards of care that should be met for outpatient management of pulmonary embolism in the UK, together with measurable markers of good practice. Quality statements are based on the British Thoracic Society (BTS) Guideline for the Initial Outpatient Management of Pulmonary Embolism. METHODS: Development of BTS Quality Standards follows the BTS process of quality standard production based on the National Institute for Health and Care Excellence process manual for the development of quality standards...
August 2020: BMJ Open Respiratory Research
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