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https://read.qxmd.com/read/30784228/managing-care-for-people-with-diabetes-undergoing-dialysis
#1
Sarah Gregory, Karen Jenkins
BACKGROUND: Caring for patients with diabetes undergoing dialysis often proves challenging for staff working in haemodialysis units as they are not experts in diabetes and unfamiliar with insulin dosing regimens and the impact dialysis can have on blood sugar levels and lifestyle adjustment. There is a need to improve the knowledge base of renal healthcare professionals to better understand the physiology of diabetes, its relationship with end stage kidney disease, and potential changes that can take place when commencing dialysis...
March 2019: Journal of Renal Care
https://read.qxmd.com/read/30779025/the-unsolved-conundrum-of-optimal-blood-pressure-target-during-acute-haemorrhagic-stroke-a-comprehensive-analysis
#2
Giuseppe Mulè, Alessandra Sorce, Marta Giambrone, Brigida Fierro, Santina Cottone, Giovanni Cerasola
Intracerebral haemorrhage (ICH) is a devastating cerebrovascular disease, which accounts to 15% of all strokes. Among modifiable risk factors for ICH, hypertension is the most frequent. High blood pressure (BP) is detected in more than 75-80% of patients with ICH. Extremely elevated BP has been associated with early hematoma growth, a relatively frequent occurrence and powerful predictor of poor outcome in patients with spontaneous ICH. On the other hand, excessively low BP might cause cerebral hypoperfusion and ultimately lead to poor outcome...
February 18, 2019: High Blood Pressure & Cardiovascular Prevention: the Official Journal of the Italian Society of Hypertension
https://read.qxmd.com/read/30767902/discussing-weight-management-with-type-2-diabetes-patients-in-primary-care-using-the-small-talk-big-difference-intervention-protocol-for-a-randomized-controlled-trial
#3
Katriona Brooksbank, Joanne O'Donnell, Vicky Corbett, Sarah Shield, Rachel Ainsworth, Ross Shearer, Susan Montgomery, Andrew Gallagher, Hannah Duncan, Lorna Hamilton, Valerie Laszlo, Rhonda Noone, Anna Baxendale, David Blane, Jennifer Logue
BACKGROUND: Guidelines for the management of type 2 diabetes universally recommend that adults with type 2 diabetes and obesity be offered individualized interventions to encourage weight loss. Yet despite the existing recommendations, provision of weight management services is currently patchy around the United Kingdom and where services are available, high attrition rates are often reported. In addition, individuals often fail to take up services, that is, after discussion with a general practitioner or practice nurse, individuals are referred to the service but do not attend for an appointment...
February 15, 2019: JMIR Research Protocols
https://read.qxmd.com/read/30763262/measurement-of-s100b-protein-evaluation-of-a-new-prototype-on-a-biom%C3%A3-rieux-vidas%C3%A2-3-analyzer
#4
Charlotte Oris, Russel Chabanne, Julie Durif, Samy Kahouadji, Marina Brailova, Vincent Sapin, Damien Bouvier
Background The addition of S100B protein to guidelines for the management of mild traumatic brain injury (mTBI) decreases the amount of unnecessary computed tomography (CT) scans with a significant decrease in radiation exposure and an increase in cost savings. Both DiaSorin and Roche Diagnostics have developed automated assays for S100B determination. Recently, bioMérieux developed a prototype immunoassay for serum S100B determination. For the first time, we present the evaluation of the S100B measurement using a bioMérieux Vidas® 3 analyzer...
February 14, 2019: Clinical Chemistry and Laboratory Medicine: CCLM
https://read.qxmd.com/read/30760890/absolute-risk-score-for-stroke-myocardial-infarction-and-all-cardiovascular-disease-japan-arteriosclerosis-longitudinal-study
#5
Akiko Harada, Hirotsugu Ueshima, Yuki Kinoshita, Katsuyuki Miura, Takayoshi Ohkubo, Kei Asayama, Yasuo Ohashi
To develop a risk chart or score that is based on recent data and applicable to the Japanese people, we need a large cohort study representative of the Japanese people without a need for long-term follow-up. The purpose of the present study was to develop a risk scoring system to estimate the 5- and 10-year absolute and cumulative incidence risk of stroke and acute myocardial infarction (AMI), composite outcome of stroke and AMI, and death from all cardiovascular disease (CVD). The cumulative incidence risk ratios were calculated using a multiple Poisson regression model and data from the Japan Arteriosclerosis Longitudinal Study, which included 67,969 men and women aged 40-89 years...
February 13, 2019: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://read.qxmd.com/read/30758743/micronized-purified-flavonoid-fraction-mpff-for-patients-suffering-from-chronic-venous-disease-a-review-of-new-evidence
#6
REVIEW
Jorge H Ulloa
Chronic venous disease (CVD) is both prevalent and unavoidable in many people as a result of persistent or unalterable risk factors, the most important of which are advanced age, excess body weight, and family history. Given this inevitability, medical treatment is required to alleviate symptoms and slow disease progression. Venoactive drug therapy is emerging as a valuable treatment option for many CVD patients and micronized purified flavonoid fraction (MPFF) is the most widely prescribed and well-studied venoactive drug available...
February 13, 2019: Advances in Therapy
https://read.qxmd.com/read/30758425/management-of-copd-within-the-brazilian-unified-health-care-system-in-the-state-of-bahia-an-analysis-of-real-life-medication-use-patterns
#7
Charleston Ribeiro Pinto, Antônio Carlos Moreira Lemos, Lindemberg Assunção-Costa, Aramis Tupiná de Alcântara, Laira Lorena Lima Yamamura, Gisélia Santana Souza, Eduardo Martins Netto
OBJECTIVE: To describe COPD pharmacological treatment patterns in the state of Bahia, Brazil, and to evaluate the extent to which these patterns conform to clinical guidelines for the management of COPD. METHODS: This was a cross-sectional study of 441 patients referred from the Public Health Care Network of the state of Bahia to a public referral outpatient clinic of a COPD management program of the Brazilian Unified Health Care System. Individuals with a spirometry-confirmed diagnosis of moderate to very severe COPD were included in the study...
February 11, 2019: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://read.qxmd.com/read/30756497/american-thyroid-association-guidelines-for-the-management-of-well-differentiated-thyroid-carcinoma
#8
EDITORIAL
Benjamin Wallwork
No abstract text is available yet for this article.
January 2019: ANZ Journal of Surgery
https://read.qxmd.com/read/30745705/clinical-practice-guidelines-for-the-management-of-obsessive-compulsive-disorder-in-children-and-adolescents
#9
Ajit Avasthi, Akhilesh Sharma, Sandeep Grover
No abstract text is available yet for this article.
January 2019: Indian Journal of Psychiatry
https://read.qxmd.com/read/30745703/clinical-practice-guidelines-for-the-management-of-schizophrenia-in-children-and-adolescents
#10
Sandeep Grover, Ajit Avasthi
No abstract text is available yet for this article.
January 2019: Indian Journal of Psychiatry
https://read.qxmd.com/read/30745702/clinical-practice-guidelines-for-the-management-of-conduct-disorder
#11
Rajesh Sagar, Bichitra N Patra, Vaibhav Patil
No abstract text is available yet for this article.
January 2019: Indian Journal of Psychiatry
https://read.qxmd.com/read/30745700/clinical-practice-guidelines-for-the-management-of-dissociative-disorders-in-children-and-adolescents
#12
Vivek Agarwal, Prabhat Sitholey, Chhitij Srivastava
No abstract text is available yet for this article.
January 2019: Indian Journal of Psychiatry
https://read.qxmd.com/read/30745699/clinical-practice-guidelines-for-the-management-of-somatoform-disorders-in-children-and-adolescents
#13
Vivek Agarwal, Chhitij Srivastava, Prabhat Sitholey
No abstract text is available yet for this article.
January 2019: Indian Journal of Psychiatry
https://read.qxmd.com/read/30745698/clinical-practice-guidelines-for-the-management-of-depression-in-children-and-adolescents
#14
Sandeep Grover, Ajit Avasthi
No abstract text is available yet for this article.
January 2019: Indian Journal of Psychiatry
https://read.qxmd.com/read/30744447/chronic-myeloid-leukaemia-in-pregnancy-call-for-guidelines
#15
Pallavee P, Rupal Samal, Seetesh Ghose
Although the incidence of chronic myeloid leukaemia (CML) in pregnancy is low, it is progressively rising. The management strategies for CML patients during pregnancy include tyrosine kinase inhibitors, interferon alpha, leukapheresis and hydroxyurea, each of which has their own deleterious effects on the mother and foetus. There are virtually no accepted guidelines on the therapeutic options for these patients. We report two cases of CML which were reported to us during pregnancy, on imatinib, with different ultimate pregnancy outcomes...
February 11, 2019: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://read.qxmd.com/read/30740725/international-clinical-guidelines-for-the-management-of-phosphomannomutase-2-congenital-disorders-of-glycosylation-diagnosis-treatment-and-follow-up
#16
REVIEW
Ruqaiah Altassan, Romain Péanne, Jaak Jaeken, Rita Barone, Muad Bidet, Delphine Borgel, Sandra Brasil, David Cassiman, Anna Cechova, David Coman, Javier Corral, Joana Correia, María Eugenia de la Morena-Barrio, Pascale de Lonlay, Vanessa Dos Reis, Carlos R Ferreira, Agata Fiumara, Rita Francisco, Hudson Freeze, Simone Funke, Thatjana Gardeitchik, Matthijs Gert, Muriel Girad, Marisa Giros, Stephanie Grünewald, Trinidad Hernández-Caselles, Tomas Honzik, Marlen Hutter, Donna Krasnewich, Christina Lam, Joy Lee, Dirk Lefeber, Dorinda Marques-de-Silva, Antonio F Martinez, Hossein Moravej, Katrin Õunap, Carlota Pascoal, Tiffany Pascreau, Marc Patterson, Dulce Quelhas, Kimiyo Raymond, Peymaneh Sarkhail, Manuel Schiff, Małgorzata Seroczyńska, Mercedes Serrano, Nathalie Seta, Jolanta Sykut-Cegielska, Christian Thiel, Federic Tort, Mari-Anne Vals, Paula Videira, Peter Witters, Renate Zeevaert, Eva Morava
Phosphomannomutase 2 (PMM2-CDG) is the most common congenital disorder of N-glycosylation and is caused by a deficient PMM2 activity. The clinical presentation and the onset of PMM2-CDG vary among affected individuals ranging from a severe antenatal presentation with multisystem involvement to mild adulthood presentation limited to minor neurological involvement. Management of affected patients requires a multidisciplinary approach. In this article, a systematic review of the literature on PMM2-CDG was conducted by a group of international experts in different aspects of CDG...
January 2019: Journal of Inherited Metabolic Disease
https://read.qxmd.com/read/30724009/when-basal-insulin-is-not-enough-a-dose-response-relationship-between-insulin-glargine-100-units-ml-u100-and-glycemic-control
#17
Guillermo E Umpierrez, Neil Skolnik, Terry Dex, Louise Traylor, Jason Chao, Charles Shaefer
AIMS: One option recommended by treatment guidelines for the management of patients with uncontrolled type 2 diabetes and post-prandial excursions is adding prandial insulin when basal insulin dose is >0.5 IU/kg/day. This recommendation is based on expert opinion, with limited clinical evidence for this threshold dose. In this post-hoc analysis, we construct a clinical-response curve for basal insulin, assessing the impact of increasing doses on glycemic measures, body weight, and hypoglycemia...
February 5, 2019: Diabetes, Obesity & Metabolism
https://read.qxmd.com/read/30718949/erratum-russian-guidelines-for-the-management-of-copd-algorithm-of-pharmacologic-treatment-corrigendum
#18
(no author information available yet)
[This corrects the article on p. 183 in vol. 13, PMID: 29386887.].
2019: International Journal of Chronic Obstructive Pulmonary Disease
https://read.qxmd.com/read/30715230/management-of-eosinophilic-esophagitis-is-often-discordant-with-guidelines-and-not-patient-centered-results-of-a-survey-of-gastroenterologists
#19
Joy W Chang, Sameer D Saini, Jessica L Mellinger, Joan W Chen, Brian J Zikmund-Fisher, Joel H Rubenstein
Published guidelines for the management of eosinophilic esophagitis (EoE) recommend an initial trial of proton pump inhibitors (PPI), histologic assessment for response to therapy, and tailoring treatments to patient needs and provider resources. Effectiveness studies directly comparing therapies are lacking, leaving a situation ripe for shared decision making. We aimed to assess gastroenterologists' adherence to guidelines and how they respond to EoE patients' preferences regarding management. We administered a web-based survey to practicing US gastroenterologists, assessing knowledge, and practice patterns in the management of EoE, including comfort with alternative treatments to steroids...
January 31, 2019: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/30709408/developing-management-pathways-for-hypertensive-disorders-of-pregnancy-hdp-in-indonesian-primary-care-a-study-protocol
#20
Fitriana Murriya Ekawati, Sharon Licqurish, Ova Emilia, Jane Gunn, Shaun Brennecke, Phyllis Lau
BACKGROUND: National and international guidelines for the management of hypertensive disorders of pregnancy (HDP) are available in developing countries. However, more detailed clinical pathways for primary care settings are limited. This study focuses on Indonesia, where 72% of women who died from HDP and its complications had received less appropriate treatment according to international guidelines. There is an urgent need to develop primary care focused pathways that enable general practitioners (GPs), midwives and other relevant providers to manage HDP better...
February 1, 2019: Reproductive Health
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