... and body ofthe pancreas, resection ofthe midportion ofthe pancreas and the mass with preserving the rim ofthe head and tail portion can be achieved However, forthe patient in whom the mass ... preserved, spleen-preserving distal pancreatectomy was attempted for three SPT patients in whom the mass was located in the portion of body or tail ofthe pancreas For tumors of SPT located in the ... presented with a median age of 39 years, which is significantly older than in the other reported series.7 Literatures showed the head and tail ofthe pancreas were the preferential sites of the...
... Development of guidelines [2-4] These guidelines are the work ofthe IBD working group ofthe British Society of Paediatric Gastroenterology Hepatology and Nutrition (BSPGHAN) and are for use by clinicians ... paper The British Society of Gastroenterology (BSG) produced evidence based guidelines forthemanagementof IBD in adults [3] for which a comprehensive literature search was also performed using ... available, paediatric data and practice Where there is no or very little paediatric data or there is controversy, the evidence based evaluation bythe authors ofthe BSG guidelines for adults with...
... the withholding of a reinforcer or the onset of a punishment is coercive (backed bythe force of law) Consider the following example of how the three classes of tools might be used: A social issue ... often is needed because the manager is unable to compensate forthe risk premium The goals ofthe manager should be to reduce the perception ofthe risk premium (education), compensate forthe risk ... and the trade-off of free choice and externalities The potential for success ofthe three sets of tools is derived from the target's assessment ofthe "risk premium" (Ouchi 1980) associated with...
... of evidence forthe use of alternative, over -the- counter weight-loss medications and, in some cases, the possible dangers of their use xxviii Clinical Practice Guidelines fortheManagementof ... Guidelines fortheManagementof Overweight and Obesity in Adults 1—SETTING 1.2.4 THE SCENE The health burden in the aged Several epidemiological studies have suggested an age-related weakening ofthe ... divorce, and so on) and medication, can also increase the risk of weight gain All of these need to be considered in themanagementof obesity; they are discussed further in Chapter 1.9 O B E...
... process of these Guidelines or statements Once the document has been finalized and approved by all the experts involved in the Task Force, it is submitted to outside specialists for review The document ... currently the most accepted and best endpoint Further evidence ofthe need for PV isolation is provided by studies that have evaluated AF recurrence after ablation and demonstrated that the majority of ... influenced bythe thorough application of clinical recommendations Thus, the task of writing Guidelines covers not only the integration ofthe most recent research, but also the creation of educational...
... considered Salt intake should be limited to ,5 g/day, not only by reducing the amount of salt usedfor food seasoning but also by reducing the consumption of foods preserved bythe addition of salt; ... approved by all the experts involved in the Task Force The finalized document is approved bythe CPG for publication in the European Heart Journal The task of developing Guidelines covers not only the ... represent theof cial position ofthe ESC on a given topic and are regularly updated Members of this Task Force were selected bythe ESC to represent professionals involved with the medical care of...
... are used widely; we therefore encourage the execution of carefully designed studies to establish whether the further use of such methods is justified Non-responders The treatments recommended ... affected leg is supported at the heel and the limb gently elevated The angle of leg elevation at the onset of pain and the site of pain is recorded If the PSLR is unilaterally limited, induces unilateral ... limited to less than 50°, then each leg should be raised in turn to the onset of pain, lowered a few degrees (to reduce pain) and, in turn, the ankle dorsiflexed, the hip medially rotated, and the...
... decisions.9 The colorectal cancer risk in family members increases with the number of affected members, the closeness ofthe relationship to the patient, and earlier age of onset.10,11 Medical information ... accomplished by sharp dissection in the plane between the fascia propria ofthe rectum and the presacral fascia Radial clearance of mesorectal tissue enables the en bloc removal ofthe primary ... chemotherapy (MOF or 5-FU-LV) alone or postoperative chemotherapy with radiotherapy Although the addition of radiotherapy conferred no advantage in disease-free or overall survival, it reduced the...
... arise from the contamination, and therefore there is no need to proceed with any consideration of remediation The procedures encourage the formalisation of outputs from the process These include ... underlie the evaluation of remediation options can be used to decide the most appropriate way of remediating pollution caused bythe ongoing activities of an installation permitted under the PPC ... decided: • Whether remediation has performed in accordance with the original or revised remediation design and has met the agreed remediation objectives and criteria; • Whether there is a need for...
... consisting of holding the joint at the end of their range for 30 seconds, followed by manual application of 15 to 20 oscillations at the end range of motion All ofthe manual therapy was performed with ... 1) These dosages were selected based on previously published recommendations forthe injection of large muscles [21] Immediately following the injections, patients were examined for any signs of ... the design ofthe study did not allow for an accurate assessment ofthe duration ofthe pre-operative disability, which might have influenced the post-operative course Nevertheless, despite these...
... calculated by adding the scores ofthe items in a domain and by standardizing the total out of 100% Domain scores greater than 60% are considered effectively addressed, a cutoff value used in the ... knowledge by clinicians There has, however, been increased scrutiny ofthe quality of guidelines in recent years This emphasis is in part related to the relatively recent work ofthe Appraisal of ... treatments) covered bythe minority One guideline exclusively focused on exercise, while another focused only on NSAIDs Most guidelines graded their recommendations according to the strength of evidence...
... performance based), and quality of life Examples of self-reported pain included the VAS; the pain subscale ofthe Harris Hip Score; and/or the pain subscale ofthe Health Related Quality of Life Table ... limited bythe content of questionnaires used Irrespective ofthe methodological issues associated with studies, the lack of notable improvements in the variables of interest may reflect the limited ... programs used in intervention studies focused solely on hip joint OA and to decide whether they met the recommendations ofthe guidelines highlighted earlier, and also to determine the efficacy of their...
... professionals The distribution ofthe responsibilities for LTCM between groups of involved actors outside ofthe immediacy ofthe health service is not always made explicit and is more diffused ... a sense of normality and well-being for themselves and for others (see Figure patient-focused outcomes) 2) Illness management and types of work The scope ofthe potential involvement of different ... tended to be narrowly defined and is primarily used as a way of acknowledging the significance of context There is insufficient discussion in the literature ofthe types of networks that support...
... located at the distal branches ofthe renal artery However, the short-term data regarding the use ofthe technique forthemanagementof visceral PA located elsewhere are promising Another issue of ... advanced over a guidewire and deployed to achieve endovascular exclusion ofthe PA A control angiogram at the end ofthe procedure revealed the absence of opacification ofthe PA, with the appropriate ... described in the medical literature [10] However, our case represents the first report on the successful use of this method forthemanagementof an iatrogenic Philippou et al Journal of Medical...
... [33] Second, the minority ofthe participating GPs who self-reported that they had actually usedthe online modules showed an increased knowledge gain Furthermore, 94% of them found the ‘e-learning ... Computer-Assisted SelfDirected Learning: The Future of Continuing Medical Education Journal of Continuing Education in the Health Professions 1997, 17:114-120 Alguire PC: The future of continuing medical education ... they can change the performance of physicians and/or improve the quality of life of patients [69] Ethics Approval Approval was granted bythe Ethics Committee ofthe Medical Faculty of Witten/Herdecke...
... [33] Second, the minority ofthe participating GPs who self-reported that they had actually usedthe online modules showed an increased knowledge gain Furthermore, 94% of them found the ‘e-learning ... Computer-Assisted SelfDirected Learning: The Future of Continuing Medical Education Journal of Continuing Education in the Health Professions 1997, 17:114-120 Alguire PC: The future of continuing medical education ... they can change the performance of physicians and/or improve the quality of life of patients [69] Ethics Approval Approval was granted bythe Ethics Committee ofthe Medical Faculty of Witten/Herdecke...
... algorithm based on the criteria defined by an international conference on the diagnosis of aspergillosis in immunocompromised patients [11] With this approach, approximately 50% ofthe patients ... diagnosed with invasive aspergillosis and in the other 50% the isolation was considered colonization [1] These diagnoses were confirmed in all cases in which histology was obtained Unfortunately, ... small proportion of patients (one-fourth of patients with presumed diagnosis of infection and one-tenth ofthe patients with the diagnosis of colonization) At first glance, these results seem...
... cancer For these reasons, the development of clinical guidelines forthemanagementof cough in lung cancer was deemed necessary and timely Process of guidelines development 2.1 Formation ofthe ... 4.6); the need forthe development ofthe guidelines (= 4.8); completeness of literature search (= 4.3); the description of evidence (= 4.6); the methods used to summarise and interpret the evidence ... feedback form A number of items structured in a Likert-type format of = strongly disagree to = strongly agree were included The areas explored were: the rationale and need forthe guidelines (original...
... original contributions to the content ofthe final manuscript All ofthe authors participated in the editing and revisions ofthe multiple drafts that existed between the initial and final draft ... required for treatment No predetermined treatment schedules or prepaid contracts of care Use of medical terminology and diagnosis * The criteria and principles are based on direct questions provided ... Registrars and conceived the idea ofthe paper At a series of meetings, email and phone conversations WH, HP and PG further developed the discussion ofthe paper All authors contributed to writing an...