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Condition: Bleeding
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Is Continuing Anticoagulation or Antiplatelet Therapy Safe Prior to Kidney Transplantation?
CONCLUSIONS Continuing anticoagulation or antiplatelet was safe in not increasing bleeding complications or perioperative transfusion requirements. Outcomes were similar at 3 and 6 months among groups. This strategy avoids exposing patients to risk of thrombosis if treatment is held and simplifies proceeding to transplantation.PMID:34580271 | DOI:10.12659/AOT.931648
Source: Annals of Transplantation - September 28, 2021 Category: Transplant Surgery Authors: Jose C Alonso-Escalante Lorenzo Machado Kiumars R Tabar Rachell Tindall Ngoc Thai Tadahiro Uemura Source Type: research
NICE issues warning over dangerous IV drip use
New guidelines from the health watchdog the National Institute for Health and Care Excellence (NICE) on the use of intravenous (IV) drips have prompted a flurry of headlines, with The Guardian reporting that, "Thousands of patients [are] dying from incorrect use of IV drips", and The Daily Telegraph claiming that, "Tens of thousands harmed in hospital by IV drip blunders".
Both newspapers present misleading figures that have been taken out of context. Their stats, which state that one in three patients die from too much fluid within days of surgery, are taken from the National Confidential Enquir...
Source: NHS News Feed - December 10, 2013 Category: Consumer Health News Tags: Medical practice QA articles Source Type: news
Medical adjuvant treatment to increase patency of arteriovenous fistulae and grafts.
CONCLUSIONS: The meta-analyses of three studies for ticlopidine (an anti-platelet treatment), which all used the same dose of treatment but with a short follow-up of only one month, suggest ticlopidine may have a beneficial effect as an adjuvant treatment to increase the patency of AV fistulae and grafts in the short term. There was insufficient evidence to determine if there was a difference in graft patency between placebo and other treatments such as aspirin, fish oil, clopidogrel, PRT-201, dipyridamole, dipyridamole plus aspirin, warfarin, and sulphinpyrazone. However, the quality of the evidence was low due to short f...
Source: Cochrane Database of Systematic Reviews - July 16, 2015 Category: Journals (General) Authors: Tanner NC, Da Silva A Tags: Cochrane Database Syst Rev Source Type: research
Periodontal maintenance following active specialist treatment: Should patients stay put or return to primary dental care for continuing care? A comparison of outcomes based on the literature
ConclusionWithin the limitations of the data available, it appears that specialist PM is effective in sustaining periodontal stability following active specialist intervention. There is limited evidence that PDC provides the same level of care; however, the limited comparative data available suggest that outcomes could be slightly worse in PDC.
Source: International Journal of Dental Hygiene - May 1, 2017 Category: Dentistry Authors: PG Leavy, DP Robertson Tags: REVIEW ARTICLE Source Type: research
Symptoms reported by electronic-cigarettes users in social media
Conclusion: The symptoms related with e-cigarette use starts acutely and involves multi organ systems. Social media forums give unauthorized medical treatment to the members who report symptoms.
Source: European Respiratory Journal - December 6, 2017 Category: Respiratory Medicine Authors: Dagli, E., Elbek, O., Pece Sonmez, U., Güner, M., Evrengil, E., Yildiz, F., Gezer, T. Tags: Tobacco, Smoking Control and Health Education Source Type: research
Surgical management of hiatal hernia vs medical therapy to treat bleeding Cameron lesions: a systematic review and meta-analysis
ConclusionsThis is the first systematic review comparing surgical and medical treatment of CL. Surgical management significantly improved therapeutic success. Our study supports therapeutic benefit of surgery in these patients.Graphic Abstract
Source: Surgical Endoscopy - November 17, 2021 Category: Surgery Source Type: research
Medical and midwifery attitudes towards vitamin K prophylaxis in New Zealand neonates
ConclusionThis is the first study to examine attitudes and perceptions of midwives and doctors to vitamin K prophylaxis in neonates. Considerable discrepancies in attitude are evident, and in some midwives, a lack of confidence in this intervention is apparent. How this affects education to families is unknown. Increased understanding of this phenomenon, along with improved education and communication to professionals and families, is required.
Source: Journal of Paediatrics and Child Health - February 17, 2014 Category: Pediatrics Authors: Sonal Gosai, Roland S Broadbent, David P Barker, Pamela M Jackson, Benjamin J Wheeler Tags: Original Article Source Type: research
Using India Ink as a Sensor for Oximetry: Evidence of its Safety as a Medical Device.
CONCLUSIONS: India ink was generally well tolerated by patients and physicians reported that it was easy to use in practice and used few resources. The risk is low enough to justify its use as an oxygen sensor in clinical practice.
PMID: 28685459 [PubMed - in process]
Source: Advances in Experimental Medicine and Biology - July 9, 2017 Category: Research Tags: Adv Exp Med Biol Source Type: research
Incidence of Delayed Bleeding among Patients Continuing Antithrombotics during Gastric Endoscopic Submucosal Dissection.
Conclusion Even with a potent antacid agent, such as VPZ, the incidence of delayed bleeding was high in patients undergoing ESD with continuous antithrombotic agents.
PMID: 31582592 [PubMed - in process]
Source: Internal Medicine - October 5, 2019 Category: Internal Medicine Tags: Intern Med Source Type: research
Sudan May Have Banned FGM, but the Harsh Practice Continues
A performance at a photo show in El Fasher, Sudan, 2018. The new transitional government of Sudan criminalized female genital mutilation this spring, but the practice has not ended. Credit: MOHAMAD ALMAHADY/UNAMIDBy Rhona Scullion, PassBlue*Aug 18 2020 (IPS) Just four months ago, Sudan took the monumental step to ban female genital mutilation, a painful, unnecessary and dangerous procedure that leaves lasting scars. Generally carried out on girls before they reach puberty, genital mutilation is now punishable in Sudan by up to three years in prison and subject to a fine.
In a country where 88 percent of women between 15 a...
Source: IPS Inter Press Service - Health - August 18, 2020 Category: International Medicine & Public Health Authors: Rhona Scullion Tags: Africa Crime & Justice Education Gender Gender Violence Headlines Health TerraViva United Nations Source Type: news
Face, Content, and Construct Validation of the Bristol TURP Trainer
Introduction: Validation studies are an important part of simulator evaluation and are considered necessary to establish the effectiveness of simulation-based training. The widely used Bristol transurethral resection of prostate (TURP) simulator has not been formally validated.Objectives: Evaluation of the face, content, and construct validities of the Bristol TURP simulator as an endourology training tool.Design: Using established validation methodology, face, content, and construct validities were evaluated. Face and content validities were assessed using a structured quantitative survey. Construct validity was assessed ...
Source: Journal of Surgical Education - April 10, 2014 Category: Surgery Authors: James Brewin, Kamran Ahmed, Muhammed S. Khan, Peter Jaye, Prokar Dasgupta Tags: Original Reports Source Type: research
Knowledge and attitudes survey in bleeding disorders providers regarding pain
ConclusionsContinued research in the area of haemophilia pain as well as treatment is needed. In addition, continuing pain education is recommended for HTC provider's at the local, regional and national levels so providers could remain up to date in the changes and progress of pain management theory.
Source: Haemophilia - July 1, 2015 Category: Hematology Authors: M. Witkop, A. Lambing Tags: Original Article Source Type: research
Assessment of Web ‐based education resources informing patients about stroke prevention in atrial fibrillation
This study qualitatively assessed the information presented to patients in online resources about antithrombotic therapy for stroke prevention in AF.
Source: Journal of Clinical Pharmacy and Therapeutics - September 30, 2016 Category: Drugs & Pharmacology Authors: E. Pandya, B. V. Bajorek Tags: Original Article Source Type: research
Using the Objective Structured Clinical Examination to Assess ACGME Competencies in Pediatric Gastroenterology Fellows
Conclusions: To our knowledge, although the OSCE has been validated in other medical fields, this is the first OSCE program developed for PGs fellows. These OSCEs have included Accreditation Council for Graduate Medical Education competencies, serving to assess fellows’ skills in these areas while exposing them to challenging medical and psychosocial cases that they may not frequently encounter.
Source: Journal of Pediatric Gastroenterology and Nutrition - March 25, 2017 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research
