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Drug and Therapeutics Bulletin (DTB) April, May, June 2013 issues http://dtb.bmj.com HbA1c targets in type 2 diabetes: guidelines and evidence Aims of treatment for type-2 diabetes include minimising long-term complications (eg, cardiovascular disease, blindness, chronic kidney disease, premature mortality) and avoiding the unwanted effects of treatment (eg, severe hypoglycaemia, weight gain). Publication of the UK Prospective Diabetes Study (UKPDS) 33 in 1998 suggested that ‘intensive blood glucose control’ to lower the glycated haemoglobin (HbA1c) in people with type 2 diabetes reduced microvascular disease b...
Source: Evidence-Based Nursing - December 10, 2013 Category: Nursing Authors: Noble, E. b. H. Tags: Diarrhoea, Immunology (including allergy), Drugs: infectious diseases, Urinary tract infections, Stroke, Hypertension, Obesity (nutrition), Cervical cancer, Pregnancy, Reproductive medicine, Colon cancer, Gynecological cancer, Ophthalmology, Complementary Source Type: research

Few people living with and beyond cancer meet current exercise recommendations
Commentary on: Bourke L, Homer KE, Thaha MA, et al.. Interventions for promoting habitual exercise in people living with and beyond cancer. Cochrane Database Syst Rev 2013;9:CD010192. Implications for practice and research Cancer survivors benefit from regular exercise, therefore it is important that oncology nurses are knowledgeable about interventions that help patients increase and sustain exercise. Oncology nurses should also be aware of the limitations of current research when designing effective behavioural interventions aimed at promoting habitual exercise. Context An estimated 29 million individuals are living with...
Source: Evidence-Based Nursing - September 15, 2014 Category: Nursing Authors: Spector, D. Tags: Open access, Health promotion, Stroke, Colon cancer, Prostate cancer, Urological cancer, Prostate, Internet Source Type: research

A systematic review on discharge care program for patients with sub-acute conditions.
Conclusion: Standard guidelines for discharge care program need to be developed. In addition, well controlled RCT studies with physical outcomes should be further investigated. International Journal of Evidence-Based Healthcare (C) 2014 The Joanna Briggs Institute
Source: International Journal of Evidence-Based Healthcare - September 1, 2014 Category: Nursing Tags: Abstracts of Posters: Evidence Synthesis: PDF Only Source Type: research

Optimizing Acute Pain Management in the Obese Patient: Treatment and Monitoring Considerations
THE CHALLENGES OF PROVIDING SAFE AND EFFECTIVE pain management for patients with obesity are present throughout the perioperative setting. Obesity is associated with chronic medical comorbidities, such as coronary artery disease, stroke, chronic kidney disease, nonalcoholic fatty liver disease, and type 2 diabetes.1 Other obesity-associated comorbidities include breast, endometrial, ovarian, colorectal, esophageal, kidney, pancreatic, and prostate cancers, chronic back pain, and osteoarthritis.1 The demand for bariatric surgery has risen markedly in recent years with the total number of surgeries performed in the United St...
Source: Journal of PeriAnesthesia Nursing - February 27, 2016 Category: Nursing Authors: Maureen F. Cooney Tags: Pain Care Source Type: research