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No. 385-Indications for Pelvic Examination.

OBJECTIVE: The primary objective of this document is to clarify the indications for pelvic examination. INTENDED USERS: Physicians, including gynaecologists, obstetricians, family physicians, and emergency physicians; nurses, including registered nurses and nurse practitioners; midwives, including midwives in clinical practice and midwifery trainees; medical trainees, including medical students, residents, and fellows; and all other health care providers who care for women. TARGET POPULATION: This publication provides evidence and expert-based recommendations for pelvic examination in adult

Positron emission tomography for the assessment of myocardial viability: an evidence-based analysis.

UNLABELLED: In July 2009, the Medical Advisory Secretariat (MAS) began work on Non-Invasive Cardiac Imaging Technologies for the Assessment of Myocardial Viability, an evidence-based review of the literature surrounding different cardiac imaging modalities to ensure that appropriate technologies are accessed by patients undergoing viability assessment. This project came about when the Health Services Branch at the Ministry of Health and Long-Term Care asked MAS to provide an evidentiary platform on effectiveness and cost-effectiveness of non-invasive cardiac imaging modalities.After an initial

Magnetic resonance imaging (MRI) for the assessment of myocardial viability: an evidence-based analysis.

UNLABELLED: In July 2009, the Medical Advisory Secretariat (MAS) began work on Non-Invasive Cardiac Imaging Technologies for the Assessment of Myocardial Viability, an evidence-based review of the literature surrounding different cardiac imaging modalities to ensure that appropriate technologies are accessed by patients undergoing viability assessment. This project came about when the Health Services Branch at the Ministry of Health and Long-Term Care asked MAS to provide an evidentiary platform on effectiveness and cost-effectiveness of noninvasive cardiac imaging modalities.After an initial

Polysomnography in patients with obstructive sleep apnea: an evidence-based analysis.

OBJECTIVE: The objective of this health technology policy assessment was to evaluate the clinical utility and cost-effectiveness of sleep studies in Ontario. CLINICAL NEED: TARGET POPULATION AND CONDITION Sleep disorders are common and obstructive sleep apnea (OSA) is the predominant type. Obstructive sleep apnea is the repetitive complete obstruction (apnea) or partial obstruction (hypopnea) of the collapsible part of the upper airway during sleep. The syndrome is associated with excessive daytime sleepiness or chronic fatigue. Several studies have shown that OSA is associated with hypertens

Intrastromal corneal ring implants for corneal thinning disorders: an evidence-based analysis.

OBJECTIVE: The purpose of this project was to determine the role of corneal implants in the management of corneal thinning disease conditions. An evidence-based review was conducted to determine the safety, effectiveness and durability of corneal implants for the management of corneal thinning disorders. The evolving directions of research in this area were also reviewed. SUBJECT OF THE EVIDENCE-BASED ANALYSIS: The primary treatment objectives for corneal implants are to normalize corneal surface topography, improve contact lens tolerability, and restore visual acuity in order to delay or defe

Port site metastases a year after initial laparoscopic cholecystectomy. Should the use of retrieval bags during laparoscopic cholecystectomy be the new gold standard?

As a result of gallbladder cancer being rare, it is often an understudied disease. There is lack of information particularly about long-term outcomes after resection during either laparoscopic or open surgery techniques [4]. There is also little data on the ways in which surgical techniques can be improved to further aid patients diagnosed with gallstones or other indications for cholecystectomy, and resulting positive histopathology. Furthermore, there is a lack of general acknowledgement on the vitality of using plastic retrieval bags during cholecystectomy regardless of the histopathology.

[Slowing the progression of chronic renal insufficiency with captopril in rats with spontaneous arterial hypertension and adriamycin nephropathy].

INTRODUCTION: The role of hypertension in chronic renal failure (CRF) progression was described in 1914 by Volhard and Fahr [1], in 1940 by Rite and colleagues [2] and subsequently many studies described the effects of various antihypertensive drugs on regulation of blood pressure and CRF progression. The recent experimental and clinical studies especially emphasized the role of angiotensin converting enzyme (ACE) inhibitors in the regulation of hypertension and slowing down of CRF progression, but there are still issues for discussion and disagreement [2-14]. The aim of this study was to anal

Oral Presentations

Introduction: As robotic-guidance and minimally invasive approaches become more prevalent in spine surgery, there is a growing interest in high-level scientific evidence of their clinical value. MIS ReFRESH is the first prospective, comparative, multi-center study designed to assess differences in surgical complication and revision rates, and exposure to intra-operative radiation, in adult degenerative conditions, operated in a minimally invasive (MIS) approach in 1-to-3 level fusions. Materials and Methods: Multicenter data (9 sites) were prospectively collected from 379 adult patients indica

Balloon kyphoplasty: an evidence-based analysis.

OBJECTIVE: To review the evidence on the effectiveness and cost-effectiveness of balloon kyphoplasty for the treatment of vertebral compression fractures (VCFs). CLINICAL NEED: Vertebral compression fractures are one of the most common types of osteoporotic fractures. They can lead to chronic pain and spinal deformity. They are caused when the vertebral body (the thick block of bone at the front of each vertebra) is too weak to support the loads of activities of daily living. Spinal deformity due to a collapsed vertebral body can substantially affect the quality of life of elderly people, who

E-Posters

Introduction: Cervical disc replacement (cTDR) is a popular treatment for cervical degenerative disc disease. While some devices have shown promising results in the early and midterm, long term results remain lacking. This study reports on patient outcomes at long term follow up for the Activ C@ prosthesis. Materials and Methods: Between 2007 and 2009, patients who underwent cTDR for cervical degenerative disc disease at a NHS district general hospital were included. All were assessed preoperatively and at 6, 12, 24 and 105 months after procedure with visual analogue score (VAS) for neck and a

More advantages in detecting bone and soft tissue metastases from prostate cancer using 18F-PSMA PET/CT.

Prostate cancer (PCa) is the most common solid cancer affecting men worldwide. Serum prostate-specific antigen (PSA) is at present the most commonly used biomarker for PCa screening, as well as a reliable marker of disease recurrence after initial treatment. Bone metastases (BM) are present in advanced stages of the disease. Imaging of BM is important not only for localization and characterization, but also to evaluate their size and number, as well as to follow-up the disease during and after therapy. Bone metastases formation is triggered by cancer initiating cells in the bone marrow and is

1st Asean Conference on Medical Sciences18th – 21th May 2001Held at the Renaissance Hotel Kota Bharu, Kelantan, Malaysia.

Until the early 1980s the standard treatment for the malignant bone tumors of the extremities was amputation at or above the joint proximal to the tumor. After surgery a period of watchful waiting ensured the results, and then more than two third of the patients suffered pulmonary metastases and eventually died with their disease. The recent advances have improved the treatment results dramatically in the patients with high-grade bone and soft tissue sarcomas. Radiographic imaging techniques such as CT, MRI, bone scan and etc have improved, and enable us to better define the anatomic confines

[Standard technical specifications for methacholine chloride (Methacholine) bronchial challenge test (2023)].

The methacholine challenge test (MCT) is a standard evaluation method of assessing airway hyperresponsiveness (AHR) and its severity, and has significant clinical value in the diagnosis and treatment of bronchial asthma. A consensus working group consisting of experts from the Pulmonary Function and Clinical Respiratory Physiology Committee of the Chinese Association of Chest Physicians, the Task Force for Pulmonary Function of the Chinese Thoracic Society, and the Pulmonary Function Group of Respiratory Branch of the Chinese Geriatric Society jointly developed this consensus. Based on the "Gu

Mixed-Methods to Define Meaningful Change using Exit Interviewand Clinical Trial Data in Patients with Tenosynovial Giant Cell Tumor (TGCT).

BACKGROUND: Tenosynovial giant cell tumor (TGCT) is a locally aggressive neoplasm associated with limited range of motion (ROM), stiffness, joint damage, pain, and reduced physical functioning (PF). The MOTION Phase 3 trial (NCT05059262) was a randomized, placebo-controlled, double-blind study of vimseltinib among patients with TGCT. The objective of the current study was to define meaningful changes in clinical outcome assessments (COAs) measuring active ROM, PF, and stiffness using qualitative and quantitative data from patients in the MOTION trial. METHODS: Embedded exit interviews with pa

Совпадение в полном тексте источника
… MCID = minimal clinically important difference; NRS = numeric rating scale; PF = physical functioning; PROMIS = Patient-Reported Outcomes Measurement Information System; ROM = range of motion. … Ascertaining the minimal clinically important difference Controlled Clinical Trials 1989 10 4 407 415 10.1016/0197-2456(89)90005-6 2691207 Jaeschke, R., Singer, J., & Guyatt, G. H. (1989). Measurement of health status. Ascertaining the minimal clinically important difference. …

Methodological approach for determining the Minimal Important Difference and Minimal Important Change scores for the European Organisation for Research and Treatment of Cancer Head and Neck Cancer Module (EORTC QLQ-HN43) exemplified by the Swallowing scale.

PurposeThe aim of this study was to explore what methods should be used to determine the minimal important difference (MID) and minimal important change (MIC) in scores for the European Organisation for Research and Treatment of Cancer Head and Neck Cancer Module, the EORTC QLQ-HN43.MethodsIn an international multi-centre study, patients with head and neck cancer completed the EORTC QLQ-HN43 before the onset of treatment (t1), three months after baseline (t2), and six months after baseline (t3). The methods explored for determining the MID were: (1) group comparisons based on performance statu

Совпадение в полном тексте источника
… Measurement of health-status: Ascertaining the minimal clinically important difference. Controlled Clinical Trials. 1989;10:407–415. doi: 10.1016/0197-2456(89)90005-6. 4. Sloan JA, Cella D, Frost M, Guyatt GH, Sprangers M, Symonds T. … Minimal clinically important differences in the EORTC QLQ-C30 and brief pain inventory in patients undergoing re-irradiation for painful bone metastases. Quality of Life Research. 2018;27:1089–1098. doi: 10.1007/s11136-017-1745-8. 16. …

Outcomes of Percutaneous Stabilization for Pelvic Metastatic Bone Disease: A Systematic Review and Meta-Analysis.

BACKGROUND/OBJECTIVES: Metastatic bone disease (MBD) of the pelvis is commonly managed with open reconstruction despite substantial morbidity and high complication rates ranging from 16-32%. Percutaneous fixation techniques have emerged as a lower morbidity alternative; however, robust evaluations of outcomes remain limited. Therefore, the primary aim of this systematic review was to evaluate changes in pain and function following percutaneous fixation for pelvic MBD, and to determine the complication and reoperation rates of these procedures. METHODS: A systematic review and meta-analysis wa

Совпадение в полном тексте источника
… The minimal clinically important difference (MCID) for VAS pain scores when assessing postoperative pain reduction in ranges from 1 to 2.3 points [ 40 , 41 , 42 ]. … Defining the Minimal Clinically Important Difference for the Visual Analog Scale for Pain After Total Joint Arthroplasty. J. Arthroplast. 2018;33:S71–S75.e72. doi: 10.1016/j.arth.2018.02.029. 42. Myles P.S., Myles D.B., Galagher W., Boyd D., Chew C., MacDonald N., Dennis A. …

Циркуляция ДНК опухоли в Множественной миеломе: текущие понимания и перспективы на будущее.

Циркуляция ДНК опухоли (ctDNA) стала многообещающим минимально инвазивным биомаркером во множестве миеломы (ММ), обеспечивающим динамическое понимание бремени опухоли, клональной эволюции и молекулярной неоднородности. В отличие от традиционной диагностики на основе костного мозга, анализ CtDNA обеспечивает системный подход к оценке заболеваний и может лучше отражать пространственно неоднородные и внематочные заболевания. Последние достижения в области высокочувствительных молекулярных методов, включая цифровую цепную реакцию с капельной полимеразой и последовательность следующего поколения, п

Компьютерный подход к разработке лекарственных средств для множественного склероза с помощью модели QSPR, теории химических графиков и анализа решений по нескольким критериям.

Множественный склероз (MS) — сложное аутоиммунное заболевание центральной нервной системы с неизвестной этиологией. Несмотря на то, что медикаментозная терапия может замедлить прогресс, существует необходимость в более эффективном лечении. Модель количественного соотношения структуры и активности (QSAR) с использованием топографических индексов, полученных на основе теории химических графиков, является многообещающим подходом к рациональному проектированию новых лекарств для MS. Используя подход линейной регрессии, мы создаём модели количественного соотношения структуры и производительности (Q

Repurposing FDA approved drugs as possible anti-SARS-CoV-2 medications using ligand-based computational approaches: sum of ranking difference-based model selection.

The worldwide burden of coronavirus disease 2019 (COVID-19) is still unremittingly prevailing, with more than 440 million infections and over 5.9 million deaths documented so far since the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) pandemic. The non-availability of treatment further aggravates the scenario, thereby demanding the exploration of pre-existing FDA-approved drugs for their effectiveness against COVID-19. The current research aims to identify potential anti-SARS-CoV-2 drugs using a computational approach and repurpose them if possible. In the present study, we have

Прогулочные индексы жирности соответствуют восприятию изменений в скорости и качестве походов в ходе использования приборов 6-minute Прогулочный тест у людей с множественным склерозом.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Люди, имеющие MS (PwMS), представляют изменения в скорости и качестве походов во время 6-min испытание на ходьбу (6MWT). Неизвестно, являются ли эти изменения клинически значимыми. ЦЕЛЬ: Изучение взаимосвязи между изменениями скорости и качества походов, обусловленными пwMS, и индексами жирности ходьбы. МЕТОДЫ: Forty-five PwMS (EDSS: 4.0; 51 ± 11 ) был выполнен 6MWT. Индексы жироспособности на основе датчиков рассчитывались путем сопоставления качества походов и расстояния между первой/последней минутой 6MWT. После 6MWT были получены сообщения об изменениях скорости, сгл