Physicians

Source: www.ncbi.nlm.nih.gov --- 1 hour ago
Related Articles Antithrombotic therapy in neonates and children: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun;133(6 Suppl):887S-968S Authors: Monagle P, Chalmers E, Chan A, DeVeber G, Kirkham F, Massicotte P, Michelson AD This chapter about antithrombotic therapy in neonates and children is part of the Antithrombotic and Thrombolytic Therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Grade 1 recommendations are strong and indicate that the benefits do, or do not, outweigh risks, burden, and costs, and Grade 2 suggests that individual patient values may lead to different choices (for a full understanding of the grading, see Guyatt et al in this supplement, pages 123S-131S). In this chapter, many recommendations are based on extrapolation of adult data, and the reader is referred to the appropriate chapters relating to guidelines for adult populations. Within this chapter, the majority of recommendations are separate for neonates and children, reflecting the significant differences in epidemiology of thrombosis and safety and efficacy of therapy in these two populations. Among the key recommendations in this chapter are the following: In children with first episode of venous thromboembolism (VTE), we recommend anticoagulant therapy with either unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH) [Grade ...

Source: www.ncbi.nlm.nih.gov --- 1 hour ago
Related Articles Antithrombotic therapy for non-ST-segment elevation acute coronary syndromes: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun;133(6 Suppl):670S-707S Authors: Harrington RA, Becker RC, Cannon CP, Gutterman D, Lincoff AM, Popma JJ, Steg G, Guyatt GH, Goodman SG This chapter about antithrombotic therapy for coronary artery disease is part of the Antithrombotic and Thrombolytic Therapy: American College of Chest Physicans Evidence-Based Clinical Practice Guidelines (8th Edition). Grade 1 recommendations are strong and indicate that the benefits do, or do not, outweigh risks, burden, and costs. Grade 2 suggestions are weaker as there is uncertainty regarding the benefits, risks and costs such that individual patients' values may lead to different choices (for a full understanding of the grading see the "Grades of Recommendation for Antithrombotic Agents" chapter by Guyatt et al, CHEST 2008; 133[suppl]:123S-131S). Among the key recommendations are the following: for all patients presenting with non-ST-segment elevation (NSTE) acute coronary syndrome (ACS), without a clear allergy to aspirin, we recommend immediate aspirin (162 to 325 mg po) and then daily oral aspirin (75 to 100 mg) [Grade 1A]. For NSTE ACS patients who are at at least moderate risk for an ischemic event and who will undergo an early invasive management strategy, we recommend "upstream" treatme ...

Source: www.ncbi.nlm.nih.gov --- 1 hour ago
Related Articles Acute ST-segment elevation myocardial infarction: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun;133(6 Suppl):708S-775S Authors: Goodman SG, Menon V, Cannon CP, Steg G, Ohman EM, Harrington RA This chapter about fibrinolytic, antiplatelet, and antithrombin treatment for acute ST-segment elevation (STE) myocardial infarction (MI) is part of the American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Grade 1 recommendations are strong and indicate that the benefits do, or do not, outweigh risks, burden, and costs. Grade 2 suggests that individual patient values may lead to different choices (for a full understanding of the grading see the chapter by Guyatt et al, CHEST 2008; 133[suppl]:123S-131S). Among the key recommendations in this chapter are the following: for patients with ischemic symptoms characteristic of acute MI of < or = 12 h in duration and persistent STE, we recommend that all undergo rapid evaluation for reperfusion (primary percutaneous coronary intervention [PCI] or fibrinolytic) therapy and have a reperfusion strategy implemented promptly after contact with the health-care system (Grade 1A). For patients with ischemic symptoms characteristic of acute MI of < or = 12 h in duration and persistent STE, we recommend administration of streptokinase, anistreplase, alteplase, reteplase, or tenecteplase ove ...

Source: www.ncbi.nlm.nih.gov --- 1 hour ago
Related Articles The primary and secondary prevention of coronary artery disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun;133(6 Suppl):776S-814S Authors: Becker RC, Meade TW, Berger PB, Ezekowitz M, O'Connor CM, Vorchheimer DA, Guyatt GH, Mark DB, Harrington RA The following chapter devoted to antithrombotic therapy for chronic coronary artery disease (CAD) is part of the Antithrombotic and Thrombolytic Therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Grade 1 recommendations are strong and indicate that the benefits do or do not outweigh risks, burden, and costs. Grade 2 suggests that individual patient values may lead to different choices (for a full understanding of the grading see the "Grades of Recommendation" chapter by Guyatt et al in this supplement, CHEST 2008; 133[suppl]:123S-131S). Among the key recommendations in this chapter are the following: for patients with non-ST-segment elevation (NSTE)-acute coronary syndrome (ACS) we recommend daily oral aspirin (75-100 mg) [Grade 1A]. For patients with an aspirin allergy, we recommend clopidogrel, 75 mg/d (Grade 1A). For patients who have received clopidogrel and are scheduled for coronary bypass surgery, we suggest discontinuing clopidogrel for 5 days prior to the scheduled surgery (Grade 2A). For patients after myocardial infarction, after ACS, and thos ...

Source: www.ncbi.nlm.nih.gov --- 1 hour ago
Related Articles Venous thromboembolism, thrombophilia, antithrombotic therapy, and pregnancy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun;133(6 Suppl):844S-886S Authors: Bates SM, Greer IA, Pabinger I, Sofaer S, Hirsh J This article discusses the management of venous thromboembolism (VTE) and thrombophilia, as well as the use of antithrombotic agents, during pregnancy and is part of the American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Grade 1 recommendations are strong and indicate that benefits do, or do not, outweigh risks, burden, and costs. Grade 2 recommendations are weaker and imply that the magnitude of the benefits and risks, burden, and costs are less certain. Support for recommendations may come from high-quality, moderate-quality or low-quality studies; labeled, respectively, A, B, and C. Among the key recommendations in this chapter are the following: for pregnant women, in general, we recommend that vitamin K antagonists should be substituted with unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH) [Grade 1A], except perhaps in women with mechanical heart valves. For pregnant patients, we suggest LMWH over UFH for the prevention and treatment of VTE (Grade 2C). For pregnant women with acute VTE, we recommend that subcutaneous LMWH or UFH should be continued throughout pregnancy (Grade 1B) and ...

Source: www.ncbi.nlm.nih.gov --- 13 hours ago
Related Articles Cognitive analysis of Physicians and nurses cooperation in the medication ordering and administration process. Int J Med Inform. 2007 Jun;76 Suppl 1:S65-77 Authors: Beuscart-Zéphir MC, Pelayo S, Anceaux F, Maxwell D, Guerlinger S The objective of this study was to analyse physician-nurse cooperation in the medication ordering and administration process from a cognitive point of view. In this paper, we compared two work organizations characterized by: (1) a synchronous cooperation engendered by common doctor-nurse medical rounds and (2) an asynchronous situation characterized by split physician's and nurse's rounds. Both organizations worked with paper-based documentation systems. We relied on a cooperation cognitive architecture model and used specific methods from cognitive ergonomics to analyse Physicians' and nurses' activity, communications and cooperation. The analysis of doctor-nurse dialogues during the medical rounds demonstrated that in the synchronous situation, the nurses actively participated in the medication ordering process. Such dialogues supported the elaboration of shared knowledge in the form of a common frame of reference (COFOR) which both actors rely on to control the entire medication process, and more precisely the coordination of their actions. Document analysis showed that the orders were far from exhaustively documented. However, self-confrontation interviews with the nurses demonstrated that ...

Source: www.moreover.com --- 16 hours ago
Testimony to House Ways and Means Subcommittee on Health cites benefits of health information technology (Washington) ? 'The benefits of widespread adoption of interoperable Health Information Technology (HIT) will be significant, leading to a ...

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The U.S. Senate Committee on Homeland Security and Governmental Affairs, Permanent Subcommittee on Investigations' recent hearing on fraud, waste, and abuse in the Medicare program has found a pattern of claims containing the physician identification ...

Source: www.ncbi.nlm.nih.gov --- 1 day ago
Related Articles Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun;133(6 Suppl):454S-545S Authors: Kearon C, Kahn SR, Agnelli G, Goldhaber S, Raskob GE, Comerota AJ This chapter about treatment for venous thromboembolic disease is part of the American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Grade 1 recommendations are strong and indicate that the benefits do or do not outweigh risks, burden, and costs. Grade 2 suggests that individual patient values may lead to different choices (for a full understanding of the grading, see "Grades of Recommendation" chapter). Among the key recommendations in this chapter are the following: for patients with objectively confirmed deep vein thrombosis (DVT) or pulmonary embolism (PE), we recommend anticoagulant therapy with subcutaneous (SC) low-molecular-weight heparin (LMWH), monitored IV, or SC unfractionated heparin (UFH), unmonitored weight-based SC UFH, or SC fondaparinux (all Grade 1A). For patients with a high clinical suspicion of DVT or PE, we recommend treatment with anticoagulants while awaiting the outcome of diagnostic tests (Grade 1C). For patients with confirmed PE, we recommend early evaluation of the risks to benefits of thrombolytic therapy (Grade 1C); for those with hemodynamic compromise, we recommend short-course thr ...

Source: www.ncbi.nlm.nih.gov --- 1 day ago
Related Articles Antithrombotic therapy for peripheral artery occlusive disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun;133(6 Suppl):815S-843S Authors: Sobel M, Verhaeghe R This chapter is devoted to antithrombotic therapy for peripheral artery occlusive disease as part of the American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Grade 1 recommendations are strong and indicate that the benefits do, or do not, outweigh risks, burden, and costs. Grade 2 suggests that individual patients' values may lead to different choices (for a full understanding of the grading see the "Grades of Recommendation" chapter by Guyatt et al, CHEST 2008; 133:123S-131S). Among the key recommendations in this chapter are the following: We recommend lifelong antiplatelet therapy in comparison to no antiplatelet therapy in pulmonary artery disease (PAD) patients with clinically manifest coronary or cerebrovascular disease (Grade 1A), and also in those without clinically manifest coronary or cerebrovascular disease (Grade 1B). In patients with PAD and intermittent claudication, we recommend against the use of anticoagulants (Grade 1A). For patients with moderate to severe disabling intermittent claudication who do not respond to exercise therapy, and who are not candidates for surgical or catheter-based intervention, we recommend cilostazol (Grade ...

Source: www.emediawire.com --- 1 day ago
Cosmetic Physicians who want to get "up to speed" on the multiple uses of Dermal Fillers prefer to get their information from long-time injection specialists. Nissan Pilest, Board Certified Dermatologist with a private practice in Irvine and nearly 30 years experience, presented a lecture to a group of Physicians on the multiple uses of Juvederm Ultra and Juvederm Ultra Plus, the flagship hyaluronic fillers from Allergan. (PRWEB Jul 18, 2008) Read the full story at http://www.emediawire.com/releases/juvederm/dermatologist/prweb1119234.htm ...

Source: www.marketwire.com --- 1 day ago
BOSTON, MA (MARKET WIRE) A Prior Acts Excess Coverage (PAEC) product designed for healthcare providers affected by MIIX Insurance Company's insolvency is now available through ProSelect Insurance Company, a member of ProMutual Group. Although former MIIX policyholders may receive assistance from the New Jersey Property Liability Insurance Guarantee Association (PLIGA), they may still lack adequate coverage if a claim is reported after April 9, 2008, and damages exceed PLIGA's $300,000 limit. The PAEC product specifically addresses these potential coverage gaps that may leave a healthcare provider at risk. ...

Source: www.medicalnewstoday.com --- 1 day ago
Friday, Physicians in South Dakota have been required to comply with a 2005 state law stating that a woman seeking an abortion be told that the procedure "will terminate the life of a whole separate, unique living human being," the Washington Post reports. ...

Source: www.medicalnewstoday.com --- 8 hours ago
As many as 50% of early-stage HIV cases are being missed by Physicians in the United Kingdom, largely because they overlook symptoms that are flu-like in nature, the National AIDS Trust said... [[ This is a content summary only. Visit MyWebsite.com for full links, other content, and more! ]] ...

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Singapore's Ministry of Health recently called on more private general practitioners in the country to provide anonymous rapid HIV tests, which currently are available only at two clinics, the Straits Times reports. ...

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The Tennessean in a two-part series examined how Physicians in the state are limiting the number of new Medicare beneficiaries they will treat and how some are charging concierge fees to accept new beneficiaries.In the first part of the series, the ...

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A study out of Wake Forest University Baptist Medical Center demonstrates emergency room doctors are correctly identifying patients who are having a heart attack, even when laboratory tests haven't yet confirmed it. ...

Source: www.medpagetoday.com --- 1 day ago
WINSTON-SALEM, N.C. -- Emergency department Physicians are fairly accurate when it comes to detecting evolving myocardial infarctions even when cardiac markers are not initially elevated, researchers said. ...

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COLORADO SPRINGS, Colo. -- Physicians with a sports medicine background will volunteer their time and expertise to provide all levels of medical care to the nearly 600 U.S. Olympians competing here. ...

Source: www.centredaily.com --- 3 hours ago
Fertility Treatment Center: ...