NICE recommends early referral for suspected RA
It has been more than 12 months since the National Institute for Health and Clinical Excellence (NICE) released Clinical Guideline 79 on Management of rheumatoid arthritis in adults. This guidance has generally been well received within the rheumatology profession, as demonstrated in a recent edition of the UK journal, Rheumatology: ‘The NICE review is an exceptional piece of work, assembling vast amounts of information … producing a… Continue readingSustained behavioural change is needed for management of obesity
Recently published data from the Scottish Government suggest that by 2030 the total cost to Scottish society of obesity (direct and indirect costs) could range from £0.9 billion to £3 billion. This highlights the burden of obesity on the healthcare system. In response to the problem of obesity, SIGN published its clinical guideline on the Management of obesity. This document updates and supersedes… Continue readingNeuropathic pain: the pharmacological management of neuropathic pain in adults in non-specialist settings
In March 2010, the National Institute for Health and Clinical Excellence (NICE) published a clinical guideline outlining the best pharmacological treatments for adults with neuropathic pain who are being treated in non-specialist healthcare settings.1 Although the recommendations can be followed in hospital clinics other than pain or neurology clinics, they are most likely to be of the greatest benefit in primary care settings. The treatment of neuropathic pain in… Continue readingdherence to Clinical Practice Guidelines for Low Back Pain in Physical Therapy: Do Patients Benefit?
Various guidelines for the management of low back pain have been developed to enhance the effectiveness and efficiency of care. Evidence that guideline-adherent care results in better health outcomes, however, is not conclusive. The main objective of this study was to assess whether a higher percentage of adherence to the Dutch physical and manual therapy guidelines for low back pain is related to improved outcomes. The study further explored whether… Continue reading2010 Annual Evidence Update on Urinary Incontinence
NHS Evidence - women's health (formerly a Specialist Library of the National Library for Health) has released their 2010 Annual Evidence Update on Urinary Incontinence. It includes titled sections that cover the following topics: for Conservative management of stress urinary incontinence in women, Pharmacotherapy for Overactive Bladder Syndrome (OAB), Pharmacotherapy for stress urinary incontinence, Sacral neuromodulation for urinary storage and voiding dysfunction, Surgery for stress urinary incontinence in… Continue readingNeonatal Physical Therapy. Part II: Practice Frameworks and Evidence-Based Practice Guidelines.
The purpose of this article is to: (1) To outline frameworks for neonatal physical therapy based on 3 theoretical models, (2) to describe emerging literature supporting neonatal physical therapy practice, and (3) to identify evidence-based practice recommendations. Three models are presented as a framework for neonatal practice: (1) dynamic systems theory including synactive theory and the theory of neuronal group selection, (2) the International Classification of Functioning, Disability and Health… Continue readingOnline Clinical Guidelines
eGuidelines, is an online edition of Guidelines, the three-times yearly handbook summarising clinical guidelines for primary and shared care. The aim is to provide those involved in developing and implementing practice or locality guidelines with a valuable reference source in a convenient, easy-to-use format so you may find these eGuidelines of help when drawing up your local guidelines, recommendations and policies. Guidelines in Practice and Guidelines… Continue readingThe 15-step oximetry test: a reliable tool to identify candidates for lung transplantation among patients with idiopathic pulmonary fibrosis.
Shitrit D, Rusanov V, Peled N, Amital A, Fuks L, Kramer MR
This study was design to determine whether the simple 15-step climbing exercise oximetry test accurately characterised disease severity and survival in patients with idiopathic pulmonary fibrosis (IPF). Results of performance on the 15-step climbing test, pulmonary function tests… Continue reading
Water content of delivered gases during non-invasive ventilation in healthy subjects
Lellouche F, Maggiore SM, Lyazidi A, Deye N, Taillé S, Brochard L
In this study the authors measured hygrometry during non invasive ventilation (NIV) delivered to healthy subjects with different humidification strategies: heated humidifier (HH), heat and moisture exchanger, (HME) or no humidification (NoH). They found that during NIV, with NoH, gas humidity was very low… Continue reading
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