Initial management strategies for dyspepsia

2003 ◽  
Author(s):  
BC Delaney ◽  
P Moayyedi ◽  
D Forman
Keyword(s):  
Management Strategies ◽  
Initial Management

scholarly journals Epidemiology and outcomes from severe hypoglycemia in Kuwait: a prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dalal Al Hasan ◽  
Ameen Yaseen ◽  
Mohammad Al Roudan ◽  
Lee Wallis
Keyword(s):  
Severe Hypoglycaemia ◽  
Management Strategies ◽  
Severe Hypoglycemia ◽  
Inclusion Criteria ◽  
Initial Management ◽  
Scene Management ◽  
Prehospital Management ◽  
Improve Patient Management ◽  
Current Guidelines ◽  
Improve Patient

Abstract Background The objective of this study was to describe the epidemiology of severe hypoglycaemia in Kuwait, aiming to provide a preliminary background to update the current guidelines and improve patient management. Method This was a prospective analysis of severe hypoglycaemia cases retrieved from emergency medical services (EMS) archived data between 1 January and 30 June 2020. The severe hypoglycaemia cases were then sub-grouped based on EMS personal initial management and compared in terms of scene time, transportation rate, complications and outcomes. The primary outcomes were GCS within 10–30 min and normal random blood glucose (RBS) within 10–30 min. Results A total of 167 cases met the inclusion criteria. The incidence of severe hypoglycaemia in the national EMS was 11 per 100,000. Intramuscular glucagon was used on scene in 89% of the hypoglycaemic events. Most of the severe hypoglycaemia patients regained normal GCS on scene (76.5%). When we compared the two scene management strategies for severe hypoglycaemia cases, parenteral glucose administration prolonged the on-scene time (P = .002) but was associated with more favourable scene outcomes than intramuscular glucagon, with normal GCS within 10–30 min (P = .05) and normal RBS within 10–30 min (P = .006). Conclusion: Severe hypoglycaemia is not uncommon during EMS calls. Appropriate management by EMS personals is fruitful, resulting in favourable scene outcomes and reducing the hospital transportation rate. More research should be invested in improving and structuring the prehospital management of severe hypoglycaemia. One goal is to clarify the superiority of parenteral glucose over intramuscular glucagon in the prehospital setting.

scholarly journals Initial management strategies for follicular lymphoma

2012 ◽  
Vol 1 (1) ◽  
pp. 35-45 ◽  
Author(s):  
Qiushi Chen ◽  
Turgay Ayer ◽  
Loretta J Nastoupil ◽  
Miray Seward ◽  
Hongzheng Zhang ◽  
...  
Keyword(s):  
Follicular Lymphoma ◽  
Management Strategies ◽  
Initial Management

Initial management strategies for dyspepsia

2009 ◽  
Author(s):  
Brendan Delaney ◽  
Alex C Ford ◽  
David Forman ◽  
Paul Moayyedi ◽  
Michelle Qume
Keyword(s):  
Management Strategies ◽  
Initial Management

Effect of Pentoxifylline on the Healing of Guinea Pig Tympanic Membrane

2000 ◽  
Vol 109 (3) ◽  
pp. 262-266 ◽  
Author(s):  
Alan A. Tan Lim ◽  
Antoine P. Washington ◽  
John H. Greinwald ◽  
Lorenz F. Lassen ◽  
Michael R. Holtel
Keyword(s):  
Tympanic Membrane ◽  
Management Strategies ◽  
Initial Management ◽  
Accelerate Wound Healing ◽  
Tympanic Membrane Perforations ◽  
Significant Difference ◽  
Epidermal Growth ◽  
Double Blinded ◽  
And Control

Although most tympanic membrane perforations heal spontaneously, persistent perforations frequently require treatment by otolaryngologists. Initial management strategies include keeping the ear dry, ensuring aural hygiene, and using topical antibiotics. For persistent perforations, paper patching or myringoplasty may be required. Recently, agents such as hyaluronic acid and epidermal growth factor have been used to promote tympanic membrane healing. Similarly, pentoxifylline, a pharmaceutical agent with hemorrheological and antithrombotic properties, has been shown to increase perfusion and accelerate wound healing. This double-blinded prospective study attempts to examine the effect of pentoxifylline on tympanic membrane healing of 50 guinea pigs subjected to myringotomy. Serial examinations and histopathologic sectioning of the tympanic membranes revealed no significant difference in rate of healing or quality of repair between the pentoxifylline and control groups.

Computed Tomographic Guidance Stereotaxis in the Management of Lesions of the Third Ventricular Region

Neurosurgery ◽  
1984 ◽  
Vol 15 (4) ◽  
pp. 502-508 ◽  
Author(s):  
Michael L. J. Apuzzo ◽  
Parakrama T. Chandrasoma ◽  
Vladimir Zelman ◽  
Steven L. Giannotta ◽  
Martin H. Weiss
Keyword(s):  
Pathological Condition ◽  
Management Strategies ◽  
Definitive Treatment ◽  
Initial Management ◽  
Computed Tomographic ◽  
Antiviral Therapies ◽  
Cerebrospinal Fluid Diversion ◽  
Stereotactic System ◽  
Tissue Specimens ◽  
Mass Lesions

Abstract The initial management strategies for lesions of the 3rd ventricular region are often controversial. Current techniques for computed tomographic guidance stereotaxis allow accurate access to any intracranial point. A Brown-Roberts-Wells stereotactic system was used as a technical adjunct in the initial management of 42 mass lesions of the 3rd ventricular region. Objectives included biopsy, culture, aspiration, visualization, and installment of drainage conduits. Forty-five point placements were accomplished, and 140 tissue specimens were retrieved without complication. The pathological diagnosis was substantiated in all cases and included lesions of developmental (1 case), neoplastic (31 cases), and infectious (10 cases) origins. Information based on stereotactic assessment provided a rational substrate for the initiation of management, which included craniotomy, cerebrospinal fluid diversion, radiotherapy, chemotherapy, and antibiotic or antiviral therapies. Based on this experience, it is apparent that these methods offer acceptably safe and accurate access to lesions of the entire 3rd ventricular region. Histological or microbiological diagnosis without the need for craniotomy may be readily realized and offers logical guidance for therapeutic strategies. Dependent on the pathological condition, definitive treatment may be achieved.

A prospective outcome study of three initial management strategies for patients with dyspepsia

2000 ◽  
Vol 118 (4) ◽  
pp. A1082
Author(s):  
Maria-Teresa M. Cuddihy ◽  
Dietlind Wahner-Roedler ◽  
Geralyn M. Pumper ◽  
Carol VanDyke ◽  
Ross Dierkhising ◽  
...  
Keyword(s):  
Management Strategies ◽  
Outcome Study ◽  
Initial Management

scholarly journals Giant serpentine aneurysms

2009 ◽  
Vol 26 (5) ◽  
pp. E5 ◽  
Author(s):  
Lana D. Christiano ◽  
Gaurav Gupta ◽  
Charles J. Prestigiacomo ◽  
Chirag D. Gandhi
Keyword(s):  
Treatment Options ◽  
Management Strategies ◽  
Brain Parenchyma ◽  
Rare Entity ◽  
Endovascular Techniques ◽  
Parent Vessel ◽  
Initial Management ◽  
Institutional Management ◽  
Large Size ◽  
Outflow Channel

Segal and McLaurin first described giant serpentine aneurysms, based on their distinct angiographic features, in 1977. These lesions are ≥ 25 mm, partially thrombosed aneurysms with a patent, serpiginous vascular channel that courses through the aneurysm. There is a separate inflow and outflow of the aneurysm, of which the outflow channel supplies brain parenchyma in the territory of the parent vessel. Given the large size, unique neck, and dependent distal vessels, these aneurysms pose a technical challenge in treatment. Initial management has included surgical obliteration, but as endovascular techniques have evolved, treatment options too have expanded. In this review the authors attempt to summarize the existing body of literature on this rare entity and describe some of their institutional management strategies.

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