scholarly journals Caesarean Section. Guideline of the DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/084, June 2020)

2021 ◽  
Vol 81 (08) ◽  
pp. 896-921
Author(s):  
Frank Louwen ◽  
Uwe Wagner ◽  
Michael Abou-Dakn ◽  
Jörg Dötsch ◽  
Burkhard Lawrenz ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Group Process ◽  
German Society ◽  
Nominal Group ◽  
Evidence Based ◽  
Medical Specialties ◽  
Caesarean Birth ◽  
S3 Guideline ◽  
Evaluation Of Evidence ◽  
Operative Medicine

Abstract Purpose This is an official S3-guideline of the German Society of Gynaecology and Obstetrics (DGGG), the Austrian Society of Gynaecology and Obstetrics (ÖGGG) and the Swiss Society of Gynaecology and Obstetrics (SGGG). The guideline contains evidence-based information and recommendations on indications, complications, methods and care associated with delivery by caesarean section for all medical specialties involved as well as for pregnant women. Methods This guideline has adapted information and recommendations issued in the NICE Caesarean Birth guideline. This guideline also considers additional issues prioritised by the Cochrane Institute and the Institute for Research in Operative Medicine (IFOM). The evaluation of evidence was based on the system developed by the Scottish Intercollegiate Guidelines Network (SIGN). A multi-part nominal group process moderated by the AWMF was used to compile this S3-level guideline. Recommendations Recommendations on consultations, indications and the process of performing a caesarean section as well as the care provided to the mother and neonate were drawn up.

Management of Spontaneous Pneumothorax and Postinterventional Pneumothorax: German S3-Guideline

2018 ◽  
Vol 143 (S 01) ◽  
pp. S12-S43 ◽  
Author(s):  
Jost Schnell ◽  
Meinrad Beer ◽  
Stephan Eggeling ◽  
Wolfgang Gesierich ◽  
Jens Gottlieb ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Group Process ◽  
Spontaneous Pneumothorax ◽  
German Society ◽  
Epidemiological Studies ◽  
Nominal Group ◽  
British Thoracic Society ◽  
Indication For Surgery ◽  
S3 Guideline ◽  
Radiological Society

AbstractIn Germany, 10,000 cases of spontaneous pneumothorax are treated inpatient every year. The German Society for Thoracic Surgery (DGT), in co-operation with the German Society for Pulmonology (DGP), the German Radiological Society (DRG) and the German Society of Internal Medicine (DGIM) has developed an S3 guideline on spontaneous pneumothorax and postinterventional pneumothorax moderated by the German Association of Scientific Medical Societies (AWMF). Method Based on the source guideline of the British Thoracic Society (BTS2010) for spontaneous pneumothorax, a literature search on spontaneous pneumothorax was carried out from 2008 onwards, for post-interventional pneumothorax from 1960 onwards. Evidence levels according to the Oxford Center for Evidence-Based Medicine (2011) were assigned to the relevant studies found. Recommendations according to GRADE (A: “we recommend”/“we do not recommend”, B: “we suggest”/“we do not suggest”) were determined in three consensus conferences by the nominal group process. Results The algorithms for primary and secondary pneumothorax differ in the indication for CT scan as well as in the indication for chest drainage application and video-assisted thoracic surgery (VATS). Indication for surgery is recommended individually taking into account the risk of recurrence, life circumstances, patient preferences and procedure risks. For some forms of secondary pneumothorax, a reserved indication for surgery is recommended. Therapy of postinterventional spontaneous pneumothorax is similar to that of primary spontaneous pneumothorax. Discussion The recommendations of the S3 Guideline provide assistance in managing spontaneous pneumothorax and post-interventional pneumothorax. Whether this will affect existing deviant diagnostic and therapeutic measures will be demonstrated by future epidemiological studies.

scholarly journals Training the Evidence-Based Practitioner: University of Western States Document on Standards and Competencies

2011 ◽  
Vol 25 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Ronald P. LeFebvre ◽  
David H. Peterson ◽  
Mitchell Haas ◽  
Richard G. Gillette ◽  
Charles W. Novak ◽  
...  
Keyword(s):  
Clinical Education ◽  
Group Process ◽  
Learning Objectives ◽  
Nominal Group ◽  
Evidence Based ◽  
Journal Articles ◽  
Important Goal ◽  
Education Standards ◽  
Chiropractic Education ◽  
Chiropractic Students

An important goal of chiropractic clinical education should be to teach specific evidence-based practice (EBP) skills to chiropractic students, interns, and doctors. Using a nominal group process, the authors produced a document similar to the Council of Chiropractic Education standards for clinical competencies that can be used to drive an EBP curriculum. Standard texts and journal articles were consulted to create the standards for this program and each standard and corresponding learning objective was discussed in detail and was then graded by the committee in terms of importance and the level of competency that should be attained. Six standards and 31 learning objectives were generated with the learning objectives being further divided into lists of specific competencies. It is the hope of these authors that by sharing this document it can serve as a comprehensive and detailed seed document for other institutions.

scholarly journals Updated S3-Guideline Ulcerative Colitis. German Society for Digestive and Metabolic Diseases (DGVS)

2019 ◽  
Vol 57 (02) ◽  
pp. 162-241 ◽  
Author(s):  
◽  
Keyword(s):  
Ulcerative Colitis ◽  
Clinical Practice ◽  
Support Groups ◽  
Metabolic Diseases ◽  
Interdisciplinary Team ◽  
German Society ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Patient Support ◽  
S3 Guideline

AbstractThis guideline provides evidence-based key recommendations for diagnosis and treatment of ulcerative colitis and upgrades the 2011 version. The guideline was developed by an interdisciplinary team of gastroenterologists, surgeons, pathologists, nutrition experts, and patient support groups under the auspice of the German Society for Gastroenterology and Metabolic Diseases. The guideline used structural S3 consensus-based methodology and includes statements on clinical practice, prevention, infectiological problems, surgery and nutrition.

scholarly journals The German–Austrian S3 Guideline “Cardiogenic Shock Due to Myocardial Infarction: Diagnosis, Monitoring, and Treatment”

2020 ◽  
Author(s):  
Kevin Pilarczyk ◽  
Karl Werdan ◽  
Martin Russ ◽  
Holger Thiele ◽  
Guido Michels ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Contractile Function ◽  
German Society ◽  
Evidence Based ◽  
Cardiac Contractile Function ◽  
Intensive Care Unit Treatment ◽  
S3 Guideline ◽  
Cardiac Contractile

AbstractDespite advances in the treatment of acute myocardial infarction with subsequent mortality reduction, which are mainly caused by the early timing of revascularization, cardiogenic shock still remains the leading cause of death with mortality rates still approaching 40 to 50%. Cardiogenic shock is characterized by a multiorgan dysfunction syndrome, often complicated by a systemic inflammatory response syndrome that affects the outcome more than the reduction of the cardiac contractile function. However, both European and American guidelines on myocardial infarction focus on interventional or surgical aspects only. Therefore, experts from eight German and Austrian specialty societies including the German Society for Thoracic and Cardiovascular Surgery published the German–Austrian S3 guideline “cardiogenic shock due to myocardial infarction: diagnosis, monitoring, and treatment” to provide evidence-based recommendations for the diagnosis and treatment of infarction-related cardiogenic shock in 2010 covering the topics of early revascularization, revascularization techniques, intensive care unit treatment including ventilation, transfusion regimens, adjunctive medical therapy, and mechanical support devices. Within the last 3 years, this guideline was updated as some major recommendations were outdated, or new evidence had been found. This review will therefore outline the management of patients with cardiogenic shock complicating acute myocardial infarction according to the updated guideline with a major focus on evidence-based recommendations which have been found relevant for cardiac surgery.

Behavioural Foundations of DBT

2017 ◽  
pp. 68-90
Author(s):  
Alexander L. Chapman
Keyword(s):  
Evidence Based ◽  
Case Formulation ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Behavioural Theory ◽  
Evaluation Of Evidence ◽  
Ongoing Assessment

This chapter discusses and illustrates how behavioural theory and science guide many aspects of Dialectical Behaviour Therapy (DBT). Behavioural theory informs the DBT approach to case formulation, the ongoing assessment of behaviour throughout therapy, and the selection, implementation, and evaluation of evidence-based interventions. As described later in this chapter, behavioural theory also influences the style and “flavour” of DBT sessions. As the focus of the first stage of DBT often focuses on the treatment of suicidal and self-injurious behaviour, the chapter emphasizes these behaviours via several examples, and also touches upon some other common behaviours targeted in DBT.

scholarly journals Trial of scar in post caesarean pregnancies

2018 ◽  
Vol 7 (3) ◽  
pp. 1173
Author(s):  
G. Kuppulakshmi ◽  
S. Saranya
Keyword(s):  
Caesarean Section ◽  
Caesarean Delivery ◽  
Uterine Wall ◽  
Perinatal Morbidity ◽  
Surgical Incision ◽  
Medical College ◽  
Caesarean Birth ◽  
Obstetric Management ◽  
One Year ◽  
Present Pregnancy

Background: The term caesarean delivery used to describe the delivery of a fetus through a surgical incision of the intact anterior uterine wall. The objective of this study was to analyse the maternal and perinatal morbidity between successful VBAC and failed vaginal delivery in cases selected for trial of labour.Methods: Prospective study conducted in Government RSRM Lying In Hospital, Government Stanley Medical College, Chennai over a period of one year from January 2017 to December 2017.Results: Trial of labour in previous caesarean section was more successful when the interval between previous caesarean and present pregnancy was between two to four years 86.40%. Conclusions: Most patients with a prior caesarean birth are candidates for VBAC. In properly selected women, a trial of labour after one previous low transverse caesarean section constitutes the best and safest form of obstetric management.

scholarly journals European evidence-based recommendations for the diagnosis and treatment of childhood-onset lupus nephritis: the SHARE initiative

2017 ◽  
Vol 76 (12) ◽  
pp. 1965-1973 ◽  
Author(s):  
Noortje Groot ◽  
Nienke de Graeff ◽  
Stephen D Marks ◽  
Paul Brogan ◽  
Tadej Avcin ◽  
...  
Keyword(s):  
Lupus Nephritis ◽  
Maintenance Treatment ◽  
Low Dose ◽  
Diagnosis And Treatment ◽  
Nominal Group ◽  
Induction Treatment ◽  
Expert Committee ◽  
Evidence Based ◽  
Childhood Onset ◽  
Dose Prednisone

Lupus nephritis (LN) occurs in 50%–60% of patients with childhood-onset systemic lupus erythematosus (cSLE), leading to significant morbidity. Timely recognition of renal involvement and appropriate treatment are essential to prevent renal damage. The Single Hub and Access point for paediatric Rheumatology in Europe (SHARE) initiative aimed to generate diagnostic and management regimens for children and adolescents with rheumatic diseases including cSLE. Here, we provide evidence-based recommendations for diagnosis and treatment of childhood LN. Recommendations were developed using the European League Against Rheumatism standard operating procedures. A European-wide expert committee including paediatric nephrology representation formulated recommendations using a nominal group technique. Six recommendations regarding diagnosis and 20 recommendations covering treatment choices and goals were accepted, including each class of LN, described in the International Society of Nephrology/Renal Pathology Society 2003 classification system. Treatment goal should be complete renal response. Treatment of class I LN should mainly be guided by other symptoms. Class II LN should be treated initially with low-dose prednisone, only adding a disease-modifying antirheumatic drug after 3 months of persistent proteinuria or prednisone dependency. Induction treatment of class III/IV LN should be mycophenolate mofetil (MMF) or intravenous cyclophosphamide combined with corticosteroids; maintenance treatment should be MMF or azathioprine for at least 3 years. In pure class V LN, MMF with low-dose prednisone can be used as induction and MMF as maintenance treatment. The SHARE recommendations for diagnosis and treatment of LN have been generated to support uniform and high-quality care for all children with SLE.

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