scholarly journals A An Evidence Based Practice Guidelines for Dental Professionals to Manage Anticoagulant Therapy Patients Seeking Dental Care. A Review Article

2019 ◽  
pp. 107-110
Author(s):  
Sultan Mohammed Namis ◽  
Rahaf Y Al-Habbab
Keyword(s):  
Practice Guidelines ◽  
Evidence Based Practice ◽  
Oral Surgery ◽  
Oral Anticoagulants ◽  
Review Article ◽  
Evidence Based ◽  
Cardiovascular Disorders ◽  
Dental Procedures ◽  
Evidence Based Guidelines ◽  
Dental Professionals

Patients with specific cardiovascular disorders are commonly treated by anti-coagulant medications. Hence, these anti-coagulant drugs might affect greatly the oral health care procedures and the course of dental treatments, Dental Professionals are therefore responsible to treat such patients in a harmonious way as adequate hemostasis is challenging as part of routine oral surgery and other dental procedures. The objective of this review was to discuss the evidence-based practice guidelines based on available literature to manage patients with anti-coagulants therapy seeking invasive dental procedures. According to the available literature, The evidence-based guidelines for anticoagulants such as Warfarin are well established. However, there is an insufficient evidence available for new oral anticoagulants drugs. Nevertheless, risk assessment and the standard INR value should be considered in relevance to consultation with the patient’s physician must be taken into an account before any elective surgical procedures.Anticoagulant therapy must not be interrupted in patients undergoing minor surgical procedures. However, Local hemostatic measures are of utmost considerations and are effective in achieving hemostasis.

Update on hypnotherapy for psychiatrists

2021 ◽  
pp. 1-7
Author(s):  
Natalie A. Chan ◽  
Zhisong Zhang ◽  
Guoxing Yin ◽  
Zhimeng Li ◽  
Roger C. Ho
Keyword(s):  
Psychiatric Disorders ◽  
Practice Guidelines ◽  
Review Article ◽  
Outcome Studies ◽  
Evidence Based ◽  
High Quality ◽  
Long Time ◽  
Meta Analyses ◽  
Evidence Based Therapy

SUMMARY Although hypnosis has played a part in psychotherapy for a long time, it is not yet seen as an evidence-based therapy and is absent from many practice guidelines when it comes to the treatment of psychiatric disorders. At present, the applications and methods of hypnotherapy are poorly understood and other methods of psychotherapy tend to be favoured. This review article aims to introduce the role of hypnotherapy and its application for certain common psychiatric presentations, as well as examine its efficacy by summarising recent evidence from high-quality outcome studies and meta-analyses.

scholarly journals Use of Guidelines for Reducing Stroke Risk in Patients With Nonvalvular Atrial Fibrillation: A Review From a Latin American Perspective

2017 ◽  
Vol 24 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Carlos Cantú-Brito ◽  
Gisele Sampaio Silva ◽  
Sebastián F. Ameriso
Keyword(s):  
Atrial Fibrillation ◽  
Latin America ◽  
Latin American ◽  
Stroke Risk ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Evidence Based ◽  
Scoring Methods ◽  
Essential Components ◽  
Evidence Based Guidelines

Atrial fibrillation (AF) is a prominent risk factor for stroke and a leading cause of death and disability throughout Latin America. Contemporary evidence-based guidelines for the management of AF and stroke incorporate the use of practical and relatively simple scoring methods to estimate both stroke and bleeding risk, in order to assist in matching patients with appropriate interventions. This review examines consistencies and differences among guidelines for reducing stroke risk in patients with AF, assessing the role of user-friendly scoring methods to determine appropriate patients for anticoagulation and other treatment options. Current options include warfarin and direct oral anticoagulants such as dabigatran, rivaroxaban, apixaban, and edoxaban. These agents have been found to be superior or noninferior to standard vitamin K antagonist anticoagulation in large randomized trials. Potential benefits of these agents mainly include lower ischemic stroke rates, reduced intracranial bleeding, no need for regular monitoring, and fewer drug–drug and drug–food interactions. Expert opinions regarding clinical situations for which data are presently lacking, such as emergency bleeding and stroke in anticoagulated patients, are also provided. Enhanced attention and adherence to evidence-based guidelines are essential components for a strategy to reduce stroke morbidity and mortality across Latin America.

scholarly journals Wiki-Based Clinical Practice Guidelines for the Management of Adult Onset Sarcoma: A New Paradigm in Sarcoma Evidence

Sarcoma ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
S. J. Neuhaus ◽  
D. Thomas ◽  
J. Desai ◽  
C. Vuletich ◽  
J. von Dincklage ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Guideline Development ◽  
Lessons Learned ◽  
Evidence Based ◽  
Adult Onset ◽  
New Paradigm ◽  
Software Application ◽  
Evidence Based Guidelines

In 2013 Australia introduced Wiki-based Clinical Practice Guidelines for the Management of Adult Onset Sarcoma. These guidelines utilized a customized MediaWiki software application for guideline development and are the first evidence-based guidelines for clinical management of sarcoma. This paper presents our experience with developing and implementing web-based interactive guidelines and reviews some of the challenges and lessons from adopting an evidence-based (rather than consensus-based) approach to clinical sarcoma guidelines. Digital guidelines can be easily updated with new evidence, continuously reviewed and widely disseminated. They provide an accessible method of enabling clinicians and consumers to access evidence-based clinical practice recommendations and, as evidenced by over 2000 views in the first four months after release, with 49% of those visits being from countries outside of Australia. The lessons learned have relevance to other rare cancers in addition to the international sarcoma community.

Achieving Evidence-Based Practice in Dietetics by Using Evidence-Based Practice Guidelines

2020 ◽  
Vol 120 (5) ◽  
pp. 751-756
Author(s):  
Hollie A. Raynor ◽  
Judith A. Beto ◽  
Jamie Zoellner
Keyword(s):  
Practice Guidelines ◽  
Evidence Based Practice ◽  
Evidence Based
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