results there were minor differences in treatment preferences for graves’ disease in pregnancy and tests to monitor antithyroid drugs between endocrinologists and generalists; the major difference being targeted free thyroxin, and also thyroxin, depicted in the upper end of normal range, by the majority of endocrinologist and within the normal range, by generalists. compared to generalists, end...

background: the inappropriate use of aminoglycosides has harmful effects such as the development of resistant pathogens and the incidence of nephrotoxicity and ototoxicity. therefore, drug utilization evaluation of these drugs may improve their usage remarkably. the aim of this study was to assess the usage pattern of amikacin in an internal medicine ward. methods: this cross-sectional study wa...

compost is a gradual process in nature by which organic materials are decomposed in the presence of air by microorganisms and fungi. the product is a valuable fertilizer that is used in different places even in home little gardens, so that it has signed as an unnoticed asset. with due attention to the importance of compost, its guidelines and standards should be evaluated. it is pointed and com...

This guideline is an update from August 2020 the S2k-guideline “Atopic dermatitis” published in 2015. The reason for updating this chapter of were current developments field systemic therapy atopic dermatitis. agreed recommendations treatment dermatitis present are based on scientific data. Due to approval dupilumab moderate severe dermatitis, which cannot be treated sufficiently with topical d...

BACKGROUND Children with neuromuscular disorders with a progressive muscle weakness such as Duchenne Muscular Dystrophy and Spinal Muscular Atrophy frequently develop a progressive scoliosis. A severe scoliosis compromises respiratory function and makes sitting more difficult. Spinal surgery is considered the primary treatment option for correcting severe scoliosis in neuromuscular disorders. S...

BACKGROUND Multidisciplinary treatment guidelines for Dupuytren disease can aid in optimizing the quality of care for patients with this disorder. Therefore, this study aimed to achieve consensus on a multidisciplinary treatment guideline for Dupuytren disease. METHODS A European Delphi consensus strategy was initiated. A systematic review reporting on the effectiveness of interventions was c...

Purpose—The aim of this guideline is to provide a focused update of the current recommendations for the endovascular treatment of acute ischemic stroke. When there is overlap, the recommendations made here supersede those of previous guidelines. Methods—This focused update analyzes results from 8 randomized, clinical trials of endovascular treatment and other relevant data published since 2013....

I n August of this year the National Institute for Clinical Excellence (NICE) made its draft guideline on fertility treatment available for consultation. As has been widely reported in the media the draft guideline recommends that the National Health Service (NHS) should provide publicly funded fertility treatment in a consistent way across England and Wales. The guideline recommends that three...

INTRODUCTION Since the previous parameter and review paper publication on oral appliances (OAs) in 2006, the relevant scientific literature has grown considerably, particularly in relation to clinical outcomes. The purpose of this new guideline is to replace the previous and update recommendations for the use of OAs in the treatment of obstructive sleep apnea (OSA) and snoring. METHODS The Am...

This article is a guideline covering a wide array of cervical conditions seen in the workers' compensation, as well as the nonworkers' compensation, population. The guideline is intended to provide a diagnostic and treatment algorithm to commonly seen cervical conditions such as single-level and multilevel radiculopathies and myelopathies.