Vaginal progesterone, oral progesterone, 17-OHPC, cerclage, and pessary for p…

Vaginal progesterone was the only intervention with consistent effectiveness for preventing preterm birth in singleton atrisk pregnancies overall and in those with a previous preterm birth

The perinatal burden of preterm delivery and twin pregnancy

This information is useful to both patients and clinicians as it provides them with an effective and relatively simple option to prevent this outcome in subsequent pregnancies

signs of eclampsia during singleton deliveries and early neonatal mortality i…

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Posterior reversible leukoencephalopathy syndrome (PRES) associated with seve…

PRES appears to accompany eclampsia in over half of all cases. The clinical picture of patients with eclampsia with or ithout associated PRES is similar, but certain biochemical characteristics suggest that PRES might be indicative of a more severe disease process

Quality improvement in neurology Epilepsy Quality Measurement Set 2017 update

Epilepsy is a common condition in the United States. It is estimated that 1.2% of the populationrnor 3.4 million people have epilepsy. This figure may be underestimated because of potentialrnrepercussions and stigma in disclosing epilepsy.1 Studies have shown that people with epilepsyrnare more likely to be unemployed or unable to work, have lower annual household incomes, bernobese and physica…

Extended dual antiplatelet therapy for Asian patients with acute coronary syn…

Recommendations were produced for the following nine risk factors: old age (>65), chronic kidney disease (CKD), diabetes mellitus (DM), recurrent myocardial infarction (MI), multi-vessel disease (MVD), multiple stents, bioresorbable vascular scaffold (BVS) stent, left main stenting and peripheral artery disease (PAD). Strong ischaemic risk factors include DM, recurrent MI, MVD and/or >3 stents;…

Treatment of right heart failure: is there a solution to the problem?

Right heart function is a significant determinant of outcomes across a variety of aetiologies of rightrnventricular (RV) dysfunction. Right heart failure syndrome is characterised by the inability of the rightrnventricle to generate sufficient stroke volume. Management often requires simultaneous execution ofrnmultiple strategies to optimise RV preload, contractility and afterload, while mainta…

Complete heart block due to diphtheritic myocarditis in the present era

Diphtheria continues to be reported from many parts of the world. Complete heart block is rare but often fatalrncomplication of diphtheric myocarditis. We report six children with diphtheric myocarditis who presented withrncomplete heart block. Three patients survived, one with persistent complete heart block. Aggressive supportivernmanagement including transvenous pacing may result in complete…

Hospital-acquired pneumonia in ICU

The French Society of Anesthesia and Intensive Care Medicine and the French Society of Intensive Care edited guidelines focused on hospital-acquired pneumonia (HAP) in intensive care unit (ICU). The goal of 16 French-speaking experts was to produce a framework enabling an easier decision-making process for intensivists. The guidelines were related to 3 specific areas related to HAP (prevention…

Early Administration of Antibiotics for Suspected Sepsis

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