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Evidence-based milestone ages as a framework for developmental surveillance
Developmental surveillance is the process of monitoring child development over time to promote healthy development and to identify possible problems. Standardized developmental screeners have greater sensitivity than milestone-based history taking. Unfortunately, Canadian screening guidelines, to date, are sparse, logistical barriers to implementation have slowed uptake of screening tests and…
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Nebulised N-Acetylcysteine for Unresponsive Bronchial Obstruction in Allergic…
Many chronic lung diseases are characterized by the hypersecretion ofmucus. In these conditions, the administration of mucoactive agents is often indicated as adjuvant therapy. N-acetylcysteine (NAC) is a typical example of amucolytic agent. A retrospective review of patients with pulmonary aspergillosis treated at the National Aspergillosis Centre Manchester,UnitedKingdom,with NAC between Nove…
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A strategy for weight loss based on healthy dietary habits and control of emo…
A sedentary lifestyle and unhealthy eating habits are major causes of a negative energy balance and excess body weight. The lifestyle of the Mediterranean diet eating pattern significantly reduces risk factors for non communicable diseases. Moreover, emotions have a powerful effect on feeding behavior. There is a direct relationship between food choices (type and amount), emotions and increase…
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Diet in the management of weight loss
Obesity is an established risk factor for numerous chronic diseases, and successful treatment will have an important impact on medical resources utilization, health care costs, and patient quality of life. With over 60% of our population being overweight, physicians face a major challenge in assisting patients in the process of weight loss and weight-loss maintenance. Low-calorie diets can lowe…
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The Quality of Breakfast and Healthy Diet in School-aged Adolescents and Thei…
Dietary habits are an important factor in the protection of adolescent health. The quality and frequency of breakfast and the various food groups can a ect the wellbeing of this population group in both the short and long term. Research indicates that there is a range of relevant variables in the study of diet at this stage: following a weight loss diet, body mass index and the practice of phys…
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Successful drug desensitization in patients with delayed-type allergic reacti…
This was a retrospective study. Inclusion criteria were as follows: age >18 years, documented tuberculosis infection, a previous cutaneous allergic reaction to anti-tuberculosis drugs, and having undergone drug desensitization between January 2003 and March 2014. The definition of allergic reaction to anti-tuberculosis drugs included (1) a temporal relationship between drug use and the allergi…
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Treatment of Drug-Resistant Tuberculosis An Official ATS/CDC/ERS/IDSA Clinica…
The American Thoracic Society, U.S. Centers for Disease Control and Prevention, European Respiratory Society, and Infectious Diseases Society of America jointly sponsored this new practice guideline on the treatment of drug-resistant tuberculosis (DR-TB). The document includes recommendations on the treatment of multidrug-resistant TB (MDR-TB) as well as isoniazid-resistant but rifampin-suscept…
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Resistant Hypertension: Detection, Evaluation, and Management: A Scientific S…
Resistant hypertension (RH) is defined as above-goal elevated blood pressure (BP) in a patient despite the concurrent use of 3 antihypertensive drug classes, commonly including a long-acting calcium channel blocker, a blocker of the renin-angiotensin system (angiotensin-converting enzyme inhibitor or angiotensin receptor blocker), and a diuretic. The antihypertensive drugs should be administere…
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Lifestyle and Hypertension: An Evidence-Based Review
Emerging data suggest that lifestyle habits may affect blood pressure values. In this review, authors examine the more relevant clinical and epidemiological studies about the influence that multiple lifestyle factors play on development of hypertension. They conclude that there is clear evidence that lifestyle changes can have a favorable effect on prevention and treatment of hypertension, with…
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Deep brain stimulation for aggressiveness: long-term follow-up and tractograp…
Initial studies applying deep brain stimulation (DBS) of the posteromedial hypothalamus (PMH) to patients with pathological aggressiveness have yielded encouraging results. However, the anatomical structures involved in its therapeutic effect have not been precisely identified. The authors’ objective was to describe the long-term outcome in their 7-patient series, and the tractography analysi…
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