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  1. Book ; Online ; E-Book: Textbook of Diagnostic and Therapeutic Procedures in Allergy

    Vedanthan, P. K.

    2024  

    Abstract: ... addressing in detail the various diagnostic and therapeutic procedures. This textbook will be appealing ...

    Author's details edited by Pudupakkam K. Vedanthan [and three others]
    Abstract The uniqueness of this textbook lies in the fact that, it is the FIRST book in the field of allergy addressing in detail the various diagnostic and therapeutic procedures. This textbook will be appealing to medical students, physicians-in-training as well as consultants.
    Keywords Immunotherapy
    Subject code 354.81150006
    Language English
    Size 1 online resource (388 pages)
    Edition First edition.
    Publisher CRC Press
    Publishing place Boca Raton, FL
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 1-04-001727-4 ; 1-003-26942-7 ; 9781032216539 ; 978-1-04-001727-2 ; 978-1-003-26942-7 ; 1032216530
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book: Diagnostic and therapeutic procedures in gastroenterology

    Wu, George Y. / Sridhar, Subbaramiah

    an illustrated guide

    (Clinical gastroenterology)

    2011  

    Author's details ed. by George Y. Wu ; Subbaramiah Sridhar
    Series title Clinical gastroenterology
    Keywords Gastrointestinal system/Diseases/Diagnosis ; Gastrointestinal system/Diseases/Treatment
    Subject code 616.33
    Language English
    Size XV, 383 S. : zahlr. Ill.
    Publisher Humana Press
    Publishing place New York u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT016785318
    ISBN 978-1-58829-478-4 ; 1-58829-478-1 ; 9781597450447 ; 1597450448
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2011 A 1537 order for loan Magazin

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  3. Article: Editorial: Recent advancements in the dental biomaterials applied in various diagnostic, restorative, regenerative, and therapeutic procedures.

    Alam, Mohammad Khursheed / Srivastava, Kumar Chandan / Khamis, Mohd Fadhli / Husein, Adam

    Frontiers in bioengineering and biotechnology

    2023  Volume 10, Page(s) 1116208

    Language English
    Publishing date 2023-01-09
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2719493-0
    ISSN 2296-4185
    ISSN 2296-4185
    DOI 10.3389/fbioe.2022.1116208
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Reducing the use of nil per os past midnight for inpatient diagnostic and therapeutic procedures: A quality improvement initiative.

    Hommel, Erin / Sissoho, Fatoumatta B / Chang, Karen / Suthar, Krishna

    Journal of hospital medicine

    2023  Volume 18, Issue 5, Page(s) 375–381

    Abstract: ... to prevent aspiration during certain diagnostic and therapeutic procedures. However, evidence suggests ... Objective: We aimed to reduce the use of NPO p MN before inpatient diagnostic and therapeutic procedures ... from 70% of existing diagnostic imaging and therapeutic orders. After these amended protocols and ...

    Abstract Background: Pre-procedural fasting (nil per os [NPO]) is a commonly implemented protocol to prevent aspiration during certain diagnostic and therapeutic procedures. However, evidence suggests aspiration risk is quite low. Current guidelines support a reduced fasting duration before procedures necessitating anesthesia or sedation, but many health systems persist in the use of NPO past midnight.
    Objective: We aimed to reduce the use of NPO p MN before inpatient diagnostic and therapeutic procedures necessitating anesthesia or sedation by 50% within 6 months.
    Design, setting and participants: We performed a quality improvement initiative at a single academic health system in Southeast Texas. We include the experience of patients of all ages across 4 affiliated hospitals (one main academic hospital and three community satellite hospitals).
    Intervention: An interprofessional team was convened to review best practices and oversee this quality improvement initiative. Diagnostic imaging protocols previously requiring NPO were amended to reflect evidence-based fasting requirements. A pre-procedure clear liquid diet was also implemented.
    Main outcome and measures: We describe the steps to implementation, feasibility of implementation as described through key process measures, and the safety of implementation (balancing measures).
    Results: NPO requirements were removed from 70% of existing diagnostic imaging and therapeutic orders. After these amended protocols and the implementation of a pre-procedure clear liquid diet, we displayed an immediate 50% reduction in NPO past midnight usage. Further stakeholder engagement/education and targeted interventions reduced NPO past midnight usage to only 33% of pre-procedural diet orders. Surgery remains the most common indication for continued use of NPO. Aspiration events and procedural delays were rare.
    MeSH term(s) Humans ; Inpatients ; Quality Improvement ; Fasting ; Patient Admission ; Hospitals
    Language English
    Publishing date 2023-02-20
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2233783-0
    ISSN 1553-5606 ; 1553-5592
    ISSN (online) 1553-5606
    ISSN 1553-5592
    DOI 10.1002/jhm.13066
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    Zs.A 6276: Show issues Location:
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  5. Article ; Online: Rates of diagnostic and therapeutic procedures in a cohort of patients undergoing first endocrine consultation for thyroid nodular disease.

    Negro, Roberto / Greco, Gabriele

    Endocrine

    2023  Volume 83, Issue 3, Page(s) 719–723

    Abstract: Purpose: This study aimed to evaluate the rates of necessary diagnostic and therapeutic procedures ... of 193 diagnostic or therapeutic procedures were performed in 133 (35.7%) patients ... thyroid nodules required any diagnostic or therapeutic procedures. ...

    Abstract Purpose: This study aimed to evaluate the rates of necessary diagnostic and therapeutic procedures in a cohort of patients undergoing their first endocrine consultation for thyroid nodular disease.
    Methods: This was an observational study conducted between January 1 and June 30, 2023, on patients undergoing their first endocrine consultation for thyroid nodular disease. Data were collected, including age, thyroid-stimulating hormone (TSH) concentration, reasons for performing thyroid ultrasound (US), and thyroid US reports. The US was performed at the time of the endocrine consultation according to the American College of Radiology Thyroid Imaging, Reporting and Data System (ACR-TIRADS) risk stratification system. Patients underwent further investigations/treatment or simple US follow-up as necessary.
    Results: A total of 373 patients with thyroid nodules were evaluated. Reasons for undergoing thyroid US were unrelated to suspected thyroid disease in 126 (33.8%), incidentalomas in 91 (24.4%), dysfunction or positivity for thyroid antibodies in 67 (18%), symptoms or visible nodules in 61 (16.3%), and family history of thyroid disease in 28 (7.5%). A total of 193 diagnostic or therapeutic procedures were performed in 133 (35.7%) patients [fine-needle aspiration (FNA): 121 (62.7%), surgery: 28 (14.5%), percutaneous ethanol injection: 20 (10.4%), scintigraphy: 10 (5.2%); thermal ablation: 7 (3.6%), and radioactive treatment: 7 (3.6%)].
    Conclusions: In the present study only one-third of the patients undergoing endocrine consultation with first detected thyroid nodules required any diagnostic or therapeutic procedures.
    MeSH term(s) Humans ; Thyroid Nodule/diagnostic imaging ; Thyroid Nodule/therapy ; Thyroid Neoplasms/diagnosis ; Retrospective Studies ; Ultrasonography/methods
    Language English
    Publishing date 2023-09-25
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 1194484-5
    ISSN 1559-0100 ; 1355-008X ; 0969-711X
    ISSN (online) 1559-0100
    ISSN 1355-008X ; 0969-711X
    DOI 10.1007/s12020-023-03540-2
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    Zs.A 3884: Show issues Location:
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  6. Article ; Online: New diagnostic and therapeutic procedures applied in pediatric esophageal achalasia in a pediatric tertiary center: A case series.

    Pop, Daniela / Pop, Radu Samuel / Blaga, Teodora Surdea / David, Liliana / Asavoaie, Carmen / Tantau, Marcel / Dumitrascu, Dan Lucian / Farcau, Dorin

    Experimental and therapeutic medicine

    2023  Volume 25, Issue 3, Page(s) 101

    Abstract: ... and upper digestive endoscopy, and is confirmed by esophageal HRM. Therapy should be adapted ... tertiary center, Clinical Emergency Hospital for Children (Cluj-Napoca, Romania). The clinical data and ... esophageal HRM in the center, were reported. The patients were aged between 11 and 18 years. All the patients ...

    Abstract Achalasia is an esophageal motor disorder that is rare in children. While the condition is uncommon, it is especially difficult to diagnose in pediatric patients; however, the ability to form a diagnosis has progressed markedly with the advent of esophageal high-resolution manometry (HRM). The aim of the present study was to highlight particularities of the diagnosis, based on esophageal HRM, as well as the treatment of achalasia in children. The current study analyzed cases of achalasia from a single pediatric tertiary center, Clinical Emergency Hospital for Children (Cluj-Napoca, Romania). The clinical data and the results of the investigations of seven children with achalasia, the first children to be evaluated using esophageal HRM in the center, were reported. The patients were aged between 11 and 18 years. All the patients were newly diagnosed with achalasia, except for one. The duration of symptoms was between 4 months and 2 years in the newly diagnosed patients. All the patients were assessed with conventional esophageal manometry and/or esophageal HRM. A multidisciplinary team contributed to the diagnosis and the management of achalasia. A total of 4 children diagnosed with type II achalasia were treated with peroral endoscopic myotomy (POEM) and 3 of the patients were treated with pneumatic dilations. Overall, achalasia is a rare but challenging condition in children. A diagnosis starts with a clinical suspicion based on swallowing disorders and upper digestive endoscopy, and is confirmed by esophageal HRM. Therapy should be adapted to the type of achalasia, the age of the children and the severity. In the present study, a relatively recent treatment option, POEM, was applied in pediatric patients with minor immediate adverse events. The report of these cases adds to the limited experience of using HRM and POEM in children with achalasia.
    Language English
    Publishing date 2023-01-17
    Publishing country Greece
    Document type Case Reports
    ZDB-ID 2683844-8
    ISSN 1792-1015 ; 1792-0981
    ISSN (online) 1792-1015
    ISSN 1792-0981
    DOI 10.3892/etm.2023.11800
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  7. Book: Sedation and analgesia for diagnostic and therapeutic procedures

    Malviya, Shobha

    (Contemporary clinical neuroscience)

    2003  

    Author's details ed. by Shobha Malviya
    Series title Contemporary clinical neuroscience
    Keywords Anesthesia ; Analgesia ; Diagnostic Techniques and Procedures
    Subject code 617.96
    Language English
    Size XII, 310 S. : Ill., graph. Darst.
    Publisher Humana Press
    Publishing place Totowa, NJ
    Publishing country United States
    Document type Book
    Note Includes bibliographical references and index
    HBZ-ID HT014007463
    ISBN 0-89603-863-7 ; 978-0-89603-863-9
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2004 A 2455 order for loan Magazin

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  8. Article ; Online: Chronic lymphocytic leukemia: 2022 update on diagnostic and therapeutic procedures.

    Hallek, Michael / Al-Sawaf, Othman

    American journal of hematology

    2021  Volume 96, Issue 12, Page(s) 1679–1705

    Abstract: ... and/or mutations of the TP53 gene predict resistance to chemoimmunotherapy and a shorter time ... biological, and clinical variables to identify distinct risk groups of patients with CLL.: Therapy: Only ... such as ibrutinib and acalabrutinib, or chemoimmunotherapy. At relapse, the initial treatment may be repeated ...

    Abstract Disease overview: Chronic lymphocytic leukemia (CLL) is one of the most frequent types of leukemia. It typically occurs in elderly patients and has a highly variable clinical course. Leukemic transformation is initiated by specific genomic alterations that interfere with the regulation of proliferation and of apoptosis in clonal B-cells.
    Diagnosis: The diagnosis is established by blood counts, blood smears, and immunophenotyping of circulating B-lymphocytes, which identify a clonal B-cell population carrying the CD5 antigen as well as typical B-cell markers.
    Prognosis and staging: The clinical staging systems provide prognostic information by using the results of physical examination and blood counts. Various biological and genetic markers provide additional prognostic information. Deletions of the short arm of chromosome 17 (del[17p]) and/or mutations of the TP53 gene predict resistance to chemoimmunotherapy and a shorter time to progression with most targeted therapies. The CLL international prognostic index integrates genetic, biological, and clinical variables to identify distinct risk groups of patients with CLL.
    Therapy: Only patients with active or symptomatic disease or with advanced Binet or Rai stages require therapy. When treatment is indicated, several therapeutic options exist: a combination of the B-cell lymphoma 2 (BCL2) inhibitor venetoclax with obinutuzumab, monotherapy with inhibitors of Bruton tyrosine kinase (BTK) such as ibrutinib and acalabrutinib, or chemoimmunotherapy. At relapse, the initial treatment may be repeated, if the treatment-free interval exceeds 3 years. If the disease relapses earlier, therapy should be changed using an alternative regimen. Patients with a del(17p) or TP53 mutation are usually resistant to chemotherapy and should, therefore, be treated with targeted agents.
    Future challenges: Combinations of targeted agents are now being investigated to create efficient, potentially curative therapies of CLL with fixed duration. One of the most relevant questions currently addressed in clinical trials is the comparison of monotherapies with BTK inhibitors with fixed duration combination therapies. Moreover, the optimal sequencing of targeted therapies remains to be determined. Alternative therapies are needed for patients with BTK and BCL2 inhibitor double-refractory disease.
    MeSH term(s) Antineoplastic Agents/therapeutic use ; Clinical Trials as Topic ; Combined Modality Therapy ; Disease Management ; Humans ; Immunotherapy, Adoptive ; Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis ; Leukemia, Lymphocytic, Chronic, B-Cell/genetics ; Leukemia, Lymphocytic, Chronic, B-Cell/therapy ; Neoplasm Staging ; Prognosis
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2021-10-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 196767-8
    ISSN 1096-8652 ; 0361-8609
    ISSN (online) 1096-8652
    ISSN 0361-8609
    DOI 10.1002/ajh.26367
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  9. Article ; Online: Covid-19 associated reduction in hypertension-related diagnostic and therapeutic procedures in Excellence Centers of the European Society of Hypertension.

    Weber, Thomas / Amar, Jaques / de Backer, Tine / Burkard, Thilo / van der Giet, Marcus / Gosse, Philippe / Januszewicz, Andrzej / Kahan, Thomas / Mancia, Giuseppe / Mayer, Christopher C / Muiesan, Maria Lorenza / Stergiou, George S / Tsioufis, Konstantinos / Vaisse, Bernard / Kreutz, Reinhold

    Blood pressure

    2022  Volume 31, Issue 1, Page(s) 71–79

    Abstract: ... and therapeutic procedures related to hypertension were dramatically reduced during the first year ... therapeutic procedures in many countries. We explored the impact on tertiary hypertension care.: Methods ... Background: The Covid-19 pandemic necessitated a decrease in non-Covid-19 related diagnostic and ...

    Abstract Background: The Covid-19 pandemic necessitated a decrease in non-Covid-19 related diagnostic and therapeutic procedures in many countries. We explored the impact on tertiary hypertension care.
    Methods: We conducted an electronic survey regarding 6 key procedures in hypertension care within the Excellence Center network of the European Society of Hypertension.
    Results: Overall, 54 Excellence Centers from 18 European and 3 non-European countries participated. From 2019 to 2020, there were significant decreases in the median number per centre of ambulatory blood pressure monitorings (ABPM: 544/289 for 2019/2020), duplex ultrasound of renal arteries (Duplex RA: 88.5/55), computed tomographic/magnetic resonance imaging angiography of renal arteries (CT/MRI RA: 66/19.5), percutaneous angioplasties of renal arteries (PTA RA: 5/1), laboratory tests for catecholamines (116/67.5) and for renin/aldosterone (146/83.5) (
    Conclusion: Diagnostic and therapeutic procedures related to hypertension were dramatically reduced during the first year of the Covid-19 pandemic, with the largest reduction during the first lockdown. The long-term consequences regarding blood pressure control and, ultimately, cardiovascular events remain to be investigated.
    MeSH term(s) Aldosterone ; Antihypertensive Agents/therapeutic use ; Blood Pressure ; Blood Pressure Monitoring, Ambulatory/methods ; COVID-19/epidemiology ; Catecholamines ; Communicable Disease Control ; Humans ; Hypertension/diagnosis ; Hypertension/drug therapy ; Hypertension/epidemiology ; Pandemics ; Renin
    Chemical Substances Antihypertensive Agents ; Catecholamines ; Aldosterone (4964P6T9RB) ; Renin (EC 3.4.23.15)
    Language English
    Publishing date 2022-04-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 1170048-8
    ISSN 1651-1999 ; 1651-2480 ; 0803-7051 ; 0803-8023
    ISSN (online) 1651-1999 ; 1651-2480
    ISSN 0803-7051 ; 0803-8023
    DOI 10.1080/08037051.2022.2060182
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    Zs.A 3843: Show issues Location:
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  10. Article ; Online: Overuse and underuse of cardiovascular diagnostic and therapeutic procedures for community-dwelling adults: a protocol for a systematic review.

    Quinn, Dominic / Byrne, David / Fahey, Tom / Kenny, Rose Anne / McGarrigle, Christine / Wallace, Emma / Boland, Fiona

    HRB open research

    2021  Volume 4, Page(s) 99

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-09-02
    Publishing country Ireland
    Document type Journal Article
    ISSN 2515-4826
    ISSN (online) 2515-4826
    DOI 10.12688/hrbopenres.13330.1
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