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  • Evidence review: Advance care planning: End of life care for adults: service delivery: Evidence review F [BOOK]
    . National Institute for Health and Care Excellence (UK): London National Guideline Centre (UK) BOOK
  • The General Medical Council’s Guidance on Advance Care Planning at End of life Care (May 2010)86 states ‘As treatment and care towards the end of life are delivered by multiprofessional teams often working across local health, social care and voluntary sector services, you must plan ahead as much as possible to ensure timely access to safe, effective care and continuity in its delivery to meet th…
  • Evidence review: Multiprofessional team: End of life care for adults: service delivery: Evidence review E [BOOK]
    . National Institute for Health and Care Excellence (UK): London National Guideline Centre (UK) BOOK
  • NHS England defines a multiprofessional team as one where health and care professionals work together. The aim of a multiprofessional team is to appropriately utilise knowledge, skills and best practice from multiple disciplines and across all services provider boundaries (i.e. health, social care or voluntary and private sector). Multiprofessional teams work together to define, re scope and refr…
  • Evidence review: Information sharing: End of life care for adults: service delivery: Evidence review I [BOOK]
    . National Institute for Health and Care Excellence (UK): London National Guideline Centre (UK) BOOK
  • People in the last year of life are likely to be involved in meeting and dealing with a wide range of health and social care professionals in order to meet their needs. This will result in data being held at various organisations and different sectors, thus causing burden for patients and their carers. Errors in duplication of information can occur, but more importantly the lack of access to rele…
  • Evidence review: Carer support services: End of life care for adults: service delivery: Evidence review H [BOOK]
    . National Institute for Health and Care Excellence (UK): London National Guideline Centre (UK) BOOK
  • “There is a resource available around the clock and every day of the year, that can help people to be cared for and die in the place that they want to be, and helps keep them out of hospital, that is low-cost or free to the NHS. That resource is people. We call them carers. We need to invest in supporting carers because without them the system will collapse.” Abridged quote: Simon Chapman. Direct…
  • Evidence review: Involving carers: End of life care for adults: service delivery: Evidence review G [BOOK]
    . National Institute for Health and Care Excellence (UK): London National Guideline Centre (UK) BOOK
  • The General Medical Council states ‘The people close to a patient can play a significant role in ensuring that the patient receives high-quality care as they near the end of life, in both community and hospital settings’ and the RCGP (Involving and Supporting Carers and Families 2014) reinforced this, ‘Recognising that carers often know the people they care for better than anyone else and that in…
  • Covid-19 pandemic: Infection control in dental health care of infected patients-a state concept. [Letter]
    Oral Dis. 2020 Jul 02 [Online ahead of print]Hertrampf K, Flörke C, … Wiltfang J
  • In December 2019 an outbreak of a new corona virus was reported in the city Wuhan, China. End of January, the WHO declared this development as a public health emergency of international concern (WHO, 2020). Germany reported a rapidly increasing number of 186,461 infected persons in the period from February to June (Robert-Koch-Institut, 2020). This pandemic, caused by a respiratory disease, prese…
  • Perioperative hyperglycaemia in elective arthroplasties. Should we do better? [Journal Article]
    Acta Anaesthesiol Scand. 2020 Jul 02 [Online ahead of print]Ylikoski M, Jokinen JJ, … Tiihonen R
  • CONCLUSIONS: Hyperglycaemia is common among elective orthopaedic surgery patients with or without diabetes. More than 80% of the 209 patients had hyperglycaemia and 40% had severe hyperglycaemia. None of the patients was treated according to guidelines and none of the patients at risk of hyperglycaemia or diabetes was noticed. There is an obvious need for further education and support by diabetes specialists.
  • Is povidone-iodine mouthwash effective against SARS-CoV-2? First in vivo tests. [Journal Article]
    Oral Dis. 2020 Jul 02 [Online ahead of print]Martínez Lamas L, Diz Dios P, … Limeres Posse J
  • The detection of SARS-CoV-2 in the saliva of patients with coronavirus disease (COVID-19) has made this biological fluid relevant in terms of the diagnosis and transmission of the infection (To et al, 2020a; Azzi et al, 2020a). As a result, the dental clinic is considered an environment of risk for dental healthcare personnel and their patients, particularly due to the potential transmission of t…
  • Position Paper of the German Society for Interventional Radiology (DeGIR) on Prostatic Artery Embolization. [Journal Article]
    Rofo. 2020 Jul 02 [Online ahead of print]Kovács A, Bücker A, … DeGIR Science Steering Group and the DeGIR Board
  • CONCLUSIONS:  Effectiveness and safety of PAE for the treatment of BPS are proven. Further randomized trials should focus on long term outcome and help to identify most suitable indications for PAE.  · PAE, an endovascular procedure, is a patient-friendly, minimally invasive, alternative therapy option of the BPS. · PAE can reduce the symptoms of the lower urinary tract (LUTS), comparable to transurethral resection (TUR). The deobstructive and volume-reducing potential of the PAE is inferior to that of the TUR. · The main advantages of PAE are use of local anesthesia (no general anesthesia required), short patient recovery and maintenance of sexual function, including antegrade ejaculation.. · Based on current evidence PAE should be considered after conservative drug therapy and before TUR.. · The role of PAE in the context of other minimally invasive procedures (MIST) requires further evaluation with an open minded approach towards PAE.. · PAE is carried out by interventional radiologists, usually on a referral basis from urologists, and requires close interdisciplinary cooperation..
  • Clinical Implications of SARS-CoV-2 Infection in the Viable Preterm Period. [Journal Article]
    Am J Perinatol. 2020 Jul 02 [Online ahead of print]Gulersen M, Blitz MJ, … Bornstein E
  • CONCLUSIONS:  The likelihood of PTB during hospitalization with SARS-CoV-2 infection is significantly lower among women diagnosed in the early preterm period compared with late preterm. Most women with SARS-CoV-2 infection in the early preterm period recovered and were discharged home. The majority of PTB were indicated and not due to spontaneous preterm labor.· Preterm delivery is less likely among women diagnosed in the early preterm compared with late preterm.. · Most women infected in the early preterm period recovered and were discharged home undelivered.. · The majority of preterm birth were indicated and not due to spontaneous preterm labor..
  • Detection of COVID-19 in a Vulvar Lesion. [Journal Article]
    Am J Perinatol. 2020 Jul 02 [Online ahead of print]Rubin ES, Sansone SA, … Srinivas SK
  • As new information about coronavirus disease 2019 (COVID-19) is rapidly discovered, clinicians are better equipped to make informed decisions for their patients. While current research suggests COVID-19 viral antigen is not found in vaginal secretions, its detectability in the female lower genital tract may have clinical implications for obstetric and gynecologic care for women. We present a case…
  • [Basic Knowledge of Drug Pain Therapy in the Palliative Situation]. [Journal Article]
    Dtsch Med Wochenschr. 2020 Jul; 145(13):917-925.Weber S, Lampert A, … Rolke R
  • This review provides an overview of the basic knowledge of drug pain therapy in the palliative situation. Pain is one of the main symptoms in 60 to 90 % of cancer patients. Pain also develops with neurological and other diseases that occur in end-of-life situations. To address this symptom, a holistic strategy is required that encompasses all physical, psychological, social, and spiritual aspects…
  • [Hepatolienal candidosis as a rare differential diagnosis of disseminated small parenchym lesions]. [Journal Article]
    Dtsch Med Wochenschr. 2020 Jul; 145(13):912-916.Kloth C, Breining T, … Schmidt SA
  • CONCLUSIONS:  The case shows that in immunosuppressed patients, candidiasis must always be considered as a differential diagnosis with simultaneous parenchymal changes in the liver and/or spleen. In addition, in the screening situation, a suitable linear transducer should be used when asking about fungal lesions in the liver and spleen. Alternatively, if suspected hepato-lienal candidiasis could be diagnosed by a contrast-enhanced MRI of the upper abdomen/abdomen.
  • [Inflammatory Muscle Pain: Polymyalgia Rheumatica with or without Large Vessel Vasculitis]. [Journal Article]
    Dtsch Med Wochenschr. 2020 Jul; 145(13):895-902.Schmidt WA
  • Polymyalgia rheumatica (PMR) is characterized by rapidly evolving shoulder and pelvic girdle pain with fatigue, weight loss, night sweats and elevated CRP and ESR. Giant cell arteritis (GCA) can occur in PMR and vice versa. Headache and scalp tenderness are typical for GCA. GCA may be complicated by visual loss or by strokes.Imaging, particularly ultrasound, is helpful for distinguishing PMR from…
  • Emerging Immunotherapies for Malignant Glioma: From Immunogenomics to Cell Therapy. [Journal Article]
    Neuro Oncol. 2020 Jul 02 [Online ahead of print]Dunn GP, Cloughesy TF, … Sonabend AM
  • As immunotherapy assumes a central role in the management of many cancers, ongoing work is directed at understanding whether immune-based treatments will be successful in patients with glioblastoma (GBM). Despite several large studies conducted in the last several years, there remain no FDA approved immunotherapies in this patient population. Nevertheless, there are a range of exciting new approa…
  • Marginal Mandibular Nerve Mapping Prior to Nonablative Radiofrequency Skin Tightening. [Journal Article]
    Aesthet Surg J. 2020 Jul 02 [Online ahead of print]DiBernardo GA, DiBernardo BE, … Cook J
  • CONCLUSIONS: To avoid nerve injuries, nerve mapping prior to nonablative radiofrequency treatment is recommended. The marginal mandibular nerve is not always in its correct anatomical position or symmetrical to the opposing side. Its location cannot be assumed from the textbook anatomical position or from a single side mapping.
  • The vicious circle of left ventricular dysfunction and diabetes: from pathophysiology to emerging treatments. [Journal Article]
    J Clin Endocrinol Metab. 2020 Jul 02 [Online ahead of print]Cavallari I, Maddaloni E, … Grigioni F
  • CONCLUSIONS: Diabetes and HF are strictly linked in a bidirectional and deadly vicious circle difficult to break. Therefore, preventive strategies and a timely diagnosis are crucial to improve outcomes in such patients. SGLT2 inhibitors represent a major breakthrough with remarkably consistent findings. However, it is still not clear whether their benefits may be definitely extended to HF patients with preserved ejection fraction, to those without diabetes and in the acute setting.
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