scholarly journals Clinical expert consensus on standard care of blood glucose for residents in senior care facility in China (2021 edition)

2021 ◽  
Author(s):  
Shuang Wang ◽  
Junkun Zhan ◽  
Mei Cheng ◽  
Qi Pan ◽  
Zhen Liang ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Standard Care ◽  
Care Facility ◽  
Expert Consensus ◽  
Clinical Expert

HFSA/SAEM/ISHLT Clinical Expert Consensus Document on the Emergency Management of Patients with Ventricular Assist Devices

2019 ◽  
Vol 25 (7) ◽  
pp. 494-515 ◽  
Author(s):  
Michael M. Givertz ◽  
Ersilia M. DeFilippis ◽  
Monica Colvin ◽  
Chad E. Darling ◽  
Tonya Elliott ◽  
...  
Keyword(s):  
Emergency Management ◽  
Expert Consensus ◽  
Ventricular Assist Devices ◽  
Ventricular Assist ◽  
Assist Devices ◽  
Consensus Document ◽  
Expert Consensus Document ◽  
Clinical Expert

scholarly journals Prediabetes in pregnancy, can early intervention improve outcomes? A feasibility study for a parallel randomised clinical trial

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e018493 ◽  
Author(s):  
Ruth C E Hughes ◽  
Janet Rowan ◽  
Jonathan Williman
Keyword(s):  
Blood Glucose ◽  
New Zealand ◽  
Early Intervention ◽  
Caesarean Section ◽  
Outcome Measures ◽  
Standard Care ◽  
Intervention Group ◽  
Blood Glucose Monitoring ◽  
Oral Glucose ◽  
Early Intervention Group

ObjectiveMeasurement of glycated haemoglobin (HbA1c) in early pregnancy is routine in New Zealand to identify women with diabetes and prediabetes. However, the benefit of early intervention in women with prediabetes is inconclusive. Our aim was to test the feasibility of a two-arm parallel randomised controlled trial of standard care versus early intervention in pregnancies complicated by prediabetes.SettingTwo tertiary referral centres in New Zealand.ParticipantsWomen <14 weeks’ gestation and HbA1c ≥5.9%–6.4% (41–46 mmol/mol) measured at booking, without pre-existing diabetes.InterventionsRandomisation was done by remote web-based allocation into one of two groups. Women in the early intervention group attended an antenatal diabetes clinic, commenced daily home blood glucose monitoring, and medication was prescribed if lifestyle measures failed to maintain target blood glucose levels. Controls received lifestyle education, continued standard care with their midwife and/or obstetrician, and were asked to perform a 75 g oral glucose tolerance test at 24 weeks’ gestation with a referral to clinic if this test was positive. Both groups received lifestyle questionnaires at recruitment and in late pregnancy.Outcome measuresRecruitment rate, adherence to protocol and validation of potential primary outcomes.ResultsRecruitment rates were lower than expected, especially in Māori and Pacific women. Non-adherence to allocated treatment protocol was significant, 42% (95% CI 24% to 61%) in the early intervention group and 30% (95% CI 16% to 51%) in controls. Caesarean section and pre-eclampsia were signalled as potential primary outcomes, due to both the high observed incidence in the control group and ease of measurement.ConclusionsFor a future definitive trial, extending the gestation of eligibility and stepped-wedge cluster randomisation may overcome the identified feasibility issues. Consistent with published observational data, pre-eclampsia and emergency caesarean section could be included as primary outcome measures, both of which have a significant impact on maternal and neonatal morbidity and healthcare costs.Trial registration numberACTRN12615000904572; Pre-results.

scholarly journals Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics

2020 ◽  
Author(s):  
Kenichi Sakakura ◽  
Yoshiaki Ito ◽  
Yoshisato Shibata ◽  
Atsunori Okamura ◽  
Yoshifumi Kashima ◽  
...  
Keyword(s):  
Task Force ◽  
Coronary Intervention ◽  
Rotational Atherectomy ◽  
Expert Consensus ◽  
Intravascular Imaging ◽  
Consensus Document ◽  
Percutaneous Coronary ◽  
Cardiovascular Intervention ◽  
Expert Consensus Document ◽  
Clinical Expert

AbstractRotational atherectomy (RA) has been widely used for percutaneous coronary intervention (PCI) to severely calcified lesions. As compared to other countries, RA in Japan has uniquely developed with the aid of greater usage of intravascular imaging devices such as intravascular ultrasound (IVUS) or optical coherence tomography (OCT). IVUS has been used to understand the guidewire bias and to decide appropriate burr sizes during RA, whereas OCT can also provide the thickness of calcification. Owing to such abundant experiences, Japanese RA operators modified RA techniques and reported unique evidences regarding RA. The Task Force on Rotational Atherectomy of the J apanese Association of Cardiovascular Intervention and Therapeutics (CVIT) has now proposed the expert consensus document to summarize the contemporary techniques and evidences regarding RA.

Clinical expert consensus document on standards for acquisition, measurement and reporting of intravascular ultrasound regression/progression studies

2011 ◽  
Vol 6 (9) ◽  
pp. 1123-1130 ◽  
Author(s):  
Gary Mintz ◽  
Hector Garcia-Garcia ◽  
Stephen Nicholls ◽  
Neil Weissman ◽  
Nico Bruining ◽  
...  
Keyword(s):  
Intravascular Ultrasound ◽  
Expert Consensus ◽  
Consensus Document ◽  
Expert Consensus Document ◽  
Clinical Expert

ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting

2007 ◽  
Vol 12 (1) ◽  
pp. 35-83 ◽  
Author(s):  
Eric R. Bates ◽  
Chair Joseph D. Babb ◽  
Donald E. Casey ◽  
Christopher U. Cates ◽  
Gary R. Duckwiler ◽  
...  
Keyword(s):  
Carotid Stenting ◽  
Expert Consensus ◽  
Consensus Document ◽  
Expert Consensus Document ◽  
Clinical Expert
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