scholarly journals The place of Indapamide retard in the treatment of patients with left ventricular dysfunction and preserved systolic function in the presence of arterial hypertension

2013 ◽  
Vol 10 (2) ◽  
pp. 23-26
Author(s):  
S N Tereshchenko ◽  
I V Zhirov
Keyword(s):  
Heart Failure ◽  
Ventricular Dysfunction ◽  
Systolic Function ◽  
Left Ventricular ◽  
The Other ◽  
Controlled Trials ◽  
Evidence Based ◽  
Cardiac Decompensation ◽  
The One ◽  
Based Medicine

The issue of blood pressure levels is practically very important in patients with chronic heart failure (CHF). As is known, combination therapy for the latter implies the use of several groups of hemodynamically relevant agents; diuretics are an important component of CHF therapy. However, diuretics are the most unstudied medications in the treatment of patients with CHF in the context of evidence-based medicine. On the one hand, their efficacy and necessity for the treatment of patients with cardiac decompensation are beyond question and, on the other, even if you want, placebo-controlled trials using diuretics look difficult to perform.

The process of producing a “NICE” guideline

2010 ◽  
Vol 19 (3) ◽  
pp. 211-213 ◽  
Author(s):  
David Goldberg
Keyword(s):  
United Kingdom ◽  
Evidence Based Medicine ◽  
Clinical Guideline ◽  
Clinical Excellence ◽  
The Other ◽  
Evidence Based ◽  
Nice Guideline ◽  
The United Kingdom ◽  
The One ◽  
Based Medicine

SUMMARYThis paper describes the process of preparing a Clinical Guideline for “NICE”, the National Institute for Health and Clinical Excellence in the United Kingdom. The procedure involves the group appointed to prepare the guideline relating to the various “stakeholders” who have an interest on the one hand, and satisfying the fairly demanding standards set by NICE on the other. The strengths and limitations of the approach based on evidence based medicine are discussed.

Some trends in 50 years of Italian Psychiatry (in Italian)

2007 ◽  
Vol 16 (2) ◽  
pp. 139-143 ◽  
Author(s):  
Giovanni Jervis
Keyword(s):  
Mental Disorder ◽  
Evidence Based Medicine ◽  
General Public ◽  
The Other ◽  
Evidence Based ◽  
Western Countries ◽  
The Core ◽  
The One ◽  
Based Medicine ◽  
Popular Psychology

SUMMARYSeveral discernible trends have changed the outlook of psychiatric resources available to the general public during the last 50 years in Western countries and particularly in Italy. Among these trends, two conflicting issues are here outlined. On the one side, evidence based medicine is the core of a methodological revolution, which asks for a deeper criticism of subjective judgements in clinical matters; on the other side, the study of emotions and attitudes has stressed the outstanding importance of conscious and unconscious expectations both in patients and in caregivers. Moreover, popular psychology has altered the way mental disorder is commonly perceived and treated. A comprehensive way of taking into account these three diverse trends seems to be still lacking.

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