scholarly journals Expert Opinions and Consensus Recommendations for the Evaluation and Management of Insomnia in Clinical Practice: Joint Statements of Five Italian Scientific Societies

2020 ◽  
Vol 11 ◽  
Author(s):  
Laura Palagini ◽  
Raffaele Manni ◽  
Eugenio Aguglia ◽  
Mario Amore ◽  
Roberto Brugnoli ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Scientific Societies ◽  
Consensus Recommendations ◽  
Expert Opinions

The end of the laboratory developed test as we know it? Recommendations from a national multidisciplinary taskforce of laboratory specialists on the interpretation of the IVDR and its complications

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Paul C. D. Bank ◽  
Leo H. J. Jacobs ◽  
Sjoerd A. A. van den Berg ◽  
Hanneke W. M. van Deutekom ◽  
Dörte Hamann ◽  
...  
Keyword(s):  
Clinical Practice ◽  
The Netherlands ◽  
Medical Devices ◽  
Task Force ◽  
Large Impact ◽  
Guidance Document ◽  
Scientific Societies ◽  
Clinical Laboratories ◽  
The Impact

AbstractThe in vitro diagnostic medical devices regulation (IVDR) will take effect in May 2022. This regulation has a large impact on both the manufacturers of in vitro diagnostic medical devices (IVD) and clinical laboratories. For clinical laboratories, the IVDR poses restrictions on the use of laboratory developed tests (LDTs). To provide a uniform interpretation of the IVDR for colleagues in clinical practice, the IVDR Task Force was created by the scientific societies of laboratory specialties in the Netherlands. A guidance document with explanations and interpretations of relevant passages of the IVDR was drafted to help laboratories prepare for the impact of this new legislation. Feedback from interested parties and stakeholders was collected and used to further improve the document. Here we would like to present our approach to our European colleagues and inform them about the impact of the IVDR and, importantly we would like to present potentially useful approaches to fulfill the requirements of the IVDR for LDTs.

scholarly journals Art therapy for patients with depression: expert opinions on its main aspects for clinical practice

2016 ◽  
Vol 25 (6) ◽  
pp. 527-535 ◽  
Author(s):  
Christina Blomdahl ◽  
Birgitta A. Gunnarsson ◽  
Suzanne Guregård ◽  
Marie Rusner ◽  
Helle Wijk ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Art Therapy ◽  
Expert Opinions

scholarly journals A nationwide survey of intraoperative management for one-lung ventilation in Taiwan: time to accountable for diversity in protective lung ventilation

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Chuan-Yi Kuo ◽  
Ying-Tung Liu ◽  
Tzu-Shan Chen ◽  
Chen-Fuh Lam ◽  
Ming-Cheng Wu
Keyword(s):  
Clinical Practice ◽  
Practice Guideline ◽  
Lung Ventilation ◽  
One Lung Ventilation ◽  
Ventilator Support ◽  
Lung Protection ◽  
Expert Opinions ◽  
Survey Form ◽  
Thoracic Anesthesia ◽  
Protective Lung Ventilation

Abstract Background There is a major paradigm shift for intraoperative mechanical ventilator support by the introduction of lung protective ventilation strategies to reduce postoperative pulmonary complications and improve overall clinical outcomes in non-thoracic surgeries. However, there is currently a lack of standardized practice guideline for lung protection during thoracic surgeries that require one-lung ventilation (OLV). This study aimed to collect the expert opinions of the thoracic anesthesiologists in perioperative care for OLV surgery in Taiwan. Methods This prospective cross-sectional study was undertaken in 16 tertiary hospitals in Taiwan from January to February 2019. A structured survey form was distributed across the participating hospitals and the thoracic anesthesiologists were invited to complete the form voluntarily. The survey form consisted of three parts, including the basic information of the institutional anesthesia care standards, ventilatory settings for a proposed patient receiving OLV surgery and expert opinions on OLV. Results A total of 71 thoracic anesthesiologists responded to the survey. Double-lumen tubes are the most commonly used (93.8%) airway devices for OLV. The most commonly recommended ventilator setting during OLV is a tidal volume of 6–7 ml/kg PBW (67.6%) and a PEEP level of 4–6 cmH2O (73.5%). Dual controlled ventilator modes are used by 44.1% of the anesthesiologists. During OLV, high oxygen fraction (FiO2 > 0.8) is more commonly supplemented to achieve an oxygen saturation higher than 94%. The consensus of anesthesiologists on the indices for lung protection in thoracic surgery is considerably low. Large majority of the anesthesiologists (91.5%) highly recommend that an international clinical practice guideline on the protective lung ventilation strategy for thoracic anesthesia should be established. Conclusions This study found that the thoracic anesthesiologists in Taiwan share certain common practices in ventilator support during OLV. However, they are concerned about the lack of fundamental clinical evidences to support the beneficial outcomes of the current lung protective strategies applicable to OLV. Large-scale trials are needed to form an evidence-based clinical practice guideline for thoracic anesthesia.

Clinical Practice Patterns in Multiple Sclerosis Management: Mexican Consensus Recommendations

2021 ◽  
pp. 103053
Author(s):  
Eli Skromne-Eisenberg ◽  
Irene Treviño-Frenk ◽  
Gloria Lourdes Llamosa García-Velázquez ◽  
Sandra Quiñones-Aguilar ◽  
Verónica Rivas-Alonso ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Clinical Practice ◽  
Practice Patterns ◽  
Clinical Practice Patterns ◽  
Consensus Recommendations

scholarly journals Use of fibrates in clinical practice: Queensland Lipid Group consensus recommendations

2012 ◽  
Vol 10 (3) ◽  
pp. 181-190 ◽  
Author(s):  
Ian Hamilton-Craig ◽  
Karam Maximilien Kostner ◽  
Stan Woodhouse ◽  
David Colquhoun
Keyword(s):  
Clinical Practice ◽  
Group Consensus ◽  
Consensus Recommendations
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