แนวทางเวชปฏิบัติการดูแลรักษาโรคเกาต์ (Guideline for Management of Gout),
แหล่งข้อมูล:
http://thairheumatology.org/attchfile/Guideline%20for%20Management%20of%20Gout.pdf
แนวทางเวชปฏิบัติการดูแลรักษาโรคเกาต์ (Guideline for Management of Gout),
แหล่งข้อมูล:
http://thairheumatology.org/attchfile/Guideline%20for%20Management%20of%20Gout.pdf
แนวทางการจัดการความเสี่ยงที่ส่งผลต่อต้นทุนการจัดการสินค้าคงคลัง
ของร้านขายยา CDE ในจังหวัดขอนแก่น
The Approach of Risk Management that Affecting the
Inventory Management Cost of CDE Drugstore in Khonkaen Province
Best Practice in Communication
ราชวิทยาลัยกุมารแพทย์แห่งประเทศไทย สมาคมกุมารแพทย์แห่งประเทศไทย
บรรณาธิการ วินัดดา ปิยะศิลป์ วันดี นิงสานนท์
ISBN 978-616-91972-1-8
Saccharomyces boulardii in the prevention of antibiotic-associated diarrhoeaUtai Sukviwatsirikul
This systematic review and meta-analysis evaluated the effectiveness of Saccharomyces boulardii in preventing antibiotic-associated diarrhea in children and adults based on 21 randomized controlled trials involving 4780 participants. The administration of S. boulardii compared to placebo or no treatment reduced the risk of antibiotic-associated diarrhea from 18.7% to 8.5%. S. boulardii was effective in reducing the risk of antibiotic-associated diarrhea in both children and adults. It also reduced the risk of Clostridium difficile-associated diarrhea in children but not adults. Overall, the results confirm that S. boulardii is effective for preventing antibiotic-associated diarrhea in children and adults.
This document provides information on drugs used to treat acute diarrhea. It begins with definitions of diarrhea from WHO. It then discusses estimates of child mortality due to diarrhea in Thailand from 2010 to 2012. It presents data on the age distribution of diarrhea cases and hospital admissions. It lists common bacterial, viral, and parasitic pathogens that cause childhood diarrhea. It discusses the pathogenesis of acute diarrhea and describes fluid and electrolyte losses and consequences of dehydration and nutritional deficits. It provides details on fluid and electrolyte composition of diarrheal stool from different pathogens. It outlines the objectives of diarrhea treatment and causes of death. It then discusses use of oral rehydration therapy and solutions. It recommends probiotics, continued feeding, and zinc supplementation. It
Systematic review with meta-analysis: Saccharomyces boulardii in the preventi...Utai Sukviwatsirikul
This systematic review and meta-analysis evaluated the effectiveness of Saccharomyces boulardii in preventing antibiotic-associated diarrhea in children and adults based on 21 randomized controlled trials involving 4780 participants. The administration of S. boulardii compared to placebo or no treatment reduced the risk of antibiotic-associated diarrhea from 18.7% to 8.5%. S. boulardii was effective in reducing the risk of antibiotic-associated diarrhea in both children and adults. It also reduced the risk of Clostridium difficile-associated diarrhea in children. The quality of evidence was rated as moderate to low based on limitations in the design and reporting of the included studies. This meta-analysis confirms the effectiveness of
Saccharomyces boulardii in the prevention of antibiotic-associated diarrhoea ...Utai Sukviwatsirikul
Saccharomyces boulardii in the prevention of antibiotic-associated
diarrhoea in children: a randomized double-blind placebo-controlled
trial
M. KOTOWSKA, P. ALBRECHT & H. SZAJEWSKA
Department of Pediatric Gastroenterology and Nutrition, The Medical University of Warsaw, Warsaw, Poland
Accepted for publication 24 November 2004
14. response
แผนภูมิที่ 1 การวินิจฉัยและรักษาโรคขอเขาเสื่อม
Heamatologic
Serologic, synovial fluid study
Bacteriologic studies
Radiologic/imaging studies
Arthroscopic examination and biopsy
Treatment follow investigation findings
No response
No response
within 3 months
OA grade 2-3 or grade 4
(if surgery contraindicated)
OA grade 4 (deformity
and/or instability)
Effusion; Intra-articular
steroid injectionSYSADOA
No risk GI risk Renal risk CVS risk
Not improved or regular need NSAIDs > 6 weeks or intolerance to NSAIDs
Opioid
+ NSAIDs
Opioid
NSAIDs
+ PPI
NSAIDs
X-ray
Consult rheumatologist, orthopaedist, physiatrist
No improvement
Clinical Diagnosis of Osteoarthritis of knee
Non-pharmacological treatment
(education, weight reduction, exercise, knee brace, accupuncture)
+ Acetaminophen or topical NSAIDs or capsaicin
Mechanical
symptom/lock, loose
body
OA grade 2-3
Continue SYSADOA
for 6 months
Arthroscopic
surgery
Medial or lateral
joint line tenderness
Meniscus tear
High demand
Medial
compartment OA
Lower demand
Medial
compartment OA
Tricompartmental
osteorthritis
Knee arthroscopy
Meniscus
debridement
High tibial
osteotomy
Unicompartmental
arthroplasty
Total knee
arthroplasty
Re-evaluate
Not
consider for
surgery
Consider surgery
Discontinue
SYSADOA
COX-2
inhibitor
Re-evaluation
and
investigations
หน้า 13