This document discusses optimizing treatment of gout. It begins by providing background on gout as the most common inflammatory arthritis worldwide. It then reviews recommended treatments for acute gout attacks and lowering uric acid levels, including NSAIDs, colchicine, corticosteroids, and urate-lowering therapies. It emphasizes the need for health professionals to understand not just treating acute attacks, but also long-term management through urate-lowering therapy targeting a serum uric acid level below the saturation point to cure gout. Barriers to effective care are discussed, and the importance of patient education and shared decision-making between informed patients and practitioners to increase the likelihood of curing gout.
Natural History of Disease & Levels of preventionsourav goswami
I have tried to explain the National History of Disease taking the example of a disease condition. Similarly, the different prevention levels are also explained in a similar manner. The presentation also includes few newer concepts of screening like lead time and length time bias.
N.B: Please download to see all the animations.
Evidence based recommendations for the practical management of familial medit...José Luis Moreno Garvayo
Revisión de la literatura acerca de cuestiones prácticas en relación con la fiebre mediterránea familiar. Sobre la base del análisis de los artículos publicados se exponen las recomendaciones de los expertos tras la celebración de una reunión en Israel donde se expusieron todos los puntos de vista.
Natural History of Disease & Levels of preventionsourav goswami
I have tried to explain the National History of Disease taking the example of a disease condition. Similarly, the different prevention levels are also explained in a similar manner. The presentation also includes few newer concepts of screening like lead time and length time bias.
N.B: Please download to see all the animations.
Evidence based recommendations for the practical management of familial medit...José Luis Moreno Garvayo
Revisión de la literatura acerca de cuestiones prácticas en relación con la fiebre mediterránea familiar. Sobre la base del análisis de los artículos publicados se exponen las recomendaciones de los expertos tras la celebración de una reunión en Israel donde se expusieron todos los puntos de vista.
Surgical vs Conservative Management of Colonic DiverticulitisVedica Sethi
Abstract Colonic diverticulitis is an undeniably common Western disease related with a high mortality and cost of treatment. Improvement in the comprehension of the medical aspect as well as the surgical procedures, alongside progression in the conclusion and clinical administration has prompted ongoing changes in treatment proposals. The common history of diverticulitis is more severe than recently suspected, and current patterns favor increasingly traditionalist, less intrusive administration. In spite of current proposals of progressively prohibitive signs for medical procedure, practice patterns demonstrate an expansion in elective procedures being performed for the treatment of diverticulitis. Because of variable presentation of the disease introduction, much of the time, ideal careful treatment of intense diverticulitis stays muddled as to persistent choice, timing, and specialized methodology in conservative, medical, elective and urgent settings. This paper reviews the treatment proposals for careful management of diverticulitis, a comparative study between present management of Diverticulitis. Key Words: Diverticulitis, conservative, medicine, surgery
Surgical vs Conservative Management of Colonic DiverticulitisVedica Sethi
Abstract Colonic diverticulitis is an undeniably common Western disease related with a high mortality and cost of treatment. Improvement in the comprehension of the medical aspect as well as the surgical procedures, alongside progression in the conclusion and clinical administration has prompted ongoing changes in treatment proposals. The common history of diverticulitis is more severe than recently suspected, and current patterns favor increasingly traditionalist, less intrusive administration. In spite of current proposals of progressively prohibitive signs for medical procedure, practice patterns demonstrate an expansion in elective procedures being performed for the treatment of diverticulitis. Because of variable presentation of the disease introduction, much of the time, ideal careful treatment of intense diverticulitis stays muddled as to persistent choice, timing, and specialized methodology in conservative, medical, elective and urgent settings. This paper reviews the treatment proposals for careful management of diverticulitis, a comparative study between present management of Diverticulitis. Key Words: Diverticulitis, conservative, medicine, surgery
Healthcare Problem PresentationBy Vannelyn Oriel1SusanaFurman449
Healthcare Problem Presentation
By: Vannelyn Oriel
1
Problem Definition
In this case, pressure ulcers is the problem that was identified.
Pressure ulcers refer to injuries to the skin and underlying tissue and this is can be attributed to prolonged pressure on the skin.
Today, pressure ulcers is increasingly becoming a major health concern globally.
Healthcare systems worldwide continue to direct resources towards helping patients effectively and efficiently manage pressure ulcers.
Pressure ulcers is becoming a major health concern globally.
It root cause is prolonged pressure on the skin.
It mostly affects patients in hospitals.
Few studies have focused on assessing this healthcare problem.
It is a pattern that I would like to change to improve quality.
2
Pressure Ulcers
According to data from the Agency for Healthcare Research and Quality (AHRQ), more than 2.5 million people in the U.S. develop pressure ulcers annually.
Pressure ulcers especially among patients recovering in hospitals bring pain.
The healthcare problem also leads to increased health care utilization.
There is increase risk for serious infection among patients in hospitals.
Overall, documented cases of pressure ulcers has been on an upward trend globally.
In most cases, pressure ulcers develop among patients who have a specific health condition that limits their ability to change positions.
3
Symptoms and Causes of Pressure Ulcers
There exist various symptoms and causes of pressure ulcers.
The first symptom is unusual changes in a patient’s skin color or texture.
Increased tenderness of skin areas.
Swelling can be observed.
Pus-like draining is another symptom.
Bedsores can be categorized into different stages that cause pressure ulcers.
Common areas for pressure ulcers
Buttocks.
Back of legs, and arms where a patient rests against the chair.
Shoulder and spine.
4
Risk Factors
Immobility for example, assuming a patient in hospital is using a wheelchair, they would apply pressure to specific parts such as buttocks leading to pressure ulcers.
Incontinence where a patient’s skin becomes susceptible due to extended exposure to urine and stool.
Poor diet and nutrition leading to lack of vitamins and minerals that can lead to a healthy skin.
Patients with diabetes also have high risk of experiencing pressure ulcers.
Pressure ulcers if not well managed and treated among patients can lead to complications such as cancer, and bone and joint infections.
5
Description of the Problem
Pressure ulcers is a major health concern in today’s nursing practice.
Despite so, it is largely preventable in nature.
The management of pressure ulcers relies on its severity.
A study by Surg, 2015 established that cleaning of wound, using antibiotics, and undergoing reconstructive surgery were the present treatment options for pressure ulcers (Surg, 2015).
However, there exist newer treatment options such as cell therapy, wound therapy and wound therapy.
...
RECENT ADVANCES IN THE MANAGEMENT OF INFLAMMATORY BOWEL DISEASEPARUL UNIVERSITY
Medical treatment for inflammatory bowel disease (IBD) has progressed significantly over the past decade to achieve and maintain clinical remission in patients & to overcome the side effects of existing drugs for IBD. Conventional therapy for IBD include the use of Amino salicylates, corticosteroids & Anti-microbials. Patients who fail to respond to the conventional therapy are treated with agents such as Calcineurin inhibitor (Cyclosporine), and Biologics like TNF-α inhibitors (Infliximab or Adalimumab) or Anti-cell adhesion molecules (Vedolizumab, natalizumab). These agents are targeted against pro-inflammatory cytokines such as Tumor Necrosis Factor-α (TNF-α), Interleukin-2 (IL-2) and Cell Surface Adhesion Molecules Integrin α4β7. In this review, we provide an overview on the recent advances in the treatment for IBD such as newer Biologics, Small Molecule drugs and Biosimilars effective for IBD and the role of other therapies like Probiotics, Prebiotics, Stem cell transplant and Faecal microbiota transplant and Microbiome targeting diet in the management of IBD
Similar to Optimizing current treatment of gout nrrheum.2014.32 (20)