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International Consensus Guidelines for Nutrition Therapy in Pancreatitis

Mirtallo, Jay M.; Forbes, Alastair; McClave, Stephen A.; Jensen, Gordon L.; Waitzberg, Dan L.; Davies, Andrew R.
Fonte: SAGE PUBLICATIONS INC; THOUSAND OAKS Publicador: SAGE PUBLICATIONS INC; THOUSAND OAKS
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.57%
Guidelines for nutrition support in pancreatitis have been inconsistently adapted to clinical practice. The International Consensus Guideline Committee (ICGC) established a pancreatitis task force to review published guidelines for pancreatitis in nutrition support. A PubMed search using the terms pancreatitis, acute pancreatitis, chronic pancreatitis, nutrition support, parenteral nutrition, enteral nutrition, and guidelines was conducted for the period from January 1999 to May 2011. Eleven guidelines were identified for review. The ICGC used the following process to develop unified guideline statements: summarize the strength of evidence (grading) of the guidelines; establish level of evidence for ICGC statements as high, intermediate, and low; assign published guideline levels of evidence; and define an ICGC grading system. International Pancreatitis Guideline Grades were established as follows: platinum-high level of evidence and consistent agreement among the guidelines; gold-acceptable level of evidence and no conflicting statements in guidelines; and silver-single existing guideline statement with no conflict in other guidelines. Eighteen ICGC statements were derived from the 11 published pancreatitis guidelines. Uniform agreement from widely disparate groups (United States...

World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for Biological Treatment of Schizophrenia, Part 1: Update 2012 on the acute treatment of schizophrenia and the management of treatment resistance

Hasan, Alkomiet; Falkai, Peter; Wobrock, Thomas; Lieberman, Jeffrey; Glenthoj, Birte; Gattaz, Wagner F.; Thibaut, Florence; Moeller, Hans-Juergen
Fonte: Biblioteca Digital da Produção Intelectual da USP Publicador: Biblioteca Digital da Produção Intelectual da USP
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.53%
These updated guidelines are based on a first edition of the World Federation of Societies of Biological Psychiatry Guidelines for Biological Treatment of Schizophrenia published in 2005. For this 2012 revision, all available publications pertaining to the biological treatment of schizophrenia were reviewed systematically to allow for an evidence-based update. These guidelines provide evidence-based practice recommendations that are clinically and scientifically meaningful and these guidelines are intended to be used by all physicians diagnosing and treating people suffering from schizophrenia. Based on the first version of these guidelines, a systematic review of the MEDLINE/PUBMED database and the Cochrane Library, in addition to data extraction from national treatment guidelines, has been performed for this update. The identified literature was evaluated with respect to the strength of evidence for its efficacy and then categorised into six levels of evidence (A-F; Bandelow et al. 2008b, World J Biol Psychiatry 9: 242). This first part of the updated guidelines covers the general descriptions of antipsychotics and their side effects, the biological treatment of acute schizophrenia and the management of treatment-resistant schizophrenia.; AstraZeneca; AstraZeneca; I3G; I3G; AOK; AOK; Allon; Allon; GlaxoSmithKline; GlaxoSmithKline; Lilly; Lilly; Merck; Merck; Novartis; Novartis; Pfizer; Pfizer; Psychogenics; Psychogenics; LTD; LTD; Sepracor; Sepracor; Targacept; Targacept; BristolMeyers Squibb; Bristol-Meyers Squibb; Eisai; Eisai; Eli Lilly; Eli Lilly; Janssen Cilag; Janssen Cilag; Lundbeck; Lundbeck; Norvartis; Norvartis; Organon; Organon; SanofiAventis; Sanofi-Aventis; Schering-Plough; ScheringPlough; Schwabe; Schwabe; Servier; Servier; Wyeth; Wyeth

Orientações curriculares para a educação básica de Mato Grosso : análise da política como texto e discurso; Curriculum guidelines for basic education of Mato Grosso : analysis of policies as text and discourse

Jesus, Roseli Batista de
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Tese de Doutorado Formato: application/pdf
POR
Relevância na Pesquisa
36.53%
O foco do estudo é uma política pública educacional curricular do estado de Mato Grosso: as orientações curriculares para a educação básica. O objetivo geral da tese é analisar as orientações curriculares para a educação básica do estado de Mato Grosso, com o intuito de compreender como foram elaboradas, considerando-se os contextos de influência, de produção do texto e da prática, bem como dar visibilidade aos discursos produzidos pelos sujeitos/atores envolvidos nestes contextos. A questão de pesquisa assim foi definida: “como foram elaboradas as orientações curriculares para a educação básica do estado de Mato Grosso, quais sujeitos/atores participaram de quais etapas e que discursos foram produzidos por estes nos contextos de influência, de produção do texto e da prática”. O estudo compreende o dispositivo teórico, composto pela análise de política pública, ciclo de políticas, proposto por Sthephen Ball, Richard Bowe, considerando deste os três contextos – de influência, de produção do texto e da prática – e a análise de discurso de linha francesa, tendo como principais referências obras de Michel Pêcheux e Eni Orlandi, bem como o dispositivo analítico, que contou com documentos da Secretaria de Estado de Educação (Seduc)...

Evidence based practice guidelines for management of low back pain: physical therapy implications

Ladeira,Carlos E.
Fonte: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Publicador: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2011 EN
Relevância na Pesquisa
36.57%
BACKGROUND: Low back pain (LBP) is the most common disorder seen in physical therapy practice. There are several hundred clinical trials on the management of LBP. To summarize these trials, researchers wrote Evidence Based Practice (EBP) guidelines. This article reviewed the implications of EBP guidelines recommendations for physical therapy practice. OBJECTIVES: To review the recommendations for conservative management of LBP published in EBP guidelines since 2002. METHODS: Searches were performed on the following databases: Google web searching engine, Medline, Cochrane Library, and the Guideline Clearing House. Guidelines published in English and addressing conservative management of LBP were included. RESULTS: Thirteen multidisciplinary and three mono-disciplinary guidelines met the inclusion criteria. LBP was triaged into three groups: with red flags, with radiculopathy, or non-specific. Patients without red flags could be safely managed without specialist referral. Patient education was recommended for all patients with LBP. There was an agreement to advise spine manipulation for patients with acute and sub-acute non-specific LBP. There was a consensus to recommend exercises for acute, sub-acute, and chronic LBP. Few guidelines addressed conservative management of LBP with radiculopathy. Overall...

Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)—Part 1

Bittner, R.; Bingener-Casey, J.; Dietz, U.; Fabian, M.; Ferzli, G. S.; Fortelny, R. H.; Köckerling, F.; Kukleta, J.; LeBlanc, K.; Lomanto, D.; Misra, M. C.; Bansal, V. K.; Morales-Conde, S.; Ramshaw, B.; Reinpold, W.; Rim, S.; Rohr, M.; Schrittwieser, R.
Fonte: Springer US Publicador: Springer US
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.55%
Guidelines are increasingly determining the decision process in day-to-day clinical work. Guidelines describe the current best possible standard in diagnostics and therapy. They should be developed by an international panel of experts, whereby alongside individual experience, above all, the results of comparative studies are decisive. According to the results of high-ranking scientific studies published in peer-reviewed journals, statements and recommendations are formulated, and these are graded strictly according to the criteria of evidence-based medicine. Guidelines can therefore be valuable in helping particularly the young surgeon in his or her day-to-day work to find the best decision for the patient when confronted with a wide and confusing range of options. However, even experienced surgeons benefit because by virtue of a heavy workload and commitment, they often find it difficult to keep up with the ever-increasing published literature. All guidelines require regular updating, usually every 3 years, in line with progress in the field. The current Guidelines focus on technique and perioperative management of laparoscopic ventral hernia repair and constitute the first comprehensive guidelines on this topic. In this issue of Surgical Endoscopy...

A survey of tobacco dependence treatment guidelines in 121 countries

Piné-Abata, Hembadoon; McNeill, Ann; Raw, Martin; Bitton, Asaf; Rigotti, Nancy; Murray, Rachael
Fonte: Blackwell Publishing Ltd Publicador: Blackwell Publishing Ltd
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
36.55%
Aims To report progress among Parties to the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) in developing national tobacco treatment guidelines in accordance with FCTC Article 14 guideline recommendations. Design: Cross-sectional study. Setting: Electronic survey from December 2011 to August 2012; participants were asked to complete either an online or attached Microsoft Word questionnaire. Participants: One hundred and sixty-three of the 173 Parties to the FCTC at the time of our survey. Measurements The 51-item questionnaire contained 30 items specifically on guidelines. Questions covered the areas of guidelines writing process, content, key recommendations and other characteristics. Findings: One hundred and twenty-one countries (73%) responded. Fifty-three countries (44%) had guidelines, ranging from 75% among high-income countries to 11% among low-income countries. Nearly all guidelines recommended brief advice (93%), intensive specialist support (93%) and medications (96%), while 66% recommended quitlines. Fifty-seven percent had a dissemination strategy, 76% stated funding source and 68% had professional endorsement. Conclusion: Fewer than half of the Parties to the WHO FCTC have developed national tobacco treatment guidelines...

Systematic assessment of clinical practice guidelines for the management of chronic obstructive pulmonary disease

Smith, B.; Hender, K.; Frith, P.; Crockett, A.; Cheok, F.; Spedding, S.
Fonte: W B Saunders Co Ltd Publicador: W B Saunders Co Ltd
Tipo: Artigo de Revista Científica
Publicado em //2003 EN
Relevância na Pesquisa
36.55%
OBJECTIVE: To systematically evaluate the quality of the development of guidelines for the management of chronic obstructive pulmonary disease (COPD). METHODOLOGY: MEDLINE and Excerpta Medica search for published guidelines, followed by independent evaluation by two reviewers, according to previously reported guideline development quality criteria, on a three-point scale. RESULTS: Five national COPD guidelines and two international COPD guidelines were retrieved. Reviewers demonstrated good inter-observer agreement in assessing the 10 combined guideline development criteria for the seven guidelines [κ=0.66]. Guidelines were only partly multi-disciplinary, with little or no consumer input, were up to 48 pages in length, and often lacked practical summaries or management flow charts which could have facilitated retrieval of key management recommendations. Almost all the papers were based upon a consensus approach, rather than evidence based, and methods of resolution of differences of opinion were not stated. Patient outcomes, ethical and medico-legal implications were not addressed and six of the guidelines were sponsored directly or indirectly by a single drug company. Conclusions: In spite of COPD guidelines being reported by major national bodies for over a decade now...

The effectiveness of local adaptation of nationally produced guidelines

Silagy, C.; Weller, D.; Lapsley, H.; Middleton, P.; Shelby-James, T.; Fazekas, B.
Fonte: Oxford Univ Press Publicador: Oxford Univ Press
Tipo: Artigo de Revista Científica
Publicado em //2002 EN
Relevância na Pesquisa
36.55%
Background. Local adaptation is often reported in the literature to be an important strategy in achieving local ownership and relevance of guidelines in order to increase the likelihood of their uptake and implementation. However, the process is also potentially time-consuming and costly. Objective. The aim of this study was to determine the impact of local adaptation of nationally produced clinical practice guidelines (CPGs) on the knowledge, attitude and reported practices of GPs. Methods. Two Divisions of General Practice in Adelaide, Australia were selected and randomized to adapt a nationally produced CPG (on Stroke Prevention) by the National Health and Medical Research Council or use the original version. The order of the interventions was reversed for a second guideline (on management of Lower Urinary Tract Symptoms in Men). An identical multifaceted dissemination strategy was adopted for both sets of guidelines in the two divisions. Prior to the intervention, a random sample of 200 GPs from each Division was sent a postal survey about their knowledge, attitudes and reported practices. This was repeated 3 months after the dissemination phase. Results. Sixty-one per cent (243/400) of the GPs responded to the initial survey and...

Quality of Australian clinical guidelines and relevance to the care of older people with multiple morbid conditions

Vitry, A.; Zhang, Y.
Fonte: Australasian Med Publ Co Ltd Publicador: Australasian Med Publ Co Ltd
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
36.58%
Objective: To assess the quality of Australian clinical guidelines for chronic diseases and their relevance to older people with multiple comorbid conditions. Design: Selection and assessment of national clinical guidelines for chronic conditions listed as National Health Priority Areas: cardiovascular health, diabetes mellitus, mental health, asthma, arthritis and musculoskeletal conditions, and cancer. Main outcome measures: Standardised mean scores obtained with the Appraisal of Guidelines Research and Evaluation (AGREE) instrument (criteria grouped into six domains: scope and purpose; stakeholder involvement; rigour of development; clarity and presentation; applicability; and editorial independence). Relevance of guidelines for older people with multiple comorbid conditions. Results: 17 guidelines were included in the study. Guidelines approved by the National Health and Medical Research Council (NHMRC) scored significantly better than those not approved by the NHMRC in all domains except for editorial independence and clarity and presentation. The mean quality of guidelines not approved by the NHMRC was below 50% in all domains except clarity and presentation. Half of the guidelines addressed treatment for older patients or for patients with one comorbid condition...

Opinions on the content and effects of clinical practice guidelines for CKD: A survey of nephrologists in Australia and New Zealand

Irving, M.; Johnson, D.; McDonald, S.; Walker, R.; Frommer, M.; Craig, J.
Fonte: W B Saunders Co Publicador: W B Saunders Co
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
36.6%
Evidence-based clinical practice guidelines have been a major development in nephrology internationally, but it is uncertain how the nephrology community regards these guidelines. This study aimed to determine the views of nephrologists on the content and effects of their local guidelines (Caring for Australasians with Renal Impairment [CARI]). In 2006, a self-administered survey was distributed to all Australian and New Zealand nephrologists. Seven questions were repeated from a similar survey in 2002. A total of 211 nephrologists (70% of practicing nephrologists) responded. More than 90% agreed that the CARI guidelines were a useful summary of evidence, and nearly 60% reported that the guidelines had significantly influenced their practice. The proportion of nephrologists reporting that the guidelines had improved patient outcomes increased from 14% in 2002 to 38% in 2006. The proportion of nephrologists indicating that the guidelines did not match the best available evidence decreased from 30% in 2002 to 8% in 2006. Older age and male sex showed some associations with a less favorable response for some domains. The CARI approach of rigorous evidence-based guidelines has been shown to be a successful model of guideline production. Almost all nephrologists regarded the CARI guidelines as useful evidence summaries...

Opinions on the content and effects of the Caring for Australasians with Renal Impairment (CARI) Guidelines: A survey of renal nurses and comparison with the opinions of nephrologists in Australasia

Irving, M.; Johnson, D.; McDonald, S.; Walker, R.; Frommer, M.; Fetherstonhaugh, D.; Deans, P.; Craig, J.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
36.59%
AIM: Renal nurses in Australia and New Zealand are critical to the care of patients with chronic kidney disease (CKD), especially those on dialysis. We aimed to obtain the opinions of renal nurses in Australia and New Zealand on the Caring for Australasians with Renal Impairment (CARI) Guidelines. METHODS: A self-administered survey was distributed to all members of the professional organisation for renal nurses (Renal Society of Australasia) in 2006. The results were compared with those from a similar survey in 2002 and an identical 2006 survey of Australian and New Zealand nephrologists. RESULTS: Of the 173 respondents, more than 95% considered the Guidelines to be a good synthesis of the available evidence, 80% indicated that the Guidelines had significantly influenced their practice and 86% considered that the Guidelines had improved patient outcomes. Older respondents were less likely to perceive that the Guidelines had improved patient outcomes, and renal nurse educators were more likely to consider that the Guidelines were based on the best available evidence than other respondents. Respondents were generally more positive about the Guidelines in 2006 than in 2002. Although nephrologists were generally positive about the CARI Guidelines...

Clinical guidelines and off-license recombinant activated factor VII: content, use, and association with patient outcomes

Willis, C.; Cameron, P.; Phillips, L.
Fonte: Blackwell Publishers Ltd Publicador: Blackwell Publishers Ltd
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
36.57%
Background: Recombinant activated factor VII (rFVIIa) is increasingly being used off-license for treating critical bleeding. Guidelines may therefore be useful for improving processes and outcomes. Little is known regarding guidelines for off-license rFVIIa or their association with patient outcomes. Objectives: To investigate the availability of hospital guidelines for off-license rFVIIa use and the association between these guidelines and mortality. Methods: Data were extracted from the Haemostasis Registry, which collects all cases of off-license rFVIIa use in participating institutions in Australia and New Zealand. Contributing hospitals were requested to supply a copy of the institutional guideline relating to off-license rFVIIa administration. The characteristics of patients treated in accordance with all elements of the guidelines were compared with those of patients for who one or more guideline elements had been violated. The relationship between guideline-directed treatment and 28-day mortality was investigated using stepwise logistic regression. Results: Two thousand five hundred and fifty-one patients in 75 hospitals were available for analysis. Of these hospitals, 58 provided a guideline for analysis. Patients complying with all guideline elements (n = 530) did not differ from patients receiving care that violated guidelines (n = 1035) regarding age...

National Guidelines for Swedish neonatal nursing care: evaluation of clinical application

Wallin, L.; Bostrom, A.M.; Harvey, G.; Wikblad, K.; Ewald, U.
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
Publicado em //2000 EN
Relevância na Pesquisa
36.59%
OBJECTIVE: To evaluate the clinical application of national guidelines for neonatal nursing. DESIGN: Questionnaire survey. SETTING: Thirty-nine neonatal care units in Sweden. STUDY PARTICIPANTS: Thirty-five of 39 nurse managers at all Swedish neonatal care units. INTERVENTION: Thirteen clinical guidelines for neonatal nursing care were presented in 1997. Recommendations on evidence-based nursing care and auditing measures were given. Most neonatal units in Sweden participated in the guideline development. MAIN OUTCOME MEASURES: Extent of guideline application, ways in which the guidelines were used and perceived usefulness. RESULTS: The guidelines were applied to different extents in 30 of the 35 units. Almost all the guidelines were applied, especially those covering general nursing care. In total, 72 Quality Improvement (QI) projects were reported, of which 51 concerned specific topics covered in the guidelines. Twenty units applied the guidelines as a starting point for QI. Four units evaluated nursing practice against the guidelines. Four factors [Dynamic Standard Setting System (DySSSy) as the QI method, > or = 4 years of practice as nurse manager, experience of nursing research, and good staff resources] were closely related to a more extensive application of the guidelines. Units with both a nurse manager and an assistant nurse manager were more likely to have used the guidelines as the basis for changing clinical practice. CONCLUSIONS: The guidelines were successfully disseminated and diffused...

Evaluating guidelines for reporting empirical software engineering studies

Kitchenham, B.; Al-Khilidar, H.; Babar, M.A.; Berry, M.; Cox, K.; Keung, J.; Kurniawati, F.; Staples, M.; Zhang, H.; Zhu, L.
Fonte: Springer US Publicador: Springer US
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
36.58%
Background: Several researchers have criticized the standards of performing and reporting empirical studies in software engineering. In order to address this problem, Jedlitschka and Pfahl have produced reporting guidelines for controlled experiments in software engineering. They pointed out that their guidelines needed evaluation. We agree that guidelines need to be evaluated before they can be widely adopted. Aim: The aim of this paper is to present the method we used to evaluate the guidelines and report the results of our evaluation exercise. We suggest our evaluation process may be of more general use if reporting guidelines for other types of empirical study are developed. Method: We used a reading method inspired by perspective-based and checklist-based reviews to perform a theoretical evaluation of the guidelines. The perspectives used were: Researcher, Practitioner/Consultant, Meta-analyst, Replicator, Reviewer and Author. Apart from the Author perspective, the reviews were based on a set of questions derived by brainstorming. A separate review was performed for each perspective. The review using the Author perspective considered each section of the guidelines sequentially. Results: The reviews detected 44 issues where the guidelines would benefit from amendment or clarification and 8 defects. Conclusions: Reporting guidelines need to specify what information goes into what section and avoid excessive duplication. The current guidelines need to be revised and then subjected to further theoretical and empirical validation. Perspective-based checklists are a useful validation method but the practitioner/consultant perspective presents difficulties.; Barbara Kitchenham...

MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy

Lalla, R.V.; Bowen, J.; Barasch, A.; Elting, L.; Epstein, J.; Keefe, D.M.; McGuire, D.B.; Migliorati, C.; Nicolatou-Galitis, O.; Peterson, D.E.; Raber-Durlacher, J.E.; Sonis, S.T.; Elad, S.; The Mucositis Guidelines Leadership Group of the Multinational A
Fonte: Wiley Publicador: Wiley
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
46.57%
BACKGROUND: Mucositis is a highly significant, and sometimes dose-limiting, toxicity of cancer therapy. The goal of this systematic review was to update the Multinational Association of Supportive Care in Cancer and International Society of Oral Oncology (MASCC/ISOO) Clinical Practice Guidelines for mucositis. METHODS: A literature search was conducted to identify eligible published articles, based on predefined inclusion/exclusion criteria. Each article was independently reviewed by 2 reviewers. Studies were rated according to the presence of major and minor flaws as per previously published criteria. The body of evidence for each intervention, in each treatment setting, was assigned a level of evidence, based on previously published criteria. Guidelines were developed based on the level of evidence, with 3 possible guideline determinations: recommendation, suggestion, or no guideline possible. RESULTS: The literature search identified 8279 papers, 1032 of which were retrieved for detailed evaluation based on titles and abstracts. Of these, 570 qualified for final inclusion in the systematic reviews. Sixteen new guidelines were developed for or against the use of various interventions in specific treatment settings. In total, the MASCC/ISOO Mucositis Guidelines now include 32 guidelines: 22 for oral mucositis and 10 for gastrointestinal mucositis. This article describes these updated guidelines. CONCLUSIONS: The updated MASCC/ISOO Clinical Practice Guidelines for mucositis will help clinicians provide evidence-based management of mucositis secondary to cancer therapy.; Rajesh V. Lalla...

Mexico - Analysis of the Information, Monitoring, and Evaluation Guidelines of the Programs in the Public Federal Administration

World Bank
Fonte: World Bank Publicador: World Bank
Tipo: Economic & Sector Work :: Other Poverty Study
ENGLISH
Relevância na Pesquisa
36.55%
This collection of works represents the results of a 'fee for services' contract with the National Evaluation Council of the Policy for Social Development in Mexico (CONEVAL), enforced between 2007 and 2008. The goal of the job was to provide support to CONEVAL in the strengthening of the general guidelines of evaluation of the federal programmers of the federal public administration that were published in March 2007 by CONEVAL itself, the ministry of the treasury and public credit and the public function. It was for such a purpose that the team of the World Bank worked on four different reports that looked at providing an integral analysis of the guidelines. The four reports include: an executive summary, an institutional analysis of the guidelines, a management tools analysis of the guidelines, and an analysis of the basic information within the context of the guidelines. The guidelines were published to consolidate the vision of the Mexican government to create a 'menu of evaluations' aimed at providing different key users within the public administration with performance information that will serve their different needs. It is within this context that the analysis had as its general objective to analyze the results of the first year of the implementation of the 2007 guidelines and also to reflect on the content of the guidelines based on international experience.

Diretrizes da World Federation of Societies of Biological Psychiatry (WFSBP) para tratamento biológico de transtornos depressivos unipolares, 2ª parte: tratamento de manutenção do transtorno depressivo maior e tratamento dos transtornos depressivos crônicos e das depressões subliminares; World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for biological treatment of unipolar depressive disorders, part 2: maintenance treatment of major depressive disorder and treatment of chronic depressive disorders and subthreshold depressions

Bauer, Michael; Whybrow, Peter C.; Angst, Jules; Versiani, Marcio; Möller, Hans-Jürgen
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/01/2009 POR
Relevância na Pesquisa
36.55%
Estas diretrizes práticas para o tratamento biológico de transtornos depressivos unipolares foram desenvolvidas por uma Força-Tarefa internacional da Federação Mundial de Sociedades de Psiquiatria Biológica (WFSBP). O objetivo ao desenvolver tais diretrizes foi rever sistematicamente todas as evidências existentes referentes ao tratamento de transtornos depressivos unipolares e produzir uma série de recomendações práticas com significado clínico e científico, baseadas nas evidências existentes. Têm como objetivo seu uso por todos os médicos que atendam e tratem pacientes com essas afecções. Os dados usados para o desenvolvimento das diretrizes foram extraídos primariamente de várias diretrizes e painéis nacionais de tratamento para transtornos depressivos, bem como de metanálises e revisões sobre a eficácia dos antidepressivos e outras intervenções de tratamento biológico identificadas por uma busca no banco de dados MEDLINE e Cochrane Library. A literatura identificada foi avaliada quanto à força das evidências sobre sua eficácia e, então, categorizada em quatro níveis de evidências (A a D). Esta primeira parte das diretrizes abrange definição, classificação, epidemiologia e evolução dos transtornos depressivos unipolares...

Submission Guidelines

Guidelines, Submission; Universidade de Brasília
Fonte: Archai: Journal on the origins of Western thought; Archai: Revista de estudos sobre as origens do pensamento ocidental Publicador: Archai: Journal on the origins of Western thought; Archai: Revista de estudos sobre as origens do pensamento ocidental
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 08/04/2015 ENG
Relevância na Pesquisa
46.34%
Submission Guidelines

Submission Guidelines

Guidelines, Submission; Universidade de Brasília
Fonte: Archai: Journal on the origins of Western thought; Archai: Revista de estudos sobre as origens do pensamento ocidental Publicador: Archai: Journal on the origins of Western thought; Archai: Revista de estudos sobre as origens do pensamento ocidental
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 27/07/2015 ENG
Relevância na Pesquisa
46.34%
Submission Guidelines

Defining "elderly" in clinical practice guidelines for pharmacotherapy

Singh,Shamsher; Bajorek,Beata
Fonte: Pharmacy Practice (Internet) Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/12/2014 ENG
Relevância na Pesquisa
36.6%
Objective: To identify how "elderly" patients are defined and considered within Australian clinical guidelines for the use of pharmacotherapy. Method: Guidelines pertaining to the use of pharmacotherapy, focusing on conditions described in National Health Priority Areas, were identified using databases (Medline, Google Scholar) and organisation websites (Department of Health and Ageing, National Heart Foundation, National Health and Medical Research Council). Guidelines were reviewed and qualitatively analysed to identify any references or definitions of "elderly" persons. Results: Among the 20 guidelines reviewed, 3 defined "elderly" by chronological age (i.e., years since birth) while the remaining 17 guidelines did not define "elderly" in any way. All 20 guidelines used the term "elderly", whilst some guidelines provided age (chronological)-based dosage recommendations suggesting an ageist or generalist approach in their representation of "elderly", for which rationale was seldom provided. Thematic analysis of the statements revealed five key themes regarding how "elderly" was considered within the guidelines, broadly describing "elderly" persons as being frail and with altered pharmacology. Some guidelines also highlighted the limited evidence base to direct clinical decision-making. A continuum of perceptions of ageing also emerged out of the identified themes. Conclusion: Clinical practice guidelines currently do not adequately define "elderly" persons and provide limited guidance on how to apply treatment recommendations to older persons. The representation of "elderly" in guidelines needs to be less based on chronological age or generic definitions focusing more on establishing a direct link between an individual patient´s characteristics and the pharmacology of their prescribed medication. Clinical guidelines that do not offer any practical descriptions of the features of ageing that are specifically related to the use of pharmacotherapy...