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| american thoracic society guidelines: Chronic Obstructive Pulmonary Disease Exacerbations Jadwiga A. Wedzicha, Fernando J. Martinez, 2008-09-22 Chronic Obstructive Pulmonary Disease Exacerbations covers the definition, diagnosis, epidemiology, mechanisms, and treatment associated with COPD exacerbations. This text also addresses imaging and how it plays a pivotal role in the diagnosis and study of exacerbations.Written by today's top experts, Chronic Obstructive Pulmonary Disease Exacerbat |
| american thoracic society guidelines: Severe Asthma Kian Fan Chung, Elliot Israel, Peter G. Gibson, 2019-06-01 Severe asthma is a form of asthma that responds poorly to currently available medication, and its patients represent those with greatest unmet needs. In the last 10 years, substantial progress has been made in terms of understanding some of the mechanisms that drive severe asthma; there have also been concomitant advances in the recognition of specific molecular phenotypes. This ERS Monograph covers all aspects of severe asthma – epidemiology, diagnosis, mechanisms, treatment and management – but has a particular focus on recent understanding of mechanistic heterogeneity based on an analytic approach using various ‘omics platforms applied to clinically well-defined asthma cohorts. How these advances have led to improved management targets is also emphasised. This book brings together the clinical and scientific expertise of those from around the world who are collaborating to solve the problem of severe asthma. |
| american thoracic society guidelines: Oxygen Therapy for Children World Health Organization, 2016 Hypoxaemia is a major contributor to child deaths that occur worldwide each year; for a child with pneumonia hypoxaemia increases the risk of death by up to 5 times. Despite its importance in virtually all types of acute severe illness, hypoxaemia is often not well recognized or well managed, more so in settings where resources are limited. Oxygen therapy remains an inaccessible luxury for a large proportion of severely ill children admitted to hospitals in developing countries. This is particularly true for patients in small district hospitals, where, even if some facility for delivering oxygen is available, supplies are often unreliable and the benefits of treatment may be diminished by poorly maintained, inappropriate equipment or poorly trained staff with inadequate guidelines. Increasing awareness of these problems is likely to have considerable clinical and public health benefits in the care of severely ill children. Health workers should be able to know the clinical signs that suggest the presence of hypoxaemia and have more reliable means of detection of hypoxeamia. This can be achieved through more widespread use of pulse oximetry, which is a non-invasive measure of arterial oxygen saturation. At the same time oxygen therapy must be more widely available; in many remote settings, this can be achieved by use of oxygen concentrators, which can run on regular or alternative sources of power. Having effective systems for the detection and management of hypoxaemia are vital in reducing mortality from pneumonia and other severe acute illnesses. Oxygen therapy is essential to counter hypoxaemia and many times is the difference between life and death. This manual focuses on the availability and clinical use of oxygen therapy in children in health facilities by providing the practical aspects for health workers, biomedical engineers, and administrators. It addresses the need for appropriate detection of hypoxaemia, use of pulse oximetry, clinical use of oxygen and delivery systems and monitoring of patients on oxygen therapy. In addition, the manual addresses practical use of pulse oximetry, and oxygen concentrators and cylinders in an effort to improve oxygen systems worldwide.--Publisher's description. |
| american thoracic society guidelines: Severe Community Acquired Pneumonia Jordi Rello, Kenneth V. Leeper, Kenneth Leeper, 2001-06-30 Severe Community Acquired Pneumonia is a book in which chapters are authored and the same topics discussed by North American and European experts. This approach provides a unique opportunity to view the different perspectives and points of view on this subject. Severe CAP is a common clinical problem encountered in the ICU setting. This book reviews topics concerning the pathogenesis, diagnosis and management of SCAP. The discussions on the role of alcohol in severe CAP and adjunctive therapies are important topics that further our understanding of this severe respiratory infection. |
| american thoracic society guidelines: Pulmonary Rehabilitation Anne E. Holland, Simone Dal Corso, Martijn A. Spruit, 2021-09-01 Pulmonary rehabilitation is an effective treatment for people with a range of chronic lung diseases. In recent years, there have been substantial advances in the science underpinning pulmonary rehabilitation. Advances have been seen in the patient groups in whom it is indicated; in the breadth of programme content; in new methods of delivery; and not least, in important outcomes. This Monograph brings together scientific and clinical expertise in pulmonary rehabilitation, with the aim of optimising its delivery in clinical practice. |
| american thoracic society guidelines: Ruppel's Manual of Pulmonary Function Testing Carl Mottram, 2017 Revison of: Manual of pulmonary function testing / Gregg L. Ruppel. 10th ed. c2013. |
| american thoracic society guidelines: Introduction to Bronchoscopy Armin Ernst, Felix J. F. Herth, 2017-09-07 A comprehensive and unique review of the bronchoscopy, equipment and quality improvement fundamentals. |
| american thoracic society guidelines: How to Report Statistics in Medicine Thomas Allen Lang, Michelle Secic, 2006 This volume presents a comprehensive and comprehensible set of guidelines for reporting the statistical analyses and research designs and activities commonly used in biomedical research. |
| american thoracic society guidelines: Extreme Measures Dr. Jessica Nutik Zitter, M.D., 2021-08-24 For readers of Being Mortal and Modern Death, an ICU and Palliative Care specialist offers a framework for a better way to exit life that will change our medical culture at the deepest level In medical school, no one teaches you how to let a patient die. Jessica Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care—to become an ICU physician—and imagined herself swooping in to rescue patients from the brink of death. But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice. Extreme Measures charts Zitter’s journey from wanting to be one kind of hero to becoming another—a doctor who prioritizes the patient’s values and preferences in an environment where the default choice is the extreme use of technology. In our current medical culture, the old and the ill are put on what she terms the End-of-Life Conveyor belt. They are intubated, catheterized, and even shelved away in care facilities to suffer their final days alone, confused, and often in pain. In her work Zitter has learned what patients fear more than death itself: the prospect of dying badly. She builds bridges between patients and caregivers, formulates plans to allay patients’ pain and anxiety, and enlists the support of loved ones so that life can end well, even beautifully. Filled with rich patient stories that make a compelling medical narrative, Extreme Measures enlarges the national conversation as it thoughtfully and compassionately examines an experience that defines being human. |
| american thoracic society guidelines: Thoracic Ultrasound Christian B. Laursen, Najib M. Rahman, Giovanni Volpicelli, 2018-03-01 |
| american thoracic society guidelines: Interpretation of Pulmonary Function Tests Robert E. Hyatt, Paul David Scanlon, Masao Nakamura, 2014 This guide provides practical, clinical coverage of various types of pulmonary function testing as it applies to a host of disease conditions. |
| american thoracic society guidelines: Pulmonary Function Testing in Children: Techniques and Standards George Polgar, Promadhat Varuni, 1971 |
| american thoracic society guidelines: Clinical Exercise Testing Idelle M. Weisman, R. Jorge Zeballos, 2002-01-01 In the last several years, Clinical Exercise Testing has become an increasingly important tool for patient evaluation in clinical medicine due to a growing awareness of the limitations of traditional resting cardiopulmonary measurements. Emphasizing scientific and technological advances and focusing on clinical applications for patient diagnosis and management, this volume provides a comprehensive interdisciplinary review of clinical exercise testing, concentrating on Cardiopulmonary Exercise Testing (CPET). 25 reader-friendly chapters discuss important topics, including the physiologic responses to exercise in normal subjects, in the aged and in various disease states; the set-up of an exercise lab; the methodology and protocols used for clinical exercise testing; and an integrative approach to the interpretation of CPET results. CPET in heart failure, deconditioning, COPD, ILD, pulmonary vascular disease, neuromuscular disease, and asthma is thoroughly discussed. Clinical applications including pulmonary and cardiac rehabilitation, heart and lung transplantation evaluation, unexplained exertional dyspnea assessment, evaluation for lung resection and lung volume reduction surgery, and impairment-disability evaluation are also covered in detail. Additional chapters on clinical exercise testing in children, during pregnancy and the postpartum, and in other systemic disorders complete this extensive publication. Written by well-respected experts, this volume will be a valuable resource for a wide audience including pulmonologists, cardiologists, pediatricians, exercise physiologists, rehabilitation specialists, nurse clinician specialists, and respiratory therapists. |
| american thoracic society guidelines: A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases Institute of Medicine, Board on Population Health and Public Health Practice, Committee on a National Surveillance System for Cardiovascular and Select Chronic Diseases, 2011-08-26 Chronic diseases are common and costly, yet they are also among the most preventable health problems. Comprehensive and accurate disease surveillance systems are needed to implement successful efforts which will reduce the burden of chronic diseases on the U.S. population. A number of sources of surveillance data-including population surveys, cohort studies, disease registries, administrative health data, and vital statistics-contribute critical information about chronic disease. But no central surveillance system provides the information needed to analyze how chronic disease impacts the U.S. population, to identify public health priorities, or to track the progress of preventive efforts. A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases outlines a conceptual framework for building a national chronic disease surveillance system focused primarily on cardiovascular and chronic lung diseases. This system should be capable of providing data on disparities in incidence and prevalence of the diseases by race, ethnicity, socioeconomic status, and geographic region, along with data on disease risk factors, clinical care delivery, and functional health outcomes. This coordinated surveillance system is needed to integrate and expand existing information across the multiple levels of decision making in order to generate actionable, timely knowledge for a range of stakeholders at the local, state or regional, and national levels. The recommendations presented in A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases focus on data collection, resource allocation, monitoring activities, and implementation. The report also recommends that systems evolve along with new knowledge about emerging risk factors, advancing technologies, and new understanding of the basis for disease. This report will inform decision-making among federal health agencies, especially the Department of Health and Human Services; public health and clinical practitioners; non-governmental organizations; and policy makers, among others. |
| american thoracic society guidelines: SARS, MERS and other Viral Lung Infections David S. Hui, Giovanni A. Rossi, Sebastian L. Johnston, 2016-06-01 Viral respiratory tract infections are important and common causes of morbidity and mortality worldwide. In the past two decades, several novel viral respiratory infections have emerged with epidemic potential that threaten global health security. This Monograph aims to provide an up-to-date and comprehensive overview of severe acute respiratory syndrome, Middle East respiratory syndrome and other viral respiratory infections, including seasonal influenza, avian influenza, respiratory syncytial virus and human rhinovirus, through six chapters written by authoritative experts from around the globe. |
| american thoracic society guidelines: Tuberculosis in Adults and Children Dorothee Heemskerk, Maxine Caws, Ben Marais, Jeremy Farrar, 2015-07-17 This work contains updated and clinically relevant information about tuberculosis. It is aimed at providing a succinct overview of history and disease epidemiology, clinical presentation and the most recent scientific developments in the field of tuberculosis research, with an emphasis on diagnosis and treatment. It may serve as a practical resource for students, clinicians and researchers who work in the field of infectious diseases. |
| american thoracic society guidelines: Ultrasound in the Intensive Care Unit Matthew Jankowich, Eric Gartman, 2014-10-16 Ultrasound in the Intensive Care Unit explores the current state of evidence supporting use of bedside ultrasound for procedural guidance and for the critical care-focused assessment of a variety of organ systems. This text covers standard practice areas, such as ultrasound guidance for vascular access in the ICU, as well as novel, less well-known applications such as the use of ultrasound for assessment of diaphragm function in patients with respiratory failure. As current ultrasound education is often dependent on widely varying local expertise, this book serves as a standard reference in what is at present a fragmented and challenging field of study for busy clinicians. By providing a comprehensive overview of the current state of critical care ultrasonography, with content contributed by experts in the field, this text will serve as a valuable resource that will allow education in critical care ultrasound to keep pace with the rapid technological growth that has driven this vital area of critical care medicine. Ultrasound in the Intensive Care Unit is essential reading for pulmonologists, practitioners in internal, hospitalist, and critical care medicine; educators and instructors in critical care ultrasound; and medical students, residents, and critical care trainees. |
| american thoracic society guidelines: The Difficult Airway David B. Glick, Richard M Cooper, Andranik Ovassapian, 2012-12-05 The Difficult Airway provides a comprehensive textual and visual coverage of how to deal with patients who have expected or unexpected difficult airways. The text begins with a description of the incidence and importance of the difficult airway and then describes the ASA Difficult Airway Algorithm created to facilitate the management of “difficult airways.” The majority of the book features a comprehensive step-by-step approach to the rescue techniques listed as part of the ASA Algorithm. Noted experts in each of the techniques have been recruited by the book editors to present the information. Figures throughout the book illustrate important points and procedures. This is a wonderful resource for professionals in the health care field including anesthesiologists, intensive care physicians, emergency room physicians, nurses, and out-of-hospital first responders. |
| american thoracic society guidelines: MRCP SCE in Respiratory Medicine: 300 SBAs Laura-Jane Smith, James Murray, 2018-08-24 MRCP SCE in Respiratory Medicine: 300 SBAs is a unique resource that offers a wealth of practice questions for candidates preparing for the Specialty Certificate Exam in Respiratory Medicine. Chapters in the book correspond to the topics in the syllabus, while the number of questions in each chapter is weighted in accordance with the college's exam blueprint. Featureing questiions written in line with relevant British and international guidelines this book is an indispensable revision aid designed to maximise the chances of exam success. |
| american thoracic society guidelines: Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA): A Practical Approach S.E. Monaco, W.E. Khalbuss, L. Pantanowitz, 2014-05-22 This high-yield reference book focuses on the clinical, technical, and pathological aspects of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Its reviews cover all aspects of EBUS-TBNA, including the clinical perspective, technical aspects of the procedure, and cytomorphology of common and uncommon entities, as well as highlights diagnostic challenges. Each chapter features a multitude of full-color high-resolution images and includes key references to the current literature in the field. Additionally, reference tables and informative figures highlight the salient points. The book is unique in that it is written by experienced thoracic surgeons, pulmonary medicine physicians, and cytopathologists who use EBUS-TBNA in a large medical center. This publication is of interest to individuals learning and practicing cytopathology, in addition to clinicians practicing pulmonary/thoracic medicine or surgery. In short, it provides important pearls of wisdom to create a comprehensive reference for all physicians involved with EBUS-TBNA. |
| american thoracic society guidelines: Revision Notes for the Respiratory Medicine Specialty Certificate Examination Caroline Patterson, Meg Coleman, 2012-09-13 The newly introduced Specialty Certificate Examinations are a compulsory component of assessment for all UK medical trainees and represent the final examination barrier before getting the certificate of completion of training. This book provides a unique exam-specific revision guide for the Respiratory specialty certificate exam. Comprising of best of five test multiple choice questions and revision notes to facilitate targeted study, Revision Notes for the Respiratory Medicine Specialty Certificate Examination is the only book you need to prepare for this important examination. Questions are based around clinical scenarios and supplemented with images of radiological investigations such as x-rays, and lung function tests. Each question is structured as in the exam itself. The second half of the book comprises of a series of tutorials covering key areas and difficult concepts assessed in the examination including respiratory infection, respiratory malignancy, industrial lung disease, sleep disorders, standard respiratory tests and medical statistics. The combined approach allows trainees to become acquainted with the best of five format and facilitate recognition of areas of weakness and targeted study. |
| american thoracic society guidelines: Interventional Pulmonology John F. Beamis, Praveen N. Mathur, 1999 This practical step-by-step guide outlines diagnostic and therapeutic procedures using bronchoscopic and thoracoscopic techniques.This book is the first to combine both of these endoscopic interventional procedures within a single cover. Emphasis is given to indications, contraindications, safe management and practical use in the diagnosis and treatment of a variety of pulmonary disorders. Extensive line art illustrates various procedures and the book also includes bronchoscopy and thoracoscopic views in both color and black and white. |
| american thoracic society guidelines: Lung Volume Reduction Surgery Michael Argenziano, Mark E. Ginsburg, 2001-10-15 A panel of recognized authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to lung volume reduction surgery for emphysema. Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anesthetic management, to perioperative and nursing care of the patient. The experts also detail the selection of candidates for LVRS, the clinical results and clinical trials in LVRS, and the effects of LVRS on survival rates. |
| american thoracic society guidelines: Flexible Bronchoscopy Ko-Pen Wang, Atul C. Mehta, J. Francis Turner, Jr., 2020-07-13 In this fourth edition of the popular Flexible Bronchoscopy, which has been revised and updated throughout, the world's leading specialists discuss the technical and procedural aspects of performing diagnostic and therapeutic bronchoscopy. Four new chapters have been added, taking into account new developments in EBUS and electromagnetic navigation. |
| american thoracic society guidelines: Guidelines for Pulmonary Rehabilitation Programs AACVPR, 2019-03-26 As the field of pulmonary rehabilitation has continued to advance and evolve, standards for patient care and for programs have become increasingly important. Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers the best practices for patient care and serves as the must-have resource for programs to prepare for the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) pulmonary rehabilitation program certification. Readers will learn to tailor individualized care for respiratory patients as well as to improve new programs or update existing programs. For this revised fifth edition, AACVPR has assembled an expert team of nationally and internationally recognized authors. Together, they present the individuated and interrelated components of pulmonary rehabilitation, including initial and ongoing assessment, collaborative self-management education, exercise training, psychosocial support, and outcome measurement. Highlighted guidelines have been included throughout the book, giving readers easy-to-find guidance for implementing treatment programs and helping patients stay on track. Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers an evidence-based review in several areas based on the rapid expansion of high-quality scientific evidence since the last edition. To learn best practices for care and program development, readers will find contributions from expert pulmonary rehabilitation professionals in nursing, medicine, physical therapy, respiratory therapy, and exercise physiology. This text provides a scientific, practical framework to help aspiring and current practitioners do the following: Understand the current requirements for accrediting pulmonary-based facilities Design, implement, or update accredited pulmonary rehabilitation programs Deliver optimal care to patients with symptomatic respiratory needs Address program issues in exercise, outcomes, and management of pulmonary-based programs New to this edition, a web resource provides easy access to practical checklists from the book and offers biannual updates to keep programs current with key changes in the field. The reorganized content provides a more logical flow of information consistent with pulmonary rehabilitation development. A new chapter on nutrition helps readers to understand its importance in the rehab process and to provide rehab patients with the best opportunity for success. In the updated appendixes, readers will find a comprehensive set of forms, questionnaires, and assessment tools. With continued advancements in the science, application, and credentialing of pulmonary rehabilitation programs, the fifth edition of Guidelines for Pulmonary Rehabilitation Programs will assist respiratory practitioners in remaining up to date on the best practices in the field. This edition supports practitioners in understanding the components of pulmonary rehabilitation and applying best practices as well as updating and improving their programs to meet AACVPR certification requirements. |
| american thoracic society guidelines: Clinical Practice Guidelines We Can Trust Institute of Medicine, Board on Health Care Services, Committee on Standards for Developing Trustworthy Clinical Practice Guidelines, 2011-06-16 Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers. |
| american thoracic society guidelines: Ending Neglect Institute of Medicine, Division of Health Promotion and Disease Prevention, Committee on the Elimination of Tuberculosis in the United States, 2000-08-31 Tuberculosis emerged as an epidemic in the 1600s, began to decline as sanitation improved in the 19th century, and retreated further when effective therapy was developed in the 1950s. TB was virtually forgotten until a recent resurgence in the U.S. and around the worldâ€ominously, in forms resistant to commonly used medicines. What must the nation do to eliminate TB? The distinguished committee from the Institute of Medicine offers recommendations in the key areas of epidemiology and prevention, diagnosis and treatment, funding and organization of public initiatives, and the U.S. role worldwide. The panel also focuses on how to mobilize policy makers and the public to effective action. The book provides important background on the pathology of tuberculosis, its history and status in the U.S., and the public and private response. The committee explains how the U.S. can act with both self-interest and humanitarianism in addressing the worldwide incidence of TB. |
| american thoracic society guidelines: Obstructive Sleep Apnea Clete A. Kushida, 2007-05-17 Responding to the growing recognition of Obstructive Sleep Apnea (OSA) as a major medical condition and the emergence of exciting new therapies, this 2 volume source examines clinical features, characteristics, comorbidities, and impact of OSA on patient biological systems. Not to mention, diagnosis and treatment methods that include first-line and |
| american thoracic society guidelines: Pulmonary Arterial Hypertension and Interstitial Lung Diseases Robert P. Baughman, Roberto G. Carbone, Giovanni Bottino, 2009-01-01 Interstitial lung disease (ILD) is a broad category of lung diseases that includes more than 150 disorders characterized by scarring or fibrosis of the lungs. In Pulmonary Arterial Hypertension and Interstitial Lung Disease: A Clinical Guide, renowned experts provide a state-of-the-art overview of the problems seen by physicians in the clinical management of ILDs. Divided into two sections, the first part provides and update on general issues and introduces both interstitial lung disease and associated pulmonary hypertension. A detailed analysis of the pathology of the various interstitial lung diseases is also provided. The second part addresses specific categories of disease. Bronchiolitis, hypersensitivity pneumonitis, and other conditions are covered, and the use of inspiratory and expiratory high resolution CT scan is discussed as well. This important new text is an invaluable resource for the practicing physician who must be aware of the broad and troubling manifestations of interstitial lung disease. |
| american thoracic society guidelines: Robotic Cardiac Surgery Changqing Gao, 2013-11-23 Robotic Cardiac Surgery is a comprehensive guide to robotic/totally endoscopic cardiac surgery. The book is intended to provide in-depth information regarding the history of robotic surgical systems, their components and principles. It emphasizes patient selection, perioperative management, anesthesia considerations and management, operative techniques and management, postoperative care and results. Extensive, detailed photographs and illustrations of different kinds of robotic surgery are also included. It provides cardiac surgeons, cardiac anesthesiologists, and perfusionists with a comprehensive review of current robotic cardiac surgeries and related knowledge. Changqing Gao, MD, is a professor at the Department of Cardiovascular Surgery, PLA General Hospital, Beijing, China. |
| american thoracic society guidelines: WHO consolidated guidelines on drug-resistant tuberculosis treatment World Health Organization, 2018-11-07 Tuberculosis (TB) strains with drug resistance (DR-TB) are more difficult to treat than drug-susceptible ones, and threaten global progress towards the targets set by the End TB Strategy of the World Health Organization (WHO). There is thus a critical need for evidence-based policy recommendations on the treatment and care of patients with DR-TB, based on the most recent and comprehensive evidence available. In this regard, the WHO consolidated guidelines on drug-resistant tuberculosis treatment fulfil the mandate of WHO to inform health professionals in Member States on how to improve treatment and care for patients with DR-TB. Between 2011 and 2018, WHO has developed and issued evidence-based policy recommendations on the treatment and care of patients with DR-TB. These policy recommendations have been presented in several WHO documents and their associated annexes, including the WHO treatment guidelines for multidrug- and rifampicin-resistant tuberculosis, 2018 update, issued by WHO in December 2018. The policy recommendations in each of these guidelines have been developed by WHO-convened Guideline Development Groups (GDGs), using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach to summarize the evidence, and formulate policy recommendations and accompanying remarks. The present Consolidated guidelines include a comprehensive set of WHO recommendations for the treatment and care of DR-TB, derived from these WHO guidelines documents. The consolidated guidelines include policy recommendations on treatment regimens for isoniazid-resistant TB (Hr-TB) and MDR/RR-TB, including longer and shorter regimens, culture monitoring of patients on treatment, the timing of antiretroviral therapy (ART) in MDR/RR-TB patients infected with the human immunodeficiency virus (HIV), use of surgery for patients receiving MDR-TB treatment, and optimal models of patient support and care. |
| american thoracic society guidelines: Safe Patients, Smart Hospitals Peter Pronovost, Eric Vohr, 2010-02-18 The inspiring story of how a leading innovator in patient safety found a simple way to save countless lives. First, do no harm-doctors, nurses and clinicians swear by this code of conduct. Yet in hospitals and doctors' offices across the country, errors are made every single day - avoidable, simple mistakes that often cost lives. Inspired by two medical mistakes that not only ended in unnecessary deaths but hit close to home, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time. Dr. Pronovost began with simple improvements to a common procedure in the ER and ICU units at Johns Hopkins Hospital. Creating an easy five-step checklist based on the most up-to-date research for his fellow doctors and nurses to follow, he hoped that streamlining the procedure itself could slow the rate of infections patients often died from. But what Dr. Pronovost discovered was that doctors and nurses needed more than a checklist: the day-to-day environment needed to be more patient-driven and staff needed to see scientific results in order to know their efforts were a success. After those changes took effect, the units Dr. Pronovost worked with decreased their rate of infection by 70%. Today, all fifty states are implementing Dr. Pronovost's programs, which have the potential to save more lives than any other medical innovation in the past twenty-five years. But his ideas are just the beginning of the changes being made by doctors and nurses across the country making huge leaps to improve patient care. In Safe Patients, Smart Hospitals, Dr. Pronovost shares his own experience, anecdotal stories from his colleagues at Johns Hopkins and other hospitals that have made his approach their own, alongside comprehensive research-showing readers how small changes make a huge difference in patient care. Inspiring and thought provoking, this compelling book shows how one person with a cause really can make a huge difference in our lives. |
| american thoracic society guidelines: ERS Practical Handbook of Noninvasive Ventilation Anita K. Simonds, 2015-09 The ERS Practical Handbook of Noninvasive Ventilation provides a concise ‘why and how to’ guide to NIV from the basics of equipment and patient selection to discharge planning and community care. Editor Anita K. Simonds has brought together leading clinicians and researchers in the field to provide an easy-to-read guide to all aspects of NIV. Topics covered include: equipment, patient selection, adult and paediatric indications, airway clearance and physiotherapy, acute NIV monitoring, NIV in the ICU, long-term NIV, indications for tracheostomy ventilation, symptom palliation, discharge planning and community care, and setting up an NIV service. |
| american thoracic society guidelines: Treatment of Tuberculosis World Health Organization, 1993 |
| american thoracic society guidelines: The Rational Clinical Examination: Evidence-Based Clinical Diagnosis David L. Simel, Drummond Rennie, 2008-04-30 The ultimate guide to the evidence-based clinical encounter This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency.--Annals of Internal Medicine The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination.--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. This extraordinary, one-of-a-kind book is a valuable addition to every medical library.--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine |
| american thoracic society guidelines: Ventricular Arrhythmias John M. Miller, 2008 Ventricular arrhythmias cause most cases of sudden cardiac death, which is the leading cause of death in the US. This issue reviews the causes of arrhythmias and the promising new drugs and devices to treat arrhythmias. |
| american thoracic society guidelines: Practical Pulmonary Pathology Kevin O. Leslie, Mark R. Wick, 2011 With an innovative approach, the new edition by Kevin O. Leslie, MD and Mark R. Wick, MD, provides comprehensive, practical guidance in the accurate identification and interpretation of neoplastic and non-neoplastic diseases of the lungs. Illustrated in full color throughout, this one-stop resource captures key morphologic patterns for a full range of common and rare conditions and assists in the interpretation of complex diagnostic puzzles. |
| american thoracic society guidelines: Oral Cephalosporins Robert C. Moellering, 1995 This volume provides an excellent survey of the chemistry, microbiology, pharmacology and clinical use of the oral cephalosporins in general and the newer agents in particular. The cephalosporins have long provided satisfactory treatment for many disorders without causing serious side effects; and over the past fifty years forms with different antimicrobial, pharmacologic and toxicologic properties have been developed. Despite the broad spectrum of their activity against a large variety of gram-positive and gram-negative bacteria, the third-generation oral cephalosporins including the prodrug esters do not work against Pseudomonas aeruginosa, methicillin-resistant staphylococci, enterococci or Bacteroides species. Many, however, are suitable for treating infections of the respiratory and urinary tracts and of the skin and its structure, as well as certain sexually-transmitted diseases. Authors consider other possible uses, against multi-resistant Enterobacteriaceae for instance, but also point out the limitations of the oral cephalosporins. For those working in the fields of infectious disease, bacteriology, chemotherapy, pharmaceutics and pharmacokinetics, this book is a valuable source of authoritative information. |
| american thoracic society guidelines: Principles and Practice of Mechanical Ventilation Martin J. Tobin, 2010-06-06 Audience: Critical Care Physicians, Pulmonary Medicine Physicians; Respiratory Care Practitioners; Intensive Care Nurses Author is the most recognized name in Critical Care Medicine Technical and clinical developments in mechanical ventilation have soared, and this new edition reflects these advances Written for clinicians, unlike other books on the subject which have primarily an educational focus |
| american thoracic society guidelines: The European Respiratory Journal , 1993 |
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Mar 18, 2025 · Florida men’s basketball senior guard Walter Clayton Jr. earned First Team All-American honors for his 2024/25 season, as announced on Tuesday by the Associated Press. …
Now that tariff’s have hit China- American manufacturers swamped
May 7, 2025 · It is also unlikely, if not impossible that American manufacturers will be able to keep up with demand. And supply shortages also lead to higher prices. It's basic supply and demand.
Myles Graham and Aaron Chiles make a statement at Under …
Jan 3, 2024 · Florida Gators football signees Myles Graham and Aaron Chiles Jr. during the second day of practice for the 2024 Under Armour Next All-America game at the ESPN Wide …
“I’m a Gator”: 2026 QB Will Griffin remains locked in with Florida
Dec 30, 2024 · With the 2025 Under Armour All-American game underway this week, Gator Country spoke with 2026 QB commit Will Griffin to discuss his commitment status before he …
Last American hostage released | Swamp Gas Forums
May 12, 2025 · Last American hostage released Discussion in 'Too Hot for Swamp Gas' started by OklahomaGator, May 12, 2025. May 12, 2025 #1. OklahomaGator Jedi Administrator …
Under Armour All-American Media Day Photo Gallery
Dec 29, 2023 · The Florida Gators signed a solid 2024 class earlier this month and four prospects will now compete in the Under Armour All-American game in Orlando this week. Quarterback …
Countdown to Kickoff 2025 | Page 3 | Swamp Gas Forums
May 3, 2025 · He was an All-American as a senior in 1970, and though he played only one season in the decade, he was named to the SEC’s All-Decade Team for the 1970s. He was a …
Countdown to Kickoff 2025 | Swamp Gas Forums
May 3, 2025 · He was an All-American in 1984 and ’85 and a Butkus Award finalist in ’85. Other notables: All-American defensive end Trace Armstrong, DE Tim Beauchamp, DT Steven …
