The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC)  

Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC  

Endorsed by the European Stroke Organisation (ESO)

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2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

/pdf/2016-esc-guidelines-for-the-management-of-atrial-36b2cidm1x.pdf

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS: The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC). Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Endorsed by the European Stroke Organisation (ESO)

Infectious Diseases Society of America.

A Panel of International Experts was convened by the Infectious Diseases Society of America (IDSA) in collaboration with the European Society for Microbiology and Infectious Diseases (ESCMID) to update the 1999 Uncomplicated Urinary Tract Infection Guidelines by the IDSA. Co-sponsoring organizations include the American Congress of Obstetricians and Gynecologists, American Urological Association, Association of Medical Microbiology and Infectious Diseases-Canada, and the Society for Academic Emergency Medicine. The focus of this work is treatment of women with acute uncomplicated cystitis and pyelonephritis, diagnoses limited in these guidelines to premenopausal, non-pregnant women with no known urological abnormalities or co-morbidities. The issues of in vitro resistance prevalence and the ecological adverse effects of antimicrobial therapy (collateral damage) were considered as important factors in making optimal treatment choices and thus are reflected in the rankings of recommendations.

/pdf/international-clinical-practice-guidelines-for-the-treatment-3c2xkupm2f.pdf

International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases

Objective: The aim was to formulate clinical practice guidelines for pheochromocytoma and paraganglioma (PPGL). Participants: The Task Force included a chair selected by the Endocrine Society Clinical Guidelines Subcommittee (CGS), seven experts in the field, and a methodologist. The authors received no corporate funding or remuneration. Evidence: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe both the strength of recommendations and the quality of evidence. The Task Force reviewed primary evidence and commissioned two additional systematic reviews. Consensus Process: One group meeting, several conference calls, and e-mail communications enabled consensus. Committees and members of the Endocrine Society, European Society of Endocrinology, and Americal Association for Clinical Chemistry reviewed drafts of the guidelines. Conclusions: The Task Force recommends that initial biochemical testing for PPGLs shou...

/pdf/pheochromocytoma-and-paraganglioma-an-endocrine-society-4ij7m1t7fo.pdf

Pheochromocytoma and paraganglioma: An endocrine society clinical practice guideline

https://scielo.isciii.es/pdf/gs/v25n5/carta2.pdf

Muerte, dignidad y voluntades anticipadas

2, we announced the initiation and consolidation of a series of actions aimed at modernising both the formal appearance and the content of the journal and its diffusion to bring it up to the current standards of scientific biomedical publications. Although some of these actions will be fulfilled over the present year, we would like to analyse the results achieved during 2007, the first year of the EMERGER Project, from a more objective point of view. In brief, the analysis will be divided into three differentiated sections: the interest demonstrated by our readers, the dynamics of the editorial work and the final quality of the edited product. With respect to the interest demonstrated by our readers, this may be inferred with two measures. The first is through the number of consultations made to the website of EMERGENCIAS during 2007. Our website was acceded on 264,871 occasions in 2007 (representing an increase of 120% over the entries made in 2006 during which time 120,634 consultations were received). A total of 424,016 pages were consulted (an increase of 66% compared to the 255,852 pages of 2006). Electronic diffusion of biomedical publications is undoubtedly of capital importance and it is very encouraging to see the growth rate achieved by EMERGENCIAS last year. In the near future we will analyse this electronic diffusion of EMERGENCIAS in internet more in depth. The second way of evaluating the interest aroused by EMERGENCIAS is to analyse the number of articles sent by investigators for hypothetical publication. As has been previously commented 2 , the number of manuscripts received during 2007 rose 25% with respect to the previous year, and this increase reached 71% if we specifically take into account the number of original investigations sent to the journal. We therefore seem to be on the right path. The dynamics of the editorial work has also undergone changes, although the total time from when the manuscript arrives to the editorial office of EMERGENCIAS to publication (or definitive rejection) has not substantially modified: from an average 225 days during the period 2003-2006 to 219 days in 2007

/pdf/emerger-project-first-outcome-assessment-276rafox9x.pdf

EMERGER Project: first outcome assessment

Moody et al. reported that the 2003 Rugby World Cup final between England and Australia was associated with a reduction in emergency department (ED) attendances of 29% in West Midlands (England), and of 15% in New South Wales (Australia) [1]. The celebration of England’s victory was probably the main reason for the unusual peak of ED visits observed immediately after the match, as it was not seen in the Australian ED. In Spain, where there is a similar public network of health care services [2,3], similar patterns of ED use have also been described in relation to the broadcast of the UEFA Champions League football matches. Thus, in the city of Barcelona and during two consecutive seasons (1997–98 and 1998–99) with the city football team, FC Barcelona, taking part in that competition, we measured the number and acuity of ED visits on Wednesdays with FC Barcelona match broadcast. When compared with Wednesdays without football, an overall decrease of 18% in the number of ED visits was noted [4]. Such a decrease was observed for all specialties and, in orthopaedics, reached a 28%. We also ascertained that the drop of ED visits was mainly because of a 30% reduction in low-acuity consultations. Taking into account all these data, it seems evident that important sport events are linked with a decline of ED use worldwide. Once more, it demonstrates that a significant part of ED demands is generated by patients complaining for minor problems in countries with a public health care system, who use ED in a self-convenience pattern.

Football and Rugby (... and other sport events?) emergency department attendances.

Inhibidors de l’adenosina difosfat en pacients amb síndrome coronària aguda sense elevació del segment ST

In this study the clinical, biological, radiologic, electrocardiographic, and hormonal characteristics of 80 patients with slight or moderate essential arterial hypertension in whom the treatment with atenolol alone or associated with chlorthalidone or with a third agent normalized the arterial pressure during a period of one year, are revised. Atenolol given alone at the dose of 50 to 100 mg per day normalized the blood tension in 44 (55%) patients, in 26 cases (32.5%) the association of chlorthalidone 25 mg/day was required, and in the remaining 10 patients (12.5%) a third pharmacologic agent was needed. Patients who required the association of three agents (group C) had systolic arterial pressures significantly higher than those observed in patients treated with atenolol alone (group A) (176.6 +/- 14.3 vs 161.4 +/- 12.9 mmHg, p less than 0.01) and higher to those measured in patients who required the association of chlorthalidone (group B) (176.6 +/- 14.3 vs 162.8 +/- 15 mmHg, p less than 0.05). On the other hand the 44 hypertensive patients controlled with monotherapy showed a lower incidence of cardiovascular complications (6.8% in group A, 38.5% in group B, and 30% in group C, p = 0.0042), they required acute treatment for hypertensive crisis (34.1% in group A, 73.1% in group B, and 66.7% in group C, p = 0.0041), and they showed electrocardiographic signs of left ventricular hypertrophy or overload (26.2% in group A, 60% in group B, and 42.9% in group C, p = 0.0228).(ABSTRACT TRUNCATED AT 250 WORDS)

The clinical profile of hypertensive patients can predict the need for combining a second or third drug with atenolol in the initial treatment of light and moderate essential arterial hypertension

Miquel Sánchez

Papers

Muerte, dignidad y voluntades anticipadas

EMERGER Project: first outcome assessment

Football and Rugby (... and other sport events?) emergency department attendances.

Inhibidors de l’adenosina difosfat en pacients amb síndrome coronària aguda sense elevació del segment ST

The clinical profile of hypertensive patients can predict the need for combining a second or third drug with atenolol in the initial treatment of light and moderate essential arterial hypertension