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The importance of patient clubs in the management of osteoporotic patients

100%
Gaál J., Farkas L., Bender T., Somogyi P.
Open Medicine
|
2011
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vol. 6
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issue 6
821-825
EN
Although the significance of osteoporosis is well known worldwide, the number of patients undergoing therapy for this disease corresponds to a fraction only of the optimal proportion. In many countries, patients at a high risk of fracture - including those who have in fact sustained a typical fracture - do not receive therapy at all. Unawareness of the population, difficulties in accessing specialist care, as well as insufficient communications all contribute to the fact that a substantial percentage of patients discontinue drug therapy prematurely. Using information from a survey conducted in a club of osteoporotic patients, this paper discusses the achievements and substantiates the existence of patient associations, as well as emphasizes the need for establishing new patient clubs in Hungary.
2
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Management of acute cholecystitis and acute cholangitis in emergency setting

100%
Liau K.-H., Teh C., Serrablo A.
Open Medicine
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2014
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vol. 9
|
issue 3
357-369
EN
Acute biliary infection (acute cholecystitis and acute cholangitis) is one of the common emergency conditions which carries significant morbidity and mortality. The risk factors are often associated with gallstones, biliary stasis and bile infection. Gram-negative bacteria are frequent isolates from bile and blood cultures in infectious cholangitis. Endotoxaemia from the gram-negative microbes results in circulatory shock and organ dysfunction. Therefore, prompt diagnosis with severity stratification and recognition of its potential rapid progression to life-threatening shock and multi-organ failure ensure execution of the three fundamental interventions in the initial management strategy, namely: resuscitation to support the organ, antimicrobial therapy and biliary decompression drainage to control the infection. This is the core principle in the management of severe acute cholangitis.
3
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How to manage TB in children? Problems and solutions in four cases

88%
Buonsenso D., Serranti D., Focarelli B., Chiaretti A., Calzedda R., Valentini P.
Open Medicine
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2014
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vol. 10
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issue 1
EN
Children bear a substantial part of the tuberculosis (TB) epidemic worldwide, and it is estimated that there were ≅ 500.000 childhood TB cases globally in 2010, although accurate data are problematic to obtain given the many difficulties associated with TB diagnosis in children and the weaknesses of surveillance systems in countries where TB is endemic. The World Health Organization is working hard in order to reduce the TB prevalence rates and deaths by half by 2015. In this challenge, general practitioners and pediatricians play a key role in detecting early cases of suspected TB and sending them to experts in infectious diseases. This will reduce delayed diagnosis and the spread of disease, which is especially important now that the prevalence of multidrug resistant TB is increasing. For this reason, the purpose of this report was to delineate the characteristic clinical features of the most common forms of pediatric TB and to suggest a rational and practical approach to the disease underlining the role of patients and parents personal and clinical history.
4
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Complicated course of facial cellulitis caused by Staphylococcus aureus in a 13-year-old boy with neutropenia - an adverse event analysis

88%
Rorat M., Kuchar E., Szenborn L., Jurek T.
Open Medicine
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2013
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vol. 8
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issue 2
220-224
5
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Evidence-based management of pancreatitis

75%
Zambudio N., Muffak K., Villegas T., Becerra A., Fundora Y., Garrote D., Ferrón A.
Open Medicine
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2014
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vol. 9
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issue 4
594-600
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