COPDは増加傾向にあり,WHOの予測によると 2020 年には世界の死因の第 3位になると考えられている (1990 年においてはCOPDは死因の第 6位).当科の福 地らが中心となり報告した疫学調査(NICE study)に よると本邦におけるCOPD患者数は,530 万人,40 歳 以上の 8.6%と報告されており,本邦においてもCOPD による死亡症例は増加すると考えられており,今後の早 期診断,早期治療介入は呼吸器内科医にとって重要な課 題である.世界的には,COPDのガイドライン(global Initiative for Chronic Obstructive Lung Disease(GOLD)) が定期的に発刊されており,今年の暮れに新しいガイド ライン(GOLD2012)の概要が明らかになる予定である. 本邦においては日本呼吸器学会が 1999 年以来 COPDの...

The AAPL Practice Guidelines for the Forensic Evaluation of Psychiatric Disability reminds treating psychiatrists as well as forensic examiners of the potential for role conflicts and of numerous factors related to handling of treatment records. This commentary suggests ways of more completely avoiding role conflicts, including those related to payment, and elaborates on implementation of requi...

BACKGROUND The purpose of this study was for us to determine National Comprehensive Cancer Network (NCCN) guideline-compliance of multidisciplinary conference (MDC) recommendations and actual treatment received, and to determine this impact on patient outcomes. METHODS We conducted a retrospective review of patients presented at MDC between January 1, 2006, and December 31, 2006, with previou...

This guideline of the German Dermatology Society primarily focuses on the diagnosis and treatment of cutaneous manifestations of Lyme borreliosis. It has received consensus from 22 German medical societies and 2 German patient organisations. It is the first part of an AWMF (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V.) interdisciplinary guideline: "Lyme Borre...

This watch summarizes new evidence and developments since the 2007 publication of the American Psychiatric Association’s Practice Guideline for the Treatment of Patients With Obsessive-Compulsive Disorder. The authors of this watch participated in the work group that developed the 2007 guideline (American Psychiatric Association 2007). We find that the guideline remains substantially correct an...

background : inappropriate use of vancomycin not only increase health care costs but also contribute to the emergence of resistant organisms. higher trough serum vancomycin concentrations (>10mg/l) has been recommended for avoidance of development of resistance. we aim to compare the administered dose with recommended doses based on guideline-recommended weight-based dosing. methods : in a cros...

lysosomal storage diseases (lsds) result from a genetic defect in synthesis and cellular transport of lysosomal enzyme to the lysosomes. lsds are progressive and may present at any age affecting multiple tissues and organ systems. they comprise a diverse group of over 40 clinically distinct inherited disorders. as a group they occur in approximately 1 in 5000 to 8000 births in the western socie...

1 SIGN Guideline 35: Diagnosis and treatment of heart failure due to left ventricular systolic dysfunction. Available on: http://www.sign.ac.uk/guidelines/fulltext/35/index.html 2 NICE Guideline. Chronic heart failure: Management of chronic heart failure in adults in primary and secondary care. Available from: http://www.nice.org.uk/ 3 Remme WJ, Swedberg K; Task Force for the Diagnosis and Trea...

BACKGROUND CONTEXT The objective of the North American Spine Society's (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of lumbar disc herniation with radiculopathy. The guideline is intended to reflect contem...

As in many other countries, burn injuries are a challenging healthcare problem in Turkey. Initial management of burn patients is very important for future morbidity and mortality. Therefore, the Turkish Ministry of Health prepared "National Burns Treatment Algorithm" aided by the Scientific Burns Council. The basic aim of this algorithm is to guide physicians in the treatment of burn victims un...