搜索到54166篇“ RECOMMENDATIONS“的相关文章
Chest Radiography: General Practitioners’ Compliance with Recommendations
2024年
Introduction: Chest radiography is the most frequently prescribed imaging test in general practice in France. We aimed to assess the extent to which general practitioners follow the recommendations of the French National Authority for Health in prescribing chest radiography. Methodology: We conducted a retrospective analysis study, in two radiology centers belonging to the same group in Saint-Omer and Aire-sur-la-Lys, of requests for chest radiography sent by general practitioners over the winter period between December 22, 2013, and March 21, 2014, for patients aged over 18 years. Results: One hundred and seventy-seven requests for chest X-rays were analyzed, 71.75% of which complied with recommendations. The most frequent reason was the search for bronchopulmonary infection, accounting for 70.08% of prescriptions, followed by 11.2% for requests to rule out pulmonary neoplasia, whereas the latter reason did not comply with recommendations. Chest X-rays contributed to a positive diagnosis in 28.81% of cases. The positive diagnosis was given by 36.22% of the recommended chest X-rays, versus 10% for those not recommended. Conclusion: In most cases, general practitioners follow HAS recommendations for prescribing chest X-rays. Non-recommended chest X-rays do not appear to make a major contribution to diagnosis or patient management, confirming the value of following the recommendations of the French National Authority for Health.
Milckisédek Judicaël Marouruana SomeAïda Ida TankoanoPakisba Ali OuedraogoBassirou KindoNina-Astrid OuedraogoMohammed Ali Harchaoui
关键词:RECOMMENDATIONSPRESCRIPTION
认罪认罚案件量刑建议调整问题研究
2024年
作为认罪认罚从宽制度的重要配套程序之一,认罪认罚量刑建议既有调整可能,亦有调整必要。认罪认罚量刑建议调整工作规范与否,直接影响着认罪认罚从宽制度的价值目标能否实现。分析研究既有认罪认罚量刑建议调整案件,可以发现当前认罪认罚量刑建议调整工作存在调整原因不明、控辩协商不足、文书效力不够等问题。对此,应完善有关立法,重新审视“量刑建议明显不当”的内涵,建立完善检察机关、人民法院量刑建议调整工作履职规范,促进认罪认罚量刑建议调整规范有序发展。
颜竹芹
辅助生殖助孕患者妊娠风险等级评估标准及使用建议
2024年
人类辅助生殖技术(assisted reproductive technology,ART)是运用医学技术和方法对配子、合子、胚胎进行人工操作,以达到受孕目的的技术。为加强医疗质量安全管理,保障接受ART治疗患者助孕期间及妊娠期的安全,北京市人类辅助生殖技术质量控制和改进中心结合国家卫生健康委员会印发的孕产妇妊娠风险评估与管理工作规范(孕产妇妊娠风险评估五色球管理),拟定本标准及其使用建议。本评估方法通过对接受辅助生殖治疗的女性进行妊娠相关风险的筛查、评估和管理,及时发现并干预相关风险因素,防范不良妊娠结局,保障母婴安全。
辅助生殖助孕患者妊娠风险评估标准及使用建议编写组李蓉杨蕊陈立雪潘宁宁尚䴖周雯慧陈亮孙正怡韩红敬马延敏耿琳琳王颖杨晓葵赵连明王慧春吴红萍乔杰
The use of oral human immunodeficiency virus pre-exposure prophylaxis in pregnant and lactating women in sub-Saharan Africa:considerations,barriers,and recommendations
2024年
In sub-Saharan Africa(SSA),63%of new human immunodeficiency virus(HIV)infections in 2021 were among women,particularly adolescent girls,and young women.There is a high incidence of HIV among pregnant and lactating women(PLW)in SSA.It is estimated that the risk of HIV-acquisition during pregnancy and the postpartum period more than doubles.In this article,we discuss the safety and effectiveness of drugs used for oral HIV pre-exposure prophylaxis(PrEP),considerations for initiating PrEP in PLW,the barriers to initiating and adhering to PrEP among them and suggest recommendations to address these barriers.Tenofovir/emtricitabine,the most widely used combination in SSA,is safe,clinically effective,and cost-effective among PLW.Any PLW who requests PrEP and has no medical contraindications should receive it.PrEP users who are pregnant or lactating may experience barriers to starting and adhering for a variety of reasons,including personal,pill-related,and healthcare facility-related issues.To address the barriers,we recommend an increased provision of information on PrEP to the women and the communities,increasing and/or facilitating access to PrEP among the PLW,and developing strategies to increase adherence.
Enos MoyoGrant MurewanhemaPerseverance MoyoTafadzwa DzinamariraAndrew Ross
关键词:PREGNANCYLACTATIONSAFETYRECOMMENDATIONS
State of the HIV, Hepatitis B and C Virus Pandemic from 2003 to 2022 in Burkina Faso: Evolution of Prevalence Trends and Strategic Recommendations to Achieve the WHO’s Goal for Their Eradication by 2030
2024年
Background: The World Health Organization (WHO) has set a goal to eradicate or at least significantly reduce the prevalence the human immunodeficiency virus (HIV), hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) by 2030. The main objective was to provide an evolving overview of the prevalence of HIV, HBV and HCV infection between 2003 and 2022 in Burkina Faso. Methods: It was a retrospective cross-sectional study based on data from 2003 to 2022. The data were collected using information available in the databases of the HOSCO and CERBA laboratories and included all individuals who underwent HIV and/or HBV and/or HCV testing. Data analysis was performed using SPSS version 20.0, EpiInfo 7, and R version 4.1.0. Results were considered statistically significant if p Results: The study recorded 7432 samples and the mean age of the subjects was 27.98 ± 8.50 years. During this period, the respective prevalence of HIV, HBV, and HCV were 4.66% (346/7432), 8.77% (582/6636) and 5.54% (322/5816). However, from 2003 to 2022, there was a significant decrease (P y=−1.75x+12.59;y=−0.24x+10.01and y=−0.11x+6.02, with “y” corresponding to prevalence and “x” to the years. Conclusion: Burkina Faso needs to rigorously apply prevention and control strategies recommended by the WHO by 2030.
Abdou Azaque ZouréChristelle NadembegaDjénéba OuermiAbdoul Karim OuattaraLassina TraoréAdama TiemtoréOlivier SawadogoThéodora M. ZohonconFlorencia W. DjigmaJacques SimporeCerba-Labiogene Group
关键词:HIV
达利雷生临床应用专家共识及监管建议
2024年
失眠障碍对患者及社会造成了沉重的负担,国内亟须疗效及安全性俱佳、滥用风险低、可及性理想、可长期使用、有效改善日间功能的非管制类创新机制催眠药。作为美国FDA及欧洲EMA批准上市的双重食欲素受体拮抗剂(dual orexin receptor antagonist,DORA),达利雷生(daridorexant)针对失眠患者展现出良好的疗效及安全性,可改善日间功能,且无明确的耐药性、依赖性及滥用证据,其公共卫生风险显著低于被列入《精神药品品种目录》的苯二氮[艹卓]类药物和γ-氨基丁酸(γ-aminobutyric acid,GABA)能“Z类药物”。综合多方面证据,针对达利雷生的药监管理力度宜与该药可能产生的临床及公共卫生效益相权衡,以更好地满足人民群众的失眠治疗需求。
陈贵海李毅李志裕潘集阳王绪轶王玉平张效初
关键词:滥用
《白癜风诊断与管理全球专家建议》解读
2024年
白癜风是一种获得性色素脱失性疾病,给患者身心健康带来严重的不良影响。新近发表的《白癜风诊断与管理全球专家建议》全面归纳了白癜风的术语与命名、诊断与管理原则,指南认为评估疾病活动度、疾病程度、决策共享、早期干预治疗、维持治疗、联合治疗对白癜风管理至关重要。本文对这一指南进行了简要解读。
陈锦纯邹先彪
关键词:白癜风疾病管理
Vaccination for solid organ transplanted patients:Recommendations,efficacy,and safety
2024年
Solid organ transplant recipients face unique challenges in managing their im-munosuppressed status,making vaccination a critical consideration.This review aimed to comprehensively analyze current recommendations,evaluate the effi-cacy of vaccinations in this population,and assess safety concerns.We explored the latest evidence on vaccine types,timing,and potential benefits for transplant patients,highlighting the importance of individualized approaches for routinely used vaccines as well as coronavirus disease 2019 vaccines.By synthesizing avai-lable data,this review underscored the pressing need to optimize vaccination strategies,ensuring that transplant recipients can obtain the full protection against many pathogens while minimizing risks associated with their post-transplant immunosuppression.
Tsvetelina VelikovaStavros GerasoudisHristiana Batselova
关键词:VACCINATIONIMMUNOSUPPRESSIONSAFETY
工业互联网平台发展成效、面临的挑战和政策建议
2024年
工业互联网平台作为工业全要素、全产业链、全价值链全面连接和高效配置的枢纽,支撑制造资源泛在连接、弹性供给和高效配置,有利于发挥数字技术对实体经济发展的放大、叠加、倍增作用,对于加快制造业数字化转型,推进新型工业化具有重要作用。本文总结工业互联网平台在政策环境、功能体系、产业基础、生态系统、融合应用等方面取得的成绩,分析面临的问题和挑战,并针对性提出政策建议,以期为推动工业互联网平台建设应用提供参考。
张涛杨延超邓帅刘帅
我国传染病医院的发展历程与政策建议
2024年
传染病医院是我国疾病预防控制事业建设和发展的骨干力量,通过文献研究和访谈法得出,我国传染病医院发展主要经历四个阶段:快速发展期、停滞期、瓶颈期和高质量发展期,其功能定位随着疾病谱的变化和患者的健康需求而不断调整。目前,我国传染病医院的发展面临着人才缺乏、综合能力不足、运营困难等方面的问题。因此,建议中央政府应重视传染病医院的建设和发展,明确顶层设计规划与投入保障机制等;地方政府制定传染病医院发展的地方性政策,加强疾病预防控制体系建设;医院要抓住改革发展新机遇,加强自身专业能力建设。
杜海平毛阿燕王坤孟月莉邱五七

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