Articles
59 entriesClinical reviews and commentary
- Considerations of Intraoperative Transesophageal Echocardiography During Adult Cardiac SurgeryIntraoperative transesophageal echocardiography (TEE) is increasingly vital in cardiac surgery for monitoring and complex decision-making, significantly improving patient outcomes. Despite its proven impact, speciality guidelines are outdated. This statement reviews current practices, summarises TEE's association with enhanced outcomes, and outlines specific perioperative considerations for its use in cardiac surgical populations.→
- Continuous positive airway pressure versus methylxanthine for apnoea in preterm infantsA review of one small, 40-year-old study found very uncertain evidence comparing CPAP versus theophylline for apnoea of prematurity.→
- Cortical morphological alterations in methamphetamine-induced psychosisMethamphetamine-induced psychosis (MAP), characterised by transient schizophreniform symptoms.→
- Corticosteroids for Treating Sepsis in Children and AdultsThis updated review explores how corticosteroids may benefit sepsis patients, given the condition's link to organ failure and impaired corticosteroid metabolism.→
- Cost and clinical flow of point-of-care urine tenofovir testing for treatment monitoring among people living with HIV initiating ART in South AfricaA South African study explored the feasibility and costs of point-of-care (POC) urine tenofovir (TFV) tests for monitoring ART adherence in HIV clinics. Estimating a cost of USD 13 per client, with test strips as the main component, the study found TFV testing required under 10 minutes of healthcare provider time. This suggests POC TFV testing is feasible and reasonably priced for integration into South African HIV clinics, informing future policy and budgeting.→
- Could statins help slow down the development of dementia symptoms?A longitudinal cohort study of older adults with dementia in Sweden has shown that statin use is linked to improved cognition over a period of three years, with some statins performing better than others.→
- Counseling in menopausal women: How to address the benefits and risks of menopause hormone therapyMenopause's impact varies, with severe symptoms indicating future health risks. Individualised counselling is crucial, assessing needs and risk profiles.→
- Countries are already experiencing significant health system disruptionsWHO warns that sudden aid cuts have disrupted health services in 70% of surveyed countries, threatening global health systems.→
- Countries are already experiencing significant health system disruptions – WHOWHO alert: Health aid cuts disrupt services in 70% of countries—fragile systems at risk of collapse without swift response.→