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11901. In women with a history of ectopic pregnancy is an intrauterine device contraindicated?

by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain this collection for a historical and research (...) 2003 (1), specifically, “For women with a history of previous ectopic pregnancy can a copper intrauterine device (IUD) or the levonorgetrel-intrauterine system (LNG-IUS be safely used.” Their response stated: “ The WHO Medical Eligibility Criteria for Contraceptive Use (WHO MEC ) advises that women with a past history of ectopic pregnancy may have unrestricted use of the copper intrauterine device (IUD) or the levonorgestrel-intrauterine system [LNG-IUS] (WHO Category 1) WHO MEC acknowledges

2006 TRIP Answers

11902. How would you manage a 30 yr old lady who is taking amitriptyline for chronic migraine, who wants to try to conceive?

only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip (...) on management during pregnancy and breastfeeding (1) which states: · “Migraine frequently improves during pregnancy, although it usually returns to the original pattern after birth of the child. · Identify and manage potential trigger factors. · Non-drug therapies, such as relaxation therapy, may be considered in order to avoid drug therapy. · Where medication is required for acute attacks: o Paracetamol is the drug of choice during pregnancy and breastfeeding. o Ibuprofen or aspirin may be used

2006 TRIP Answers

11903. Is there any evidence that hormones low dose oestrogen progesterone help prevent relapse in female MS sufferers?

in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain (...) contraceptive choices for women with MS. However, the limited evidence available provides reassurance that hormonal contraception has little, if any, influence on the incidence or course of MS. Thus, the CEU advises that women with MS be offered the same range of contraceptive choices as other women. Standard good practice, including assessment of medical eligibility and enquiry about possible drug interactions, should be applied.” A more detailed summary of the evidence is available in the full document

2006 TRIP Answers

11904. I have a patient with DiGeorge syndrome, can they receive live vaccines?

numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain this collection for a historical and research reasons. More results (...) images, videos, patient information leaflets, educational courses and news. For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com I have a patient with DiGeorge syndrome, can they receive live vaccines? The Green Book has a section on contraindications and special considerations [1], this states: “Some patients with 22q11 deletion syndromes, including partial

2008 TRIP Answers

11905. Can Japanese encephalitis vaccine be given to women who are pregnant or breastfeeding?

the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain this collection for a historical and research reasons. More (...) Teratology Information Service (NTIS) for the very latest information on drug and chemical safety during pregnancy or breast feeding. Their phone number is 0191 232 1525. They are a dedicated service and have better and more up-to-date information resources at their disposal. However, the Green Book does discuss this in their chapter on Japanese encephalitis [1], stating: “There is no evidence of risk from vaccinating pregnant women or those who are breast-feeding with inactivated viral or bacterial

2008 TRIP Answers

11906. Can someone taking thyroxine take ‘Adios’ slimming pills?

/books and found nothing specific for butternut, dandelion and boldo. However, a review site (a general internet site so extra scepticism needed) for Adios states [1]: “Fucus (a type of seaweed) supposedly works as a mild thyroid stimulant to boost your metabolism while the other ingredients stimulate the liver to increase this effect.” For a more definitive answer to this question we recommend you allow us to forward the questions to a specialist medicines information unit. They have access (...) and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain this collection for a historical and research reasons. More results What is Trip? Trip is a clinical

2008 TRIP Answers

11907. Should coeliacs be offered hib flu and pneumococcal immunisation?

, and is sufficiently severe to cause peripheral blood changes in about a quarter. Patients should be considered for: - Vaccination against pneumococcus and Haemophilus influenzae type b (D). - Vaccination against influenza (D). - Guidance about the increased risks attached to tropical infections e.g. malaria (D).” Chapter 7 in Immunisation Against Infectious Disease (Green Book) considers the immunisation of individuals with underlying medical conditions: “Some medical conditions increase the risk of complications (...) and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over the years by various services Trip Database have run or been involved in. Trip are keen to retain this collection for a historical and research reasons. More results What is Trip? Trip is a clinical

2008 TRIP Answers

11908. A 30 year old man returns from India with temp 38, sweaty for 3d nothing else on history or examination. Should he have a blood film for malaria immediately?

This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Clinical Q&As This question and answer form part of a large corpus of over 7,000 clinical Q&As that have been generated over (...) or examination. Should he have a blood film for malaria immediately? The Health Protection Agency published guidelines for malaria prevention in travellers from the United Kingdom in 2007 (1). On diagnosis this states: “Suspected malaria is a medical emergency. Consider malaria in every ill patient who has returned from the tropics in the previous year, especially in the previous three months. Fever on return from the tropics should be considered to be malaria until proven otherwise. Malaria cannot

2008 TRIP Answers

11909. BAES Guidelines on Training and Management of Endocrine Disease

Clinical Curriculum 27 Index Cases 28 To be a General Surgeon with an interest in Endocrine Surgery 28 To be a Sub-Specialist in Endocrine Surgery 28Guidelines for the Surgical Management of Endocrine Disease 3 GUIDELINES The British Association of Endocrine Surgeons (BAES) is the representative body of British surgeons who have a special interest in the surgery of the endocrine glands other than the pituitary. The Association is recognised by the Department of Health, The Association of Surgeons (...) of Great Britain and Ireland and the British Association of Surgical Oncology. The BAES advises the SAC and the Intercollegiate Board on the Curriculum for Training in Endocrine Surgery. In 1998, Members of the Association at the Annual Meeting mandated the Executive to form a working party for the purpose of drafting Guidelines for recommended practice in endocrine surgery. The general membership of the BAES had the opportunity to review and comment on the Guidelines which were first published in 1999

2003 British Association of Endocrine and Thyroid Surgeons

11910. evidence-based medicine

evidence-based medicine evidence-based medicine - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search evidence-based medicine "Evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients" - Sackett et al. It is is a process which combines the individual doctor's expertise, the best available external clinical evidence (...) and the patient's preferences when making decisions about the patient's health care. This section is based on the EBM group's BMJ leader in 1996, which was also used in the introduction to their book. BMJ 13th Jan 1996 vol 312 71-2 Sackett DL, Rosenberg WMC, Gray JAM, & Richardson WS. Evidence-based medicine: what it is and what it is not. Evidence-based Medicine: How to practice and teach EBM (same authors) Churchill Livingstone 1997. Links: General Practice Notebook General Practice Notebook The information

2010 GP Notebook

11911. LASIK surgery: Is it right for you?

receive blows to the face and eyes, such as during martial arts or boxing, LASIK surgery may not be a good choice for you. Are you healthy? Your eye surgeon will also ask detailed questions about your general health. Certain medical conditions, unrelated to your eyes, can increase the risks associated with LASIK surgery or make the outcome less predictable. These include: Any disease or condition that affects your immune system and impairs your ability to heal or makes you more prone to infections (...) " placeholder="Search Mayo Clinic" /> Products and services LASIK surgery: Is it right for you? LASIK eye surgery may mean no more corrective lenses. But it's not right for everybody. Learn whether you're a good candidate and what to consider as you weigh your decision. If you're tired of wearing eyeglasses or contact lenses, you may wonder whether LASIK surgery is right for you. LASIK is a type of refractive eye surgery. In general, most people who have laser-assisted in-situ keratomileusis (LASIK) eye

2008 Mayo Decision Aids

11912. Angina treatment: Stents, drugs, lifestyle changes - What's best?

. Generally, if you have mild stable angina that is controlled by medications, you may not need further treatments. If you're experiencing symptoms of chronic stable angina even after taking medications and making lifestyle changes, or if you're at higher risk of serious heart disease, your doctor may recommend angioplasty or coronary bypass surgery. Making a decision on how to treat your angina can be difficult, but knowing the benefits and risks of stents and medications may help you decide. Why (...) inserts a tiny balloon in your narrowed artery through a catheter that's placed in an artery, generally in your groin. Your doctor inflates the balloon to widen the artery, and then he or she may insert a small metal tube (stent) to keep the artery open. Some stents are bare metal, some are covered with a synthetic fabric, and others are coated with medications to help keep your artery open (drug-eluting stents). Angioplasty and stenting involve some risks. These include a risk of blockages re-forming

2008 Mayo Decision Aids

11913. Glucose

inserted beneath the skin of the abdomen that measures blood glucose every five minutes. Note: In general, it is recommended that you fast at least 8 hours before having a blood glucose test. However, people with diabetes are often required to have their glucose levels checked both while fasting and after meals to provide the best control of their diabetes. Test Preparation Needed? In general, it is recommended that you fast (nothing to eat or drink except water) for at least 8 hours (generally 8-10 (...) information including age, ethnicity, health history, signs and symptoms, laboratory and other procedures (radiology, endoscopy, etc.), can be considered. Lab Tests Online-UK is an educational website designed to provide patients and carers with information on laboratory tests used in medical care. We are not a laboratory and are unable to comment on an individual's health and treatment. Looking for Reference Ranges? Reference ranges are dependent on many factors, including patient age, gender, sample

2004 Lab Tests Online UK

11914. Cervical Smear

for screening at 3 yearly intervals and those between 45 and 60 at 5 yearly intervals. Sample Required? Cells from the cervix (neck of the womb) Test Preparation Needed? You may be asked to refrain from sexual intercourse for 24-48 hours before the test, avoid using vaginal creams or foams in the 48 hours before the test and book the test appointment 10-14 days after the beginning of your last menstrual period. Looking for Test Results? On average it takes 7 working days for the blood test results to come (...) are concerned about your test results, you will need to arrange an appointment with your doctor so that all relevant information including age, ethnicity, health history, signs and symptoms, laboratory and other procedures (radiology, endoscopy, etc.), can be considered. Lab Tests Online-UK is an educational website designed to provide patients and carers with information on laboratory tests used in medical care. We are not a laboratory and are unable to comment on an individual's health and treatment

2004 Lab Tests Online UK

11915. Cervical screening

for screening at 3 yearly intervals and those between 45 and 60 at 5 yearly intervals. Sample Required? Cells from the cervix (neck of the womb) Test Preparation Needed? You may be asked to refrain from sexual intercourse for 24-48 hours before the test, avoid using vaginal creams or foams in the 48 hours before the test and book the test appointment 10-14 days after the beginning of your last menstrual period. Looking for Test Results? On average it takes 7 working days for the blood test results to come (...) are concerned about your test results, you will need to arrange an appointment with your doctor so that all relevant information including age, ethnicity, health history, signs and symptoms, laboratory and other procedures (radiology, endoscopy, etc.), can be considered. Lab Tests Online-UK is an educational website designed to provide patients and carers with information on laboratory tests used in medical care. We are not a laboratory and are unable to comment on an individual's health and treatment

2004 Lab Tests Online UK

11916. Hepatitis B

website or portal, or contact your healthcare practitioner in order to obtain your test results. Lab Tests Online is an award-winning patient education website offering information on laboratory tests. The content on the site, which has been reviewed by laboratory scientists and other medical professionals, provides general explanations of what results might mean for each test listed on the site, such as what a high or low value might suggest to your healthcare practitioner about your health (...) or medical condition. Looking for Reference Ranges? The reference ranges for your tests can be found on your laboratory report. They are typically found to the right of your results. If you do not have your lab report, consult your healthcare provider or the laboratory that performed the test(s) to obtain the reference range. Laboratory test results are not meaningful by themselves. Their meaning comes from comparison to reference ranges. Reference ranges are the values expected for a healthy person

2004 Lab Tests Online USA

11917. AFP Tumor Marker

in order to provide you with background information about the test(s) you had performed. You will need to return to your lab's website or portal, or contact your healthcare practitioner in order to obtain your test results. Lab Tests Online is an award-winning patient education website offering information on laboratory tests. The content on the site, which has been reviewed by laboratory scientists and other medical professionals, provides general explanations of what results might mean for each test (...) insert]. PDF available for download at http://liver.wakousa.com/pdfs/packageinsert.pdf. Hepatocellular Carcinoma: Alpha Fetoprotein. Specialty Laboratories [On-line information]. Available online at http://www.specialtylabs.com/books/display.asp?id=529. Grund, S. (2004 August 10, Updated). Hepatocellular Carcinoma. MedlinePlus, Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/000280.htm. (2005 April 14, Modified). Hepatocellular Cancer

2004 Lab Tests Online USA

11918. The DiAMOND trial protocol: a randomised controlled trial of two decision aids for mode of delivery among women with a previous caesarean section [ISRCTN84367722]. Full Text available with Trip Pro

have specifically highlighted the importance of patient choice in the decision making process. For women who have already experienced CS, the UK National Institute of Clinical Excellence recommends that the decision should consider maternal preferences and priorities in addition to general discussion of the overall risks and benefits of CS. Decision aids for many different medical treatment and screening decisions have been developed and evaluated, but there is relatively little evidence (...) for the use of decision aids for choice of mode of delivery among women with a previous CS. The aim of the study is to evaluate two interventions to assist decision making about mode of delivery among pregnant women with one previous CS. METHODS/DESIGN: Women with one previous CS are recruited to the trial during their booking visit at approximately 12-20 weeks' gestation in participating maternity units in Bristol, Weston and Dundee. Using central randomisation, women are allocated to one of three arms

2004 BMC pregnancy and childbirth Controlled trial quality: predicted high

11919. Pilot Study of Dietary Modification of Appetite Set Point in Obesity

Assignment Masking: None (Open Label) Primary Purpose: Treatment Official Title: A Pilot 6 Week Study of the Feasibility and Acceptability of Dietary Modification With the Goal of Changing the Appetite Set Point in People Taking Medications That Cause Weight Gain Through Increased Appetite. Study Start Date : June 2008 Estimated Primary Completion Date : September 2008 Estimated Study Completion Date : September 2008 Resource links provided by the National Library of Medicine related topics: available (...) and consent form, including people who have active psychosis Type 1 Diabetes Inability to read at the 4th grade level Current alcohol abuse as determined by the primary provider, or illicit substance use Current warfarin use Bleeding disorder or thrombocytopenia Allergy to fish oil, flaxseed oil, or olive oil Current use of any medication that has a probable negative interaction with any of the oils used in the intervention Contacts and Locations Go to Information from the National Library of Medicine

2008 Clinical Trials

11920. Supplementing Hearing Aids With Computerized Auditory Training

can range from 0 to 100, were used for all analyses. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 55 (...) by (Responsible Party): VA Office of Research and Development Study Details Study Description Go to Brief Summary: The study is designed to examine the effectiveness of a computer-based auditory training program to improve the benefits received by individuals who wear hearing aids. The study will involve 3 groups - a computer-based training group, an active listening group which will involve listening to books on CD, and a placebo group that receives no additional treatment. Condition or disease Intervention

2008 Clinical Trials

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