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Gastroenterologia

Psichiatria

Pneumologia

Cardiologia

Gastroenterologia  
Discussant: Dott. Guidoboni, Dott. Gullini, Dott. Zoli

• Presentazione caso clinico

• Evidence appraised

• Linee guida

• Hanauer SB, Meyers S for the American College of Gastroenterology. Treatment Guideline Crohn's Disease in Adults Am J Gastroenterol 1997;92:599-66

• British Society of Gastroenterology. Inflammatory Bowel Disease. 1996

• Revisioni sistematiche

• COCHRANE INFLAMMATORY BOWEL DISEASE GROUP

• Azathioprine for maintaining remission of Crohn's disease (Cochrane Review)

• Azathioprine or 6-Mercaptopurine for inducing remission of Crohn's disease (Cochrane Review)

• Corticosteroids for maintaining remission of Crohn's disease (Cochrane Review)

• 5 aminosalicylate for maintaining remission of Crohn's disease (Protocol)

• Antibiotics for inducing remission of Crohn's disease (Protocol)

• Budesonide for inducing remission of Crohn's disease (Protocol)

• Budesonide for maintaining remission of Crohn's disease (Protocol)

• Cyclosporine for inducing remission of Crohn's disease (Protocol)

• Cyclosporine for maintaining remission of Crohn's disease (Protocol)

• Enteral nutritional therapy for inducing remission of Crohn's disease (Protocol)

• Camma C, Giunta M, Rosselli M, Cottone M.Mesalamine in the maintenance treatment of Crohn's disease: a meta-analysis adjusted for confounding variables. Gastroenterology 1997;113:1465-73.

• Revisioni non sistematiche

• Bell SJ, Kamm MA. Review article: the clinical role of anti-TNF alpha antibody treatment in Crohn's disease.Aliment Pharmacol Ther. 2000 May;14(5):501-14.

• Bell S, Kamm MA.Antibodies to tumour necrosis factor alpha as treatment for Crohn's disease. Lancet. 2000 Mar 11;355(9207):858-60.

• Achkar JP, Hanauer SB. Medical therapy to reduce postoperative Crohn's disease recurrence.Am J Gastroenterol 2000 May;95(5):1139-46

• Yamamoto T, Keighley MR. Smoking and disease recurrence after operation for Crohn's disease. Br J Surg. 2000 Apr;87(4):398-404.

• Borley NR, Mortensen NJ, Jewell DP. Preventing postoperative recurrence of Crohn's disease. Br J Surg. 1997 Nov;84(11):1493-502.

• Korelitz BI.  The role of liquid diet in the management of small bowel Crohn's disease.Inflamm Bowel Dis 2000;6:66-7

• Ricerca primaria (RCTs ed altri studi)

• Lochs H, Mayer M, Fleig WE, et al.  Prophylaxis of postoperative relapse in Crohn's disease with mesalamine: European Cooperative Crohn's Disease Study VI. Gastroenterology 2000 Feb;118(2):264-73.

• Ewe K, Bottger T, Buhr HJ, Ecker KW, Otto HF. Low-dose budesonide treatment for prevention of postoperative recurrence of Crohn's disease: a multicentre randomized placebo-controlled trial. German Budesonide Study Group.  Eur J Gastroenterol Hepatol 1999 Mar;11(3):277-82

• Hellers G, Cortot A, Jewell D, et al. Oral budesonide for prevention of postsurgical recurrence in Crohn's disease. The IOIBD Budesonide Study Group. Gastroenterology 1999 Feb;116(2):294-300

Psichiatria  
Discussant: Dott. Bassi, Dott. Facchini, Dott. Verri

• Presentazione caso clinico

• Evidence appraised

• Linee guida

• Ballenger JC, Davidson JR, Lecrubier Y, et al. Consensus statement on posttraumatic stress disorder from the International Consensus Group on Depression and Anxiety. J Clin Psychiatry. 2000;61 Suppl 5:60-6

• Foa EB, Davidson JRT, Frances A, eds. The Expert Consensus Guideline Series: Treatment of Posttraumatic Stress Disorder. J Clin Psychiatry 1999;60 (suppl 16).

• Summary of the practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder.American Academy of Child and Adolescent Psychiatry J Am Acad Child Adolesc Psychiatry. 1998 Sep;37(9):997-1001

• Revisioni sistematiche

• Pharmacotherapy of Posttraumatic Stress Disorder  (Protocol for a Cochrane Review).

• Kuch K, Cox BJ, Evans RJ. Posttraumatic stress disorder and motor vehicle accidents: a multidisciplinary overview. Can J Psychiatry 1996 Sep;41(7):429-34

• Revisioni non sistematiche

• Butler DJ, Moffic HS, Turkal NW. Post-traumatic stress reactions following motor vehicle accidents. Am Fam Physician 1999 Aug;60(2):524-31

• Turner S. Place of pharmacotherapy in post-traumatic stress disorder. Lancet 1999 23;354:1404-5

• Ricerca primaria (RCTs ed altri studi)

• Mayou R, Bryant B, Duthie R. Psychiatric consequences of road traffic accidents.BMJ 1993 Sep 11;307(6905):647-51

• Di Gallo A, Parry-Jones WL. Psychological sequelae of road traffic accidents: an inadequately addressed problem. Br J Psychiatry. 1996 Oct;169(4):405-7.

• Blaszczynski A, Gordon K, Silove D, et al. Psychiatric morbidity following motor vehicle accidents: a review of methodological issues. Compr Psychiatry 1998 May-Jun;39(3):111-21

• Ehlers A, Mayou RA, Bryant B Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. J Abnorm Psychol 1998 Aug;107(3):508-19

• Koren D, Arnon I, Klein E. Acute stress response and posttraumatic stress disorder in traffic accident victims: a one-year prospective, follow-up study. Am J Psychiatry 1999 Mar;156(3):367-73

Pneumologia  
Discussant: Dott.ssa Benini, Dott. Falcone, Dott. Potena

• Presentazione caso clinico

• Evidence appraised

• Linee guida

• Infectious Diseases Society of America. September 2000

• European Respiratory Society. Eur Respir J 1998;11:986-91

• American Thoracic Society. Am Rev Respir Dis 1993;148:1418-26

• British Thoracic Society. Br J Hosp Med 1993;49:346-50

• Revisioni sistematiche

• Antibiotics for community acquired pneumonia in adult outpatients (Protocol for a Cochrane Review)

• Metlay J P, Kapoor W N, Fine M J. Does this patient have community-acquired pneumonia? Diagnosing pneumonia by history and physical examination. JAMA1997;278:1440-5

• Revisioni non sistematiche

• Pomilla PV, Brown RB. Outpatient treatment of community-acquired pneumonia in adults. Arch Intern Med 1994;154:1793-802

• Ricerca primaria (RCTs ed altri studi)

• Marrie TJ, Lau CY, Wheeler SL, et al. A controlled trial of a critical pathway for treatment of community-acquired pneumonia JAMA 2000;283:749–755

• Fine MJ, Auble TE, et al. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med 1997;336:243-50

• Clinical Prediction Rule (Fine, 1997)

Cardiologia  
Discussant: Dott. Alboni, Dott. Soffritti, Dott. Toselli

• Presentazione caso clinico

• Evidence appraised

• Linee guida

• American College of Chest Physicians. Fifth ACCP consensus conference on antithrombotic therapy. Chest 1998;114(5 Suppl):439S-769S

• European Society of Cardiology. Eur Heart J 1998;19:1294-1320

• Scottish Intercollegiate Guidelines Network (SIGN). Antithrombotic Therapy. March 1999    (Quick reference)

• Thomson R, Parkin D, Eccles M, Sudlow M, Robinson A. Decision analysis and guidelines for anticoagulant therapy to prevent stroke in patients with atrial fibrillation. Lancet 2000;355:956-62

• Revisioni sistematiche

• Agency for Health Care Research and Quality. Evidence Report/Technology Assessment Number 12. Management of New Onset Atrial Fibrillation. AHRQ Publication No. 00-E006, May 2000

• Ricerca primaria (RCTs ed altri studi)

• Kochiadakis GE, Igoumenidis NE, Marketou ME, et al.Low dose amiodarone and sotalol in the treatment of recurrent, symptomatic atrial fibrillation.A comparative, placebo controlled study.Heart 2000;84:251-7

• Joseph AP, Ward MR. A prospective, randomized controlled trial comparing the efficacy and safety of sotalol, amiodarone, and digoxin for the reversion of new-onset atrial fibrillation. Ann Emerg Med 2000;36:1-9

• Roy D, Talajic M, Dorian P, et al. Amiodarone to prevent recurrence of atrial fibrillation Canadian Trial of Atrial Fibrillation Investigators.N Engl J Med 2000;342:913-20