The pharmacological management of asthma has changed considerably in recent decades, as it has come to be understood that it is a complex, heterogeneous disease with different phenotypes and endotypes. It is now clear that the goal of asthma treatment should be to achieve and maintain control of the... disease, as well as to minimize the risks (of exacerbations, disease instability, accelerated loss of lung function, and adverse treatment effects). That requires an approach that is personalized in terms of the pharmacological treatment, patient education, written action plan, training in correct inhaler use, and review of the inhaler technique at each office visit. A panel of 22 pulmonologists was invited to perform a critical review of recent evidence of pharmacological treatment of asthma and to prepare this set of recommendations, a treatment guide tailored to use in Brazil. The topics or questions related to the most significant changes in concepts, and consequently in the management of asthma in clinical practice, were chosen by a panel of experts. To formulate these recommendations, we asked each expert to perform a critical review of a topic or to respond to a question, on the basis of evidence in the literature. In a second phase, three experts discussed and structured all texts submitted by the others. That was followed by a third phase, in which all of the experts reviewed and discussed each recommendation. These recommendations, which are intended for physicians involved in the treatment of asthma, apply to asthma patients of all ages.
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En las Actuaciones esenciales en materia de género y de SIDA se detalla una serie de pasos y procesos para ayudar a los involucrados en los países a acelerar y ampliar la acción en materia de igualdad de género, con el fin de fortalecer las respuestas nacionales al SIDA, y se destaca la importan...cia de establecer prioridades de programas de género y de SIDA y el hecho de que esas prioridades variarán según la configuración de la epidemia en el país y de su contexto local.
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Update, 23 de junio de 2022
DIAGNOSIS, MANAGEMENT OF UNCOMPLICATED AND SEVERE MALARIA
2nd. edition
The new edition has been developed to make widely available to programme managers, health care workers in endemic settings, academic researchers, and other key partners, a concise source of information on strategies for MMDP for LF. It is a product of efforts to elaborate and concepts ...and approaches introduced in the previous edition, with a focus on ensuring that countries have the tools necessary to provide the essential package of care for LF.
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Case Management; Guide for Tutors
4ª edição
Nos próximos meses, a COVID Reference apresentará atualizações regulares e narrará os dados científicos o mais coerente possível.
Updated 2022. This guide addresses the care pathway from presentation of the patient to a health facility to patient discharge. It considers different levels of disease severity, from asymptomatic individuals to critically ill patients. Accounting for variations in the benefits and harms of chest im...aging in different situations, remarks are provided to describe the circumstances under which each recommendation would benefit patients. The guide also includes implementation considerations for different settings, provides suggestions for impact monitoring and evaluation and identifies knowledge gaps meriting further research.
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This Tuberculosis guide has been developed jointly by Médecins Sans Frontières and Partners In Health. It aims at providing useful information to the clinicians and health staff for the comprehensive management of tuberculosis. Forms of susceptible and resistant tuberculosis, tuberculosis in child...ren, and HIV co-infection are all fully addressed.
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Manual of Operations
First Edition 2016
A partir de que el SARS-CoV-2 se detectó en China en diciembre de 2019, la COVID-19 se ha convertido rápidamente
en una pandemia. Los pacientes con COVID-19 presentan síntomas respiratorios inespecíficos de intensidad variable y
en ocasiones se les debe prestar ventilación asistida avanzada. ...Actualmente, el diagnóstico de COVID-19 se confirma
mediante la realización de pruebas analíticas, a saber, la determinación de ARN vírico a través de la reacción en
cadena de la polimerasa con retrotranscriptasa (RT PCR).
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