636. Viral bronchiolitis.
Viral bronchiolitis is a common clinical syndrome affecting infants and young children. Concern about its associated morbidity and cost has led to a large body of research that has been summarised in systematic reviews and integrated into clinical practice guidelines in several countries. The evidence and guideline recommendations consistently support a clinical diagnosis with the limited role for diagnostic testing for children presenting with the typical clinical syndrome of viral upper respiratory infection progressing to the lower respiratory tract. Management is largely supportive, focusing on maintaining oxygenation and hydration of the patient. Evidence suggests no benefit from bronchodilator or corticosteroid use in infants with a first episode of bronchiolitis. Evidence for other treatments such as hypertonic saline is evolving but not clearly defined yet. For infants with severe disease, the insufficient available data suggest a role for high-flow nasal cannula and continuous positive airway pressure use in a monitored setting to prevent respiratory failure.
637. Safety and efficacy of vertebroplasty for acute painful osteoporotic fractures (VAPOUR): a multicentre, randomised, double-blind, placebo-controlled trial.
作者: William Clark.;Paul Bird.;Peter Gonski.;Terrence H Diamond.;Peter Smerdely.;H Patrick McNeil.;Glen Schlaphoff.;Carl Bryant.;Elizabeth Barnes.;Val Gebski.
来源: Lancet. 2016年388卷10052期1408-1416页
We hypothesised that vertebroplasty provides effective analgesia for patients with poorly controlled pain and osteoporotic spinal fractures of less than 6 weeks' duration. The effectiveness of vertebroplasty, using an adequate vertebral fill technique, in fractures of less than 6 weeks' duration has not been specifically assessed by previously published masked trials.
640. Adalimumab for prevention of uveitic flare in patients with inactive non-infectious uveitis controlled by corticosteroids (VISUAL II): a multicentre, double-masked, randomised, placebo-controlled phase 3 trial.
作者: Quan Dong Nguyen.;Pauline T Merrill.;Glenn J Jaffe.;Andrew D Dick.;Shree Kumar Kurup.;John Sheppard.;Ariel Schlaen.;Carlos Pavesio.;Luca Cimino.;Joachim Van Calster.;Anne A Camez.;Nisha V Kwatra.;Alexandra P Song.;Martina Kron.;Samir Tari.;Antoine P Brézin.
来源: Lancet. 2016年388卷10050期1183-92页
Non-infectious uveitis is a potentially sight-threatening ocular disorder caused by chronic inflammation and its complications. Therapeutic success is limited by systemic adverse effects associated with long-term corticosteroid and immunomodulator use if topical medication is not sufficient to control the inflammation. We aimed to assess the efficacy and safety of adalimumab in patients with inactive, non-infectious uveitis controlled by systemic corticosteroids.
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