Hakimed: Medical Resources


Kanal geosi va tili: Efiopiya, Inglizcha
Toifa: Tibbiyot


Discover essential medical insights, updated medical guidelines, apps, articles, and courses.
Contact: @HakimedAd
For medical guidelines: @Hakimedbot
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Kanal geosi va tili
Efiopiya, Inglizcha
Statistika
Postlar filtri


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New Ethiopian Guideline 👇👇


🗞 Medical Articles

Source: Annals of Emergency Medicine (an international journal)


Topic: Is Subcutaneous Insulin Administration Safe and Effective for the Treatment of Mild to Moderate Diabetic Ketoacidosis?

Study Details: A review of 6 RCTs and 4 observational studies (8,689 adults) compared IV vs. SC insulin for mild to moderate DKA. Outcomes included DKA resolution time, hospital stay, ICU need, hypoglycemia, hypokalemia, and mortality.

Results:
▪️DKA resolution time: No significant difference between IV and SC insulin.
▪️Hospital stay: Some studies showed shorter stays with SC insulin, but pooled analysis found no statistical difference.
▪️Hypoglycemia & hypokalemia: No significant differences noted.
▪️Mortality: No deaths in RCTs; one sepsis-related death in an observational study.

Conclusion: SC insulin is a viable alternative to IV insulin for mild to moderate DKA, with similar efficacy and safety. More data on hypokalemia risk is needed.

Link: https://www.annemergmed.com/article/S0196-0644(24)01191-0/fulltext

@HakimApps_Guideline


Consensus_recommendations_on_fasting_during_Ramadan_for_patients.pdf
1.2Mb
2024 Consensus recommendations on fasting during Ramadan for patients with kidney disease: review of available evidence and a call for action (RaK Initiative)

Source: BMC Nephrology

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📗 kidney disease and Ramadan (fasting) recommendations 👇👇


Ramadan_fasting_recommendations_for_patients_with_cardiovascular.pdf
1.3Mb
2022 Ramadan fasting: recommendations for patients with cardiovascular disease
BMJ article

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Recommendations_for_Ramadan_fasting_to_patients_with_cardiovascular.pdf
161.7Kb
Recommendations for Ramadan fasting to patients with cardiovascular diseases; Turkish Society of Cardiology consensus report 2021

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📕Cardiovascular disease and Ramadan (fasting) recommendations 👇👇


Hakimed: Medical Resources dan repost
24 DM & Ramadan ISAPAD 22.pdf
1.5Mb
Diabetes and Ramadan Practical Guidelines 2021.pdf
11.6Mb
ISPAD Clinical Practice Consensus Guidelines 2022: Ramadan and other religious fasting by young people with diabetes

@HakimApps_Guideline


Hakimed: Medical Resources dan repost
📓 Diabetes mellitus and Ramadan (fasting) related guidelines 👇👇


rao_et_al_2025_2025_acc_aha_acep_naemsp_scai_guideline_for_the_management.pdf
5.0Mb
2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes

Full guideline

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2025_Guideline_for_the_Management_of_Patients_With_Acute_Coronary.pdf
1.4Mb
2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients with Acute Coronary Syndromes ppt

@HakimApps_Guideline


New Cardiology Guideline 👇👇


🟡 Urology Algorithm

Topic: Microhematuria Diagnostic Algorithm

Source: American Urological Association 2025


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MH Unabridged 02.2025FINAL.pdf
1.1Mb
Microhematuria: AUA/SUFU Guideline (2025)

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MUMS Pulmonary group dan repost
#Cannonball_appearance
#Lung_metastasis

Cannonball appearance refers to multiple large, well-demarcated, round, or oval pulmonary nodules, resembling cannonballs in shape.
This CT feature is typically linked to pulmonary metastases, mainly from renal cell carcinoma and choriocarcinoma and less frequently from prostate, endometrial carcinoma, and adrenal carcinomas or synovial sarcoma.
Rarely, schwannoma metastasis to lungs and pulmonary diffuse large B-cell lymphoma may present as cannonball appearance.


🗞 Medical Articles

Source: PubMed


Topic: Apixaban vs. Aspirin for Stroke Prevention in Subclinical Afib

Background: This ARTESiA subgroup analysis assessed apixaban vs. aspirin in patients with prior stroke/TIA.

Methods: A double-blind RCT at 247 sites in 16 countries included 4,012 adults (≥55 years, CHA2DS2-VASc ≥3) with device-detected subclinical Afib. 346 patients with prior stroke/TIA received apixaban 5 mg bid or aspirin 81 mg daily.

Findings:
▪️Stroke/systemic embolism rates: 1.20% (apixaban) vs. 3.14% (aspirin) (HR 0.40)
▪️Major bleeding: 2.26% (apixaban) vs. 1.16% (aspirin) (HR 1.94)
▪️Absolute risk reduction: 7% (prior stroke/TIA) vs. 1% (no prior stroke/TIA)

Conclusion: Apixaban significantly reduces stroke risk (7% absolute reduction) but increases major bleeding (3% absolute increase) in subclinical Afib with prior stroke/TIA. Careful risk-benefit assessment is needed.

Link: https://pubmed.ncbi.nlm.nih.gov/39862882/

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20 ta oxirgi post ko‘rsatilgan.