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[Guidelines for the basic management of chronic kidney disease]. 【慢性肾脏疾病基本治疗指南】。
Revue medicale de Liege Pub Date : 2025-05-01
Pierre Delanaye, Nicolas Paquot, François Jouret, André Scheen
{"title":"[Guidelines for the basic management of chronic kidney disease].","authors":"Pierre Delanaye, Nicolas Paquot, François Jouret, André Scheen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article outlines the 2024 KDIGO («Kidney Disease: Improving Global Outcomes») guidelines to slow the progression of chronic kidney disease in adults. Non-pharmacological measures include a healthy diet (Mediterranean or vegetarian), regular physical activity (150 minutes per week), smoking cessation, and weight loss. A low-salt diet (less than 5 g of salt per day) is also recommended. The latest KDIGOs advise a protein intake of 0.8 g/kg/day, with a potential reduction for some non-diabetic patients. Concerning drug-based therapies, renin-angiotensin system inhibitors remain crucial, particularly for patients with pathological albuminuria. Sodium-glucose cotransporter 2 inhibitors are becoming a key pillar of nephroprotection, even in non-diabetic patients. Mineralocorticoid receptor antagonists like finerenone and glucagon-like peptide-1 receptor agonists further enhance therapeutic options, especially in diabetic nephropathy. Finally, contrary to previous assumptions, reducing uric acid and systematically correcting acidosis are not considered as nephroprotective measures.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"376-380"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Multidisciplinary concussion management recommendations]. [多学科脑震荡管理建议]。
Revue medicale de Liege Pub Date : 2025-05-01
Mélanie Louras, Aurore Thibaut, Nathalie Maquet, Michiel Meys, Gaël Delrue, Aude Barjona, Jean-François Kaux, Nicolas Lejeune, Géraldine Martens
{"title":"[Multidisciplinary concussion management recommendations].","authors":"Mélanie Louras, Aurore Thibaut, Nathalie Maquet, Michiel Meys, Gaël Delrue, Aude Barjona, Jean-François Kaux, Nicolas Lejeune, Géraldine Martens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Concussions represent a major public health concern due to their high prevalence and the risk of long-term consequences. In some patients, they can lead to persistent post-concussion symptoms lasting for several months or even years, significantly impacting their quality of life. To date, no curative treatment exists for this syndrome, but early and appropriate management plays a key role in preventing long-term complications. However, concussions often remain underdiagnosed, both by healthcare professionals and the patients themselves. Various assessment tools have been developed to facilitate the identification of concussions and to guide the gradual return to daily activities, whether sports-related, educational, or professional. This article synthesizes these tools and highlights their relevance at different stages of care : acute, subacute, and chronic. Clinicians will be better informed to improve the diagnosis and management of concussions in their respective fields. Furthermore, raising awareness among the medical and sports communities, as well as the general population, about the benefits of proper concussion management remains essential in order to optimize recovery and limit long-term negative consequences.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"448-455"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Update on recommendations for the diagnosis and management of ARDS]. [关于ARDS诊断和管理的最新建议]。
Revue medicale de Liege Pub Date : 2025-05-01
Gilles Parzibut, Quentin Maloir, Paul Massion, Bernard Lambermont
{"title":"[Update on recommendations for the diagnosis and management of ARDS].","authors":"Gilles Parzibut, Quentin Maloir, Paul Massion, Bernard Lambermont","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since its first description 50 years ago, much progress has been made in the diagnosis and management of ARDS (Acute Respiratory Distress Syndrome). In this context, we regularly benefit from updates of best guidelines. Here we present a summary of the most recent guidelines based on the latest publications from the European and American intensive care societies.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"334-338"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Practical guidelines for the treatment of obsessive-compulsive disorders]. [强迫症治疗实用指南]。
Revue medicale de Liege Pub Date : 2025-05-01
Gabrielle Scantamburlo
{"title":"[Practical guidelines for the treatment of obsessive-compulsive disorders].","authors":"Gabrielle Scantamburlo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obsessive-compulsive disorders (OCD) are characterized by obsessions (recurrent, inappropriate thoughts or images) and/or compulsions (repetitive behaviours or mental acts) that cause marked impairment in functioning. This article summarizes the principles and recommendations of care for OCD. A \"stepped care\" approach is recommended, with increasing intensity of treatment according to severity and clinical complexity. The pillars of care articulate different components, starting with building a therapeutic alliance and psychoeducation, followed by psychotherapeutic and/or pharmacological approaches and, in cases of resistance, neuromodulation. The article integrates the need for an individualized strategy centered on an integrated brain health approach.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"463-471"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Towards optimal quality in anatomical pathology : standards, indicators and good practice]. [解剖学病理学的最佳质量：标准、指标和良好实践]。
Revue medicale de Liege Pub Date : 2025-05-01
Lionel Navez, Béatrice Akiki, Philippe Delvenne
{"title":"[Towards optimal quality in anatomical pathology : standards, indicators and good practice].","authors":"Lionel Navez, Béatrice Akiki, Philippe Delvenne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The anatomical pathology laboratory receives human tissue samples, which are examined for the diagnosis of disease. At every stage of this process, from sending the sample to the laboratory to communicating the final diagnosis, there is a risk of error and nonconformity. This can affect the quality of the analyses that are performed. Standards and procedures exist, at the national and international levels. Applying these procedures and adhering to the current standards help to reduce risk of errors, to improve diagnostic accuracy and speed and ultimately to provide optimal patient care.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"301-307"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Recommendations for the management of kidney cancer in 2025]. [2025年肾癌治疗建议]。
Revue medicale de Liege Pub Date : 2025-05-01
Manon Wick, Chloé Denis, Pierre Frères, Brieuc Sautois, David Waltregny, Christine Gennigens
{"title":"[Recommendations for the management of kidney cancer in 2025].","authors":"Manon Wick, Chloé Denis, Pierre Frères, Brieuc Sautois, David Waltregny, Christine Gennigens","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The incidence of kidney cancer is rising. It is the 7th most common cancer in men and the 10th most common in women. Diagnosis is based on imaging (thoraco-abdominopelvic computed tomography scan +/- abdominal magnetic resonance) and histopathology. Clear cell carcinoma is the most frequently observed histological subtype. Management of localized kidney cancer involves surgery or ablative treatments. Active surveillance is indicated in the indolent oligometastatic setting with local treatment in case of localized progression. Apart from this specific situation, two first-line therapeutic strategies are recommended in the metastatic setting : a dual immunotherapy regimen or the combination of immunotherapy with an antiangiogenic tyrosine kinase inhibitor. Both combinations have demonstrated superior survival outcomes compared to sunitinib, the previous standard of care until 2019. Treatment selection should be individualized, considering the characteristics of the disease (histology, tumour burden, location of metastases and if they are threatening, speed of progression), potential side effects of the treatments, the patient's general health, comorbidities and preferences.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"323-329"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Hypertension : two European recommendations, two strategies, one clinical challenge]. [高血压：两个欧洲建议，两个策略，一个临床挑战]。
Revue medicale de Liege Pub Date : 2025-05-01
Justine Huart, François Jouret, Patrizio Lancellotti
{"title":"[Hypertension : two European recommendations, two strategies, one clinical challenge].","authors":"Justine Huart, François Jouret, Patrizio Lancellotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After the joint publication of hypertension management guidelines in 2003, 2007, 2013, and 2018, the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC) decided to issue their recommendations separately - ESH in 2023 and ESC in 2024. Notable differences include the ESC's new blood pressure classification, which significantly impacts patient management. Other variations exist in diagnosis and treatment algorithms, yet both approaches remain complementary. Rather than a hurdle, this duality offers valuable flexibility, allowing treatment to be tailored to the patient and the clinician's judgment. The key priority remains: combating therapeutic inertia in this common condition with serious consequences.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"363-368"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Recommendations for good clinical practice in the management of delirium and associated behavioural crisis]. [谵妄和相关行为危机管理的良好临床实践建议]。
Revue medicale de Liege Pub Date : 2025-05-01
Marion Legros, Kooshalsing Jooharoo, Sophie Gillain
{"title":"[Recommendations for good clinical practice in the management of delirium and associated behavioural crisis].","authors":"Marion Legros, Kooshalsing Jooharoo, Sophie Gillain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is essential not to overlook the presence of an acute confusional syndrome (delirium) and to promptly determine and treat its cause(s). Any abrupt change in wakefulness, alertness, cognitive functioning, language, mood or behaviour should be considered as a potential sign of delirium and should be confirmed for. Identifying the cause(s) of the delirium is based on a probabilistic approach, taking into account the recent clinical context and the patient's profile. Management of confusion, with or without medication, must include treatment of associated behavioural symptoms and prevention of complications. Finally, all elderly patients with no history of dementia who have experienced delirium should benefit from cognitive and functional follow-up after the acute event.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"456-462"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[New recommendations for maternal-infant care in HIV]. [艾滋病毒母婴护理新建议]。
Revue medicale de Liege Pub Date : 2025-05-01
Charlène Materne, Véronique Masson, Benoit Pirotte, Vincent Rigo, Françoise Uurlings, Véronique Schmitz
{"title":"[New recommendations for maternal-infant care in HIV].","authors":"Charlène Materne, Véronique Masson, Benoit Pirotte, Vincent Rigo, Françoise Uurlings, Véronique Schmitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 2023, BREACH («Belgium Research on AIDS and HIV Consortium») presented new Belgian consensus guidelines for perinatal management of HIV-positive mothers. This article aims to highlight them. We review maternal management, discussing the importance of antiretroviral agents during pregnancy, the recommended follow-up and the preferred mode of delivery. The specificities for the infant will be addressed and include management at birth, post-exposure prophylaxis, new developments regarding breast-feeding and necessary follow-up.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"428-435"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[International guidelines for the assessment of chronic kidney disease]. [国际慢性肾脏疾病评估指南]。
Revue medicale de Liege Pub Date : 2025-05-01
Pierre Delanaye, François Jouret, Étienne Cavalier
{"title":"[International guidelines for the assessment of chronic kidney disease].","authors":"Pierre Delanaye, François Jouret, Étienne Cavalier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The new KDIGO («Kidney Disease Improving Global Outcomes») 2024 guidelines on chronic kidney disease (CKD) provide significant updates. They reaffirm the importance of the glomerular filtration rate (GFR) and of the urine albumin-to-creatinine ratio (ACR) for diagnosing and classifying CKD. CKD is defined by a GFR < 60 mL/min/1.73 m² and/or ACR > 30 mg/g and/or persistent renal abnormalities for at least three months. The main innovation is the preferential use of equations combining creatinine and cystatin C to estimate GFR, although cystatin C assay may not always be available or reimbursed. The guidelines also recommend the EKFC («European Kidney Function Consortium») equations, particularly suited to Europe and applicable to all age groups. ACR remains a key indicator for assessing the risk of CKD progression and the response to nephroprotective treatments. The use of the «Kidney Failure Risk Equation» is encouraged to estimate the risk of kidney failure and guide clinical decisions.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"80 5-6","pages":"369-375"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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