Chest compressions are the cornerstone of resuscitation after cardiac arrest. The 2015 American Heart Association guideline on cardiac arrest in pregnancy recommends the same hand position for chest compressions in pregnant women and nonpregnant adults.

Previous guidelines suggested a more cephalad hand position in pregnancy to adjust for elevation of the diaphragm by the gravid uterus; however, a recent imaging study showed no significant vertical displacement of the heart in the third trimester relative to the nonpregnant state.

Biblioqrafiya.

https://eccguidelines.heart.org/wp-content/uploads/2015/10/2015-AHA-Guidelines-Highlights-English.pdf

 

The World Health Organization’s International Agency for Research on Cancer reviewed the evidence linking intake of red and processed meat with colorectal cancer (CRC). Twelve of 18 cohort studies and six of nine case control studies found an association for consumption of processed meat and CRC, while 7 of 14 cohort studies and 7 of 15 case control studies found a positive association for red meat consumption and CRC. A meta-analysis of 10 cohort studies reported a dose-response relationship between meat consumption and CRC risk, with a 17 percent increased risk per 100 g per day of red meat, and an 18 percent increase in risk per 50 g per day of processed meat.

The working group concluded that the evidence was sufficient to classify processed meats as carcinogenic, and red meat as a probable carcinogen. These conclusions were based entirely upon observational studies.

Data from randomized trials (eg, the Women's Health Initiative) have not found a lower incidence of colorectal neoplasia in women whose diets are relatively low in fat (including animal fat). In our view, the absolute risk of CRC associated with intake of red and/or processed meat is small, and modest consumption (one to two times weekly at most) is an acceptable part of a healthy balanced diet.

 

January 19, 2016 
Updated recommendations are highlighted in this guideline for the treatment of patients with venous thromboembolism (VTE). Among the updated recommendations are:
  • For VTE in patients who do not have cancer, as long-term anticoagulant therapy, dabigatran, rivaroxaban, apixaban, or edoxaban is suggested over VKA (vitamin K antagonist i.e., warfarin) therapy, and VKA therapy is suggested over LMWH.
  • For patients with isolated distal DVT who do not have severe symptoms or risk factors for extension serial imaging of the deep veins for 2 weeks is recommended over anticoagulation. 
  • For DVT, the guidelines suggest not using compression stockings routinely to prevent PTS.
  • For subsegmental PE and no proximal DVT, clinical surveillance is suggested over anticoagulation in patients with a low risk of recurrent VTE.
  • Thrombolytic therapy is indicated only for pulmonary embolus with hypotension. Systemic therapy is recommended over catheter directed thrombolysis.
  • In patients who do not continue extended anticoagulation after VTE, aspirin may be used to decrease recurrence by about one-third, compared to the 80% decrease with full anticoagulation. 
  • Recommendations for who should stop anticoagulation at 3 months or receive extended therapy have not changed.
 
Citation
  1. Kearon O, Aki EA, Ornelas J, et al. Antithrombotic therapy for VTE disease: CHEST guideline. Chest. 2016. doi:10.1016/j.chest.2015.11.026.

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