New guidelines for treating major depression

A case of acanthosis nigricans associated with a metastatic adenocarcinoma is presented. To our knowledge this is the first one reported in the literature. The primary tumour is unknown, but it is presumably a cholangiocarcinoma. The skin changes preceded the detection of malignancy by 2 years, during which the skin lesions progressed though the patient was still in good health. If malignant acanthosis nigricans is suspected and the underlying malignancy cannot be found at the initial screening, repeated screenings are necessary because of the time factor.     

Accessories for breastfeeding; supplementary nutritional system for breastfeeding

Maternal breastfeeding is a physiological process which almost all women are capable of performing. Some special circumstances, such as the adoption of a baby, the problems a baby has sucking, or the temporary interruption of milk secretion, can cause difficulties and this is when the use of the so-called breastfeeding supplements is warranted. We describe the SNS supplementary nutritional system so that health professionals may understand its characteristics, use, and applications and therefore be able to offer women the necessary advise and assistance during breastfeeding.     

Extracting pumps for breastfeeding

Nursing mothers can use a variety of devices to aid them while they are breastfeeding their children. Among these are pumps which extract milk from their breasts. In this article, the general features of different types of extracting pumps available to nursing mothers are described. Nurses will be able to acquire knowledge not only about how these devices work but nurses can learn when their use is indicated, what their exact operating procedures are, as well as their advantages and disadvantages. Nurses shall then be better prepared to advise nursing mothers as to which device is most appropriate for them in any given circumstance. Therefore, nurses can provide proper health care leading to the continuation and success of breastfeeding.     

Antibiotic protection. New American guidelines for heart patients

We report a case of chondrosarcoma of the heart that was managed surgically. As chondrosarcoma of cardiac origin is extremely rare, this case is described with a brief comment.     

Management guidelines for progressive chronic renal failure. New Zealand Nephrologists Consensus Group

Consensus guidelines are provided for the conservative management of adult patients with chronic and progressive renal failure, together with a brief review of the evidence relating to various treatable complications. Blood pressure control, diet, hyperlipidaemia, calcium and phosphate metabolism, anaemia and acidosis are considered.     

New guidelines for prevention, detection, evaluation and treatment of high blood pressure

New guidelines for the management of patients at risk of developing hypertension and associated conditions have recently been published. These guidelines include a new risk stratification and blood pressure classification, as well as an altered approach to drug therapy. This article describes the major changes from previous recommendations, highlights the role of oral health care providers and emphasizes the dental implications of caring for patients with blood pressure conditions.