Publications by authors named "N Tilouche"

Background: There has been much critical reflection among global health researchers about how power imbalances between high-income countries and low- and middle-income country collaborators are perpetuated through research programmes. Research capacity strengthening (RCS) is considered both a mechanism through which to redress structural power imbalances in global health research and a vehicle for their perpetuation. This paper examines the RCS programme of a multi-county study on violence against women, focussing on how it addressed power imbalances between countries and the challenges involved in doing so.

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Background: Opioid substitution therapy (also known as 'opioid agonist therapy' or 'medication treatment of opioid use disorder') is associated with improved health and social outcomes for people who use heroin and other illicit opioids. It is typically managed in the community and is not always continued when people are admitted to hospital. This causes opioid withdrawal, patient-directed discharge, and increased costs.

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BACKGROUND: Trials and study-level meta-analyses have failed to resolve the role of corticosteroids in the management of patients with septic shock. Patient-level meta-analyses may provide more precise estimates of treatment effects, particularly subgroup effects. METHODS: We pooled individual patient data from septic shock trials investigating the adjunctive use of intravenous hydrocortisone.

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Article Synopsis
  • New evidence regarding the use of corticosteroids in sepsis, ARDS, and CAP led to an updated guideline aimed at improving treatment recommendations for hospitalized adults and children.
  • A diverse 22-member panel of experts, including intensivists, doctors, and nurses, followed strict conflict of interest policies to develop evidence-based clinical practice guidelines.
  • The panel reviewed five key questions and provided four recommendations, including conditional use of corticosteroids in septic shock and ARDS, a strong recommendation for severe CAP, and advised against high-dose/short-duration steroid use in septic shock.
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