Efficacy and safety of an algorithm using C-reactive protein to guide antibiotic therapy applied through a digital clinical decision support system: a study protocol for a randomised controlled clinical trial.

Introduction: The escalating resistance of microorganisms to antimicrobials poses a significant public health threat. Strategies that use biomarkers to guide antimicrobial therapy-most notably Procalcitonin (PCT) and C-reactive protein (CRP)-show promise in safely reducing patient antibiotic exposure. While CRP is less studied, it offers advantages such as lower cost and broader availability compared with PCT.

An Algorithmic Overview of Advanced Pain Therapies: A Narrative Review.

Purpose Of Review: Quickly referenceable, streamlined, algorithmic approaches for advanced pain management are lacking for patients, trainees, non-pain specialists, and interventional specialists. This manuscript aims to address this gap by proposing a comprehensive, evidence-based algorithm for managing neuropathic, nociceptive, and cancer-associated pain. Such an algorithm is crucial for pain medicine education, offering a structured approach for patient care refractory to conservative management.

Antimicrobial consumption and resistance in a tertiary care hospital in Brazil: a 7-year time series.

Introduction: Antimicrobial resistance (AMR) is a major public health challenge globally. This study aimed to analyze the antibacterial consumption (ATBc), and the incidence of multidrug-resistant organisms (MDRO), focusing on pathogens Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter spp. (ESKAPE group), in a Brazilian tertiary care hospital.

Spatial and Temporal Variability Management for All Farmers: A Cell-Size Approach to Enhance Coffee Yields and Optimize Inputs.

Coffee yield exhibits plant-level variability; however, due to operational issues, especially in smaller operations, the scouting and management of coffee yields are often hindered. Thus, a cell-size approach at the field level is proposed as a simple and efficient solution to overcome these constraints. This study aimed to present the feasibility of a cell-size approach to characterize spatio-temporal coffee production based on soil and plant attributes and yield (biennial effects) and to assess strategies for enhanced soil fertilization recommendations and economic results.

Breast imaging readers' performance in the PERFORMS test-set based assessment scheme within the MyPeBS international randomised study.

Purpose: A survey conducted by the European Society of Breast Imaging (EUSOBI) in 2023 revealed significant variations in Quality Assurance (QA) practices across Europe. The UK encourages regular performance monitoring for screen readers. This study aimed to assess the variability in diagnostic performance among readers participating in a wider prospective randomised trial across multiple countries.