logo
#

Latest news with #guidelines

Fast Five Quiz: Psoriasis Management
Fast Five Quiz: Psoriasis Management

Medscape

time11-07-2025

  • Health
  • Medscape

Fast Five Quiz: Psoriasis Management

Effective management of psoriasis is paramount in mitigating symptoms and related comorbidities than can impact disease severity and quality of life. Although many treatment options are available, from topicals to systemic biologic and nonbiologic therapies, each therapy comes with its own advantages, disadvantages, and nuances. What do you know about the management of psoriasis? Check your knowledge with this quick quiz. The AAD-NPF recommend limiting the use of ultra-high dose or class 1 corticosteroids to no more than twice daily for up to 4 weeks. While generally safe, high-dose corticosteroids have been associated with adverse events such as skin atrophy, hypopigmentation, adrenal suppression, and Cushing syndrome. However, maintaining use within 4 weeks can minimize these risks. Exceptions to this duration can be made for patients who experience significant flare ups or when treating psoriasis in the palms and soles. Learn more about psoriasis treatments. Patients who are candidates for systemic therapy include those with BSA involvement over 10%, those involving special areas— such as the face, palms, soles, genitalia, nails, or scalp — and failure of topical therapy. This is also consistent with the latest AAD-NPF guidelines, which consider psoriasis to be severe if it impacts the face, hands, feet, scalp, or genitals regardless of BSA involvement and other data indicating that psoriasis lesions on the aforementioned locations is part of the criteria for 'inadequate psoriasis control.' Learn more about psoriasis severity. Biologic therapy can increase the risk of infections, and tuberculosis is especially associated with the use of TNFIs. As such, the AAD-NPF guidelines specifically recommend screening for latent tuberculosis before starting TNF inhibitor therapy in patients with psoriasis. Testing for other viruses, such as HIV, is suggested at the clinician's discretion and depending on patient risk factors. This is consistent with more current international consensuses. Among other biologic treatments, experts report a higher rate of herpes zoster in patients treated with JAK inhibitors rather than TNF inhibitors. After several years of data, biologic therapy does not seem to increase risk for COVID-19 infection; it, along with influenza, is generally not part of general screening in this setting. However, guidelines recommend patients with psoriasis treated with biologic therapy receive annual vaccinations for COVID-19 and influenza to prevent severe infection. Learn more about treatment complications in psoriasis. Joint AAD-NPF guidelines recommend 'proactive treatment' as a strategy for optimal topical psoriasis management to maintain remission, whereby topical treatments are applied twice weekly to previously affected areas. This is similar to a consensus statement from global experts in psoriasis management recommending once or twice weekly application for maintenance therapy after induction. Further, the AAD-NPF also notes that any topical treatment mentioned for use in their guidelines can be used for proactive management, including certain corticosteroids, calcineurin inhibitors, and vitamin D analogues, among several others. Learn more about long-term monitoring in psoriasis. Although biologic therapy can be continued through uncomplicated infections, the AAD-NPF states patients who develop febrile illness, especially when it requires antibiotic treatment, should temporarily discontinue biologics until it resolves. Similarly, biologics can be taken through low-risk surgeries, but the decision to continue biologic therapy through moderate- to high-risk surgery should be made on a case-by-case basis. Similarly, certain systemic nonbiologic therapies have different discontinuation requirements as well. Learn more about infection in psoriasis. Editor's Note: This article was created using several editorial tools, including generative AI models, as part of the process. Human review and editing of this content were performed prior to publication.

Parliament warns against stalling Bela Act implementation
Parliament warns against stalling Bela Act implementation

The Herald

time09-07-2025

  • Politics
  • The Herald

Parliament warns against stalling Bela Act implementation

Gwarube told the committee she had issued draft guidelines to help provincial departments implement the act, but these were not binding. She said 10 task teams were working on finalising the regulations, two of which were nearly complete and under legal review. The minister denied being influenced from outside to issue the guidelines. However, the committee voiced concern about claims that the draft guidelines clash with the South African Schools Act (Sasa) and interfere with provincial administrative powers. Issues raised include confusion over the phrases 'collaborative vs after consultation', powers of the heads of departments and the appeals process. 'We have not been furnished with any guidelines or regulations. During our engagements with the provincial departments of education, it became apparent the guidelines differ from the Sasa. Some provincial departments of education are also confused by whether they received guidelines or regulations,' said Maimela. 'This is confusion we were concerned about from the start. If the provincial departments of education are confused, what about the general public and other stakeholders. We cannot allow the confusion.' Some provincial departments told the committee the council of education ministers (CEM) rejected the guidelines and referred the matter back to the heads of education departments committee, calling for focus on regulation drafting. The committee has asked Gwarube to submit a full report within four working days detailing how the guidelines came about. 'The committee is of the view that the time spent for draft guidelines could have been used rather for drafting regulations. We need the detail of what led to the guidelines as we must discuss if we need to write to the office of the president and explain the confusion created in the sector,' said Maimela. The committee also noted challenges raised by provinces, including infrastructure issues, funding for compulsory Grade R, stipends and training for grade R, and stipends and training for Grade R practitioners. It refused to engage with the Western Cape education department's presentation, citing a lack of substance. Maimela said: ' The department has been told to amend its presentation and address the shortcomings. The Western Cape education department had a seven-slide presentation, but only three of the slides had the required information. We took a dim view as we noted the department seems to disregard our oversight role. We informed it to prepare a more detailed presentation that speaks to the request we sent to them.' TimesLIVE

Government looking at reducing minimum apartment size
Government looking at reducing minimum apartment size

BreakingNews.ie

time06-07-2025

  • Business
  • BreakingNews.ie

Government looking at reducing minimum apartment size

The Housing Minister is bringing proposed changes to apartment building guidelines that will reduce the minimum size of units and cut back on other requirements. The measures are designed to reduce costs by between €50,000 to €100,000 per unit. Advertisement It comes amid frustration and criticism of the Government's response to a slowdown in apartment building. The changes look at the mix of apartment types, ⁠the layout and design of individual of units, and ⁠the provision of communal facilities. It also includes measures around dual-aspect windows and the ratio of units to lifts and stairs. The new guidelines reduce the minimum size of studio apartments from 37 square metres to 32 square metres. Advertisement In an attempt to improve delivery costs of apartment schemes, they will also remove any restrictions on apartment mix. Currently, guidelines restrict the number of one-bedroom apartments within a scheme to 50 per cent, with no more than 20 to 25 per cent consisting of studio apartments. It is also proposed to remove any limitation on the number of units per lift and stair core per floor, subject to compliance with building regulations. This will allow developers to exceed the current maximum of 12 units. Advertisement Minister James Browne's proposals would also reduce the amount of apartments required to be dual aspect in new developments to at least 25%, down from 33% in urban locations and 50% in suburban areas. Elsewhere, the guidelines contain easing of restrictions on providing private open space and specify that communal facilities shall not be required on a mandatory basis.

Domestic Trade Ministry to roll out updated beauty industry guidelines for safer, more professional sector
Domestic Trade Ministry to roll out updated beauty industry guidelines for safer, more professional sector

Malay Mail

time04-07-2025

  • Business
  • Malay Mail

Domestic Trade Ministry to roll out updated beauty industry guidelines for safer, more professional sector

KUANTAN, July 4 — The Ministry of Domestic Trade and Cost of Living (KPDN) has finalised the latest guidelines for the beauty industry and will submit the proposal to the Cabinet, said Deputy Minister Datuk Dr Fuziah Salleh. She said the guidelines, which have been in use since 2013, include several improvements, in line with current industry developments, following engagement sessions with industry players and collaboration with the Ministry of Health. She said the initiative is also aimed at protecting consumers and developing the industry that has shown rapid growth and continues to make a significant contribution to the domestic economy, adding RM13.5 billion to the Gross Domestic Product (GDP) in 2023. 'The updated guidelines include improvements related to the operation of machines, specifically whether they can be handled by medical practitioners or otherwise, particularly involving laser devices and high-intensity focused ultrasound (HIFU). 'This effort is not only to ensure the existing regulations remain relevant with current developments, but also to provide an opportunity for beauty industry operators and entrepreneurs to expand in a more professional and ethical environment,' she said at a press conference after opening a beauty centre here yesterday. Fuziah revealed that since 2023, KPDN has received only three complaints related to skin damage following treatments at beauty centres, in addition to several complaints concerning treatment packages offered. She stated that over 28,000 companies in the beauty industry have been registered, adding that, as the ministry overseeing the unregulated services sector, KPDN will continue to take proactive measures to ensure the industry ecosystem grows in an organised and competitive manner. — Bernama

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store