ABSTRACT
The CEAP (Clinical-Etiology-Anatomy-Pathophysiology) classification is an internationally accepted standard for describing patients with chronic venous disorders and it has been used for reporting clinical research findings in scientific journals. Developed in 1993, updated in 1996, and revised in 2004, CEAP is a classification system based on clinical manifestations of chronic venous disorders, on current understanding of the etiology, the involved anatomy, and the underlying venous pathology. As the evidence related to these aspects of venous disorders, and specifically of chronic venous diseases (CVD, C2-C6) continue to develop, the CEAP classification needs periodic analysis and revisions. In May of 2017, the American Venous Forum created a CEAP Task Force and charged it to critically analyze the current classification system and recommend revisions, where needed. Guided by four basic principles (preservation of the reproducibility of CEAP, compatibility with prior versions, evidence-based, and practical for clinical use), the Task Force has adopted the revised Delphi process and made several changes. These changes include adding Corona phlebectatica as the C4c clinical subclass, introducing the modifier "r" for recurrent varicose veins and recurrent venous ulcers, and replacing numeric descriptions of the venous segments by their common abbreviations. This report describes all these revisions and the rationale for making these changes.
Subject(s)
Postthrombotic Syndrome/classification , Terminology as Topic , Varicose Veins/classification , Veins , Venous Insufficiency/classification , Chronic Disease , Consensus , Delphi Technique , Evidence-Based Medicine , Humans , Postthrombotic Syndrome/diagnosis , Postthrombotic Syndrome/physiopathology , Postthrombotic Syndrome/therapy , Predictive Value of Tests , Prognosis , Severity of Illness Index , Varicose Veins/diagnosis , Varicose Veins/physiopathology , Varicose Veins/therapy , Veins/physiopathology , Venous Insufficiency/diagnosis , Venous Insufficiency/physiopathology , Venous Insufficiency/therapyABSTRACT
Media coverage of climate change has been an area of continued research during the last years, mostly with a focus on developed countries. This study attempts to contribute to this body of work by analyzing the coverage in a developing country. The study presents a content analysis of newspaper coverage of climate change in Peru through the study of frames, geographical focus, and climate change strategies (mitigation/adaptation). Additionally, the role of foreign voices is assessed by comparing the coverage by Peruvian reporters with the coverage by wire services, and by determining the types of sources present in the articles. Results show a prevalence of an effects frame, followed by a politics frame. Also, the study found a significant amount of stories originating from wire services. In general, coverage prioritizes mitigation strategies and policies while providing limited attention to adaptation, which can be insufficient for a highly vulnerable country.
