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321. Antidepressant treatment with sertraline for adults with depressive symptoms in primary care: the PANDA research programme including RCT Full Text available with Trip Pro

or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} The research programme has improved our understanding of when patients experience improvement and found that sertraline did not reduce depressive symptoms at 6 weeks but did reduce anxiety symptoms. {{author}} {{($index , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , & . Larisa Duffy 1, * , Gemma Lewis 1

2020 NIHR HTA programme

322. Auricular acupuncture in prescription drug dependence detoxification

doses, aid in treatment retention and completing, and be a useful adjunct to address psychosocial aspects of recovery.” References Baker TE, Chang G. The use of auricular acupuncture in opioid use disorder: A systematic literature review. American Journal on Addictions 2016;25:592-602. Bergdahl L, Broman JE, Berman AH, Haglund K, von Knorring L, Markström A. Auricular acupuncture versus cognitive behavioural therapy in the discontinuation of hypnotic drug usage, and treatment effects on anxiety (...) , depression and insomnia symptoms − a randomised controlled study. European Journal of Integrative Medicine 2017;16:15-21. Black S, Carey E, Webber A, Neish N, Gilbert R, Black S, et al. Determining the efficacy of auricular acupuncture for reducing anxiety in patients withdrawing from psychoactive drugs. Journal of Substance Abuse Treatment 2011;41:279-287. SBU Enquiry Service Consists of structured literature searches to highlight studies that can address questions received by the SBU Enquiry Service

2020 Swedish Council on Technology Assessement

323. High-sensitivity troponin tests for the early rule out of NSTEMI

rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 42Contents Contents 1 Recommendations 4 2 The diagnostic tests 7 Clinical need and practice 7 The interventions 8 The comparator 13 3 Evidence 14 Clinical effectiveness 14 Cost effectiveness 21 4 Committee discussion 31 Quick, accurate tests may reduce anxiety for patients and carers 31 Flexibility on tests and strategies helps hospitals 31 Clinical effectiveness 31 Cost (...) or not could mean that unnecessary hospital admissions are avoided, reducing waiting time and anxiety for many people. 2.2 Cardiac troponins I and T are biological markers of cardiac muscle death (cardiomyocyte necrosis). They are released into the circulation, so rise when the cardiac muscle is damaged. They are used as markers of acute myocardial infarction along with clinical history taking and electrocardiography (ECG) monitoring. ST-segment elevation myocardial infarction (STEMI) can usually

2020 National Institute for Health and Clinical Excellence - Diagnostics Guidance

324. Interventions for adults with a history of complex traumatic events: the INCiTE mixed-methods systematic review Full Text available with Trip Pro

you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Psychological interventions were effective and acceptable at post-treatment for reducing PTSD symptoms, depression and anxiety in people with complex trauma, but the quality of the evidence was low or unclear. {{author}} {{($index , , , , , , , , , , , & . Hollie Melton 1 , Nick Meader 1 , Holly Dale 2 , Kath Wright 1 , Julie Jones-Diette 1 , Melanie Temple 3 , Iram Shah 3 , Karina

2020 NIHR HTA programme

325. Delirium detection instruments

in the systematic review. Population: Adults (Above 18 years old) in any hospital setting. Intervention: Caregiver-centred delirium detection tools, defined as tools involving a family member’s or friend’s assessment of delirium symptoms. Effect: Instrument validity, length of hospital stay, duration of mechanical ventilation, long-term cognitive impairment, death, caregiver anxiety, caregiver depression. Authors' conclusion: “Caregiver‐informed tools, including the SQiD and SSQ‐Delirium, may be highly feasible

2020 Swedish Council on Technology Assessement

326. Psychological treatment in Ménière’s disease

is unpredictable, and distress is common in patients. There is also a link between severity of symptoms and anxiety or stressful situations, making treatment of psychological symptoms relevant. Question What systematic reviews are there on psychological treatment for patients diagnosed with Ménière’s disease? Identified literature No relevant systematic review was identified. Literature search MedLine via Ovid 200115 Psychological treatment for Ménière’s disease The search result, usually found at the end

2020 Swedish Council on Technology Assessement

327. Interaction therapy for preterm infants and their parents

risk of bias Included studies Population/Intervention Outcome O’Hara et al 2019 [4] 22 studies, 3 on preterm population Population: Children <5 years old at risk of poor outcomes. N total=1 889 parent-child dyads or family units (n=17 –237), of which n=294 parent-preterm infant dyads Intervention: Video feedback on parental interaction with child Primary Outcomes: Parental outcomes Parental sensitivity Parental reflective functioning Attachment security Parental stress Parental anxiety Secondary (...) around school age possibly targeted towards school readiness.” Benzies et al 2013 [1] 18 articles, 15 different interventions Population: Preterm infants <37 weeks gestational age and/or low birth weight <2 500g; and their parents. N total =3 356 (n=23 to n=985) Intervention: Preventative interventions involving parents and including at least one session in the community (home or clinic). Parental outcomes Stress Anxiety Depressive symptoms Self-efficacy Sensitivity/responsiveness in interaction

2020 Swedish Council on Technology Assessement

328. Hyperparathyroidism (primary): diagnosis, assessment and initial management

in this guideline Advice from a specialist Advice from a specialist This may be a referral or a telephone call to a specialist. Chronic non-differentiated symptoms Chronic non-differentiated symptoms Long-term symptoms that could have a number of different causes. Some of these symptoms are experienced by people with primary hyperparathyroidism, but they can also be symptoms of other conditions. Examples include fatigue, mild confusion, bone, muscle or joint pain, anxiety, depression, irritability, low mood (...) in a person without symptoms should also trigger diagnostic testing. Noting that people with primary hyperparathyroidism sometimes have chronic non-differentiated symptoms, the committee agreed that diagnostic testing could be considered for people with these symptoms. Examples include fatigue, depression, mild confusion, anxiety, irritability, insomnia or digestive problems. The committee acknowledged that there could be multiple causes for these symptoms and that their association with primary

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

329. Suspected neurological conditions: recognition and referral

, and some prescription, drugs alcohol affective disorders stress. Suspected neurological conditions: recognition and referral (NG127) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 14 of 73For more information, see initial assessment in non-specialist settings in the NICE guideline on dementia. Memory problems as part of an anxiety disorder or a functional neurological disorder Memory problems as part of an anxiety (...) disorder or a functional neurological disorder 1.8.2 Be aware that, for adults who have an anxiety disorder or have been diagnosed with a functional neurological disorder by a specialist, memory problems and concentration difficulties might be part of the disorder and the person might not need re-referral if there are no new neurological signs. New symptoms or signs in adults who have been diagnosed with a functional neurological disorder by a specialist should be assessed as described in the relevant

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

330. Fever in under 5s: assessment and initial management

antibiotic resistance are significant. [2007] [2007] Admission to and discharge from hospital Admission to and discharge from hospital 1.5.24 In addition to the child's clinical condition, consider the following factors when deciding whether to admit a child with fever to hospital: social and family circumstances other illnesses that affect the child or other family members parental anxiety and instinct (based on their knowledge of their child) contacts with other people who have serious infectious (...) or death due to feverish illness which has increased their anxiety levels when a feverish illness has no obvious cause, but the child remains ill longer than expected for a self-limiting illness. [2007] [2007] 1.5.25 If it is decided that a child does not need to be admitted to hospital, but no diagnosis has been reached, provide a safety net for parents and carers if any 'red' or 'amber' features are present. The safety net should be 1 or more of the following: providing the parent or carer

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

331. Thyroid disease: assessment and management

for thyroid dysfunction to adults, children and young people with: type 1 diabetes or other autoimmune diseases, or or new-onset atrial fibrillation. 1.2.3 Consider tests for thyroid dysfunction for adults, children and young people with depression or unexplained anxiety. 1.2.4 Consider tests for thyroid dysfunction for children and young people with abnormal growth, or unexplained change in behaviour or school performance. 1.2.5 Be aware that in menopausal women symptoms of thyroid dysfunction may (...) and justifies testing for thyroid dysfunction in these conditions. There was little evidence on thyroid disease in people with atrial fibrillation. However, the committee agreed that the potential importance of thyroid disease and its impact on the treatment of atrial fibrillation is sufficient to justify testing. Limited evidence showed that depression can be associated with thyroid dysfunction. The committee agreed that, in their experience, this can also apply to anxiety. The committee noted

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

332. Workplace health: long-term sickness absence and capability to work

and Support Jargon Buster. Workplace health: long-term sickness absence and capability to work (NG146) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 14 of 38Common mental health condition Common mental health condition Common mental health conditions include conditions such as depression, generalised anxiety disorder, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder and social anxiety

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

333. Ectopic pregnancy and miscarriage: diagnosis and initial management

in: the rate of ectopic pregnancies ending naturally Ectopic pregnancy and miscarriage: diagnosis and initial management (NG126) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 19 of 33the risk of tubal rupture the need for additional treatment, but that they might need to be admitted urgently if their condition deteriorates health status, depression or anxiety scores. [2019] [2019] 1.6.7 Advise women that the time taken

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

334. Abortion care

care. A Av voiding stigma oiding stigma 1.1.17 When caring for women who are having an abortion, be aware of: the anxiety they may have about perceived negative and judgemental attitudes from healthcare professionals the impact that verbal and non-verbal communication may have on them. 1.1.18 Services should be sensitive to the concerns women have about their privacy and confidentiality, including their concerns that information about the abortion might be shared with healthcare professionals

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

335. Depression in children and young people: identification and management

per week of moderate duration (45 minutes to 1 hour) for between 10 and 12 weeks. [2005] [2005] 1.1.35 A child or young person with depression should be offered advice about sleep hygiene and anxiety management. [2005] [2005] 1.1.36 A child or young person with depression should be offered advice about nutrition and the benefits of a balanced diet. [2005] [2005] 1.2 Stepped care The stepped-care model of depression draws attention to the different needs of children and young people with depression

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

336. Cerebral palsy in adults

enteral muscle relaxants) with a tone management specialist. Cerebral palsy in adults (NG119) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 15 of 641.3.9 Do not offer diazepam for spasticity in adults with cerebral palsy, except in an acute situation when spasticity is causing severe pain or anxiety. 1.3.10 Do not rapidly withdraw muscle relaxant drugs, particularly if adults with cerebral palsy have taken them (...) health problems, and psychological and neurodevelopmental disorders, in adults who have cerebral palsy, for example: attention deficit hyperactivity disorder depression in adults and depression in adults with a chronic physical health problem generalised anxiety disorder and panic disorder in adults autism spectrum disorder in adults challenging behaviour and learning disabilities mental health problems in people with learning disabilities. 1.4.11 T ailor the identification and assessment of mental

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

337. Renal and ureteric stones: assessment and management

of stones, so reducing pain and anxiety, and improving quality of life. Who is it for? Healthcare professionals Commissioners and providers People with renal and ureteric stones, their families and carers Renal and ureteric stones: assessment and management (NG118) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 33Recommendations Recommendations People have the right to be involved in discussions and make informed

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

338. Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience

. Clinical considerations: Consult poverty screening tools when needed (e.g., https://cep.health/clinical-products /poverty-a-clinical-tool-for-primary-care-providers). Conditional recommendation Recommendation 3: A homeless or vulnerably housed person with multiple comorbid or complex health needs (including mental illness and/or substance use) Low certainty ???? • Identify history of severe mental illness, such as psychotic or mood and anxiety disorders, associated with substantial disability (...) introduced high risk of detection and performance bias. Fur- thermore, 1 trial reported low consent rates of 47% and a 1:4 sam- pling ratio that further limited statistical power. 52 As well, partici- pants in the control group wanting to enter income-assistance programs after completing the study had incentives to underreport symptoms, which introduced high risk for measurement bias. Case management • Identify history of severe mental illness, such as psychotic or mood and anxiety disorders, associated

2020 CPG Infobase

339. Canadian 24-hour movement guidelines for adults ages 65 years and older: an integration of physical activity, sedentary behaviour, and sleep

a lower risk of death, cardiovascular disease, type 2 diabetes, weight gain, several cancers, and improved bone health. Specific to psychosocial health, participating in optimal levels of movement behaviours is linked to improved anxiety, depression, dementia, cognition, and quality of life. Preamble This document is intended for use by policy makers, health professionals, and researchers, and it may be useful to interested members of the public. These 24-Hour Movement Guidelines are relevant (...) , cardiovascular disease, hypertension, type 2 diabetes, several cancers, anxiety, depression, dementia, weight gain, adverse blood lipid profile, falls and fall-related injuries; and improved bone health, cognition, quality of life and physical function. The benefits of following these Guidelines far exceed potential harms. Following these Guidelines may be challenging at times; progressing towards any of the Guideline targets will result in some health benefits. These 24-Hour Movement Guidelines were

2020 CPG Infobase

340. Management of screen-detected lung nodules: a Canadian Partnership against Cancer guidance document Full Text available with Trip Pro

stage cancers that are amenable to curative therapies) versus the potential harms of diagnostic procedure complication(s), radiation exposure, patient anxiety and increased health care resource utilization. The ideal protocol would accurately detect all early cancers while avoiding unnecessary diagnostic work-up of benign nodules. The Lung-RADS protocol is the most used screen-detected nodule protocol in North America. Comparison of Lung-RADS with other protocols used around the world is summarized (...) and prolonged patient anxiety. In contrast to solid nodules, the minimum follow-up period for GGN needs to be extended to 5 years with an annual or biennial protocol if the nodule is stable after the baseline LDCT since some GGNs can grow after being stable for 2 to 3 years,. , , , For GGNs that develop a solid component, the follow-up procedure is similar to previously mentioned part-solid nodules. To facilitate the use of lung nodule management guideline without separate protocols for different nodule

2020 CPG Infobase