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Assessment of Physical Function

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2661. Management of Infants at Risk for Group B Streptococcal Disease

% to 12% of such infants. , Centers that adopt this approach will need to establish processes to ensure serial, structured, documented physical assessments and develop clear criteria for additional evaluation and empirical antibiotic administration. Physicians and families must understand that the identification of initially well-appearing infants who develop clinical illness is not a failure of care, but rather an anticipated outcome of this approach to GBS EOD risk management. FIGURE 1 Options (...) Management of Infants at Risk for Group B Streptococcal Disease Management of Infants at Risk for Group B Streptococcal Disease | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. Management

2019 American Academy of Pediatrics

2662. Identifying Child Abuse Fatalities During Infancy

Identifying Child Abuse Fatalities During Infancy Identifying Child Abuse Fatalities During Infancy | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. Identifying Child Abuse Fatalities During (...) in the population younger than 1 year. Most maltreatment fatalities are attributed to neglect, with or without additional physical abuse. Factors identified in families with increased risk for child maltreatment fatality include poverty, previous or current involvement with child protective services, unrelated male caregivers, and previous unexplained death or nonaccidental trauma of other infants. – In recent literature, it is suggested that natural or accidental deaths are more commonly reported than child

2019 American Academy of Pediatrics

2663. Screening and Management of the Hyperandrogenic Adolescent

bothers the patient should be assessed. For acne, obstetrician– gynecologists should consider counseling about the poten- tial for long-term scarring of the skin if left untreated. On physical examination, body mass index, blood pressure, and signs of hyperandrogenism, such as acne VOL. 134, NO. 4, OCTOBER 2019 Committee Opinion Hyperandrogenic Adolescent e107and hirsutism, should be evaluated. It also is useful to assess for signs of insulin resistance, such as hyper- tension, obesity, centripetal (...) of PCOS and those of normal puberty,whichmakesthediagnosisofPCOSintheadolescentdifficult.Treatmentofacneandhirsutismshould not be withheld during the ongoing longitudinal evaluation for possible PCOS. On physical examination, body mass index, blood pressure, and signs of hyperandrogenism, such as acne and hirsutism, should be evaluated. Although guidelines differ on recommended laboratory studies, most include measurement of total testoster- one, free testosterone, or both, and screening

2019 American College of Obstetricians and Gynecologists

2664. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos (...) with patients and their families, developing a care management system of contacts with school and other community stakeholders, and providing continuous, coordinated care to the patient and his or her family. There is some evidence that African American and Latino children are less likely to have ADHD diagnosed and are less likely to be treated for ADHD. Special attention should be given to these populations when assessing comorbidities as they relate to ADHD and when treating for ADHD symptoms. Given

2019 American Academy of Pediatrics

2665. Movement Disorder and Neurodegenerative Diseases.

contrast Usually Appropriate O CT head without IV contrast May Be Appropriate ??? FDG-PET/CT brain May Be Appropriate ???? Tc-99m HMPAO SPECT/CT brain May Be Appropriate ???? MR spectroscopy head without IV contrast Usually Not Appropriate O CT head with IV contrast Usually Not Appropriate ??? CT head without and with IV contrast Usually Not Appropriate ??? MRI functional (fMRI) head without IV contrast Usually Not Appropriate O Variant 2: Chorea; suspected Huntington disease. Initial imaging (...) . Procedure Appropriateness Category Relative Radiation Level MRI head without IV contrast Usually Appropriate O MRI head without and with IV contrast May Be Appropriate O CT head without IV contrast May Be Appropriate ??? CT head with IV contrast Usually Not Appropriate ??? CT head without and with IV contrast Usually Not Appropriate ??? FDG-PET/CT brain Usually Not Appropriate ???? MR spectroscopy head without IV contrast Usually Not Appropriate O MRI functional (fMRI) head without IV contrast Usually

2019 American College of Radiology

2666. Major Blunt Trauma

cause of mortality for people in the United States who are 35 mph) motor vehicle collision (MVC), MVC resulting in rollover or passenger ejection, motorcycle trauma, bicycle injury, MVC- pedestrian collision, and a fall from a height of >15 feet. Additional considerations include patient age and functional status, hemodynamic stability, neurological status, and results of initial imaging from portable radiographs of the chest and pelvis, and/or FAST. CT of the chest, abdomen, and pelvis with IV (...) ® topic on “Head Trauma” [1] should be reviewed for further information. For those who meet criteria for imaging based on mechanism and patients with a Glasgow Coma Score 35 mph) MVC, MVC resulting in rollover or passenger ejection, motorcycle trauma, bicycle injury, MVC-pedestrian collision, and a fall from a height of >15 feet. Additional considerations include patient age and functional status, hemodynamic stability, neurological status, and results of initial imaging from portable

2019 American College of Radiology

2667. Policy on Medically-Necessary Care

condition. These services are an integral part of the rehabilitative process. 26 Young children benefit from esthetic and functional restorative or surgical techniques and readily adapt to appliances that replace missing teeth and improve function, appearance, and self-image. During the period of facial and oral growth, appliances require frequent adjustment and must be remade as the individual grows. Professional care is necessary to maintain oral health, 3,4 and risk assessment is an integral element (...) Policy on Medically-Necessary Care OFFICIAL BUT UNFORMATTED Policy on Medically-Necessary Care Review Council Council on Clinical Affairs Latest Revision 2019 Purpose The American Academy of Pediatric Dentistry (AAPD) recognizes that dental care is medically necessary for the purpose of preventing and eliminating orofacial disease, infection, and pain, restoring the form and function of the dentition, and correcting facial disfiguration or dysfunction. Methods This document was developed

2019 American Academy of Pediatric Dentistry

2668. The Subacute Rehabilitation of Childhood Stroke, Clinical Guideline

10 5. Motor function 13 6. Sensory function 14 7. Pain management 15 8. Dysphagia and nutrition 16 9. Communication, speech and language function 17 10. Cognition 18 11. Psychosocial, emotional and behavioral function 20 12. Activities of daily living 21 13. Participation in recreation and leisure 22 14. Education, learning and vocation 23 15. Family function 25 16. Future research directions 26 17. References 27Victorian Subacute Childhood Stroke Guidelines 4 ACKNOWLEDGEMENTS Funding (...) appropriate settings for service delivery Quality evaluation of service delivery Criteria for transfer from acute hospital to subacute rehabilitation care Creation of individualised care plan and goal setting Approach to therapy (individual and/or group) Transition to adult services Interventions (Sections 5–15) Motor function (Section 5) Sensory function (Section 6) Pain management (Section 7) Dysphagia and nutrition (Section 8) Communication, speech and language (Section 9) Cognition (Section 10

2017 Stroke Foundation - Australia

2669. Integrated care for older people (?ICOPE)? implementation framework: guidance for systems and services

that enables well-being in older age. ii Intrinsic capacity is a person’s total physical and mental reserves. iii Functional ability comprises the health-related attributes that enable people to be and to do what they value.4 Integrated care for older people (ICOPE) implementation framework: guidance for systems and services FIGURE 1. A public health framework for healthy ageing and the opportunities for public health High and stable capacity HEALTH SERVICES: LONG-TERM CARE: ENVIRONMENTS: Declining (...) ACTION(S) NEEDED No to minimal implementation There are limited services to support the physical or mental well-being of caregivers (e.g. day centres), and minimal formal training or respite care. 0 Undertake a needs assessment to identify threats to, or impairments in, caregivers’ mental and physical well-being, gaps in competencies, and respite care needs. Undertake a capacity assessment to determine the human, financial and infrastructure resources needed and available to provide caregiver support

2019 World Health Organisation Guidelines

2670. BTS/SIGN British Guideline on the Management of Asthma

of inhaled corticosteroids) • assess the patient’s status with a validated symptom questionnaire, ideally corroborated by lung function tests (FEV 1 at clinic visits or by domiciliary serial peak flows to capture times with/without symptoms) • with a good symptomatic and objective response to treatment, confirm the diagnosis of asthma and record the basis on which the diagnosis was made • if the response is poor or equivocal, check inhaler technique and adherence, arrange further tests and consider (...) correctly, may provide objective evidence of variability. ? In patients with a high probability of asthma: • record the patient as likely to have asthma and commence a carefully monitored initiation of treatment (typically six weeks of inhaled corticosteroids) (see Table 3) • assess the patient’s status with a validated symptom questionnaire, ideally corroborated by lung function tests (FEV 1 at clinic visits or by domiciliary serial peak flows to capture times with/without symptoms) • with a good

2019 British Thoracic Society

2671. Transjugular Intrahepatic Portosystemic Stent-Shunt (TIPSS) in the management of portal hypertension

systolic function at rest, but incompetence when under physical or pharmacological stress 135, 136 . Assessment of cardiovascular risk pre-TIPSS is therefore important, as shunting a significant volume of the portal to the central circulation, the cardiac output and right atrial pressures increase by 50% and 100%, respectively. Despite these physiological changes, the clinical importance of underlying cardiac cardiomyopathy in patients undergoing TIPSS remains a subject of considerable debate. Whilst (...) -TIPSS assessment of encephalopathy 39 Post TIPSS encephalopathy management. 41 Cardiac assessment 42 Nutritional assessment 44 Renal function 45 Procedural details 47 Preparation for TIPSS 47 Imaging 47 Consent 48 Sedation 48 Antibiotics 49 Blood products 49 The TIPSS procedure 50 Equipment requirements 50 TIPSS technique 51 Mitigation of encephalopathy during the TIPS Procedure 51 Post Operative care 52 Long term follow up. 52 Procedural complications 53 Service delivery and development 55 Service

2019 British Society of Gastroenterology

2672. Guidelines for the management of hereditary colorectal cancer

history. FHCC: family history of colorectal cancer. FIT: Faecal immunohistochemical test. HHT: hereditary haemorrhagic telangiectasia. GRADE: Grading of Recommendations, Assessment, Development and Evaluations. HNPCC: Hereditary non-polyposis CRC. IPAA: Ileal pouch anal anastomosis. IRA: Ileorectal anastomosis. INSIGHT: International Society for Inherited Gastrointestinal Hereditary Tumours. JPS: Juvenile polyposis syndrome. KPI: Key performance indicators. LS: Lynch syndrome. MAP: MUTYH-associated (...) of any intervention as a reduction of the lifetime risk of CRC, and secondary outcome measures; i. Reduction in the incidence of advanced adenomas at colonoscopy ii. Prevention of CRC iii. Reduced morbidity related to CRC, or morbidity secondary to complications of surveillance and treatment iv. Improved identification of hereditary CRC syndromes v. Improved pathways from diagnosis to treatment in susceptible populations We sought a consistent approach in our assessment of the relative effectiveness

2019 British Society of Gastroenterology

2673. Baseline Staging Imaging for Distant Metastasis in Women with Stage I, II, and III Breast Cancer

regarding the report content or its use or application and disclaims any responsibility for its use or application in any way. Guideline 1-14 Version 3 Table of Contents Section 1: Recommendations 1 Section 2: Guideline – Recommendations and Key Evidence 3 Section 3: Guideline Methods Overview 6 Section 4: Systematic Review 9 Figure 4-1. Literature Search Flow Diagram of Included Studies Assessing the Evidence of Staging Imaging for Distant Metastases in Newly Diagnosed Breast Cancer 14 Section 5 (...) : Internal and External Review 51 References 60 Appendix 1: Affiliations and Conflict of Interest Declarations 64 Appendix 2: Literature Search Strategies 66 Appendix 3: Quality Assessment of Included Systematic Review (AMSTAR) 68 Appendix 4: QUADAS-2 Quality Assessment of Included Observational Study 69 Guideline 1-14 Version 3 Section 1: Recommendations – October 7, 2019 Page 1 Baseline Staging Imaging for Distant Metastasis in Women with Stage I, II, and III Breast Cancer Section 1: Recommendations

2019 Cancer Care Ontario

2674. Quality indicators for pulmonary rehabilitation programs in Canada: A CTS expert working group report

to the program. 3 The pulmonary rehabilitation program duration is a minimum of 8 weeks with the exercise component delivered three times per week with at least 2 supervised sessions per week. 4 Each participant undergoes a history and physical assessment which includes assessment of patient goals, resting oxygen saturation, resting heart rate, resting blood pressure, baseline patient-reported health status and respiratory symptoms. 5 A cardiopulmonary exercise test (CPET) or field exercise test (six-minute (...) walk test [6MWT] or incremental shuttle walk test [ISWT]) is conducted to assess aerobic function and to develop an aerobic exercise prescription. 6 A direct or indirect 1-Repetition Maximum (1-RM) test is conducted to assess muscle function and to develop the muscle strengthening exercise prescription. 7 Lower limb continuous or interval aerobic exercise training is prescribed using one or more of the following modalities: stationary cycling, treadmill walking, free walking or stair climbing. Arm

2019 Canadian Thoracic Society

2675. Clinical Guidelines for Stroke Management

of stroke care, across 8 chapters: Imaging Cardiac investigations Thrombolysis Neurointervention Medical interventions Surgical interventions Smoking Diet Physical activity Obesity Alcohol Weakness Loss of sensation Vision Amount of rehabilitation Cardiorespiratory fitness Sitting Standing up Standing balance Walking Upper limb activity Assessment of communication deficits Aphasia Dysarthria Apraxia of speech Cognitive communication disorder in right hemisphere stroke Assessment of cognition Executive (...) function Attention and concentration Memory Perception Limb apraxia Neglect Early hydration Early feeding Urinary incontinence Faecal incontinence Mood assessment Treatment for emotional distress Prevention of depression Treatment for depression Treatment for anxiety Peer support Carer support [PDF 543 KB] [PDF 1.04 MB] [PDF] [PDF] Discipline Specific Summaries: Supporting documents: [PDF] [PDF] [PDF] [PDF] [PDF] [PDF] [PDF] [PDF] [PDF] Implementation Tools: Suggested citation: Stroke Foundation (2019

2019 Stroke Foundation - Australia

2676. Management of Osteoporosis in Survivors of Adult Cancers With Nonmetastatic Disease

. RECOMMENDATIONS Patients with nonmetastatic cancer may be at risk for osteoporotic fractures due to baseline risks or due to the added risks that are associated with their cancer therapy. Clinicians are advised to assess fracture risk using established tools. For those patients with substantial risk of osteoporotic fracture, the clinician should obtain a bone mineral density test. The bone health of all patients may benefit from optimizing nutrition, exercise, and lifestyle. When a pharmacologic agent (...) ). Recommendation 1.3. Clinicians may use a risk assessment tool (eg, the WHO Fracture Risk Assessment Tool [FRAX]) to quantify the risk estimates for osteoporotic fracture in adult patients with nonmetastatic cancer. To date, existing risk assessment tools have not been validated in patients with cancer and clinical judgment is necessary in interpreting results from these tools (Type: evidence based, benefits outweigh harms; Evidence quality: intermediate; Strength of recommendation: moderate). Qualifying

2019 American Society of Clinical Oncology Guidelines

2677. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America

evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia. Methods: A multidisciplinary panel conducted pragmatic systematic reviews of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations. Results: The panel addressed 16 specific areas for recommendations spanning questions of diagnostic testing, determination of site of care, selection of initial empiric (...) Society(ATS)/Infectious Diseases Society of America (IDSA) community-acquired pneumonia (CAP) guideline ( ), there have been changes in the process for guideline development, as well as generation of new clinical data. ATS and IDSA agreed on moving from the narrative style of previous documents to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) format. We thus developed this updated CAP guideline as a series of questions answered from available evidence in an “is option

2019 American Thoracic Society

2678. Acne clinical guideline

the guideline was prepared. The results of future studies may require revisions to the recommendations in this guideline to reflect new data. Scope This guideline addresses the management of adolescent and adult patients who present with acne vulgaris (AV). This document will discuss various acne treatments, including topical therapies, systemic agents, and physical modalities, including lasers and photodynamic therapy. In addition, grading/classification system, microbiology and endocrinology testing (...) agents • Spironolactone • Antiandrogens • Oral corticosteroids What is the effectiveness and what are the potential side effects of isotretinoin in the treatment of adult acne and acne vulgaris in adolescents to adults? What is the effectiveness and potential side effects of physical modalities for the treatment of acne vulgaris in adolescents to adults, including: • Intralesional steroids • Chemical peels • Comedo removal • Lasers and photodynamic therapy What is the effectiveness and what

2016 American Academy of Dermatology

2679. Clinical practice guidelines for dementia in Australia

that the person with dementia (or their carer[s] or family) make an appointment to see a dentist to conduct an assessment and formulate a long-term treatment plan. Acetylcholinesterase inhibitors and memantine are routinely prescribed for people with mild to moderate Alzheimer disease in order to delay functional decline, and the guidelines support their use. Based on recent evidence, the guidelines also state that any one of the three acetylcholinesterase inhibitors (donepezil, galantamine or rivastigmine (...) occupational therapy interventions which should include: environmental assessment and modification to aid independent functioning; prescription of assistive technology; and tailored intervention to promote independence in activities of daily living.* People with dementia who develop behavioural and psychological symptoms should be offered a comprehensive assessment at an early opportunity by a professional skilled in symptom assessment and management. This should involve their carer(s) and families

2016 MJA Clinical Guidelines

2680. Immunoglobulin infusions: intravenous and subcutaneous

the risk of exposure to acquired infection such as hepatitis C virus ( ). Procedure (i) Information and consent A risk assessment should be carried out to ensure the family understand the need for treatment and how it is administered ( ) ( ). The benefits of treatment should always outweigh the potential risk of infections from Ig ( ). It can be given by one of two routes: Intravenous - for use in immunomodulation and for giving higher doses of IgG and for some children/young people on long-term (...) . Serum, 1ml) ( ). Serum and plasma for long term storage (Store Ig. Serum, 1ml and Clotted sample, 1ml) ( ). Liver function tests (Lithium Heparin, 0.5ml) ( ). Hepatitis C screen/PCR (serum 5ml) ( ). Full blood count (EDTA, 0.5ml). Other investigations as indicated. Check the product, dose, batch number and expiry date ( ). Check the product integrity (intact seals) and quality (clarity and colour of product according to Summary of Product Characteristics (SPC) for individual product) Record

2017 Publication 1593

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