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Assessment of Physical Function

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41. Assessment and management of polycystic ovary syndrome: summary of an evidence-based guideline Full Text available with Trip Pro

, challenges to feminine identity and body image due to obesity, acne, excess hair, infertility and long-term health-related concerns compromise QoL and adversely affect mood and psychological wellbeing. With a higher prevalence and greater severity of depression and anxiety, low self-esteem, negative body image, and psychosexual dysfunction, , assessment of psychological functioning in women with PCOS is vital. This is relevant to clinical care as mood disturbance, in turn, impairs QoL and adversely (...) affects ability to self-manage and optimise lifestyle. Optimal approaches to screening and assessment of psychological functioning in PCOS are unknown and recognition is generally poor; hence, this area was prioritised in the guideline (Section 4). If mood disturbance is detected during screening, further assessment and management is required. Reproductive and reproductive hormonal features are often the best-recognised features in PCOS as they form the basis of the diagnostic criteria. These include

2011 MJA Clinical Guidelines

42. CCS guidelines on perioperative cardiac risk assessment and management for patients undergoing noncardiac surgery Full Text available with Trip Pro

., Djulbegovic, B., and Akl, E.A. Guideline panels should not GRADE good practice statements. J Clin Epidemiol . 2015 ; 68 : 597–600 | | | | | Preoperative Cardiac Risk Assessment Accurate preoperative cardiac risk estimation can serve several functions. Valid estimates of the risks and benefits of surgery can facilitate informed decision-making about the appropriateness of surgery. Accurate cardiac risk estimation can also guide management decisions (eg, consideration of endovascular vs open surgical (...) assessment only if the patients' history or physical examination suggests there is a potential undiagnosed severe obstructive intracardiac abnormality, severe pulmonary hypertension, or an unstable cardiovascular condition. 3. In patients who undergo elective noncardiac surgery who are 45 years of age or older or 18-44 years of age with known significant cardiovascular disease, we recommend they undergo preoperative cardiac risk assessment. Practical tip. Preoperative cardiac risk assessments should

2016 Canadian Cardiovascular Society

43. Canadian Rheumatology Association recommendations for the assessment and monitoring of systemic lupus erythematosus

. General Assessment Recommendations Best clinical practice statement (general assessment). Best clinical practice dictates that all adult and pediatric patients with SLE have a complete history, physical, and laboratory evaluation at baseline and during each followup visit. Careful interpretation of the clinical and laboratory findings is required to ensure proper attribution of the signs, symptoms, and investigation results toward SLE or other comorbid conditions. Remarks: Best clinical practice (...) be used include the following: SLE Disease Activity Index-2K 5,29 , British Isles Lupus Assessment Group score 5,30 , SLE Activity Measure 5,31 , and others. Several factors influence the choice of a particular instrument including physician preference and expertise, cost, time burdens, and applicability to pediatric populations. All variables in each instrument are derived from a complete history and physical and laboratory examination, which is good clinical practice. Justification: The evidence

2018 CPG Infobase

44. International evidence-based guideline for the assessment and management of polycystic ovary syndrome (PCOS)

Chapter Two Prevalence, screening, diagnostic assessment and treatment of emotional wellbeing 57 2.1 Quality of life 58 2.2 Depressive and anxiety symptoms, screening and treatment 60 2.3 Psychosexual function 63 2.4 Body image 65 2.5 Eating disorders and disordered eating 67 2.6 Information resources, models of care, cultural and linguistic considerations 69 Chapter Three Lifestyle 72 3.1 Effectiveness of lifestyle interventions 73 3.2 Behavioural interventions 75 3.3 Dietary interventions 77 3.4 (...) specific stages. 1.2.9 CPP Where androgen levels are markedly above laboratory reference ranges, other causes of biochemical hyperandrogenism need to be considered. History of symptom onset and progression is critical in assessing for neoplasia, however, some androgen-secreting neoplasms may only induce mild to moderate increases in biochemical hyperandrogenism. 1.3 Clinical hyperandrogenism 1.3.1 CCR A comprehensive history and physical examination should be completed for symptoms and signs

2018 European Society of Human Reproduction and Embryology

45. Recipient Assessment for Transplantation - Paediatric recipients

, with immobility). After median follow-up of 20 months, all patients survived, had good graft function and showed improved quality of life. In this series, the incidence of complications associated with transplantation were similar to a control group of recipients without mental retardation [54]. SUMMARY OF THE EVIDENCE In summary, transplantation is the primary goal for children with end stage kidney disease and results in improvements in growth, physical and intellectual development. Data from a number (...) Recipient Assessment for Transplantation - Paediatric recipients ___________________________________________________________________________________________________________ Recipient Assessment for Transplantation March 2013 Page 1 of 8 Paediatric recipient Date written: November 2011 Author: Steven McTaggart Guidelines a. In relation to age at the time of transplantation we recommend that: There be no lower age limit set for transplantation (1B) In infants under 1 year of age, transplantation

2013 KHA-CARI Guidelines

46. Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition

not report on the short-term outcomes of the investigation, but instead on the growth and psychological functioning of the children 3 years later. The counselling did not address breastfeeding practices in younger children. There were no statistically significant differences in physical growth or psychological functioning of the children whose mothers had or had not received the nutrition-education programme. EVIDENCE AND RECOMMENDATIONS ?22 ? GUIDELINE: ASSESSING AND MANAGING CHILDREN AT PRIMARY HEALTH (...) ), assessing school-based physical-activity programmes for promoting physical activity and fitness in children and adolescents aged 6–18 years. Twenty-six RCTs included in the review. 3 Other recent systematic reviews published in 2015/2014 report on the effect of physical-activity interventions on BMI in children aged 0–18 years: • Mura et al., 2015 (50): a systematic review of RCTs assessing school-based physical-activity interventions in children aged 3–18 years. The review focused on interventions

2017 World Health Organisation Guidelines

47. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management

Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management | 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. This policy is a revision of the policy in Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management Rachel A. Zuckerbrot , Amy Cheung , Peter S. Jensen , Ruth E.K. Stein , Danielle Laraque , GLAD-PC STEERING GROUP Abstract OBJECTIVES: To update clinical practice guidelines

2018 American Academy of Pediatrics

48. Oesophago-gastric cancer: assessment and management in adults

Oesophago-gastric cancer: assessment and management in adults Oesophago-gastric cancer: assessment Oesophago-gastric cancer: assessment and management in adults and management in adults NICE guideline Published: 24 January 2018 nice.org.uk/guidance/ng83 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived (...) be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Oesophago-gastric cancer: assessment and management in adults (NG83) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

49. Assessment scales for disorders of consciousness: evidence-based recommendations for clinical practice and research

, psychometric properties, and clinical utility of second- generation DOC behavioral assessment scales. To address this critical need, the ACRM BI-ISIG DOC Task Force conducted a systematic, evidence-based literature review to evaluate the extent that each DOC scale (1) has content that differentiates VS, MCS, and emergence from MCS; (2) pro- duces reliable ratings between examiners and over time; (3) generates valid diagnostic ?ndings; and (4) predicts functional outcomes. Recommendations are made to guide (...) Assessment scales for disorders of consciousness: evidence-based recommendations for clinical practice and research ThisarticleappearedinajournalpublishedbyElsevier. Theattached copyisfurnishedtotheauthorforinternalnon-commercialresearch andeducationuse,includingforinstructionattheauthorsinstitution andsharingwithcolleagues. Otheruses,includingreproductionanddistribution,orsellingor licensingcopies,orpostingtopersonal,institutionalorthirdparty websitesareprohibited

2010 American Academy of Neurology

50. Practice Parameters for the Use of Actigraphy in the Assessment of Sleep and Sleep Disorders: An Update for 2007

in estimating total sleep time (TST) in patients with sleep apnea and combining this with tests of respiratory function in order to calculate the most common measure of apnea severity, the apnea- hypopnea index (AHI). Actigraphy can provide an assessment of TST (as it does in some other disorders), and when used along with a valid test for the presence and type of breathing abnor- mality, can improve the calculation of AHI compared with us- ing time in bed. Several other studies used actigraphy as part (...) , and that working mothers had an average 6-7 minutes less sleep in 24 hours than nonworking mothers. Older children and adolescents were subjects in several other studies. A Level 4b study 80 which assessed the ability of measures of emotional intensity (maternal rating, vagal functioning) to pre- dict actigraphically determined sleep problems in healthy school- aged children, found that increased emotional intensity was cor- related with reduced nocturnal sleep and increased night activity. A Level 2 study 81

2007 American Academy of Sleep Medicine

51. Neutralizing antibodies to interferon-beta: assessment of their clinical and radiographic impact

Neutralizing antibodies to interferon-beta: assessment of their clinical and radiographic impact Neutralizing antibodies to interferon beta: Assessment of their clinical and radiographic impact: An evidence report | Neurology Advertisement Search for this keyword Main menu User menu Search Search for this keyword The most widely read and highly cited peer-reviewed neurology journal Share March 27, 2007 ; 68 (13) Special Article Neutralizing antibodies to interferon beta: Assessment (...) of their clinical and radiographic impact: An evidence report Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology D. S. Goodin , E. M. Frohman , B. Hurwitz , P. W. O’Connor , J. J. Oger , A. T. Reder , J. C. Stevens First published March 26, 2007, DOI: https://doi.org/10.1212/01.wnl.0000258545.73854.cf D. S. Goodin E. M. Frohman B. Hurwitz P. W. O’Connor J. J. Oger A. T. Reder J. C. Stevens Neutralizing antibodies to interferon beta: Assessment

2007 American Academy of Neurology

52. Heavy menstrual bleeding: assessment and management

of HMB without other related symptoms (see recommendation 1.2.1), consider pharmacological treatment without carrying Heavy menstrual bleeding: assessment and management (NG88) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 36out a physical examination (unless the treatment chosen is levonorgestrel- releasing intrauterine system [LNG IUS] [1] ). [2007, amended 2018] [2007, amended 2018] Ph Physical e ysical (...) fibroids are present. [2007] [2007] 1.4.9 Inform women about the risk of possible loss of ovarian function and its consequences, even if their ovaries are retained during hysterectomy. [2007] [2007] 1.5 Management of HMB 1.5.1 When agreeing treatment options for HMB with women, take into account: the woman's preferences any comorbidities Heavy menstrual bleeding: assessment and management (NG88) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

53. A National Guideline for the Assessment and Diagnosis of Autism Spectrum Disorders in Australia

of Functioning and a Medical Evaluation. Assessment of Functioning The purpose of this assessment is to obtain a detailed understanding of an individual’s level of ability across a broad range of areas, including cognitive abilities, speech and language function, and daily living skills. Some of the information collected during this assessment will be about: medical and health history family history developmental and functional abilities. An Assessment of Functioning can be performed by one or more medical (...) and/or allied health professionals. This could be a medical practitioner (e.g. GP, paediatrician, psychiatrist), nurse practitioner, occupational therapist, psychologist, social worker or speech pathologist with relevant training and expertise. Medical Evaluation The purpose of this evaluation is to understand if there are medical causes for the behaviours that have prompted a referral for an assessment. A Medical Evaluation involves: a general physical examination other specific medical tests. A Medical

2018 Clinical Practice Guidelines Portal

54. Diagnosis, Assessment and Management of Constipation in Advanced Cancer: ESMO Clinical Practice Guidelines

daily) or pla- cebo. The Bowel Function Inventory (BFI) was used to assess con- stipation. Patients taking a combined oral therapy reported signi?cant improvements in bowel function compared with those only taking PR oral oxycodone, with no loss of analgesic ef?ciency. This outcome has been supported in a more recent review of litera- ture of clinical trials and observational studies into the evidence for PR oxycodone/naloxone treating moderate-to-severe pain and speci?c impact on opioid-induced (...) recommendations for best practice [V, B]. Physical assessment includes abdominal examination [auscul- tation, perineal inspection and digital rectal examination (DRE)] [V, B]. DRE is a safe and simple, diagnostic tool which may have particular bene?t in advanced disease [52]. Table 4 presents the rationale for basic physical assessment. If constipation is considered part of a spinal cord compression syndrome, full neurological examination is essential, including assessment of anal sphincter tone (lax

2018 European Society for Medical Oncology

55. Assessment of symptoms that may be ovarian cancer: a guide for GPs

to specialist gynaecological oncology unit Refer appropriately to specialist gynaecological, surgical, urological or gastroenterological unit for further review (eg peritoneal tumour, omental cake etc) Patient with vague, persistent abdominal symptoms >1 month Careful clinical history Physical examination Abdominal palpation and pelvic assessment Mass identified clinically No mass identified clinically* ©Cancer Australia 2015. OCG 1/15 canceraustralia.gov.au Assessment of symptoms that may be Ovarian cancer (...) Assessment of symptoms that may be ovarian cancer: a guide for GPs Symptoms Most women diagnosed with ovarian cancer report symptoms. Symptoms of ovarian cancer are often vague and generalised and not gynaecological in nature. Assessment of symptoms If vague abdominal symptoms persist for more than one month consider ovarian cancer and undertake further assessment. CA125 CA125 alone should not be used to either rule in or rule out ovarian cancer. While a very high value may assist in confirming

2015 Cancer Australia

56. Clinical Recommendations for Cardiopulmonary Exercise Testing Data Assessment in Specific Patient Populations Full Text available with Trip Pro

influence on the functional assessment of patients with confirmed/suspected CV and pulmonary disease as well as those with certain confirmed/suspected musculoskeletal disorders. Although still underutilized, CPX has gained popularity not only due to the recognition of its clear value in the functional assessment of patients with CV, pulmonary, and musculoskeletal disease/disorders, but also because of technological advances (eg, rapid response analyzers and computer-assisted data processing) which have (...) possesses the unique ability to comprehensively assess the independent and integrated exertional responses of the CV and pulmonary systems. Moreover, the majority of current CPX systems have the capability to perform pulmonary function testing. Therefore, in patients presenting with unexplained exertional dyspnea, CPX is considered an important assessment to determine the mechanism of exercise intolerance. , When CPX is utilized for this indication, a primary goal should be to reproduce the patient's

2012 American Heart Association

57. Assessment and management of psychiatric disorders in individuals with multiple sclerosis

Assessment and management of psychiatric disorders in individuals with multiple sclerosis Evidence-based guideline: Assessment and management of psychiatric disorders in individuals with MS | Neurology Advertisement Search for this keyword Main menu User menu Search Search for this keyword The most widely read and highly cited peer-reviewed neurology journal Share January 14, 2014 ; 82 (2) Special Article Evidence-based guideline: Assessment and management of psychiatric disorders (...) , Kansas City. Evidence-based guideline: Assessment and management of psychiatric disorders in individuals with MS Sarah L. Minden , Anthony Feinstein , Rosalind C. Kalb , Deborah Miller , David C. Mohr , Scott B. Patten , Christopher Bever , Randolph B. Schiffer , Gary S. Gronseth , Pushpa Narayanaswami Neurology Jan 2014, 82 (2) 174-181; DOI: 10.1212/WNL.0000000000000013 Citation Manager Formats Make Comment See Comments Downloads 8782 Share Abstract Objective: To make evidence-based recommendations

2014 American Academy of Neurology

58. Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States Full Text available with Trip Pro

Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States | Circulation: Heart Failure Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 February 2019 January 2019 Free Access article Share on Jump to Free Access article Statement Regarding the Pre and Post (...) Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States , MD , MD, PhD , PharmD , MD , MD , MD , MD , PhD , MD , MD , MD , PhD , MD , MD , MD , MD, MPH , MD , MD , MD, PhD , MD , MD, PhD , and MD MDFrom the Division of Cardiothoracic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania (MAA); Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan (FDP); Campbell University College of Pharmacy and Health Science, Buies Creek, North

2012 American Heart Association

59. Nutrition Screening, Assessment, and Intervention in Adult

is a rigorous process that includes obtaining diet and medical history, current clinical status, anthropomet- ric data, laboratory data, physical assessment informa- tion, and often functional and economic information; estimating nutrient requirements; and, usually, selecting a treatment plan. Clinical skill, resource availability, and the setting determine the specific methods used to per- form a clinical nutrition assessment. 6,7 Evidence-based Clinical Guidelines for specific diseases and conditions may (...) history, appetite, feeding mode Albumin, prealbumin, cholesterol, lymphocyte count Self-perception of nutrition and health status Subjective Global Assessment 25 Weight history, diet history Primary diagnosis, stress level Physical symptoms (subcutaneous fat, mus- cle wasting, ankle edema, sacral edema, ascites), functional capacity, gas- trointestinal symptoms BMI, body mass index. Table 2. Obesity Classification and Risk Obesity Class BMI, kg/m 2 Underweight 102 Women > 88 BMI, body mass index

2011 American Society for Parenteral and Enteral Nutrition

60. Clinical Assessment Following Acute Cervical Spinal Cord Injury Full Text available with Trip Pro

as the preferred means to assess pain, including pain severity, physical functioning, and emotional functioning, among SCI patients. RATIONALE Acute traumatic spinal cord injury (SCI) affects 12 000 to 15 000 people in North America each year. The functional consequences of an acute SCI are variable; therefore, the initial clinical presentation of patients with an acute SCI is a key factor in determining triage, defining therapy, and predicting prognosis. The patient must be assessed with an accurate (...) examination scales and functional outcome/assessment scales to most accurately describe individual patients. , , Finally, the clinical assessment of patients with acute SCI should include an assessment of pain severity, physical functioning, and emotional functioning experienced by that patient. Several pain classification systems have been developed, and 13 pain intensity instruments have been designed and utilized to describe pain among SCI patients. – NEUROLOGICAL EXAMINATION SCALES A comprehensive

2013 Congress of Neurological Surgeons

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