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Assessment of Physical Function


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121. The Australasian Society for Infectious Diseases and Refugee Health Network of Australia recommendations for health assessment for people from refugee-like backgrounds: an abridged outline

. Consider screening for vitamin B 12 deficiency in people with history of restricted food access, especially those from Bhutan, Afghanistan, Iran and the Horn of Africa. Chronic non-communicable diseases in adults: Offer screening for non-communicable diseases in line with the Royal Australian College of General Practitioners Red Book recommendations, including assessment for: smoking, nutrition, alcohol and physical activity; obesity, diabetes, hypertension, cardiovascular disease, chronic obstructive (...) not advisable to ask specifically about details in the first visits. Consider functional impairment, behavioural difficulties and developmental progress as well as mental health symptoms when assessing children. Hearing, vision and oral health: A clinical assessment of hearing, visual acuity and dental health should be part of primary care health screening. Women’s health: Offer women standard preventive screening, taking into account individual risk factors for chronic diseases and bowel, breast

2017 MJA Clinical Guidelines

122. Endocrine Society of Australia position statement on male hypogonadism (part 1): assessment and indications for testosterone therapy

, including information on smoking and the use of medication, alcohol and other recreational drugs, in particular androgens, is required. In addition, a focused review of the reproductive system should include any developmental history of undescended testes or other genital abnormalities, pubertal development, prior fertility, erectile function, sexual desire and any history of pelvic surgery, genital trauma or infection. The physical examination must include height and weight (and, if obese, waist (...) circumference), a check for gynaecomastia, the adequacy of age-appropriate virilisation and especially scrotal palpation, using an orchidometer to assess testicular volume (usually 15–35 mL in men aged 21–35 years with normal reproductive function ). Initial hormonal assessment Having identified the possibility of pathologically based androgen deficiency on clinical grounds, laboratory testing is undertaken. Measurement of serum testosterone levels is not otherwise warranted (eg, for population screening

2016 MJA Clinical Guidelines

123. Mitochondrial Function, Biology, and Role in Disease

is not the main driver of mitochondrial protein turnover. In fact, it is suggested that the dynamics of protein turnover can provide an assessment of the physiological state. Alterations in these mitochondrial functions are important in many cardiac diseases, as discussed in the section on Mitochondria and Cardiovascular Disease. The section on Mitochondrial Myopathies: Mitochondrial Pathogenesis of Cardiomyopathy examines the mitochondrial pathogenesis of cardiomyopathy, and the section on Cardiotoxicity (...) discusses the role of mitochondria in cardiotoxicity. The section on Biomarkers discusses potential biomarkers for mitochondrial diseases. Taken together, this American Heart Association scientific statement provides a state-of-the-art assessment of the current status of basic mitochondrial biology and how alterations in mitochondria can be major contributors to complex cardiovascular diseases. Mitochondrial Function Generation of ATP: Bioenergetics and Metabolism Energy Demands of the Heart

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2016 American Heart Association

124. Functional communication training ? Treatment of problem behavior

., Acquisto, J., & LeBlanc, L. A. (1998). Effectiveness of functional communication training with and without extinction and punishment: A summary of 21 inpatient cases. Journal of Applied Behavior Analysis, 31(2), 211-235. [4a] Hagopian, L. P., Wilson, D. M., & Wilder, D. A. (2001). Assessment and treatment of problem behavior maintained by escape from attention and access to tangible items. Journal of Applied Behavior Analysis, 34(2), 229-232. [4a] Speech-Language Pathology/Communication Deficits (...) disabilities [Guidelines]. Retrieved from or [5] Wacker, D. P., Steege, M. W., Northup, J., Sasso, G. M., Berg, W., Reimers, T., et al. (1990). A component analysis of functional communication training across three topographies of severe behavior problems. Journal of Applied Behavior Analysis, 23(4), 417-429. [4a] Yudofsky, S.C., Silver, J. M., Jackson, W., Endicott, J.; Williams, D. (1986). The Overt Aggression Scale for the objective rating of verbal and physical

2012 Cincinnati Children's Hospital Medical Center

125. Improving Nasal Form and Function after Rhinoplasty

Improving Nasal Form and Function after Rhinoplasty Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty - Lisa E. Ishii, Travis T. Tollefson, Gregory J. Basura, Richard M. Rosenfeld, Peter J. Abramson, Scott R. Chaiet, Kara S. Davis, Karl Doghramji, Edward H. Farrior, Sandra A. Finestone, Stacey L. Ishman, Robert X. Murphy, John G. Park, Michael Setzen, Deborah J. Strike, Sandra A. Walsh, Jeremy P. Warner, Lorraine C. Nnacheta, 2017 MENU IN THIS JOURNAL Sign (...) and conditions Share URL copied to clipboard View permissions information for this article Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty .entryAuthor" data-author-container-selector=".NLM_contrib-group"> Show all authors , MD, MHS 1 1Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA by this author for this author , , MD, MPH 2 2University of California Davis Medical Center, Sacramento, California, USA by this author

2017 American Academy of Otolaryngology - Head and Neck Surgery

126. Optimal Lung Function Tests for Monitoring Cystic Fibrosis, Bronchopulmonary Dysplasia, and Recurrent Wheezing in Children Less Than 6 Years of Age: An Official ATS Workshop Report

assessments play a limited role in the care of infants and children under 6 years of age, due to the challenges of measuring lung function in these young patients. A number of lung function techniques have been developed and evaluated among children under 6 years of age in the research setting, and show promise as safe, feasible, and potentially useful clinical tests. These proceedings re?ect the results of of?cial American Thoracic Society (ATS) workshops convened by the ATS/European Respiratory Society (...) . This belief is based upon the observation that lung function assessments are central to the clinical care of older children with CF. B In infants and young children with CF, BPD, or recurrent wheeze, lung function monitoring may be valuable to address speci?c concerns, such as ongoing symptoms or monitoring response to treatment, and as objective outcome measures in clinical research studies. A summary of the current strengths and weaknesses of these lung function tests is provided in the summary table

2013 American Thoracic Society

127. Evaluation and Treatment of Functional Constipation in Infants and Children: Evidence-Based Recommendations from ESPGHAN and NASPGHAN

at 3weeksforthe3groups.Becauseofthemissingdatasuchasmeans with SD, a GRADE evidence profile could not be performed. In conclusion, evidence does not support the use of extra fluid intake in the treatment of functional constipation. 6.3 Physical Activity (Fig. 2, Box 9 ‘‘Education’’) There are no randomized studies that evaluate the effect of increased physical activity in childhood constipation. 6.4 Prebiotics 6.5 Probiotics The present search identified 153 studies, including 4 sys- tematicreviews(9,56,57,64).Tabbersetal(9)performedaGRADE assessment (...) on the fact that defecation problems in infants 2 weeks old Functional constipation Treatment effective? Treatment effective? Maintenance therapy Relapse? Relapse? Improve treatment Has previous treatment been sufficient? Refer Treatment effective? Condition Question Action Treatment effective? Treatment:  Education  Diet: verify proper formula preparation  Diary  Start oral medication  Occasional suppository  Re-assessment  Adherence?  Re-education  Wean  Observe Probably normal Evaluation

2014 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

128. Cardiovascular Function and Treatment in ß-Thalassemia Major

by cardiac T2* magnetic resonance. Cardiac T2* <10 ms is the most important predictor of development of heart failure. Serum ferritin and liver iron concentration are not adequate surrogates for cardiac iron measurement. Assessment of cardiac function by noninvasive techniques can also be valuable clinically, but serial measurements to establish trends are usually required because interpretation of single absolute values is complicated by the abnormal cardiovascular hemodynamics in TM and measurement (...) document is that cardiac disease is easier and safer to treat at an early stage rather than a late stage when the hazard of death is high. We build on previous, more focused summary reviews and consensus statements on the heart in TM and build a consensus of the assessment of cardiac function and treatment of HF in TM. 2. Fundamentals of TM and the Heart 2.1 Iron-Loading Conditions 2.1.1 β-Thalassemia Major TM is a genetic condition with severe reduction or absent production of the β-globin chain

2013 American Heart Association

129. ACR-ASNR-SPR Practice Guideline for the Performance of Functional Magnetic Resonance Imaging (fMRI) of the Brain

, but are not limited to: 1. Head motion assessment and/or correction. 2. Coregistration of the fMRI data with anatomic data. 3. Data filtering and/or smoothing. 4. Statistical modeling. 5. Generation of statistical activation maps. 6. Overlaying of statistical activation map and anatomic data. Functional activation maps should be reviewed over multiple statistical thresholds with attention to both the voxel-wise statistical significance and the anatomic extent of activations. Consideration may be given (...) . In addition to describing and interpreting the relevant findings, it is recommended that the fMRI report specify the following items: 1. Clinical indication as relevant to task selection. 2. Tasks performed. 3. Patient assessment and training. 4. An assessment of fMRI data quality based on available patient behavioral observations and measurements. 5. Description of important functional activations and their anatomic relationship to relevant pathology in the brain. VII. EQUIPMENT SPECIFICATIONS The MRI

2012 American Society of Neuroradiology

130. Laboratory investigation of heritable disorders of platelet function

drugs and/or detecting platelet hyperfunction will not be discussed in these guidelines. An evaluation of patients with abnormal bleeding requires objective clinical assessment of bleeding history, any family history and physical examination followed, when appropriate, by laboratory investigations. During this process it is essential to recognize that numerical and/or functional platelet disorders are prevalent amongst patients with abnormal bleeding and may be clinically indistinguishable from (...) on the utility and practice of using the PFA‐100 for clinical assessment of platelet disorders have been provided by various international and national organizations ( ; ; ). It is reasonable to use normal PFA closure times to rule out a significant platelet defect in patients who have a low clinical suspicion of such a defect, however if the clinical suspicion of a platelet defect is high, then a normal PFA result should not be used to rule out this possibility and specific assays of platelet function

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2011 British Committee for Standards in Haematology

131. EANM/ESC guidelines for radionuclide imaging of cardiac function

and gated perfusion imaging 4. Right ventricular ejection fraction 5. Left ventricular ejection fraction 6. Left ventricular volumes 7. Left ventricular regional function 8. Left ventricular diastolic function 9. Physics and software 10. Reference values 11. Report and image display 1. Clinical indications Introduction Assessment of left ventricular (LV) function and volumes is important for prognostification, being very powerful predic- tors of long-term outcome after acute myocardial infarction (MI (...) ) [1, 2]. The information obtained to that obtained by ungated myocardial perfusion scintigraphy (MPS) by the addition of gating has been demonstrated in several studies to be of high clinical value. The assessment of the function of the right ventricle (RV) is recognised to be important in subgroups of patients including arrhyhmogenic RV, in lung transplant candidates, and after MI, possibly including RV infarction, with high prognostic value of demonstrating RV dysfunction. Determination

2008 European Association of Nuclear Medicine

132. Monitoring Progress of Neurological and Functional Outcomes in the Paediatric HIV Cohort in the UK

referral 10 CONCLUSIONS 11 References 12 2 Summary This document aims to summarise the current understanding of neurological and functional outcomes for children living with HIV and provide recommendations for screening and monitoring, as well as the process for deciding when to refer for or carry out additional assessments. This guideline gives a summary of some of the literature relating to the neurological and functioning outcomes of children and young people living with HIV. It is aimed (...) at multidisciplinary clinicians working in HIV services around screening for difficulties in these areas. It gives guidance on significant time points to assess, an example screening proforma, a list of potential assessments to undertake and the actions to take if needs are identified. It also gives two case examples. Assessing and reviewing neurological and functioning outcomes continues to be a priority. 3 Ethos of developmental care Echoing the ‘Every Child Matters’ paper in 2004 the ethos of paediatric HIV

2019 The Children's HIV Association

133. ACR–ASNR–SPR Practice Parameter for the Performance of Functional Magnetic Resonance Imaging (fMRI) of the Brain Revised

be postprocessed using programs readily available. Typical postprocessing steps include, but are not limited to: 1. Head motion assessment and/or correction 2. Coregistration of the fMRI data with anatomic data 3. Data filtering and/or smoothing 4. Statistical modeling 5. Generation of statistical activation maps 6. Overlaying of statistical activation map and anatomic data Functional activation maps should be reviewed over multiple statistical thresholds with attention to both the voxel-wise statistical (...) . Neurosurgery 2000; 47:711-721; discussion 721-712. 5. Janecek JK, Swanson SJ, Sabsevitz DS, et al. Language lateralization by fMRI and Wada testing in 229 patients with epilepsy: rates and predictors of discordance. Epilepsia 2013; 54:314-322. 6. Kundu B, Penwarden A, Wood JM, et al. Association of functional magnetic resonance imaging indices with postoperative language outcomes in patients with primary brain tumors. Neurosurg Focus 2013; 34:E6. 7. Lee CC, Ward HA, Sharbrough FW, et al. Assessment

2019 American Society of Neuroradiology

134. Impact of Hypertension on Cognitive Function: A Scientific Statement From the American Heart Association

mortality over the past several decades has been attributed to the treatment of hypertension. , Surprisingly, however, the impact of hypertension and its treatment on cognitive impairment has been more difficult to assess, and several key questions remain to be answered. Considering the growing public health import of dementia, a critical appraisal of current knowledge of the cognitive function associated with hypertension is warranted. Although the role of vascular risk factors in cognitive impairment (...) the development, timing, and evaluation of pharmacological and behavioral interventions, for example, disease self-management and medication adherence. Cognitive function is assessed in studies of hypertension with a number of measures. The most common measures administered in these studies assess the specific domains of memory, executive function, and processing speed. Memory Memory function includes tests of short-term memory, verbal learning, and working memory. Common short-term memory tasks include

2016 American Heart Association

135. Prioritizing Functional Capacity as a Principal End Point for Therapies Oriented to Older Adults With Cardiovascular Disease

and efficiency. Determinants of Physical Function in Older Adults: Impact of Age and Disease Cardiorespiratory Fitness The primary metric of functional capacity is cardiorespiratory fitness (CRF), usually assessed as peak oxygen uptake (V o 2 ). Cardiovascular and pulmonary physiological components are key determinants of V o 2 and usually predominate in younger adults, but vascular, skeletal muscle, autonomic, hematologic, and other physiological mechanisms are also contributory and often factor relatively (...) and clinical venues. Whereas CRF measured by CPET or exercise tolerance test (ETT) is often used in younger individuals, the utility of CPET and ETT for older adults is often complicated by weakness and other limitations, although these tests may still be feasible when appropriate protocols and modes are used. Physical performance domains are also interdependent; assessments of multiple domains can often help clarify functional limitations and then can be applied together as integrated bases of management

2017 American Heart Association

136. Guidance addressing all aspects of the care of people with schizophrenia and related disorders. Includes correct diagnosis, symptom relief and recovery of social function

by its committees and members, an expert advisory committee and key stakeholders including professional bodies and special interest groups. Results: The clinical practice guideline for the management of schizophrenia and related disorders reflects an increasing emphasis on early intervention, physical health, psychosocial treatments, cultural considerations and improving vocational outcomes. The guideline uses a clinical staging model as a framework for recommendations regarding assessment, treatment (...) domains that do not co-vary over time need to be independently assessed: symptom severity, functional 8 First published in Australian and New Zealand Journal of Psychiatry 2016, Vol. 50(5) 1-117. impairment (including cognitive deficits) and social and occupational disability. The onset is usually in adolescence and early adult life, coinciding with a developmental stage of incomplete social maturation, educational attainment and acquisition of occupational skills (see Section 1. The stages

2016 Royal Australian and New Zealand College of Psychiatrists

137. Management of Venous Leg Ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum

; LEVEL OF EVIDENCE - B] Guideline 3.8 : Microcirculation Assessment We suggest against routine microcirculation assessment of venous leg ulcers but suggest selective consideration as an adjunctive assessment for monitoring of advanced wound therapy. [GRADE - 2; LEVEL OF EVIDENCE - C] Guideline 3.9 : Venous Duplex Ultrasound We recommend comprehensive venous duplex ultrasound examination of the lower extremity in all patients with suspected venous leg ulcer. [GRADE - 1; LEVEL OF EVIDENCE - B (...) venous diagnosis is required for thrombotic or nonthrombotic iliac vein obstruction or for operative planning before open or endovenous interventions. [GRADE - 2; LEVEL OF EVIDENCE - C] Guideline 3.12 : Venous Disease Classification We recommend that all patients with venous leg ulcer be classified on the basis of venous disease classification assessment, including clinical CEAP, revised Venous Clinical Severity Score, and venous disease–specific quality of life assessment. [BEST PRACTICE] Guideline

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2014 American Venous Forum

138. Distal Symmetrical Polyneuropathy: Definition for Clinical Research

. 4,5,7,10,19,20,24 NCS are noninvasive, standardized, and provide a sensitive measure of the functional status of sensory and mo- tor nerve ?bers. NCS are also widely performed and suitable for population studies or longitudinal eval- uations. The inclusion of NCS in the assessment of polyneuropathy adds a higher level of speci?city to the diagnosis. 3,5,7,24 For these reasons, NCS are in- cluded as an integral part of the case de?nition of polyneuropathy. The protocol for performing NCS was deter- mined (...) Academy of Physical Medicine and Rehabilitation (AAPM&R) determined that there was a need for a formal case de?nition of polyneuropathy. Because of inconsistency in the literature, no consistent case de?nition exists. The use of a formal case de?nition across future research studies would ensure greater consistency of patient selection. This review de- scribes the development of such a case de?nition for “distal symmetrical polyneuropathy.” This article was prepared and reviewed by the AAEM and did

2005 American Association of Neuromuscular & Electrodiagnostic Medicine

139. Persistent Pain with Breastfeeding

and non- nutritive sucking, sleeping Shape and color of nipple after feeding If the mother is expressing milk, the clinician should di- rectly observe an expressing session to assess the following: Hand expressing technique Breast shield/?ange ?t Breast pump dynamics, including suction and cycle frequency with the pump the mother is using Evidence of trauma from the breast pump Laboratory studies, such as milk and nipple cultures (Table 2), may be considered based on the history and physical exam (...) for vasospasm of the nipple. Allodynia/functional pain Allodynia is de?ned as sensation of pain in response to a stimulus,suchaslighttouch,whichwouldnotnormallyelicit pain.Breastallodyniacanoccurinisolationorinthecontext of other pain disorders, such as irritable bowel syndrome, ?bromyalgia, interstitial cystitis, migraines, temporoman- dibular joint disorders (TMJ), and pain with intercourse. Taking a careful history to assess for other pain disorders is important for informing treatment

2016 Academy of Breastfeeding Medicine

140. Nonpharmacological Management of Procedure-Related Pain in the Breastfeeding Infant

. In such cases, individual components of breastfeeding or a combination of the components (e.g., contact and sweet taste) is available (IB). There are concerns about prolonged sucrose exposure in the preterm infant. 39 One study documented infants born at<31 weeks who were given a higher number of sucrose doses had lower scores in motor de- velopment and attention when assessed at term. 44 There are no uniform gestational age criteria for studies on analgesia used in preterm infants. The following (...) be invited to breastfeed the infant during painful procedures (IV). 4. Older than 12 months. The upper age limit of effec- tiveness of sucrose as a pain reducer has not been fully studied, and sucrose, therefore, cannot be re- commended as a pain reducer in children older than 12 months at this time (IA). 50,52,61 A publication of workshop proceedings reviewing the evidence for other techniques such as physical, psychological, and pharmacological interventions shows a range of non- pharmacological

2016 Academy of Breastfeeding Medicine


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