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101. Guidelines on Management of Dyspnea (Breathlessness) in Patients with Cancer

adverse effects includes a systematic review, but recommendations are primarily based on consensus due to limited information being available. The section on lung toxicity indicates pneumonitis is the most common lung effect and may occur 2 to 24 months after treatment; 53% of affected patients have dyspnea, 35% cough, 12% fever, and 7% chest pain. Pleural effusion and dyspnea may also be associated with cardiovascular toxicity. Guidelines (not based on systematic reviews) by ESMO [36] and CCO [67 (...) ; symptoms include dyspnea (53%), cough (35%), fever (12%), chest pain (7%); hypoxia may lead to respiratory failure Sarcoid-like granulomatous reactions and pleural effusions have also been reported Dyspnea and pleural effusion may also be associated with cardiovascular toxicity 40 (GGF) Focus on management of specific cancer National Institute for Health and Care Excellence (NICE NG36) NICE, 2016 [18] Upper aerodigestive tract cancer Systematic review (see [78] for full guideline and methods, Appendix

2019 Cancer Care Ontario

102. Haemodialysis

Hertfordshire NHS Trust Final Version: July 2019 Review Date: July 2024 Renal Association Clinical Practice Guideline Haemodialysis– July 2019 2 Claire Gardiner Senior Specialist Renal Dietitian, Leeds Teaching Hospitals NHS Trust Martin Gerrish RN Matron, United Lincolnshire Hospitals NHS Trust Dr Sharlene Greenwood Consultant Physiotherapist in Renal and Exercise Rehabilitation, King’s College Hospital, London. Dr Daljit Hothi Consultant Paediatric Nephrologist, Associate Medical Director, Great Ormond (...) guideline, as are many aspects of dialysis, including: ? Planning, initiation & withdrawal of Renal Replacement Therapy ? Vascular Access for Haemodialysis ? Cardiovascular Disease ? Blood Borne Viruses ? Assessment of the Potential Kidney Transplant Recipient ? Nutrition ? Anaemia ? CKD-Mineral and Bone Disorder ? Water Treatment Facilities, Dialysis Water and Dialysis Fluid Quality We have removed the section on targets for blood testing since these are better covered in other guidelines, and have

2019 Renal Association

104. Canadian stroke best practice recommendations: secondary prevention of stroke, sixth edition practice guidelines

term are at increased risk for cardiovascular events over the long term. 3 Therefore, the opportunity to reduce the risk of recurrent strokes through aggres- sive vascular risk factor reduction e?orts represent a signi?cant opportunity to lower the total stroke burden. The Canadian Stroke Best Practice Recommendations have been developed to provide up-to-dateevidence-basedguidelinesfortheprevention and management of stroke, to promote optimal recov- ery and reintegration for people who have (...) sleepiness and improved health- related quality of life, the risks of recurrent stroke or major cardiovascular events were not reduced signi?- cantly.Accordingly,wehaveremovedourpreviousrec- ommendationsforuniversalscreeningandtreatmentin stroke patients. Screening and treatment for sleep apnea should be performed as part of routine primary care based on the presence or absence of symptoms, as is currently done for patients without stroke. Guideline development methodology The Canadian Stroke Best

2018 CPG Infobase

105. Cardiac arrhythmias in coronary heart disease

of arrhythmias in CHD. The SIGN guideline for cardiac rehabilitation includes recommendations for all patients with CHD. 5 Together these guidelines provide a framework for managing patients across the spectrum of coronary heart disease. 1.1.1 UPDATING THE EVIDENCE This guideline updates SIGN 94: Cardiac arrhythmias in coronary heart disease, published in February 2007, to reflect the most recent evidence. Where no new evidence was identified to support an update, text and recommendations are reproduced (...) following ACS. 50,66-68 R Routine use of antiarrhythmic drugs is not recommended following ACS. Omega-3 fatty acid supplements The following text and recommendation is reproduced from SIGN 149: Risk estimation and the prevention of cardiovascular disease. 15 There is no clear evidence that increased consumption of omega-3 fats, suggested as the protective element of oily fish consumption, reduces cardiovascular disease (CVD) when consumed as supplements. In a meta- analysis of RCTs examining the effects

2018 SIGN

106. Management of stable angina

of Edinburgh Dr Morag Osborne Consultant Clinical Psychologist, West Glasgow Ambulatory Care Hospital Professor Naveed Sattar Professor of Metabolic Medicine, Institute of Cardiovascular and Medical Sciences, University of Glasgow Mr Gordon Snedden Lay representative, Forfar Professor Allan Struthers Professor of Cardiovascular Medicine and Therapeutics, Ninewells Hospital and Medical School, Dundee Dr Iain Todd Consultant in Cardiovascular Rehabilitation, Astley Ainslie Hospital, Edinburgh Management (...) to prevent new vascular events 17 4.4 Medication concordance 18 5 Interventional cardiology and cardiac surgery 19 5.1 Coronary artery anatomy and definitions 19 5.2 Percutaneous coronary intervention 19 5.3 Coronary artery bypass grafting 21 5.4 Choice of revascularisation technique 23 5.5 Postintervention drug therapy 26 5.6 Postintervention rehabilitation 28 5.7 Managing restenosis 28 5.8 Managing refractory angina 28 6 Stable angina and non-cardiac surgery 30 6.1 Assessment prior to surgery 30 6.2

2018 SIGN

108. Diagnosis and management of epilepsy in adults

in the urgent assessment of seizures, or when MRI is contraindicated. 3.7 ELECTROCARDIOGRAPHY Electrocardiography (ECG) should be carried out in the assessment of all patients with altered consciousness, particularly those in older age groups, when disorders of cardiac rhythm may simulate epilepsy. Twenty- four hour ambulatory ECG and other cardiovascular tests (including implantable loop devices) may also be helpful. 56 ? Patients who have blackouts, strange feelings, or ’funny turns‘ should have a 12-lead

2018 SIGN

109. PEER Simplified Guideline: Medical Cannabinoids

review of systematic reviews on medical cannabinoids for pain, nausea/vomiting, spasticity, and harms. Can Fam Physician. 2018 Feb;64(2):e78-e94. 13. Allan GM, Lindblad AJ, Comeau A, Coppola J, Hudson B, Mannarino M, et al. Simplified lipid guidelines: prevention and management of cardiovascular disease in primary care. Can Fam Physician. 2015;61(10):857-67, e439-50. 14. Greenfield S, Steinberg E, Auerbach A, Avorn J, Galvin R, Gibbons R, et al. Clinical practice guidelines we can trust. Washington (...) , et al. Antiemesis. NCCN Clinical Practice Guidelines in Oncology. 2017. Version 2. (Accessed October 18, 2017). 21. National Institute for Health and Care Excellence (2014) Multiple sclerosis in adults: management. Available at: Recommendations#ms-symptom-management-and-rehabilitation-2 [Accessed 16 October 2017]. 22. Sorensen CJ, DeSanto K, Borgelt L, Phillips KT, Monte

2018 Toward Optimized Practice

110. CTS guideline on pharmacotherapy in patients with COPD— 2019 update of evidence

disease measured by St. George’s respiratory disease questionnaire scores and forced expiratory volume. J Tradit Chin Med. 2014;34(4):445–449. doi: 10.1016/S0254-6272(15)30044-3. 114. Blanco I, Santos S, Gea J, et al. Sildenafil to improve respiratory rehabilitation outcomes in COPD: a controlled trial. Eur Respir J. 2013;42(4):982–992. doi:10.1183/09031936.00176312. 115. Goudie AR, Lipworth BJ, Hopkinson PJ, et al. Tadalafil in patients with chronic obstructive pulmonary disease: a rando- mised (...) JA, Dahl R, Buhl R, et al. Pooled safety analysis of the fixed-dose combination of indacaterol and glycopyrronium (QVA149), its monocomponents, and tiotropium versus placebo in COPD patients. Respir Med. 2014;108(10):1498–1507. doi:10. 1016/j.rmed.2014.07.011. 148. Calverley PMA, Anderson JA, Brook RD, et al. Fluticasone furoate, vilanterol, and lung function decline in patients with moderate chronic obstructive pulmonary disease and height- ened cardiovascular risk. Am J Respir Crit Care Med

2019 Canadian Thoracic Society

111. Policy on Medically-Necessary Care

by the Council on Clinical Affairs and adopted in 2007. This document is an update from the last revision in 2014. It includes an electronic search with Scopus® and PubMed®/MEDLINE using the terms: medically-necessary care, systemic disease AND oral disease, dentistry as medically-necessary care, periodontal disease AND cardiovascular disease, oral health AND pregnancy, oral health AND respiratory illness, oral health AND quality of life, pediatric dentistry general anesthesia, and nutritional deficiency (...) and well-being. Gingivitis is nearly universal in children and adolescents, and children can develop severe forms of periodontitis. 12 A relationship may exist between periodontal disease and cardiovascular disease 13-15 as well as periodontal disease and adverse pregnancy outcomes, 16,17 including pregnancy hypertension. 18 An association between oral health and respiratory diseases has been recognized. 18,19 Oral health, oral microflora, and bacterial pneumonia, especially in populations at high risk

2019 American Academy of Pediatric Dentistry

112. Recommendations for the Delivery of Psychosocial Oncology Services in Ontario

, practical, nutritional and rehabilitative challenges associated with cancer, patients and families continue to face significant barriers in finding and accessing these services in Ontario. Across the province there are marked variations in the delivery and availability of PSO services. Patients often do not know how or where to find help, while healthcare providers struggle to connect them with appropriate supports. Confusion about what PSO is and a lack of a cohesive identity and understanding about (...) emotional, psychological, cognitive and/ or spiritual distress have access to psychiatrists, social workers, psychologists, and/or spiritual care providers. 3.3 Patients experiencing physical, functional, rehabilitative, and/ or nutritional concerns have access to occupational therapists, physiotherapists, registered dietitians and/or speech language pathologists. 3.4 Regional Cancer Programs ensure continuity of care for all patients, regardless of where they receive their cancer treatment. 3.5

2018 Cancer Care Ontario

113. ESC/EACTS Guidelines on Myocardial Revascularization

Surgery Department, Hospital Santa Cruz, Avenue Prof Reynaldo dos Santos, 2790-134 Carnaxide, Portugal. Tel: + 351 210 433 163, Fax: + 351 21 424 13 88, Cardiovascular Research Centre, Department of Surgery and Physiology, Faculty of Medicine-University of Porto, Alameda Prof Hernani Monteiro, 4200-319 Porto, Portugal Email: . Search for other works by this author on: Anders Ahlsson Search for other works by this author on: Fernando Alfonso Search for other works by this author on: Adrian P Banning (...) contribution of the European Association for Percutaneous Cardiovascular Interventions (EAPCI) Table of contents Abbreviations and acronyms 90 1 Preamble 93 2 Introduction 94 2.1 What is new in the 2018 Guidelines? 95 3 Diagnostic tools to guide myocardial revascularization 96 3.1 Non-invasive diagnostic tools 96 3.1.1 Assessment of myocardial ischaemia 96 3.1.2 Assessment of myocardial viability in patients with heart failure and coronary artery disease 96 3.2 Invasive diagnostic tools 96 3.2.1 Pressure

2018 European Society of Cardiology

114. ESC/ESH Management of Arterial Hypertension (Full text)

Article navigation 01 September 2018 Article Contents Article Navigation 2018 ESC/ESH Guidelines for the management of arterial hypertension Bryan Williams ESC Chairperson Corresponding authors. Bryan Williams, Institute of Cardiovascular Science, University College London, Maple House, 1st Floor, Suite A, 149 Tottenham Court Road, London W1T 7DN, UK, Tel: +44 (0) 20 3108 7907, E-mail: . Search for other works by this author on: Giuseppe Mancia ESH Chairperson Giuseppe Mancia, University of Milano (...) of Cardiology/European Society of Hypertension arterial hypertension Guidelines?3027 3 Definition, classification, and epidemiological aspects of hypertension3030 3.1 Definition of hypertension3030 3.2 Classification of blood pressure3030 3.3 Prevalence of hypertension3030 3.4 Blood pressure relationship with risk of cardiovascular and renal events3032 3.5 Hypertension and total cardiovascular risk assessment3032 3.6 Importance of hypertension-mediated organ damage in refining cardiovascular risk assessment

2018 European Society of Cardiology

117. Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update: A Policy Statement From the American Stroke Association (Full text)

to help guide policymakers and public healthcare agencies in continually updating their stroke systems of care in light of these changes. This statement and its recommendations span primordial and primary prevention, acute stroke recognition and activation of emergency medical services, triage to appropriate facilities, designation of and treatment at stroke centers, secondary prevention at hospital discharge, and rehabilitation and recovery. To translate advances in scientific knowledge (...) . This statement provides an update to prior publications to help guide policymakers and public healthcare agencies in continually updating their stroke systems of care in light of these changes. This statement and its recommendations span primordial and primary prevention, acute stroke recognition and activation of emergency medical services (EMS), triage to appropriate facilities, designation of and treatment at stroke centers, secondary prevention at hospital discharge, and rehabilitation and recovery

2019 American Heart Association

118. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

recommendations are proffered with the awareness that, regardless of the intended level of sedation or route of drug administration, the sedation of a pediatric patient represents a continuum and may result in respiratory depression, laryngospasm, impaired airway patency, apnea, loss of the patient’s protective airway reflexes, and cardiovascular instability. Procedural sedation of pediatric patients has serious associated risks. These adverse responses during and after sedation for a diagnostic (...) by an appropriately licensed practitioner and reviewed by the sedation team at the time of treatment for possible interval changes. The purpose of this evaluation is not only to document baseline status but also to determine whether the patient has specific risk factors that may warrant additional consultation before sedation. This evaluation also facilitates the identification of patients who will require more advanced airway or cardiovascular management skills or alterations in the doses or types of medications

2019 American Academy of Pediatrics

120. WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights

the following working definition of self-care: Self-care is the ability of individuals, families and communities to promote health, prevent disease, maintain health, and cope with illness and disability with or without the support of a health- care provider. The scope of self-care as described in this definition includes health promotion; disease prevention and control; self-medication; providing care to dependent persons; seeking hospital/specialist/primary care if necessary; and rehabilitation, including

2019 World Health Organisation Guidelines


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