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161. Chest Pain – Possible Acute Coronary Syndrome

the patient’s postdischarge care altogether. It is not uncommon for a patient to have acute chest pain occurring from other cardiovascular causes or noncardiac etiologies. Patients may have predisposing cardiac risk factors and pain characteristics that place them in the triage category of intermediate probability for coronary artery disease (CAD). Further cardiac risk stratification of this subgroup of patients is recommended before discharge, and noninvasive imaging is often necessary to exclude ischemia (...) enlargement of the cardiac silhouette in patients with acute myocardial infarction and no prior history of ischemic damage or associated mitral valve disease. However, CXR is insufficient to confirm or exclude the presence of significant CAD. Other cardiovascular entities, such as aortic aneurysms, aortic dissections, and pulmonary embolism may be suggested from the CXR but with far lower sensitivity than other imaging modalities such as MDCT [16-18]. Noncardiac findings associated with chest pain

2019 American College of Radiology

163. BTS Guideline for Bronchiectasis in adults

? 31 P ulmonary Rehabilitation 32 Inspiratory Muscle Training 32 Field Walking Tests 33 What is the role of surgery in managing bronchiectasis? 33 Lung transplantation for bronchiectasis 34 What is the role of influenza and pneumococcal vaccination in management of bronchiectasis 35 Treatment of respiratory failure 36 Bronchiectasis and other treatments Section 10 36 Do pathogens have an impact on prognosis in bronchiectasis? Section 11 37 What is the evidence for the role of viruses/ fungal

2019 British Thoracic Society

164. Recommendations on screening for abdominal aortic aneurysm in primary care

for Cardiovascular Angiography and Interventions; Society for Vascular Medicine and Biology; Society of Interven- tional Radiology; ACC/AHA Task Force on Practice Guidelines Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease; American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAt- lantic Inter-Society Consensus; Vascular Disease Foundation. ACC/AHA 2005 practice (...) screening program for AAA detection and referral. This is an unrated recommendation. They further propose that all men aged 65 to 75 years be screened with ultrasonography for an AAA, with additional selective screening for those at high risk for AAA, including women older than 65 years at high risk owing to smoking, cardiovascular disease and family history; and men younger than 65 years with a family history of AAA. This is an unrated recommendation. US Prevention Services Task Force (2014) 57 The US

2017 CPG Infobase

165. Best Practices for Pain Management in Infants, Children, Adolescents, and Individuals with Special Health Care Needs

been shown that nearly 50 percent of patients undergoing dental rehabilitation describe moderate to severe pain 36 , and there is data to support pre-emptive measures to optimize pain control for a variety of dental and surgical pro- cedures. 37 However, level of evidence is low due to sparse well-controlled trials. 38-40 Achieving profound anesthesia prior to initiating treatment decreases central sensitization. 37 Topical anesthetics are used in a dentistry to minimize pain; however (...) , an IV or intranasal NSAID, is useful in treating moderate to severe acute pain in patients unable or unwilling to swallow oral NSAIDs. 26,54,79 Some of the adverse effects associated with NSAIDs include: inhibition of bone growth and healing, gastritis with pain and bleeding, decreased renal blood flow, inhibition of platelet function, and increased incidence of cardiovascular events. 26 A specific concern with NSAIDs is the potential to exacerbate asthma due to a shift in leukotrienes. 76 Due

2018 American Academy of Pediatric Dentistry

166. Ottawa Panel evidence-based clinical practice guidelines for structured physical activity in the management of juvenile idiopathic arthritis

Ottawa Panel evidence-based clinical practice guidelines for structured physical activity in the management of juvenile idiopathic arthritis Ottawa Panel Evidence-Based Clinical Practice Guidelines for Structured Physical Activity in the Management of Juvenile Idiopathic Arthritis - Archives of Physical Medicine and Rehabilitation Email/Username: Password: Remember me Search Terms Search within Search Volume 98, Issue 5, Pages 1018–1041 Ottawa Panel Evidence-Based Clinical Practice Guidelines (...) for Structured Physical Activity in the Management of Juvenile Idiopathic Arthritis x Sabrina Cavallo Affiliations Faculty of Health Sciences, School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada Correspondence Corresponding author Sabrina Cavallo, PhD, Faculty of Health Sciences, School of Rehabilitation Sciences, University of Ottawa, 451 Smyth Rd, Room RGN3060, Ottawa, ON K1H 8M5, Canada. , OT, PhD a , ∗ , x Sabrina Cavallo Affiliations Faculty of Health Sciences, School

2017 CPG Infobase

167. The 2016 Royal Australian and New Zealand College of Psychiatrists guidelines for the management of schizophrenia and related disorders

; 206 (11): . || doi: 10.5694/mja16.01159 Published online: 19 June 2017 Topics Abstract Introduction: The Royal Australian and New Zealand College of Psychiatrists (RANZCP) clinical practice guidelines for the management of schizophrenia and related disorders provide evidence-based recommendations for optimising treatment and prognosis. This update to the 2005 RANZCP guidelines has a greater emphasis on psychosocial treatments, physical health comorbidities and vocational rehabilitation. Main (...) ; and•management of schizophrenia in specific populations and circumstances. Changes in management as a result of the guidelines: The guidelines provide benchmarks against which the performance of services and clinical teams can be assessed. Measuring treatment response and clinical outcome is essential. General practitioners have an important role, particularly in monitoring and reducing the high cardiovascular risk in this population. Clinical services focusing on early detection, treatment and recovery need

2017 MJA Clinical Guidelines

168. Management of Diabetic Foot

Stratification 8 3. REFERRAL 10 3.1 Foot Protection Team 10 3.2 Multidisciplinary Foot Care Team 10 4. PREVENTION 12 4.1 Patient Education 12 4.2 Metabolic Control 12 4.3 Preventive Foot Wear 13 4.4 Preventive Surgery 15 5. TREATMENT 17 5.1 Pharmacotherapy 17 5.2 Wound Management 19 5.3 Rehabilitation 24 6. MONITORING AND FOLLOW-UP 26 7. CHARCOT NEUROARTHROPATHY 27 8. IMPLEMENTING THE GUIDELINES 29 8.1 Facilitating and Limiting Factors 29 8.2 Potential Resource Implications 29Management of Diabetic Foot (...) Malaysia, Kuala Lumpur Dr. Siti Norzalilah Abdul Majid Rehabilitation Physician Hospital Rehabilitasi Cheras, Kuala Lumpur Dr. Vijiya Mala Valayatham Endocrinologist Hospital Putrajaya, Putrajaya Dr. Wong Ping Foo Family Medicine Specialist Klinik Kesihatan Cheras Baru, Kuala Lumpur Assoc. Prof. Dr. Aminudin Che Ahmad Lecturer & Consultant Orthopaedic Surgeon International Islamic University Malaysia, Pahang Dr. Afiza Hanun Ahmad @ Hamid Family Medicine Specialist Klinik Kesihatan Hutan Melintang

2018 Ministry of Health, Malaysia

169. Management Of Haemophilia

: Physiotherapy Management xii 1. INTRODUCTION 1 2. CLINICAL PRESENTATION 2 3. INVESTIGATIONS 4 3.1 Laboratory Tests 4 3.2 Genetic Tests 5 4. GENERAL PRINCIPLES OF CARE 7 4.1 Stratification of Haemophilia Centre with regards to 7 Haemophilia Services 4.2 National Haemophilia Registry 8 5. TREATMENT 10 5.1 Pharmacological Treatment 10 5.1.1 Factor Replacement Therapy 10 5.1.2 Adjunct Therapies 14 5.1.3 Analgesia 16 5.2 Non-pharmacological Treatment 18 5.2.1 Rehabilitation of Musculoskeletal System 18 5.2.2 (...) mother. • Cascade screening for haemophilia should be offered to at least first- and second-degree female relatives if the mother of persons with haemophilia is a confirmed carrier. Pharmacological Treatment • Prophylactic factor infusion should be given to ALL persons with severe haemophilia. • Analgesia should be offered for pain relief according to its severity in haemophilia. Non-pharmacological Treatment • Rehabilitation should be offered in PWH during acute or sub-acute bleeds and those

2018 Ministry of Health, Malaysia

170. QTc Prolongation and Psychotropic Medications

Manual. Prepared by Margo C. Funk, M.D., M.A., 1 Scott R. Beach, M.D., 2,3 Jolene R. Bostwick, PharmD, BCPS, BCPP, 4 Christopher M. Celano, M.D., 2,3 Mehrul Hasnain, M.D., 5 Ananda Pandurangi, M.B.B.S., M.D., 6 Abhisek C. Khandai, M.D., M.S., 7 Adrienne Taylor, M.D., 7 James L. Levenson, M.D., 6 Michelle Riba, M.D., 8 and Richard J. Kovacs, M.D. 9 1 Mental Health Service Line, Veterans Affairs Southern Oregon Rehabilitation Center and Clinics, White City, OR; 2 Department of Psychiatry, Massachusetts (...) a greater risk of mirtazapine for cardiac sudden death and ventricular arrhythmias in elderly patients when compared with paroxetine or citalopram (65, 66). However, other studies demonstrate low risk of mirtazapine for cardiovascular adverse drug reactions, including arrhythmia, when compared to other antidepressants (60, 67) or in overdose (68, 69). Given these conflicting results, mirtazapine should be used cautiously in patients at risk for QTc interval prolongation, which is in alignment

2018 American Psychiatric Association

171. Glycaemic management during enteral feeding in stroke

in the management of diabetes inpatients fed enterally following a stroke. Variation in the inpatient management of hyperglycaemia and hypoglycaemia in people receiving enteral feeding following stroke may worsen patient recovery and the potential for rehabilitation. The aim of this document is to provide guidance to multidisciplinary teams (MDT) – general physicians and stroke specialists, general medical ward and stroke unit nursing staff, dietitians and nutrition teams. It aims to provide pragmatic guidance (...) : Hyperglycemia: an independent marker of in-hospital mortality in patients with undiagnosed diabetes. J Clin Endocrinol Metab 2002;87:978–982 23 Krinsley JS, Schultz MJ, Spronk PE et al. Mild hypoglycemia is strongly associated with increased intensive care unit length of stay. Ann Intensive Care. 2011 Nov 24;1(1):49 24 Yakubovich N, Gerstein NC. Serious cardiovascular outcomes in Diabetes; the role of hypoglycaemia. Circ 2011;123:342-348. 25 Dave KR, Tamariz J, Desai KM, Brand FJ, Liu A, Saul I

2018 Association of British Clinical Diabetologists

172. Heart Failure

a , b , c , d , , x John J. Atherton Affiliations Department of Cardiology, Royal Brisbane and Women’s Hospital, Brisbane, Australia Faculty of Medicine, University of Queensland, Brisbane, Australia Faculty of Science, Health, Education and Engineering, University of Sunshine Coast, Australia Faculty of Health, Queensland University of Technology, Brisbane, Australia Correspondence Corresponding author. , x Andrew Sindone Affiliations Heart Failure Unit and Department of Cardiac Rehabilitation (...) , Concord Hospital, Sydney, Australia University of Sydney, Sydney, Australia , BMed, MD, FRACP e , f , x Carmine G. De Pasquale Affiliations Department of Cardiovascular Medicine, Flinders Medical Centre & Flinders University, Adelaide, Australia , BMBS, FRACP, PhD, FCSANZ g , x Andrea Driscoll Affiliations Department of Cardiology, Austin Health, Melbourne, Australia School of Nursing and Midwifery, Faculty of Health, Deakin University, Melbourne, Australia , NP, PhD, FCSANZ h , i , x Peter S

2018 Cardiac Society of Australia and New Zealand

174. Atopic Eczema

flare-ups 12 and their impact on quality of life. Rehabilitation may play a key role. 13 Patients and caregivers should be able to identify their individual symptoms, become aware 14 of the need and benefit of sufficient amounts of basic management (topical treatment, 15 avoidance of specific and unspecific trigger factors) and to understand certain needs of anti- 16 inflammatory treatment based on topical glucocorticosteroids (TCS) and topical calcineurin 17 inhibitors (TCI). This will lead (...) in established AE (27). 18 Rehabilitation programs in mite-free environments – like in alpine climate – have shown to 19 lead to significant and long-lasting improvement of AE (28). 20 Pollen in the outdoor air also can elicit flares of AE as has been shown in a nested case 21 control study in pre-school children (29). A challenge of sensitized patients with grass pollen 22 in a challenge chamber led to exacerbation of AE in winter in a proof-of-concept study (30). 23 Pollen avoidance is difficult under

2018 European Dermatology Forum

175. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions

return to activity depending on the type of articular cartilage surgery. Interventions — Supervised Rehabilitation 2018 Recommendation Clinicians should use exercises as part of the in-clinic supervised rehabilitation program after arthroscopic meniscectomy and should provide and supervise the progression of a home-based exercise program, providing education to ensure independent performance. Interventions — Therapeutic Exercises 2018 Recommendation Clinicians should provide supervised, progressive (...) . The authors of this guideline revision worked with the CPG Editors and medical librarians for methodological guidance. The research librarians were chosen for their expertise in systematic review rehabilitation literature search, and to perform systematic searches for concepts associated with meniscus and articular cartilage injuries of the knee in articles published from 2008 related to classification, examination, and intervention strategies consistent with previous guideline development methods related

2018 American Physical Therapy Association

176. Patients With Total Knee Arthroplasty in the Acute Post-Operative Phase

.0000000000000079 Original Studies Open Background: Despite seemingly routine use of physical therapy and its potential importance in reducing complications after total joint arthroplasty in the acute hospital setting, no agreed-upon approach to rehabilitation exists in this setting. In fact, rehabilitation practices and outcomes assessed are quite variable. Purpose: To determine the effects of physical therapy interventions in the acute care phase of total knee arthroplasty. Data Sources: Ovid Medline (...) , included provisions that move the health care system away from a fee-for-service model toward models that bundle payments for an overall episode of care. In April 2016, the Centers for Medicare & Medicaid Services Innovation Center implemented the Comprehensive Center for Joint Replacement model initially in 67 US metropolitan areas to test a bundled payment model for TJA and encourage improved coordination and quality of care from surgery through all rehabilitation. In this model, optimization

2018 American Physical Therapy Association

178. Erectile Dysfunction

be counseled that ED is a risk marker for underlying cardiovascular disease (CVD) and other health conditions that may warrant evaluation and treatment. (Clinical Principle) 4. In men with ED, morning serum total testosterone levels should be measured. (Moderate Recommendation; Evi- dence Level: Grade C) 5. For some men with ED, specialized testing and evaluation may be necessary to guide treatment. (Expert Opin- ion) Treatment: 6. For men being treated for ED, referral to a mental health professional (...) underlying mechanism of ED is vascular and that CVD and ED share etiologies as well as pathophysiology. 20-22 The degree of ED strongly correlates with severity of CVD, and recent studies suggest that ED may be considered a sentinel marker in men with occult CVD. 23, 24 Symptoms of ED may precede a cardiovascular event by up to five years. 25, 26 Further, when ED is present in younger men, it predicts a marked increase (up to 50 fold) in the risk of future cardiac events, suggesting that young men

2018 American Urological Association

179. Medical Nutrition Education, Training, and Competencies to Advance Guideline-Based Diet Counseling by Physicians: A Science Advisory From the American Heart Association

, FAHAOn behalf of the American Heart Association Nutrition Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Radiology and Intervention; and Stroke Council Karen E. Aspry , Linda Van Horn , Jo Ann S. Carson , Judith Wylie-Rosett , Robert F. Kushner , Alice H. Lichtenstein , Stephen Devries , Andrew M. Freeman , Allison Crawford , and Penny Kris-Etherton and On behalf of the American Heart Association Nutrition (...) Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Radiology and Intervention; and Stroke Council Originally published 30 Apr 2018 Circulation. 2018;137:e821–e841 You are viewing the most recent version of this article. Previous versions: Abstract Growing scientific evidence of the benefits of heart-healthy dietary patterns and of the massive public health and economic burdens attributed to obesity and poor diet

2018 American Heart Association

180. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain

, with higher dosages and more frequent infusions associated with greater risks. Larger studies, evaluating a wider variety of conditions, are needed to better quantify efficacy, improve patient selection, refine the therapeutic dose range, determine the effectiveness of nonintravenous ketamine alternatives, and develop a greater understanding of the long-term risks of repeated treatments. From the * Departments of Anesthesiology & Critical Care Medicine, Neurology, and Physical Medicine & Rehabilitation (...) presented to nor approved by either the American Society of Anesthesiologists Board of Directors or House of Delegates, it is not an official or approved statement or policy of the Society. Variances from the recommendations contained in the document may be acceptable based on the judgment of the responsible anesthesiologist. S.P.C. is funded in part by a Congressional Grant from the Center for Rehabilitation Sciences Research, Uniformed Services University of the Health Sciences, Bethesda, MD (SAP

2018 American Society of Regional Anesthesia and Pain Medicine

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