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221. Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain from a Multispecialty, International Working Group (Full text)

no correlation between any historical or provocative examination sign and immediate or prolonged response to injections. A prospective study by Lilius et al assessed work and disability in 109 patients with LBP who had no signs of radicular pain following an IA injection with either cortisone and LA; a pericapsular injection of the same mixture; or an IA saline injection. They found that psychosocial factors significantly influenced outcome. Schwarzer et al conducted a prospective study attempting (...) -group response rate to MBBs was statistically significant (p<0.05). In a third study, an observational, open-label design was used to compare the outcomes of MBB in patients with chronic LBP (n=30) with and without facet joint-positive SPECT scans. The primary outcome measure was >50% pain reduction on the visual analog scale (VAS) at weeks 2 and 4 following the MBB. A secondary outcome measure was the Oswestry Disability Index (ODI) score. All MBB were performed using ultrasound guidance

2020 American Society of Regional Anesthesia and Pain Medicine PubMed abstract

222. WHO recommendation on Calcium supplementation before pregnancy for the prevention of pre-eclampsia and its complications

and the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a cosponsored program executed by the WHO. WHO emphasizes that donors do not participate in any decision related to the guideline development process, including the composition of research questions, membership of the guideline development groups, conducting and interpretation of systematic reviews, or formulation of the recommendation. The views of the funding bodies have (...) of Recommendations, Assessment, Development and Evaluation GREAT Guideline development, Research priorities, Evidence synthesis, Applicability of evidence, Transfer of knowledge (a WHO project) GSG Executive Guideline Steering Group HELLP Haemolysis, elevated liver enzymes, low platelets ICM International Confederation of Midwives ICU Intensive care unit LMIC Low and middle-income country MAP Mean arterial pressure MCA [WHO Department of] Maternal, Newborn, Child and Adolescent Health and Ageing MCSP Maternal

2020 World Health Organisation Guidelines

223. Covid-19: Coma and Chronic Disorders of Consciousness

is generally available only in post-acute rehabilitation wards. These wards have the necessary expertise in the management of tracheal tubes and enteral nutrition, oxygenation monitoring, tracheo-bronchial secretion management, respiratory and swallowing training, neuromotor and cognitive-behavioral rehabilitation and caregivers education and psychological support (Formisano, unpublished data). Of note, the Italian Society of Neurorehabilitation has recently proposed recommendations on urgent measures (...) January 17, 2020 Scientific Corner January 17, 2020 Scientific Corner December 19, 2019 COVID-19 May 13, 2020 COVID-19 May 5, 2020 COVID-19 May 5, 2020 Educational May 5, 2020 E-Brain May 1, 2020 E-Brain February 28, 2020 E-Brain April 1, 2019 E-Brain November 1, 2018 Grand Rounds October 2, 2017 Grand Rounds July 1, 2016 Grand Rounds July 1, 2016 Grand Rounds February 1, 2016 Continuing medical education June 3, 2019 Continuing medical education February 21, 2019 Continuing medical education October

2020 European Academy of Neurology

224. Obstetric Management of Patients with Spinal Cord Injuries

with disabilities. Matern Child Health J 2006;10(suppl 5):S175-6. Article Locations: Le Liepvre H, Dinh A, Idiard-Chamois B, Chartier-Kastler E, Phe V, Even A, et al. Pregnancy in spinal cord-injured women, a cohort study of 37 pregnancies in 25 women. Spinal Cord 2017;55:167–71. Article Locations: McLain AB, Massengill T, Klebine P. Information/education page. Pregnancy and women with spinal cord injury. Arch Phys Med Rehabil 2016;97:497–8. Article Locations: Hocaloski S, Elliott S, Hodge K, McBride K (...) Obstetric Management of Patients with Spinal Cord Injuries Obstetric Management of Patients with Spinal Cord Injuries | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Obstetric Management of Patients with Spinal Cord Injuries Committee Opinion Number 808 May 2020 Jump to Resources Share By reading this page you agree to ACOG's Terms and Conditions. . Nearly half (47.6%) occur in persons between

2020 American College of Obstetricians and Gynecologists

225. Gynecologic Management of Adolescents and Young Women With Seizure Disorders

are on antiepileptic drugs do not have adequate knowledge of antiepileptic drugs’ interactions with hormonal contraception and feel they receive insufficient counseling from their health care providers . Early discussion including family involvement may lay the foundation for improved knowledge, contraception use, and pregnancy planning as adolescents with seizure disorders transition to adult care. Education about the reproductive cycle, contraception, and pregnancy should begin early and be readdressed at each (...) Gynecologic Management of Adolescents and Young Women With Seizure Disorders Gynecologic Management of Adolescents and Young Women With Seizure Disorders | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Gynecologic Management of Adolescents and Young Women With Seizure Disorders Committee Opinion Number 806 May 2020 Jump to Resources Share By reading this page you agree to ACOG's Terms

2020 American College of Obstetricians and Gynecologists

226. AIM Clinical Appropriateness Guidelines for Whole Exome and Whole Genome Sequencing

for testing and proficiency in genetic variant interpretation, in order to maximize the genetic testing experience for patients and their healthcare providers. The genetic counseling informed consent process also educates and empowers patients to consider the psychological, financial, employment, disability, and insurance implications of genetic testing and results (Al-Khatib et al. 2018). Patients who receive genetic counseling report increased knowledge, understanding, and satisfaction regarding (...) encephalopathy (onset before three years of age) for which likely non-genetic causes of epilepsy (e.g. environmental exposures; brain injury secondary to complications of extreme prematurity, infection, trauma) have been excluded Or two of the following four criteria: - Abnormality affecting a single organ system - Significant intellectual disability or severe psychological/psychiatric disturbance (e.g. self-injurious behavior, reversed sleep-wake cycles) - Family history strongly implicating a genetic

2020 AIM Specialty Health

228. Responding to the Needs of Youth Involved With the Justice System During the COVID-19 Pandemic (Full text)

statement, “ ,” 5 youth involved in the justice system are more likely to have unmet medical, mental health, and social needs; more likely to be youth of color; and more likely to have been exposed to adverse childhood experiences (ACEs). Lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth, youth with current or past involvement with the child welfare system, and youth with developmental disabilities are a few of the many marginalized populations that are overrepresented in the justice (...) limited contact with family, and may have poor access to education and developmentally appropriate programs. Recognizing that under normal circumstances, incarcerated and detained youth often experience poor conditions of confinement, juvenile justice advocates have raised concerns that many juvenile detention facilities are not equipped to adequately respond to COVID-19 pandemic. These concerns have been validated by media reports highlighting the experiences of confined youth during the COVID-19

2020 American Academy of Pediatrics PubMed abstract

229. Guidance for Families and Pediatricians on Camp Attendance During the COVID-19 Pandemic

, such as Individualized Family Service plans, Individualized Education Programs, or emergency plans, for guidance in their shared efforts to understand, design, and implement any specific accommodations that may be needed so that children with special health care needs can be kids and enjoy camps! Camps should ensure that camp health care providers have specialized training in children’s health. Consider having a counselor or staff member with training in children’s mental health, given the increased level (...) should camps address the needs of children with special health care needs? Children with special health care needs or disabilities, like all children, should have the opportunity to attend camp and greatly benefit from an enriching camp experience. Designing camp activities to be inclusive of children of all abilities is vital for all children to benefit from camp. As a group, children with special health care needs should not be excluded from the camp experience. Some children with special health

2020 American Academy of Pediatrics

230. Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association (Full text)

understanding of cardiovascular disease during pregnancy should be a core knowledge area for all cardiovascular and primary care clinicians. This scientific statement provides an overview of the diagnosis and management of cardiovascular disease during pregnancy. Cardiovascular disease (CVD) is the leading cause of pregnancy-related mortality in the United States and has gradually increased over time (from 7.2 to 17.2 deaths per 100 000 live births from 1987–2015). The rise in maternal mortality has been (...) stroke of the pregnant patient is still considered a relative contraindication in the absence of disabling deficits; however, retrospective studies have found it to be safe. In the setting of a disabling ischemic stroke, thrombolysis should be considered. Patients with an indication for anticoagulation or antiplatelet therapy should follow the aforementioned pharmacological recommendations for ischemic stroke prevention during pregnancy and postpartum. CVT rates pooled in a recent meta-analysis were

2020 American Heart Association PubMed abstract

231. Diagnostic testing for uniparental disomy

Diagnostic testing for uniparental disomy Diagnostic testing for uniparental disomy: a points to consider statement from the American College of Medical Genetics and Genomics (ACMG) Daniela del Gaudio, PhD 1 , Marwan Shinawi, MD 2 , Caroline Astbury, PhD 3 , Marwan K. Tayeh, PhD 4 , KristenL.Deak,PhD 5 andGordanaRaca,MD,PhD 6 ,ACMGLaboratoryQualityAssuranceCommittee 7 Disclaimer: This statement is designed primarily as an educational resource for medical geneticists and other clinicians to help (...) chromosome 14 and epigenetic defects. 59,60 Excessive RTL1 expression and absent MEG expression in the q32.2 region of chromosome 14 constitute the primary underlying factors for the phenotypic abnorm- alities in these patients. 59,60 Maternal UPD15 and Prader–Willi syndrome Prader–Willi syndrome (PWS, MIM 176270) is characterized by neonatal hypotonia and poor suck with failure to thrive, developmental delay and/or intellectual disability, childhood- onset obesity, short stature, hypogonadism

2020 American College of Medical Genetics and Genomics

232. Return to School Considerations

in a small classroom. Special Education Every child and adolescent with a disability is entitled to a free and appropriate education and is entitled to special education services based on their individualized education program (IEP). Students receiving special education services may be more negatively affected by distance-learning and may be disproportionately impacted by interruptions in regular education. It may not be feasible, depending on the needs of the individual child and adolescent, to adhere (...) academic progress because ofschool closures and distress associated with the pandemic should be balanced by a recognition of the likely continued distress of educators and students that will persist when schools reopen. If the academic expectations are unrealistic, school will likely become a source of further distress for students (and educators) at a time when they need additional support. It is also critical to maintain a balanced curriculum with continued physical education and other learning

2020 American Academy of Pediatrics

233. Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) (Full text)

of the International Severe Acute Respiratory and Emerging Infection Consortium (ISARIC). Dr. Eddy Fan declared receiving consultancy fees from ALung Technologies and MC3 Cardiopulmonary. Dr. Maurizio Cecconi declared consultancy work with Edwards Lifesciences, Directed Systems, and Cheetah Medical. Dr. Lennie Derde is the NVIC (Dutch National ICU society) chair of Taskforce Infectious Diseases (standing committee), member of ESICM Coronavirus Taskforce (started with this outbreak), chair ESICM Clinical Training (...) : TEL: (USA): TEL: (Int’l): 800-638-3030 (within USA) 301-223-2300 (international) by the Society of Critical Care Medicine and This website uses cookies. By continuing to use this website you are giving consent to cookies being used. For information on cookies and how you can disable them visit our and Policy.

2020 Society of Critical Care Medicine PubMed abstract

234. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections (Full text)

.) | | These lessons learned from contemporary reports in the endovascular era have prompted a reassessment of the traditional chronicity classification system. In a study similar to the initial work of Hirst, Booher et al x 16 Booher, A.M., Isselbacher, E.M., Nienaber, C.A., Trimarchi, S., Evangelista, A., Montgomery, D.G. et al. The IRAD classification system for characterizing survival after aortic dissection. Am J Med . 2013 ; 126 : 730.e19–730.e24 | | | | | examined mortality from the time of symptom onset

2020 Society for Vascular Surgery PubMed abstract

235. EAN guideline on palliative care of people with severe, progressive multiple sclerosis

?ered the opportunity to learn clean intermittent self- catheterization. If self-catheterization is not possi- ble, a patient carer can be trained to catheterize the patient. 4) If clean intermittent (self-)catheterization is no longer possible, a long-term indwelling catheter (preferably suprapubic) might be o?ered. 5) Patients with severe MS in whom antimuscarinic drugs have proved to be ine?ective or poorly tol- erated might be o?ered intradetrusor injections of botulinum toxin (...) to walk 20 m without resting (Expanded Disability Status Scale score > 6.0) or higher disability is referred to. When evidence was lacking for this population, recommendations were formulated using indirect evidence or good practice statements were devised. Results: Ten clinical questions were formulated. They encompassed general and specialist palliative care, advance care planning, discussing with HPs the patient’s wish to hasten death, symptom management, multidisciplinary rehabilitation

2020 European Academy of Neurology

236. European Academy of Neurology guideline on the management of medication-overuse headache

, primary headache, tension-type headache, therapy, treatment Received 2 March 2020 revision requested 6 April 2020 Accepted 9 April 2020 European Journal of Neurology 2020, 0: 1–15 doi:10.1111/ene.14268 Abstract Background: The frequent use of medication to treat migraine attacks can lead to an increase in migraine frequency and is called medication- overuse headache (MOH). Methods: Based on the available literature in this guideline, the ?rst step in patient management is education and counselling (...) . Results: Patients with MOH should be managed by a multidisciplinary team of neurologists or pain specialists and behavioral psychologists. Patients in whom education is not e?ective should be withdrawn from overused drugs and should receive preventive treatment with drugs of proven e?cacy. Patients with MOH in whom preventive treatment is not e?ective should undergo drug withdrawal. Drug intake can be abruptly terminated or restricted in patients overusing simple analgesics, ergots or triptan

2020 European Academy of Neurology

237. End of Life Care in Frailty: Dysphagia

. Clear documentation and review of these wishes will help to ensure that preferences are conveyed and communicated. An excellent resource for considering and documenting these decisions is the created at the Royal Hospital for Neuro-disability. Decisions regarding provision of CANH involve more than just medical evidence relating to survival and requires consideration of . Each decision must be taken by the multidisciplinary team in partnership with the patient and/or (if patient has lost (...) or if approaching the end of life. References Teasell R et al. Dysphagia and Aspiration Following Stroke. EBRSR. March 2018. O’Loughlin G and Shanley C. Swallowing problems in the nursing home: a novel training response. Dysphagia. 1998; 13(3): 172-83. Von Haeling, Morley and Anker (2010) Cachexia Sarcopenia Muscle. 1(2) Langmore, Terpenning, Schork, Chen, Murray, Lopatin, Loesche. Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia 1998; 13(2): 69-81. Cederholm T, Barazzoni R, Austin P et

2020 British Geriatrics Society

238. The use of prophylactic factor replacement for children and adults with Haemophilia A and B (Full text)

of factor VIII (FVII) or factor IX (FIX). Without prophylaxis, nearly all men with SHA (<1 iu/dl) and most of those with moderate haemophilia A (MHA) who have levels between 1 and 3 iu/dl will have at least one target joint and some degree of disability due to joint bleeds. , For those with MHA, a measured FVIII of 1–2 iu/dl has been associated with the highest risk of bleeding: median (interquartile range [IQR]) 2·9 (1·4–7·2) joint bleeds per year, despite prophylaxis in 40% compared to 1·4 (0·5–3·4 (...) ‐long prophylaxis should be the standard of care and should be encouraged. Grade 1C If an adult discontinues prophylaxis, then it should be recommenced in the event of a spontaneous haemarthrosis or any bleeding that interferes with education or employment or quality of life. Grade 2C Monitoring the effectiveness of factor replacement therapy in the laboratory The aim of laboratory monitoring is twofold: to look for inhibitor development as per published guidelines and to facilitate determination

2020 British Committee for Standards in Haematology PubMed abstract

239. Vital Signs in Anaesthesia A guide for anaesthetists seeking help and advice during the COVID crisis

of mind- set to being ‘good enough’ which will be difficult for the perfectionist. Training in teams (skills and drills) will be invaluable. Learning lessons, training and development are highly developed skills of an anaesthetist and having a simple mechanism for feeding back about practical issues (for example, access to food) and clinical issues that occur will help alleviate stress. Peer support and clear signposting to support services will be essential. Mental hygiene On a good day, working (...) . Our world-class conferences, journals and online resources educate and inform, and our respected guidelines continually improve standards of patient safety. We preserve and learn from the history of anaesthesia. We use that to inform the present, and facilitate vital research and innovation into its future. As an independent organisation, we speak up freely and openly for the interests of anaesthetists and their patients. We influence policy, raise public awareness and are at the forefront

2020 Association of Anaesthetists of GB and Ireland

240. Family Caregiving for Individuals With Heart Failure: A Scientific Statement From the American Heart Association

’ burden • 4 weekly multimedia training sessions 2 h in length conducted by a nurse • Significant reduction in caregiver burden at 1 and 3 mo in the intervention group Gary et al (2020) Ctrl=35 caregivers Int=42 caregivers Int2=48 caregivers Determine whether a home-based exercise program would improve physical function and caregiving perceptions among caregivers • 4 weekly psycho-educational group sessions on self-care, communication, and coping • Follow-up telephone calls weekly for 24 wk • Psycho (...) each • No significant changes over time in caregiver anxiety, depression, or quality of life McMillan et al (2013) Ctrl=21 dyads Int=19 dyads Pilot test the HF COPE intervention for caregivers of HF patients in hospice care • Problem-based coping intervention (COPE) delivered by trained nurse over 3 home visits • No significant changes over time in caregiver anxiety, depression, quality of life, caregiver burden, or caregiver knowledge Molloy et al (2006) Ctrl=30 caregivers Int=30 caregivers

2020 American Heart Association

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