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241. Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association

symptom exacerbation and repeated hospital admissions. SDOH factors associated with higher readmissions include the county in which the hospital is located and personal and social factors such as disability status, race, ethnicity, insurance, and income inequality. In the healthcare delivery system, patients with HF who are food insecure, struggle with transportation, and have less access to medications, education, and health services have significantly poorer health outcomes. SDOH influence (...) to access care and more likely to experience poor heart failure outcomes over time. Many patients face additional challenges associated with the cost of complex, chronic illness management and must make difficult decisions about their own health, particularly when the costs of medications and healthcare appointments are at odds with basic food and housing needs. This scientific statement summarizes the SDOH and the current state of knowledge important to understanding their impact on patients with heart

2020 American Heart Association

242. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Evaluation and Management for Patients With Very Early-onset Inflammatory Bowel Disease

exposures and by the gut microbiome. In fact, the immune system and the gut microbiome educate and regulate one another as they mature . This interaction is well balanced in healthy children; however, disruptions in development of either structure may lead to disease. Thus, in addition to the genetic investigations being performed in this population, there are several ongoing studies examining the association between the intestinal microbiome and VEO-IBD. DISEASE CLASSIFICATION Children who (...) for the gastroenterologists to perform and which require more extensive immunological and genetic training. Aspects of the history, which can be particularly useful in the setting of VEO-IBD include age of onset, with the earliest ages of onset being more strongly associated with monogenic causes. A history of folliculitis, dermatitis, significant infections, and associated autoimmunity are critical in defining a differential diagnosis. A history of neonatal onset perianal disease, fistulas, and diarrhea should prompt

2020 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

243. The Prevention, Assessment and Management of in-Hospital Newborn Falls and Drops

of preventive measures such as the use of side-cots and soft-type flooring 12 . Education and awareness measures 9,10,11,12 Staff i. Increase awareness in midwives, including training about the value of risk assessment ii. Perform a risk assessment on each mother after delivery with updates if risk factors change iii. Ensure provision of an appropriate level of supervision for the level of risk and for the time of day e.g. night rounding, curtains open, lights on 9,10 iv. Communicate assessment of risk (...) in injury” 1 . For practical purposes ‘fall’ and ‘drop’ are used interchangeably in this document. Target users All professionals involved in the care of the newborn in healthcare settings. Process The Framework for Practice provides recommendations based on ? Literature review including existing guidelines from various hospitals ? Local audits on in-hospital falls and learning points from reported incidents ? Data from national reporting and learning system ? Clinical experience and multi-professional

2020 British Association of Perinatal Medicine

244. Covid-19: Virtual visit guide for midwives

) appears to be more secure. If using the free version for meetings, consider the following precautions: • Always make sure you are using the most updated version of Zoom • Set up a meeting using a randomly generated meeting ID and set a password for all meetings. • Set up meetings so that participants cannot join until you open the meeting. • Consider adding meeting controls such as: blocking file sharing and private chat, disabling screen sharing. For more information, please visit: https (...) to validate your identity. After ONE ID completes your identity validation you will receive a “welcome” email from OTN and then you can access the OTNhub. Is there online training on how to use the eVisits platform? OTN provides a training toolkit on how to optimize the use of eVisits. The training is not mandatory but is recommended by OTN to understand how to navigate the eVisit portal and set-up electronic information. Access the eVisit training/toolkit: https://training.otn.ca/course/view.php?id=10090

2020 Ontario Midwives

245. Physical Activity and Exercise During Pregnancy and the Postpartum Period

Physical Activity and Exercise During Pregnancy and the Postpartum Period Physical Activity and Exercise During Pregnancy and the Postpartum Period | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Physical Activity and Exercise During Pregnancy and the Postpartum Period Committee Opinion Number 804 April 2020 Jump to Resources Share By reading this page you agree to ACOG's Terms and Conditions (...) to exercise anaerobically is impaired, and oxygen availability for aerobic exercise and increased work load consistently lags. The physiologic respiratory alkalosis of pregnancy may not be sufficient to compensate for the developing metabolic acidosis of strenuous exercise. Decreases in subjective work load and maximum exercise performance in pregnant women, particularly in those who are overweight or obese, limit their ability to engage in more strenuous physical activities . Aerobic training

2020 American College of Obstetricians and Gynecologists

246. Confidentiality in Adolescent Health Care

as they transition into the adult health care system . Box 3. Training and Preparing Staff on Questions of Adolescent Confidentiality It is helpful to conduct staff sensitivity training on the following topics: Comfort with issues regarding adolescent sexuality Knowledge about confidentiality issues, including state and local laws How to provide relevant information to parents or guardians and patients about private conversation time with the adolescent patient and obstetrician–gynecologist How to identify (...) Confidentiality in Adolescent Health Care Confidentiality in Adolescent Health Care | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Confidentiality in Adolescent Health Care Committee Opinion Number 803 April 2020 Jump to Resources Share By reading this page you agree to ACOG's Terms and Conditions. . Confidentiality for adolescents accessing health care is complex, and concerns about lack

2020 American College of Obstetricians and Gynecologists

247. Pain Management Best Practices from Multispecialty Organizations during the COVID-19 Pandemic and Public Health Crises (Full text)

and socioeconomic costs. Chronic pain is the leading cause of disability in the world, is associated with multiple psychiatric co-morbidities, and has been causally linked for the opioid crisis. Access to pain treatment has been called a fundamental human right by numerous organizations. The current COVID-19 pandemic has strained medical resources, creating a dilemma for physicians charged with a responsibility to limit spread of the contagion, and their responsibility to treat the patients they are entrusted (...) the University's objective of excellence in research, scholarship, and education by publishing worldwide Copyright © 2020 Oxford University Press This Feature Is Available To Subscribers Only or This PDF is available to Subscribers Only For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

2020 American Academy of Pain Medicine PubMed abstract

248. Ménière’s Disease (Meniere) (Full text)

, surgical, complementary/alternative, allergy, immunomodulatory, vestibular, and aural therapy; and oral , or intratympanic (IT) medications—all with variable results. , For those MD patients with persistent and disabling attacks after several months of conservative therapy, other more invasive or involved treatments can be considered. , One main consideration about the choice of treatment is the hearing status and whether it is usable or not. In those patients with usable hearing (based on vestibular (...) by the Equilibrium Committee, yet over 2 decades have elapsed since the original publication. Therefore, this current multidisciplinary group was convened to review the most recent and updated published scientific and clinical evidence available to craft an updated version of the MD consensus statement as a formal CPG. By using a published transparent CPG process, the primary goal was to create actionable statements (key action statements [KASs]) that reflect current evidence-based advances in knowledge

2020 American Academy of Otolaryngology - Head and Neck Surgery PubMed abstract

249. Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain

historical or provocative examination sign and immediate or prolonged response to injections. A prospective study by Lilius et al 41 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 injec- tion. They found that psychosocial factors significantly influ- enced outcome. on April 14, 2020 by guest. Protected by copyright. http://rapm.bmj.com/ Reg Anesth (...) , work and disability) were assessed at 3 months IA steroid/anesthetic, IA saline or pericapsular steroid/anesthetic (single block) Inappropriate (non- organic physical) signs and symptoms and previous back surgery were associated with treatment failure. Schwarzer et al 42 Prospective n=176 =50% pain relief after a confirmatory block IA or MBB (double comparative diagnostic blocks) Neither clinical features (range of motion and straight leg raising test) nor pain referral patterns could predict

2020 American Academy of Pain Medicine

250. Unhealthy Drug Use: Screening

relievers (2.1% and 1.3%, respectively) and opioids (1.2% and 0.7%, respectively). In both age groups, less than 1% reported use of heroin, cocaine, hallucinogens, inhalants, or methamphetamines in the last month. An estimated 8 million persons 12 years or older met diagnostic criteria for drug dependence or abuse of drugs in the past year. Drug use is one of the most common causes of preventable death, injuries, and disability. , In 2017, unhealthy drug use caused more than 70,000 fatal overdoses. Drug (...) use can cause many serious health effects that vary by drug type, administration mode, amount, and frequency of use, as well as pregnancy status. Opioid use can cause drowsiness, slowed breathing, constipation, coma, and fatal overdose. Stimulants such as cocaine can cause arrhythmias, myocardial infarction, seizures, and other complications. Marijuana use is associated with slowed reaction time; problems with balance, coordination, learning, and memory; and chronic cough and frequent respiratory

2020 U.S. Preventive Services Task Force

251. A European Academy of Neurology guideline on medical management issues in dementia

and sometimes even years after the brain injury [3,15–18]. It is thus unsurprising that as many as 40% of non-communi- cating patients with DoC may be wrongly classi?ed as being in the vegetative state/unresponsive wakefulness syndrome (VS/UWS) [5,6,19,20]. This has major ethi- cal and practical implications for patients and their caregivers, including prognosis, treatment, resource allocation and end-of-life decisions [21–30]. Limited knowledge of DoC contributes to this dilemma. The classical locked (...) with standardized clinical behavioral scales provides more robust evaluation of consciousness and higher-order cortical function than routine bedside examination alone, but this knowledge is not yet widely implemented in clinical practice. A comprehensive European guideline for the diagnosis of coma and other DoC based on the best available scienti?c and clinical data is therefore needed. Methods Objectives The aim is to provide the European neurological com- munity with recommendations based on the best avail

2020 European Academy of Neurology

252. Follow up of patients with a clinico-radiological diagnosis of COVID-19 pneumonia

up in a timely fashion taking into account factors such as disease severity, likelihood of long-term respiratory sequelae and functional disability. Specifically this guidance sets out to ensure that: V1.2 11 May 2020 2 • The early, medium and long-term respiratory complications of COVID-19 pneumonia cases are identified and that patients are then followed up by appropriate services. • The most serious and potentially life limiting complications of COVID-19 such as pulmonary fibrosis (...) longer term complications. • Some will question the rationale for radiological driven follow up. It is felt however that patients who have full CXR resolution will benefit from knowing this and be reassured. There is also intent to learn more about COVID-19 pneumonia and its outcomes by applying this guidance. An analysis of the effectiveness of this guidance is intended at a later time point with modifications to advice as required. • In addition, the 12-week follow up time point ensures

2020 British Thoracic Society

253. Treatment of Patients with Schizophrenia

Balancing of Potential Benefits and Harms in Rating the Strength of the Guideline Statement3 Review of Available Guidelines from Other Organizations 1 Quality Measurement Considerations 1 Statement 23: Social Skills Training 1 Implementation 2 Balancing of Potential Benefits and Harms in Rating the Strength of the Guideline Statement2 Review of Available Guidelines from Other Organizations 3 Quality Measurement Considerations 3 Statement 24: Supportive Psychotherapy 3 Implementation 3 Balancing (...) Services 6 Statement 19: Assertive Community Treatment 3 Statement 20: Family Interventions 3 Statement 21: Self-management Skills and Recovery-focused Interventions 3 Statement 22: Cognitive Remediation 3 Statement 23: Social Skills Training 3 Statement 24: Supportive Psychotherapy 2 Appendix D. Strength of Evidence 3 Pharmacological Treatment 4 Assertive Community Treatment 34 Cognitive-behavioral Therapy 37 Cognitive Remediation 43 Family Interventions 45 Intensive Case Management 51 Illness

2020 American Psychiatric Association

254. Clinical practice guideline for evaluation of psychosocial factors influencing recovery from adult orthopaedic trauma

and their supporting rationales will be hosted on www.OrthoGuidelines.org. Selected clinical practice guidelines are disseminated by webinar, an Online Module for the Orthopaedic Knowledge Online website, Radio Media Tours, Media Briefings, and by distributing them at relevant Continuing Medical Education (CME) courses and at the AAOS Resource Center. 16 View background material via the PRF CPG eAppendix Study Attrition Flowchart 6647 abstracts reviewed. Search performed on Jan 4, 2019 5059 articles excluded from (...) (as well as psychotherapy and medication) are effective at alleviating stress and psychological distress and fostering optimal cognitive coping strategies. 23 View background material via the PRF CPG eAppendix APPENDICES Appendix I: References for Included Literature 1. Strom TQ, Gavian ME, Possis E, Loughlin J, Bui T, Linardatos E, et al. Cultural and ethical considerations when working with military personnel and veterans: A primer for VA training programs. Training and Education in Professional

2020 American Academy of Orthopaedic Surgeons

255. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) Reporting Standards for Type B Aortic Dissections

compliant and hasa straightened appearance on CT (Figure 12). 15 This enhanced understanding of dissection ?ap pathophysiology has implications for the classi?cationofthechronicityofTBAD,andthereforeany classi?cation system should incorporate these more recentobservationspertainingtointimal?apremodeling. These lessons learned from contemporary reports in the endovascular era have prompted a reassessment of the traditional chronicity classi?cation system. In a study similar to the initial work of Hirst (...) , geneticallytriggeredaortic diseases,knownorsuspected, shouldbedocumentedindetailalongwithfamilyhistory. Supporting genetic testing results (ie, con?rmed Table 2. Verbal Numeric Rating Pain Scale Rating Pain Level 0 No pain 1-3 Mild pain (nagging, annoying, interfering little with ADLs) 4-6 Moderate pain (interferes signi?cantly with ADLs) 7-10 Severe pain (disabling; unable to perform ADLs) ADLs, Activities of daily living. 9 Ann Thorac Surg REPORT LOMBARDI ET AL 2020;-:--- STANDARDS FOR TYPE B AORTIC

2020 Society of Thoracic Surgeons

256. Society of Interventional Radiology Quality Improvement Standards for Image-Guided Percutaneous Drainage and Aspiration of Abscesses and Fluid Collections (Full text)

is preferred when appropriate. Optimal performance of PDAFC requires knowledge of anatomy and pathophysiology, familiarity with percutaneous techniques (eg, needle, guide wire, and drainage catheter use), and knowledge of the advantages and disadvantages of one imaging modality versus another for any particular drainage procedure. As with any invasive therapy, the patient is most likely to benefit when the procedure is performed in an appropriate environment and by qualified physicians. This standards

2020 Society of Interventional Radiology PubMed abstract

257. Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children (Full text)

overload, increased PICU admissions and transfers to higher levels of care, and healthcare utilization costs ( ). Application of a screening tool requires ongoing optimization of sensitivity and specificity, continuous improvement efforts to maintain provider education and familiarity with the tool, and continual data acquisition to monitor implementation and increase utilization ( ). Finally, screening tools must work well with existing or planned other early warning and rapid response systems (...) and is an associate editor for Pediatrics . Dr. De Luca serves as Medical President-elect on the Executive Committee of ESPNIC, he served as a consultant and lecturer on the external advisory board and received research and educational grants from Chiesi Farmaceutici S.p.A and AbbVie, and travel grants from AbbVie, he has been a lecturer for Philips, Radiometer, and Waire. Dr. Faust served as chair of the UK NICE Guideline Committee for Sepsis in Children and Adults published in 2016 and for Lyme disease

2020 Society of Critical Care Medicine PubMed abstract

258. Recognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association (Full text)

-directed medical care. Despite the increasing availability of circulatory support, orthotopic heart transplantation, and disease-specific treatments, patients with FM experience significant morbidity and mortality as a result of a delay in diagnosis and initiation of circulatory support and lack of appropriately trained specialists to manage the condition. This scientific statement outlines the resources necessary to manage the spectrum of FM, including extracorporeal life support, percutaneous (...) and durable ventricular assist devices, transplantation capabilities, and specialists in advanced heart failure, cardiothoracic surgery, cardiac pathology, immunology, and infectious disease. Education of frontline providers who are most likely to encounter FM first is essential to increase timely access to appropriately resourced facilities, to prevent multiorgan system failure, and to tailor disease-specific therapy as early as possible in the disease process. Fulminant: adjective ful··mi··nant | coming

2020 American Heart Association PubMed abstract

260. Diagnosis and Treatment of Low Back Pain

by the North American Spine Society Evidence-Based Guideline Development Committee with representation from stakeholder or- ganizations as an educational tool to assist practi- tioners who treat adult patients with nonspecific low back pain. The goal is to provide a tool that assists practitioners in improving the quality and efficiency of care delivered to these patients. The NASS Clinical Guideline for the Diagnosis and Treatment of Low Back Pain outlines a reasonable evaluation of patients (...) clinical practice guidelines for the diagnosis and treatment of adult patients with various spinal conditions. These guidelines are developed for educational purposes to assist practitioners in their clinical decision-making processes. Multidisciplinary and Multi-Stakeholder Collaboration With the goal of ensuring the best possible care for adult patients suffering with spinal disorders, NASS is committed to multidisciplinary involvement in the process of guideline development. To this end, NASS has

2020 North American Spine Society

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