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81. COVID-19 and violence against women. What the health sector/system can do

violence by any perpetrator in their lifetime. Most of this is intimate partner violence. • Violence against women tends to increase during every type of emergency, including epidemics. Older women and women with disabilities are likely to have additional risks and needs. Women who are displaced, refugees, and living in conflict-affected areas are particularly vulnerable. • Although data are scarce, reports from China, the United Kingdom, the United States, and other countries suggest an increase (...) on violence against women • Health care for women subjected to intimate partner violence or sexual violence • Strengthening health systems for women subjected to intimate partner violence or sexual violence: A health manager’s manual • Caring for women subjected to violence: A WHO curriculum for training health-care providers • Clinical management of rape and intimate partner violence survivors: Developing protocols for use in humanitarian settings • Violence against women infographic • Violence against

2020 WHO Coronavirus disease (COVID-19) Pandemic

82. Covid-19: Clinical guide for the management of stroke patients during the coronavirus pandemic

seek and act on national and local guidelines. We also have a specific responsibility to ensure that essential care continues with the minimum burden on the NHS. We must engage with those planning our local response. We may also need to work outside our specific areas of training and expertise and the General Medical Council has already indicated its support for this in the exceptional circumstances we may face. www.gmc-uk.org/news/news-archive/how-we-will- continue-to-regulate-in-light-of-novel (...) be managed remotely from the hospital or in the community via telephone or video call. • Rehabilitation pathways: These are essential to reduce disability through early intervention and enable rapid assessment and early discharge home if possible. – Consider immediate discharge of ‘walking wounded’ patients from ED, where able, to reduce short-stay admissions using a rapid response MDT team to ED. – Maintaining and ideally increasing early supported discharge and community rehabilitation teams should

2020 Covid-19 Ad hoc guidelines

83. Addressing Human Rights as Key to the COVID-19 Response

of all ages, however may have greater vulnerabilities to -2- COVID-19 depending on their living arrangements, financial instability and lack of specific safeguards impacting their risk of infection, such as persons with disabilities, people who are homeless, refugees, migrants, and prisoners. 11 COVID-19 has revealed a unique ecology of sickness based on social determinants of health, which requires attention. 12 These groups are among the world’s most marginalized and stigmatized. The Universal (...) discrimination and to ensure access to information, social services, health care, social inclusion, and education for vulnerable groups in national COVID- 19 responses. 14 Quarantine and restrictive measures Many countries have implemented large-scale public health and social measures in an attempt to reduce transmission and minimize the impact of COVID-19, including quarantine and the restriction of movement of individuals. 15 WHO emphasizes that any such measures should be implemented only as part

2020 WHO Coronavirus disease (COVID-19) Pandemic

84. Practical considerations and recommendations for Religious Leaders and Faith-based Communities in the context of COVID-19

their faith community and wider communities. Purpose of this guidance This document is based on guidance and recommendations developed by WHO in response to the COVID-19 pandemic. It acknowledges the special role of religious leaders, faith- based organizations, and faith communities in COVID-19 education, preparedness, and response, through: • Sharing evidence-based information about COVID- 19, preparedness, and response • Avoiding large group gatherings and conducting rituals and faith-related (...) activities remotely/virtually, as required and whenever possible • Ensuring that any decision to convene group gatherings for worship, education, or social meetings is based on a sound risk assessment and in line with guidance from national and local authorities 1 For terminology descriptions please refer to http://data.unaids.org/pub/report/2010/jc1786_fbo_en.pdf 2 These steps are based on Key planning recommendations for Mass Gatherings during COVID-19 • Ensuring safe faith-based gatherings, ceremonies

2020 WHO Coronavirus disease (COVID-19) Pandemic

85. COVID-19 - guidance for community settings

). Clinicians working in AP settings should work with management to minimise infection risk to children and young people while ensuring that their needs are met. similarly notes that school, early learning and childcare (ELC) settings may stay open for children of key workers and vulnerable children (defined as those in receipt of free school meals, children with additional support needs and at-risk children). The Northern Ireland Department for Education has , as these children fall within the definition (...) prioritised; safeguarding; continuing care packages; children and end of life care; rapid response service; sexual assault services; antenatal newborn and children screening and immunisation services. Mental health, learning disabilities and autism are the focus of a COVID-19 response cell that is not specific to CYP (see sub-section: ‘Mental health, learning disabilities and autism’). NHS is available. While the entire document is not specific to care for children and young people, it does have a section

2020 Royal College of Paediatrics and Child Health

86. Chronic obstructive pulmonary disease (COPD)

show that PR helps to improve dyspnea, health status and exercise tolerance—especially in patients with moderate to severe COPD—and reduces the risk of re-hospitalization after an exacerbation. Program components include exercise training, disease education, nutritional support, and behavior change strategies that promote long-term adherence to healthy habits. The optimal benefits are obtained from programs lasting for 6-8 weeks with supervised exercise training at least twice per week. Consider PR (...) % of predicted) ? Signs of heart failure ? Signs of polycythemia (Hct > 55%) Assess for hypercapnia (respiratory failure) Cardiopulmonary exercise testing Patients with disproportionate degree of dyspnea for FEV1 Quantify impairment and/or disability and help select patients able to safely undergo lung volume reduction surgery Alpha1-antitrypsin Patients with: ? Early onset COPD ? Little or no history of smoking ? Family history of COPD ? Predominance of basilar emphysema Assess for alpha1-antitrypsin

2020 Kaiser Permanente Clinical Guidelines

87. ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic Full Text available with Trip Pro

ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser. Did you know that your browser is out (...) with increasing knowledge, evidence from prospective studies and changes in the pandemic. Therefore, comments may be placed on the website that may be considered by the authors for future updates; Currently there is no evidence-based treatment of COVID-19 infections and experimental treatment may have cardiac side-effects. We encourage experimental treatments to be part of controlled trials whenever possible. 2. Epidemiology 2.1. Impact of Cardiovascular Comorbidities on COVID-19 Infection Outcomes Key points

2020 European Society of Cardiology

88. What paediatricians can do to support children and youth during the COVID-19

Access to social and community services, including disability supports and cultural continuity. IT HELLPS is a useful mnemonic for taking a complete a social history: I ncome, T ransportation, H ousing, E ducation, L egal status, L iteracy, P ersonal safety, S upport [ ] [ ] . HCPs may want to ask the following questions, which have been adapted from the from Health Providers against Poverty [ ] : Income insecurity [ ] : “Have you had difficulty making ends meet?” Access to food [ ] : “Are you having (...) universal access to technologies and the Internet for educational, health-related, and mental health services, including school-based lending programs for laptops and online connection [ ] . Ensuring that school-based and other programs bringing nutritious meals to children remain ongoing and fully funded [ ] . Collaborating with community services and allied care providers, including teachers and school administrators, social workers, and public health authorities, to support children and youth at risk

2020 Canadian Paediatric Society

89. Advice on how to establish a remote ‘total triage’ model in general practice using online consultations

electronically on EMIS and SystmOne • Demand and capacity tool • Remote consulting a survival guide • Online consultations implementation toolkit • Digital Devon Accelerator pack (includes comms examples) • Training video: good and bad consultation • COVID-19 isolation note service via NHS 111, NHS.UK and the NHS App • Remote assessment of COVID-19 • Webinar recordings Dr Minal Bakhai, Deputy Director and Clinical Lead Digital First Primary Care NHS England and NHS Improvement, General Practitioner 4 | How (...) from home. Research shows they also improve access for people with specific information and communication needs, including those with a disability or hearing loss, carers and people who feel apprehensive about accessing health services – eg for a mental health, sensitive or embarrassing problem. 5,6 Telephone functionality helps ensure equity of access for non-digital users. 1 Total digital triage uses an online consultation system to triage all patient contacts. Non-digital users are taken through

2020 Covid-19 Ad hoc guidelines

90. Coronavirus (COVID-19) guidelines for outbreaks in residential care facilities

to cover a 20-30% staff absentee rate. Developing and maintaining a contact list for casual staff members or external nursing agencies is essential to timely activation of a surge workforce should an outbreak occur. Surge workforce staff should be appropriately educated and orientated to the function of the unit prior to commencing work. Leave planning should also consider the nature of the pandemic and current outbreaks. Staff Education and Training Each RCF is responsible for ensuring their staff (...) are adequately trained and competent in all aspects of outbreak management prior to an outbreak. Staff should know the signs and symptoms of COVID-19 in order to identify and respond quickly to a potential outbreak. Additionally, all staff (including casual, domestic, hospitality and volunteer workers) need to understand the RCF infection control guidelines and be competent in implementing these measures during an outbreak. Topics for staff education and training should include: • Symptoms and signs of COVID

2020 Covid-19 Ad hoc guidelines

91. Covid-19: Information for hospice staff on Alert Level 3 and 4

with a disability and co-existing long-term conditions • people who have medical devices that enter the body (eg, a catheter, tracheostomy, ileostomy, feeding tube) • people with surgical or large open wounds • people older than 70 years of age. Supporting people at home who are more vulnerable to infection but do not have COVID-19 Extra precautions are needed to ensure people at home receiving support are safe, particularly those who are more vulnerable to infection and severe illness. We recommend those staff (...) to feel better. • Reach out to your usual support, like family, whanau and friends and talk about how you feel. • We recommend sticking to a routine such as having regular mealtimes, bedtimes and exercising. • If you feel you are not coping, it is important to talk with someone. For support with grief, anxiety, distress or mental wellbeing, you can call or text 1737 to talk with a trained counsellor. You can also find additional mental health and wellbeing resources at health.govt.nz/covid-19-mental

2020 Covid-19 Ad hoc guidelines

92. Child and Adolescent Asthma Guidelines

- sionals, nursing and medical schools, primary health organisations and district health boards. Implementation The implementation of the Child and Adolescent Guidelines: A Quick Reference Guide by organisations will require commu- nication, education and training strategies. GUIDELINES12 NZMJ 1 December 2017, Vol 130 No 1466 ISSN 1175-8716 © NZMA www.nzma.org.nz/journal Expiry date The expiry date of the guide is 2022. Health professional to 10 actions These are the top 10 ways health profes- sionals (...) • Asthma management in all contexts needs attention, including child care and school environments, and support of teachers. Practice points—enhancing self- management • Asthma education should increase health knowledge about asthma, general health literacy and self-ef- ? cacy, and should be reinforced every visit. • Teach families to recognise when asthma is poorly controlled, know when and how to call emergency services. • Asthma education should utilise a variety of media, including printed materials

2020 Asthma and Respiratory Foundation NZ

93. Canadian guideline for Parkinson disease

and accessible to all health care professionals who manage patients with Parkinson disease. It is generally recom- mended that guidelines be reassessed for validity at least every 3 years. 2 The updated Canadian guideline was supported by a grant from Parkinson Canada (formerly Parkinson Society Canada). The method followed was designed with the assistance of Dr. Brian Hutton and his Knowledge Synthesis Group at the Ottawa Methods Centre, Ottawa Hospital Research Institute. This update is based on the ADAPTE (...) Western Hospital, University of Toronto, Toronto Ron Postuma Movement Disorder Neurologist Montreal General Hospital, McGill University, Montreal Sean Udow Movement Disorder Neurologist University of Manitoba Rady Faculty of Health Sciences, Winnipeg Susan Fox Movement Disorder Neurologist Toronto Western Hospital, University of Toronto, Toronto Pauline Barbeau Clinical Research Associate Knowledge Synthesis Group, Ottawa Hospital Research Institute, Ottawa Megan Fitzpatrick Clinical Research

2019 CPG Infobase

94. CCS/CHFS Heart Failure Guidelines: Clinical Trial Update on Functional Mitral Regurgitation, SGLT2 Inhibitors, ARNI in HFpEF, and Tafamidis in Amyloidosis Full Text available with Trip Pro

evidence of HF (with elevated natriuretic peptides where available). Practical tip. Patients with New York Heart Association (NYHA) class IV symptoms or severe functional disability, measured using a 6-minute walk test < 100 m, were excluded from ATTR-ACT and should not routinely be considered for treatment with tafamidis. Practical tip. Subgroup analysis from the ATTR-ACT trial suggested that the reduction in cardiovascular hospitalizations seen with tafamidis might be limited to patients with less

2020 Canadian Cardiovascular Society

95. British guideline on the management of asthma

; or Extrapolated evidence from studies rated as 2 + Good-practice points ? Recommended best practice based on the clinical experience of the guideline development group. Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been equality impact assessed to ensure (...) Regular preventer therapy 63 7.3 Initial add-on therapy 70 7.4 Additional controller therapies 72 7.5 Specialist therapies 73 7.6 Deceasing treatment 82 7.7 Specific management issues 82 8 Inhaler devices 85 8.1 Technique and training 85 8.2 ß 2 agonist delivery 85 8.3 Inhaled corticosteroids for stable asthma 86 8.4 Prescribing devices 86 8.5 Use and care of spacers 87 8.6 Environmental impact of metered-dose inhalers 87 9 Management of acute asthma 89 9.1 Lessons from asthma deaths and near-fatal

2019 SIGN

96. Children and young people exposed prenatally to alcohol

at risk of FASD, including child development specialists, clinical and educational psychologists, clinical geneticists, general practitioners (GPs) and members of the primary care team, health visitors, members of the judicial system, midwives, neonatologists, nurses (eg school, learning disability and others), obstetricians, occupational therapists, paediatricians, physicians, physiotherapists, psychiatrists, social workers and speech and language therapists. It will also be of interest to people (...) includes a section for recording of sentinel facial features is available for download from the SIGN website. 3.4 Neurodevelopmental assessment 3.4.1 Areas of assessment The neurodevelopmental deficits associated with FASD are complex and multifaceted. It is well established that learning disabilities, 77 inattention, 78 social 79 and executive function deficits 80 can occur regardless of facial dysmorphology. There is no single neuropsychological measure, nor pattern of neuropsychological profiles

2019 SIGN

97. Risk reduction and management of delirium

solely to alcohol and illicit substances use. It also excludes delirium in children. 1.2.2 Common comorbidities Common comorbidities which have been considered when reviewing the evidence for this guideline are: • critical illness • dementia • depression • frailty • head injury • learning disability • Parkinson’s disease • cerebrovascular disease. 1.2.3 Definitions The International Classification of Diseases, version 10 (ICD-10) defines delirium as, “An aetiologically nonspecific organic cerebral (...) , for implementation and acceptability to patients, assessment tools should be brief, require little or no training and be appropriate to the clinical setting. 20 The sensitivity of the tool is also important, as it is vital not to miss delirium. A commonly used tool, the Confusion Assessment Method (CAM) and its variants have been reported as useful tools for detecting delirium. 18,21,22 However, sensitivity and specificity varied broadly, possibly due to the need for users to have training and knowledge

2019 SIGN

98. Prostate cancer screening with prostate-specific antigen (PSA) test Full Text available with Trip Pro

studies at lower risk of bias (that is, ERSPC data). In these studies, family history was assessed by self reporting in a questionnaire and defined positive if a man reported that his father or at least one brother had been diagnosed with prostate cancer. For race or ethnicity, non-Hispanic black men were compared with non-Hispanic white men. Level of education was used as a proxy for socioeconomic status, and men with primary education only were defined as having a low level of education and men (...) with secondary or tertiary education defined as having high level of education. For men of African descent, over a 10 year period: The baseline risk of developing prostate cancer of any stage is likely higher than that of the general population (estimated at about 51 per 1000 men diagnosed), and PSA screening probably increases their detection of any stage cancer by a larger magnitude than in the general population (29 more per 1000 men (95% CI 26 to 32 more)) Baseline risk of prostate cancer mortality

2018 BMJ Rapid Recommendations

99. Dual vs single antiplatelet therapy Full Text available with Trip Pro

December 2018) Cite this as: BMJ 2018;363:k5130 Recommendation 1: Dual vs single antiplatelet therapy or or Dual antiplatelet therapy Single agent therapy Aspirin and clopidogrel All identified trials compared with aspirin alone Patients that have experienced: High risk transient ischaemic attack (TIA) Minor ischaemic stroke Interventions compared Recommendation Population ASA CLOP + ASA A score of 3 or less on the National Institutes of Health Stroke Scale (NIHSS), and no persistent disabling (...) disability Moderate More 128 142 14 fewer Measured by modified Rankin Scale (mRS) score of 2-5 (Non-fatal) Risk of Bias No serious concerns Imprecision Serious Indirectness No serious concerns Inconsistency No serious concerns Publication bias No serious concerns Dual antiplatelet therapy possibly has a small but important benefit on patient function Moderate GRADE score, because of: GRADE certainty ratings The authors have a lot of confidence that the true effect is similar to the estimated effect

2018 BMJ Rapid Recommendations

100. Guidelines for diagnosing and managing pediatric concussion

: Providing education and written instructions to patients, parents and/or caregivers leads to a better recovery. Level of evidence: A for intensive educational program; B for written instructions. 3.1a: Inform on the expected course of recovery and return-to- learn/play. When: On discharge, on interim evaluation, on re-evaluation. Who: Health care professionals. • Example: Emergency Department physicians, family physicians, pediatricians, nurse- practitioners, occupational and physical therapists (...) Guidelines for diagnosing and managing pediatric concussion Guidelines for Diagnosing and Managing Pediatric Concussion First edition, June 2014, v1.1 Recommendations for Health Care Professionals This document is intended to guide health care professionals in diagnosing and managing pediatric—not adult—concussion. It is not for self-diagnosis or treatment. Parents and/or caregivers may bring it to the attention of their child/adolescent’s health care professionals. The best knowledge available

2019 CPG Infobase

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