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81. Management of Acute Compartment Syndrome

. The low volume of casualties coupled with increased deployment frequency has increased concerns regarding medical skill degradation and loss of lessons learned. Thus, the importance of Evidence Based Clinical Practice Guidelines and Appropriate Use Criteria as a readily available resource to the junior forward deployed medical personnel as well as repository of institutional knowledge. This guideline is intended to be used by all qualified and appropriately trained surgeons, physicians and physician (...) , AND CONTRAINDICATIONS All surgical interventions carry the risk of complication and unforeseen consequences. In the case of ACS, it is possible that failure to perform surgery may lead to far greater disability and morbidity. The accurate diagnosis of ACS is the most confounding aspect in treatment and can be affected by patient factors and the experience of the provider. Failure to diagnose ACS can lead to serious systemic illness, limb loss and significant loss of function. With the resultant high index

2019 American Academy of Orthopaedic Surgeons

82. WHO Guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents

COMPARING ANALGESICS FOR CANCER PAIN MANAGEMENT INITIATION & MAINTENANCE AND FOR BREAKTHROUGH CANCER PAIN 137 ANNEX 8: GLOSSARY .. 1386 WHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF CANCER PAIN IN ADULTS AND ADOLESCENTS WHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF CANCER PAIN IN ADULTS AND ADOLESCENTS ACKNOWLEDGEMENTS These guidelines were prepared by the WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury (...) Bouesseau, Nicolas Clark, Andre Ilbawi, Taskeen Khan, Nicola Magrini and Slim Slama. The WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention would like to thank the members of the Guideline Development Group (GDG) for the commitment, enthusiasm and expertise that they contributed. GDG members: Gauhar Afshan, Zipporah Ali, Chioma Asuzu, Eduardo Bruera, Jim Cleary 1 , Malcolm Dobbin, Kathy Foley, Harmala Gupta, Eric Krakauer 2 , Philip Larkin, Diederik

2019 World Health Organisation Guidelines

83. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice

for the child (eg, Back to Sleep) , – ; and difficulty managing chronic health conditions such as asthma or disabilities in the young child. , Families with a parent with depression have been reported to overuse health care and emergency facilities because of somatic complaints and often fall behind on well-child visits and immunizations. Perinatal depression also reduces a mother’s chances of continued breastfeeding because of decreased satisfaction, more reported complications, and lower self-efficacy (...) of the child’s stress responses. Persistent elevation of cortisol can disrupt the developing brain’s architecture in the areas of the amygdala, hippocampus, and prefrontal cortex, affecting learning, memory, and behavioral and emotional adaptation. – Animal studies with rats reveal compelling evidence for a causal relationship between maternal behaviors and stress reactivity in offspring through individual differences in neuronal gene expression transmitted from mother to pup through parenting behaviors

2019 American Academy of Pediatrics

84. Developing a Value Framework for Genetic Diagnosis: Part I A Systematic Review of Outcomes Hierarchies and Measurement Approaches

or models that can be applied and validated for use in genetic diagnoses. KQ2: What can be learned from existing value frameworks in health care? Eighteen relevant articles/documents (six rated Good) were identified. Several sources defined ‘value’ in the health care setting, and in general these were quite consistent. All considered it a ratio of some measure of health benefit, quality or outcomes and financial resources (dollars, costs, money spent). Components of value identified also included (...) Improvement Other initiatives have sought to “transform” health care through the process of quality improvement. Batalden and Davidoff 11 define quality improvement (QI) as: “..the combined and unceasing efforts of everyone – healthcare professionals, patients and their families, researchers, payers, planners and educators – to make the changes that will lead to better patient outcomes (health), better system performance (care) and better professional development (learning).” ACMG Value Review, March 16

2019 American College of Medical Genetics and Genomics

85. Human Papillomavirus (HPV), Cervical Screening and Cervical Cancer

chaotic life events/environments which preclude them from attending a clinic or understanding the importance of regular screening checks. It is equally important to be aware of women who may have learning difficulties or mental health issues, as well as physical disabilities which may require particular consideration. In addition, when caring for women under the age of 25 it is important to convey the rational for not routinely screening, as this is a recurring concern among some young women (DH, 2010 (...) if they have completed a recognised training programme and every registrant has a professional duty to inform their employer if they require training. • In October 2017, the NCSP in England launched a refresher e-learning resource. It has been designed to meet the three-yearly updated requirements of registrants and is free to access for sample takers working in the programme. The resource is available at: screening-programmes • In Northern Ireland the Public Health Agency

2018 Royal College of Nursing

86. Global Vascular Guidelines for patients with chronic limb-threatening ischemia

, and infection who are commonly referred to vascular specialists for evaluation and management. Prior terms, such as “critical” and “severe” limb ischemia, connote specific hemodynamic thresholds and fail to recognize the full spectrum and inter-relatedness of components beyond ischemia that contribute to major limb amputation and long-term disability. This is addressed fully in Section 1 of the guideline. Disease staging in CLTI Improved disease staging is mandatory for designing clinical trials, conducting

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2019 Society for Vascular Surgery

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

or therapeutic procedure may be minimized, but not completely eliminated, by a careful preprocedure review of the patient’s underlying medical conditions and consideration of how the sedation process might affect or be affected by these conditions: for example, children with developmental disabilities have been shown to have a threefold increased incidence of desaturation compared with children without developmental disabilities. , , Appropriate drug selection for the intended procedure, a clear

2019 American Academy of Pediatrics

88. 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 (...) and for vulnerable persons (e.g. people with disabilities and mental impairment). This is true for self-care interventions for SRHR, since many people are unable to exercise autonomy over their bodies and are unable to make decisions around sexuality and reproduction. The use and uptake of self-care interventions is organic and the shift in responsibility – between full responsibility of the user and full responsibility of the health-care provider (or somewhere along that continuum) – can also change over time

2019 World Health Organisation Guidelines

89. Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update: A Policy Statement From the American Stroke Association

. The public health implications of an optimized stroke system in the United States and worldwide are profound. A system of care that reduces stroke-related deaths by just 2% to 3% annually would translate into ≈20 000 fewer deaths in the United States alone and ≈400 000 fewer deaths worldwide. Reducing poststroke disability would also improve quality of life, reduce costs, and reduce the burden on patients, their families, third-party payers, and governments. The key components of a modern stroke system (...) , and social influences in a population but also the resources allocated for the provision of public health initiatives. Both cardiovascular disease and stroke are leading causes of death and adult disability. , Thus, they have been the focus of a multitude of national and worldwide primordial and primary prevention causes to reduce the downstream burden of these diseases and the associated lifelong sequelae that affect both patients and families. Stroke systems of care have championed these efforts

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2019 American Heart Association

90. WHO Guideline: recommendations on digital interventions for health system strengthening

provision of training and educational content to health workers via mobile devices/mobile learning 73 4. Implementation considerations 77 4.1 Linking the recommendations across the health system 77 4. 2 Implementation componets 79 4.3 Overarching implementation considerations 81 5. Future research 86 5.1 Overarching research gaps 86 5. 2 Considerations for the design of future evaluations 88 6. Disseminating and updating the guideline 89 6.1 Dissemination and implementation of the guideline 89 6. 2 (...) devices, orthotics and prosthetics. Telemedicine, remote care and mobile health are helping us transform health by delivering care in people’s homes and strengthening care in health facilities. Artificial intelligence is being used to give paraplegic patients improved mobility, to manage road traffic and to develop new medicines. Machine learning is helping us to predict outbreaks and optimize health services. Propelled by the global ubiquity of mobile phones, digital technologies have also changed

2019 World Health Organisation Guidelines

91. Chronic Pelvic Pain

. Bladder pain syndrome/interstitial cystitis in twin sisters. J Urol, 2012. 187: 148. 33. Vehof, J., et al. Shared genetic factors underlie chronic pain syndromes. Pain, 2014. 155: 1562. 34. Roth, R.S., et al. Patient beliefs about pain diagnosis in chronic pelvic pain: relation to pain experience, mood and disability. J Reprod Med, 2011. 56: 123. 35. Berman, S.M., et al. Reduced brainstem inhibition during anticipated pelvic visceral pain correlates with enhanced brain response to the visceral

2019 European Association of Urology

92. Neuro-urology

Sci, 2017. 381: 230. 24. Dolecek, T.A., et al. CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2005-2009. Neuro Oncol, 2012. 14 Suppl 5: v1. 25. Maurice-Williams, R.S. Micturition symptoms in frontal tumours. J Neurol Neurosurg Psychiatry, 1974. 37: 431. 26. Christensen, D., et al. Prevalence of cerebral palsy, co-occurring autism spectrum disorders, and motor functioning - Autism and Developmental Disabilities Monitoring Network, USA (...) augmentation cystoplasty: A transitional urologist’s viewpoint. J Pediatr Urol, 2017. 97. Yang, C.C., et al. Bladder management in women with neurologic disabilities. Phys Med Rehabil Clin N Am, 2001. 12: 91. 98. Podnar, S., et al. Protocol for clinical neurophysiologic examination of the pelvic floor. Neurourol Urodyn, 2001. 20: 669. 99. Harrison, S., et al. Urinary incontinence in neurological disease: assessment and management. NICE Clinical Guideline 2012. [CG148]. 100. Liu, N., et al. Autonomic

2019 European Association of Urology

93. Diagnosis and Prevention of Periprosthetic Joint Infections

and do not include the post-acute care or patient’s lost work productivity making the societal costs for PJI remarkably high. Costs to be considered include: 1. Direct Medical Costs 2. Post-acute Care Costs 3. Long-term Medical Costs 4. Potential Lost Work / Disability Costs ETIOLOGY Periprosthetic joint infections of the hip and knee are caused by a variety of microorganisms and can be influenced by a myriad of host, technical, and environmental factors throughout the continuum of care (...) are also distributed at the AAOS Annual Meeting in various venues such as on Academy Row and at Committee Scientific Exhibits. The final guideline recommendations and their supporting rationales will be hosted on Selected clinical practice guidelines are disseminated by webinar, AAOS Online Learning, Orthopaedic Video Theater (OVT), Media Briefings, and by distributing them at relevant Continuing Medical Education (CME) courses and at the AAOS Resource Center. 21 View

2019 American Academy of Orthopaedic Surgeons

95. Urinary Incontinence

urinary incontinence: a randomized placebo-controlled trial. J Am Med Dir Assoc, 2011. 12: 639. 251. Minassian, V.A., et al. Randomized trial of oxybutynin extended versus immediate release for women aged 65 and older with overactive bladder: lessons learned from conducting a trial. J Obstet Gynaecol Can, 2007. 29: 726. 252. Wagg, A., et al. Randomised, multicentre, placebo-controlled, double-blind crossover study investigating the effect of solifenacin and oxybutynin in elderly people with mild

2019 European Association of Urology

96. Muscle-invasive and Metastatic Bladder Cancer

radical cystectomy for urothelial bladder cancer. BJU Int, 2014. 113: 887. 136. Garg, T., et al. Preoperative serum albumin is associated with mortality and complications after radical cystectomy. BJU Int, 2014. 113: 918. 137. Rochon, P.A., et al. Comorbid illness is associated with survival and length of hospital stay in patients with chronic disability. A prospective comparison of three comorbidity indices. Med Care, 1996. 34: 1093. 138. Feinstein, A.R. The pre-therapeutic classification of co

2019 European Association of Urology

97. Multiple Pregnancy Following Assisted Reproduction

and anxiety and parenting stress. Multiple pregnancy is also associated with a six‐fold increase in the risk of preterm birth, which is a leading cause of infant mortality and long‐term mental and physical disabilities, including cerebral palsy, learning difficulties and chronic lung disease. According to the CDC, in the USA 39.7% of ART‐conceived infants in 2013 were born either preterm (less than 37 weeks of gestation) or very preterm (less than 32 weeks of gestation). The cost of care for children born

2018 Royal College of Obstetricians and Gynaecologists

98. Older people in care homes: Sex, Sexuality and Intimate Relationships

illnesses or a learning disability). Working at this level also requires knowing what sources of help are available. When a specific issue arises – such as the effects of a disease or medicine on sexual wellbeing – the nurse can obtain information for the resident or family (for example, from the Alzheimer’s Society or other associations, or from the internet). Nursing staff should also know where to seek advice or help with specific issues and, either individually or through managers, be able to access (...) of love and intimate relationships among people who are older, from diverse cultures, have disabilities or choose a partner of the same gender. Available materials could include, for example, information on where to obtain advice on psychosexual issues, sex following illness such as stroke or heart attack, and HIV. Information materials should be available in languages appropriate for residents and in accessible forms for people who have sight, hearing impairment or learning difficulties. ROYAL

2018 Royal College of Nursing

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

-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 etiology - Period of unexplained developmental regression (unrelated (...) 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 their genetic testing experience (Armstrong et al. 2015; Harvey et al. 2007). The advent of multi-gene panels and genome-scale sequencing have increased the complexity of the genetic testing landscape. Misuse

2019 AIM Specialty Health

100. Management of Rotator Cuff Injuries

cause of musculoskeletal disability in the United States. Chronic shoulder pain has been estimated to affect approximately 8% of all American adults, second only to chronic knee pain in our society’s burden of musculoskeletal disease. Rotator cuff pathology is the leading cause of shoulder-related disability seen by orthopaedic surgeons, and surgical volume is on the rise (Narvy 2016). One study, for example, notes a 141% increase in rotator cuff repairs from 1996 to 2006 in the United States (...) (Colvin, 2012). Societal costs of a medical condition include direct and indirect costs. Direct costs are those associated with diagnosis and treatment, while indirect costs include lost income due to inability to work or lower wages, missed workdays, and disability payments (Mather, 2000). Approximately 250,000 rotator cuff repairs ($13,771 per patient) are performed annually in the U.S. This calculates to a cost of $3,442,750,000 per annum. ETIOLOGY Rotator cuff tears have two main causes: injury

2019 American Academy of Orthopaedic Surgeons


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