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101. Canadian Cardiovascular Society Position Statement on Postural Orthostatic Tachycardia Syndrome (POTS) and Related Disorders of Chronic Orthostatic Intolerance Full Text available with Trip Pro

. 2011; 21 : 69-72 , Sheldon R.S. Grubb B.P. Olshansky B. et al. 2015 Heart Rhythm Society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope. Heart Rhythm. 2015; 12 : e41-e63 Anecdotally, most patients present with POTS between 13 to 40 years, and more than 90% are female. If not adequately treated, POTS can become a debilitating disorder that can lead to impairment in quality of life and disability, Shaw (...) patients or patients who might be refectory to initial therapy. 7. Treatment and Management POTS is a chronic condition with multiple proposed pathophysiologic mechanisms that contribute to the constellation of symptoms. There are currently no “cures” for POTS. The overarching goals of treatment should be to provide patient education, reduce symptoms, enhance quality of life, improve physical conditioning, and if possible, to achieve symptom remission. Treatment usually requires a combination

2020 Canadian Cardiovascular Society

102. Intermediate care including reablement

of assessment and delivery, ensure good communication between intermediate care practitioners and: other agencies people using the service and their families and carers. 1.1.3 Intermediate care practitioners should: work in partnership with the person to find out what they want to achieve and understand what motivates them focus on the person's own strengths and help them realise their potential to regain independence build the person's knowledge, skills, resilience and confidence learn to observe and guide (...) -and- conditions#notice-of-rights). Page 14 of 28positive risk taking. 1.8.2 Ensure that intermediate care staff are able to recognise and respond to: common conditions, such as diabetes; mental health and neurological conditions, including dementia; frailty; stroke; physical and learning disabilities; sensory loss; and multi-morbidity common support needs, such as nutrition, hydration, continence, and issues related to overall skin integrity common support needs, such as dealing with bereavement and end

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

103. Developmental follow-up of children and young people born preterm

Edition (WPPSI-IV) assessment at age 4 years (uncorrected) for predicting later educational difficulties in children of primary school age who were born before 28 +0 weeks' gestation? Wh Why this is important y this is important Children born before 28 +0 weeks' gestation are at increased risk of learning disability (intellectual disability), which may have an adverse impact on their learning and achievement at school, but may not be apparent at the 2-year developmental assessment. Determining (...) the predictive accuracy of a WPPSI-IV assessment is key to providing parents or carers with accurate information about their child's likely development, so that educational support can be provided in order to reduce the risk of long-term learning disability (intellectual disability). 2 Predictive accuracy of the PARCA-R for children born preterm What is the accuracy of the parent-completed Parent Report of Children's Abilities – Revised (PARCA-R) questionnaire carried out at age 2 years (corrected

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

104. Cataracts in adults: management

of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 21 of 23The development and validation of suitable vision-specific, quality-of-life measures would aid the decision-making process for cataract surgery, and help to accurately quantify the quality of life gains that may be expected from surgery. Particular consideration should be given to people with learning disabilities/cognitive impairment, or any other groups who may find it more difficult to self-report their own (...) the anterior and posterior corneal curvature. Do not use standard biometry techniques or historical data alone. 1.3.8 Surgeons should think about modifying a manufacturer's recommended intraocular lens constant, guided by learning gained from their previous deviations from predicted refractive outcomes. Second-e Second-ey ye prediction e prediction 1.3.9 Consider using 50% of the first-eye prediction error in observed refractive outcome to guide calculations for the intraocular lens power for second-eye

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

105. Glaucoma: diagnosis and management

circumstances rule out gonioscopy (for example, when people with physical or learning disabilities are unable to participate in the examination). [2009] [2009] 1.2.4 Obtain an optic nerve head image at diagnosis for baseline documentation (for example, a stereoscopic optic nerve head image or OCT). [2009, amended 2017] [2009, amended 2017] 1.2.5 After referral, consider an early assessment appointment when there is clinical concern based on the information provided. [2017] [2017] 1.2.6 At the time (...) choice current systemic and topical medication glaucoma medication record drug allergies and intolerances. [2009] [2009] 1.3.2 Use alternative methods of assessment if clinical circumstances rule out Glaucoma: diagnosis and management (NG81) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 7 of 41standard methods (for example, when people with physical or learning disabilities are unable to participate

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

106. Child abuse and neglect

Working with children and y orking with children and young people oung people 1.1.1 T ake a child-centred approach to all work with children and young people. Involve them in decision-making to the fullest extent possible depending on their age and developmental stage. 1.1.2 Use a range of methods (for example, drawing, books or activities if appropriate) for communicating with children and young people. T ailor communication to: their age and developmental stage any disabilities, for example learning (...) solutions avoiding blame, even if they may be responsible for the child abuse or neglect inviting, recognising and discussing any worries they have about specific interventions they will be offered identifying what they are currently doing well, and building on this making adjustments for any factors which may make it harder for them to get support, such as refugee status, long-term illness, neurodevelopmental disorders, mental health problems, disability or learning disability being sensitive

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

107. Cerebral palsy in under 25s: assessment and management

palsy communication difficulties do not necessarily correlate with learning disability (intellectual disability). Assessment and referr Assessment and referral al 1.9.2 Regularly assess children and young people with cerebral palsy during routine reviews to identify concerns about speech, language and communication, including speech intelligibility. 1.9.3 Refer children and young people with cerebral palsy for specialist assessment if there are concerns about speech, language and communication (...) and degree of pain can be challenging, especially if: there are communication difficulties or learning disability (intellectual disability) there are difficulties with registering or processing sensory information (see section 1.16) ask about signs of pain, discomfort, distress and sleep disturbances (see section 1.14) at every contact recognise that pain-related behaviour can present differently compared with that in the wider population. 1.13.6 Assess for other possible causes of distress

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

108. Antimicrobial stewardship: changing risk-related behaviours in the general population

health team carried out a rapid review of systematic reviews (review 3) that: evaluated the effectiveness of educational interventions on the public's knowledge and behaviour in relation to antimicrobial use or antimicrobial resistance Antimicrobial stewardship: changing risk-related behaviours in the general population (NG63) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 26 of 44targeted both the public (...) to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 44Contents Contents Overview 5 Who is it for? 5 Recommendations 6 1.1 Overarching principles 6 1.2 Local system-wide approaches to reducing inappropriate antimicrobial demand and use 6 1.3 Local system-wide approaches to preventing and limiting the spread of infection 9 1.4 Childcare and education providers 10 1.5 Prescribers, primary care and community pharmacy teams 13 T erms used in this guideline 15

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

109. Eating disorders: recognition and treatment

nervosa, binge eating disorder and bulimia nervosa. Who is it for? Healthcare professionals Commissioners and providers Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings) People with suspected or diagnosed eating disorders and their families and carers Eating disorders: recognition and treatment (NG69) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice (...) /terms-and- conditions#notice-of-rights). Page 5 of 40any physical or other mental health problems or disabilities. 1.1.3 Healthcare professionals assessing people with an eating disorder (especially children and young people) should be alert throughout assessment and treatment to signs of bullying, teasing, abuse (emotional, physical and sexual) and neglect. For guidance on when to suspect child maltreatment, see the NICE guideline on child maltreatment. Communication and information Communication

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

110. Spondyloarthritis in over 16s: diagnosis and management

#notice-of-rights). Page 14 of 321.4.8 When using BASDAI and spinal pain VAS scores, healthcare professionals should take into account any physical, sensory or learning disabilities, or communication difficulties that could affect the responses to the questionnaires, and make any adjustments they consider appropriate. [This recommendation is from NICE's technology appraisal guidance on TNF- alpha inhibitors for ankylosing spondylitis and non-radiographic axial spondyloarthritis.] Biological DMARDs (...) technology appraisal guidance on secukinumab for active ankylosing spondylitis after treatment with non-steroidal anti-inflammatory drugs or TNF-alpha inhibitors.] 1.4.11 When using BASDAI and spinal pain VAS scores, healthcare professionals should take into account any physical, sensory or learning disabilities, or communication difficulties that could affect the responses to the questionnaires, and make any adjustments they consider appropriate. [This recommendation is from NICE's technology appraisal

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

111. Drug misuse prevention: targeted interventions

of self-worth, but it did not report data, p values or an effect size. One study reported that the intervention may have affected intention to use drugs, but the data were not reported. Another study reported a statistically significant improvement in knowledge of drugs and their risks after the intervention with peer educators but not with adult educators. Personal and social skills training for only carers and families of children and young people at risk of drug misuse was not recommended (...) of drug misuse, including: people who have mental health problems people who are being sexually exploited or sexually assaulted people involved in commercial sex work people who are lesbian, gay, bisexual or transgender people not in employment, education or training (including children and young people who are excluded from school or who truant regularly) Drug misuse prevention: targeted interventions (NG64) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

112. Sexually transmitted infections: condom distribution schemes

into a pre-designed scheme and potentially benefit from economies of scale [ES10, EA, EP1, EP2]. Inequalities Inequalities The committee recognised that targeting schemes at different population groups or geographical areas could lead to inequalities (for example, people living outside cities may not have access to city-based services). It also noted the lack of evidence of effectiveness for some groups, for example, people with learning disabilities. For this reason, the committee kept its (...) (both in terms of education and hands-on training or demonstration) so 'condom naive' young people can take responsibility for using them effectively. But it was unclear from the evidence exactly what mix of components made multicomponent schemes more or less effective, so the committee was unable to make firm recommendations about their exact content [ES1, ES2, ES3]. No evidence of effectiveness was identified for the C-Card scheme, the most common multicomponent scheme in the UK. The committee

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

113. Mental health of adults in contact with the criminal justice system

this guideline with the NICE guidelines on service user experience in adult mental health and patient experience in adult NHS services to improve the experience of care for people with mental health problems including those with neurodevelopmental disorders. 1.1.2 Use this guideline with any NICE guidelines on specific mental health problems [1] . T ake into account: the nature and severity of any mental health problem the presence of a learning disability or any acquired cognitive impairment other (...) learning disabilities), cognitive impairments, or physical health problems or disabilities. Seek advice or involve specialists if needed. 1.3 Identification and assessment throughout the care pathway 1.3.1 Be vigilant for the possibility of unidentified or emerging mental health problems in people in contact with the criminal justice system, and review available records for any indications of a mental health problem. 1.3.2 Ensure all staff working in criminal justice settings are aware of the potential

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

114. Respiratory tract infections (self-limiting) – reducing antibiotic prescribing

may be supported by evidence-based written information tailored to the patient’s needs. Treatment and care, and the information patients are given about it, should be culturally appropriate. It should also be accessible to people with additional needs such as physical, sensory or learning disabilities, and to people who do not speak or read English. Families and carers should also be given the information and support they need. 1. American Academy of Pediatrics Subcommittee on Management of Acute (...) for Health and Care Excellence 2015. All rights reserved. NICE copyright material can be downloaded for private research and study, and may be reproduced for educational and not-for- profit purposes. No reproduction by or for commercial organisations, or for commercial purposes, is allowed without the written permission of NICE. This guideline is an adaptation of Respiratory Tract Infections – Antibiotic Prescribing (CG69). NICE guidance is prepared for the National Health Service in England. © National

2019 Best Practice Advocacy Centre New Zealand

115. Guidelines on Chronic Coronary Syndromes Full Text available with Trip Pro

revisions the Guidelines are approved by all the experts involved in the Task Force. The finalized document is approved by the CPG for publication in the European Heart Journal. The Guidelines were developed after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The task of developing ESC Guidelines also includes the creation of educational tools and implementation programmes for the recommendations including condensed pocket guideline (...) educational material addressing the cultural and professional needs for cardiologists and allied professionals. Collecting high-quality observational data, at appropriate time interval following the release of ESC Guidelines, will help evaluate the level of implementation of the Guidelines, checking in priority the key end points defined with the ESC Guidelines and Education Committees and Task Force members in charge. The Members of this Task Force were selected by the ESC, including representation from

2019 European Society of Cardiology

116. The management of urinary incontinence in women

professionals and patients make decisions about the most appropriate treatment and care for specific clinical circumstances. • Can be used to develop standards to assess the clinical practice of individual health professionals. • Can support the education and training of health professionals and others. • Can improve communication between patients and health professionals. The Best Practice Advocacy Centre New Zealand (bpac nz ) has an agreement with NICE to contextualise recently published NICE clinical (...) in the management of UI and associated disorders or who work within an MDT with this training, and who regularly carry out surgery for UI in women. 1.11.2 Training should be sufficient to develop the knowledge and generic skills documented below. Knowledge should include the: • specific indications for surgery • required preparation for surgery including preoperative investigations • outcomes and complications of proposed procedure • anatomy relevant to procedure • steps involved in procedure • alternative

2019 Best Practice Advocacy Centre New Zealand

117. Management of Dyslipidaemias Full Text available with Trip Pro

the experts involved in the Task Force. The finalized document is approved by the CPG and EAS for publication in the European Heart Journal and Atherosclerosis Journal. The Guidelines were developed after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The task of developing ESC/EAS Guidelines also includes the creation of educational tools and implementation programmes for the recommendations including condensed pocket guideline (...) and are regularly updated. The ESC carries out a number of registries which are essential to assess diagnostic/therapeutic processes, use of resources and adherence to Guidelines. These registries aim at providing a better understanding of medical practice in Europe and around the world, based on data collected during routine clinical practice. The guidelines are developed together with derivative educational material addressing the cultural and professional needs for cardiologists and allied professionals

2019 European Society of Cardiology

118. Guidelines on Diabetes, Pre-Diabetes and Cardiovascular Diseases developed in collaboration with the EASD Full Text available with Trip Pro

by the CPG for publication in the European Heart Journal. The Guidelines were developed after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The task of developing ESC Guidelines also includes the creation of educational tools and implementation programmes for the recommendations including condensed pocket guideline versions, summary slides, booklets with essential messages, summary cards for non-specialists and an electronic version (...) are essential to assess, diagnostic/therapeutic processes, use of resources and adherence to Guidelines. These registries aim at providing a better understanding of medical practice in Europe and around the world, based on data collected during routine clinical practice. The guidelines are developed together with derivative educational material addressing the cultural and professional needs for cardiologists and allied professionals. Collecting high-quality observational data, at appropriate time interval

2019 European Society of Cardiology

119. 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

120. Society of Interventional Radiology Quality Improvement Standards for Image-Guided Percutaneous Drainage and Aspiration of Abscesses and Fluid Collections Full Text available with Trip Pro

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

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