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121. Hoarseness (Dysphonia)

instructors, clergy, and coaches. Dysphonia can affect a person’s ability to work. An estimated 28 million workers in the United States experience voice problems daily. In the general population, 7.2% of individuals surveyed missed work for ≥1 more days within the preceding year because of a voice problem, and 1 out of 10 individuals with voice disorders file short-term disability claims. In fact, 20% of teachers miss work due to dysphonia, and absenteeism in this occupation alone has associated economic

2018 American Academy of Otolaryngology - Head and Neck Surgery

122. Induced Pluripotent Stem Cells for Cardiovascular Disease Modeling and Precision Medicine: A Scientific Statement From the American Heart Association

, autism, and neurodevelopmental disabilities. The National Heart, Lung, and Blood Institute funded the Next Generation Genetic Association Studies (NextGen) Consortium, which is spread across 8 academic institutions in the United States with the goal of generating iPSC lines from >1500 individuals, including those with various cardiovascular, pulmonary, and blood disorders and their healthy control counterparts. These cell lines are being stored and distributed by WiCell Research Institute (Madison

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2018 American Heart Association

124. AASLD Guidelines for Treatment of Chronic Hepatitis B

disease a Indicates those who should receive hepatitis B vaccine, if seronegative. • Health care and public safety workers at risk for occupational exposure to blood or blood‐contaminated body fluids a Indicates those who should receive hepatitis B vaccine, if seronegative. • Residents and staff of facilities for developmentally disabled persons a Indicates those who should receive hepatitis B vaccine, if seronegative. • Travelers to countries with intermediate or high prevalence of HBV infection

2018 American Association for the Study of Liver Diseases

125. Low Back Pain, Adult Acute and Subacute

to understand the key issue. The PEG is freely available in the public domain (Krebs, 2009). Keele STarT Back Screening Tool (SBST) is a simple prognostic questionnaire that helps clinicians iden- tify modifiable risk factors (biomedical, psychological and social) for back pain disability. Information is available at https://www.keele.ac.uk/sbst/startbacktool/. Modified Oswestery Disability Questionnaire is used to assess the patient's subjective rating of perceived disability related to his or her (...) functional limitations (e.g., work status and difficulty caring for oneself). The higher the score, the more perceived disability the patient has. Using this test helps the examiner understand the patient's perception of how back pain is affecting his or her life. This tool has at least four versions/ formats in English and more in other languages (Fairbank, 2000). Roland-Morris Disability Questionnaire is another tool available for the assessment of low back pain disability. A substantial number

2018 Institute for Clinical Systems Improvement

127. Congenital Adrenal Hyperplasia Due to Steroid 21-Hydroxylase Deficiency

, at 0% to 4% ( ). In regard to morbidity, infants diagnosed through screening have less severe hyponatremia ( ) and tend to have shorter hospitalizations ( , , , ) than infants diagnosed later. Learning disabilities may occur in patients who have had salt-wasting crises ( ). Although salt-wasting males would seem to derive the greatest benefit from screening programs, the delay before correct sex assignment of severely virilized females is also reduced ( , ). Moreover, males with simple virilizing

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2018 The Endocrine Society

128. Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions

and 40% of women in the United States are obese. , Obesity is associated with health problems such as increased risk for coronary heart disease, type 2 diabetes, various types of cancer, gallstones, and disability. , Obesity is also associated with an increased risk for death, particularly among adults younger than 65 years. The leading causes of death among adults with obesity include ischemic heart disease, type 2 diabetes, respiratory diseases, and cancer (eg, liver, kidney, breast, endometrial (...) , intervention components included computer- or web-based intervention modules, web-based self-monitoring, mobile phone–based text messages, smartphone applications, social networking platforms, or DVD learning. Only 1 trial delivered its intervention through print-based tailored materials. Rates of participant adherence were generally high. More than two-thirds of study participants completed interventions. In addition, all study participants completed more than two-thirds of the intervention. Participation

2018 U.S. Preventive Services Task Force

129. Promoting Healthy Relationships in Adolescents

in their state when intimate partner violence, adolescent dating violence, or statutory rape is suspected. Pregnant and parenting adolescents; lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ) individuals; and ado- lescents with physical and mental disabilities are at particular risk of disparities in the health care system. The promotion of healthy relationships in these groups requires the obstetrician–gynecologist to be aware of the uniquebarriersandhurdlestosexualandnonsexualexpression (...) and ability to imagine alternative outcomes (7); thus, judgement can lag, and adolescents may not always make wise or healthy decisions. Adoles- cence is a time to prepare for future relationships by learning healthy skills such as compromise, negotiation, conflict resolution, setting healthy boundaries, and other potentially protective behavior. TheRoleoftheObstetrician– Gynecologist The initial reproductive health visit recommended for girls ages 13–15 years provides the opportunity for obstetrician

2018 American College of Obstetricians and Gynecologists

130. WHO recommendations on home-based records for maternal, newborn and child health

, laboratory results, medication information and illness management for children with disabilities (Moore et al., 2000), children with chronic conditions (Byczkowski, Munafo & Britto, 2014) and children living with cancer (Hully & Hyne, 1993; Sharp et al., 2014). Today, ownership of a home-based record is near universal in some countries, but patchy in others. From analysis of 180 demographic and health surveys between 1993 and 2013, home-based vaccination record ownership was estimated at over 80% in 23 (...) , the potential benefits of home-based records include: access to important health data about women, newborns and children; better risk detection and prompt referral of women; improved communications with women and caregivers; and strengthened links among different health workers and services (WHO, 1994). For women, caregivers of children and family members, home-based records can: facilitate learning and awareness of health problems; promote detection of risks and timely action; encourage continuity of care

2018 World Health Organisation Guidelines

131. Management of Pregnancy

, sensory, or learning disabilities. Family involvement should be considered, if appropriate. This CPG is designed to assist providers in managing or co-managing pregnant women as well as co- occurring conditions (e.g., generalized anxiety disorder, PTSD, diabetes mellitus [DM]). Moreover, the patient population of interest for this CPG is pregnant women who are eligible for care in the VA and DoD healthcare delivery systems. It includes Veterans as well as deployed and non-deployed Active Duty Service

2018 VA/DoD Clinical Practice Guidelines

132. End-of-Life Care for People Experiencing Homelessness

/family’s language preference and available interpreter services h. Patient’s/family’s goals of care, including preferences for end-of-life care i. Social supports, including support systems, informal and formal caregivers involved, and identified surrogate decision-maker(s) j. Resources available, and barriers to access k. Past experience with illness, disability, death, and loss l. Mental health functioning, including history, coping style, capacity, literacy, crisis management skills, and risk

2018 National Health Care for the Homeless Council

134. AATS/ACC/SCAI/STS Expert Consensus Systems of Care Document: Operator and Institutional Recommendations and Requirements for Transcatheter Aortic Valve Replacement

. Methods 17 3. Structural Program Requirements 19 3.1 Procedural Volume 19 3.2 Multidisciplinary Team (MDT) 20 3.2.1 Knowledge Base and Skills 21 3.3 Proceduralist Formalized Training 23 3.4 Facilities and Institutional Resources 24 4. Process Program Requirements 28 4.1 Patient Selection Requirements 29 4.1.1 MDT Patient Case Conference Requirements 30 4.1.1.1 Operational Details 32 4.1.2 Patient Selection Considerations 34 4.1.2.1 Frailty, Cognition, Quality of Life, Immobility and Disability 35 (...) and learning curve shown during the initial U.S. experience in TAVR require updating. Conversely, a few-higher volume sites have suboptimal outcomes–an assessment that is more likely to be statistically valid. Irrespective of volume, sites with unacceptable outcomes are of concern and should immediately take corrective actions to improve their outcomes and processes. In-depth discussion of the statistical challenge of correctly identifying poorly performing TAVR programs with low annual volumes

2018 Society for Cardiovascular Angiography and Interventions

135. 2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease

seen as a consequence of a complex interplay of cultural, economic and behavioural factors. Accurate diagnosis and better tolerated treatments should improve the burden of disease in the community Dept of Health Medium Disability - Sensory - Learning disability - Mental health - Cognitive - Mobility - Other impairment There are no data to suggest any link between this condition and disability status, although people with mental health problems are at disproportionate risk of STIs in general None (...) were informed by feedback from the guideline authors. The final draft guideline was used for piloting and external review as outlined below. An Equality Impact Assessment was undertaken to assess the relevance of the guideline recommendations in relation to age, disability, gender, gender reassignment, pregnancy, race, religion/belief and sexual orientation (Appendix 1). A lay representative reviewed the guideline and contributed to the development of a patient information leaflet, with the support

2018 British Association for Sexual Health and HIV

136. Jehovah's Witnesses and patients who refuse blood

to the patient’s or parents’ wish, or look to the courts as the ?rst resort. When discussion, negotiation and consideration of other options fail to resolve the situation, the treating hospital should apply to the High Court for an order providing legal permission for treatment in the face of parental refusal. In an urgent or dynamic situation, blood should be given to minimise the threat to life or prevent lasting disability in the child, while suchanapplicationismade. In some cases, a child (0–15 years) may (...) , and act as their champion. 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

2018 Association of Anaesthetists of GB and Ireland

137. Castration-Resistant Prostate Cancer

Castration-Resistant Prostate Cancer Prostate Cancer: Castration Resistant Guideline - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis Retroperitoneum Cytology Online Learning For Medical Students

2018 American Urological Association

138. Practice Guideline Update Systematic Review Summary: Disorders of Consciousness

Practice Guideline Update Systematic Review Summary: Disorders of Consciousness 1 Practice guideline update: Disorders of consciousness Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research Joseph T. Giacino, PhD 1 ; Douglas I. Katz, MD 2 ; Nicholas D. Schiff, MD 3 ; John Whyte, MD, PhD 4 (...) on April 30, 2018; by the National Institute on Disability, Independent Living, and Rehabilitation Research Review Committee on April 5, 2018; and by the AAN Institute Board of Directors on May 2, 2018. This research was supported through a memorandum of understanding between the American Academy of Neurology, the American Congress of Rehabilitation Medicine and the National Institute on Disability and Rehabilitation Research (NIDRR). In 2014 NIDRR was moved from the US Department of Education

2018 American Academy of Neurology

139. An Update on Radial Artery Access and Best Practices for Transradial Coronary Angiography and Intervention in Acute Coronary Syndrome

major bleeding if there was hypotension or transfusion of at least 2 U of blood) 5. Severe disabling sequelae 6. Intracranial bleeding 7. Intraocular bleeding leading to a significant loss of vision 8. Drop in hemoglobin ≥50 g/L Pseudoaneurysms needing closure, large hematoma (as judged by the investigator), arteriovenous fistula, or an ischemic limb needing surgery 1.4% vs 3.7%; P <0.0001 At 30 d: 1.3% vs 1.5%; P =0.47 3.7% vs 4.0%; P =0.50 0.7% vs 0.9%; P =0.23 MATRIX Multicenter, European centers (...) in realizing these benefits. Analyses of the TRA learning curve suggest that operator proficiency may reduce concerns about access site crossover, radiation exposure, contrast volume, delay in reperfusion time, and procedural success. , Although requisite procedure volumes to achieve (>50 cases) and maintain (>80 procedures a year) proficiency have been proposed, many factors determine operator and center expertise in the TRA technique. , Furthermore, the relationship between volume and procedural success

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2018 American Heart Association

140. Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association

with established CVD and $1200 among those without CVD but with underlying poor risk factor profiles. Worldwide, physical inactivity was conservatively estimated to cost $53.8 billion to healthcare systems, with $13.7 billion in productivity losses and 13.4 million disability-adjusted life-years lost in 2013. Although low- and middle-income countries account for 75% of the disease burden associated with physical inactivity, >80% of healthcare costs and 60% of indirect costs occur in high-income countries

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2018 American Heart Association

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