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121. Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children Full Text available with Trip Pro

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

122. European Academy of Neurology guideline on the diagnosis of coma and other disorders of consciousness Full Text available with Trip Pro

and sometimes even years after the brain injury , - . It is thus unsurprising that as many as 40% of non‐communicating patients with DoC may be wrongly classified as being in the vegetative state/unresponsive wakefulness syndrome (VS/UWS) , , , . This has major ethical and practical implications for patients and their caregivers, including prognosis, treatment, resource allocation and end‐of‐life decisions - . Limited knowledge of DoC contributes to this dilemma. The classical locked‐in syndrome, in which (...) 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 scientific and clinical data is therefore needed. Methods Objectives The aim is to provide the European neurological community with recommendations based on the best available evidence regarding diagnosis and classification of coma and other DoC

2020 European Academy of Neurology

123. A palliative approach to care in the last 12 months of life

to RNAO staff Zainab Lulat (Guideline Development Lead), Erica D’Souza (Project Coordinator), Grace Suva (Manager, Implementation Science), and the rest of the RNAO Best Practice Guideline Development and Research Team for their intense and expert work in the production of this BPG. Special thanks to the expert panel for generously providing their time, knowledge and perspectives to deliver a rigorous and robust evidence-based resource that will guide the education and practice of many health (...) expert panel was interprofessional in composition, including family caregivers G and individuals with knowledge and experience in clinical practice, education, research and policy from a range of health-service and academic organizations, practice areas and sectors. Expert panel members shared their insights on supporting and caring for adults with progressive life-limiting illness across the continuum of care (e.g., community, long-term care and acute care). A systematic and comprehensive analysis

2020 Registered Nurses' Association of Ontario

124. American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee

the benefits and harms of available educational, behavioral, psychosocial, physical, mind- body, and pharmacologic therapies for OA. Grading of Recommen- dations Assessment, Development and Evaluation methodology was used to rate the quality of the evidence. A Voting Panel, includ- ing rheumatologists, an internist, physical and occupational therapists, and patients, achieved consensus on the recommendations. Results. Based on the available evidence, either strong or conditional recommendations were made (...) adherence to the recommendations within this guideline to be voluntary, with the ultimate determination regarding their application to be made by the clinician in light of each patient’s individual circumstances. Guidelines and recommenda- tions are intended to promote beneficial or desirable outcomes, but cannot guarantee any specific outcome. Guidelines and recommendations developed and endorsed by the ACR are subject to periodic revision, as warranted by the evo- lution of medical knowledge

2020 American College of Rheumatology

125. Clinical Practice Guideline on the Diagnosis and Prevention of Periprosthetic Joint Infections

and at Committee Scientific Exhibits. The final guideline recommendations and their supporting rationales will be hosted on www.OrthoGuidelines.org. 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 the background material via the PJI CPG eAppendix 1 View data summaries via the PJI CPG eAppendix 2 STUDY (...) research. The guideline is intended to be used by all qualified and appropriately trained providers and surgeons involved in the management of patients undergoing hip or knee arthroplasty and in the evaluation of those patients for a possible diagnosis periprosthetic joint infection. It is also intended to serve as an information resource for decision makers and developers of practice guidelines and recommendations. GOALS AND RATIONALE The purpose of this clinical practice guideline is to help improve

2020 American Academy of Orthopaedic Surgeons

126. Clinical Practice Guideline on the Management of Rotator Cuff Injuries

of Orthopaedic Surgeons, and articles published in AAOS Now. Selected clinical practice guidelines are disseminated by webinar, AAOS Online Learning, the Orthopaedic Video Theater (OVT), Media Briefings, and by distributing them at relevant Continuing Medical Education (CME) courses and at the AAOS Resource Center. 24 View background material via the RC CPG eAppendix 1 View data summaries via the RC CPG eAppendix 2 STUDY ATTRITION FLOWCHART 9464 abstracts reviewed. Primary search performed on June 26 th (...) research. This guideline is intended to be used by all qualified and appropriately trained physicians and surgeons involved in the management of rotator cuff tears. It is also intended to serve as an information resource for decision makers and developers of practice guidelines and recommendations. GOALS AND RATIONALE The purpose of this clinical practice guideline is to help improve treatment based on the current best evidence. Current evidence-based medicine (EBM) standards demand that physicians use

2020 American Academy of Orthopaedic Surgeons

127. 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

128. Recognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

-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

130. Treatment for Insomnia and Disrupted Sleep Behavior in Children and Adolescents with Autism Spectrum Disorder

for the Journal of Early Intervention; has received funding for travel to 5 scientific meetings and research support from the NIH National Institute of Mental Health 6 (NIMH), HRSA, and Institute of Education Sciences (IES); has received speaking honoraria; has 7 received publishing royalties from Guilford Press; has received honoraria from Autism Speaks 8 and NIMH for grant reviews; received payment to conduct training in behavioral interventions 9 for ASD; dedicates 10% of clinical efforts to behavioral (...) parent training; and has received 10 research support from the NIMH, HRSA, and the IES. 11 A. Stahmer serves as an editor for Autism: International Journal of Research and Practice and 12 on the editorial board for the Journal of Early Intervention; has received funding for travel to 13 scientific meetings and research support from the NIMH, HRSA, and Institute of Education 14 Sciences (IES); has received speaking honoraria; has received publishing royalties from Guilford 15 Press; has received

2020 American Academy of Neurology

131. Staff and associate specialist (SAS) grade handbook

. How to write a paper 20. Pensions and financial planning 21. Leadership and management 22. Local Education and Training Board Appendix 1: Checklist for CESR application4 Association of Anaesthetists | The SAS Handbook 2020 Back to contents 1. Why Join the Association of Anaesthetists? There are many reasons why SAS anaesthetists should join the Association of Anaesthetists. The obvious reasons are the benefits you can get from being a member. For all of us, study leave budgets and leave are under (...) increasing pressure. Being a member of the Association allows you discounted rates for booking conferences, seminars and webinars. Some of these are tailored specifically to issues facing SAS anaesthetists. You can access Learn@, the online learning zone for members where you can find a wealth of educational, learning and CPD resources including free access to videos and lectures from recent meetings. You can learn in your own time and keep a record of your completed CPD for use in appraisals

2020 Association of Anaesthetists of GB and Ireland

132. SCAI Expert Consensus Statement Update on Best Practices for Transradial Angiography & Intervention Full Text available with Trip Pro

FOR PRIMARY PCI FOR STEMI 7.1 Recommendations Transradial access (TRA) can be used for primary PCI to reduce vascular complications and bleeding in cardiac catheterization laboratories with appropriate training and expertise in radial access procedures. Operators should become experienced with nonemergent TRA PCI prior to performing STEMI TRA PCI. Appropriately defined strategies for arterial access site crossover (contralateral radial or femoral) should be in place to facilitate the decision process (...) . Catheter Cardiovasc Interv . 2014 ; 83 : E51 ‐ E60 . 14 Nuttall G , Burckhardt J , Hadley A , et al. Surgical and patient risk factors for severe arterial line complications in adults . Anesthesiology . 2016 ; 124 : 590 ‐ 597 . 15 van Leeuwen MAH , Hollander MR , van der Heijden DJ , et al. The ACRA anatomy study (assessment of disability after coronary procedures using radial access): a comprehensive anatomic and functional assessment of the vasculature of the hand and relation to outcome after

2020 Society for Cardiovascular Angiography and Interventions

133. Monitoring Progress of Neurological and Functional Outcomes in the Paediatric HIV Cohort in the UK

educational or social care support, should be referred to a local Learning Disability (LD) and/or child development services at the earliest opportunity. On-going liaison with LD health and social care organisations is crucial to support the young person’s health, education and transition through education and to adult health services in the future. The health team should support young people to gain age appropriate levels of understanding and independence in their health care, through joint working (...) . Some impairment may not be evident until later years and affect learning, independence and the ability to realise their full potential in education, social relationships or employment. Such weaknesses may also make coping with HIV, including adherence to treatments, more challenging. UK Cohort There is a paucity of available neurological and developmental data for children with HIV in the UK, particularly comparison data with uninfected children. The UK’s largest neurocognitive research study

2019 The Children's HIV Association

134. Follow-Up Model of Care for Cancer Survivors: Recommendations for the Delivery of Follow-up Care for Cancer Survivors in Ontario

to employment and work re-entry, finances, and disability). These consequences may be temporary or chronic, or they may appear long after treatment was completed. Supportive care is needed to address social, psychological, emotional, spiritual, quality-of-life, and functional aspects of cancer to ensure high quality follow-up care. 7 Primary care providers have reported willingness to provide supportive care for cancer survivors, if clinical guidance, education/training, support from and communication (...) Promotion 10 IMPLEMENTATION CONSIDERATIONS 10 Information Systems 10 Access to Services 11 Training and Education 11 Communication 11 Funding 12 NEXT STEPS 12 GLOSSARY 13 APPENDIX A: LIST OF RECOMMENDED DATA ELEMENTS FOR POST- TREATMENT FOLLOW-UP CARE PLANS 18 Follow-Up Model of Care for Cancer Survivors 4 OVERVIEW Background With advances in early detection and treatment, the survival rate from all cancers combined rose from 53% (1992-1994) to 60% (2006-2008). 1 The continuing improvement in survival

2019 Cancer Care Ontario

135. Haemodialysis

opportunity and encouragement to learn aspects of their dialysis treatment, and take an active role in their care. [2D] Guideline 8.3 - Intradialytic exercise We recommend that intradialytic exercise should be available in all units, as a treatment for enhancing physical functioning, in patients without contraindications. [1B] We suggest that intradialytic exercise be considered as a method of enhancing quality of life. [2C] We suggest that exercise regimes be devised by appropriately trained staff. [2C (...) , Royal Free London NHS Foundation Trust Prof Ken Farrington Consultant Nephrologist, Lister Hospital, East & North Hertfordshire NHS Trust Dr Katey Flowers Nephrology Registrar, Wessex Kidney Centre, Portsmouth NHS Trust Dr James Fotheringham Consultant Nephrologist, Sheffield Teaching Hospitals NHS Foundation Trust Andrea Fox RN Deputy Director of Learning and Teaching, School of Nursing and Midwifery, University of Sheffield Gail Franklin Lead Clinical Specialist Dietitian, East & North

2019 Renal Association

136. Society of Interventional Radiology Quality Improvement Standards on Percutaneous Ablation in Renal Cell Carcinoma Full Text available with Trip Pro

. Percutaneous cryoablation of renal cell carcinoma with sinus vein involvement based on preprocedural imaging. J Vasc Interv Radiol . 2017 ; 28 : 1651–1657 | | | | | 47 ). Finally, IGTA has been used as a palliative measure in patients with more advanced stages of RCC in order to reduce symptoms such as pain and/or hematuria ( x 48 Rhim, H., Dodd, G.D. III, Chintapalli, K.N. et al. Radiofrequency thermal ablation of abdominal tumors: lessons learned from complications. Radiographics . 2004 ; 24 : 41–52

2020 Society of Interventional Radiology

137. Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations Full Text available with Trip Pro

(SBIRT) as part of trauma care. [4] Since 2006, the Committee on Trauma has required all trauma centers to have a mechanism to identify patients with hazardous alcohol use; Level I and II centers must provide an intervention by trained staff. [5] This strategy aims to reach a population beyond those with a diagnosis of alcohol dependence; for every one adult in the US who is dependent on alcohol, more than six other adults who are not dependent on alcohol are still at risk of injuring themselves (...) , Annoyed, Guilty, Eye opener). [8][9] The presence of intoxication at the time of presentation to the hospital may be measured objectively by the weight of alcohol present by blood volume (BAC). Brief intervention for patients who screen positive for hazardous alcohol use may be performed by anyone capable of showing respect and concern for the patient, such as a physician, nurse, or any other staff member; relatively little training is required and may be accomplished with online materials

2020 Eastern Association for the Surgery of Trauma

138. Palliative Care for Adults

care to their patients in some manner. Indeed, there is a presumption that providers will all be able to provide a level of primary palliative care for symptoms commonly encountered in their respective practices. There is, however, growing recognition that primary care providers may need more education and training to recognize and evaluate other forms of distress and suffering in patients with serious illness. (Quill, 2013) Educational programs have been developed in recent years to assist (...) Documents 11 Definitions 11 Annotations 12–45 Quality Improvement Support 46–56 Aims and Measures 47–48 Implementation Recommendations 49 Implementation Tools and Resources 50 Implementation Tools and Resources Tables 51–56 Assessment Tools 51 Physician Education Resources (Fast Facts) 51–52 General Tools and Resources 52–56 Supporting Evidence 57–76 References 58–63 Appendices 64–76 Appendix A: Literature Search Terms 64–65 Appendix B: How to Discuss Serious Illness 66–68 Appendix C: Signs and Symptoms

2020 Institute for Clinical Systems Improvement

139. 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

140. 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

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