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1541. Labour Ward Solutions

and in enhancing quality of care. An expected consequence of the recruitment of consultants to posts with a major commitment to obstetrics may be that they are filled with more newly appointed consultants. It is important that these posts are designed to demonstrate a degree of role progression and a sense of leadership. Other possible roles in addition to labour ward roles include: labour ward management support for risk management liaison with other staff groups education and training. 5.2 Rotas Key (...) health Non-smoker Qualifications MRCOG or equivalent accreditation in Higher degree training and experience in obstetrics & gynaecology and on specialist delivering undergraduate education register at or within 6 monthsof the AAC. (Posts 1 & 2). Subspecialty accreditation in maternal medicine (Post

2010 Royal College of Obstetricians and Gynaecologists

1542. Termination of Pregnancy for Fetal Abnormality in England, Scotland and Wales

definition of substantial risk. Whether a risk will be regarded as substantial may vary with the seriousness and consequences of the likely disability. Likewise, there is no legal definition of serious handicap. An assessment of the seriousness of a fetal abnormality should be considered on a case-by-case basis, taking into account all available clinical infor- mation. Technical improvements in diagnostic ultrasound continue to be made. More recently, three- dimensional ultrasound technology has been (...) introduced for diagnostic purposes, although its exact role remains unclear. Magnetic resonance imaging can be effective as an adjunct to ultra- sound in diagnosing and evaluating structural abnormalities, particularly those involving the fetal central nervous system. Progress in fetal diagnosis is improving knowledge of the natural history of many fetal disorders. While amniocentesis, chorionic villus sampling and fetal blood sampling remain standard methods for the diagnosis of aneuploidy, noninvasive

2010 Royal College of Obstetricians and Gynaecologists

1543. A commissioner's guide to developing and sustaining user-led organisations - Accredited

chances of disabled people'). As part of the Putting People First agenda milestones (in effect until March 2010), local authority commissioners were to make sure they have worked to develop and sustain ULOs by December 2010. This was captured in the Department of Health’s Local Authority Circular no.1 (2008) as follows: "Where user led organisations do not exist, a strategy to foster, stimulate and develop these locally should be developed". This intent has since been reaffirmed in the publication (...) of the Care and Support White Paper: 'A vision for adult social care: capable communities and active citizens' and other policy documents, as well as in the creation of a dedicated programme to support and strengthening User-Led Organisations at the Office for Disability Issues. The original guidance from SCIE helped commissioners to meet this policy requirement. This updated guidance reflects updated policy, practice and evidence regarding ULOs and: explains the benefits of commissioners developing

2010 Social Care Institute for Excellence

1544. Device Therapy in Heart Failure

of Cardiology (ESC) Guidelines has been published for personal and educational use only. No commercial use is authorized. No part of the ESC Guidelines maybetranslatedorreproducedin anyform without written permission fromthe ESC. Permission can beobtained upon submission of awritten requestto Oxford University Press, the publisher of the European Heart Journal and the party authorized to handle such permissions on behalf of the ESC. *Corresponding authors: Kenneth Dickstein, 1. Stavanger University Hospital (...) , and QRS duration =120 ms. Current knowledge restricts us to the use of rate control strategy in the subgroup of patientswithpermanentAF.Inthislattergroupofpatientsoutcomes aremoredif?culttomeasure,sincebothheartratecontrolandCRT maycontributetotheobservedchangesinclinicalstatus. 35 Anade- quatetrial with pharmacologically induced rate control isadvisable. However, there is consensus that essentially complete ventricular capture is mandatory in order to maximize clinical bene?t and improve

2010 European Society of Cardiology

1545. RCPCH and Neonatal and Paediatric Pharmacists Group (NPPG) joint statement on unlicensed medicines

for current consultations Lobbying - Advises and supports external agencies and parental bodies about the licensing, availability, use and surveillance of medicines in paediatric populations. This includes medicines used outside of the license, newly licensed products, unlicensed medicines for rare conditions and adverse reactions to medicines Education - Supports education training and research in the field of safe prescribing The Committee also supports several organisations in the following ways (...) RCPCH and Neonatal and Paediatric Pharmacists Group (NPPG) joint statement on unlicensed medicines Medicines Committee | RCPCH Quick links Quick links Search RCPCH Search X Search RCPCH Search Submenu membership Submenu education Submenu work we do Submenu resources Submenu key topics Submenu news and events Quick links Quick links Submenu membership Submenu education Submenu work we do Submenu resources Submenu key topics Submenu news and events X Medicines Committee The Committee manages

2010 Royal College of Paediatrics and Child Health

1546. Dyslexia, dyspraxia and dyscalculia: a summary guide for managers

a significant, adverse and long term effect on the person’s ability to carry out everyday tasks.” Under the terms of the Act specific learning differences (SpLDs) such as dyslexia, dyspraxia and dyscalculia were all classified as a ‘disability’ and it therefore became unlawful to discriminate against anyone with one of these conditions on the basis of that disability. This covered a range of areas including employment, education and access to goods and services. In 2005 the Act was updated and required (...) with a specific learning difference one of the greatest challenges is coping with a late diagnosis, which has often been triggered by academic failure during their training or further studies. Despite advances in the recognition and detection of SpLDs in children there are still a significant number of people who are not picked up until much later in life. This was highlighted in relation to dyslexia by the National Working Party on Dyslexia in Higher Education study (Singleton, 1999). This included data from

2010 Royal College of Nursing

1547. Chronic suppurative lung disease and bronchiectasis in children and adults in Australia and New Zealand. A position statement from the Thoracic Society of Australia and New Zealand and the Australian Lung Foundation

clearance and the increased efficacy when therapy is individualised, specific chest physiotherapy expertise should be sought. Pulmonary rehabilitation is employed in several different chronic respiratory conditions. It involves a multidisciplinary approach, including exercise training, self-management education, and psychosocial and nutritional intervention. Inspiratory muscle training may be beneficial in adults with bronchiectasis. A recent small RCT showed that an 8-week program of pulmonary (...) rehabilitation and inspiratory muscle training significantly improved the incremental shuttle walking test. Unless specific contraindications exist, physical activity should be encouraged. Recommendation 16 Airway clearance manoeuvres are recommended and a chest physiotherapist’s advice should be sought. Chest physiotherapy should be individualised. Grade: strong; evidence: moderate Recommendation 17 Adults with CSLD/bronchiectasis and moderately severe, limited exercise tolerance and/or evidence of physical

2010 MJA Clinical Guidelines

1548. Treatment for osteoporosis in Australian residential aged care facilities: consensus recommendations for fracture prevention Full Text available with Trip Pro

to diagnostic methods to identify fractures and quantify BMD; lack of knowledge about evidence-based interventions for osteoporosis in RACFs; assumptions about patients’ length of stay and survival; and family and patients’ concerns about polypharmacy and potential side effects. Nevertheless, hip fractures in institutionalised older adults are an important cause of morbidity and mortality that could be prevented with an appropriate evidence-based approach to treatment. Several initiatives have been tested (...) to improve physicians’ awareness of the importance of identifying and treating osteoporosis. A recent randomised trial to improve fracture prevention in nursing home residents showed that audit feedback and education interventions are ineffective in improving fracture prevention. In contrast, a practice redesign project was implemented in nursing homes in Arkansas, which included increasing physician awareness on preventing ageism, understanding polypharmacy and an eight-point post-fall assessment

2010 MJA Clinical Guidelines

1549. Elective Single Embryo Transfer Following In Vitro Fertilization

. In oocyte donor–recipient cycles when the donor has good prognosis and when good quality embryos are available, eSET should be performed. (II-2B) 9. In women with medical or obstetrical contraindications to twin pregnancy, eSET should be performed. (III-B) 10. In order to achieve successful uptake of eSET, it is essential to provide patient and physician education regarding the risks of twin pregnancy and regarding the similar cumulative live birth rate following an eSET strategy and DET. (III-C) 11 (...) of respondents (78.5%) desired DET. Even in those who preferred one child at a time, 81.2% planned to have DET. 89 Some studies have shown that the choice of eSET increases when patients are educated about the risks of multiples. 42,88–90 However, oth- ers have found that many still choose DET over eSET, accepting the higher risks associated with twins to maximize pregnancy rates. 82,84,90–93 In a British study, most couples identified failed treatment as the most serious adverse out- come of IVF. 92 Another

2010 Society of Obstetricians and Gynaecologists of Canada

1550. No health without public mental health: The case for action

Experienced by People with Learning Disabilities or Mental Health Problems found a lack of support and information for such individuals in general and especially for those in all forms of residential care. 110 They called for ‘accessible and appropriate support to encourage healthy living and overcome physical health disadvantages which come from their conditions or treatments’. They also recorded the differences between those with mental illness and those with an intellectual disability in terms (...) promotion, parent training and early intervention for child emotional and behavioural disorders. At a school level, they include school-based mental health promotion, violence prevention, 161 bullying prevention 162 and social and emotional learning programmes. 156 School- based interventions can also prevent sexual abuse. 163 Among the benefits of school-based violence prevention programmes are reductions in aggressive behaviour, conduct problems and attention span problems, as well as improvements

2010 Royal College of Psychiatrists

1551. Canadian best practice recommendations for stroke care

du uc ca at ti io on n E11 1.1 Public awareness and responsiveness . . . . . . . . . . . E11 1.2 Patient and family education . . . . . . . . . . . . . . . . . E13 2 2: : P Pr re ev ve en nt ti io on n o of f s st tr ro ok ke e E15 2.1 Lifestyle and risk factor management . . . . . . . . . . E15 2.2 Blood pressure management . . . . . . . . . . . . . . . . . E19 2.3 Lipid management . . . . . . . . . . . . . . . . . . . . . . . . . . E22 2.4 Diabetes management (...) - aging • New recommendation developed on emergency medical services care of stroke patients before hospital arrival, in- cluding the need to recognize stroke as a priority dispatch for emergency medical services, direct transport protocols, training in and use of stroke screening tools for patients with suspected stroke, prenotifcation protocols and com- munication between emergency medical services and re- ceiving hospitals • New recommendation on acute management of transient ischemic attack

2009 CPG Infobase

1552. Auditory processing disorder (APD)

Berkshire, RG6 1PS, UK Published by the British Society of Audiology © British Society of Audiology, 2011 All rights reserved. This document may be freely reproduced for educational and not-for-profit purposes. No other reproduction is allowed without the written permission of the British Society of Audiology. Please avoid paper wastage, e.g. by using double-sided (‘duplex’) printing. Position Statement British Society of Audiology Auditory Processing Disorder 2011 © (...) . This includes transient hearing impairment after its resolution (e.g. glue ear or surgically corrected otosclerosis). There is an international focus on Developmental APD, primarily because of fears that it may lead to learning difficulties, especially affecting language and literacy, and hence to poor school performance. 4. New developments Over the last 10-15 years it has become increasingly recognised that cognitive factors play a central role in listening (Kiessling et al., 2003). These ‘top-down

2011 British Society of Audiology

1553. Pure tone air and bone conduction threshold audiometry with and without masking

hearing loss) being used. Descriptor Average hearing threshold levels (dB HL) Mild hearing loss 20-40 Moderate hearing loss 41-70 Severe hearing loss 71-95 Profound hearing loss In excess of 95 Average hearing threshold levels of less than 20 dB HL do not necessarily imply normal hearing. The audiometric descriptors above do not imply any other classification of function, educational attainment or potential. They should not be taken directly as a measure of disability. For the purposes (...) Procedure provides a reference standard for the conduct of an audiological intervention that represents, to the best knowledge of the BSA, the evidence-base and consensus on good practice given the stated methodology and scope of the document and at the time of publication. Although care has been taken in preparing this information, the BSA does not and cannot guarantee the interpretation and application of it. The BSA cannot be held responsible for any errors or omissions, and the BSA accepts

2011 British Society of Audiology

1554. Heel Pain - Plantar Fasciitis

to address nutrition issues. INTERVENTIONS – THERAPEUTIC EXERCISE AND NEUROMUSCULAR RE-EDUCATION Clinicians may prescribe strengthening exercises and movement training for muscles that control pronation and attenuate forces during weight-bearing activities. INTERVENTIONS – DRY NEEDLING The use of trigger point dry needling cannot be recommend- ed for individuals with heel pain/ plantar fasciitis. *These recommendations and clinical practice guidelines are based on the scientific literature published (...) Heel Pain - Plantar Fasciitis Clinical Practice Guidelines ROBROY L. MARTIN, PT , PhD • TODD E. DAVENPORT , DPT • STEPHEN F . REISCHL, DPT • THOMAS G. MCPOIL, PT , PhD JAMES W. MATHESON, DPT • DANE K. WUKICH, MD • CHRISTINE M. MCDONOUGH, PT , PhD Heel Pain—Plantar Fasciitis: Revision 2014 Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Orthopaedic Section of the American Physical Therapy Association J Orthop Sports Phys Ther

2014 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

1555. Nonarthritic Hip Joint Pain

Nonarthritic Hip Joint Pain Clinical Practice Guidelines KEELAN ENSEKI, PT , MS • MARCIE HARRIS-HAYES, DPT , MSCI • DOUGLAS M. WHITE, DPT • MICHAEL T . CIBULKA, DPT JUDITH WOEHRLE, PT , PhD • TIMOTHY L. FAGERSON, DPT • JOHN C. CLOHISY, MD Nonarthritic Hip Joint Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Orthopaedic Section of the American Physical Therapy Association J Orthop Sports Phys Ther. 2014;44(6):A1-A32 (...) , American Physical Therapy Association (APT A), Inc, and the Journal of Orthopaedic & Sports Physical Therapy ® . The Orthopaedic Section, APTA, Inc, and the Journal of Orthopaedic & Sports Physical Therapy consent to the reproduction and distribution of this guideline for educational purposes. Address correspondence to: Joseph Godges, DPT , ICF Practice Guidelines Coordinator, Orthopaedic Section, APT A, Inc, 2920 East Avenue South, Suite 200, La Crosse, WI 54601. E-mail:

2014 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

1556. Guidelines for Child Custody Evaluations in Family Law Proceedings

to professional development. Although psychologists take care to acquire suf?cient knowledge, skill, experience, training, and education prior to conducting a child custody evaluation, this acquisition is never complete. An evolving and up-to-date understanding of child and family development, child and family psycho- pathology, the impact of relationship dissolution on chil- dren, and the specialized child custody literature is critical to sustaining competent practice in this area. Psychologists also strive (...) clinical training of psy- chologists equips them to investigate a substantial array of conditions, statuses, and capacities. When conducting child custodyevaluations,psychologistsareexpectedtofocuson factors that pertain speci?cally to the psychological best interests of the child, because the court will draw upon these considerations in order to reach its own conclusions and render a decision. Application. Psychologists strive to identify the psychological best interests of the child. To this end

2010 American Psychological Association

1557. Clinical Practice Guideline on the Diagnosis and Treatment of Osteochondritis Dissecans

Guidelines Unit 1 v1.1_033111 I. INTRODUCTION OVERVIEW This clinical practice guideline is based on a systematic review of published studies on the diagnosis and treatment of osteochondritis dissecans (OCD) of the knee. In addition to providing practice recommendations, this guideline also highlights gaps in the literature and areas that require future research. This guideline is intended to be used by all appropriately trained surgeons and all qualified physicians evaluating patients for osteochondritis (...) the following recommendations based on a rigorous, standardized process. Musculoskeletal care is provided in many different settings by many different providers. Providers unfamiliar with the treatment of patients with OCD should be referred to qualified physicians and surgeons.We created this guideline as an educational tool to guide qualified physicians through a series of diagnostic decisions in an effort to improve the quality and efficiency of care. This guideline should not be construed as including

2010 American Academy of Orthopaedic Surgeons

1558. Assessment scales for disorders of consciousness: evidence-based recommendations for clinical practice and research

) Financial and technical support by the American Congress of Rehabilitation Med- icine Clinical Practice Committee and the National Institute on Disability and Reha- bilitation Research Model Systems Knowledge Translation Center. No party having a direct interest in the results of the research supporting this article has or will confer a ?nancial bene?t on the authors or on any organization with which the authors are associated. A practice parameter of the American Congress of Rehabilitation Medicine pro (...) Innsbruck Coma Scale IRR interrater reliability LOEW Loewenstein Communication Scale MCS minimally conscious state MSKTC Model Systems Knowledge Translation Center NIDRR National Institute on Disability and Rehabilitation Research PVS persistent vegetative state RLS85 Swedish Reaction Level Scale-1985 SMART Sensory Modality Assessment Technique SSAM Sensory Stimulation Assessment Measure TRR test–retest reliability VS vegetative state WHIM Wessex Head Injury Matrix WNSSP Western Neuro Sensory

2010 American Academy of Neurology

1559. Multidisciplinary Quality Improvement Guidelines for the Treatment of Lower Extremity Superficial Venous Insufficiency with Ambulatory Phlebectomy From the Society of Interventional Radiology, Cardiovascular Interventional Radiological Society of Europe,

through train- ing in Accreditation Council for Graduate Medical Education–recog- nized (or approved) postgraduate residency or fellowship programs. Knowledge and skills can also be ac- quired through continuing medical education and/or mentored clinical experience (11). PRETREATMENT ASSESSMENT Clinical evaluation of the patient be- fore treatment in an outpatient setting provides the physician an opportunity to perform a focused venous history along with a relevant medical history, followed (...) aheterogeneousmedicalconditionwhose spectrum ranges from cosmetic abnor- malitiesincludingspidertelangiectasiasto varicoseveinswithorwithoutassociated signs and symptoms including severe edema, skin ulceration, and subsequent major disability. Venous hypertension causedbyincompetentvalvesinthesu- perficial veins is by far the most com- mon cause of this condition. This docu- mentwillreviewtheappropriatemeans bywhichambulatoryphlebectomy(AP) istobeusedtomaximizethebenefitfor patients who undergo the procedure. The membership

2010 Society of Interventional Radiology

1560. Reporting Standards for Endovascular Repair of Saccular Intracranial Aneurysms

in clinical practice and applicable to all publications. CONCLUSIONS: The evaluation and treatment of brain aneurysms often involve multiple medical specialties. Recent reviews by the American Heart Association have surveyed the medical literature to develop guidelines for the clinical management of ruptured and unruptured cerebral aneurysms. Despite efforts to synthesize existing knowledge on cerebral aneurysm evaluation and treatment, significant inconsistencies remain in nomenclature and definition (...) and unruptured cerebral aneurysms. Despite efforts to synthesize existing knowledge on cerebral aneurysm evaluation and treatment, significant inconsistencies remain in nomenclature and definition for research and reporting purposes. One of the major challenges in the basic evaluation and reporting of endovascular treatment results is the interpretation of fluoroscopic and arteriographic imaging. Careful arteriographic evaluation of 3-dimensional vascular structures requires a customized approach to each

2010 Congress of Neurological Surgeons


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