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141. Clinical practice guideline for limb salvage or early amputation

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, 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. View background material via the LSA CPG eAppendix Page20 Study Attrition Flowchart 3846 abstracts (...) /participation and training to use prosthetic and/or orthotic devices. Additional Rationale References 1. Hsu, J.R., Owens, J.G., DeSanto, J., et. al. Patient Response to an Integrated Orthotic and Rehabilitation Initiative for Traumatic Injuries: The PRIORITI-MTF Study. J Orthop Trauma 2017; 31:S56-S62. 2. Potter, B.K., Sheu, R.G., Stinner, D., et. al. Multisite Evaluation of a Custom Energy-Storing Carbon Fiber Orthosis for Patients with Residual Disability After Lower-Limb Trauma. J Bone Joint Surg Am

2020 American Academy of Orthopaedic Surgeons

142. Menstrual Suppression in Special Circumstances

Library using appropriate controlled vocabulary and key words (heavy menstrual bleeding, menstrual suppression, chemotherapy/radiation, cognitive disability, physical disability, learning disability). Results were restricted to systematic reviews, randomized controlled trials, observation studies, and pilot studies. There were no language or date restrictions. Searches were updated on a regular basis and new material was incorporated into the guideline until September 2013. Grey (unpublished (...) specific indications, contraindications, and side effects, both immediate and long-term, and the investigations and monitoring necessary throughout suppression. Outcomes Clinicians will be better informed about the options and indications for menstrual suppression in patients with cognitive and/or physical disabilities and patients undergoing chemotherapy, radiation, or other treatments for cancer. Evidence Published literature was retrieved through searches of Medline, EMBASE, OVID, and the Cochrane

2019 Society of Obstetricians and Gynaecologists of Canada

143. Heart Failure - Systolic Dysfunction

Heart Failure - Systolic Dysfunction 1 Quality Department Guidelines for Clinical Care Ambulatory Heart Failure Guideline Team Team Leader William E Chavey, MD Family Medicine Team Members Barry E Bleske, PharmD Pharmacy R Van Harrison, PhD Medical Education Robert V Hogikyan, MD, MPH Geriatric Medicine Yeong Kwok, MD General Medicine John M Nicklas, MD Cardiology Consultant Todd M Koelling, MD Cardiology Initial Release August, 1999 Most Recent Major Update August, 2013 Interim/Minor Revision (...) . Cardiopulmonary exercise testing can quantitate a patient’s functional capacity. Testing may be indicated to document disability for insurance. Patients with poor ventilatory efficiency (VE/VCO2 slopes > 35) or very low peak oxygen consumptions (VO2 1 year. These patients should be referred to an electrophysiologist or cardiologist for evaluation. Part of the evaluation for ICD should be an ECG. This will define the QRS duration and help determine whether the device should also provide Cardiac

2020 University of Michigan Health System

144. Management of Type 2 Diabetes Mellitus

that clinicians should address at each visit and annually. DSME has evolved from didactic programs based on information-transfer and compliance or adherence as outcomes, to more patient-centered, empowerment based approaches. Recent findings related to DSME include: • Diabetes self-management education is effective for improving psychosocial and health outcomes (including HbA1c) and for reducing costs. • Traditional knowledge based DSME is essential but not sufficient for sustained behavior change. People (...) Management of Type 2 Diabetes Mellitus Quality Department Guidelines for Clinical Care Ambulatory Diabetes Mellitus Guideline Team Team Leaders Connie J Standiford, MD General Internal Medicine Sandeep Vijan, MD General Internal Medicine Team Members Hae Mi Choe, PharmD College of Pharmacy R Van Harrison, PhD Medical Education Caroline R Richardson, MD Family Medicine Jennifer A Wyckoff, MD Metabolism, Endocrinology & Diabetes Consultants Martha M Funnell, MS, RN, CDE Diabetes Research

2020 University of Michigan Health System

145. Common Gastrointestinal Problems in Children with Neurological Impairments (NI): Evaluation, Treatment and Monitoring

Common Gastrointestinal Problems in Children with Neurological Impairments (NI): Evaluation, Treatment and Monitoring Common Gastrointestinal Problems in Children with Neurological Impairments (NI): Evaluation, T reatment and Monitoring NI relates to disorders of the central nervous system, affecting: speech, motor skills, vision, memory, muscle actions, learning abilities. Cerebral palsy is also considered within this guide as a major subgroup of NI. NI frequently causes GI problems (...) DIAGNOSTIC METHODS ESPGHAN RECOMMENDATIONS • Feeding history Feeding history from early infancy and direct visual assessment of feeding to be carried out by a trained health professional who is highly experienced in evaluating oropharyngeal function, which may include: speech and language therapists, doctors, nurses, dieticians and/or GI physiologists • Videofluoroscopy (VFS) to detect discoordinate pharyngeal motility and silent aspiration VFS to be used when there is suspicion of an abnormal pharyngeal

2020 British Society of Gastroenterology

146. Checklist for draw-over anaesthetic equipment

their day-to-day wellbeing, and act as their champion. Our world-class conferences, journal 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 in?uence policy, raise (...) Commercial-No Derivs 4.0 International License CC BY-NC-ND3 Association of Anaesthetists | Checklist for draw-over anaesthetic equipment 2019 Summary This checklist with accompanying guidance is written to ensure the correct functioning of draw-over anaesthetic equipment and is important to patient safety. The anaesthetist has a primary responsibility to understand the function of the anaesthetic equipment and check it before use. Anaesthetists should not use equipment unless they have been trained

2020 Association of Anaesthetists of GB and Ireland

147. Acute Kidney Injury (AKI)

descriptives (e.g. ‘pre-renal’ and ‘renal / intrinsic’) to pathophysiological ones (‘functional change’ and ‘kidney damage’, respectively) [34]. Given the momentum of current training and educational endeavours, particularly across the UK, a change in nomenclature, we feel, would be counterproductive at this stage. Paediatric considerations (to be read in conjunction with adult guidance, above) Clinical Assessment; History, Examination Rationale As discussed above in relation to adult disease, the early (...) -requiring) at hospital discharge ? within 30 days for those with ongoing dialysis requirements at the time of hospital discharge Renal Association Clinical Practice Guideline Acute Kidney Injury (AKI) - August 2019 13 11. Education Guideline 11.1 – Adults and Paediatrics We recommend that undergraduate and postgraduate medical trainees should be taught the principles of prevention, detection and treatment of AKI. (1C) Renal Association Clinical Practice Guideline Acute Kidney Injury (AKI) - August 2019

2019 Renal Association

148. Valproate Use In Women and Girls Of Childbearing Years

approach, considering issues through life stages. 1. Girls with epilepsy Our consensus is that the current guidance requires clarity with regard to the age and developmental stage of girls/young people as it is not appropriate for all children/young people in the paediatric population. In order to provide a framework for clinical management, the prescribing needs of children/young people should be considered by age and learning ability (13). The prescribing needs of girls with intellectual disability (...) 14 5.4 Emergency contraception 14 5.5 Adverse effects of contraception 15 5.6 Discontinuation or exchanging of valproate 15 5.7 Women choosing to remain on valproate, but without a PPP 15 5.8 Intellectual Disability (ID) 16 5.8.1 With lack of mental capacity 17 5.8.2 With mental capacity 17 5.9 Women who fail to attend their specialist appointment 17 5.10 Prescribing responsibility: consider shared care 18 5.11 Particular situations that may arise 18 5.11.1 Status epilepticus 18 5.11.2 Women

2019 Royal College of Obstetricians and Gynaecologists

149. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Evaluation and Management for Patients With Very Early-onset Inflammatory Bowel Disease

exposures and by the gut microbiome. In fact, the immune system and the gut microbiome educate and regulate one another as they mature . This interaction is well balanced in healthy children; however, disruptions in development of either structure may lead to disease. Thus, in addition to the genetic investigations being performed in this population, there are several ongoing studies examining the association between the intestinal microbiome and VEO-IBD. DISEASE CLASSIFICATION Children who (...) for the gastroenterologists to perform and which require more extensive immunological and genetic training. Aspects of the history, which can be particularly useful in the setting of VEO-IBD include age of onset, with the earliest ages of onset being more strongly associated with monogenic causes. A history of folliculitis, dermatitis, significant infections, and associated autoimmunity are critical in defining a differential diagnosis. A history of neonatal onset perianal disease, fistulas, and diarrhea should prompt

2020 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

150. The Prevention, Assessment and Management of in-Hospital Newborn Falls and Drops

of preventive measures such as the use of side-cots and soft-type flooring 12 . Education and awareness measures 9,10,11,12 Staff i. Increase awareness in midwives, including training about the value of risk assessment ii. Perform a risk assessment on each mother after delivery with updates if risk factors change iii. Ensure provision of an appropriate level of supervision for the level of risk and for the time of day e.g. night rounding, curtains open, lights on 9,10 iv. Communicate assessment of risk (...) in injury” 1 . For practical purposes ‘fall’ and ‘drop’ are used interchangeably in this document. Target users All professionals involved in the care of the newborn in healthcare settings. Process The Framework for Practice provides recommendations based on ? Literature review including existing guidelines from various hospitals ? Local audits on in-hospital falls and learning points from reported incidents ? Data from national reporting and learning system ? Clinical experience and multi-professional

2020 British Association of Perinatal Medicine

151. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain

are to assist in delivering optimum, efficacious treatment and functional recovery from nonspecific low back pain. Scope, Purpose and Intended User This document was developed 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 (...) Development Methodology Through objective evaluation of the evidence and transparency in the process of making recommendations, it is NASS’ goal to develop evidence-based 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

2020 American Academy of Pain Medicine

152. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections Full Text available with Trip Pro

.) | | These lessons learned from contemporary reports in the endovascular era have prompted a reassessment of the traditional chronicity classification system. In a study similar to the initial work of Hirst, Booher et al x 16 Booher, A.M., Isselbacher, E.M., Nienaber, C.A., Trimarchi, S., Evangelista, A., Montgomery, D.G. et al. The IRAD classification system for characterizing survival after aortic dissection. Am J Med . 2013 ; 126 : 730.e19–730.e24 | | | | | examined mortality from the time of symptom onset

2020 Society for Vascular Surgery

153. Covid-19: Virtual visit guide for midwives

) appears to be more secure. If using the free version for meetings, consider the following precautions: • Always make sure you are using the most updated version of Zoom • Set up a meeting using a randomly generated meeting ID and set a password for all meetings. • Set up meetings so that participants cannot join until you open the meeting. • Consider adding meeting controls such as: blocking file sharing and private chat, disabling screen sharing. For more information, please visit: https (...) to validate your identity. After ONE ID completes your identity validation you will receive a “welcome” email from OTN and then you can access the OTNhub. Is there online training on how to use the eVisits platform? OTN provides a training toolkit on how to optimize the use of eVisits. The training is not mandatory but is recommended by OTN to understand how to navigate the eVisit portal and set-up electronic information. Access the eVisit training/toolkit: https://training.otn.ca/course/view.php?id=10090

2020 Ontario Midwives

154. Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) Full Text available with Trip Pro

of the International Severe Acute Respiratory and Emerging Infection Consortium (ISARIC). Dr. Eddy Fan declared receiving consultancy fees from ALung Technologies and MC3 Cardiopulmonary. Dr. Maurizio Cecconi declared consultancy work with Edwards Lifesciences, Directed Systems, and Cheetah Medical. Dr. Lennie Derde is the NVIC (Dutch National ICU society) chair of Taskforce Infectious Diseases (standing committee), member of ESICM Coronavirus Taskforce (started with this outbreak), chair ESICM Clinical Training (...) : TEL: (USA): TEL: (Int’l): 800-638-3030 (within USA) 301-223-2300 (international) by the Society of Critical Care Medicine and This website uses cookies. By continuing to use this website you are giving consent to cookies being used. For information on cookies and how you can disable them visit our and Policy.

2020 Society of Critical Care Medicine

155. Confidentiality in Adolescent Health Care

as they transition into the adult health care system . Box 3. Training and Preparing Staff on Questions of Adolescent Confidentiality It is helpful to conduct staff sensitivity training on the following topics: Comfort with issues regarding adolescent sexuality Knowledge about confidentiality issues, including state and local laws How to provide relevant information to parents or guardians and patients about private conversation time with the adolescent patient and obstetrician–gynecologist How to identify (...) Confidentiality in Adolescent Health Care Confidentiality in Adolescent Health Care | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Confidentiality in Adolescent Health Care Committee Opinion Number 803 April 2020 Jump to Resources Share By reading this page you agree to ACOG's Terms and Conditions. . Confidentiality for adolescents accessing health care is complex, and concerns about lack

2020 American College of Obstetricians and Gynecologists

156. Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain

historical or provocative examination sign and immediate or prolonged response to injections. A prospective study by Lilius et al 41 assessed work and disability in 109 patients with LBP who had no signs of radicular pain following an IA injection with either cortisone and LA; a pericapsular injection of the same mixture; or an IA saline injec- tion. They found that psychosocial factors significantly influ- enced outcome. on April 14, 2020 by guest. Protected by copyright. http://rapm.bmj.com/ Reg Anesth (...) , work and disability) were assessed at 3 months IA steroid/anesthetic, IA saline or pericapsular steroid/anesthetic (single block) Inappropriate (non- organic physical) signs and symptoms and previous back surgery were associated with treatment failure. Schwarzer et al 42 Prospective n=176 =50% pain relief after a confirmatory block IA or MBB (double comparative diagnostic blocks) Neither clinical features (range of motion and straight leg raising test) nor pain referral patterns could predict

2020 American Academy of Pain Medicine

157. Pain Management Best Practices from Multispecialty Organizations during the COVID-19 Pandemic and Public Health Crises

and socioeconomic costs. Chronic pain is the leading cause of disability in the world, is associated with multiple psychiatric co-morbidities, and has been causally linked for the opioid crisis. Access to pain treatment has been called a fundamental human right by numerous organizations. The current COVID-19 pandemic has strained medical resources, creating a dilemma for physicians charged with a responsibility to limit spread of the contagion, and their responsibility to treat the patients they are entrusted (...) the University's objective of excellence in research, scholarship, and education by publishing worldwide Copyright © 2020 Oxford University Press This Feature Is Available To Subscribers Only or This PDF is available to Subscribers Only For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

2020 American Academy of Pain Medicine

158. Physical Activity and Exercise During Pregnancy and the Postpartum Period

Physical Activity and Exercise During Pregnancy and the Postpartum Period Physical Activity and Exercise During Pregnancy and the Postpartum Period | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Physical Activity and Exercise During Pregnancy and the Postpartum Period Committee Opinion Number 804 April 2020 Jump to Resources Share By reading this page you agree to ACOG's Terms and Conditions (...) to exercise anaerobically is impaired, and oxygen availability for aerobic exercise and increased work load consistently lags. The physiologic respiratory alkalosis of pregnancy may not be sufficient to compensate for the developing metabolic acidosis of strenuous exercise. Decreases in subjective work load and maximum exercise performance in pregnant women, particularly in those who are overweight or obese, limit their ability to engage in more strenuous physical activities . Aerobic training

2020 American College of Obstetricians and Gynecologists

159. WHO recommendation on Calcium supplementation before pregnancy for the prevention of pre-eclampsia and its complications

and the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a cosponsored program executed by the WHO. WHO emphasizes that donors do not participate in any decision related to the guideline development process, including the composition of research questions, membership of the guideline development groups, conducting and interpretation of systematic reviews, or formulation of the recommendation. The views of the funding bodies have (...) of Recommendations, Assessment, Development and Evaluation GREAT Guideline development, Research priorities, Evidence synthesis, Applicability of evidence, Transfer of knowledge (a WHO project) GSG Executive Guideline Steering Group HELLP Haemolysis, elevated liver enzymes, low platelets ICM International Confederation of Midwives ICU Intensive care unit LMIC Low and middle-income country MAP Mean arterial pressure MCA [WHO Department of] Maternal, Newborn, Child and Adolescent Health and Ageing MCSP Maternal

2020 World Health Organisation Guidelines

160. Covid-19: Neurocritical Care

Scientific Corner December 19, 2019 COVID-19 May 13, 2020 COVID-19 May 5, 2020 COVID-19 May 5, 2020 Educational May 5, 2020 E-Brain May 1, 2020 E-Brain February 28, 2020 E-Brain April 1, 2019 E-Brain November 1, 2018 Grand Rounds October 2, 2017 Grand Rounds July 1, 2016 Grand Rounds July 1, 2016 Grand Rounds February 1, 2016 Continuing medical education June 3, 2019 Continuing medical education February 21, 2019 Continuing medical education October 1, 2018 Continuing medical education July 24, 2018 (...) Resident and Research Fellows May 13, 2020 Resident and Research Fellows May 5, 2020 Resident and Research Fellows April 27, 2020 Resident and Research Fellows April 27, 2020 Fellowship reports May 5, 2020 Fellowship reports April 27, 2020 Fellowship reports April 5, 2020 Fellowship reports March 2, 2020 Education corner May 5, 2020 Education corner April 27, 2020 Education corner January 24, 2020 Education corner January 17, 2020 EAN Congress news May 5, 2020 General interest May 5, 2020 COVID-19 May

2020 European Academy of Neurology

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