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1661. Management of Stroke Rehabilitation

of care setting. Target Population: This guideline applies to adult patients (18 years or older) with post-stroke functional disability who may require rehabilitation in the VHA or DoD health care system. Audiences: The guideline is relevant to all healthcare professionals providing or directing treatment services to patients recovering from a stroke, in any healthcare setting (primary care, specialty care, and long-term care) and in community programs. Version 2.0 VA/DoD Clinical Practice Guideline (...) for the October, 2010 Management of Stroke Rehabilitation Introduction Page - 3 Stroke Rehabilitation: Stroke is a leading cause of disability in the United States. (AHA, 1999) Forty percent of stroke patients are left with moderate functional impairment and 15% to 30% with severe disability. Effective rehabilitation interventions initiated early after stroke can enhance the recovery process and minimize functional disability. Improved functional outcomes for patients also contribute to patient satisfaction

2010 VA/DoD Clinical Practice Guidelines

1662. The role of diffusion and perfusion mri for the diagnosis of acute ischemic stroke

lesion volumes probably predict (final) infarct volumes (Level B) and possibly predict early and late clinical outcome measures (Level C). Baseline PWI volumes predict to a lesser degree the baseline stroke severity compared with DWI (Level C). There is insufficient evidence to support or refute the value of PWI in diagnosing acute ischemic stroke (Level U). Stroke is the third leading cause of death and the leading cause of permanent disability and disability-adjusted loss of independent life-years (...) ; and is an employee of NIH, receiving research support exclusively from the Division of Intramural Research of NIH, which includes collaboration agreements with General Electric and Olea Medical. DISCLAIMER This statement is provided as an educational service of the American Academy of Neurology. It is based on an assessment of current scientific and clinical information. It is not intended to include all possible proper methods of care for a particular neurologic problem or all legitimate criteria for choosing

2010 American Academy of Neurology

1663. Symptomatic treatment for muscle cramps

agents that are effective and safe for the treatment of muscle cramps. Glossary ALS = amyotrophic lateral sclerosis ; CI = confidence interval ; FDA = Food and Drug Administration. Muscle cramps are involuntary, generally painful contractions of a muscle or muscle group. Some patients are bothered by very frequent and severe muscle cramps that may be disabling. A cross-sectional prevalence study of 365 outpatients aged 65 or older in the United Kingdom reports that 50% of outpatients report frequent (...) effective (Level A), the use of quinine derivatives for treatment of muscle cramps should be avoided for routine treatment of cramps. These agents should only be considered when cramps are very disabling, no other agents relieve symptoms, and there is careful monitoring of side effects. They should only be used after informing the patient of the potentially serious side effects. Question 3: Are there any other pharmacologic treatments effective for the treatment of muscle cramps? Class I studies

2010 American Academy of Neurology

1664. Pharmacologic treatment of spasticity in children and adolescents with cerebral palsy

component of the multifaceted motor disability of CP and may not be the main factor interfering with function, participation, or activity. Alleviation of spasticity may not always be desirable; some patients may experience a decline in function with spasticity reduction. The decision to use antispasticity medications requires careful assessment of the patient's other impairments (e.g., weakness, movement disorders) and proper selection and use of the treatment. Reasons to treat spasticity include (...) proportion of treatment group subjects showed more than 20% change above baseline QUEST scores compared with the control group at 1 month (67% vs 19%; p = 0.004) and 3 months (71% vs 33%; p = 0.03) but not at 6 months. Application of BoNT-A in this study was guided by electrical stimulation. In another Class I study (n = 29), BoNT-A was injected into upper extremity muscles using anatomic knowledge only to guide injection location. The study used the same BoNT-A formulation and similar doses

2010 American Academy of Neurology

1665. 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

1666. 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

1667. Travel-related venous thrombosis Full Text available with Trip Pro

occupational position during working day on occupational lower limb edema , Jornal Vascular Brasileiro , 14 , 2 , (153) , (2015) . Tomoyuki Tanigawa, Masahiro Yamazoe, Ryosuke Koyamada, Hiroyuki Niinuma, Yutaro Nishi, Takakazu Higuchi and Sadamu Okada , Pulmonary Thromboembolism and Deep Vein Thrombosis in Beta-thalassemia Minor , Nihon Naika Gakkai Zasshi , 104 , 11 , (2400) , (2015) . Kathryn N. Suh and Anne E. McCarthy , The older traveler and traveling with disability , Essential Travel Medicine , (199 (...) -7.00294-3 , (1800-1803) , (2012) . Rachel Davies and Luke Howard , Pulmonary vascular disease: pulmonary thromboembolism and pulmonary hypertension , Medicine , 40 , 4 , (214) , (2012) . EA Varga and JL Kujovich , Management of inherited thrombophilia: guide for genetics professionals , Clinical Genetics , 81 , 1 , (7-17) , (2011) . Alexandra Monkhouse , Deep Vein Thrombosis and Pulmonary Embolism , InnovAiT: Education and inspiration for general practice , 10.1093/innovait/ins182 , 5 , 11 , (670-679

2010 British Committee for Standards in Haematology

1668. Use of prophylactic factor VIII concentrate in children and adults with severe haemophilia A Full Text available with Trip Pro

factor levels >1 iu/dl and should be considered in very active older boys or where breakthrough bleeds are occurring on a less frequent prophylactic regimen. (Recommendation grade 2 C). 5 Prophylactic doses should be tailored to provide maximum cover for particular physical activities, e.g. school, physical education lessons, sport training sessions. Prophylaxis should be administered ideally in the morning to optimize factor VIII levels (Recommendation grade 2 C – consensus opinion). 6 Children (...) and the family if the sporting activities being pursued result in coagulation factor consumption in excess of that needed for routine prophylaxis. The use of lower dose daily prophylaxis may partly address this issue. Recommendations 1 Early education and training for prophylaxis is an essential component of haemophilia care in the young child and their family and is best provided within the multidisciplinary framework of the haemophilia service. (Recommendation grade 2 C). 2 Involvement of both parents

2010 British Committee for Standards in Haematology

1670. 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

1671. Multisociety Consensus Quality Improvement Guidelines for the Treatment of Lower Extremity Superficial Venous Insufficiency With Endovenous Thermal Ablation From the Society of Interventional Radiology, Cardiovascular Interventional Radiological Society o

as well as conservative, medical,andproceduralapproachesfor treating venous disorders. The requisite knowledge, clinical, and procedural ex- perience required to care for patients with venous disorders can be acquired in a number of ways. Many physicians will acquire the necessary knowledge and skills through continuing medical education and/or mentored clinical ex- periences (11) after their postgraduate medical training. The knowledge and skillscanalsobeobtainedthroughpost (...) - dergoacompleteclinicalandduplexUS evaluation before being considered a candidate for EVTA. This evaluation and subsequent treatment should be performedbyaphysicianwhoisappro- priately trained in the care of patients with venous disorders. The body of knowledge required by such a physi- cianincludesathoroughunderstanding oftheanatomy,physiology,pathophys- iology, and clinical course pertaining to these conditions. The physician should be experienced in the performance and interpretation of duplex US of the ve- nous system

2010 Society of Interventional Radiology

1672. Care of the Patient with Strabismus: Esotropia and Exotropia

and Exotropia Introduction 1 INTRODUCTION Optometrists, through their clinical education, training, experience, and broad geographic distribution, have the means to provide primary eye and vision care for a significant portion of the American public and are often the first health care practitioners to diagnose patients with strabismus. This Optometric Clinical Practice Guideline for the Care of the Patient with Strabismus describes appropriate examination, diagnosis, treatment, and management to reduce (...) the risk of visual disability from esotropia and exotropia through timely care. This Guideline will assist optometrists in achieving the following goals: ? Identify patients at risk of developing strabismus ? Accurately diagnose strabismus ? Improve the quality of care rendered to patients with strabismus ? Minimize the adverse effects of strabismus and enhance the patient's quality of life ? Preserve the gains obtained through treatment ? Inform and educate other health care practitioners, including

2010 American Optometric Association

1673. Diagnosis and Treatment of Cervical Radiculopathy from Degenerative Disorders

with the Universi- ty of Alberta’s Centre for Health Evidence, an online training program geared toward educating guideline developers about evidence analysis and guideline development. All participants in guideline develop- ment for NASS have completed the training prior to participating in the guideline development program at NASS. This training includes a series of readings and exercises, or interactivities, to prepare guideline developers for systematically evaluating literature and developing evidence (...) was developed by the North Ameri- can Spine Society Evidence-Based Guideline Devel- opment Committee as an educational tool to assist practitioners who treat patients with cervical radic- ulopathy from degenerative disorders. The goal is to provide a tool that assists practitioners in improving the quality and efficiency of care delivered to pa- tients with cervical radiculopathy from degenera- tive disorders. The NASS Clinical Guideline for the Diagnosis and Treatment of Cervical Radiculopathy from

2010 North American Spine Society

1674. Care of the Patient with Presbyopia

of Presbyopia 57 Abbreviations of Commonly Used Terms 58 Glossary 59 Introduction 1 INTRODUCTION Through their clinical education, training, experience, and broad geographic distribution, optometrists have the means to provide effective primary eye and vision services to adults in the United States. Optometrists play an important role in evaluating patients with symptoms or functional disability resulting from presbyopia, an expected vision change that, in some way, affects everyone at some point in adult (...) of developing functional disability as the result of presbyopia ? Effectively examine the vision status of patients with presbyopia ? Accurately diagnose presbyopia ? Evaluate the appropriate management options for the patient with presbyopia ? Minimize the visual disability due to presbyopia through optometric care ? Inform and educate patients and other health care practitioners about the visual consequences of presbyopia and the available management options. 2 Presbyopia Statement of the Problem 3 I

2010 American Optometric Association

1675. Care of the Patient with Ocular Surface Disorders

Surface Disorders v Figure 8: Frequency and Composition of Evaluation and Management Visits for Blepharitis 79 Abbreviations of Commonly Used Terms 81 Glossary 82 vi Ocular Surface Disorders Introduction 1 INTRODUCTION Optometrists, through their clinical education, training, experience, and broad geographic distribution, have the means to provide effective primary eye and vision care to a significant portion of the American population and are often the first health care practitioners to diagnose (...) disease-related causes of ocular surface disorder ? Improve the quality of care rendered to patients with ocular surface disorders ? Reduce the prevalence and degree of disability and morbidity, including the financial burden, secondary to ocular surface disorders ? Inform and educate patients and other health care providers about the visual complications, risk factors and treatment and management options associated with ocular surface disorders. Statement of the Problem 3 I. STATEMENT OF THE PROBLEM

2010 American Optometric Association

1676. Stroke early management

Guidelines 5 1 Introduction 5 1.1 Subject and objectives 5 1.2 Populations targeted 6 1.3 Professionals targeted 7 1.4 Guideline grading 7 2 Alert 7 2.1 Increasing awareness and informing the general population about neurovascular disease 7 2.2 Increasing awareness and training the medical and paramedical population to manage neurovascular disease 8 3 Prehospital phase 9 3.1 Patient assessment 9 3.2 Medical coordination in the SAMU-Centre 15 9 3.3 Transport 9 4 Initial hospital phase 10 4.1 Hospital (...) is the first cause of acquired disability in adults, the second cause of dementia after Alzheimer's disease (30 % of all cases of dementia are entirely or partially caused by stroke) and the third cause of mortality. In France, the annual incidence is 1.6 to 2.4/1000 people of all ages, i.e. from 100,000 to 145,000 cases of stroke per year, with 15 to 20 % of deaths after the first month and 75 % of patients surviving with functional disorders; the annual prevalence of stroke is from 4 to 6/1000 people

2010 HAS Guidelines

1677. Children deafness - 0 to 6 years

education reference documents on language learning in schools make it possible to structure an evaluation of the development and communication and language/languages used in accordance with the linguistic programme (education with communication in French language or with bilingual communication). 22 Within the scope of early interventions, not including school evaluations, the evaluation of acquisition of the French language is generally carried out by speech therapists; the evaluation of acquisition (...) and Efficiency in Health Care LPC French cued speech LPPR List of reimbursable products and services LSF French sign language MDPH Regional homes for the disabled ORL Otorhinolaryngology (ENT - Ear, Nose and Throat) PPS Personalised education plan RPC Recommendations for clinical practice SAFEP Family support and early education department SESSAD Special education and home care department SSEFIS Department for the support of family education and integration at school Deaf children: family support and follow

2010 HAS Guidelines

1678. Continent Urinary Diversion

material and to facilitate networks that offer support from a patient perspective. Optimal timing for learning and practising skills Learning was defined by Bloom et al (1956) [71] as an acquisition of psychomotor skill, cognitive knowledge or affective attitude achieved through study, experience or teaching. These 3 elements are independent but inter-related. Metcalf (1999) [72] further describes how practical skills can be taught, stating that psychomotor skills are effectively learned (...) Psychological aspects, compliance and cognition 22 6.1.6 Cultural and religious issues 23 6.2 Patient preparation 24 6.2.1 Nutrition and hydration 24 6.2.2 Bowel preparation and bowel function 24 6.2.3 Shaving 25 6.2.4 Patient education 25 page5 Continent Urinary Diversion - April 2010 Pre-operative patient education 25 Patient organisations and brochures 26 Optimal timing for learning and practising skills 26 6.2.5 Procedure before and after surgery and at discharge 26 Pre

2010 European Association of Urology Nurses

1679. General Recommendations for the Care of Homeless Patients

with homelessness cause sleep loss and fatigue that can interfere with learning, often resulting in missed school days and educational setbacks for homeless children. A number of homeless people do not read English well or are unable to read at all. Erroneously assuming that a patient can read directions on medicine bottles or an appointment card can lead to serious complications and loss to follow-up. • Lack of transportation Limited or no access to transportation makes healthcare inaccessi- ble for many (...) , physical, sexual abuse; knowledge of crisis re- sources, patient safety • Legal problems/ violence - against persons or property, history of arrest/incarceration, treat- ment while incarcerated • Regular/ strenuous activities - consistent routines (treatment feasibility); level of strenuous activity • Work history - longest time held a job, veteran status, occupational injuries/ toxic exposures; vocational skills and interests • Education level, literacy – Ever in special ed.? If “trouble reading

2010 National Health Care for the Homeless Council

1680. 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


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