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1701. An overview of current management of auditory processing disorder (APD)

Appendix A. Authors and stakeholder involvement 44 Appendix B. Functional difficulties often associated with APD 45 Appendix C. Test-driven auditory training (Bamiou et al, 2006) 46 Appendix D. Summary of Bellis/Ferre APD subtypes (Bellis, 2003) 47 Appendix E. Classroom audit 48 Appendix F. Making your classroom a better place to listen and learn 49 Appendix G. Suggestions for teachers 50 Appendix H. Activities to minimise the effects of APD (at home and school) 51 Appendix I. Strategies to minimise (...) Society of Audiology Management of APD 2011 © BSA 2011 11 understanding of APD and the effects of auditory training. Schochat et al (2010) recognise the paucity of data on electrophysiologic measures in the field of APD and how auditory training may affect these potentials. In their study 30 children with APD, 8 to 14 years of age, were tested using MLR. These children were reported to have no speech or language problems (verbal) as reported by a speech language therapist but did suffer ‘learning

2010 British Society of Audiology

1702. Clinical Holding Guidelines

of Communication Plan 20 References 21-23 3 Introduction The use of restrictive physical interventions within services for people with learning disabilities and mental ill health is widely accepted as a possible appropriate response to incidents of severe challenging behaviour, aggression and/or violence. Since 1996, the British Institute of Learning Disabilities 2, 3, 4, 5 (BILD), and the Department of Health (DH) and the Department for Education and Skills (DfES) 6, 7, 8 have worked together across (...) their own commissioning process. The British Institute of Learning Disabilities (BILD) currently manage a national Physical Intervention Accreditation Scheme (PIAS) that can be used as a benchmark by organisations wishing to commission training to identify suitable training providers. However, accreditation alone should not determine a particular choice of training provider i.e. the commissioning organisation must establish that the training provider has a suitable professional background

2010 British Society for Disability and Oral Health

1703. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines

nutrition, feeding, and positional modifications. In older children and ado- lescents, lifestyle changes include modification of diet and sleeping position, weight reduction, and smoking cessation. Medications foruse inGERD include agents to buffer gastriccontentsorsuppressacidsecretion.Agentsaffect- ing GI motility are discussed. Surgical therapy includes fundoplication and other procedures to eliminate reflux. 5.1. Lifestyle Changes Parental education, guidance, and support are always required (...) irritability. Reflux is an uncommon cause of irritability or unexplained crying in otherwise healthy infants. However, if irrit- abilitypersistswithnoexplanationotherthansuspected GERD, expert opinion suggests the following options. The practitioner may continue anticipatory guidance and training of parents in the management of such infants with the expectation of improvement with time. Additional investigations to ascertain the relation between reflux episodes and symptoms or to diagnose reflux or other

2009 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

1704. Treatment and recommendations for homeless people with Hypertension, Hyperlipidemia & Heart Failure

). ? Fluids – If fluid restriction needed, specify amount to drink each day (more fluids during hot weather); provide reusable water bottle. ? Health insurance – If uninsured and eligibility likely, urge application/ reapplication for Medicaid, SSI/ SSDI—important for specialty referrals (diabetic educator, cardiologist). ? Harm reduction – Explain risks associated with HTN/ hyperlipidemia (heart attack, stroke, disability). Suggest strategies to minimize damage caused by alcohol, nicotine, other drugs (...) in the field. ? Lifestyle limitations – limited food choice, physical impairments, lack of safe place to exercise, inappropriate footwear. Educate about DASH diet and importance of limiting sodium intake; discuss feasible exercise alternatives. ? Lack of housing and income – Explore availability of low-barrier permanent housing with optional supportive services or convalescent care for patients with severe illness/ impairments. Document medical conditions and functional status with cognizance of disability

2009 National Health Care for the Homeless Council

1705. Reporting Standards for Carotid Artery Angioplasty and Stent Placement

of progressive neurologi- caldysfunction;oramajorsurgicalpro- cedure within the previous 30 days. These patients could be included if the disorder responsible for their ineligibil- ity resolved within 120 days of their qualifying cerebrovascular event. Neu- rological classification was performed 30and90daysaftertheprocedurewith strokes(anynewfocalneurologicaldef- icit lasting 24 hours) categorized as disabling(modifiedRankinscore3)or non-disabling.Ifsufficientfunctionalre- covery occurred within 90 days (...) eventrateof13%)to9%inthesurgical group, thus yielding an absolute risk reduction of 17%. Therefore, for every 100 patients undergoing surgery, 17 nonfatal strokes or deaths were pre- ventedovera2-yearperiod.However, this risk reduction was not equal for all patients. The benefit was twice as greatinpatientswithastenosisof90% to 99% as it was in those with a steno- sisof70%to79%.At8-yearfollow-up, the risk of an ipsilateral disabling stroke was 6.7%; of any ipsilateral stroke was 15.2%; of any stroke

2009 Society of Interventional Radiology

1706. Reporting Standards for Angioplasty and Stent-assisted Angioplasty for Intracranial Atherosclerosis

(in practice and in academic settings); individuals who have per- formed clinical research studying the outcome of neurovascular procedures and stroke; individuals who direct neuroendovascular training and treat- ment programs with a broad cross- section of interventional operators; andindividualswithbroadclinicalex- perience who have had considerable previous involvement with neurovas- cular procedures. No individual was refused participation in the project. Literature Review A computerized search (...) at qualifying event, no. (%) Type and dose of diuretic treatment at time of medical treatment failure, no. (%) Schumacher et al  S453 Volume 20 Number 7Seitherofthesescalesshouldhavebeen trained, tested, and certified in their use to assure their correct application (12–14). Patient Selection According to Under- lyingPathophysiologyofBrainIschemia SecondarytoIntracranialAtherosclerosis Transient ischemic attacks or isch- emic stroke secondary to intracranial cerebral atherosclerosis are caused by 4

2009 Society of Interventional Radiology

1707. Management of Pregnancy

fellowship after completing four years of Obstetrics and Gynecology residency training. Fellowship training provides additional education and practical experience to gain special competence in managing various obstetrical, medical, and surgical complications of pregnancy. MFM specialists function in collaboration with Family Medicine physicians, Women’s Health Nurse Practitioners, Certified Nurse-Midwives and Obstetricians. The relationship and referral patterns between Obstetrician-Gynecologists and MFM (...) Factors for Preterm Birth 20 A-5. Routine Visits: Weeks 16-27 23 A-6. Routine Visits: Weeks 28-41 24 A-7. Postpartum Visit 24 Interventions at All Visits 29 I- 1. Screening for Hypertensive Disorders of Pregnancy: Weeks (All) 29 I- 2. Breastfeeding Education: Weeks (All) 30 I- 3. Exercise During Pregnancy: Weeks (All) 31 I- 4. Influenza Vaccine (Season-Related): Weeks (Any Week) 32 First Visit with Nurse (6-8 Weeks) 33 I- 5. Screening for Tobacco Use – Offer Cessation: Weeks 6 - 8 33 I- 6. Screening

2009 VA/DoD Clinical Practice Guidelines

1708. Guidelines for the management of aneurysmal subarachnoid hemorrhage

Guidelines for the management of aneurysmal subarachnoid hemorrhage AHA/ASA Guideline Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage A Statement for Healthcare Professionals From a Special Writing Group of the Stroke Council, American Heart Association The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. Joshua B. Bederson, MD, Chair; E. Sander Connolly, Jr, MD, FAHA, Vice-Chair; H. Hunt Batjer, MD; Ralph G. Dacey (...) , individual find- ings occur inconsistently, and because the type of headache from SAH is sufficiently variable, misdiagnosis or delayed diagnosis is common. Misdiagnosis of SAH occurred in as many as 64% of cases before 1985, with more recent data suggesting an SAH misdiagnosis rate of 12%. 4,21,192–195 Misdiagnosis was associated with a nearly 4-fold higher likelihood of death or disability at 1 year in patients with minimal or no neurological deficit at the initial visit. 21 The most common diagnostic

2009 American Academy of Neurology

1709. Percutaneous device closure of patent foramen ovale for secondary stroke prevention. A call for completion of randomized clinical trials Full Text available with Trip Pro

in these landmark trials to expedite their completion and help resolve the uncertainty regarding optimal care for this condition. Stroke is the third-leading cause of death among adults in the United States and a major contributor to long-term functional impairment and disability. Despite recent advances in diagnosis and treatment, approximately one fifth of stroke survivors require institutional care 3 months after the index event, and 15% to 30% are permanently disabled. Aggressive measures of primary (...) organizations to increase awareness regarding the need to complete these trials. The importance of patient and provider education was emphasized. Recommendations were issued to facilitate statistically appropriate pooling of data across trials when possible and to curtail the off-label use of closure devices. Table. Current Ongoing Clinical Trials on PFO Closure to Prevent Recurrent Cryptogenic Stroke Trial Name Device Utilized Sponsor Start Date Projected Completion Date Estimated Enrollment For More

2009 American Academy of Neurology

1710. Evaluation of the child with microcephaly

, physicians may consider educating caregivers of children with microcephaly on how to recognize clinical seizures (Level C). There are insufficient data to support or refute obtaining a routine EEG in a child with microcephaly (Level U). Cerebral palsy. Data from a Class II study of children with developmental disabilities found cerebral palsy (CP) in 21.4% of the 216 children with microcephaly compared to 8.8% of the 1,159 normocephalic children ( p < 0.001). Two Class I (n = 2,445) studies and one Class (...) SD), mental retardation was found in 11%. Mental retardation was diagnosed in 50% of the 99 subjects with severe microcephaly (<−3 SD) and in all of those with an HC less than −7 SD. e7 A number of Class III studies of children with microcephaly have examined other clinical factors. There are conflicting data as to whether proportionate microcephaly (i.e., similar weight, height, and head size percentiles) is predictive of developmental and learning disabilities. ,e2 Other Class III studies have

2009 American Academy of Neurology

1711. Evaluation of distal symmetric polyneuropathy: role of autonomic testing, nerve biopsy, and skin biopsy

and estimates that 40% of his clinical effort is spent on EMG/NCS, 10% on autonomic testing, and 10% on botulinum toxin injections. L.J.K. has received speaker honoraria from American Medical Seminars, Cross Country Education, Therapath Laboratories, and CME, LLC, and holds equity in Passnet Air Ambulance. He estimates 25% of his clinical effort is spent on NCS/EMG, 4% on skin biopsy for nerve fiber counting, and 8% on autonomic studies, and has received payment for expert testimony in legal proceedings (...) . The particular kinds of tests utilized by a physician in the evaluation of polyneuropathy depend upon the specific clinical situation and the informed medical judgment of the treating physician. This statement is provided as an educational service of the AAN, AANEM, and AAPM&R. It is based upon 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 to use

2009 American Academy of Neurology

1712. A review of the evidence for the use of telemedicine within stroke systems of care Full Text available with Trip Pro

neurologists and nurses, and to retrospective medical record NIHSS abstraction. Although the NIHSS is a reliable stroke deficit scale, it includes items with redundancy and items with less-than-excellent reliability. This reliability can be improved with training. To ensure the adequacy of stroke evaluation by HQ-VTC, the feasibility and reliability of performing the NIHSS were demonstrated first in the nonacute and subsequently in the acute stroke environment. In these validation study paradigms (...) training in either the NIHSS or telestroke administration, but this variable of physician-extender experience during telestroke consultation has not been the subject of any of the reports. Table 3. NIHSS Reliability Studies Feasibility and Reliability of Performing Neurological Assessment Over Telestroke Systems Nonacute Setting There are data on the feasibility and reliability of conducting a general neurological evaluation over telemedicine compared with face-to-face consultation. One small study

2009 American Academy of Neurology

1713. Evaluation and Management of Adult Hypoglycemic Disorders Full Text available with Trip Pro

that the prevention of hypoglycemia in diabetes involve addressing the issue in each patient contact and, if hypoglycemia is a problem, making adjustments in the regimen based on review and application of the principles of intensive glycemic therapy—diabetes self-management (supported by education and empowerment), frequent self-monitoring of blood glucose, flexible and appropriate insulin or insulin secretagogue regimens, individualized glycemic goals, and ongoing professional guidance and support (...) in people with knowledge of, and access to, glucose-lowering medications. Malicious hypoglycemia ( , , ) can be accomplished by administration of insulin or an insulin secretagogue. Clinically, insulinoma is characterized by spells of neuroglycopenia due to endogenous hyperinsulinemic hypoglycemia occurring primarily in the fasting state but occasionally only in the postprandial period ( , , ). The incidence is approximately 1 in 250,000 patient-years ( ). It may occur in all ethnic groups and at any

2009 The Endocrine Society

1714. Definition and evaluation of transient ischemic attack Full Text available with Trip Pro

for Healthcare Professionals From the American Heart Association/American Stroke Association Stroke Council; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing; and the Interdisciplinary Council on Peripheral Vascular Disease: The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists. , MD, FAHA, Chair , MD, FAHA, Vice-Chair , MD , MD, FAHA , MD, FAHA, FAAN , MD, FAHA (...) diagnosis of a TIA. Definition Often, health professionals and the public consider TIAs benign but regard strokes as serious. These views are incorrect. Stroke and TIA are on a spectrum of serious conditions involving brain ischemia. Both are markers of reduced cerebral blood flow and an increased risk of disability and death. However, TIAs offer an opportunity to initiate treatment that can forestall the onset of permanently disabling injury. The traditional definition of a TIA was a sudden, focal

2009 American Academy of Neurology

1715. Preventing falls and harm from falls in older people - best practice guidelines for Australian hospitals

Preventing falls and harm from falls in older people - best practice guidelines for Australian hospitals Preventing Falls and Harm From Falls in Older People Best Practice Guidelines for Australian Hospitals 2009 © Commonwealth of Australia 2009 ISBN: 978-0-9806298-1-1 This work is copyright. It may be reproduced in whole or part for study or training purposes subject to the inclusion of an acknowledgment of the source. Reproduction for purposes other than those indicated above requires (...) Part D Minimising injuries from falls 109 17 Hip protectors 111 17.1 Background and evidence 112 17.1.1 Studies on hip protector use 112 17.1.2 Types of hip protectors 112 17.1.3 How hip protectors work 113 17.1.4 Adherence with use of hip protectors 113 17.2 Principles of care 114 17.2.1 Assessing the use of hip protectors 114 17.2.2 Using hip protectors at night 114 17.2.3 Cost of hip protectors 114 17.2.4 Training in hip protector use 114 17.2.5 Review and monitoring 115 17.3 Special

2009 Clinical Practice Guidelines Portal

1716. Carer-administered buccal intranasal midazolam for convulsions

? occasionally, agitation, restlessness and disorientation may occur. 7. ADDITIONAL INFORMATION ? Some patients may have a Patient Specific Direction (PSD) drawn up by their specialist, customised to the specific nature of their convulsions. This is especially true of patients with learning disabilities living in residential care homes. Whenever possible check with the carers for the existence of a PSD for the patient, as this will normally give further guidance on treatment and when the patient should

2009 Joint Royal Colleges Ambulance Liaison Committee

1717. Care of the Patient with Accommodative and Vergence Dysfunction

89 Abbreviations of Commonly Used Terms 93 Glossary 95 Introduction 1 INTRODUCTION Optometrists, through their clinical education, training, experience, and broad geographic distribution, provide primary eye and vision care for a significant portion of the American public. Optometrists are often the first health care practitioners to diagnose patients with accommodative or vergence dysfunction. This Optometric Clinical Practice Guideline on Care of the Patient with Accommodative and Vergence (...) or inattentive. Such children may not report symptoms of asthenopia because they do not realize that they should be able to read comfortably. The clinician should suspect a 4 Accommodative and Vergence Dysfunction binocular or accommodative problem in any child whose school performance drops around third grade or who is described as inattentive. 1 Many children who have reading problems, are learning disabled or dyslexic have accommodative and vergence problems. 2-4 Even if one of these ocular conditions

2010 American Optometric Association

1718. BSRM Standards for Rehabilitation Services Mapped on to the National Service Framework for Long-Term Conditions

trained to communicate with people who have disabilities S45 Social services should work in direct liaison with housing/accommodation services to ensure timely provision of suitable adapted or purpose-built accommodation 3. Training, education and research Rationale: The NSF recognises the need for: • A well qualified workforce of highly skilled professional staff who have specialist knowledge and experience of the needs of people with LTNC • The provision of education and information for carers, both (...) formal and informal, to understand the needs of people with LTC for whom they care • Research to understand the needs of people with LTNC and those who care for them, to determine how those needs may best be met All specialist rehabilitation services should have a recognised role in education, training and published research for development of knowledge and experience in specialist rehabilitation. It is recognised that not every service will have the skills or resources to initiate and execute funded

2009 British Society of Rehabilitation Medicine

1719. Guidelines for the Delivery of a Domiciliary Oral Healthcare Service

travelling for care 13 . Younger people with disabilities and/or additional needs may also be confined to home and, if so, will also require domiciliary oral healthcare. There is evidence that people in residential care (such as those, people with a learning disability or mental health problem , people who are physically or medically compromised older people 14 and people in secure units 15 are more likely to have poor oral health and inadequate or restricted access to dental services 14 . Whilst people (...) that is informed by their five year strategic plan 5 . It should include: ¾ A clear ‘patient offer’, explaining what people can expect from NHS dental services and what their responsibilities as patients are ¾ A clear strategic commissioning plan to deliver the patient offer, taking account of current unmet need, predicted changes in the pattern of services needed (such as for older people with physical or learning disabilities), the range and type of services, the interface between primary and secondary care

2009 British Society for Disability and Oral Health

1720. The Provision of Oral Care under General Anaesthesia in Special Care Dentistry - A Professional Consensus Statement

, be undertaken by the dental surgeon carrying out the treatment. The surgeon should have had training and experience in the assessment of patients with disabilities requiring dental surgery under general anaesthesia. Second opinions should be readily obtainable, as should other specialist dental and medical opinions. Further assistance in patient assessment and management should also be arranged where required from paramedical (e.g. physiotherapy) and nursing staff. 1.4 All patients should be seen (...) has had training and experience in the assessment of patients with disabilities for dental surgery under general anaesthesia. • An anaesthetist who fulfils the requirements as delineated under paragraph 1.4 above. • Registered General Nurse. • Registered dental nurse with post-qualification experience in and, preferably, a further qualification in Special Care Dentistry. Support should be given to dental nurses wishing to obtain a qualification in Special Care Dentistry. • Administrative personnel

2009 British Society for Disability and Oral Health

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