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161. Management of Pregnancy

, sensory, or learning disabilities. Family involvement should be considered, if appropriate. This CPG is designed to assist providers in managing or co-managing pregnant women as well as co- occurring conditions (e.g., generalized anxiety disorder, PTSD, diabetes mellitus [DM]). Moreover, the patient population of interest for this CPG is pregnant women who are eligible for care in the VA and DoD healthcare delivery systems. It includes Veterans as well as deployed and non-deployed Active Duty Service

2018 VA/DoD Clinical Practice Guidelines

162. End-of-Life Care for People Experiencing Homelessness

/family’s language preference and available interpreter services h. Patient’s/family’s goals of care, including preferences for end-of-life care i. Social supports, including support systems, informal and formal caregivers involved, and identified surrogate decision-maker(s) j. Resources available, and barriers to access k. Past experience with illness, disability, death, and loss l. Mental health functioning, including history, coping style, capacity, literacy, crisis management skills, and risk

2018 National Health Care for the Homeless Council

164. AATS/ACC/SCAI/STS Expert Consensus Systems of Care Document: Operator and Institutional Recommendations and Requirements for Transcatheter Aortic Valve Replacement

. Methods 17 3. Structural Program Requirements 19 3.1 Procedural Volume 19 3.2 Multidisciplinary Team (MDT) 20 3.2.1 Knowledge Base and Skills 21 3.3 Proceduralist Formalized Training 23 3.4 Facilities and Institutional Resources 24 4. Process Program Requirements 28 4.1 Patient Selection Requirements 29 4.1.1 MDT Patient Case Conference Requirements 30 4.1.1.1 Operational Details 32 4.1.2 Patient Selection Considerations 34 4.1.2.1 Frailty, Cognition, Quality of Life, Immobility and Disability 35 (...) and learning curve shown during the initial U.S. experience in TAVR require updating. Conversely, a few-higher volume sites have suboptimal outcomes–an assessment that is more likely to be statistically valid. Irrespective of volume, sites with unacceptable outcomes are of concern and should immediately take corrective actions to improve their outcomes and processes. In-depth discussion of the statistical challenge of correctly identifying poorly performing TAVR programs with low annual volumes

2018 Society for Cardiovascular Angiography and Interventions

165. 2018 United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease

seen as a consequence of a complex interplay of cultural, economic and behavioural factors. Accurate diagnosis and better tolerated treatments should improve the burden of disease in the community Dept of Health Medium Disability - Sensory - Learning disability - Mental health - Cognitive - Mobility - Other impairment There are no data to suggest any link between this condition and disability status, although people with mental health problems are at disproportionate risk of STIs in general None (...) were informed by feedback from the guideline authors. The final draft guideline was used for piloting and external review as outlined below. An Equality Impact Assessment was undertaken to assess the relevance of the guideline recommendations in relation to age, disability, gender, gender reassignment, pregnancy, race, religion/belief and sexual orientation (Appendix 1). A lay representative reviewed the guideline and contributed to the development of a patient information leaflet, with the support

2018 British Association for Sexual Health and HIV

166. Jehovah's Witnesses and patients who refuse blood

to the patient’s or parents’ wish, or look to the courts as the ?rst resort. When discussion, negotiation and consideration of other options fail to resolve the situation, the treating hospital should apply to the High Court for an order providing legal permission for treatment in the face of parental refusal. In an urgent or dynamic situation, blood should be given to minimise the threat to life or prevent lasting disability in the child, while suchanapplicationismade. In some cases, a child (0–15 years) may (...) , and act as their champion. Our world-class conferences, journals 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 influence policy, raise public awareness

2018 Association of Anaesthetists of GB and Ireland

167. Castration-Resistant Prostate Cancer

Castration-Resistant Prostate Cancer Prostate Cancer: Castration Resistant Guideline - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis Retroperitoneum Cytology Online Learning For Medical Students

2018 American Urological Association

168. Practice Guideline Update Systematic Review Summary: Disorders of Consciousness

Practice Guideline Update Systematic Review Summary: Disorders of Consciousness 1 Practice guideline update: Disorders of consciousness Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research Joseph T. Giacino, PhD 1 ; Douglas I. Katz, MD 2 ; Nicholas D. Schiff, MD 3 ; John Whyte, MD, PhD 4 (...) on April 30, 2018; by the National Institute on Disability, Independent Living, and Rehabilitation Research Review Committee on April 5, 2018; and by the AAN Institute Board of Directors on May 2, 2018. This research was supported through a memorandum of understanding between the American Academy of Neurology, the American Congress of Rehabilitation Medicine and the National Institute on Disability and Rehabilitation Research (NIDRR). In 2014 NIDRR was moved from the US Department of Education

2018 American Academy of Neurology

169. An Update on Radial Artery Access and Best Practices for Transradial Coronary Angiography and Intervention in Acute Coronary Syndrome

major bleeding if there was hypotension or transfusion of at least 2 U of blood) 5. Severe disabling sequelae 6. Intracranial bleeding 7. Intraocular bleeding leading to a significant loss of vision 8. Drop in hemoglobin ≥50 g/L Pseudoaneurysms needing closure, large hematoma (as judged by the investigator), arteriovenous fistula, or an ischemic limb needing surgery 1.4% vs 3.7%; P <0.0001 At 30 d: 1.3% vs 1.5%; P =0.47 3.7% vs 4.0%; P =0.50 0.7% vs 0.9%; P =0.23 MATRIX Multicenter, European centers (...) in realizing these benefits. Analyses of the TRA learning curve suggest that operator proficiency may reduce concerns about access site crossover, radiation exposure, contrast volume, delay in reperfusion time, and procedural success. , Although requisite procedure volumes to achieve (>50 cases) and maintain (>80 procedures a year) proficiency have been proposed, many factors determine operator and center expertise in the TRA technique. , Furthermore, the relationship between volume and procedural success

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2018 American Heart Association

170. Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association

with established CVD and $1200 among those without CVD but with underlying poor risk factor profiles. Worldwide, physical inactivity was conservatively estimated to cost $53.8 billion to healthcare systems, with $13.7 billion in productivity losses and 13.4 million disability-adjusted life-years lost in 2013. Although low- and middle-income countries account for 75% of the disease burden associated with physical inactivity, >80% of healthcare costs and 60% of indirect costs occur in high-income countries

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2018 American Heart Association

171. Diagnosis and management of primary central nervous system diffuse large B?cell lymphoma

and the trial failed to meet its non‐inferiority end‐point. Therefore, it remains unclear whether WBRT consolidation can be safely omitted for patients in CR (Thiel et al , ). Irreversible, and sometimes disabling, neurocognitive dysfunction is a well‐recognised consequence of WBRT, particularly in those aged >60 years. Indeed, a systematic meta‐analysis found no clear overall benefit, in terms of quality‐adjusted life years, for WBRT in first remission in patients >60 years of age (Prica et al (...) Digits Forward, Backward Span and Sequencing Span (Wechsler, ); Trail Making Test (Parts A and B) Verbal memory Hopkins Verbal Learning Test‐Revised (Benedict et al , ) Hopkins Verbal Learning Test‐Revised or California Verbal Learning Test Standard Form (Delis et al , ) Motor Grooved Pegboard Test (Russell & Starkey, ) Grooved Pegboard Test Quality of life EORTC‐QLQ‐C30 (Aaronson et al , ) BCM 20 (Osoba et al , ) EORTC‐QLQ‐C30 BCM 20 BCM 20, Brain Cancer Module 20; EORTC‐QLQ‐C30, The European

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2018 British Committee for Standards in Haematology

172. 2018 IDSA Clinical Practice Guideline for the Management of Outpatient Parenteral Antimicrobial Therapy

refrigeration and storage and the presence of at least 1 adult who can reliably learn and perform sterile infusion technique and communicate with the treatment team. A modified version of the home OPAT model is the Hospital at Home, commonly used in Australia and some European countries and in some US Veteran’s Affairs programs. Here, antibiotics are infused in the home, but a visiting nurse rather than the patient or caregiver performs each administration. The infusion center model delivers OPAT

2018 Infectious Diseases Society of America

173. Autism spectrum disorder: Warning signs, detection, diagnosis and assessment in children and adolescents

that are global, personalised and coordinated. If possible, this should be accomplished before 4 years of age, to encourage their development and learning in the areas affected by the ASD and reducing associated disabilities. The objective of this work is: to optimise the detection of children and adolescents with signs of ASD or unusual development or at risk of developing an ASD and to harmonise practices and procedures for an initial diagnosis of ASD in children or adolescents under 18 years of age

2018 HAS Guidelines

174. Guideline: counselling of women to improve breastfeeding practices

girls, primiparous (first-time mothers) or carrying multiple pregnancies (when the mother is pregnant with two or more babies); mothers with mental health difficulties; mothers of infants with special needs, e.g. low birth weight or disability; mothers who delivers by caesarean section; breastfeeding in public spaces; and breastfeeding in humanitarian emergencies. Best practice statement ¦ Protection, promotion and support of breastfeeding, in accordance with international guidance, are essential (...) . As a minimum, staff in contact with mothers and children aged under 2 years are trained to be sensitive to psychosocial issues, on nutrition screening and on referral pathways to more specialist support. ¦ More specialist capacity to counsel mothers with heightened needs, such as stressed or traumatized mothers, malnourished infants and mothers, low-birth-weight infants, and infants with disability and feeding difficulties, may be needed. Research gaps Discussions between the members of the WHO guideline

2018 World Health Organisation Guidelines

176. Pharmacological treatment for memory disorder in multiple sclerosis

of the central nervous system (CNS) and can cause both neurological and neuropsychological disability. Both demyelination and axonal and neuronal loss are believed to contribute to MS‐related cognitive impairment. Memory disorder is one of the most frequent cognitive dysfunctions and presents a considerable burden to people with MS and to society due to the negative impact on function. A number of pharmacological agents have been evaluated in many existing randomised controlled trials for their efficacy (...) language summary available in Pharmacological agents as symptomatic treatment for memory disorder in people with multiple sclerosis This is an update of the Cochrane review "Pharmacologic treatment for memory disorder in multiple sclerosis" (first published in The Cochrane Library 2011, Issue 10). Background Memory disorder is one of the most frequent cognitive impairments (where people have difficulty with thinking, learning and memory) in people with multiple sclerosis (MS), affecting an estimated 40

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2018 European Academy of Neurology

177. Well Leg Compartment Syndrome After Prolonged Pelvic Surgery

in extreme Trendelenberg tilt and the decreased venous return associated with a pneumoperitoneum, that more patients will be put at risk of WLCS, although there have been no studies that have addressed this specifically. Sequelae of well leg compartment syndrome In a German survey of 21 patients with WLCS following gynaecological surgery (all carried out in the lithotomy position), six were left with permanent neurological disability. Expert review concluded that malpractice had occurred in over half (...) colorectal surgery . Br J Surg 2006 ; 93 : 1469 – 1474 . 41 Kikuchi T , Maeda H . Two cases of compartment syndrome of the lower extremities during surgery for gynecological malignancies . J Anesth 2016 ; 30 : 481 – 485 . 42 Montgomery v Lanarkshire Health Board [ 2015 ] SC 11 [ 2015 ] 1 AC 1430. 43 Rosevear HM , Lightfoot AJ , Zahs M , Waxman SW , Winfield HN . Lessons learned from a case of calf compartment syndrome after robot‐assisted laparoscopic prostatectomy . J Endourol 2010 ; 24 : 1597 – 1601

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2019 British Association of Urological Surgeons

178. Congenital Adrenal Hyperplasia Due to Steroid 21-Hydroxylase Deficiency

( ), but recent estimates from advanced economies are lower, at 0% to 4% ( ). In regard to morbidity, infants diagnosed through screening have less severe hyponatremia ( ) and tend to have shorter hospitalizations ( , , , ) than infants diagnosed later. Learning disabilities may occur in patients who have had salt-wasting crises ( ). Although salt-wasting males would seem to derive the greatest benefit from screening programs, the delay before correct sex assignment of severely virilized females is also

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2018 Pediatric Endocrine Society

179. Cost-Conscious Growth-Promoting Treatment: When Discretion Is the Better Part of Value

health care costs. Renunciation of sweeping payer rejection of hGH- for-height treatment is strengthened by cost-conscious practices that (1) recommend no treatment for most short children and restrict treatment to severe, likely disabling short stature; (2) initiate hGH treatment only after evidence- based informed assent; (3) utilize alternative less costly and less invasive options when possible; (4) minimize hGH treat- ment duration and dosage; and (5) resist enhancement of normal adult stature (...) of hGH augmentation, in contrast to GH replacement, has relied on height increase as a surrogate measure for improved psychosocial adap- tation. However, assumptions that short stature is psy- chologically disabling, and that taller adult stature due to hGH therapy leads to better psychosocial function, have not been validated [4]. Short-term improvements in psy- chosocial well-being during hGH treatment [5] have not been corroborated by improved adult quality of life (QOL), increased income

2018 Pediatric Endocrine Society

180. Urological Trauma

: spleen, liver, and kidney. J Trauma, 1989. 29: 1664. 14. Monstrey, S.J., et al. Urological trauma and severe associated injuries. Br J Urol, 1987. 60: 393. 15. MacKenzie, E.J., et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med, 2006. 354: 366. 16. Caterson, E.J., et al. Boston bombings: a surgical view of lessons learned from combat casualty care and the applicability to Boston’s terrorist attack. J Craniofac Surg, 2013. 24: 1061. 17. Feliciano DV, M.E (...) , CLASSIFICATION & GENERAL MANAGEMENT PRINCIPALS 3.1. Definition and Epidemiology Trauma is defined as a physical injury or a wound to living tissue caused by an extrinsic agent. Trauma is the sixth leading cause of death worldwide, accounting for 10% of all mortalities. It accounts for approximately five million deaths each year and causes disability to millions more [ , ]. About half of all deaths due to trauma are in people aged 15-45 years; trauma is the leading cause of death in this age group [ ]. Death

2018 European Association of Urology

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