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161. Creating Built Environments That Expand Active Transportation and Active Living Across the United States: A Policy Statement From the American Heart Association

and targeted education, effective engineering, and data-driven enforcement and purposefully integrate social justice and health equity into its implementation. Street-Scale Design and Placemaking Community design, often called walkability, includes microscale strategies such as street-scale design and placemaking that can affect the quality of the experience of pedestrians, bicyclists, and transit users across the spectrum of ability and disability. The experience is expected to influence the user’s (...) , ability, or disability. Initiatives often require coordination across federal, state, and local agencies. To maximize the effectiveness of all types of interventions, it is imperative to establish strong and broad partnerships across professional disciplines, community members, and advocacy groups. Health organizations can play important roles in facilitating these partnerships. This policy statement provides recommendations and resources that can improve transportation systems, enhance land use

2020 American Heart Association

162. Managing Chronic Cough Due to Asthma and NAEB in Adults and Adolescents: CHEST Guideline and Expert Panel Report

in?ammation to guide treatment in severe disease, the evidence of speci?c bene?t related to the use of non-invasive biomarkers in patients with chronic cough duetoasthmawasweak.ThebesttherapeuticoptionforcoughinasthmaorNAEBisinhaled corticosteroids followed by leukotriene receptor antagonism. CONCLUSIONS: This guideline offers recommendations on the role of non-invasive mea- surementsofairwayin?ammationandtreatmentforcoughduetoasthmaorNAEBbasedon the available literature, and identi?es gaps in knowledge (...) on asthma to support its diagnosis but mostly to determine its phenotype to better target therapy. 9,23,24 In this guideline, we sought to determine the role of non-invasive measurements of airway in?ammation in the evaluation of chronic cough associated with asthma, what the best treatment is for cough due to asthma or NAEB, and to identify gaps in our knowledge and suggest areas for future research. In this guideline, non- invasive methods of assessment of airway in?ammation include blood and sputum

2020 American College of Chest Physicians

163. Prevention and Management of Chemotherapy-Induced Peripheral Neuropathy in Survivors of Adult Cancers

or as a statement of the standard of care. With the rapid development of scientific knowledge, new evidence may emerge between the time information is developed and when it is published or read. The information is not continually updated and may not reflect the most recent evidence. The information addresses only the topics specifically identified therein and is not applicable to other interventions, diseases, or stages of diseases. This information does not mandate any particular course of medical care

2020 American Society of Clinical Oncology Guidelines

164. ACG Clinical Guidelines: Diagnosis and Management of Achalasia

of the recommendation statements ( ). Two formally trained GRADE methodologists conducted the GRADE process using GRADEPro. This process evaluated the quality of supporting evidence. The quality of the evidence is graded from high to low. “High”-quality evidence indicates that further research is unlikely to change the authors' confidence in the estimate of effect and that we are very confident that the true effect lies close to that of the estimate of the effect. “Moderate”-quality evidence is associated

2020 American College of Gastroenterology

165. NSW Burn Transfer Guideline

ha r i n g – partnering with healthcare providers to support collaboration, learning capability and knowledge sharing on healthcare innovation and improvement • continuous capability building – working with healthcare providers to build capability in redesign, project management and change management through the Centre for Healthcare Redesign. ACI Clinical Networks, Taskforces and Institutes provide a unique forum for people to collaborate across clinical specialties and regional and service (...) of this publication can be obtained from the Agency for Clinical Innovation website at www.aci.health.nsw.gov.au Disclaimer: Content within this publication was accurate at the time of publication. 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. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above, requires written permission from the Agency

2020 Agency for Clinical Innovation

166. Infectious Diseases Society of America Guidelines on the Treatment and Management of Patients with COVID-19

variation among patients. They are assessments of current scientific and clinical information provided as an educational service; are not continually updated and may not reflect the most recent evidence (new evidence may emerge between the time information is developed and when it is published or read); should not be considered inclusive of all proper treatments methods of care, or as a statement of the standard of care; do not mandate any particular course of medical care; and are not intended (...) are labeled as “strong” or “conditional”. The word “recommend” indicates strong recommendations and “suggest” indicates conditional recommendations. In situations where promising interventions were judged to have insufficient evidence of benefit to support their use and with potential appreciable harms or costs, the expert panel recommended their use in the context of a clinical trial. These recommendations acknowledge the current “knowledge gap” and aim at avoiding premature favorable recommendations

2020 Infectious Diseases Society of America

167. Guideline: Perinatal care of the extremely preterm baby

for in-utero transfer unless transfer puts the mother’s life at risk • Transfer not indicated if: o Birth certain or imminent at 3 SD below mean) profound sensorineural hearing loss, or blindness. ^Moderate disability: child typically reaching a reasonable level of independence, and involving one or more of the following symptoms: cerebral palsy (but the child could still walk), moderate learning difficulties, (IQ 2-3 SD below mean) sensorineural hearing loss that can be corrected with a hearing aid (...) , or impaired vision without blindness. # Mild disabilities: would include mild learning problems or other impairments such as squints 4.1 Definitions to aid parental understanding The International Classification of Functioning, Disability and Health (ICF) is endorsed for use in Australia. 37 In ICF ‘disability’ is an umbrella term covering impairment of body functions and structures, activity limitations and problems with involvement in life situations as influenced by the physical, social and attitudinal

2020 Queensland Health

168. Management of Adult Overweight and Obesity

of a Comprehensive Lifestyle Intervention 42 d. Long-term Pharmacotherapy 44 e. Metabolic/Bariatric Procedures and Devices 51 B. Short-term Weight Loss (Up to Six Months) 56 VIII. Knowledge Gaps and Recommended Research 59 Appendix A: Evidence Review Methodology 64 A. Developing the Scope and Key Questions 64 B. Conducting the Systematic Review 70 C. Convening the Face-to-face Meeting 74 D. Grading Recommendations 75 E. Recommendation Categorization 78 F. Drafting and Submitting the Final Clinical Practice (...) Concerns 121 Appendix J: Specific Behavioral Strategies Featured in Comprehensive Lifestyle Interventions 124 A. Goal Setting 124 B. Self-monitoring 124 C. Stimulus Control or Cue Reduction 124 D. Positive Reinforcement 124 E. Contingency Management 124 F. Stress Management 125 G. Problem-solving 125 H. Skill Training 125 I. Social Support 125 J. Cognitive Therapy 125 K. Relapse-prevention Training 125 Appendix K: Alternative Text Description of the Algorithm 127 Appendix L: Abbreviations 128

2020 VA/DoD Clinical Practice Guidelines

169. Nutritional interventions update: multiple micronutrient supplements during pregnancy

and interpretation of systematic reviews, or formulation of recommendations.vi Acronyms and abbreviations ANC antenatal care CI confidence interval CREP Centro Rosarino de Estudios Perinatales (Argentina) DALY disability-adjusted life year DECIDE Developing and Evaluating Communication Strategies to Support Informed Decisions and Practice Based on Evidence DOI declaration of interest eLENA WHO e-Library of Evidence for Nutrition Actions EPOC Cochrane Effective Practice and Organization of Care ERG External (...) and child health programmes, concerned nongovernmental and other organizations, professional societies involved in the planning and management of maternal and child health services, health professionals (including obstetricians, midwives, nurses and general medical practitioners) and academic staff involved in training health professionals. Guideline development methods The updating of this recommendation was guided by the standardized operating procedures described in the WHO handbook for guideline

2020 World Health Organisation Guidelines

170. The Primary Care Management of Headache

and caregivers are given about treatment and care should be culturally appropriate and available to people with limited literacy skills. It should also be accessible to people with additional needs such as physical, sensory, or learning disabilities. Family involvement should be considered, if appropriate. E. Highlighted Features of this Clinical Practice Guideline The VA/DoD Headache CPG provides practice recommendations for headache. A particular strength of this CPG is the multidisciplinary stakeholder (...) is 66%; half of the people with a history of headache actively experience headache attacks.[9,10] Headache is the second leading cause of years lived with disability (YLDs) across all age groups, trailing only low back pain.[9] Moreover, more disability-adjusted life years (DALYs) are attributable to headache than all other neurological disorders combined.[11] Within the U.S., the prevalence of self-reported migraine and/or severe headache ranges between 15 – 18% in women and 6 – 10% in men; nearly

2020 VA/DoD Clinical Practice Guidelines

171. The Non-Surgical Management of Hip & Knee Osteoarthritis

to the patient’s needs. The use of an empathetic and non-judgmental approach facilitates discussions sensitive to gender, culture, ethnicity, and other considerations. The information that patients are given about treatment and care should be culturally appropriate and available to people with limited literacy skills. Treatment information should also be accessible to people with additional needs such as physical, sensory, or learning disabilities. Family and caregiver involvement should be considered (...) on evidence reviewed through December 2012. Since the release of that guideline, a growing body of research has expanded the general knowledge and understanding of OA. Consequently, a recommendation to update the 2014 VA/DoD OA CPG was initiated in 2019. The updated CPG includes objective, evidence-based information on the management of OA of the hip and the knee. It is intended to assist healthcare providers in all aspects of patient care and the non- surgical management of OA. The system-wide goal

2020 VA/DoD Clinical Practice Guidelines

172. Endovascular Aortic Repair of Aneurysms Involving the Renal-Mesenteric Arteries (FEVAR) Full Text available with Trip Pro

and total seal zone for complex endovascular repair. Note the location of target vessel origin should be described using clock position or angle. Image reproduced with permission of Mayo Foundation for Medical Education and Research. In addition to the distance measurements, circumferential positions of the target vessels and/or fenestrations must be determined and reported.( Oderich GS, Mendes BC. Sizing and Planning Fenestrated and Multibranched Endovascular Repair. Endovascular Aortic Repair (...) . large thoracoabdominal aneurysm), the IVD should not exceed the diameter of the graft at that segment. Image reproduced with permission of Mayo Foundation for Medical Education and Research. Renal artery tortuosity and angulation Renal artery angulation and tortuosity has been analyzed as an important factor associated with branch-related outcomes.( Conway B.D. Greenberg R.K. Mastracci T.M. Hernandez A.V. Coscas R. Renal artery implantation angles in thoracoabdominal aneurysms and their implications

2020 Society for Vascular Surgery

173. Cardiorespiratory Fitness in Youth: An Important Marker of Health: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

practice. An explicit purpose of this statement is to explore valid, low-cost alternatives to traditional cardiopulmonary exercise tests (CPETs) to assess CRF in otherwise healthy youth in office settings with limited space that can be performed by personnel not formally trained in exercise physiology. This statement reviews current knowledge related to the association between CRF and health outcomes in youth, describes the added value of CRF to improve risk prediction, and highlights gaps for future (...) research with the following areas addressed: Physiological considerations Various tests that can be used to assess CRF in the field and office settings Key modifiable and nonmodifiable factors influencing CRF, including the effect of interventions The impact of CRF on cardiovascular, cerebrovascular, cognitive, and mental health Temporal trends in CRF in youth nationally and internationally Knowledge gaps and suggestions for future research This statement does not discuss special risk groups of youth

2020 American Heart Association

174. Disorders of Ejaculation: An AUA/SMSNA Guideline

Disorders of Ejaculation: An AUA/SMSNA Guideline Disorders of Ejaculation: An AUA/SMSNA Guideline - American Urological Association advertisement Toggle navigation About Us 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 Exams/LLL (...) on members' clinical training, experience, knowledge, and judgment for which there is no evidence. TABLE 1: AUA Nomenclature Linking Statement Type to Level of Certainty, Magnitude of Benefit or Risk/Burden, and Body of Evidence Strength Evidence Strength A (High Certainty) Evidence Strength B (Moderate Certainty) Evidence Strength C (Low Certainty) Strong Recommendation (Net benefit or harm substantial) Benefits > Risks/Burdens (or vice versa) Net benefit (or net harm) is substantial Applies to most

2020 American Urological Association

175. Advanced Prostate Cancer: AUA/ASTRO/SUO Guideline

Advanced Prostate Cancer: AUA/ASTRO/SUO Guideline Advanced Prostate Cancer: AUA/ASTRO/SUO Guideline - American Urological Association advertisement Toggle navigation About Us 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 Exams/LLL (...) Principles or Expert Opinions with consensus achieved using a modified Delphi technique if differences of opinion emerged. 5 A Clinical Principle is a statement about a component of clinical care that is widely agreed upon by urologists or other clinicians for which there may or may not be evidence in the medical literature. Expert Opinion refers to a statement, achieved by consensus of the Panel, that is based on members' clinical training, experience, knowledge, and judgment for which there may or may

2020 American Urological Association

176. Nutrition screening and use of oral nutrition support for adults in the acute care setting

Technology (IT) Mr Kevin Thompson IT Support Officer, St. James’s HospitalName Job title and affiliation Administrative support Mr Niall Brady (2018 only) HSE Office of the National Clinical Advisor and Group Lead Consulting to the GDG - Hospital Manager Ms Lucy Nugent Chief Executive Officer, Tallaght University Hospital Consulting to the GDG - Training and education framework Ms Marian McBride Project Dietitian HSE Strategic Planning and Transformation Attribution and disclaimer statement concerning (...) . • Dietitian Managers and Dietetic Departments in Beaumont Hospital, St. Luke’s Radiation Oncology Network and University Hospital Limerick assisted with the BIA. • Ms Wendy McMahon assisted with the BIA. • Beaumont Hospital Supplies Department assisted with the BIA. • Guideline developers for the Food Nutrition and Hydration Policy for Adult Patients in Acute Hospitals assisted with the BIA. • Ms Marian McBride developed the training and education framework and assisted with the BIA. • The National Human

2020 National Clinical Guidelines (Ireland)

177. Stratification of clinical risk in pregnancy

, clinical risk, quality assurance, Clinical Indemnity Scheme, education, the National Women and Infants Programme and representatives of maternity service users (Table 1). Please see Appendix 1 for the terms of reference. Table 1. Members of the Childbirth GDG Name Job title and affiliation Prof Michael Turner, Chair Lead, Clinical Programme Obstetrics & Gynaecology (until December 2019) Dr Peter Boylan Institute of Obstetricians and Gynaecologists Ms Triona Cowman Director, Centre for Midwifery (...) Education Ms Anna Deasy Clinical Risk Manager, Coombe Women and Infants University Hospital Ms Angela Dunne Midwifery Director, NWIHP Ms Mary Flynn Assistant Director of Midwifery, Cork University Maternity Hospital Dr Jennifer Hogan Specialist Registrar Obstetrics and Gynaecology Prof Joan Lalor Professor of Midwifery, Trinity College Dublin Ms Connie McDonagh Director of Midwifery, St Luke’s General Hospital, Kilkenny Ms Niamh McGoldrick Service User Mr Kilian McGrane Director, NWIHP Ms Elaine McGrath

2020 National Clinical Guidelines (Ireland)

178. Society of Gynecologic Oncology Genetics Toolkit

: ? Breast self-exam training and education ? Clinical breast exam every 12 months ? Starting at age 45 years: ? Recommend prostate cancer screening for BRCA2 mutation carriers ? Consider prostate cancer screening for BRCA1 mutation carriers The above recommendations constitute a change from usual medical care and provide justification for testing men for BRCA1 and BRCA2 mutations. In addition, male mutation carriers have a 50% chance of passing the mutation on to their children, whether they are boys (...) and cannot be passed through the family (unlike germline mutations). Knowledge of either germline or somatic mutations may help direct treatment. How might the genetic test results affect Janet’s treatment? Would they affect her eligibility for clinical trials? Janet’s treatment might be affected in several ways if genetic testing shows a gene mutation. Survival from ovarian cancer is higher for women who have a BRCA1 or BRCA2 mutation compared with those who do not have a mutation, at least partially

2020 Society of Gynecologic Oncology

179. Management of Bleeding in Patients on Oral Anticoagulants

to the ACC’s strategic plan is the generation of “actionable knowledge”—a concept that places emphasis on making clinical informationeasiertoconsume,share, integrate, and update. To this end, the ACC has evolved from developing isolated documents to the development of integrated “solution sets.” Solution sets are groups of closely related activities, policy, mobile applications, de- cision support, and other tools necessary to transform care and/or improve heart health. Solution sets address key questions (...) occurred at a critical site (see Table 1) ? Patient is at high risk of rebleeding or of death/disability with rebleeding ? Source of bleed has not yet been identi?ed ? Surgical or invasive procedures are planned ? Patient does not wish to restart OAC at this time (see Table 7) YES YES YES NO NO YES NO YES NO NO YES NO DOAC¼ direct-acting oral anticoagulant; OAC¼ oral anticoagulant, including DOACs and VKAs; PCC¼ prothrombin complex concentrate; RBC¼ red blood cell; VKA¼ vitamin K antagonist *Reversal

2020 American College of Cardiology

180. Contraception - assessment

should be assured that the consultation is confidential and informed of the circumstances in which confidentiality may need to be breached (for example, suspected child protection issues, exploitation, or coercion). Women with learning and/or physical disabilities should be supported in making their own decisions about contraception. © .

2020 NICE Clinical Knowledge Summaries

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