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1662. Patients Hospitalized with Heart Failure: Risk Assessment, Management, and Clinical Trajectory

the evidence-based approaches to HF therapy and management enumerated in the 2013 ACCF/AHA GuidelinefortheManagementofHeartFailureandthe 2016 and 2017 ACC/AHA/HFSA focused updates (15,25,26). 3. These algorithms assume that a broad multidisci- plinary approach is ideal, with input anticipated from experienced physician and nurse specialists, as well as other disciplines such as pharmacy, social work, psy- chiatry, physical therapy, and nutrition. 4. Therapeutic decisions should be governed by clinical (...) bypass surgery. Exercise program/cardiac rehabilitation. Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: US Preventive Services Task Force Recommendation Statement Malnutrition Assess for protein calorie malnutrition. Referral to dietician. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Frailty, deconditioning Assess for frailty, consider physical therapy and/or referral for rehabilitation

2019 American College of Cardiology

1663. Screening and Management of the Hyperandrogenic Adolescent

alongaspectrumthatmayevolveovertimeandcanpresent differently among different ethnicities. Treatment of acne and hirsutism should not be withheld during the ongoing longitudinal evaluation for possible PCOS. In addition, although obesity and insulin resistance are not diagnostic criteriaforPCOS,theyoftenco-existinthispopulationand warrant early counseling on healthy weight, nutrition, and exercise and evaluations to exclude diabetes (7). Evaluation of the Hyperandrogenic Adolescent The initial evaluation should focus on identifying clinical

2019 American College of Obstetricians and Gynecologists

1664. Policy on Medically-Necessary Care

by the Council on Clinical Affairs and adopted in 2007. This document is an update from the last revision in 2014. It includes an electronic search with Scopus® and PubMed®/MEDLINE using the terms: medically-necessary care, systemic disease AND oral disease, dentistry as medically-necessary care, periodontal disease AND cardiovascular disease, oral health AND pregnancy, oral health AND respiratory illness, oral health AND quality of life, pediatric dentistry general anesthesia, and nutritional deficiency (...) outcomes can adversely affect learning, communication, nutrition, and other activities necessary for normal growth and development. 8 Rampant caries is associated with insufficient development in children who have no other medical problems. 9 Children with early childhood caries (ECC) may be severely underweight because of the associated pain and disinclination to eat. Nutritional deficiencies during childhood can impact cognitive development. 10,11 Other oral conditions also can impact general health

2019 American Academy of Pediatric Dentistry

1665. Policy on Social Determinants of Children's Oral Health and Health Disparities

, Sabbah W. Maternal allostatic load, care- taking behaviors, and child dental caries experience: A cross-sectional evaluation of linked mother-child data from the Third National Health and Nutrition Examina- tion Survey. Am J Public Health 2015;105(11):2306-11. 19. Boyce WT. The lifelong effects of early childhood adver- sity and toxic stress. Pediatr Dent 2014;36(2):102-8. 20. Boyce WT, Den Besten PK, Stamperdahl J, et al. Social inequalities in childhood dental caries: The convergent roles of stress (...) . Department of Agriculture Economic Research Service. Definition of Food Security. Available at: “https: //www.ers.usda.gov/topics/food-nutrition-assistance/ food-security-in-the-us/definitions-of-food-security.aspx”. Accessed March 1, 2017. (Archived by WebCite ® at: “http://www.webcitation.org/6sifGxRGQ”) 25. Chi DL, Masterson EE, Carle AC, et al. Socioeconomic status, food security, and dental caries in US children: Mediation analyses of data from the National Health and Nutrition Examination Survey

2017 American Academy of Pediatric Dentistry

1666. The Subacute Rehabilitation of Childhood Stroke, Clinical Guideline

10 5. Motor function 13 6. Sensory function 14 7. Pain management 15 8. Dysphagia and nutrition 16 9. Communication, speech and language function 17 10. Cognition 18 11. Psychosocial, emotional and behavioral function 20 12. Activities of daily living 21 13. Participation in recreation and leisure 22 14. Education, learning and vocation 23 15. Family function 25 16. Future research directions 26 17. References 27Victorian Subacute Childhood Stroke Guidelines 4 ACKNOWLEDGEMENTS Funding (...) appropriate settings for service delivery Quality evaluation of service delivery Criteria for transfer from acute hospital to subacute rehabilitation care Creation of individualised care plan and goal setting Approach to therapy (individual and/or group) Transition to adult services Interventions (Sections 5–15) Motor function (Section 5) Sensory function (Section 6) Pain management (Section 7) Dysphagia and nutrition (Section 8) Communication, speech and language (Section 9) Cognition (Section 10

2017 Stroke Foundation - Australia

1667. Translation and implementation of the Australian-led PCOS guideline: clinical summary and translation resources from the International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome

Alfred Psychiatry Research Centre, Melbourne; Darren Mansfield, Monash Health, Melbourne; Kate Marsh, Northside Nutrition and Dietetics, Sydney; Ben W Mol, Monash University, Melbourne; Alexia Peña, Robinson Research Institute, University of Adelaide, Adelaide; Raymond Rodgers, Robinson Research Institute, University of Adelaide, Adelaide; Jane Speight, Deakin University, Geelong; Nigel Stepto, Victoria University, Melbourne; Eliza C Tassone, Monash Centre for Health Research and Implementation

2018 MJA Clinical Guidelines

1668. Integrated care for older people (?ICOPE)? implementation framework: guidance for systems and services

of Mental Health and Substance Abuse), Maria De Las Nieves Garcia Casal (WHO Department of Nutrition for Health and Development), Manfred Huber (WHO Regional Office for Europe), Ramez Mahaini (WHO Regional Office for the Eastern Mediterranean), Silvio Paolo Mariotti (WHO Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention), Alana Margaret Officer (WHO Department of Ageing and Life Course), Taiwo Adedemola Oyelade (WHO Regional Office for Africa), Juan Pablo (...) Peña-Rosas (WHO Department of Nutrition for Health and Development), Neena Raina (WHO Regional Office for South- East Asia), Katherine Silburn (WHO Regional Office for the West Pacific), Mark Humphrey Van Ommeren (WHO Department of Mental Health and Substance Abuse), Enrique Vega Garcia (WHO Regional Office for the Americas/Pan-American Health Organization). The WHO Department of Ageing and Life Course acknowledges the financial support of the Government of Japan and Kanagawa Prefectural Government

2019 World Health Organisation Guidelines

1670. Transjugular Intrahepatic Portosystemic Stent-Shunt (TIPSS) in the management of portal hypertension

-TIPSS assessment of encephalopathy 39 Post TIPSS encephalopathy management. 41 Cardiac assessment 42 Nutritional assessment 44 Renal function 45 Procedural details 47 Preparation for TIPSS 47 Imaging 47 Consent 48 Sedation 48 Antibiotics 49 Blood products 49 The TIPSS procedure 50 Equipment requirements 50 TIPSS technique 51 Mitigation of encephalopathy during the TIPS Procedure 51 Post Operative care 52 Long term follow up. 52 Procedural complications 53 Service delivery and development 55 Service (...) Gastroenterologist and Hepatologist Co-author (TIPSS for ascites) Professor Peter Hayes PhD FRCP Consultant Hepatologist Co-author (TIPSS for variceal bleeding and research recommendations) Dr Emmanouil Tsochatzis PhD FRCP Consultant Hepatologist Co-author (TIPSS for ascites) Dr Ian Rowe PhD MRCP Consultant Hepatologist Co-author (TIPSS for hepatic hydrothorax) Dr Matthew Armstrong PhD MRCP Consultant Hepatologist Co-author (cardiac assessment, nutritional assessment) Dr Richard Aspinall FRCP Consultant

2019 British Society of Gastroenterology

1671. UK guidelines on the management of iron deficiency in pregnancy

nutritional deficiency globally and is the leading cause of anaemia (Stevens et al , ; McLean et al , ; WHO, ). In pregnancy, iron deficiency is usually due to an imbalance of demand and supply, which worsens as pregnancy advances. The prevalence of maternal anaemia approaches 50% in low‐ and middle‐income countries, largely due to a combination of nutritional deficiency, infectious diseases and the presence of a variant haemoglobin or a thalassaemic disorder (Balarajan et al , ). In the UK (...) period are recognised as a critical period where there is rapid brain development, high neural plasticity and high nutritional requirement (Gluckman & Hanson, ; Georgieff et al , ). Animal studies show maternal iron deficiency late in pregnancy is associated with neurodevelopmental impairment. Observational studies in pregnant women have found that iron deficiency anaemia late in pregnancy is associated with premature birth and low Apgar score (<5 at 1 min) (Lone et al , ), and impaired motor

2019 British Committee for Standards in Haematology

1673. Quality indicators for pulmonary rehabilitation programs in Canada: A CTS expert working group report

&rfr_dat=cr_pub% 3Dpubmed#readcube-epdf 13. GUIDANCE NOTES Measuring health outcomes supports discharge planning, provides information to patients and their referring health care professional on program effectiveness, provides data for program planning and can contribute to information to justify program costs or support program expansion. Other outcome measures (such as psychological status, physical activity, self-efficacy, nutritional status) may be helpful in assessing individual benefit. The same

2019 Canadian Thoracic Society

1674. Management of Pilonidal Disease

the underlying presentation (ie, acute abscess, cellulitis, sinus, or subcutaneous tracts) and the goals, experience, and ex- pertise of the surgeon. Although we lack specific evidence in the setting of pilonidal disease recurrence, it is recom- mended that known modifiable risk factors for surgical site occurrence, such as nutritional status, smoking cessation, glycemic control, and obesity, be optimized before embark- ing on repeat procedures.Copyright © The American Society of Colon & Rectal Surgeons, Inc

2019 American Society of Colon and Rectal Surgeons

1675. Management of Osteoporosis in Survivors of Adult Cancers With Nonmetastatic Disease

. RECOMMENDATIONS Patients with nonmetastatic cancer may be at risk for osteoporotic fractures due to baseline risks or due to the added risks that are associated with their cancer therapy. Clinicians are advised to assess fracture risk using established tools. For those patients with substantial risk of osteoporotic fracture, the clinician should obtain a bone mineral density test. The bone health of all patients may benefit from optimizing nutrition, exercise, and lifestyle. When a pharmacologic agent (...) to nausea, weight loss, and cancer-related fatigue, can also lead to bone loss. Nutritional deterioration can occur at any point in the timeline of cancer diagnosis, treatment, or support. Whereas the etiology of cancer cachexia is multifactorial and complex, it is characterized by the loss of skeletal muscle even in the presence of adequate food intake, which can consequently lead to diminishing muscle strength and bone mass. , Cancer-related fatigue also often leads to reduced physical activity, which

2019 American Society of Clinical Oncology Guidelines

1677. Clinical practice guidelines for dementia in Australia

emphasis on promoting and maintaining independence through activities of daily living, continuing exercise and supporting the person to pursue activities that are meaningful and of interest to them. Adequate nourishment and hydration through maintaining a healthy, balanced diet should be encouraged and supported. People with dementia should have their weight monitored and nutritional status assessed regularly. Oral health is important and, on diagnosis, the medical practitioner should recommend

2016 MJA Clinical Guidelines

1678. Infant feeding: weaning

boluses or overnight feeding) and offer foods at other times ( ). Liaise with your ward dietitian if feed volumes are reduced as intake of food increases ( ). Rationale Rationale 1: Breast milk and formula milk meet the nutritional requirements of most healthy babies for the first six months of life (W ). Rationale 2: Sick infants have different nutritional requirements to healthy babies. The dietitian will ensure the diet is nutritionally adequate and that appropriate solids are offered. Rationale 3 (...) : To ensure nutritional adequacy and that appropriate solids are offered. Rationale 4: The degree of prematurity will determine the appropriate age for introduction of solids. Rationale 5: To ensure the baby is comfortable and the stomach is not compressed. Rationale 6: The shallow bowl of a weaning spoon allows the baby to more easily take food from it. A metal spoon may harm the baby’s mouth. Rationale 7: To allow the baby to practice how to move a bolus of food around and to experience flavours

2017 Publication 1593

1679. The Australasian Society for Infectious Diseases and Refugee Health Network of Australia recommendations for health assessment for people from refugee-like backgrounds: an abridged outline

-like backgrounds, including asylum seekers. They provide more information about non-communicable diseases and consider Asia and the Middle East as regions of origin as well as Africa. Key changes include an emphasis on person-centred care; risk-based rather than universal screening for hepatitis C virus, malaria, schistosomiasis and sexually transmissible infections; updated immunisation guidelines; and new recommendations for other problems, such as nutritional deficiencies, women’s health (...) for details). Immunisation: Provide catch-up immunisation so that people of refugee background are immunised equivalent to an Australian-born person of the same age. In the absence of written immunisation documentation, full catch-up immunisation is recommended. Varicella serology is recommended for people aged ≥ 14 years if there is no history of natural infection. Rubella serology should be completed in women of childbearing age. Non-infectious conditions Anaemia and other nutritional problems: Offer

2017 MJA Clinical Guidelines

1680. Acute pain management: scientific evidence, fourth edition, 2015

of acupuncture on post-operative pain have been confirmed in particular after back surgery and ambulatory knee surgery and total knee joint replacement. Psychological (including distraction [music, books, video] and hypnosis), physical (including holding, warming, non-nutritive sucking) and use of sweet solution (sucrose) interventions are particularly beneficial in painful procedures in children and are being used peri-operatively. Conclusion The increase in evidence in the area of acute pain management

2016 MJA Clinical Guidelines

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