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141. Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

statistically significant changes but few clinically significant improvements in BP. In systematic reviews 42,96 and meta-analyses, 31,33,42,96 both diastolic and systolic BP readings were statistically improved when SMBP was used; however, BP improvements were not clinically significant. Improve- ments in BP were often associated with reported increases in hypertensive medication use and other recommended lifestyle behaviors (eg, diet modification, physical activity). 33,42 Out- comes from an RCT using (...) studies focused on CAD risk- reduction interventions for PCI patients, which included use of self-efficacy mechanisms 49 and a culturally tailored behav- ioral intervention to increase positive affect/self-affirmation to promote increased physical activity. 50 Atrial Fibrillation A majority of the self-management TPE interventions for patients with AF were characterized by improving patients’ knowledge related to AF and medication use of oral antico- agulants (OACs), such as warfarin (Table 3). 51–59

2017 American Heart Association

142. Atrial Fibrillation

diagnosis, treatment, prevention and rehabilitation) of a given condition according to ESC Committee for Practice Guidelines (CPG) policy and approved by the EACTS and ESO. A critical evaluation of diagnostic and therapeutic procedures was performed, including assessment of the risk–benefit ratio. Estimates of expected health outcomes for larger populations were included, where data exist. The level of evidence and the strength of the recommendation of particular management options were weighed

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2016 European Society of Cardiology

143. An update to the Greig Health Record: Preventive health care visits for children and adolescents aged 6 to 17 years ? Technical report

for promoting helmet use, condom use to prevent sexually transmitted infections (STIs), more physical activity, responsible television viewing, and parental smoking cessation. Office counselling may also be effective in increasing seat belt use. Visit frequency and structure The frequency of preventive visits in this age group is recommended to be every one to two years (consensus). However, 31% of adolescents in a 2011 Ontario survey reported no visits to a physician in the preceding year, including visits (...) . Obesity in children and adolescents is associated with both physical health problems (mainly cardiovascular and metabolic) and psychosocial morbidity as well as increased mortality rates in adulthood. Populations at particular risk include low socio-economic groups, those living in rural or remote areas and certain ethnic groups, such as First Nations people living off reserve. Adolescence is a critical period in the development of obesity, as a time when diet changes, physical activity declines

2016 Canadian Paediatric Society

144. The 2017 hormone therapy position statement of The North American Menopause Society

balance through decreases in resting energy expenditure and physical activity. 137 Reviewsofpreclinicalstudiesandlimitedclinicalstudiesof HTinpostmenopausalwomensuggestabenefitonmaintaining or increasing muscle mass and related connective tissue, improving strength and improving posttraumatic or postatro- phy muscle recovery when combined with exercise. 138-140 Key points Development of frailty with aging is a health risk. Sarcopenia and osteoporosis are related to aging, estrogen depletion (...) Women’s Association, American Society for Reproductive Medicine, Asociacio ´n Mexicana para el Estudio del Climaterio, Association of Reproductive Health Professionals, Australasian Menopause Society, Chinese Menopause Society, Colegio Mexicano de Especialistas en Ginecologia y Obstetricia, Czech Menopause and Andropause Society, Dominican Menopause Society, European Menopause and Andropause Society, German Menopause Society, Groupe d’e ´tudes de la me ´nopause et du vieillissement Hormonal

2017 The North American Menopause Society

145. Obesity in pregnancy

in this guideline refers to “pre-pregnancy BMI”. This guideline has some overlap with other Danish national obstetric guidelines, e.g. “Gestational Diabetes Mellitus”, “Fetus Magnus Suspicious”, “Physical Activity in Pregnancy”, “Tromboprophylaxis”, “Vitamin D” and “Prolonged Pregnancy”. We therefore refer to these guidelines for further information. The recommendations in this guideline are in accordance with the recommendations from the Danish National Board of Health. Recommendations in pregnancy Strength (...) 30-60 minutes of daily moderate physical activity. B/C It is recommended that women with BMI = 35 kg/m 2 have at least one consultation with an obstetrician during pregnancy. Risk for complications should be assessed, and pregnant women with BMI = 40 kg/m 2 should be referred to an antenatal consultation with an anesthetist. D Pregnant women with BMI = 35 kg/m 2 can be referred to ultrasound examination in GA 35-38 for assessment of fetal weight and position. D Pregnant women with BMI = 27 kg/ m

2017 Nordic Federation of Societies of Obstetrics and Gynecology

146. Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline

) competence in using the Diagnostic and Statistical Manual of Mental Disorders (DSM) and/or the International Statistical Classification of Diseases and Related Health Problems (ICD) for diagnostic purposes, (2) the ability to diagnose GD/gender incongruence and make a distinction between GD/gender incongruence and conditions that have similar features ( e.g. , body dysmorphic disorder), (3) training in diagnosing psychiatric conditions, (4) the ability to undertake or refer for appropriate treatment, (5 (...) persons. Those clinicians who recommend gender-affirming endocrine treatments—appropriately trained diagnosing clinicians (required), a mental health provider for adolescents (required) and mental health professional for adults (recommended)—should be knowledgeable about the diagnostic criteria and criteria for gender-affirming treatment, have sufficient training and experience in assessing psychopathology, and be willing to participate in the ongoing care throughout the endocrine transition. We

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2017 Pediatric Endocrine Society

147. Occupational Therapists' Use of Occupation Focused Practice in Secure Hospitals

Therapists Specialist Section – Mental Health, Forensic Forum at the above address. Nintendo and Wii are trademarks of Nintendo. Recovery Star Secure is a trademark of Triangle Consulting Social Enterprise Limited. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library. While every effort has been made to ensure accuracy, the Royal College of Occupational Therapists shall not be liable for any loss or damage either directly or indirectly (...) Occupational Therapists' Use of Occupation Focused Practice in Secure Hospitals Occupational therapists’ use of occupation-focused practice in secure hospitals Practice guideline Second Edition Royal College of Occupational Therapists Specialist Section Mental HealthCover photographs T echnical drawing and painting images used courtesy of the West London Mental Health Trust Football, gardening, cooking and computer images ©iStockphoto.com Turntables image ©123rf.com About the publisher

2018 British Association of Occupational Therapists

148. Occupational Therapy for people Undergoing total hip replacement

of Occupational Therapists’ Practice Publications Group in March 2011. 1.3 National context: hip replacement statistics Information on hip replacement procedures in the UK is recorded; however, the data is not available as a single source.Introduction 8 Occupational therapy for adults undergoing total hip replacement The National Joint Registry holds details on joint replacement surgery for England, Wales and Northern Ireland, and includes procedures undertaken by both the National Health Service (...) Data A catalogue record for this book is available from the British Library Whilst every effort has been made to ensure accuracy, the Royal College of Occupational Therapists shall not be liable for any loss or damage either directly or indirectly resulting from the use of this publication. ISBN 978-1-905944-68-2 Typeset by Servis Filmsetting Ltd, Stockport, Cheshire Digitally printed on demand in Great Britain by the Lavenham Press, Suffolk iii Royal College of Occupational Therapists 2017

2018 British Association of Occupational Therapists

149. Dementia, disability and frailty in later life - mid-life approaches to delay or prevent onset

and dementia, disability and frailty. Show how a wide range of domestic, leisure and work activities can help people to be physically active and explain how even modest increases in physical activity, at any age, can be beneficial. Include information on how physical activity: reduces the risk of illness in both the short and long term, preserves memory and cognitive ability, reduces risk of falls and leads to a healthier old age, improving wellbeing and quality of life is enjoyable and can have social (...) not be able to quit, or who do not want to quit, to switch to less harmful sources of nicotine (see NICE's pathway on tobacco: harm-reduction approaches to smoking). 6 Impro 6 Improving the en ving the environment to promote ph vironment to promote physical activity ysical activity Local government, local enterprise partnerships, transport professionals and other organisations involved with the built and natural environment or with road safety (see who should take action?), should improve environments

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

150. Chronic kidney disease: managing anaemia

circumstances of the patient. They should include the following key areas: Practical information about how anaemia of CKD is managed. Knowledge (for example, about symptoms, iron management, causes of anaemia, associated medications, phases of treatment). Professional support (for example, contact information, community services, continuity of care, monitoring, feedback on progress of results). Lifestyle (for example, diet, physical exercise, maintaining normality, meeting other patients). Adaptation (...) be given information and support to help the child or young person to make decisions about their treatment. If it is clear that the child or young person fully understands the treatment and does not want their family or carers to be involved, they can give their own consent. Healthcare professionals should follow the Department of Health's advice on consent. If someone does not have capacity to make decisions, healthcare professionals should follow the code of practice that accompanies the Mental

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

151. Bladder cancer: diagnosis and management

infection, pain, bleeding or need for a catheter the impact of treatment on their sexual health and body image, including how to find support and information relevant to their gender diet and lifestyle, including physical activity smoking cessation for people who smoke how to find information about bladder cancer, for example through information prescriptions, sources of written information, websites or DVDs how to find support groups and survivorship programmes how to find information about returning (...) urothelial bladder cancer who are otherwise physically fit (have an Eastern Cooperative Oncology Group [ECOG] performance status of 0 or 1) and have adequate renal function (typically defined as a glomerular filtration rate [GFR] of 60 ml/min/1.73 m 2 or more). 1.7.3 Offer carboplatin in combination with gemcitabine [3] to people with locally advanced or metastatic urothelial bladder cancer with an ECOG performance status of 0–2 if a cisplatin-based chemotherapy regimen is unsuitable, for example

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

152. Preventing excess weight gain

regular walking, particularly brisk walking, or cycling as a form of active travel (to school, work or other local destinations). (See NICE's guideline on walking and cycling.) Increasing activities during leisure time and breaks at work or school (including some periods of moderate-to-vigorous physical activity). This could include any form of physical activity, sport or exercise such as walking, cycling, swimming, dancing or gardening. Increasing activity as part of daily routines (such as taking (...) behaviour was limited, the Committee recognised that sedentary activity would be reflected in the evidence considered on TV viewing or other screen time, or total leisure time activity. (T otal leisure time activity is any physical activity outside of school or work, including play but excluding active travel.) 3.18 The Committee was of the view that some unexpected associations may have been the result of 'reverse causality' . This is likely to have been the reason for the observed association between

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

153. Type 1 diabetes in adults: diagnosis and management

is it for? 5 Introduction 6 Reasons for the update 6 Medicines 8 Patient-centred care 9 Key priorities for implementation 10 Education and information 10 Blood glucose management 10 Insulin therapy 11 Awareness and management of hypoglycaemia 11 Care of adults with type 1 diabetes in hospital 11 1 Recommendations 12 Blood glucose and plasma glucose 12 1.1 Diagnosis and early care plan 12 1.2 Support and individualised care 15 1.3 Education and information 17 1.4 Dietary management 18 1.5 Physical activity (...) of the person and carers their preferences in nutrition and physical activity other relevant factors, such as substance use cultural and educational assessment to identify prior knowledge and to enable optimal advice and planning about: treatment modalities diabetes education programmes assessment of emotional state to determine the appropriate pace of education. The results of the assessment should be used to agree a future care plan. Some items of the initial diabetes assessment: acute medical history

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

154. Diabetic foot problems: prevention and management

and children (2015) NICE guideline NG7 Diabetes in pregnancy (2015) NICE guideline NG3 Obesity: identification, assessment and management of overweight and obesity in children, young people and adults (2014) NICE guideline CG189 Exercise referral schemes to promote physical activity (2014) NICE guideline PH54 Lipid modification (2014) NICE guideline CG181 Pressure ulcers (2014) NICE guideline CG179 VibraTip for testing vibration perception to detect diabetic peripheral neuropathy (2014) NICE medical (...) technology guidance 22 Neuropathic pain – pharmacological management (2013) NICE guideline CG173 T obacco: harm reduction approaches to smoking (2013) NICE guideline PH45 Physical activity: brief advice for adults in primary care (2013) NICE guideline PH44 Lower limb peripheral arterial disease (2012) NICE guideline CG147 Walking and cycling (2012) NICE guideline PH41 Preventing type 2 diabetes: risk identification and interventions for individuals at high risk (2012) NICE guideline PH38 Preventing type

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

155. Weight management: lifestyle services for overweight or obese adults

people's weight, eating habits and physical activity to support monitoring in line with the Department of Health's information governance and data protection requirements (for example, see the Public Health Services Contract 2014/ 15: guidance on the non-mandatory contract for public health services.) Train staff to accurately measure and record height and weight to determine body mass index (BMI) and to accurately measure waist circumference. They should also be sensitive to how people feel about (...) 25 to 30 kg/m 2 ) (Statistics on obesity, physical activity and diet: England 2014, Health and Social Care Information Centre 2014). Although there are people in all population groups who are overweight or obese, obesity is related to social disadvantage (Fair society, healthy lives: strategic review of health inequalities in England post-2010, The Marmot Review 2010). Prevalence varies by population characteristics (for example see Public Health England briefing papers). For women, obesity

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

156. Obesity: identification, assessment and management

CG184), as well as psychological and psychiatric morbidities. The Health and Social Care Information Centre reported that in 2011/12 there were 11,740 inpatient admissions to hospitals in England with a primary diagnosis of obesity: 3 times as many as in 2006/07 (Statistics on obesity, physical activity and diet – England, 2013). There were 3 times as many women admitted as men. In the UK obesity rates nearly doubled between 1993 and 2011, from 13% to 24% in men and from 16% to 26% in women. In 2011 (...) ake into account the person's current physical fitness and ability for all activities. Encourage people to also reduce the amount of time they spend inactive, such as watching television, using a computer or playing video games. [2006] [2006] Children Children 1.6.4 Encourage children and young people to increase their level of physical activity, even if they do not lose weight as a result, because of the other health benefits exercise can bring (for example, reduced risk of type 2 diabetes

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

157. Developing evidence informed, employer-led workplace health

reviews on health topics falling outside of physical activity and mental health interventions, such as healthy eating, cancer prevention and cardiovascular risk. • The relative costs of different interventions and the cost-effectiveness of interventions. • ‘Business outcomes’ of relevance to stakeholders; for example, stakeholders may view lower staff turnover or lower business health expenditure costs as more important than ‘presenteeism’ or ‘absenteeism’. • Longer-term outcomes of both interventions (...) to influence their success. To address these issues, we undertook a systematic review of three sources of evidence: systematic reviews examining intervention effectiveness; research on stakeholders’ views and experiences; and key workplace health policy documents. What did we find? We identified 24 systematic reviews of WHPs which examined statistically the impact on a variety of outcomes, including mental health, weight management, absenteeism (and its costs), work ability and job stress. The reviews

2016 EPPI Centre

158. History, politics and vulnerability: explaining excess mortality

. This excess plays a major role in explaining why Scotland has both the lowest life expectancy, and the widest mortality inequalities, in Western Europe. Although usually expressed in statistical terms (such as standardised rates or ratios or expected years of life), behind such summary epidemiological expressions lie genuine human tragedies: individual stories of shortened, wasted lives, pain, sickness, early death and grief, affecting individual men, women and children, their families, friends (...) & Public Health Sciences Unit, University of Glasgow • Jill Muirie, Public Health Programme Manager, Glasgow Centre for Population Health • Dr John O’Dowd, Consultant in Public Health Medicine, NHS Greater Glasgow and Clyde • Dr Tony Robertson, Lecturer in Public Health, University of Stirling • Dr Katherine Smith, Reader - Global Public Health Unit, University of Edinburgh • Dr Michael Smith, Associate Medical Director for Mental Health, NHS Greater Glasgow and Clyde • Dr Katherine Trebeck, Senior

2016 Glasgow Centre for Population Health

159. Multi-criteria decision analysis for the appraisal of medical needs: a pilot study

3.4.5 Weighting and aggregating 42 3.4.6 Dealing with uncertainty 43 3.4.7 Dealing with criteria not covered in the MCDA 43 3.4.8 Dealing with two lists of “need” 44 3.5 TESTING AND EVALUATING THE PROPOSED BELGIAN APPROACH FOR NEEDS APPRAISAL 45 2 Multi-criteria decision analysis for the appraisal of medical needs KCE Report 272 3.5.1 Pre-test evaluation of the MCDA procedure 45 3.5.2 Pilot study 47 3.5.3 Statistical analysis 49 4 RESULTS 49 4.1 PRE-TEST STUDY 49 4.1.1 Methodological issues 49 4.1.2 (...) d’avis en cas d’intervention temporaire pour l’utilisation d’un medicament” CMD College of Medical Directors ETR Early Temporary Reimbursement FAMHP Federal Agency for Medicines and Health Products HTAi Health Technology Assessment International ICER Incremental cost-effectiveness ratio KBF King Baudouin Foundation LUSS Ligue des Usagers des Services de Santé MCDA Multi-criteria decision analysis NIH National Institute of Health PCIG Patient and Citizen Interest Group P.H. Public Health PROMIS

2016 Belgian Health Care Knowledge Centre

160. Model for the organization and reimbursement of psychological and orthopedagogical care in Belgium

(Vlaamse Vereniging voor Kinder-en Jeugdpsychiatrie), Jan De Clercq (Federatie van Diensten voor Geestelijke Gezondheidszorg), Jan De Lepeleire (Katholieke Universiteit Leuven), Jacques De Waegenaere (Ligue Wallonne de Santé Mentale), Tom Declercq (Domus Medica), Muriel Deguerry (Commission Communautaire Commune – Gemeenschappellijke Gemeenschapscommissie), Luc Dekeyser (Vlaamse Gemeenschapscommissie), Matthias Dekeyser (Belgische Vereniging voor Relatie-, Gezins- en Systeemtherapie), Gaston Demaret (...) - Hoge Gezondheidsraad), Marie-Claire Haelewyck (Association en Orthopédagogie), Steven Hermans (Christelijke Mutualiteit – Mutualité Chrétienne), Stéphan Hoyoux (Santhea), Gorik Kaesemans (Zorgnet Vlaanderen-Icuro), Paul Kestemont (Association Belge de Psychothérapie – Belgische Vereniging voor Psychotherapie), Charles Kornreich (Société Royale de Médecine Mentale de Belgique), Miguel Lardennois (SPF Santé Publique - FOD Volksgezondheid), Gilbert Lemmens (Vlaamse Vereniging voor Psychoanalytische

2016 Belgian Health Care Knowledge Centre

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