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Appearance, Behavior and Attitude Exam

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181. Canadian guidelines on opioid use disorder among older adults

’ Mental Health, Toronto, Canada (2019) Funding for the CCSMH Substance Use Disorder Guidelines was provided by Health Canada, Substance Use and Addictions Program. The CCSMH gratefully acknowledges Health Canada for its ongoing support and continued commitment to the area of seniors’ mental health. We would like to thank the Canadian Centre on Substance Use and Addiction (CCSA) and the Behavioral Supports Ontario Substance Use Collaborative for their support. We would like to thank Dr. Meldon Kahan (...) OF RECOMMENDATION The quality of evidence for each recommendation is determined through an examination of the following factors: (1) Study design and the quality of the studies that were included, (2) the directness of the evidence (generalizability or applicability) and (3) the confidence that patients will benefit from the treatment . The strength of each recommendation is determined through an examination of the following factors: (1) The balance between benefits and undesirable effects/risks, (2

2019 CPG Infobase

182. Health literacy: what lessons can be learned from the experiences of other countries?

and Lifeskills Survey (ALLS, 2003- 2008 5 ). These studies also showed that the level of literacy is influenced by a variety of social factors and that an increase of literacy is related to more opportunities in life, higher levels of employment and more social engagement. These findings led to the perception of literacy as a contributor to health outcomes and as a mediating factor in health disparities. In the late nineties and the first decade of the twenty-first century, a broad range of studies (...) was conducted on relationships between literacy (in general) and health outcomes (in terms of knowledge, behaviour, morbidity and mortality). 6 Much of the literature in this field of research has focused on the serious problems that people with low health literacy face when interacting with healthcare systems (limited participation in health promotion, disease prevention and early detection, inadequate 10 Health literacy KCE Report 322 management of chronic diseases, increased hospitalisation rates

2020 Belgian Health Care Knowledge Centre

183. Cycling in Scotland: review of cycling casualties

hire schemes. Image is a contributory factor to the gender divide in cycling uptake and women express higher concerns about risk compared with men. Cycling is not viewed as socially acceptable among many ethnic communities due to appearance, and associations with cycling and social status. Hostile and dangerous driver behaviour, lack of driver awareness, and stereotypes surrounding people cycling were associated with an increased likelihood of near misses or collisions. Driver error was reported (...) as the primary contributory factor in 63% of cycling-driver collisions between March 2018- April 2019. Negative attitudes and stereotyping of cyclists predict aggressive behaviour towards cyclists. In Scotland we need to make cycling safe, affordable and accessible for all. This can be achieved by making sure safe cycling infrastructure (including new bike hire schemes) is equally available in deprived and affluent areas, by supporting more bike inclusion schemes (like Bikes for All), and by reducing road

2020 Glasgow Centre for Population Health

184. Bariatric surgery in Belgium: organisation and payment of care before and after surgery

as a proxy to identify overweight and obesity Obesity is a condition in which fat accumulates in the body to a point where it may impair health. 2, 3 . The pathophysiology of obesity is an interplay between environmental factors (e.g. excess caloric intake and sedentary life style) with genetic factors. Nevertheless, obesity is considered as a preventable condition given that even with a genetic predisposition (apart from some rare monogenic diseases) a healthy lifestyle (diet and physical activity) can (...) (95% CI: 11.3-14.2) kg/m². The study also showed an improvement in quality of life with a statistically significant difference at 2 years in scores related to Physical Functioning and Change in Health. No RCT data on other outcomes such as diabetes remission were identified. Regarding short-term safety, available data, especially from observational studies, suggest also that the effects of bariatric surgery appear to be quite similar for adolescents, and adults. However, a simple extension

2020 Belgian Health Care Knowledge Centre

185. Video consultations in the care for patients with a chronic somatic disease

, a service with video consultation, and included it as a service in the additional hospitalization insurance it offers in the Belgian market.), Michael De Decker (Memo NV have provided a video consultation solution during the crisis, for free of course. We have developed this for the business sector and now it appears to be extremely suitable for healthcare providers. We have a lot of healthcare providers as customers, but also not customers now use this. We are in line with all legislation (...) . A topic list we used for the interviews and for the document analysis can be found in Appendix 1. More detailed description of the applied methodology is presented at the beginning of each chapter. In the final phase of the project, an online (Belgian) stakeholder consultation was organized in order to gather their opinion on the draft recommendations that were written based on the performed research. Draft recommendations are normally discussed with stakeholders in a physical meeting at KCE- offices

2020 Belgian Health Care Knowledge Centre

186. Organisation of diagnosis and treatment of obstructive sleep apnoea syndrome: an international comparison

COST-EFFECTIVENESS OF HOME-BASED VERSUS HOSPITAL-BASED STRATEGIES 42 3 INTERNATIONAL COMPARISON 50 3.1.1 Screening by questionnaires 50 3.1.2 Home-based diagnosis 51 3.2.1 Lifestyle recommendations 54 3.2.2 PAP versus other treatment 55 3.2.3 Titration of PAP 55 3.2.4 Follow-up of treatment 55 3.3.1 Belgium 61 3.3.2 France 62 3.3.3 Finland 64 3.3.4 Germany 65 3.3.5 The Netherlands 66 3.3.6 England 68 3.4 INVOLVEMENT OF SERVICE PROVIDERS 69 3.5 ACCREDITATION OF SPECIALISTS IN SLEEP MEDICINE (...) Polygraphy PM Portable Monitor PSG Polysomnography QALY Quality-adjusted life year QUADAS-2 Quality Assessment of Diagnostic Accuracy Studies-2 RDI Respiratory Disturbance Index REI Respiratory Event Index (used for HSAT) RERA Respiratory Effort-Related Arousal RP Respiratory Polygraphy SAQLI Sleep Apnoea Quality of Life Index SDB Sleep-disordered breathing SF-36 Short-form 36 Questionnaire UAS Upper Airway Stimulation USPSTF U.S. Preventive Services Task Force 12 Obstructive Sleep Apnoea Syndrome KCE

2020 Belgian Health Care Knowledge Centre

187. British guideline on the management of asthma

Non-analytic studies, eg case reports, case series 4 Expert opinion Grades of recommendation Note: The grade of recommendation relates to the strength of the supporting evidence on which the evidence is based. It does not reflect the clinical importance of the recommendation. A At least one meta-analysis, systematic review, or RCT rated as 1 ++ , and directly applicable to the target population; or A body of evidence consisting principally of studies rated as 1 + , directly applicable (...) in adolescents 117 11.1 Definitions 117 11.2 Prevalence of asthma in adolescents 117 11.3 Diagnosis and assessment 117 11.4 Risk factors 118 11.5 Comorbidities and modifiable behaviours 119 11.6 Asthma attacks and the risk of hospital admission 120 11.7 Long-term outlook and entry into the workplace 120 11.8 Non-pharmacological management 120 11.9 Pharmacological management 121 11.10 Inhaler devices 121 11.11 Organisation and delivery of care 122 11.12 Patient education and self management 12312 Asthma

2019 SIGN

188. A guideline developer's handbook

that the widest possible range of views are considered, whilst maintaining confidentiality around the content of discussions undertaken within the group. The approximate life span of each guideline development group varies depending on whether it is a new project (around 29 months), an update (around 15 months) or a minor revision (3–6 months). For a full guideline project, groups meet on average once every two to three months, although subgroups may meet more frequently. 2.3 References 1 Brouwers MC, Kho ME (...) setting. Health Res Policy Syst 2006;4:14. 2 Schunemann HJ, Wiercioch W, Etxeandia I, Falavigna M, Santesso N, Mustafa R, et al. Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterprise. CMAJ 2014;186(3):E123-42. 3 Estonian Handbook for Guidelines Development. Estonia: World Health Organization; 2011. 3 | Selection of guideline topics14 A guideline developer’s handbook 4 Systematic literature review Guidelines based on a consensus of expert opinion

2019 SIGN

189. A handbook for patient and carer representatives

is set out below. • Ask a research question. • Design a method to help to answer the question. • Collect data (observations or results from trials or experiments). • Analyse the data. • Share the results (also known as ‘outcomes’). There are two approaches to research. Qualitative research - this is used to explore and understand people’s beliefs, experiences, attitudes or behaviour. Qualitative research asks questions about how and why. It might ask questions about why people want to stop smoking (...) of people (for example, in relation to their sex, age, and ethnic background), and • information and support needs for people affected by with specific conditions. As a patient, service user or carer representative on a guideline development group, you can remind the other group members of any limitations of the scientific findings in relation to a person’s age, disability, gender, ethnic background, sexuality, quality of life and other personal circumstances (such as their ability to travel to receive

2019 SIGN

190. Endometriosis: diagnosis and management

activities and quality of life deep pain during or after sexual intercourse period-related or cyclical gastrointestinal symptoms, in particular, painful bowel movements period-related or cyclical urinary symptoms, in particular, blood in the urine or pain passing urine infertility in association with 1 or more of the above. 1.3.2 Inform women with suspected or confirmed endometriosis that keeping a pain and symptom diary can aid discussions. 1.3.3 Offer an abdominal and pelvic examination to women (...) that she does not have endometriosis, and offer alternative management. 1.6 Staging systems 1.6.1 Offer endometriosis treatment according to the woman's symptoms, preferences and priorities, rather than the stage of the endometriosis. 1.6.2 When endometriosis is diagnosed, the gynaecologist should document a detailed description of the appearance and site of endometriosis. 1.7 Monitoring for women with confirmed endometriosis 1.7.1 Consider outpatient follow-up (with or without examination and pelvic

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

191. Cerebral palsy in under 25s: assessment and management

an impact at any stage of development, including the antenatal, perinatal and postnatal periods. Using MRI to assess cause Using MRI to assess cause 1.2.10 Offer MRI to investigate aetiology in a child or young person with suspected or known cerebral palsy if this is not clear from: antenatal, perinatal and postnatal history their developmental progress findings on clinical examination Cerebral palsy in under 25s: assessment and management (NG62) © NICE 2019. All rights reserved. Subject to Notice (...) of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 8 of 46results of cranial ultrasound examinations. 1.2.11 Recognise that MRI will not accurately establish the timing of a hypoxic–ischaemic brain injury in a child with cerebral palsy. 1.2.12 When deciding the best age to perform an MRI scan for a child with cerebral palsy, take account of the following: Subtle neuro-anatomical changes that could explain the aetiology of cerebral palsy may not be apparent until 2 years

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

192. Eating disorders: recognition and treatment

nervosa, addressing pro-anorexic behaviour and ego- syntonic beliefs (beliefs, values and feelings consistent with the person's sense of self) and building self-esteem in the second phase, focus on relevant relationships with other people and how these affect eating behaviour in the final phase, focus on transferring the therapy experience to situations in everyday life and address any concerns the person has about what will happen when treatment ends. Psy Psychological treatment for anore chological (...) #notice-of-rights). Page 15 of 40in family sessions: identify anything in the person's home life that could make it difficult for them to change their behaviour, and find ways to address this discuss meal plans aim to reduce the risk to physical health and any other symptoms of the eating disorder encourage reaching a healthy body weight and healthy eating cover nutrition, relapse prevention, cognitive restructuring, mood regulation, social skills, body image concern and self-esteem create

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

193. Mental health of adults in contact with the criminal justice system

terminology. 1.9.2 Commissioners and providers of criminal justice services and healthcare services should educate all staff about: the stigma and discrimination associated with mental health problems and associated behaviours, such as self-harm the need to avoid judgemental attitudes the need to avoid using inappropriate terminology. 1.9.3 Provide multidisciplinary and multi-agency training (as part of both induction training and continuing professional development) to increase consistency, Mental health (...) with critical incidents, including emergency life support managing stress associated with working in the criminal justice system and how this may affect their interactions with people and their own mental health and wellbeing the recognition, assessment, treatment and management of self-harm and suicide de-escalation methods to minimise the use of restrictive interventions recognition of changes in behaviour, taking into account that these may indicate the onset of, or changes to, mental health problems

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

194. Systemic Therapy for Advanced or Recurrent Endometrial Cancer and Advanced or Recurrent Uterine Papillary Serous Carcinoma

chose not to recommend funding because they felt that the guideline did not have a specific enough recommendation regarding the use of paclitaxel. The Gynecology Cancer DSG re-examined the evidence and decided that there was insufficient evidence to make a stronger recommendation regarding the use of paclitaxel at this time. Sub-optimal toxicity comparisons between patients with ovarian and endometrial cancer Section 1: Practice Guideline Report Page 21 appear to demonstrate that paclitaxel (...) ://www.cancercare.on.ca/ or contact the PEBC office at: Phone: 905-527-4322 ext. 42822 Fax: 905-526-6775 E-mail: ccopgi@mcmaster.ca PEBC Report Citation (Vancouver Style): Gawlik C, Carey M, Faught W, Fung Kee Fung M, Chambers A; Members of the Gynecology Cancer Disease Site Group. Systemic therapy for advanced or recurrent endometrial cancer, and advanced or recurrent uterine papillary serous carcinoma. Covens A, Durocher-Allen L, reviewers. Toronto (ON): Cancer Care Ontario; 2004 Aug 17 [Endorsed 2019 Jul 23

2019 Cancer Care Ontario

195. Complex surgery and perioperative systemic therapy for genitourinary cancer of the retroperitoneum

about this document, please contact A. Finelli, the lead author, through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: ccopgi@mcmaster.ca For information about the PEBC and the most current version of all reports, please visit the CCO website at http://www.cancercare.on.ca/ or contact the PEBC office at: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: ccopgi@mcmaster.ca PEBC Report Citation (Vancouver Style): Finelli A, Coakley N, Chin J, Flood T, Loblaw A, Morash C (...) ) can significantly improve after removal; therefore, deterioration of PS due to thrombus should not be an exclusion criterion for surgery. ? There is no distinct surgical method that seems superior for VTT excision, although the surgical method appears to depend on the VTT level and the grade of occlusion of the inferior vena cava (IVC). ? For adequate removal of the thrombus, caval vein control is key, which may require liver mobilisation and cardiac bypass. Preoperative embolization does not seem

2019 Cancer Care Ontario

196. Regional Models of Care for Systemic Treatment: Standards for the Organization and Delivery of Systemic Treatment

For information about this document, please contact Dr. Leta Forbes, the lead author, through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: ccopgi@mcmaster.ca For information about the PEBC and the most current version of all reports, please visit the CCO website at http: https://www.cancercareontario.ca/en/guidelines-advice or contact the PEBC office at: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: ccopgi@mcmaster.ca PEBC Report Citation (Vancouver Style): Forbes L (...) administer intravenous systemic treatment until and unless she/he has received additional education and has demonstrated competency in the delivery of these systemic treatment agents. This requirement is specific to the delivery of systemic treatment and is not to be confused with the national examination process for Certification as an Oncology Nurse through the Canadian Nurses Association. Complexity – Determined by the preparation and administration requirements for systemic treatment, risk

2019 Cancer Care Ontario

197. Shared decision making training programs for doctors: A Rapid Review

such as pocket cards, manuals, decision aids, and visual aids are also used during training. Training outcomes such as patient-physician relationships, communication, patient perception, quality of life, are measured using varied published frameworks, scales and questionnaires. Follow-up ranged from three months to up to three years. Improvements in patient involvement, communication, counselling and advice have been reported following SDM training. Increased understanding of the benefits of SDM, attitude (...) programme useful and increased knowledge After the intervention, • 89% of residents agreed that the intervention was useful; • 83% of residents agreed that it had increased their knowledge; • 78% of residents agreed that it had increased confidence in having conversations with patients at high risk facing a life-threatening surgical emergency. • Summative actions score significantly increased pre- and post-intervention (p=0.04). • Summative attitudes and confidence scores remained unchanged (p>0.05

2019 Monash Health Evidence Reviews

198. Trust in Health Professionals

of trust have been developed within medicine [2]. A 2014 systematic review provides a comprehensive definition: “The expectations of the public that those who serve them will perform their responsibilities in a technically proficient way, that they will assume responsibility and not inappropriately defer to others, and that they will make their patients’ welfare their highest priority” [2]. Determinants of trust Health professionals’ behaviours are central in understanding how trust is formed (...) consisted of systematic reviews, literature reviews and an opinion article. No quality appraisal of included studies was undertaken. Defining Trust Various definitions [1-5] and conceptualisations of trust have been developed within medicine [2]. A 2014 systematic review provides a comprehensive definition: “The expectations of the public that those who serve them will perform their responsibilities in a technically proficient way, that they will assume responsibility and not inappropriately defer

2019 Monash Health Evidence Reviews

199. Preparing Emerging Leaders for Alternative Futures in Health Systems Across Canada

) identifying the personal and professional competencies needed; and 2) identifying mechanisms to bridge existing leadership with emerging leaders and leadership styles. o Ten systematic reviews relevant to the first sub-element identified a wide range of competencies required by leaders at each of the system, organizational and unit or department level. While we were unable to find systematic reviews that directly addressed the second sub-element, we found four systematic reviews examining different (...) gaps in a population and trends towards aging populations, o social attitudes towards and practices and habits related to healthy living and active lifestyles, o growing incidence of chronic diseases, including mental health conditions, o attitudes towards aging, effective retirement age, and activity and participation of older populations within the economy o community involvement, dynamism of civil society, and involvement of local communities in health provision. While the ways in which

2019 McMaster Health Forum

200. Supporting Rapid Learning and Improvement Across Ontario’s Health System

), and communities of practice appear promising to support problem-focused initiatives. • Element 2 – Support local area-focused rapid learning and improvement o This element could include: building local capacity (within health organizations and with front-line staff) and establishing dedicated staff to identify improvement priorities; determining what resources are available in (and beyond) local organizations and how they can be effectively harnessed to support rapid learning and improvement; and creating (...) review examined attempts to adopt the rapid-learning health-system paradigm, with an emphasis on implementation and evaluating the impact on current medical practices, and found minimal focus on evaluating impacts on healthcare delivery and patient outcomes. What implementation considerations need to be kept in mind • While many barriers to implementing these elements may exist at the level of patients, providers, organizations and systems, perhaps the biggest barrier lies in achieving agreement

2019 McMaster Health Forum

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