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141. The BeSMART (Best Supportive Management for Adults Referred with Tonsillopharyngitis) multicentre observational study Full Text available with Trip Pro

The BeSMART (Best Supportive Management for Adults Referred with Tonsillopharyngitis) multicentre observational study Introduction Tonsillopharyngitis is the most common ear, nose and throat emergency admission, with 80,000 episodes recorded in England in 2015-2016. Despite this, there is a paucity of evidence addressing the supportive management of tonsillopharyngitis in inpatients. The aim of this retrospective multicentre observational study was to consider the Best Supportive Management (...) for Adults Referred with Tonsillopharyngitis (BeSMART) in the inpatient setting, and to establish any associations between practice and outcomes. Methods Seven hospitals in North West England and North East Scotland participated in the study. Overall, 236 adult patients admitted with tonsillopharyngitis were included. The main outcome measures were interval to return to soft diet, length of stay (LOS), pain scores and readmissions. Results Women were more likely to seek professional help before

2017 Annals of the Royal College of Surgeons of England

142. Clinical Practice Guidelines on Obesity

++ or 1 + C A body of evidence including studies rated as 2 + , directly applicable to the target population and demonstrating overall consistency of results; or Extrapolated evidence from studies rated as 2 ++ D Evidence level 3 or 4; or Extrapolated evidence from studies rated as 2 + GPP (Good Practice Points) Recommended best practice based on the clinical experience of the guideline development group.OBESITY HPB-MOH Clinical Practice Guidelines 1/2016 CLINICAL PRACTICE GUIDELINESPublished (...) and patterns of care evolve. The contents of this publication are guidelines to clinical practice, based on the best available evidence at the time of development. Adherence to these guidelines may not ensure a successful outcome in every case. These guidelines should neither be construed as including all proper methods of care, nor exclude other acceptable methods of care. Each physician is ultimately responsible for the management of his/her unique patient, in the light of the clinical data presented

2016 Ministry of Health, Singapore

143. Management of carpal tunnel syndrome evidence-based clinical practice guideline

The purpose of this clinical practice guideline is to help improve treatment based on the current best evidence. Current evidence-based medicine (EBM) standards demand that physicians use the best available evidence in their clinical decision making. To assist them, this clinical practice guideline consists of a systematic review of the available literature regarding the diagnosis and treatment of CTS. The systematic review detailed herein was conducted between February 2013 and February 2015 (...) Management of carpal tunnel syndrome evidence-based clinical practice guideline 1 MANAGEMENT OF CARPAL TUNNEL SYNDROME EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE Adopted by the American Academy of Orthopaedic Surgeons Board of Directors February 29, 2016 Please cite this guideline as: American Academy of Orthopaedic Surgeons. Management of Carpal Tunnel Syndrome Evidence-Based Clinical Practice Guideline. www.aaos.org/ctsguideline. Published February 29, 2016. This Guideline has been endorsed

2016 American Academy of Orthopaedic Surgeons

144. Comparison of prescribing practices for older adults treated by female versus male physicians: A retrospective cohort study. Full Text available with Trip Pro

Comparison of prescribing practices for older adults treated by female versus male physicians: A retrospective cohort study. Subtle but important differences have been described in the way that male and female physicians care for their patients, with some evidence suggesting women are more likely to adhere to best practice recommendations.To determine if male and female physicians differ in their prescribing practices as measured by the initiation of lower-than-recommended dose cholinesterase (...) by specialty. Secondary analyses explored the association between physician sex and cardiac screening as well as shorter duration of the initial prescription.The analysis included 3,443 female and 5,811 male physicians and the majority (83%) were family physicians, Female physicians were more likely to initiate ChEI therapy at a lower-than-recommended dose (Adjusted odds ratio = 1.43,95% confidence interval = 1.17 to 1.74). Compared to their male counterparts, female physicians were also more likely

2018 PLoS ONE

145. Treatment of Drug-Susceptible Tuberculosis: Official ATS/CDC/IDSA Clinical Practice Guidelines

Treatment of Drug-Susceptible Tuberculosis: Official ATS/CDC/IDSA Clinical Practice Guidelines Clinical Infectious Diseases IDSA GUIDELINE Of?cial American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis Payam Nahid, 1 Susan E. Dorman, 2 Narges Alipanah, 1 Pennan M. Barry, 3 Jan L. Brozek, 4 Adithya Cattamanchi, 1 Lelia H. Chaisson, 1 Richard E. Chaisson, 2 Charles L (...) exposure for the component drugs, optimal management of tuberculosis in special populations, identi?cation of accurate biomarkers of treatment effect, and the assessment of new strategies for implementing regi- mensinthe?eldremainkeypriorityareasforresearch.Seethefull-textonlineversionofthedocumentfordetaileddiscussionofthe management of tuberculosis and recommendations for practice. Keywords. Mycobacterium tuberculosis; HIV infections; antitubercular agents; case management; public health

2016 American Thoracic Society

146. Pediatric Chronic Home Invasive Ventilation: An Official ATS Clinical Practice Guideline

and Critical Care Medicine Volume 193 Number 8 | April 15 2016 and for physicians who practice patient- or family-centered care, including CSHCN (9–11). There are no studies to date of patient- or family-centered care speci?cally for children receiving long-term mechanical ventilation. The Medical Home. The Medical Home is the best-known model of health care delivery for CSHCN. It is important to note that it is not a speci?c geographical location, medical of?ce, or provider. The AAP describes the Medical (...) on many community resources. Each speci?c area typically involves multiple providers or disciplines, and there is often overlap in responsibilities. What is the best, most practical and feasible way to provide family-centered, Medical Home care for the ventilator-dependent child? Severalmodelsofsharedcarehavebeen described. The ?rst model, endorsed by the AAP for routine care, is the Medical Home with generalist as primary provider and input from specialists only occasionally as needed. Another model

2016 American Thoracic Society

147. SCAI/CCAS/SPA Expert Consensus Statement for Anesthesia and Sedation Practice: Recommendations for Patients Undergoing Diagnostic and Therapeutic Procedures in the Pediatric and Congenital Cardiac Catheterization Laboratory

and is best done prior to the patient arriv- ing in the catheterization laboratory. This communica- tion can reduce the procedural, anesthetic and radiation times, all of which are likely to improve patient outcomes. THE LEVEL OF CARDIOLOGY EXPERTISE APPROPRIATE FOR THE PEDIATRIC AND CARDIAC CATHETERIZATION LABORATORY There is no sub-specialty certification from the American Board of Pediatrics for pediatric cardiolo- gists preforming catheterizations or for any other pe- diatric cardiology subspecialty (...) SCAI/CCAS/SPA Expert Consensus Statement for Anesthesia and Sedation Practice: Recommendations for Patients Undergoing Diagnostic and Therapeutic Procedures in the Pediatric and Congenital Cardiac Catheterization Laboratory Core Curriculum SCAI/CCAS/SPA Expert Consensus Statement for Anesthesia and Sedation Practice: Recommendations for Patients Undergoing Diagnostic and Therapeutic Procedures in the Pediatric and Congenital Cardiac Catheterization Laboratory Kirsten C. Odegard, 1 MD (Co-Chair

2016 Society for Cardiovascular Angiography and Interventions

148. Neoadjuvant chemotherapy for newly diagnosed, advanced ovarian cancer: Society of Gynecologic Oncology and American Society of Clinical Oncology Clinical Practice Guideline

Neoadjuvant chemotherapy for newly diagnosed, advanced ovarian cancer: Society of Gynecologic Oncology and American Society of Clinical Oncology Clinical Practice Guideline PracticeGuidelines Neoadjuvantchemotherapyfornewlydiagnosed,advancedovarian cancer:SocietyofGynecologicOncologyandAmericanSocietyofClinical OncologyClinicalPracticeGuideline ? AlexiA.Wright a,1 ,KariBohlke b ,DeborahK.Armstrong c ,MichaelA.Bookman d ,WilliamA.Cliby e , RobertL.Coleman f ,DonS.Dizon g ,JosephJ.Kash h (...) ) Clinical Practice Guideline provides recommendations with comprehensivereviewandanalysesoftherelevantliteratureforeachrecommendation.TheguidelineisbeingpublishedsimultaneouslyinJournalofClinicalOncologyandGynecologic Oncology.Additionalinformation,includingaDataSupplementwithadditionalevidencetables,aMethodologySupplement,slidesets,clinicaltoolsandresources,andlinkstopatient information at www.cancer.net, is available at www.asco.org/NACT-ovarian-guideline and www.asco.org/guidelineswiki. Authors

2016 Society of Gynecologic Oncology

149. Executive Summary for Collaboration in Practice: Implementing Team-Based Care

or practices across all specialties to develop team-based care. In doing so, it offers a map to help practices navigate the increasingly complex and continuously evolving health care system. The guidance presented is a result of the task force’s work and is based on current evidence and expert consensus. The task force challenges and welcomes all medical specialties to gather additional data on how and what types of team-based care best accomplish the Triple Aim and the Institute of Medicine’s expectations (...) specialties and practices can use to achieve these expectations. The report was written by the interprofessional Task Force on Collaborative Practice and is intended to appeal to multiple specialties (eg, internal medicine, pediatrics, family medicine, and women’s health) and professions (eg, nurse practitioners, certified nurse–midwives/certified midwives, physician assistants, physicians, clinical pharmacists, and advanced practice registered nurses). This document provides a framework for organizations

2016 American College of Obstetricians and Gynecologists

150. Management of Acute and Recurrent Gout: A Clinical Practice Guideline from the American College of Physicians Full Text available with Trip Pro

Management of Acute and Recurrent Gout: A Clinical Practice Guideline from the American College of Physicians ACP Guideline on Management of Acute and Recurrent Gout | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal Medicine . You will be directed (...) to acponline.org to complete your purchase. Search Clinical Guidelines | 3 January 2017 Management of Acute and Recurrent Gout: A Clinical Practice Guideline From the American College of Physicians Free Amir Qaseem, MD, PhD, MHA; Russell P. Harris, MD, MPH; Mary Ann Forciea, MD; for the Clinical Guidelines Committee of the American College of Physicians Amir Qaseem, MD, PhD, MHA From the American College of Physicians and University of Pennsylvania Health System, Philadelphia, Pennsylvania, and University

2016 American College of Physicians

151. Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians

Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians Management of Chronic Insomnia Disorder in Adults | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal Medicine . You will be directed (...) to acponline.org to complete your purchase. Search Clinical Guidelines | 19 July 2016 Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians Free Amir Qaseem, MD, PhD, MHA; Devan Kansagara, MD, MCR; Mary Ann Forciea, MD; Molly Cooke, MD; Thomas D. Denberg, MD, PhD; for the Clinical Guidelines Committee of the American College of Physicians Amir Qaseem, MD, PhD, MHA From the American College of Physicians and Penn Health System, Philadelphia

2016 American College of Physicians

152. Collaboration in Practice: Implementing Team-Based Care

practices navigate the increasingly complex and continuously evolving health care system. The guidance presented is a result of the task force’s work and is based on current evidence and expert consensus. The task force challenges and welcomes all medical specialties to gather additional data on how and what types of team-based care best accomplish the Triple Aim and the Institute of Medicine’s expectations of health care. Why is the American College of Obstetricians and Gynecologists taking the lead (...) . Jennings, MD, (then President of ACOG) convened an interprofessional Task Force on Collaborative Practice to revise ACOG’s 1995 Guidelines for Implementing Collaborative Practice publication. The task force was charged with updating and broadening the original publication, exploring team-based practice among all specialties (not just women’s health care) as a model of health care delivery that encourages a patient- and family-centered approach, responds to emerging demands, and reduces undue burdens

2016 American College of Obstetricians and Gynecologists

153. Practice Education in Nursing

Practice Education in Nursing System and Healthy Work Environment Best Practice Guidelines MAY 2016 Practice Education in NursingDisclaimer These guidelines are not binding for nurses or the organizations that employ them. The use of these guidelines should be flexible based on individual needs and local circumstances. They neither constitute a liability nor discharge from liability. While every effort has been made to ensure the accuracy of the contents at the time of publication, neither (...) to present the system and healthy work environment best practice guideline, Practice Education in Nursing. Evidence-based practice supports the excellence in service and education that faculty and health professionals are committed to supporting every day. RNAO is pleased to provide this key resource to enhance practice education for nursing students. We offer our heartfelt thanks to the many stakeholders who are making our vision for best practice guidelines a reality, starting with the Government

2016 Registered Nurses' Association of Ontario

154. Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumours Full Text available with Trip Pro

that help give you the very best browsing experience. If you don't change your settings, we'll assume you're happy with this. Google Translate to save searches and organize your favorite content. Not registered? Search Recently viewed (1) Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumors in Authors: , , , , , , , , , , , , , and , View More View Less 1 Department of Internal (...) Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumours Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumors in: European Journal of Endocrinology Volume 175 Issue 2 Year 2016 This site uses cookies, tags, and tracking settings to store information

2016 European Society of Endocrinology

155. How should you choose a medical specialty?

How should you choose a medical specialty? How should you choose a medical specialty? How should you choose a medical specialty? | | January 17, 2017 101 Shares Many people know that an important part of medical school is choosing a specialty — the field of medicine that you plan to practice for the rest of your career. However, fewer people know just how many different factors weigh on this decision. As my classmates and I navigate through third year, I thought I would share several (...) is the best part of the day. These students may find themselves interested in surgery, interventional radiology, dermatology or even cardiology. Research and academic opportunities: Research and education are possible in any specialty, but certain fields, such as oncology and immunology, have burgeoning research opportunities with massive amounts of funding available and the possibility of much academic prestige. At Stanford, where many of us plan to enter academic medicine, and the opportunities

2017 KevinMD blog

156. Medical specialties should create a list of legitimate journals

is not the way forward. It would be a difficult, time-consuming task. It would becoming increasingly difficult to maintain with the exponential growth of predatory publishers. It would be worse than trying to keep ahead of increasing antibiotic resistance in bacteria. There is also going to be a risk associated with being unpopular with big business enterprises that are not known for ethical or moral behavior. The best way forward is to create a list of the good journals. These should be specialty specific (...) Medical specialties should create a list of legitimate journals Medical specialties should create a list of legitimate journals Medical specialties should create a list of legitimate journals | | April 1, 2017 68 Shares There would be few of us who have not received an email praising our contributions to our chosen medical specialty and with an invitation to either submit a manuscript or to join the editorial board for a new open access on line journal. If you are an academic, expect to receive

2017 KevinMD blog

157. Clinical Practice Guidelines on Falls Prevention among Older Adults living in the Community

evidence from studies rated as 1++ or 1+ C A body of evidence including studies rated as 2+, directly applicable to the target population and demonstrating overall consistency of results; or Extrapolated evidence from studies rated as 2++ D Evidence level 3 or 4; or Extrapolated evidence from studies rated as 2+ GPP (good practice points) Recommended best practice based on the clinical experience of the guideline development group. Levels of evidence Levels of evidence and grades (...) of medical care. Standards of medical care are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge advances and patterns of care evolve. The contents of this publication are guidelines to clinical practice, based on the best available evidence at the time of development. Adherence to these guidelines may not ensure a successful outcome in every case. These guidelines should neither be construed as including all proper methods

2015 Ministry of Health, Singapore

158. Clinical Practice Guideline on the Treatment of Pediatric Diaphyseal Femur Fractures

AND RATIONALE The purpose of this clinical practice guideline is to help improve treatment based on the current best evidence. Current evidence-based practice (EBP) standards demand that physicians use the best available evidence in their clinical decision making. To assist in this decision making, this clinical practice guideline consists of a systematic review of the available literature on the treatment of isolated diaphyseal femur fractures in children. The systematic review detailed herein includes (...) Clinical Practice Guideline on the Treatment of Pediatric Diaphyseal Femur Fractures TREATMENT OF PEDIATRIC DIAPHYSEAL FEMUR FRACTURES EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE Adopted by the American Academy of Orthopaedic Surgeons Board of Directors June 12, 2015 AAOS v 1.0 061909 2015 REPORT FOR THE REISSUE OF THE 2009 CLINICAL PRACTICE GUIDELINE ON THE TREATMENT OF PEDIATRIC DIAPHYSEAL FEMUR FRACTURES “This guideline is greater than 5 years old and is reviewed every five years. New studies

2015 American Academy of Orthopaedic Surgeons

159. Getting evidence into nursing practice: replacing the routine

contributers to the chat, sharing over 400 tweets, the majority nurses from different specialties and nursing students. It was great that we were also joined by a radiographer, giving us a view from another area of practice, and by Professors of Nursing Claire Rickard and Joan Webster, authors of the Cochrane review. Most were in the UK but we had contributions from Australia too, where Joan is Nursing Director for Research in at the Royal Brisbane and Women’s Hospital and Claire leads the . The word cloud (...) flow rates and that that they have to be mindful of IV contrast extravasation. Her practice is to flush with saline after the exam and check with the ward if the cannula can be left in. “As a cannulating radiographer it is a priority that I work with my nursing colleagues to ensure best practice”. In paediatrics, re-siting when clinically indicated seems to be the norm and the idea of doing unnecessary procedures rightly regarded as unacceptable. As Claire asked, “why is that seen as safe

2015 Evidently Cochrane

160. Standards of practice of computed tomography coronary angiography (CTCA) in adult patients

Standards of practice of computed tomography coronary angiography (CTCA) in adult patients www.rcr.ac.uk Standards of practice of computed tomography coronary angiography (CTCA) in adult patients2 www.rcr.ac.uk Standards of practice of computed tomography coronary angiography (CTCA) in adult patients Contents Foreword 3 1. Recommended standards 4 2. Introduction 5 3. Patient information prior to CTCA 6 4. Important patient-specific information 6 before the scan 5. Safe drug administration (...) prior to CTCA Appendix 5. Treatment of adverse events 23 after heart rate-lowering medication Appendix 6. Monitoring checklist for 24 adult patients receiving beta-blockers for lowering heart rate +/- sublingual GTN for CTCA Appendix 7. Auditing patient radiation 25 doses in CTCA Standards of practice of computed tomography coronary angiography (CTCA) in adult patients 3 www.rcr.ac.uk Standards of practice of computed tomography coronary angiography (CTCA) in adult patients Foreword Together

2014 Royal College of Radiologists

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