How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,893 results for

Bone Age Film

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

161. HIVA/BASHH guidelines on the use of HIV pre-exposure prophylaxis (PrEP)

(PEPSE) 65 6.4.2 HIV testing 65 6.4.3 Acute HIV infection 65 6.4.4 Assessment of renal function 65 6.4.5 STI screen 66 6.4.6. Assessment of viral hepatitis status 66 6.4.7 References 68 6.5 Other considerations 70 6.5.1 Women who are pregnant or trying to conceive 70 6.5.2 Bone health 70 6.5.3 References 70 6.6 Prescribing PrEP 71 6.6.1 What to use 71 6.6.2 Lead-in period 71 6.6.3 Frequency of dosing to attain benefit 71 6.6.4 On-demand dosing 71 6.6.5 Indications for post-exposure prophylaxis (...) following suboptimal adherence to PrEP 72 6.6.5 References 73 BHIVA/BASHH guidelines on the use of PrEP 4 7 Clinical follow-up and monitoring on treatment 75 7.1 Overview 75 7.2 Continued prescribing 75 7.3 Assessing adherence and adverse events 75 7.4 Management of short-term side effects 75 7.5 Monitoring on PrEP 77 7.5.1 HIV testing 77 7.5.2 Management of HIV seroconversion 77 7.5.3 STI screening 78 7.5.4 Viral hepatitis 78 7.5.5 Renal monitoring 78 7.5.6 Pregnancy testing 79 7.5.7 Bone monitoring 79

2018 British HIV Association

162. Oral health: local authorities and partners

representative to lead on, and act as an advocate for, oral health representatives from relevant community groups. Recommendation 2 Carry out an oral health needs assessment The group responsible for the oral health needs assessment and strategy (see recommendation 1) should: Define the scope of an oral health needs assessment for the local population. This should include: What the assessment will and will not cover, for example, access to services for groups at high risk of poor oral health, certain age (...) disease and how fluoride can help prevent it promoting the use of fluoride toothpaste as soon as teeth come through (see Delivering better oral health for appropriate concentrations) encouraging people to regularly visit the dentist from when a child gets their first tooth giving a practical demonstration of how to achieve and maintain good oral hygiene and encouraging tooth brushing from an early age advising on alternatives to sugary foods, drinks and snacks as pacifiers and treats using sugar-free

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

163. CRACKCast E052 – Orthopedics – Humerus and Elbow

of the humerus AND the growth plate of the capitellum This angle should be 75 degrees in both elbows This can be used to assess the accuracy of a reduction Centres of ossification: CRITOE Trochlea is medial May be helpful to get films of the other side 1-3-5-7-9-11 – for the AGE of appearance 2) Classify Supracondylar fractures in children “A fracture of the distal humerus, proximal to the epicondyles” Occurs in the 5-10 yr olds, rarely occurs > 15 yrs, this is ⅓ of ALL pediatric limb #s Why? The collateral (...) CRACKCast E052 – Orthopedics – Humerus and Elbow CRACKCast E052 - Orthopedics - Humerus and Elbow - CanadiEM CRACKCast E052 – Orthopedics – Humerus and Elbow In , , by Adam Thomas December 5, 2016 This episode of CRACKCast covers Rosen’s Chapter 52, Humerus and Elbow injuries. These injuries can be seen in patients of all ages, so this is a high yield chapter that may help you on your very next shift! PDF – Rosen’s in Perspective The elbow allows for pronation, supination, flexion, extension

2016 CandiEM

164. CRACKCast E051 – Wrist and Forearm Injuries

is the wrist? Distal radius/ulna → CMC junctions 8 carpal bones in two rows of four Bones: SLTPTTCH The Radius has three articular surfaces: Radiocarpal joint Distal radial ulnar joint (DRUJ) Triangular fibrocartilage complex (TFCC). Only the radius actually interfaces with the carpi – scaphoid and lunate The ulna is separated from the carpals by the TFCC This binds the radius, ulna, lunate, and triquetrum together The DRUJ is a “synovial pivot” where the distal radius articulates and rotates on the fixed (...) ulna. This movement is stabilized by the TFCC All the carpals (except pisiform which is embedded in FCU) are contained in a synovial capsule. Their movement is passive based on what the metacarpals, radius and ulna do Wrist ligaments: Intrinsic ligaments – connect the carpal bones Eg. scapholunate & lunotriquetral ligaments Extrinsic ligaments – link the carpal bones to the distal radius, ulna, and metacarpals Eg. the volar proximal and distal arcades Eg. the dorsal extrinsics Vascular supply

2016 CandiEM

165. Treatment of HIV-1-positive adults with antiretroviral therapy (interim update)

, ART and sexual and reproductive health specifically for perinatally acquired HIV 139 8.9.2 UK Epidemiology for YAA with PaHIV 139 8.9.3 Transition Process for YAA with PaHIV 139 8.9.4 UK Epidemiology for YAA with BaHIV 139 8.9.5 Neurocognitive impact of HIV in YAA 140 8.9.6 Antiretroviral therapy 140 References 140 8.10 Bone disease and antiretroviral therapy 143 8.10.1 Introduction 143 8.10.2 When to start antiretroviral therapy 143 8.10.3 What to start 143 8.10.4 Switching treatment 144 8.11 (...) a suppressed viral load [5]. A UK analysis of individuals commencing ART between 2000 and 2010 demonstrates that the expected age at death for HIV-positive men from ART start was 68, 73 and 77 years at exact ages 20, 35 and 50 years, respectively, compared with 77, 78 and 79 years in the general population [6]. The corresponding expected age at death for HIV-positive women was 69, 74 and 78 years, compared with 81, 82 and 83 years in the general population. The same study shows that life expectancy in men

2017 British HIV Association

166. CRACKCast E047 – Genitourinary Trauma

urethrography is NOT recommended in the ER Speak with your urologist if you are concerned Digital Rectal Exam (DRE) “A palpably abnormal (high riding) prostate is an insensitive indicator of urethral injury” A DRE still may be worthwhile in the tertiary survey to look for sphincter tone integrity, bones, gross blood, etc. 1) List 6 general indicators of genitourinary trauma? Flank / abdominal / rib / back / pelvic / scrotal pain Worry in cases of pelvic #’s Anyone with pelvic/suprapubic tenderness Urinary (...) no damage with careful blind insertion Foley catheter insertion attempts” What is the mechanism of a posterior urethral injury? Pelvic fractures involving the ischiopubic rami Straddle # Malgaigne # 5) Describe the technique for a retrograde urethrogram? This is not an emergency procedure Steps to a retrograde urethrogram: Prepare, position supine Shoot a pre-injection KUB film Use a 60 mL syringe (+/- Christmas tree adapter) and snugly fit it into the urethral meatus (index and thumb) Inject 60 mL

2016 CandiEM

167. Ultrasound Guidelines: Emergency, Point-of-care, and Clinical Ultrasound Guidelines in Medicine

the setting constraints. Incidental findings should be communicated to the patient or follow-up provider. Discharge instructions should reflect any specific issues regarding US findings in the context of the ED diagnosis. Hard copy (paper, film, video) or digital US images are typically saved within the ED or hospital archival systems. Digital archival with corresponding documentation is optimal and recommended. 76 Finally, documentation of emergency US procedures should result in appropriate

2016 American College of Emergency Physicians

168. CRACKCast E044 – Neck Trauma

: produce a large blast effect Can produce a cavitation effect (if >1100 ft/s) Cavitation: an immediate release of kinetic energy as the bullet enters the tissue- creating extensive soft tissue damage. Low velocity: handguns and air rifles: Bone penetration occurs at 300 ft/s These produce erratic pathways : with no direct relationship between entrance and exit wounds stab wounds, impalement, shrapnel Low energy injuries produce much less severe mechanisms of injury Many of these do not need surgical (...) to cricothyrotomy: Large anterior neck hematoma Potential laryngeal injury Jet ventilation is a rescue option, with some serious downsides as well MISC techniques Fibreoptic laryngoscopy & Bronchoscopy These can be difficult with +++bleeding Rescue techniques exist with: LMA or King tube Pediatric considerations Higher, more anterior, with the narrowest portion at the cricoid cartilage make airway management more difficult Cricothyrotomy is contraindicated < 10 yrs of age Trans-tracheal ventilation can

2016 CandiEM

169. CRACKCast E043 – Spinal Injuries

is this high, get the CT. Leave these other views to delayed imaging for specialist use STEP TWO: ABC’s of lateral C/S films Alignment – 3 lines of the c/s. Anterior, posterior margins of vertebral bodies and spinolaminal line. Any disruption in these lines suggests a fracture Note exception is pseudo subluxation c2/c3 in young children secondary to hypermobile spine. Line of swischuk : line is drawn from anterior aspect of posterior arch of C1 to anterior aspect of posterior arch of C3. If distance (...) Hyperflexion or protrusion of bone/disk into canal or loss of anterior spinal canal (paresthesias and hyperalgesia with preservation of posterior column (position, touch, vibratory). Fast NS consult warranted for possible surgical fixes, as recovery is mostly within first 24 hours. Brown-Sequard Hemisection (lateral) of spinal cord. Often from penetrating trauma, but also masses. Results in ipsilateral loss of position, vibration and motor. Contralateral loss of pain and temperature. Pain and temperature

2016 CandiEM

170. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient

be insufficient to achieve the usual endpoints desired for EN therapy in high-risk patients. Studies suggest that > 50–65% of goal energy may be required to prevent increases in intestinal permeability and systemic infection in burn and bone-marrow transplant patients, to promote faster return of cognitive function in head injury patients, and to reduce mortality in high-risk hospitalized patients ( , , , ). In a prospective nonrandomized study, Jie showed that high-risk surgery patients (NRS-2002 ≥ 5) who

Full Text available with Trip Pro

2016 Society of Critical Care Medicine

171. The Management of Diabetic Foot

control, periodic foot inspection, and patient and family education. We recommend using custom therapeutic footwear in high-risk diabetic patients, including those with significant neuropathy, foot deformities, or previous amputation. In patients with plantar diabetic foot ulcer (DFU), we recommend off-loading with a total contact cast or irremovable fixed ankle walking boot. In patients with a new DFU, we recommend probe to bone test and plain films to be followed by magnetic resonance imaging (...) uncertain, we recommend using magnetic resonance imaging (MRI) as the study of choice. MRI is a valuable tool for diagnosis of osteomyelitis if the PTB test is inconclusive of if the plain film is not useful (Grade 1B). Recommendation 4: In patients with suspected DFO for whom MRI is contraindicated or unavailable, we suggest a leukocyte or antigranulocyte scan, preferably combined with a bone scan as the best alternative (Grade 2B). Recommendation 5: In patients at high risk for DFO, we recommend

2016 Society for Vascular Surgery

172. Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae

Varies Tc-99m bone scan whole body with SPECT area of interest 1 ??? US area of interest 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 2: Suspected stress (fatigue) fracture, hip. Negative radiographs. Next imaging study. Radiologic Procedure Rating Comments RRL* MRI hip without IV contrast 9 O Tc-99m bone scan whole body with SPECT hip 6 Timing of the study after injury and age of the patient are important (...) . Varies Tc-99m bone scan whole body with SPECT area of interest 5 Timing of the study after injury and age of the patient are important considerations. ??? MRI area of interest without and with IV contrast 1 O CT area of interest with IV contrast 1 Varies CT area of interest without and with IV contrast 1 Varies US area of interest 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level Variant 4: Suspected stress (fatigue

2016 American College of Radiology

173. Dolutegravir/rilpivirine (Juluca) for the treatment of human immunodeficiency virus type 1 (HIV-1)

inhibitor), age group (over or under 50 years), and planned participation in a bone mineral density sub-study 11 . Dolutegravir/rilpivirine (Juluca ® ). Reference number 2850. Page 5 of 14 This assessment report will be considered for review three years from the date of the Final Appraisal Recommendation. Patients were assessed at screening, day 1, weeks 4, 8, 12, 24, 36, 48 and week 52 (current antiretroviral therapy only) or withdrawal 11 . At week 52, patients assigned to current antiretroviral (...) Dolutegravir/rilpivirine (Juluca) for the treatment of human immunodeficiency virus type 1 (HIV-1) AWMSG SECRETARIAT ASSESSMENT REPORT Dolutegravir/rilpivirine (Juluca ® ) 50 mg/25 mg film-coated tablet Reference number: 2850 FULL SUBMISSION This report has been prepared by the All Wales Therapeutics & Toxicology Centre (AWTTC). Please direct any queries to AWTTC: All Wales Therapeutics & Toxicology Centre (AWTTC) University Hospital Llandough Penlan Road Llandough Vale of Glamorgan CF64 2XX

2019 All Wales Medicines Strategy Group

174. Investigation and management of eosinophilia

for tropical travel; travel even in the remote past may be relevant. o a detailed drug history. ? All patients should have a full blood count, blood film examination and routine tests of renal and liver function, a bone profile, lactate dehydrogenase, erythrocyte sedimentation rate and/or C-reactive protein and vitamin B12 assay (Grade 1C) ? Patients who are otherwise well with mild to moderate eosinophilia between 0.5 and 1.5 × 10 9 /l may not require further testing. Patients with systemic symptoms (...) medical history should be taken and a thorough physical examination should be performed (Grade 1C). The history should include: o assessment for allergic disorders, skin rashes and cardiorespiratory, gastrointestinal and constitutional symptoms. o a detailed travel history, particularly for tropical travel; travel even in the remote past may be relevant. o a detailed drug history. ? All patients should have a full blood count, blood film examination and routine tests of renal and liver function

2016 British Committee for Standards in Haematology

175. The diagnosis and management of primary autoimmune haemolytic anaemia

for haemosiderin Detection of underlying disorders (investigation of AIHA) Serum Igs and electrophoresis with immunofixation* HIV, HBV, HCV Anti-dsDNA, ANA CT chest, abdomen and pelvis Additional investigation in selected patients with AIHA Bone marrow examination: CHAD, age =60, features in history, examination, FBC or film suggesting possible marrow infiltration U&E, LFT, clotting, BP, urine dipstick: If pregnant or thrombocytopenic, to exclude DIC or pregnancy-associated TMA Infection screening: Dependent (...) and applicability in the UK setting. BACKGROUND AIHA is a decompensated acquired haemolysis caused by the host’s immune system acting against its own red cell antigens. The incidence is approximately 1 per 100,000/ year (Klein et al, 2010;Pirofsky, 1975). It can occur at any age but incidence rises with increasing age. Serologically, cases are divided into warm type (65%), cold type (29% cold haemagglutinin disease, 1% paroxysmal cold haemoglobinuria) or mixed AIHA (5%). Approximately half are primary

2016 British Committee for Standards in Haematology

176. Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition

recommendations that apply to the decisions and best practices of interprofessional teams working to assess and manage existing pressure injuries in people 18 years of age and above. Where literature was limited, the expert panel used AGREE II quality-appraised pressure ulcer/injury guidelines, selected wound-bed preparation papers, and deliberative consensus to inform the recommendations. Although some of the evidence related to pressure injury prevention may apply to the management of people with existing (...) indicated. A reference list and appendices (including a glossary of terms, a description of how this Guideline was developed, and details of our literature search) follow the main Guideline. See Appendix A for a glossary of terms. See Appendices B and C for the guideline development process and the process for the systematic review and search strategy. Th e remaining appendices include resources related to the assessment and management of existing pressure injuries in people 18 years of age and above.10

2016 Registered Nurses' Association of Ontario

177. Management of the Palatally Ectopic Canine

Popat Specialist Orthodontist/Clinical Tutor Faculty of Medicine, Dentistry and Health Sciences Melbourne Dental Clinic University of Melbourne 723 Swanston St Carlton VIC 3010 Australia vii Management of the Palatally Ectopic Canine 2016 ALGORITHM FOR MANAGEMENT OF THE ECTOPIC CANINE Canine bulge seen or palpable buccally? 8-10 year old patient. Check for canines Interceptive treatment (age 10-13 years) Yes No No Yes Radiographic investigations in patients 10 years old and above Definitive (...) orthodontic treatment if required Monitor eruption for 1-1.5 years (age <13 years) Monitor eruption for 12 months Missing or Pathology or Canine present/ *Favorable Position Yes No Tooth Erupt No Yes Refer for specialist consultation and management Note: *Refer to section 3.2. If in doubt, please consult an orthodontist Tooth Erupt 1 Management of the Palatally Ectopic Canine 2016 1. INTRODUCTION The maxillary canine plays a vital role in the functional aspect of the occlusion. It has a long root and good

2016 Ministry of Health, Malaysia

178. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient

be sufficient to prevent mucosal atrophy and maintain gut integrity in low‐ to moderate‐risk patients but may be insufficient to achieve the usual end points desired for EN therapy in high‐risk patients. Studies suggest that >50%–65% of goal energy may be required to prevent increases in intestinal permeability and systemic infection in burn and bone marrow transplant patients, to promote faster return of cognitive function in head injury patients, and to reduce mortality in high‐risk hospitalized patients

2016 American Society for Parenteral and Enteral Nutrition

179. Acne clinical guideline

updated and reviewed throughout guideline development. If a potential conflict was noted, the work group member recused him or herself from discussion and drafting of recommendations pertinent to the topic area of the disclosed interest. Table I Clinical questions used to structure the evidence review What systems are most commonly used for the grading and classification of adult acne and acne vulgaris in adolescents (11-21 years of age) to adults? What is the role of microbiologic and endocrine (...) . Approximately 50 million people in the United States have AV. x 5 White, G.M. Recent findings in the epidemiologic evidence, classification, and subtypes of acne vulgaris. J Am Acad Dermatol . 1998 ; 39 : S34–S37 | | | | Acne affects approximately 85% of teenagers, but can occur in most age groups x 6 Bhate, K. and Williams, H.C. Epidemiology of acne vulgaris. Br J Dermatol . 2013 ; 168 : 474–485 | | | and can persist into adulthood. The prevalence of acne in adult women is about 12%. x 7 Goulden, V

2016 American Academy of Dermatology

180. Management of adults with diabetes undergoing surgery

17,18 . Since most post- operative deaths occur in the high-risk population, better identification and management of these patients might lead to substantial improvements in outcome. Particular care should be paid to assessment of patients with diabetes to identify those at high risk of peri-operative complications. Excess costs In 2009-10, it was estimated that just over 85,500 people with diabetes were denied day case surgery, with most of these being in the over 65 age group 5 . This same author

2016 Association of British Clinical Diabetologists

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>