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Child Safety Seat

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181. Pediatric Home Mechanical Ventilation

Medicine, University Malaya Medical Centre, Kuala Lumpur, Malaysia; n Department of Medicine and Dentistry, University of Alberta, Edmonton, Canada; o Department of Bioethics, The Hospital for Sick Children, Toronto, Canada; p Centre for Innovation and Excellence in Child & Family Centred-Care, The Hospital for Sick Children, Toronto, Canada ABSTRACT Over the last 30 to 40 years, improvements in technology, as well as changing clinical practice regarding the appropriateness of long-term ventilation (...) unable to give consent,theprocessoftransitiontohomeandtoadultcenters,andtheimpact,both?nancial,aswellassocial, that this may have on the child’s families and caregivers. The guidelines have been extensively reviewed by international experts,allied health professionals and target audiences. They will be updated on a regular basis toincorporateanynewinformation. KEYWORDS Airway clearance strategies; central hypoventilation syndrome; chronic obstructive pulmonary diseases; Duchenne muscular dystrophy

2017 Canadian Thoracic Society

182. Required hospital capacity in 2025 and criteria for rationalisation of complex cancer surgery, radiotherapy and maternity services

External Beam Radiotherapy EC Endoscopic ED Emergency Department ENT Ear, Nose, and Throat ERCP Endoscopic Retrograde Cholangiopancreatography ERNs European Reference Networks ESRG Extended Service Related Groups ET Endocrine Tumour EU European Union EUS Endoscopic ultrasound FANC – ACFN Federaal Agentschap voor Nucleaire Contrôle/Agence Fédérale de Contrôle Nucléaire/ FDP-PET Fluorodeoxyglucose - Positron Emission Tomography FOD – SPF Federal Public Service Health, Food Chain Safety and Environment

2017 Belgian Health Care Knowledge Centre

183. Governance models for hospital collaborations

. First, a clear demarcation of the governance structures has shown to contribute to a more transparent decision-making process. Evidence shows that operational decisions must be taken by management, while the hospital board must be entrusted with all tasks of a supervisory nature. 30 Secondly, health policy debates recognise the important role of hospital boards in overseeing patient quality and safety, and a growing body of empirical research has sought to elucidate that role. 31 The composition (...) , accreditation and stakeholder consultations are becoming more important. 5 As a consequence, the concept of ‘clinical governance‘ is gaining importance in healthcare literature. 34 Clinical governance, however, is not focused on the governance of the organisation, it aims to improve the quality and safety checks in healthcare. It was initially established as a framework through which National Health Services (NHS) organisations are accountable for continually improving the quality of their services

2017 Belgian Health Care Knowledge Centre

184. Community engagement report: the M74 study

is usually controversial, and likely to have some impact on neighbourhoods along the route. Community concerns about noise and air pollution, health, road safety and accessibility are typically raised. These impacts have implications for environmental justice if the motorway is to the detriment of deprived communities while advantaging others from outside the community. In the M74 study the main elements of community engagement were: • An initial scoping of community issues and perceptions, to inform (...) with cars described driving on the motorway frequently. However, another resident felt that the motorway had helped to increase local investment in the Gorbals because it was now an accessible area encircled by roads – whereas Govanhill, on the outside, was languishing. One attendee mentioned that their child had suffered from asthma and other respiratory complaints after the motorway opened (they lived very near), and described the air as smoggy and stuffy: “it’s in their lungs, it’s in their hair

2017 Glasgow Centre for Population Health

185. Occupational Therapy for people Undergoing total hip replacement

provided with equipment to assist them in daily activities. The most common item prescribed by occupational therapists for service users receiving a primary total hip replacement is a raised toilet seat, with the other most frequently prescribed items being chair and bed raisers, perching stools, long-handled reachers and dressing aids (Drummond et al 2012). The service user also has an opportunity to discuss issues relating to support which may be needed on discharge. This can identify if a care

2018 British Association of Occupational Therapists

187. Protective Stabilization for Pediatric Dental Patients

):5-7.270 RECOMMENDATIONS: BEST PRACTICES REFERENCE MANUAL V 40 / NO 6 18 / 19 should have been with their child when he/she was placed on a rigid stabilization board to increase the child’s security and/ or comfort. 26 In addition, 90 percent recognized that immo- bilization protected the children from harm. 26 The dentist should consider allowing parental presence in the operatory or direct visual observation of the patient during use of protective stabilization unless the health and safety (...) approach that is individualized for each patient in the context of promoting a positive dental attitude for the patient, while ensuring the highest standards of safety and quality of care. Methods Recommendations on protective stabilization were developed by the Council on Clinical Affairs and adopted in 2013. This document is a revision of the previous version and is based on a review of the current dental and medical literature re- lated to the use of protective stabilization devices and restraint

2017 American Academy of Pediatric Dentistry

188. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope

. VVS: 1) may occur with upright posture (standing or seated or with exposure to emotional stress, pain, or medical settings; 2) typically is characterized by diaphoresis, warmth, nausea, and pallor; 3) is associated with vasodepressor hypotension and/or inappropriate bradycardia; and 4) is often followed by fatigue. Typical features may be absent in older patients. VVS is often preceded by identifiable triggers and/or by a characteristic prodrome. The diagnosis is made primarily on the basis

2017 American Heart Association

189. Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis

are at the incision site; in one series, 3 of 49 patients developed meningitis in concert with an incisional infection, while 4 others had meningitis alone [ ]. Another retrospective study identified infectious complications in 38 (18.4%) of 207 children with intrathecal infusion pumps delivering baclofen therapy [ ]. Of these 38 patients, 25 had suspected or superficial infections and 13 had deep-seated infections, with 2 patients diagnosed with meningitis. In many reports, it is not possible to distinguish

2017 Infectious Diseases Society of America

190. 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society

by the vasovagal reflex. VVS: 1) may occur with upright posture (standing or seated or with exposure to emotional stress, pain, or medical settings; 2) typically is characterized by diaphoresis, warmth, nausea, and pallor; 3) is associated with vasodepressor hypotension and/or inappropriate bradycardia; and 4) is often followed by fatigue. Typical features may be absent in older patients. VVS is often preceded by identifiable triggers and/or by a characteristic prodrome. The diagnosis is made primarily

2017 American Heart Association

191. Spasticity in adults: management using botulinum toxin - 2nd edition

, timed SPC summary of product characteristics SPIN Scale of Pain Intensity TBI traumatic brain injury U units UL upper limb V AS Visual Analogue Scale VRS Verbal Rating Scale WHO World Health Organization WTE whole-time equivalent © Royal College of Physicians 2018 xv1 The guidance development process BoNT has an established place in the pharmacological management of spasticity. There is now considerable experience of use, knowledge of its indications, effects and safety in clinical practice (...) for the individual, or to an affected limb by the patient using an unaffected limb. Table 2: Harmful effects of spasticity classified according to the WHO ICF ICF Level Problem Effect Impairment Muscle spasms Pain Difficulty with seating and posture Fatigue Abnormal trunk and limb posture Contractures Limb deformity Pressure ulcers/other tissue viability problems Pain Distress and low mood Poor sleep patterns Activity Loss of active function Reduced mobility and dexterity Difficulty with sexual intercourse

2018 British Society of Rehabilitation Medicine

193. Syncope: Guideline For Evaluation and Management of Patients With

dissection (35,36). Noncardiac syncope Syncope due to noncardiac causes, which include re?ex syncope, OH, volume depletion, dehydration, and blood loss (35). Re?ex (neurally mediated) syncope Syncope due to a re?ex that causes vasodilation, bradycardia, or both (24,30,31). n Vasovagal syncope (VVS) The most common form of re?ex syncope mediated by the vasovagal re?ex. VVS: 1) may occur with upright posture (standing or seated or with exposure to emotional stress, pain, or medical settings; 2) typically

2017 American College of Cardiology

194. Healthcare-associated Ventriculitis and Meningitis Guideline, 5th Edition

are at the incision site; in one series, 3 of 49 patients developed meningitis in concert with an incisional infection, while 4 others had meningitis alone [ ]. Another retrospective study identified infectious complications in 38 (18.4%) of 207 children with intrathecal infusion pumps delivering baclofen therapy [ ]. Of these 38 patients, 25 had suspected or superficial infections and 13 had deep-seated infections, with 2 patients diagnosed with meningitis. In many reports, it is not possible to distinguish

2017 Congress of Neurological Surgeons

195. Investment for health and well-being: a review of the social return on investment from public health policies to support implementing the Sustainable Development Goals by building on Health 2020

on investment (SROI) and hence benefit sustainable development: • address social, economic and environmental determinants of health through a proportionate universalism approach; • ensure gender equity, ensure women’s and girl’s rights and empowerment and address violence and abuse; • ensure the best start in life, leaving no child behind; • ensure early and youth education, health literacy and decent employment; • ensure healthy and active ageing; • reduce smoking, alcohol misuse, obesity, unhealthy diet (...) and emergency preparedness has become a priority in an increasingly globalized and interconnected world threatened by epidemics, climate change, natural and human-created disasters, violence and conflicts (3–5). Such investment is also critical to health equity, as vulnerable and marginalized people are often the major victims. The WHO European Region itself faces challenges of growing and ageing populations; youth unemployment and child poverty; persisting and widening social, gender and health inequality

2017 WHO Health Evidence Network

196. Community design factors and their influence on physical activity in the aging population: A Rapid Review

recreational facilities with age-appropriate activities, parks and services - are facilitators to walking and physical activity. 3. Safety from traffic and crime was identified as being important to older adults and influenced their physical activity levels. Infrastructure that improves perceptions of traffic safety includes zebra-crossings with adequate crossing times and shorter distances between crossings. 4. Aesthetically pleasing public realm such as attractive streetscapes and rest areas along (...) that impact mobility and physical activity behaviours in older adults include: presence, continuity and maintenance of pedestrian infrastructure; high density of intersections and street connectivity; proximity and easy access to exercise opportunities and daily destinations; and safety from traffic and crime. ? Access to public transit, sheltered rest areas and public washrooms, and aesthetically pleasing public realm may also impact older adults’ physical activity levels. ? Some negative associations

2017 Peel Health Library

197. Staff and Associate Specialist Grade Handbook (Third Edition)

These fall into four domains: 1. Knowledge, skills and performance 2. Safety and quality 3. Communication, partnership and team work 4. Maintaining trust Domains Each domain has areas of attributes, with generic standards that map to these attributes. The RCoA has produced specialty specific guidance to match these generic standards: Knowledge, skills and performance • Maintain your professional performance • Apply knowledge and experience to practice • Keep clear, accurate and legible records Safety (...) and quality • Put into effect systems to protect patients and improve care • Respond to risks to safety • Protect patients and colleagues from any risk posed by your health Communication, partnership and teamwork • Communicate effectively • Work constructively with colleagues and delegate effectively • Establish and maintain partnerships with patients Maintaining trust • Show respect for patients • Treat patients and colleagues fairly and without discrimination • Act with honesty and integrity Portfolio

2017 Association of Anaesthetists of GB and Ireland

199. Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review

of health care in the United States. The National Highway Traffic Safety Administration (NHTSA) requested and provided funding for this report. The reports and assessments provide organizations with comprehensive, evidence-based information on common medical conditions and new health care technologies and strategies. They also identify research gaps in the selected scientific area, identify methodological and scientific weaknesses, suggest research needs, and move the field forward through an unbiased (...) . David W. Niebuhr, M.D., M.P.H., M.Sc. Director Task Order Officer Evidence-based Practice Center Program Center for Evidence and Practice Improvement Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality Agency for Healthcare Research and Quality Cathy Gotschall, Sc.D. Senior Health Scientist National Highway Traffic Safety Administration U.S. Department of Transportation iii Acknowledgments The authors acknowledge Andrew Hamilton, M.L.S., M.S., for conducting

2017 Effective Health Care Program (AHRQ)

200. Public health interventions may offer society a return on investment of £14 for each £1 spent

(range 0.9 to 19.3, from 18 studies) for local interventions, versus a median return of 27.2 (range ‑21.3 to 221, from 17 studies) for national programmes. Legislative and health protection interventions gave the highest returns on investment. The median return for legislative interventions, such as sugar taxation and child booster seat policies, was 46.5 (range 38 to 55, from two studies), while for health protection programmes, such as vaccination programmes, needle and syringe programmes, and lead (...) interventions, such as sugar taxation and child booster seat policies, was 46.5 (range 38 to 55, from two studies), while for health protection programmes, such as vaccination programmes, needle and syringe programmes, and lead paint control, it was 34.2 (range 0.7 to 221, from eight studies). Health promotion, healthcare public health and wider determinants of health interventions gave small returns on investment. For health promotion interventions (e.g. anti-stigma campaigns and family planning services

2019 NIHR Dissemination Centre

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