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Child Safety Seat

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181. 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)

182. 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

183. Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder

movement desensitization and reprocessing (EMDR), and narrative exposure therapy (NET). There is insufficient evidence to recommend for or against offering Seeking Safety (SS) or relaxation (RLX). For medications, the panel suggests offering the following (in alphabetical order): fluoxetine, paroxetine, sertraline, and venlafaxine. There is insufficient evidence to recommend for or against offering risperidone and topiramate. Based on the updated search, the panel concluded that all of its treatment (...) behavioral therapy (CBT) 2 , cognitive processing therapy (CPT), cognitive therapy (CT), and prolonged exposure therapy (PE). The panel suggests the use of brief eclectic psychotherapy (BEP), eye movement desensitization and reprocessing (EMDR), and narrative exposure therapy (NET). There is insufficient evidence to recommend for or against offering Seeking Safety (SS) or relaxation (RLX). For medications, the panel suggests offering the following (in alphabetical order): fluoxetine, paroxetine

2017 American Psychological Association

184. 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

185. Trauma Prevention

on breed suitability, dog obedience training, dog socialisation programs, awareness and respect for public safety and safety programs particularly relating to dog and child interactions Approved by: Director, Fellowship and Standards Version: 2 Approval date: April 2017 Document owner: Manager, Fellowship Services Review date: April 2020 Reference number: FES-FEL-047 • Dog management programs, such as those which restrict the number of dogs per household, • Requirement for registration (...) represented a public health issue which needed urgent attention. The College Trauma Committee is based on a tradition of research, the application of fact to a defined problem, inter-disciplinary organisation, and an integrated cooperative approach with other organisations and the community to achieve successful outcomes in reducing the tragic effects from injury. The College has been influential with policy makers and legislators and was a major contributor in the 1960s and 70s towards mandatory seat

2017 ASERNIP-S

186. 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

187. A literature review on community and institutional preparedness synergies

to travel for community meetings or being unable to attend due to lack of childcare [7]. Another example of when existing practices leave out certain community members is if existing health and safety preparedness procedures only relate specifically to those directly in the vicinity, such as workers, and not the wider public, such as community members living near a potentially dangerous hazard- such as a power plant. This may put the safety of many in jeopardy [49]. Enablers Local collective practices (...) officials together responded to the community needs and the level of crime decreased [7]. EXAMPLE: In Horlivka, Ukraine, during the overhaul of a plant, there was damage to a liquid ammonia pipe and ammonia gas escaped, hospitalising 22 and killing five. Had the existing health and safety practices been shared among a greater number of people, particularly within the public domain, lives may have been saved and injuries prevented [49]. ] A literature review on community and institutional emergency

2017 European Centre for Disease Prevention and Control - Literature Reviews

188. 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

189. 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

190. 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

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2017 Infectious Diseases Society of America

191. 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

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2017 Congress of Neurological Surgeons

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

, Sexuality, Suicide and Depression, Safety/Violence and Abuse) questionnaire is a guide for psychosocial interview for adolescents and is included in the supplementary resource pages for easy reference. Poverty In Canada, nearly one child in seven lives in poverty. The condition of low-income is more prevalent in families who are immigrant, racialized, Aboriginal, headed by a lone female parent, or raising a disabled child. Poverty has significant health effects on children and youth. Low socio-economic (...) Society, Parachute, and Canada Safety Council websites. - Helmet safety There is good evidence to support the use of bicycle helmets, with studies showing an overall decrease in the risk of head and brain injury of 65% to 88%. - Legislative interventions are also clearly effective in reducing head injuries, but only 8 of 13 Canadian provinces or territories have enacted bicycle helmet legislation. - Vehicle safety There is good evidence to support the use of booster seats for children between the ages

2016 Canadian Paediatric Society

194. 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

195. Violence and aggression: short-term management in mental health, health and community settings

and behaviours of surrounding staff and service users, the physical setting and any restrictions that limit the service user's freedom. The impact of violence and aggression is significant and diverse, adversely affecting the health and safety of the service user, other service users in the vicinity, carers and staff. Violence and aggression can also affect public opinion about services and service users and result in a strong negative impact on the overall experience of care. Although the guideline contains (...) , acceptability and safety of drugs and their dosages for rapid tranquillisation. The previous guideline was restricted to people aged 16 and over in adult psychiatric settings and emergency departments; this update has been expanded to include some of the previously excluded populations and settings. All areas of NICE guideline CG25 have been updated and this guideline replaces it in full. This guideline covers the short-term management of violence and physically threatening behaviour in mental health

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

196. Diabetic foot problems: prevention and management

for a comprehensive guideline on foot care for people with diabetes that addresses all NHS settings. Safeguarding children Remember that child maltreatment: is common can present anywhere may co-exist with other health problems, including diabetes. See the NICE guideline on child maltreatment for clinical features that may be associated with maltreatment. Medicines The guideline will assume that prescribers will use a medicine's summary of product characteristics to inform decisions made with individual patients (...) in the NHS Constitution for England – all NICE guidance is written to reflect these. Treatment and care should take into account individual needs and preferences. Patients should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals. If the patient is under 16, their family or carers should also be given information and support to help the child or young person to make decisions about their treatment. If it is clear

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

197. Automobile safety

to be seated in an adequate child safety seat. Moreover, it is not allowed for children below the age of 3 to ride in a passenger vehicle without "security system" (which in practice means the vehicle is not equipped with any seat belts or technical systems like ), whereas children between 3 and 14 years have to ride in the back seat. specify that a child or an adult shorter than 140 cm is legally forbidden to ride in a place with an active airbag in front of it. [ ] The majority of medical professionals (...) been put forward but never made it to a production car. Such items include the driver seat in the middle (to give the person a better view) (the exception being the super car), rear-facing seats (except for infant car seats), and control stick steering. [ ] History [ ] 18th century–19th century [ ] Automotive safety may have become an issue almost from the beginning of mechanised road vehicle development. The second steam-powered "Fardier" (artillery tractor), created by in 1771, is reported

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2012 Wikipedia

199. 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

200. Obesity: identification, assessment and management

, these interventions are not clearly defined, and there are concerns about safety, adherence and the sustainability of weight loss. NHS England and Public Health England published a working group report on Joined up clinical pathways for obesity in March 2014. Comments from national and local stakeholder organisations were invited, mainly concerning implementation at a local level and implications for delivery. Obesity surgery (also known as bariatric surgery) includes gastric banding, gastric bypass, sleeve (...) that diabetes- related morbidity and mortality is significantly lower after bariatric surgery and that the improvement in diabetes control is long-lasting. NICE's clinical guideline on obesity was reviewed in 2011, leading to this update. This guideline addresses three main areas: follow-up care packages after bariatric surgery; the role of bariatric surgery in the management of recent-onset type 2 diabetes; and very-low-calorie diets including their effectiveness, and safety and effective management

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

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