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Child Safety Seat

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181. 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

182. 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

183. 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

184. 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

185. 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

186. 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

187. 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

188. 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

190. 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

191. 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

192. Health and early years, children and young people

, relationships and attachment 1.5 Support for parents 1.6 Vulnerable children and adverse childhood experiences 1.7 Children’s resilience 2. Learning environment 23 2.1 Early years settings 2.2 Nurturing approach in nurseries 2.3 Schools and social development 2.4 School food 2.5 School travel 2.6 Schools and family income 3. Neighbourhood environment 32 3.1 Neighbourhood social networks 3.2 Neighbourhood design, greenspaces and facilities 3.3 Neighbourhood safety and antisocial behaviour 3.4 Engaging (...) and empowering young people 4. Socioeconomic context 42 4.1 Understanding child poverty 4.2 Family income and gender 4.3 Low incomes and family life 4.4 Impacts of child poverty 4.5 Poverty and income inequalities - policy and practice implications 5. Summary and implications 54 Conclusion 57 References 58 2 34 5 The foundations for virtually every aspect of human development – physical, intellectual and emotional – are laid in early childhood 1 . What happens during these early years (starting in the womb

2016 Glasgow Centre for Population Health

193. Model for the organization and reimbursement of psychological and orthopedagogical care in Belgium

. In this context, the Ministerial Decree of 3 January 2002 a sets out the accreditation criteria for doctors specialising in psychiatry, particularly in adult psychiatry and the accreditation criteria for doctors specialising in psychiatry, particularly in child and adolescent psychiatry. Furthermore, there are still a certain number of doctors specialising in neuropsychiatry who have retained this title since they acquired it before the Ministerial Decree of 29 July 1987 b repealing this speciality, came (...) the a Ministerial Decree of 3 January 2002 defining the accreditation criteria for doctors specializing in psychiatry, particularly in adult psychiatry and for doctors specializing in psychiatry, particularly in child and adolescent psychiatry. b Ministerial Decree of 29 July 1987 defining the special accreditation criteria for specialist doctors, clinical supervisors and placement services for the specialties of neurology and psychiatry. implementation of this provision, the Federal Public Service Public

2016 Belgian Health Care Knowledge Centre

194. Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

taken full effect before administering addi- tional drugs. 237 Drugs that have a long duration of action (e.g., intramuscular pentobarbital, phenothiazines) have fallen out of favor because of unpredictable responses and prolonged recovery. The use of these drugs requires a longer period of observation even after the child achieves currently used recovery and discharge criteria. 62,238–241 This concept is particularly im- portant for infants and toddlers transported in car safety seats; re-sedation (...) verbal and/or writ- ten instructions to the responsible person. Information shall include objectives of the sedation and anticipated changes in behavior during and after sedation. 163,253–255 Special instructions shall be given to the adult responsible for infants and toddlers who will be transported home in a car safety seat regarding the need to carefully observe the child’s head position to avoid airway obstruction. Transportation in a car safety seat poses a particular risk for infants who have

2016 American Academy of Pediatric Dentistry

195. Perinatal and Infant Oral Health Care

. • injury prevention counseling to prevent orofacial trau- ma. Discussions should include play objects, pacifiers, car seats, and electric cords. 38 • counseling regarding teething. While many children have no apparent difficulties, teething can lead to inter- mittent localized areas of discomfort, irritability, and excessive salivation. Treatment of symptoms includes oral analgesics and chilled teething rings for the child. 58 Use of topical anesthetics, including over-the-counter teething gels (...) Perinatal and Infant Oral Health Care 216 RECOMMENDATIONS: BEST PRACTICES REFERENCE MANUAL V 40 / NO 6 18 / 19 Review Council Council on Clinical Affairs Latest Revision 2016 Purpose The American Academy of Pediatric Dentistry ( AAPD) recognizes that perinatal and infant oral health are the foun- dations upon which preventive education and dental care must be built to enhance the opportunity for a child to have a lifetime free from preventable oral disease. Recognizing that dentists, physicians

2016 American Academy of Pediatric Dentistry

196. The Impact of the Welfare Reform and Work Bill

(2009) The Spirit Level: Why more equal societies almost always do better. Penguin Books: England 10 ensuring that our social security safety net provides a sufficient level of support to meet people’s needs. It is clear, from the compelling evidence presented to the Inquiry, to submissions to the Public Bill committee and commentary elsewhere that there is a very real danger that our recent, progressive policies to eliminate the anachronism of child poverty will go into reverse. With no requirement (...) will not be able to afford to buy or replace high-quality safety equipment, e.g. smoke alarms, car seats, bike helmets, and that; ? Children are more likely to travel on foot (as parents are less likely to have a car) and less likely to be accompanied. 46 17. Asthma: Rates of childhood asthma are significantly higher in less affluent families. The main correlation is with the level of parental smoking which is strongly associated with socioeconomic status. 47 18. Obesity: Overweight and obese children

2016 Faculty of Public Health

197. 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

2018 NIHR Dissemination Centre

198. WHO recommendations on antenatal care for a positive pregnancy experience

-pregnancy-experience/ en/« T o achieve the Every Woman Every Child vision and the Global Strategy for Women's, Children's and Adolescents' Health, we need innovative, evidence-based approaches to antenatal care. I welcome these guidelines, which aim to put women at the centre of care, enhancing their experience of pregnancy and ensuring that babies have the best possible start in life. » Ban Ki-moon, United Nations Secretary-Generalv Acknowledgements Acknowledgements The Departments of Reproductive (...) Health and Research (RHR), Nutrition for Health and Development (NHD), and Maternal, Newborn, Child and Adolescent Health (MCA) of the World Health Organization (WHO) gratefully acknowledge the contributions that many individuals and organizations have made to the development of this guideline. A. Metin Gülmezoglu, Matthews Mathai, Olufemi Oladapo, Juan Pablo Peña-Rosas and Özge T unçalp were the members of the WHO Steering Group that managed the guideline development process. The members

2016 World Health Organisation Guidelines

199. Group interpersonal therapy (IPT) for depression

with problems will definitely develop depression. However, years of studies on the impact of life events on health show that these problem areas significantly increase a person’s chances of developing depression. 1. Grief Death of someone significant to the person (e.g. death of a child, spouse, parent or another family member). Depressive symptoms may start around the time or shortly after the death of a loved one or of someone who has 9 played an important role in the person’s life. In some cases

2016 WHO

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