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Child Safety Seat

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141. Professional Practice Guidelines for the Psychological Practice with Boys and Men

). The APA also has developed guidelines for psycho- logical practice in health care delivery systems (2013a), forensic psychology (2013b), and psychological evaluation in child protection matters (2013c). These guidelines serve to (a) improve service delivery among populations, (b) stimulate public policy initiatives, and (c) provide professional guidance based on advances in the field. Accordingly, the present doc- ument offers guidelines for psychological practice with boys and men.2 APA | Guidelines (...) they may face from peers (Kosciw, Greytak, Giga, Villenas, & Danischewski, 2016). These experiences may lead to mental health problems, including depres- sive symptoms (Dank, Lachman, Zweig, & Yahner, 2014), self-injury (dickey, Reisner, & Juntunen, 2015) and suicidality (Clements- Nolle, Marx, & Katz, 2006). Furthermore, policing of masculinity expression in boys by their caregivers tends to be ineffective and emotionally damaging to the child, and creates tension in the relationship (Hill & Menvielle

2019 American Psychological Association

142. The SNMMI and EANM Practice Guideline for Renal Scintigraphy in Adults

clinically.. 204 f. Patient Positioning: supine position; be careful to reduce motion. In patients who cannot lie 205 flat it is possible to perform the exam seated with the back on gamma-camera detector. 206 g. Technical Parameters: Dynamic image acquisition 207 h. Collimator: Low Energy – High resolution or General purpose, according to availability 208 i. Minimum Matrix: 64x64 or 128 x128 pixel 209 j. Views: Posterior. Anterior views must be acquired in the presence of horseshoe or ectopic 210 kidney (...) is neglected or not performed properly 538 - conjugate (posterior and anterior) views are not checked for registration 539 - geometric mean is improperly calculated 540 - post-erect post-voiding images after dynamic renal study are not recorded 541 542 XV. RADIATION SAFETY IN IMAGING 543 The estimated radiation doses for the procedures and agents discussed in this guideline are shown 544 in the tables below: 545 Table 1. 546 Radiation Dosimetry in Adults Administered activities Largest radiation dose

2019 Society of Nuclear Medicine and Molecular Imaging

143. The Nanny State Debate: A Place Where Words Don't Do Justice

, or preferences. ‘Hard’ refers to the coercive nature of the measure. ‘Pater- nalism’ refers to its comparability to persons with parental responsibility knowing what is best for their children. We might think here, for example, of laws that require us to wear seat belts even if we would not wish to do so. In these instances, the law is based on a policy that holds that, whatever we may think, our interests are served by using a seatbelt. And if we act against that view by not wearing a seatbelt (...) , or preferences. ‘Hard’ refers to the coercive nature of the measure. ‘Paternalism’ refers to its comparability to persons with parental responsibility knowing what is best for their children. We might think here, for example, of laws that require us to wear seat belts even if we would not wish to do so. 11 In these instances, the law is based on a policy that holds that, whatever we may think, our interests are served by using a seatbelt. And if we act against that view by not wearing a seatbelt

2019 Faculty of Public Health

144. Standardization of Spirometry

in the request form for spirometry. A 20-year review of 186,000 pulmonary function tests in a tertiary institution found that patient safety incidents occurred in 5 of every 10,000 routine pulmonary function tests (excluding exercise and provocation tests) with generally low risk of harm ( ). Cardiopulmonary incidents, primarily syncope, were the most common finding. A study found that 10% of patients having maximal cardiopulmonary exercise tests had simple, self-limited arrhythmias induced by spirometry (...) ( ). Testing should preferably occur in a quiet and comfortable environment that is separated from the waiting room and other patients being tested. Drinking water should be available. Tissues or paper towels should be offered to help patients deal with secretions. The patient should be seated erect, with shoulders slightly back and chin slightly elevated. A chair with arms (to prevent falling sideways should syncope occur), without wheels, and with a height adjustment so that the feet are flat

2019 American Thoracic Society

145. Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts

in children with depressive disorders. Based on the literature reviewed that met the AMSTAR requirements there was insufficient evidence to either recommend or not recommend pharmacotherapy for child patients with depressive disorders. The panel noted safety concerns with using pharmacotherapy with children and recommends shared decision- making regarding medication options with a child psychiatrist in addition to the clinician, patient, and their parents/guardians or family members actively involved (...) or is not acceptable, the panel recommends shared decision-making regarding medication options with a child psychiatrist in addition to the clinician, patient, and their parents/guardians or family members actively involved in their care. Conditional recommendation for use Recommendation is due to safety concerns such as increased suicide risk for adolescents when using other medications. In general, the panel recommends against using the following medications for adolescent patients with major depressive disorder

2019 American Psychological Association

146. Prevention and Control of Methecillin-Resistant Staphylcoccus Aureus (MRSA)

having due regard to the clinical judgement of the prescriber and the individual circumstances of each patient. Therapeutic options should be discussed with a clinical microbiologist or infectious disease physician on a case-by-case basis as necessary. ISSN 2009-6259National Clinical Effectiveness Committee (NCEC) The National Clinical Effectiveness Committee (NCEC) was established as part of the Patient Safety First Initiative in September 2010. The NCECs mission is to provide a framework (...) , to assist practitioner and service users’ decisions about appropriate healthcare for specific clinical circumstances across the entire clinical system”. The implementation of clinical guidelines can improve health outcomes, reduce variation in practice and improve the quality of clinical decisions. The aim of National Clinical Guidelines is to provide guidance and standards for improving the quality, safety and cost effectiveness of healthcare in Ireland. The implementation of National Clinical

2019 National Clinical Guidelines (Ireland)

147. Chronic Pelvic Pain

al. Chronic pelvic pain and previous sexual abuse. Obstet Gynecol, 2000. 96: 929. 50. Angst, J. Sexual problems in healthy and depressed persons. Int Clin Psychopharmacol, 1998. 13 Suppl 6: S1. 51. Leonard, L.M., et al. Sexual functioning in women reporting a history of child sexual abuse: review of the empirical literature and clinical implications. Annu Rev Sex Res, 2002. 13: 346. 52. McGowan, L., et al. Chronic pelvic pain: A meta-analytic review. Psychol Health, 1998. 13: 937. 53. Roelofs, K (...) with prostatitis: a population-based cross-sectional study in Finland. BJU Int, 2001. 88: 35. 134. O'Leary, M.P., et al. A brief male sexual function inventory for urology. Urology, 1995. 46: 697. 135. Weidner, W., et al. Acute bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: andrological implications. Andrologia, 2008. 40: 105. 136. van Ophoven, A., et al. Safety and efficacy of hyperbaric oxygen therapy for the treatment of interstitial cystitis: a randomized, sham controlled

2019 European Association of Urology

148. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice

of age. , , In addition to primary associations with poor long-term outcomes for the child, untreated perinatal depression is also strongly tied with other unfavorable states and events that may add to the adverse effect on a child’s overall health and development, including the following: child abuse and neglect; failure to implement the injury-prevention components from anticipatory guidance (eg, car safety seat and electrical plug covers) , ; failure to implement preventive health practices (...) with the greatest impact on clinical care. This policy is a revision of the policy in Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice Jason Rafferty , Gerri Mattson , Marian F. Earls , Michael W. Yogman , COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH Abstract Perinatal depression is the most common obstetric complication in the United States, with prevalence rates of 15% to 20% among new mothers. Untreated, it can adversly affect the well-being of children

2019 American Academy of Pediatrics

149. Best Practices on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents

negative functional, esthetic, and psychological effects on children. 111 Practitioners should provide age-appropriate injury prevention counseling for orofacial trauma. 15,96 Initially, discussions would include advice regarding play objects, pacifiers, car seats, and electrical cords. As motor coordination develops and the child grows older, the parent/patient should be counseled on additional safety and preventive measures, including use of athletic mouthguards for sporting activities. Dental (...) is necessary to maintain oral health. 1 The AAPD emphasizes the importance of initiating professional oral health intervention in infancy and continuing through adolescence and beyond. 2 The periodicity of professional oral health intervention and services is based on a patient’s individual needs and risk indicators. 3-8 Each age group, as well as each individual child, has distinct developmental needs to be addressed at specific intervals as part of a comprehensive evaluation. 2,9-11 Continuity of care

2018 American Academy of Pediatric Dentistry

151. Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review

., M.A.C.P. Professor of Medicine Indiana University School of Medicine Indianapolis, IN Robert Nicholson, Ph.D., L.C.P., FAHS Director, Department of Quality & Safety Mercy Health System St. Louis, MO Linda Porter, Ph.D. Office of Pain Policy National Institute of Neurological Disorders and Stroke Bethesda, MD Kathleen Sluka, Ph.D., P.T., FAPTA Professor of Physical Therapy and Rehabilitation Science Neurobiology of Pain Lab University of Iowa Iowa City, IA Lemeneh Tefera, M.D., M.Sc. Medical Officer (...) Minneapolis VA Healthcare System Minneapolis, MN Robert McLean, M.D. Associate Clinical Professor of Medicine, Rheumatology Yale School of Medicine New Haven, CT Robert Nicholson, Ph.D., L.C.P., FAHS* Director, Department of Quality & Safety Mercy Health System St. Louis, MO Ellen Rosenquist, M.D. Assistant Professor Anesthesiology and Pain Medicine Cleveland Clinic Cleveland, OH James Witter, M.D., Ph.D., FACR National Institute of Arthritis and Musculoskeletal and Skin Disease National Institute

2018 Effective Health Care Program (AHRQ)

152. Hypothalamic - Pituitary and Growth Disorders in Survivors of Childhood Cancer

to hypothalamic–pituitary axis radiation treatment and with a diagnosis of isolated growth hormone deficiency in childhood. (1∣⊕⊕OO) Treatment of growth hormone deficiency in childhood cancer survivors 2.8 We recommend offering growth hormone treatment in childhood cancer survivors with confirmed growth hormone deficiency based on the safety and efficacy demonstrated in that population. (1∣⊕⊕OO) 2.9 We suggest waiting until the patient has been 1 year disease-free, following completion of therapy (...) loss of spinal height SD relative to lower leg length SD ( ). This disproportionate growth may be evident as early as 1 year following spinal radiation and becomes progressively more evident during puberty ( ). Survivors treated with high-dose CSI ( e.g. , >30 Gy for medulloblastoma) demonstrate the most significant losses in seated and standing AH ( , , ). Treatment of short stature/impaired linear growth in childhood cancer survivors 1.3 We suggest against using GH in cancer survivors who do

2018 The Endocrine Society

153. All-Terrain Vehicle Injuries, Prevention of

. Compliance with laws is often low, however, possibly due to poor enforcement. We recommend helmet use when riding on an ATV to reduce TBI. We conditionally recommend implementing ATV safety legislation as a means to reduce ATV injuries, noting that enforcement must go hand in hand with enactment to ensure compliance. Overview The US Consumer Product Safety Commission (CPSC) defines all-terrain vehicles (ATVs) as “off-road, motorized vehicles having…four low-pressure tires, a straddle seat (...) injury prevention data: when legislation is strictly enforced, safety measure use increases and mortality decreases. Primary enforcement of legislation allows law enforcement to stop and cite violators independent of any other traffic behavior. Secondary enforcement allows citation only when violators are stopped for another reason. [ ] In a recent national analysis, compared to states with secondary enforcement of seat belt laws, primary enforcement states had an adjusted reduced incidence rate

2018 Eastern Association for the Surgery of Trauma

154. Sodium and Potassium Intake: Effects on Chronic Disease Outcomes and Risks

about the effectiveness and safety of a clinical intervention. In the context of developing recommendations for practice, systematic reviews can help clarify whether assertions about the value of the intervention are based on strong evidence from clinical studies. For more information about AHRQ EPC systematic reviews, see www.effectivehealthcare.ahrq.gov/reference/purpose.cfm. AHRQ expects that these systematic reviews will be helpful to health plans, providers, purchasers, government programs

2018 Effective Health Care Program (AHRQ)

155. Chronic Pelvic Pain

al. Chronic pelvic pain and previous sexual abuse. Obstet Gynecol, 2000. 96: 929. 50. Angst, J. Sexual problems in healthy and depressed persons. Int Clin Psychopharmacol, 1998. 13 Suppl 6: S1. 51. Leonard, L.M., et al. Sexual functioning in women reporting a history of child sexual abuse: review of the empirical literature and clinical implications. Annu Rev Sex Res, 2002. 13: 346. 52. McGowan, L., et al. Chronic pelvic pain: A meta-analytic review. Psychol Health, 1998. 13: 937. 53. Roelofs, K (...) with prostatitis: a population-based cross-sectional study in Finland. BJU Int, 2001. 88: 35. 134. O'Leary, M.P., et al. A brief male sexual function inventory for urology. Urology, 1995. 46: 697. 135. Weidner, W., et al. Acute bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: andrological implications. Andrologia, 2008. 40: 105. 136. van Ophoven, A., et al. Safety and efficacy of hyperbaric oxygen therapy for the treatment of interstitial cystitis: a randomized, sham controlled

2018 European Association of Urology

156. Respiratory Management of the Patient With Duchenne Muscular Dystrophy

of guidelines, survival of individuals with Duchenne muscular dystrophy has increased. With contemporary medical management, survival often extends into the fourth decade of life and beyond. Effective transition of respiratory care from pediatric to adult medicine is vital to optimize patient safety, prognosis, and quality of life. With genetic and other emerging drug therapies in development, standardization of care is necessary to accurately assess treatment effects in clinical trials. This revision (...) ambulatory, individuals with DMD should learn pulmonary function testing and, with their caregivers, be educated about assessing and managing respiratory complications. Starting at 5 to 6 years of age, annual measurements of seated forced vital capacity (FVC) should be made, to train patients in spirometry and to start assessing each patient’s course of pulmonary function over time ( ). Serial monitoring of pulmonary function is critical because FVC will eventually decline silently (in the absence

2018 American Academy of Pediatrics

157. Evidence in Focus: Nusinersen Use in Spinal Muscular Atrophy

of the American Academy of Neurology David Michelson , Emma Ciafaloni , Stephen Ashwal , Elliot Lewis , Pushpa Narayanaswami , Maryam Oskoui , Melissa J. Armstrong First published October 12, 2018, DOI: https://doi.org/10.1212/WNL.0000000000006502 David Michelson From the Department of Pediatrics, Division of Child Neurology (D.M., S.A.), Loma Linda University School of Medicine, CA; Department of Neurology (E.C.), University of Rochester Medical Center, NY; Beth Israel Deaconess Medical Center (P.N (...) .), Harvard Medical School, Boston, MA; Department of Pediatrics and Neurology & Neurosurgery (M.O.), McGill University, Montreal, Canada; and Department of Neurology (M.J.A.), University of Florida College of Medicine, Gainesville. Emma Ciafaloni From the Department of Pediatrics, Division of Child Neurology (D.M., S.A.), Loma Linda University School of Medicine, CA; Department of Neurology (E.C.), University of Rochester Medical Center, NY; Beth Israel Deaconess Medical Center (P.N.), Harvard Medical

2018 American Academy of Neurology

158. Management of Pregnancy

these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found at www.tricare.mil or by contacting your regional TRICARE Managed Care Support Contractor. Version 3.0 – 2018VA/DoD Clinical Practice Guideline for the Management of Pregnancy March 2018 Page 2 of 147 Prepared by: The Management of Pregnancy Work Group With support from: The Office of Quality, Safety and Value, VA, Washington, DC & Office of Evidence Based Practice, U.S. Army (...) to foster normal and healthy development of the baby, culminating in a full-term birth. The physical, psychological, and social support that the mother receives during her pregnancy can help reduce health problems in her and the child’s life. Evidence-based care during pregnancy can have a life-long impact on both mother and baby. VA/DoD Clinical Practice Guideline for the Management of Pregnancy March 2018 Page 7 of 147 Table 1. Gestational Age at Birth Predicts Offspring Outcomes [ ] 2-5 Term

2018 VA/DoD Clinical Practice Guidelines

159. Management of Hypertension (5th Edition)

to 89 mmHg, based on 2 or more seated BP readings on each of 2 or more office visits. Recommendations • Non-pharmacological intervention is the mainstay of management. (Grade C) • Patient at high CV risk may require pharmacological intervention. (Grade A)13 5.0 NON-PHARMACOLOGICAL MANAGEMENT Non-pharmacological management (therapeutic lifestyle modification) plays an important role in the management of hypertension and in improving overall cardiovascular health. 39 However evidence from randomized (...) . Blood pressure should therefore be measured in both the seated/lying and standing positions. If there is a significant postural drop, the standing BP is used to guide treatment decisions. Evaluation of elderly patients with hypertension should not differ from that of younger adult populations. Particular attention should be paid to detect atheromatous renal artery disease as the cause of secondary hypertension. 8.7.2 Treatment The goals of treatment in older patients should be the same as in younger

2018 Ministry of Health, Malaysia

160. Dinutuximab beta Apeiron - neuroblastoma

on clinical efficacy 85 2.5.3. Conclusions on the clinical efficacy 90 2.6. Clinical safety 91 2.6.1. Discussion on clinical safety 106 2.6.2. Conclusions on the clinical safety 110 2.7. Risk Management Plan 111 2.8. Pharmacovigilance 114 2.9. New Active Substance 114 2.9.1. Problem statement 114 2.9.2. Scientific evaluation 114 Discussion on quality aspects 117 Assessment Report - Dinutuximab beta Apeiron EMA/263814/2017 Page 3/129 Conclusions on quality aspects 117 Discussion and conclusion on non (...) Partial response PT Preferred term QC Quality Control qPCR Quantitative Polymerase Chain Reaction R/R relapsed/refractory RBC Red blood cell RCB Research Cell Bank RECIST response evaluation criteria in solid tumours Rt Retention time SAE Serious adverse event SAF Safety Analysis Set SAP Statistical analysis plan SD Standard deviation SD Stable disease SDS-PAGE Sodium dodecyl sulphate polyacrylamide gel electrophoresis SE-HPLC Size-exclusion HPLC sIL2r Soluble IL-2 receptor SIOPEN International

2017 European Medicines Agency - EPARs

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