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161. Enhancing Equitable Access to Assistive Technologies in Canada

. Road traffic crashes: operationalizing equity in the context of health sector reform. Injury Control and Safety Promotion 2003;10(1-2): 11–12). It is being tested by the Cochrane Collaboration Health Equity Field as a means of evaluating the impact of interventions on health equity. McMaster Health Forum 9 Evidence >> Insight >> Action Categorizations for assistive technologies for the following functions includes but are not limited to those for: • personal use in daily living and self care (...) physical disabilities. This program funds up to 75% of the cost of devices that meet basic needs.(11) In New Brunswick, a mix of Health Services programs offered through the Department of Social Development provides full coverage for assistive technologies for eligible persons with disabilities. The programs are named based on the device type covered, such as the Wheelchair/Seating program or Hearing Aid program, as well as one for Convalescent and Rehabilitation items (e.g., for walkers and grab bars

2017 McMaster Health Forum

162. Improving the health of the public by 2040

and medical interventions. However, despite overall improvements in health, major inequalities in health outcomes, reflecting social and economic inequalities, persist.1. Introduction 12 • Vaccination. • Motor vehicle safety. • Safer workplaces. • Control of infectious diseases. • Decline in deaths from coronary heart disease and stroke. • Safer and healthier foods. • Healthier mothers and babies. • Family planning. • Fluoridation of drinking water. • Recognition of tobacco use as a health hazard. Box 1 (...) and in the last 50 years has increased by a further 10 years for a man and 8 for a woman. 3,4 Improvements in living conditions and large reductions in infant and child mortality were major contributors to this increase in the first half of the 20th century. Over the last 50 years, improvement has been greatest at older ages. The number of people dying from coronary heart disease, for example, in Great Britain more than halved between 1961 and 2009. 5 While improved treatments have had an important role

2017 Academy of Medical Sciences

163. British Association of Dermatologists' guidelines for the management of lichen sclerosus

with resis- tant LS? FRR6 What are the safety and ef?cacy of adalimumab in male patients with urethral stenosis caused by LS? FRR7 Set up a national registry for extensive extragenital LS to identify the treatments involved and outcomes achieved FRR8 What is the role of urine in the pathogenesis of genital LS and paediatric genital LS? FRR9 Is there a role for systemic therapy in genital LS? FRR10 What proportion of patients with LS remit completely? 4.0 Algorithm The recommendations and discussions (...) and their obstetrician. 5.4.3 Child female anogenital The lesions are similar to those in adult women, but ecchymosis may be very striking and potentially mistaken as evidence of sex- ual abuse. However, the two are not mutually exclusive as some cases of LS may possibly be caused or aggravated by sexual abuse through Koebnerization. 49 Features that should arouse suspicion of this include LS arising in older prepubertal girls, poor response to treatment, the presence of associated sexually transmitted infection

2018 British Association of Dermatologists

164. Clinical Appropriateness Guidelines: Radiation Oncology Brachytherapy, intensity modulated radiation therapy (IMRT), stereotactic body radiation therapy (SBRT) and stereotactic radiosurgery (SRS) treatment guidelines

for when services are medically necessary ? To assist the practitioner as an educational tool ? To encourage standardization of medical practice patterns ? To curtail the performance of inappropriate and/or duplicate services ? To advocate for patient safety concerns ? To enhance the quality of healthcare ? To promote the most efficient and cost-effective use of services AIM’s guideline development process complies with applicable accreditation standards, including the requirement that the Guidelines (...) , limitations and safety aspects of image-guided therapy. IGRT is an integral part of the delivery of highly conformal treatments such as intensity modulated radiation therapy (IMRT), stereotactic body radiotherapy (SBRT) and stereotactic radiosurgery (SRS). Recognition of this fact has resulted in changes to the current procedural terminology (CPT) definitions such that the technical aspect of IGR T is now bundled with IMRT delivery. Similarly, image guidance procedures have always been bundled for SBRT

2018 AIM Specialty Health

165. WHO recommendations: intrapartum care for a positive childbirth experience

has also gradually expanded beyond the survival of women and their babies, to also ensuring that they thrive and achieve their full potential for health and well-being. These efforts have been catalysed by the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030), and the Every Woman Every Child movement. In addition, the third goal of the 2030 agenda for sustainable development affirms global commitment to ensuring healthy lives and the promotion of well-being for all at all (...) not exposing them to financial hardship. An integral part of these efforts is the design of the package of essential services across the spectrum of health disciplines, including reproductive, maternal, newborn, child and adolescent health, from which a set of basic service-delivery indicators can be identified for use in monitoring countries’ progress towards UHC. This guideline is a consolidated set of new and existing recommendations on essential labour and childbirth practices that should be provided

2018 World Health Organisation Guidelines

166. Naloxone (Nyxoid) - Opioid-Related Disorders

2.3.4. Discussion on clinical pharmacology 27 2.3.5. Conclusions on clinical pharmacology 28 2.4. Clinical efficacy 28 2.4.1. Discussion on clinical efficacy 43 2.4.2. Conclusions on the clinical efficacy 44 2.5. Clinical safety 44 2.5.1. Discussion on clinical safety 50 2.5.2. Conclusions on the clinical safety 50 2.6. Risk Management Plan 51 2.7. Pharmacovigilance 52 2.8. Product information 53 2.8.1. User consultation 53 3. Benefit-Risk Balance 53 3.1. Therapeutic Context 53 Assessment report EMA (...) February 2017. • During the meeting on 23 March 2017, the CHMP agreed on the consolidated List of Questions to be sent to the applicant. • The applicant submitted the responses to the CHMP consolidated List of Questions on 18 May 2017. • The following GMP inspection(s) were requested by the CHMP and their outcome taken into consideration as part of the Quality/Safety/Efficacy assessment of the product: A GMP inspection at one site responsible for manufacture of the finished product located in USA

2017 European Medicines Agency - EPARs

167. Clinical Practice Guideline for the Behavioral Treatment of Obesity and Overweight in Children and Adolescents

to their overweight or obesity were not included in the review and therefore application of the recommendation to individuals from those groups should be made with particular care. Addi- tional research is needed to determine whether specific intervention characteristics or strategies are associated with greater adherence, engagement, or retention. More research is also needed to determine whether patient adherence or population characteristics other than child’s age are associated with efficacy. The target (...) : A. Are these characteristics associated with the efficacy of the interventions? B. What is the comparative effectiveness of these char- acteristics? 3. How do selected patient and family sociodemographic char- acteristics (child’s age, severity of adiposity, parental obesity, race, socioeconomic status) affect family-based multicompo- nent behavioral interventions? Specifically, are different strat- egies used or needed for families with different sociodemo- graphic characteristics? 4. What is the impact of selected

2018 American Psychological Association

168. Respiratory Management of the Patient With Duchenne Muscular Dystrophy

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 of respiratory recommendations preserves a fundamental strength of the original guidelines: namely, reliance on a limited number of respiratory tests to guide patient assessment (...) 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 (Fig 1).? Serial monitoring of pulmonary function is critical because FVC will eventually decline silently (in the absence of dyspnea) in nonambulatory patients.? In general, FVC increases with growth until

2018 American Academy of Pediatrics

169. Effects of Dietary Sodium and Potassium Intake 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 AHRQ expects that these systematic reviews will be helpful to health plans, providers, purchasers, government programs

2018 Effective Health Care Program (AHRQ)

170. Alternating Electric Fields ("Tumour- Treating Fields") for the Treatment of Glioblastoma

) a customized backpack. 18,19 The Optune system allows the patient to be mobile, using the battery pack and backpack, while receiving treatment, or the system can be plugged into a regular electrical outlet when the patient is seated or asleep. 19 It weighs about 1.3 kg, including the battery. 18,20 Patients must shave their heads to allow the transducers to properly adhere to their scalp with a thin layer of conductive hydrogel similar to that used for electrocardiogram pads. 19,21 The transducer arrays (...) the past decade; 13 the most recent evidence includes two randomized controlled trials (EF-14 30 ,38 and EF-11 39 ) and the PRiDe Patient Registry Dataset. 40 In the remainder of this section, the trials and the registry study are described first, followed by summaries of the main outcomes: overall survival, progression-free survival, compliance, quality-of-life, and safety. Smaller case series and subgroup analyses are also noted under the relevant outcomes sections. Some trials included patients

2018 CADTH - Issues in Emerging Health Technologies

171. Induction of labour

by competent medical or midwifery staff · Contact a more experienced clinician if there are 2 unsuccessful attempts Prepare the balloon catheter · Stylet used with double balloon: o Loosen the fitting on the proximal hub of the stylet so that the distal tip of the stylet is even with the distal tip of the balloon o Tighten the fitting so that the wire does not move during manipulation o Seat the adjustable handle firmly into the blue port labelled “S” Insertion · Digital placement of the catheter is less (...) Queensland Clinical Guideline: Induction of labour Refer to online version, destroy printed copies after use Page 22 of 30 4.2.1 Dinoprostone administration Table 19. Dinoprostone administration Aspect Dinoprostone administration Administration · Maternal and fetal safety outcomes do not seem to differ whether prostaglandins are administered in the morning or evening, but women may prefer morning administration 94 · Pessary use may avoid repeated application of the gel · Gel may be more appropriate where

2018 Queensland Health

172. Tuberculosis

with secondary or tertiary care people entering education, including university links with statutory and voluntary groups working with new entrants and looked-after children and young people during contact investigations. [new 2016] [new 2016] When BCG vaccination is being recommended, discuss the benefits and risks of vaccination or remaining unvaccinated with the person (or, if a child, with the parents), so that they can make an informed decision. T ailor this discussion to the person, use (...) the risks and supplement the oral explanation with written advice. If the person still declines BCG vaccination, he or she should not work where there is a risk of exposure to TB. The employer will need to consider each case individually, taking account of employment and health and safety obligations. [2006, [2006, amended 2016] amended 2016] Screen clinical students, agency and locum staff and contract ancillary workers who have contact with patients or clinical materials for TB to the same

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

173. 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

174. 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

175. 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

176. 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

177. 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

178. 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

179. 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

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