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Child Safety Seat

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161. 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

162. 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

163. 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

164. 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

165. 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

166. 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

168. 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

169. 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

170. 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

171. 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

172. 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

173. 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

174. 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)

175. 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

176. 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

177. 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

178. 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

179. 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

180. 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

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