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321. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient

Reviews, the National Guideline Clearinghouse, and an Internet search using the Google search engine for scholarly articles through an end date of December 31, 2013 (including ePub publications). While preference was given to RCTs, other forms of resource material were used to support the response, including nonrandomized cohort trials, prospective observational studies, and retrospective case series. Use of publications was limited to full‐text articles available in English on adult humans. For all (...) clogging, inappropriate cessation of EN, consumption of nursing time, and allocation of healthcare resources and may adversely affect outcome through reduced volume of EN delivered. Three studies have shown that eliminating the practice of using

2016 American Society for Parenteral and Enteral Nutrition

322. Improving health related quality of life for people with dementia in care homes

supporting educational resources” were used respectively but were not precisely defined. Therefore, reproducing these interventions widely may be difficult The DEMQOL-Proxy is delivered by interviewing a friend or relative of the person with dementia, or a member of care home staff, not the person with dementia. There could therefore be some bias in the responses collected, and the interviewee may have different perspectives on quality of life compared with the person who has dementia themselves (...) variations in different health parameters like level of cholesterol, pressure etc., the doctor can easily prescribe suitable medications and associated care routines for the patients. These kinds of technological approach can make a huge impact in improving HRQL index of the elderly. It’s the responsibility of each and every one of use to provide our seniors with a good quality living. We can help you: 1 Keep up to date with the latest research 2 Connect with experts and colleagues 3 Contribute to your

2018 The Mental Elf

323. Prehospital OMI recognized immediately by a fantastic paramedic

of HTN, and high cholesterol. She had self medicated with aspirin prior to EMS arrival." Here is her first EMS 12 lead: What do you think? "12 Lead 1 (21:20:38) - V4 caught my eye as a hyperacute T-wave and indicative of total or at least subtotal occlusion. And the ST/T changes in III and aVF sealed the suspicion. I told the senior officer present to commence STEMI activation." Meyers comment: This is an excellent interpretation, reflecting years of practice in recognizing hyperacute T-waves vs (...) of us (like this fantastic paramedic) who care about diagnosing OMI as soon as possible, one must learn to recognize subtle findings like those noticed on the first ECG. In some cases like this one, it will become obvious in minutes, but in other cases it won't happen this quickly or you won't have another ECG available. Until research proves otherwise, it is not acceptable to ignore this education and say "I'm just gonna wait until it turns into a real STEMI." It is an opportunity to save

2018 Dr Smith's ECG Blog

324. Obese, overweight with risk factors: liraglutide (Saxenda)

have lost at least 5% of their initial body weight after 12 weeks treatment. There were high dropout rates in all of the studies so continuation with treatment may be a problem in practice. A summary to inform local decision-making is shown in table 1. T T able able 1 Summary of the e 1 Summary of the evidence on effectiv vidence on effectiveness, safety eness, safety, patient factors and resource implications , patient factors and resource implications Obese, overweight with risk factors (...) 3.0 mg compared with 3.3% to 6.0% with placebo across the 4 studies discussed in the evidence summary). Gastrointestinal disorders were the most common adverse events reported in the studies. Across the studies in the clinical development programme, nausea was reported in 39.3% of participants taking liraglutide 3.0 mg daily compared with 13.8% taking placebo (EPAR: Saxenda). Resource implications Resource implications Liraglutide (Saxenda) costs £196.20 for 30 days' supply at the maintenance dose

2017 National Institute for Health and Clinical Excellence - Advice

325. Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care

the process. After review of available outcomes, the task force chose to focus on the following clinically relevant and available outcomes: weight loss or weight maintenance (i.e., weight in kilograms, BMI, waist circumference, total percentage of body fat). Secondary outcomes of interest included total cholesterol, low-density– lipoprotein (LDL) cholesterol, fasting glucose, incidence of type 2 diabetes, systolic blood pressure and diastolic blood pressure (Appendix 2). After the initial screening (...) of uncertainty about whether the intervention represents a wise use of resources. • Strong recommendations are those for which the task force is confident that the desirable effects of an intervention outweigh its undesirable effects (strong recommendation for an intervention) or that the undesirable effects of an intervention outweigh its desirable effects (strong recom- mendation against an intervention). A strong recommendation implies that most individuals will be best served by the recommended course

2015 CPG Infobase

326. Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE)

groups. 3 The 2014 update is a harmonized subset of recommendations from the following guideline groups: Canadian Action Network for the Advancement, Dissemination and Adoption of Practice-informed Tobacco Treatment; 4 Cana- dian Association of Cardiac Rehabilitation; 5 Canadian Cardiovascular Society; 6 Canadian Diabetes Association; 7 Canadian Hypertension Education Program; 8 Canadian Society for Exer- cise Physiology; 9 Heart and Stroke Foundation Canadian Stroke Best Practice Recommenda- tions (...) Guideline Panel. An integrated review cycle was developed in collaboration with each of the guideline groups. The review process was initiated in the year fol- lowing updates to the guidelines from the Cana- dian Diabetes Association, Canadian Cardiovas- cular Society (dyslipidemia guideline), and the Canadian Hypertension Education Program. The first version (2011) of the C-CHANGE recom- mendations was circulated to the leaders of each of the eight guideline groups to identify key upcoming changes

2015 CPG Infobase

327. Recommendations for growth monitoring, prevention and management of overweight and obesity in children and youth in primary health care 2015

mass index (BMI), BMI z score, or prevalence of overweight and obesity. Secondary outcomes of interest included changes in total cholesterol, triglycer- ides, high-density– lipoprotein (HDL) cholesterol, low-density– lipoprotein (LDL) cholesterol, sys- tolic blood pressure, diastolic blood pressure, overall quality of life and physical fitness. The Evidence Review and Synthesis Centre at McMaster University 17 updated a 2011 Cochrane review examining interventions for preventing obe- sity (...) of overweight and obesity For management of overweight and obesity, the task force chose to focus on the following out- comes: change in BMI, BMI z score, and preva- lence of overweight and obesity, as well as sec- ondary outcomes of total cholesterol, triglycerides, HDL cholesterol, LDL cholesterol, two-hour fast- ing blood glucose, systolic blood pressure, dia- stolic blood pressure, overall quality of life and physical fitness. The Evidence Review and Synthesis Centre updated the search 18 from a 2010

2015 CPG Infobase

328. DASH (Dietary Approaches to Stop Hypertension) diet to prevent and control hypertension

for provides some useful information and resources about the DASH diet. While this is a free site, it is paid for by the Oregon Dairy Council. A US-based paid site offers online (including education, support, meal plans, tracking tools and recipes). Provided under licence This resource is provided under licence by the RACGP. Full terms are available on the . In summary, you must not edit or adapt it or use it for any commercial purposes. You must also acknowledge the RACGP as the owner. Handi Feedback Name (...) DASH (Dietary Approaches to Stop Hypertension) diet to prevent and control hypertension RACGP - DASH (Dietary Approaches to Stop Hypertension) diet to prevent and control hypertension Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed

2015 Handbook of Non-Drug interventions (HANDI)

329. The effect of community-based interventions for cardiovascular disease secondary prevention on behavioural risk factors

articles (38 studies) (n = 7970) were included. Interventions were mainly multifactorial, educational, psychological and physical activity-based. Meta-analyses identified increased steps/week (Mean Difference (MD): 7480; 95% CI 1,940, 13,020) and minutes of physical activity/week (MD: 59.96; 95% CI 15.67, 104.25) associated with interventions. There was some evidence for beneficial effects on peak VO2, blood pressure, total cholesterol and mental health. Variation in outcome measurements reported (...) The effect of community-based interventions for cardiovascular disease secondary prevention on behavioural risk factors Cardiovascular disease (CVD) is the leading cause of death worldwide, and its prevalence is increasing; with limited healthcare resources, secondary prevention programmes outside traditional hospital settings are needed, but their effectiveness is unclear. We aimed to assess the effectiveness of secondary prevention cardiovascular risk reduction programmes delivered in venues

2018 EvidenceUpdates

330. Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

anxious Adapted from reference [26]. Katzman et al. BMC Psychiatry 2014, 14(Suppl 1):S1 http://www.biomedcentral.com/1471-244X/14/S1/S1 Page 3 of 83phobias and for separation anxiety disorder (seven to 14 years), but later for GAD, panic disorder, and PTSD (24-50 years) [1,2]. Loneliness [38], low education [38], and adverse parent- ing [39], as well as chronic somatic illnesses, such as cardi- ovascular disease, diabetes, asthma, and obesity may increase the risk for a lifetime diagnosis ofanxiety (...) . Psychological and pharmacological treatment Treatment options for anxiety and related disorders include psychological and pharmacological treatments. All patients should receive education about their disorder, efficacy (including expected time to onset of therapeutic effects) and tolerability of treatment choices, aggravating factors, and signs of relapse [32]. Information on self-help materials such as books or websites may also be helpful. The choice of psychological or pharmacological treat- ment depends

2014 CPG Infobase

331. Guideline on the management of premature ovarian insufficiency

is of relevance to European healthcare providers and women with premature ovarian insufficiency. For the benefit of patient education and shared-decision making, a patient version of this guideline will be developed. References Bondy CA, Turner Syndrome Study Group. Care of girls and women with Turner syndrome: a guideline of the Turner Syndrome Study Group. J Clin Endocrinol Metab 2007;92: 10-25. de Villiers TJ, Pines A, Panay N, Gambacciani M, Archer DF, Baber RJ, Davis SR, Gompel AA, Henderson VW, Langer R

2015 European Society of Human Reproduction and Embryology

332. Late Effects of Treatment for Childhood Cancer (PDQ®): Patient Version

of cancer, the type of treatment, factors, and the person's general health and health habits. Follow-up care includes checking for and of late effects and health education on how to prevent or lessen late effects. It is important that childhood cancer survivors have an exam at least once a year. The exams should be done by a health professional who knows the survivor's risk for late effects and can recognize the early signs of late effects. Blood and may also be done. Long-term follow-up may improve (...) of the heart and heart valves as blood is pumped through the heart. Ultrasound exam : A procedure in which high-energy sound waves (ultrasound) are bounced off internal tissues or organs such as the heart and make echoes. The echoes form a picture of body tissues called a sonogram. The picture can be printed to be looked at later. profile studies : A procedure in which a blood sample is checked to measure the amounts of triglycerides, cholesterol, and low- and high-density lipoprotein cholesterol

2018 PDQ - NCI's Comprehensive Cancer Database

333. Patient presentation is important, and so is R-wave amplitude

look for other signs of an MI. So many people pay no attention to this particular ST segment morphology and consider it "normal." Another thing to consider here is that the primary repolarization changes of an acute epicardial ischemia may precede or lag behind the changes in the reciprocal leads. They may not always appear concurrently. Thanks for such an excellent website and an incredible educational resource! Jerry W. Jones, MD FACEP FAAEM Sorry Steve but there is one more thing... I'm confused (...) make this ECG diagnostic. In case you were wondering about the T-waves and bradycardia, the K was normal. Why bradycardia? Think about that inferior ST elevation. Maybe there is also inferior MI from wraparound LAD with associated sinus bradycardia. Story number 2: the real story I was at triage when a 60-something man who had history of elevated cholesterol and hypertension appeared, clutching his chest, diaphoretic and pale, stating he had had sudden onset of substernal CP 30 minutes prior. I

2017 Dr Smith's ECG Blog

334. Childhood Hematopoietic Cell Transplantation (PDQ®): Health Professional Version

Summaries [Internet]. Bethesda (MD): ; 2002-. Search term Childhood Hematopoietic Cell Transplantation (PDQ®) Health Professional Version PDQ Pediatric Treatment Editorial Board . Published online: November 15, 2018. Created: February 15, 2012 . This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about the use of hematopoietic cell transplantation in treating childhood cancer. It is intended as a resource to inform and assist

2018 PDQ - NCI's Comprehensive Cancer Database

335. Diabetes Care

theme_4_collection theme_4_frontend Education & Training theme_13_collection theme_13_frontend theme_13_collection theme_13_frontend Employment, Business & Economic Development theme_11_collection theme_11_frontend theme_11_collection theme_11_frontend Environmental Protection & Sustainability theme_15_collection theme_15_frontend theme_15_collection theme_15_frontend Family & Social Supports theme_12_collection theme_12_frontend theme_12_collection theme_12_frontend Farming, Natural Resources & Industry (...) for the majority of patients the majority of the time. Diabetes in pregnancy (gestational diabetes) is outside the scope of this guideline. Key Recommendations Diabetes care is centred around the person living with diabetes and should include an individualized management plan developed by the patient and their primary care provider(s). [Level 3, amended 2015] The 5 R’s describe the key components to consider when organizing diabetes care in the office or clinic: recognize, register, resource, relay and recall

2015 Clinical Practice Guidelines and Protocols in British Columbia

336. BAP guidelines on the management of weight gain, metabolic disturbances and cardiovascular risk associated with psychosis and antipsychotic drug treatment

of mental health disorder but particularly for those with psychotic illnesses. This has culminated in an increased drive not only to achieve greater equality in health care resource distribution for those with mental health problems, compared to those with phys- ical health problems, but also to ensure that those with mental health problems receive proper care for their physical health problems (Royal College of Psychiatrists, 2010, 2013). These aspirations have been partially recognised by the UK (...) glycated haemoglobin (HbA 1c ). However, as HbA 1c provides a measure of longer-term control, in the early weeks of treatment, fasting or random plasma glu- cose may provide a more appropriate measure of glucose control. Glucose control should be further assessed at 12 weeks, 6 months and then annually. • The lipid profile should be assessed at 12 weeks, 6 months and then annually. In order to assess cardiovascular risk, for example using the QRISK2 cardiovascular risk model, the total cholesterol/high

2016 British Association for Psychopharmacology

337. Principles of public health interventions

was particularly found to be inconsistent. Therefore, it is unclear, given their cost and resource needs, whether such interventions (in isolation) are an optimal investment of resources. However, many of the studies that are currently in the field (study protocols in this review) are larger scale face-to-face interventions, which may improve the evidence base in this area. 7 PRINCIPLES OF PUBLIC HEALTH INTERVENTIONS TO SUPPORT INJURY RECOVERY | SAX INSTITUTE 2 Introduction Background The Motor Accidents (...) INJURY RECOVERY | SAX INSTITUTE that there was evidence for improvements in health outcomes and employment/education engagement following interventions. Mental health – study protocols The search identified eight study protocols (articles reporting the protocol for a study that was currently being undertaken or to be conducted in the future – see Table A4). Seven of the identified studies aim to evaluate the impact of an experimental intervention delivered face-to-face by a health professional

2015 Sax Institute Evidence Check

338. Stroke and Transient Ischemic Attack ? Acute and Long-Term Management

to community-based support services is associated with increased social activity. Education and information also have a positive benefit.BCGuidelines.ca: Stroke and Transient Ischemic Attack – Acute and Long-Term Management (2015) 9 Resources References 1. Albers GW, Caplan LR, Easton JD, et al. Transient ischemic attack-proposal for a new definition. N Engl J Med. 2002;347:1713-6. 2. Primary Health Care ACVS Hospital Stroke Registry, 2012/13 and created as November, 2013. BC Ministry of Health. 3. Lu L (...) . See definition of emergent TIAs in Table 2. Investigation and treatment of strokes or TIAs should begin as soon as possible, preferably within 24 hours. Contact information for stroke/TIA assessment clinics throughout BC are listed in the Resources below. Investigations for urgent cases are recommended within 7 days, and within one month for semi-urgent cases. Table 2. TIA urgency classification TIA Urgency Classification Symptoms or Circumstances Emergent One or more of the following: • Symptoms

2015 Clinical Practice Guidelines and Protocols in British Columbia

339. Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death

for publication in the European Heart Journal. The Guidelines were developed after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The task of developing ESC Guidelines covers not only integration of the most recent research, but also the creation of educational tools and implementation programmes for the recommendations. To implement the guidelines, condensed pocket guidelines versions, summary slides, booklets with essential messages (...) concealed ischaemic heart disease. 54 As a consequence, the most effective approach to prevent SCD in the general population resides in quantification of the individual risk of developing ischaemic heart disease based on risk score charts, followed by the control of risk factors such as total serum cholesterol, glucose, blood pressure, smoking and body mass index. 55 Approximately 40% of the observed reduction in SCD is the direct consequence of a reduction of CAD and other cardiac conditions. 56

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2015 European Society of Cardiology

340. Breastfeeding Healthy Term Infants

• early and frequent feedings to stimulate milk production and for maternal comfort • keep infant at the bedside 24 hours a day • observe and educate about infant’s behaviors and feeding cues • avoid using pacifiers and artificial nipples until br eastfeeding is well established Need for support and encouragement from family, friends, and health professionals Community resources available for assisting breastfeeding mothers 3. Initial breastfeeding skills (see Guidelines to Assist Mother outlined (...) the number of infants who are exclusively breastfed from birth to hospital discharge and for the first six months of age with intr oduction of nutritious and safe complementary foods with continued breastfeeding for up to two years and beyond. These guidelines are based on current evidence and BFI best practices. They are consistent with the Canadian Baby-Friendly Initiative; the recommendations of the BC Ministry of Health; Perinatal Services BC (PSBC) education Breastfeeding: Making a Difference©

2015 British Columbia Perinatal Health Program

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