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341. 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

342. 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

343. 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

344. 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

345. 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

346. 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

347. 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

348. 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

349. 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

350. 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

351. 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

352. Late Effects of Treatment for Childhood Cancer (PDQ®): Health Professional Version

of exposure- and risk-based health surveillance recommendations, with the goal of standardizing the care of childhood cancer survivors.[ ] The compendium of resources includes the following: Long-Term Follow-Up Guidelines. COG are appropriate for asymptomatic survivors presenting for routine exposure-based medical evaluation 2 or more years after completion of therapy. Health Links. Patient education materials called Health Links provide detailed information on guideline-specific topics to enhance health (...) Summaries [Internet]. Bethesda (MD): ; 2002-. Search term Late Effects of Treatment for Childhood Cancer (PDQ®) Health Professional Version PDQ Pediatric Treatment Editorial Board . Published online: September 28, 2018. Created: April 23, 2004 . This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about the late effects of treatment for childhood cancer. It is intended as a resource to inform and assist clinicians who care

2018 PDQ - NCI's Comprehensive Cancer Database

353. The effect of urban form on wellbeing

. malicious damage to property) among a residentially stable sample. In Australia, seven studies used cross-sectional analysis while two used longitudinal analysis. Person-level confounders most commonly adjusted for across all quantitative studies were age, gender, marital status, highest educational qualification and employment status; though none appeared to provide a directed acyclic graph (DAG)(31) to visualise the hypothesised pathways and sources of potential bias. 4.5 Results of the reviewed

2015 Sax Institute Evidence Check

354. Pruning Emtree: Does Focusing Embase Subject Headings Impact Search Strategy Precision and Sensitivity?

MECIR guidance requires a list all sources searched, including: databases, trials registers, websites and grey literature, and should state whether reference lists were searched and whether individuals or organizations were contacted. ESSENTIAL All reviews in this project must include a list of sources searched and must have searched at least MEDLINE, Embase and one other resource or search technique (such as reference checking). We will note all resources searched so that we can report (...) caused by focusing one or both concepts in the Embase strategies would be minimized because the studies would have been likely to have already been found by the MEDLINE strategies. 4. RESULTS 4.1 Identifying candidate reviews Searches of the key review resources identified 4,471 reports since January 2010 (Table 2). Table 2: Number of Reviews Identified and Selected by Publisher Resource Number of Reviews Published Since January 2010 Number of Reviews Randomly Selected Number of Reviews Included

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

355. Sutureless Valves for the Treatment of Aortic Stenosis

or, more frequently, acquired. Acquired stenosis is typically caused by age-related progressive buildup of calcium and scarring of the aortic valve. 11 It affects 2% of people older than 65 years, 3% of people older than 75 years, and up to 8% of people aged 80 years or older. 3 The risk factors for degenerative The Perceval S Aortic Heart Valve Reprinted with permission: Sorin Group Canada 3 aortic stenosis include high blood pressure and cholesterol, diabetes mellitus, and smoking. 3,18 (...) ://www.cadth.ca/resources/grey-matters). No methodological filters were applied. The search was limited to English language documents published between January 1, 2005 and February 19, 2015. Regular alerts were established to update the search until April 30, 2015. Conference abstracts were excluded from the search results. Study Selection Criteria Published studies were included if they reported on clinical outcomes. Systematic reviews and comparative studies were included, as well as case series

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

356. Aspirin for prophylactic use in the primary prevention of cardiovascular disease and cancer: a systematic review and overview of reviews

and bene?ts, and, if appropriate, to make recommendations for further investigation. Methods Evidence was retrieved through searches during June 2012 in 13 electronic bibliographic databases, contact with experts, the scrutiny of references of included and excluded studies, checking of health services research-related resources, and recovery of citations of relevant referenced studies. The search strategy covered the concepts of aspirin and primary prevention. Searches aimed to identify RCTs, DOI (...) is used to identify individuals at increased risk in order to inform about lifestyle advice, preventative measures, and management with drug treatments. 1,9 Risk management programmes typically involve pharmacological treatment (e.g. with statins, antihypertensive drugs), smoking cessation and dietary and other lifestyle advice. 9,10 Factors in?uencing CVD risk include age, sex, smoking and diabetes status, blood pressure (BP), cholesterol levels and peripheral vascular disease (PVD). Individuals who

2013 NIHR HTA programme

357. Long-term Consequences Polycystic Ovary Syndrome

for diagnosis of diabetes. However, caution should be exercised as patients with type II diabetes may be missed 34 and the utilisation of HbA1c for the diagnosis of diabetes in PCOS warrants better definition. Hence an oral glucose tolerance test is considered to be appropriate for screening women with PCOS for diabetes. However, it would be reasonable to carry out HbA1c measurements where women are unwilling to have oral glucose tolerance tests or where the resources are not readily available. 6.2 What (...) of the Women’s Ischemia Syndrome Evaluation (WISE) study confirmed increased cardiovascular events and deaths in postmenopausal women with PCOS. 42 While it seems prudent to assess the cardiovascular risk factors of a woman with PCOS, including measurement of blood pressure, cholesterol, triglycerides and high-density lipoprotein cholesterol, it should be acknowledged that the conventional cardiovascular risk calculators have not been validated in this group of women. Differences between PCOS and control

2014 Royal College of Obstetricians and Gynaecologists

358. Asthma

such as the Asthma Control Questionnaire or the Asthma Control Test, and/or lung function tests such as spirometry or peak expiratory flow (if not already carried out). Arrange specialist referral if occupational asthma is suspected. Provide self-management education and a (available from ) to the person or their parents/carers. Ensure that the person is up to date with all routine vaccinations, including all childhood immunizations, and the annual influenza vaccination. For more information, see the CKS topics

2018 NICE Clinical Knowledge Summaries

359. Learning disabilities

a learning disability. PHE also reported that in 2015, 70,065 children in England with a primary need associated with learning disabilities had a statement of special educational needs/education health and care plan. Of these, 44% were identified as having moderate learning difficulties, 41% severe learning difficulties, and 15% profound and multiple learning difficulties. [ ; ] Risk factors What causes it? Risk factors for the development of a learning disability include: Some chromosomal and genetic (...) at rates of around 5–15% in educational, health, or social care services and 30–40% in hospital settings, and can encompass: Aggression. Self-injury. Stereotypic behaviour — this can encompass stereotypies, rituals, compulsions, obsessions, perseveration, and repetitive or stereotyped use of language. Withdrawal. Disruptive or destructive behaviour, which can include violence, arson, or sexual abuse, and may bring the person into contact with the criminal justice system. The risk of 'behaviour

2018 NICE Clinical Knowledge Summaries

360. Cardiovascular disease-related mortality and factors associated with cardiovascular events in the TREAT Asia HIV Observational Database (TAHOD). (PubMed)

) and high body mass index (BMI) (sHR 1.66; 95% CI 1.12-2.46). CVD crude IRs were lower in the later ART initiation period and in lower middle- and upper middle-income countries.The development of fatal and nonfatal CVD events in our cohort was associated with older age, and treatable risk factors such as high blood pressure, triglycerides, total cholesterol and BMI. Lower CVD event rates in middle-income countries may indicate under-diagnosis of CVD in Asian-Pacific resource-limited settings.© 2019 (...) Cardiovascular disease-related mortality and factors associated with cardiovascular events in the TREAT Asia HIV Observational Database (TAHOD). With aging of the HIV-positive population, cardiovascular disease (CVD) increasingly contributes to morbidity and mortality. We investigated CVD-related and other causes of death (CODs) and factors associated with CVD in a multi-country Asian HIV-positive cohort.Patient data from 2003-2017 were obtained from the Therapeutics, Research, Education

2019 HIV medicine

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