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181. Oral care and people with learning disabilities

Services (GDS) These services are directly accessed by the public such as high-street dental services. These are commissioned via NHS England and each practice is an independent business with a contract with the NHS to deliver a set amount of work, or units of dental activity ( : Band 1 – this includes examination, diagnostics, such as X-rays and prevention Band 2 – this includes fillings and dental extractions Band 3 – this is for additional treatments such as crowns, bridges and dentures Some groups (...) the need to have a dental anxiety scale validated for use with people with learning disabilities . This could be used to flag people who may need extra support and to assess the value of any adjustments and interventions. There are changes that can be made to the environment that can help reduce people’s anxiety levels. The waiting room can be a stressful environment, particularly for those already anxious about the appointment. It is important to keep people informed about any delays while

2019 Public Health England

183. Health matters: life course approach to prevention

in the and the . Establishing vaccination status pre-pregnancy, such as , such as blood tests for infectious diseases, eye screening for diabetes and the newborn hearing, infant physical examination and blood spot screening, are recommended as timely interventions can significantly impact on vertical transmission and neonatal morbidity and mortality. Vaccinations in pregnancy help protect in 3 ways: firstly, they prevent illness and death in the pregnant women themselves, secondly, they reduce the risk of pregnancy loss (...) . Young people who are not resilient will be more likely to respond to stress by developing anxiety and depression. The components for promoting resilience combine: development of individual skills access to the right information at the right time availability of suitable or relevant or expert services and resources when they are needed tackling the wider determinants of unequal health outcome Find out more in . Improving educational attainment At this stage of the life course, schools and colleges

2019 Public Health England

184. Horizon scanning: what's next for medical and health research?

sequencing in a ‘lab-on-a-chip’ format are expected to be used to diagnose infections rapidly in a universal test requiring only limited laboratory space and operational training. ? By 2048, the aspiration was that the clinical value of genetic testing would shift from diagnosis and treatment to disease prediction. This has the potential to allow pharmaceutical and non-pharmaceutical interventions to prevent ill health before disease has even occurred. ? As knowledge of the genome’s function continues (...) with special needs. ? Online or app-based avatars will be used not just to improve access but also to increase adherence, for example to Cognitive Behavioural Therapy (CBT) to treat anxiety and post-traumatic stress disorder. ? Robots were predicted to be used to assist with routine tasks, freeing capacity for healthcare professionals to address tasks that are more complex. Public health ? By 2048, public health research was predicted to use data for intelligent monitoring of population health, to assess

2019 Academy of Medical Sciences

185. From innovation to implementation: team science two years on

contributions but do not have a university contract (e.g. senior postdoctoral researchers). 24 In addition, all named individuals on a grant will be encouraged to clarify their contribution.14 Team science and the funding community Future priorities Although the funding community has implemented welcome changes, and opportunities are being created and embraced, it was felt that challenges still remain. Participants suggested that the following issues should be addressed as a priority: • ‘Team science’ teams (...) commonly viewed as rewarding a single discipline mentality and therefore biasing against team science. Professor Iredale stressed that higher education institutes should not be deterred from submitting

2019 Academy of Medical Sciences

186. Preventing and Managing Infectious Diseases Among People who Inject Drugs in Ontario

living with concurrent mental health problems. Many other groups warrant serious consideration as well, and a similar approach could be adopted for any of them. † The PROGRESS framework was developed by Tim Evans and Hilary Brown (Evans T, Brown H. 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 (...) infections without being addressed; • curable but long-term or hard-to-diagnose infections (e.g., hepatitis C); • chronic and incurable infections (e.g., HIV); and • life-threatening infections that require timely intervention with antibiotics or surgery (e.g., endocarditis, osteomyelitis and serious complications from invasive group A streptococcus). For example, HIV estimates in Canada have found that PWID are 59 times more likely to contract HIV than people who do not inject drugs. In 2014

2019 McMaster Health Forum

187. A Case Management Tool for TB Prevention, Care and Control in the UK

assessment (Form: 3) 41 – DOT chart/log (Form: 4) 43 2. Sample DOT contract 44 3. Sample social/network questionnaire 46 4. Standard case management – flow chart 47 5. Tips for giving medication to children 48 6. Home isolation policy 49 7. Sample cohort review action log 52 8. Cohort review incident reporting form 53 9. Outreach and safe practice 54 10. Methadone and anti-tuberculous treatment containing rifamycins 55 11. Managing treatment interruptions 58 12. Drug therapy – adverse effects requiring (...) specialties) • emergency departments • active case finding – contact investigations, new entrant screening and under-served populations (USP) • microbiology, histopathology and radiology • clinical teams working with local USP groups • open access service/s or walk-in clinics. Diagnosis of TB can be confirmed rapidly, for example, by polymerase chain reaction or nucleic acid amplification test, which also provides a useful indication of some forms of drug resistance. TB services should be accessible

2019 Royal College of Nursing

188. Haemodialysis

guideline, as are many aspects of dialysis, including: ? Planning, initiation & withdrawal of Renal Replacement Therapy ? Vascular Access for Haemodialysis ? Cardiovascular Disease ? Blood Borne Viruses ? Assessment of the Potential Kidney Transplant Recipient ? Nutrition ? Anaemia ? CKD-Mineral and Bone Disorder ? Water Treatment Facilities, Dialysis Water and Dialysis Fluid Quality We have removed the section on targets for blood testing since these are better covered in other guidelines, and have (...) of competencies, using an individualised approach to training method and speed. [2D] We suggest units form a contract with patients outlining responsibilities, including an agreement to dialyse as per prescription and trained technique, and including a policy for re-imbursement of directly arising patient costs. [2D] We suggest supporting patients with a specific team including nephrologists, technicians, and nurses, with rapid access to dialysis in-centre when required. [2C] We suggest an agreed

2019 Renal Association

190. KDOQI Clinical Practice Guidelines for Nutrition in CKD

.) in comparison with no intervention or minimal intervention. For assessment questions, only studies that tested the validity, reliability or relationship of an assessment tool against a comparative tool (reference standard) or mortality were included in this review. The list of titles and abstracts were independently reviewed and marked for inclusion or exclusion (along with the reason) and any differences were resolved by discussion with a third reviewer. Full texts of articles meeting inclusion criteria (...) - and over-reporting of dietary intake in this population. ? Further development and testing of dietary assessment tools to integrate technology and assist individuals with limited literacy, vision, and are culturally appropriate. Guideline on Nutrition in CKD Page 74 GUIDELINE 2: MEDICAL NUTRITION THERAPY 2.1 Statements on Medical Nutrition Therapy (MNT) MNT to Improve Outcomes 2.1.1 In adults with CKD 1-5D, we recommend that a registered dietitian nutritionist (RDN, USA or international nutrition

2020 National Kidney Foundation

192. Clinical Aggression Training: A Rapid Review

used methods which were noted once included reading assignments, case studies and workshop. Targeted outcomes The target outcomes included in the 13 interventional studies included empathy, staff efficacy, number of adverse events, work engagement, aggression, stress and patient satisfaction. Though all the studies were focused on communication skills, only quarter of the studies (25%) aimed to assess the impact of training on communication skills. The scales used to measure the change (...) No eligible studies addressed reductions in seclusion or restraints for staff training, risk assessment, multimodal, or environmental protocols. Harms of Strategies To Prevent Aggressive Behaviour No eligible studies examined risk assessments, multimodal interventions, environmental interventions, or medication protocols. Harms of Strategies To De-Escalate Aggressive Behaviour No eligible studies tested staff training, risk assessments, multimodal, or environmental protocols. Harms of Strategies To Reduce

2019 Monash Health Evidence Reviews

193. Public health guidance on prevention and control of blood-borne viruses in prison settings

was commissioned by the European Centre for Disease Prevention and Control (ECDC), coordinated by Lara Tavoschi with the support of Dagmar Hedrich from EMCDDA, Helena de Carvalho Gomes from ECDC and the ECDC Library, and produced by Pallas Health Research and Consultancy and Health Without Barriers (framework contract number ECDC/2015/028, specific contract number ECD.5855), in cooperation with Università degli Studi di Sassari (UNISS). Authors Anouk Oordt, Marije Vonk-Noordegraaf and Hilde Vroling (Pallas (...) a given intervention is accessible to the target population (availability of good health services within reasonable reach and when needed) Active case finding Interventions aimed at promoting early diagnosis by means of provider- initiated systematic offer for testing, at entrance and/or during stay (including at release) Client-initiated testing Testing which is voluntary and performed as the result of individual’s health- seeking behaviour, triggered by symptoms development or other reasons (i.e

2019 European Centre for Disease Prevention and Control - Public Health Guidance

194. Programmatic management of latent tuberculosis infection in the European Union

opinions; the evidence collection, appraisal and synthesis; the expert consultation and the first draft of this guidance were produced by Marije Vonk Noordegraaf-Schouten, Femke van Kessel and Anouk Oordt, members of a consortium of Pallas Health Research and Consultancy (Rotterdam) and Erasmus University Medical Center (framework contracts no ECDC/2013/005 and ECDC/2014/032). Invaluable input was received from ad hoc scientific panel chairs Gerard de Vries (the Netherlands) and Dominik Zenner (United (...) for risk of LTBI among vulnerable and hard-to-reach populations 13 Table 7. Evidence base on progression to active TB among vulnerable and hard-to-reach populations 13 Table 8. Evidence base for risk of LTBI and progression to active TB among occupational risk groups 14 Table 9. Evidence base for risk of LTBI and progression to active TB among other risk groups 15 Table 10. Evidence base for effectiveness of diagnostic test for LTBI 16 Table 11. Evidence base for cost-effectiveness of LTBI diagnostic

2019 European Centre for Disease Prevention and Control - Public Health Guidance

195. Acute Kidney Injury (AKI)

detection algorithm. (1B) We suggest that, when the true, reference serum creatinine (SCr) is uncertain, the presence of an active episode of AKI occurring in secondary care can be inferred from frequent SCr testing (e.g. at 12 and 24 hours after the index value). (2D) 2. Recognition of the patient at risk of AKI Guideline 2.1 - Adults and Paediatrics (unless otherwise stated) We recommend that: ? patients at risk of AKI should be identified by the most appropriate risk factor profile (...) for that population or, where no specific risk factor profile exists, through clinical judgement and recognition of generic risk factors for AKI; in this way, appropriate preventative measures may be instituted as early as possible (1C) ? in-patients deemed at high risk of AKI should be closely monitored for AKI, particularly if there has been a new exposure. Urine output should be monitored and serum creatinine tested daily (for adults) or regularly (for paediatric patients, reflecting the potential burden

2019 Renal Association

196. Guidelines For Professional Ultrasound Practice

SCREENING EXAMINATIONS USING ULTRASOUND 19 1.9 ERGONOMIC PRACTICE INCLUDING MANAGING THE HIGH BMI PATIENT 21 1.10 INTIMATE EXAMINATIONS AND CHAPERONES 23 1.11 EXAMINATION TIMES 24 1.12 THE 6 C’s, PATIENT IDENTIFICATION, COMMUNICATION AND CONSENT 25 1.13 CLINICAL GOVERNANCE 27 1.14 E-LEARNING FOR HEALTHCARE 29 1.15 IMAGING SERVICES ACCREDITATION SCHEME (ISAS) 29 1.16 ULTRASOUND EQUIPMENT AND QUALITY ASSURANCE TESTING 30 1.17 RAISING CONCERNS; SAFEGUARDING; STATUTORY REQUIREMENTS FOR REPORTING FEMALE (...) 2.7.5 Pelvic ultrasound reporting 57 2.7.6 Reporting Examples 57 2.8 ABDOMINAL ULTRASOUND EXAMINATIONS 59 2.8.1 General principles 59 2.8.2 Ultrasound examination of the liver 63 2.8.3 Ultrasound examination of the gallbladder and biliary tree 65 2.8.4 Transabdominal ultrasound examination of the pancreas 66 2.8.5 Ultrasound examination of the spleen 68 2.8.6 Ultrasound examination of the abdominal aorta 71 2.8.7 Ultrasound examination of the bowel 72 2.9 URO-GENITAL SYSTEM INCLUDING TESTES

2019 British Medical Ultrasound Society

197. Impact of Community Health Worker Certification on Workforce and Service Delivery for Asthma and Other Selected Chronic Diseases

U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-00006-I, 290-320011-T Prepared by: Johns Hopkins University Evidence-based Practice Center Baltimore, MD Investigators: Chidinma A. Ibe, Ph.D. Lisa M. Wilson, Sc.M. Joseph Brodine, M.D., M.P.H. Dwyan Monroe, B.A. Romsai Tony Boonyasai, M.D., M.P.H. Benjamin Meza, M.D., M.S. Megan M. Tschudy, M.D., M.P.H. Kristen McArthur, B.A. Karen A. Robinson, Ph.D. AHRQ Publication No. 20-EHC004 (...) Hopkins University Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-2015-00006-I, 290-320011-T). The Centers for Disease Control and Prevention (CDC) provided funding support for this report. The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement

2020 Effective Health Care Program (AHRQ)

198. Treatment of Depression in Children and Adolescents

Treatment of Depression in Children and Adolescents Treatment of Depression in Children and Adolescents: A Systematic Review Comparative Effectiveness Review Number 224 R Comparative Effectiveness Review Number 224 Treatment of Depression in Children and Adolescents: A Systematic Review Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-00011-I Prepared by: RTI (...) of suicidality for all antidepressants across all indications. iii This report is based on research conducted by the RTI International–University of North Carolina at Chapel Hill Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-2015-00011-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views

2020 Effective Health Care Program (AHRQ)

199. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain

Quality Index PTSD Post-traumatic stress disorder QALYs Quality-adjusted life years QOL Quality of life PENS Percutaneous electrical nerve stimulation RCT Randomized controlled trial RMDQ Roland Morris Disability Questionnaire ROAD Research on Osteoarthritis/ Osteoporosis against Disability RTW Return to work SCL-90-R Symptom Checklist SEBT Star excursion balance test SF-36 Medical Outcome Study Short Form- 36 SFMPQ Short-Form McGill Pain Questionnaire Recommendations were developed based (...) levels of evidence inform the grades of recommendation and the standard nomenclature used within the recom- mendations see Appendix C. Guideline recommendations are written utilizing a standard language that indicates the strength of the recommendation. “A” recommendations indicate a test or intervention is “recommended”; “B” recom- mendations “suggest” a test or intervention and “C” recommendations indicate a test or intervention “may be considered” or “is an option.” “I” or “Insufficient Evidence

2020 American Academy of Pain Medicine

200. COVID-19 Guidance for Women's Health

People with High Blood Pressure Need to Know about Covid-19.” (link: https://newsroom.heart.org/news/patients-taking-ace-i-and-arbs-who-contract-covid-19- should-continue-treatment-unless-otherwise-advised-by-their-physician) Telehealth visits may be an option Talk to your healthcare provider about substituting an in-person visit for a telehealth visit by phone or video. Many clinics and hospitals are delaying or rescheduling non-urgent cardiac tests, such as echocardiograms or stress tests. Talk (...) to your healthcare provider if you have an upcoming test to determine whether any changes should be made. Maintain healthy habits while staying safe Even though your routine is disrupted, it’s more important than ever to eat healthy, stay active, get enough sleep, and manage stress. For patients instructed to stay at home, make sure to take frequent breaks during the day to walk around the house. Try a new exercise or yoga class online. More information regarding Coronavirus can be found on the AHA’s

2020 American Heart Association

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