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141. Guidelines for cancer treatment during COVID 19 pandemic

Coronavirus patients and the public can call 0800 028 2816 The most vulnerable cancer patients Some people with cancer are more at risk of becoming seriously ill if they contract the coronavirus infection, including people: • With cancer who are undergoing active chemotherapy or radiotherapy • With cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment • Having immunotherapy or other continuing antibody treatments for cancer • Having other targeted (...) role during crisis management. It cannot be performed by the consultant ‘on-call’. They must be free of clinical duties and the role involves co-ordination of the whole service from emergency department (ED) through to liaison with other specialties and managers. • It can be very stressful during a crisis. Support each other and share the workload. Do not expect the clinical director to do all the co-ordination. • Make contingency plans for supply chain issues. Surgical patients If appropriate

2020 Covid-19 Ad hoc guidelines

142. Optimising maternity services and maternal and newborn outcomes in a pandemic A rapid analytic scoping review

women and newborn infants continue to require care during the current COVID-19 pandemic. When staff and services are under extreme stress there is a real risk of increasing avoidable harm, including an increased risk of infection and reductions in the overall quality of care. Safety, quality, and avoiding harm must be key priorities in decision- making. Review questions Three related review questions were addressed. All considered safety, quality and minimising avoidable harm in the provision (...) , psychological, and social vulnerabilities. Women and newborn infants therefore require access to quality midwifery care, and to multidisciplinary services and to additional care for complications including emergencies if needed. They need special consideration during the current COVID-19 pandemic. When staff and services are under extreme stress there is a real risk of increasing avoidable harm, including an increased risk of infection and reductions in the overall quality of care. Safety, quality

2020 Royal College of Midwives

143. Rational use of personal protective equipment for coronavirus disease (COVID-19)

: interim guidance -2- • Administrative controls include ensuring resources for infection prevention and control (IPC measures, such as appropriate infrastructure, the development of clear IPC policies, facilitated access to laboratory testing, appropriate triage and placement of patients, including separate waiting areas/rooms dedicated to patients with respiratory symptoms, and adequate staff-to-patient ratios, and training of staff. In the case of COVID-19, consideration should be given, wherever (...) for molecular testing would require BSL-2 or equivalent facilities. Handling and processing of specimens from cases with suspected or confirmed COVID-19 infection that are intended for additional laboratory tests, such as haematology or blood gas analysis, should apply standard precautions 9 • Maintain physical distance of at least 1 metre • Medical mask • Eye protection • Gown • Gloves • Perform hand hygiene Administrative areas All staff, including health care workers. Administrative tasks that do

2020 WHO Coronavirus disease (COVID-19) Pandemic

144. Estimate of the economic costs and literature review of the benefits of dedicated research time for Hospital Consultants in the NHS

by the Academy and also by snowballing of references from literature reviewed. A total of 28 eligible papers were identified through these techniques. ii 3. RESULTS From a review of existing guidelines and other literature it is apparent that although the Consultant Contract provides for ‘supporting clinical activities’, which could include dedicated time for research, in reality most Consultants do not have time to carry out research on top of their requirement to provide direct clinical care. The exception (...) is for Consultant Clinical Academics whose contracts allow for 0.5 whole time equivalent (WTE) academic activities. It was, therefore, assumed that to provide 20% of Consultants with 20% of dedicated research time would require backfilling of an equivalent amount of time for direct clinical care. The cost estimate was made on the basis that an average Teaching Hospital Trust has around 415 Consultants and an average District General Hospital Trust has around 182 Consultants. In an average week the provision

2020 Academy of Medical Sciences

145. Covid-19: Management of non-coronavirus cancer patients

services while protecting resources for the response to coronavirus. In addition, we need to consider the small possibility that the facility for cancer services may be compromised due to a combination of factors including staff sickness and supply chain shortages among others. This is an unlikely scenario but plans are needed. The most vulnerable cancer patients Some people with cancer are more at risk of becoming seriously ill if they contract the coronavirus infection: 2 | Guidance for trusts (...) into different phases ‘the chief focus will be to provide essential services, helping those most at risk access the right treatment’. Cancer patients will want to discuss with their clinicians whether the risks of beginning or continuing their cancer treatment could outweigh the benefits, given that many patients receiving systemic therapies in particular are more at risk of becoming seriously unwell if they contract the coronavirus infection. In the event of disruption to cancer services, clinicians may

2020 Covid-19 Ad hoc guidelines

146. Fetal Health Surveillance: Intrapartum Consensus Guideline Full Text available with Trip Pro

for adverse perinatal and neonatal outcomes (I-B). 9 Intermittent auscultation may be used for women who are 41 4 weeks gestation to 42 0 weeks, provided there is documentation of a normal non-stress test and normal amniotic fluid volume (III-C). 10 Electronic fetal monitoring is recommended for pregnancies at risk of adverse perinatal outcome (II-A). Paper Speed 11 Canadian health care facilities should move towards a universal paper speed of 3 cm/minute for electronic fetal monitoring tracings (...) The impact, benefits, and risks of different methods of surveillance on the diverse maternal-fetal health conditions have been reviewed based on current evidence and expert opinion. No fetal surveillance method will provide 100% detection of fetal compromise; thus, all FHS methods are viewed as screening tests. As the evidence continues to evolve, caregivers from all disciplines are encouraged to attend evidence-based Canadian educational programs every 2 years. Evidence Literature published between

2020 Society of Obstetricians and Gynaecologists of Canada

147. Home and dry: The need for decent homes in later life

non-decent homes could be repaired for £1,000. Previous funding to address housing disrepair, such as means-tested grants for lower income homeowners, has been withdrawn in recent years. In 1983-84 the national allocated funding for private-sector housing improvement and repair was £1.1 billion. By 2010-11 this was down to £317 million, and then ceased completely the following financial year. Although people on a low income are more likely to live in non-decent homes, the ability to pay (...) determinant of health Housing is a key determinant of health, with the supply, quality and design of homes all impacting on population health and wellbeing. According to the World Health Organisation: – Structurally deficient housing increases the likelihood that people slip or fall, increasing the risk of injury. – Poor accessibility to their home puts disabled and elderly people at risk of injury, stress and isolation. – Housing that is insecure, sometimes due to affordability issues or weak security

2020 The Centre for Ageing Better

148. Covid-19: Recommendations on the prioritisation and deferral of pathology laboratory work

Covid-19: Recommendations on the prioritisation and deferral of pathology laboratory work 1 Recommendations from RCPath and Professional Bodies (IBMS, ACP and ACB) Prioritisation/deferral of Pathology Laboratory Work (in light of SARS- CoV-2 (COVID19) epidemic) 2 Content 1. Background 3 2. Aims and Objectives 3 3. Scope 4 4. Overview and Recommendations 4 5. Impact Assessment 9 6. Conclusion 14 7. Further information 14 8. Appendices 15 3 1. 0 Background In light of unprecedented stress (...) on laboratory systems from the COVID-19 (SARS- CoV-2) epidemic testing, the recommendations below have been provided by Clinical Experts from the Royal College of Pathologists (RCPath), Institute of Biomedical Science (IBMS), the Association of Clinical Biochemistry and Laboratory Medicine (ACB) and the Association of Clinical Pathologists (ACP), as a guide to prioritisation of resources during this time of unprecedented emergency. The clinical input has been collated and coordinated by Prof JE Martin (MA

2020 Royal College of Pathologists

149. Five Don'ts to Prevent Novel Coronavirus Infection (COVID-19) and Death - part 2

Figure 2: Chronic diseases make illness worse or increase death from COVID-19 * By fixed effect (Mantel-Haenszel, Robins-Breslow-Greenland) MED CHECK April 2020/ Vol.6 No.17 · Page 25 via the blood but also directly through the nose [22] (Figure 4). (2) Persistent stress with a lack of sleep injure your body Excessive stress contracts blood vessels and increases blood pressure, leading to poor supply of blood with oxygen. This situation is called "ischemia". If ischemia continues, the tissue (...) of stress and reduces immunity When you have a fever, you have to take a rest. When you are not infected, it is important that you exercise moderately during the day time and take enough sleep at night to avoid stress and repair injuries that you had during the day time. A lack of sleep is the greatest stress. A lack of sleep at night with excessive stress during day time, sympathetic nerves are activated and immunity is suppressed. As a result, blood vessels in various parts of the body contract

2020 Med Check - The Informed Prescriber

150. ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic Full Text available with Trip Pro

of vigilance is necessary to prevent contracting the infection when managing patients using , when intubation is performed or the transesophageal echocardiogram ( ) probe is inserted. Patients undergoing should be tested for status; In case of two negative results within 48 hours and absence of suspicious symptoms of infection, the planned procedure may be performed using standard protective tools. In patients with positive test or unknown status: A "point-of-care" focused ultrasound ( ) exam may (...) infection. In view of finite health care resources, health care providers are confronted with ethical considerations on how to prioritize access to care for individual patients as well as providing care for while not neglecting other life-threatening emergencies. Of note, assays to detect the virus in asymptomatic and symptomatic patients have important limitations in terms of sensitivity and specificity and will be complemented by tests for antibodies to identify those that already have been infected

2020 European Society of Cardiology

151. Consensus Statement on organization of routine and specialist obstetric ultrasound services in the context of COVID-19

be advised to monitor their blood pressure periodically and contact their care providers in case of elevated blood pressure or decreased fetal movements after 30?weeks. Where antenatal testing is performed using a non-stress test and subsequent amniotic fluid assessment (modified biophysical profile), consider replacing this with a biophysical profile without the non-stress test, to minimize the total visit time. Consideration of telephone consultations and remote clinics Antenatal clinics (...) proportion of infected people may have no symptoms 1,4 . Our recommendation is that every woman is screened (via a questionnaire) for COVID-19 before she enters the ultrasound unit. Many healthcare services have created dedicated COVID-19 triage services in which symptomatic patients can be assessed and, if necessary, tested for their infection status even before physically entering the hospital. If the symptomatic patient is pregnant, she should be assessed by her assigned care provider in accordance

2020 British Medical Ultrasound Society

152. Asthma and COVID-19: risks and management considerations

may be of benefit but have not been tested in this context. BACKGROUND People with asthma (PWA) have been identified as being at serious illness from COVID-19. Understanding this risk and best ways to mitigate it is key to enabling patients, carers, and healthcare professionals to make informed choices about ways to manage asthma during the COVID-19 pandemic. This rapid review sets out to answer the following questions: Are PWA at increased risk of contracting COVID-19? Are PWA at increased risk (...) of worse outcomes from COVID-19? Are PWA at risk from COVID-19 related disruptions to care? How should asthma be managed during the COVID-19 pandemic? How should PWA be managed when presenting with COVID-19? CURRENT EVIDENCE Are PWA at increased risk of contracting COVID-19? As community testing for COVID-19 is still limited, it is impossible to say with any certainty if any groups are more or less likely to contract the disease. Most data on disease prevalence and outcomes come from people

2020 Oxford COVID-19 Evidence Service

153. COVID-19 Aviation Health Safety Protocol: Guidance for the management of airline passengers in relation to the COVID-19 pandemic

and Safety and Public Safety, to protect passengers, crew members and staff, restore their confidence and ensure a harmonised return to operations both in and outside of Europe. From the beginning, it is important to stress that these operational guidelines reflect the current status of knowledge of the COVID-19 pandemic and of effective preventive measures being used. These recommended measures will be regularly evaluated and updated in line with changes in knowledge of the risk of transmission as well (...) on best available evidence ? Airport operators should, according to their airport emergency plan, appoint a coordinator in order to ensure the uniform application of preventive measures by all actors providing services at the 5 WHO guidance on coping with stress in the context of COVID-19: https://www.who.int/docs/default- source/coronaviruse/coping-with-stress.pdf?sfvrsn=9845bc3a_2 6 https://ad.easa.europa.eu/sib-docs/page-1 7 Formal communication with the Member States to ensure priority is given

2020 European Centre for Disease Prevention and Control - Technical Guidance

154. Paediatric inflammatory multisystem syndrome and SARS-CoV-2 infection in children

by the coronavirus disease (COVID-19) pandemic recently reported cases of children that were hospitalised in intensive care due to a rare paediatric inflammatory multisystem syndrome (PIMS). The presenting signs and symptoms are a mix of the ones for Kawasaki disease (KD) and toxic shock syndrome (TSS) and are characterised, among others, by fever, abdominal pain and cardiac involvement. A possible temporal association with SARS-COV-2 infection has been hypothesised because some of the children that were tested (...) community about PIMS-TS and inform parents and caregivers about signs and symptoms. The importance of timely contact with a healthcare worker should be stressed. Risk communication should emphasise that PIMS-TS is a rare condition and that its potential link with COVID-19 is neither established nor well understood. RAPID RISK ASSESSMENT Paediatric inflammatory multisystem syndrome and SARS-CoV-2 infection in children 2 Event background On 31 December 2019, a cluster of pneumonia cases of unknown

2020 ICM Anaesthesia COVID-19

155. Remote ECG interpretation consultancy services for cardiovascular disease

of the heart and is used to diagnose cardiovascular disorders. Remote ECG interpretation consultancy services provide expert analysis of ECGs to support clinical decision-making. The services can receive and interpret ECGs – along with other information – using telephone and digital methods. This briefing describes 6 services that are available in the UK (see table 1). There are 3 main types of ECG: 12-lead ECG 12-lead ECG: the standard diagnostic test used in primary care for a number of cardiovascular (...) or a fixed monthly fee of £77 per 1,000-practice population, irrespective of the number of tests done. Holter analysis: Holter analysis: 24 hours: £45 per report 48 hours: £70 per report 72 hours: £95 per report 7 days: £120 per report. Consultant cardiologist e-consultation: Consultant cardiologist e-consultation: £42 per report. Holter analysis prices are based on the duration of the ECG is recording. Smart T elecardiology Fees for 12-lead ECG interpretation start at £3 for a technician's report and £8

2018 National Institute for Health and Clinical Excellence - Advice

156. Patient-specific blister packaging - rapid report

) V, Statutory Health Insurance, external experts who are involved in the Institute’s research commissions must disclose “all connections to interest groups and contract organizations, particularly in the pharmaceutical and medical devices industries, including details on the type and amount of any remuneration received”. The Institute received the completed Form for disclosure of potential conflicts of interest from each external expert. The information provided was reviewed by a Committee (...) the service of patient-specific blister packaging have 2 options: They can either perform the blister packaging themselves at the pharmacy or commission a contract manufacturer (known as blister centre) to do so [2,3]. Solid oral dosage forms such as tablets or capsules are generally suitable for blister packaging [4]. The blister packaging of these drugs is performed manually or automatically, usually using a computerized process. Blister packaging is suitable for outpatient and inpatient care and being

2019 Institute for Quality and Efficiency in Healthcare (IQWiG)

157. Towards integrated antenatal care for low-risk pregnancy

/ Openbaar Centrum voor Maatschappelijk Welzijn EBP Evidence Based Practice FPS Federal Public Service FTE Full Time Equivalent GP General practitioner ICC Individual Counselling Consultation IQR Inter Quartile Range IT Information Technology K&G Kind en Gezin KPI Key Performance Indicator MLCC Midwife-Led Continuity of Care NIHDI National Institute for Health and Disability Insurance NIPT Non-Invasive Prenatal Testing ONE Office de la Naissance et de l’Enfance KCE Report 326 Towards integrated antenatal (...) on birth preparation, and more specifically on pain relief during the delivery by other means than drug-induced sedation or general anaesthesia. In 2002, WHO highlighted the need to extend birth preparation to birth and parenthood education. 2 To help the pregnant woman and her partner in the transition to parenthood, education and information programmes have been developed assuming that increased knowledge will have a positive impact on parental stress, parenting behaviours, parent-child relationship

2020 Belgian Health Care Knowledge Centre

158. Optimisation of RIZIV – INAMI lump sums for incontinence

DRUGS (RIZIV – INAMI 2008-2017) 223 APPENDIX 6. ... – NUMBER OF IMPLANTS AND REIMBURSEMENTS FOR INCONTINENCE (DOC N 2016) 225 ? REFERENCES 228 8 Incontinence KCE Report 304 LIST OF FIGURES Figure 1 – Nocturnal enuresis prevalence in children and adolescents 21 Figure 2 – Incontinence as a geriatric symptom 25 Figure 3 – Sling operations for stress incontinence in women 36 Figure 4 – Injection of bulking agents 38 Figure 5 – ICS Initial management of urinary incontinence in men 42 Figure 6 – ICS (...) A recommendation 33 Table 9 – Drugs for stress incontinence 34 Table 10 – Indications for surgery in men 35 Table 11 – Cure rates for urgency urinary incontinence from individual studies 40 Table 12 – Cure rates for mixed urinary incontinence from individual studies 40 Table 13 – Summary of evidence for drugs in the frail elderly 51 Table 14 – ICS Level of evidence for incontinence surgery in the frail older person 52 Table 15 – ICS Recommendations for incontinence surgery in the frail older person 53 Table 16

2020 Belgian Health Care Knowledge Centre

159. Canadian guidelines on opioid use disorder among older adults

arising from contract, negligence, or any other cause of action, to any party, for the publication contents or any consequences arising from its use. The views expressed herein do not necessarily represent the views of Health Canada. We encourage the copy and distribution of these guidelines; provided that the appropriate attribution is given. Please see the suggested citation below. Suggested citation: Canadian Guidelines on Opioid Use Disorder Among Older Adults. Canadian Coalition for Seniors (...) , with an emphasis on signs of intoxication or withdrawal and the sequelae of substance use. Laboratory and other investigations (including urine drug tests) should be performed as appropriate for the medical conditions identified. Reassessment is essential and should be conducted episodically throughout long-term care. [GRADE Quality: Moderate; Strength: Strong]7 Canadian Guidelines on Opioid Use Disorder Among Older Adults QUESTION E: In older adults with or at risk for an OUD, what considerations

2019 CPG Infobase

160. Canadian guidelines on benzodiazepine receptor agonist use disorder among older adults

in the creation of this publication disclaim any liability arising from contract, negligence, or any other cause of action, to any party, for the publication contents or any consequences arising from its use. The views expressed herein do not necessarily represent the views of Health Canada. We encourage the copy and distribution of these guidelines; provided that the appropriate attribution is given. Please see the suggested citation below. Suggested citation: Canadian Guidelines on Benzodiazepine Receptor

2019 CPG Infobase

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