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Contraction Stress Test

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161. Cardiac arrhythmias in coronary heart disease

of ischaemic VT induced at electrophysiological study, sudden death and out-of-hospital collapse. R Revascularisation should be considered in patients who have had sustained VT or VF. 9 Patients with previous sustained VT/VF should undergo assessment for inducible ischaemia by stress testing or myocardial perfusion imaging followed, if appropriate, by coronary arteriography and revascularisation. These patients should all be considered for implantable cardioverter defibrillator therapy. 5.2.2 IMPLANTABLE

2018 SIGN

162. Diagnosis and management of epilepsy in adults

3.5 Hand-held video 11 3.6 Brain imaging 11 3.7 Electrocardiography 11 3.8 Genetic testing 12 4 Treatment 13 4.1 When to start antiepileptic treatment 13 4.2 Antiepileptic drug monotherapy 13 4.3 Management of drug-resistant epilepsy 14 4.4 Antiepileptic drug blood levels 16 4.5 Management of provoked seizures 17 4.6 Antiepileptic drug adverse effects 17 4.7 Antiepileptic drug withdrawal 19 4.8 Complementary therapy 20 4.9 Surgical referral 23 4.10 Management of prolonged seizures including status (...) CLINICAL FACTORS AND DIAGNOSIS Attack disorders such as faint and epilepsy produce their effects because some element of physiology becomes disordered, temporarily disturbing the function of the brain. For a test to positively identify the nature of an attack disorder, an attack must be recorded, and the disturbed physiology detected. As this is usually impractical, the routine diagnosis of attack disorders is largely clinical, based on history. The history should make clear what occurred before

2018 SIGN

163. 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

2019 Belgian Health Care Knowledge Centre

164. Proposals for a more effective antibiotic policy in Belgium

PRESCRIPTION GUIDELINES 258 11.10 MAKE USE OF THE (FUTURE) MANDATORY IMPLEMENTATION OF E-PRESCRIBING TO IMPROVE THE PRUDENT PRESCRIPTION OF ANTIBIOTICS 259 11.11 CONSIDER TAKING STRUCTURAL MEASURES TO IMPROVE THE PRUDENT PRESCRIPTION AND USE OF ANTIBIOTICS 259 11.12 PERFORM A HEALTH TECHNOLOGY ASSESSMENT ON POINT OF CARE TESTING FOR THE DIAGNOSIS OF INFECTIOUS DISEASES IN THE BELGIAN AMBULATORY CARE CONTEXT 259 11.13 STIMULATE BEHAVIOURAL CHANGE AMONG THE GENERAL PUBLIC AS WELL AS THE PRESCRIBERS TOWARDS (...) AMU Antimicrobial Use AP Ambulatory Practitioner API Active Pharmaceutical Ingredient APQI Antibiotic Prescribing Quality Indicator APR-DRG All Patient Refined Diagnosis Related Group ARM Antimicrobial-Resistant Microorganisms ARSIA Animal health association (‘Association Régionale de Santé et d'Identification Animale’) ART Acute Respiratory Tract ASP Antimicrobial Stewardship Program(s) 14 Antibiotic policy in Belgium KCE Report 311 AST Antibiotic Sensitivity Testing ATC Anatomical Therapeutic

2019 Belgian Health Care Knowledge Centre

165. Organisation of mental health care for adults in Belgium

216 Table 25 – Flowchart of sampling process 217 Table 26 – Stakeholders’ characteristics (n = 469) 220 Table 27 – Priority objectives of the reform in mental health care 221 Table 28 – Fixed effect tests on priority scores* 222 Table 29 – Priority objectives of the reform in mental health care, differences between regions 223 Table 30 – Priority objectives of the reform in mental health care, differences between stakeholders 223 Table 31 – Differences in priority organisational interventions (...) according to the goals of social integration and care in the community 224 Table 32 – Levels of the organisation of mental health care preferred by stakeholders according to the goal of social integration vs care in the community 225 Table 33 – Conjoint analysis on the dimensions and levels of the organisation of mental health care 227 Table 34 – Fixed effect tests on utility scores (U)* 228 Table 35 – Levels of the organisation of mental health care, differences between regions 229 Table 36 – Levels

2019 Belgian Health Care Knowledge Centre

166. Asylum seekers in Belgium: options for a more equitable access to health care. A stakeholder consultation

), these three key points and possible options and components for solutions were tested with a large panel of Belgian experts, field workers and policymakers during an online survey (April-May 2018). Participants to this survey were selected because of their expertise in the field of migration and/or health care (purposive sampling). Stakeholders included: the local welfare centres (Centre Public d’Action Sociale CPAS – Openbaar Centrum voor Maatschappelijk Welzijn OCMW (n=593), reception centres of Fedasil (...) exploratory phase and identify preferences, consensual and non- consensual points. It was, however, possible for stakeholders to freely add relevant components/options or modify the proposed options. The survey was initially developed in French, subsequently translated in Dutch, and pre- tested with a panel of KCE researchers (not part of the research team of this study). The survey was structured around the three themes: (i) governance of health policy, (ii) organisation of health care, and (iii) funding

2019 Belgian Health Care Knowledge Centre

167. European Championships Glasgow 2018: survey of volunteer applicants

information obtained during the application phase with responses to an online questionnaire exploring expectations, experiences and potential influence of the volunteer programme on volunteer applicants and to reflect on how learning from the Glasgow 2014 Commonwealth Games recruitment strategy shaped this. 2.2 Survey design A draft questionnaire was developed predominately using questions tested in previous studies and validated scales. The questionnaire covered a variety of topics exploring experiences (...) % 46% 16% 5% Long-term condition or illness (n=2,331) Yes No 15% 85% Employment (n=2,341) Employed full time (including self-employed) Employed part time (including self-employed) Employed casually (e.g. temporary contract) Retired or pensioner Unemployed and/or looking for employment Full-time pupil or student Full-time carer or parent Other 39% 13% 2% 28% 3% 10% 1% 4% Ethnicity (n=2,344) White Scottish White English White Welsh White Northern Irish White British White Irish White Polish White

2019 Glasgow Centre for Population Health

168. Canadian Urological Association guideline for the diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction

, renal function) Review of relevant systems Bowel function Sexual function Coexisting non-NLUTD dysfunction (prostatic enlargement, stress incontinence) Gross hematuria Gynecological/pregnancy history Genitourinary/pelvic pain Motor abilities (hand function, ability to transfer) Cognitive function Support systems/caregivers CIC: clean intermittent catheterization; MS: multiple sclerosis; NLUTD: neurogenic lower urinary tract dysfunction; SCI: spinal cord injury; UTI: urinary tract infection.CUAJ (...) , and the behaviour of the urinary sphincters during voiding. The availability of videoUDS is not universal, and a voiding cystogram is an acceptable alternative in some cases. Urodynamic diagnoses, such as neurogenic detrusor overactivity (NDO), impaired compli- ance, reduced bladder capacity, or a high detrusor leak point pressure (DLPP, defined as the lowest vesical pressure at which urine leaks from the bladder in the absence of a detrusor contraction or increased abdominal straining) can identify a patient

2019 Canadian Urological Association

169. Oral health for adults in care homes

bodies and 14 other guidelines [ES2.1]. Some of the latter (for instance, The oral health assessment tool – validity and reliability Chalmers et al. 2005, see the Oral health assessment tool) were considered to be of high quality. The committee discussed the evidence set out in review 2 about the Oral health assessment tool [ES2.1], and the systematic validation and standardisation work undertaken by the authors [ES1.1, ES1.2, ES1.3]. The testing for ease of use by a range of care staff and residents (...) added further weight to the committee's deliberation. This included evidence that it had been tested with residents who have dementia or communication difficulties. The committee recognised the complex needs of some residents, with many having long-term chronic conditions or needing the support of others for their daily care. The committee was also aware of the high staff turnover in some care homes. It agreed that using the Oral health assessment tool is likely to result in a more consistent

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

170. The Foyer model for homeless youth: a systematic mapping review

(including life skills) • Assistance with seeking and securing employment • Sports, arts and social activities • Assistance with securing accommodation on exit from the foyer • Residents are required to sign an agreement or contract that commits them to participation in education, training or employment as a condition of their ac- ceptance into the foyer accommodation • Support workers act as mentors to the young residents setting goals, reviewing progress and providing information and support to access

2018 Norwegian Institute of Public Health

171. The Effectiveness and Risks of Cranial Electrical Stimulation

in the former, sponge electrodes at the temples in the latter) and in the amount and type of current. Both are FDA-cleared for marketing for the treatment of anxiety, depression, and insomnia. One driver for the resurgence in interest in CES has been the Department of Defense and Department of Veterans Affairs authorizing practitioners to prescribe CES for anxiety, post- traumatic stress disorder, insomnia, depression and headache. One survey of active duty service members and veterans reported (...) randomized controlled trials were included Population(s): Adult patients with one or more of the following conditions: a chronic pain condition, depression, anxiety, insomnia, and posttraumatic stress disorder (PTSD) Intervention(s): Any cranial electrical stimulation (CES) device used in the home setting Comparator(s): Usual care including appropriate known treatments Outcome(s): Chronic pain: pain severity, use of opioid analgesic medication, quality of life, and daily functioning; Depression

2018 Veterans Affairs Evidence-based Synthesis Program Reports

172. Guidelines on Diagnosis and Management of Syncope

biomarkers 1910 4.2.8 Echocardiography 1910 4.2.8.1 Exercise stress echocardiography 1910 4.2.9 Exercise stress testing 1911 4.2.10 Coronary angiography 1911 5. Treatment 1911 5.1 General principles of treatment of syncope 1911 5.2 Treatment of reflex syncope 1911 5.2.1 Education and lifestyle modifications 1912 5.2.2 Discontinuation/reduction of hypotensive therapy 1913 5.2.3 Physical counter-pressure manoeuvres 1914 5.2.4 Tilt training 1914 5.2.5 Pharmacological therapy 1914 5.2.5.1 Fludrocortisone (...) evaluation and management according to risk stratification 1892 4.1 Initial evaluation 1892 4.1.1 Diagnosis of syncope 1893 4.1.2 Management of syncope in the emergency department based on risk stratification 1895 4.2 Diagnostic tests 1900 4.2.1 Carotid sinus massage 1900 4.2.2 Orthostatic challenge 1901 4.2.2.1 Active standing 1901 4.2.2.2 Tilt testing 1903 4.2.3 Basic autonomic function tests 1904 4.2.3.1 Valsalva manoeuvre 1904 4.2.3.2 Deep breathing 1904 4.2.3.3 Other autonomic function tests 1904

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2018 European Society of Cardiology

174. Accountable care organisations

for review questions 1 and 2 41 Appendix 4 — US Centers for Medicare & Medicaid Services ACO quality outcome measures 69 Appendix 5 — Case studies 71 6 ACCOUNTABLE CARE ORGANISATIONS| SAX INSTITUTE List of acronyms ACC Accountable Care Collaborative ACCHS Aboriginal Community Controlled Health Service ACO Accountable Care Organisation AHC Accountable Health Community AQC Alternative Quality Contract A & E Accident & Emergency BCBSMA Blue Cross Blue Shield of Massachusetts CCG Clinical Commissions Group (...) of patient-centred medical homes) and contractual options (e.g. alliance contracting and contractual joint ventures). In addition, Accountable Care Communities (ACCs) are emerging as a broader arrangement in which non-traditional healthcare providers such as social and other community service providers are engaged to achieve cost and quality outcomes on a community-wide population basis. The NSW Health Integrated Care Strategy is focused on delivery system redesign to improve health outcomes and patient

2018 Sax Institute Evidence Check

175. Fetal Health Surveillance: Antepartum Consensus Guideline

or amniotic fluid volume assessment within 24 hours. The woman should continue with daily fetal movement counting (III-B). • Non-stress test is atypical/abnormal: further testing (biophysical profile and/or contraction stress test and assessment of amniotic fluid volume) should be performed as soon as possible (III-B). Recommendation 2: Non-Stress Test 1. Antepartum non-stress testing may be considered when risk factors for adverse perinatal outcome are present (III-B). 2. In the presence of a normal non (...) -stress test, usual fetal movement patterns, and absence of suspected oligohydramnios, it is not necessary to conduct a biophysical profile or contraction stress test (III-B). 3. A normal non-stress test should be classified and documented by an appropriately trained and designated individual as soon as possible, (ideally within 24 hours). For atypical or abnormal non-stress tests, the nurse should inform the attending physician (or primary care provider) at the time that the classification

2018 Society of Obstetricians and Gynaecologists of Canada

176. Anaesthetic practice in the independent sector

to be flexible and available. Consultants will normally need to be available/on-call for their patients for a period of time postoperatively and will work more often on their own. If caring for patients with private medical insurance or who are self-funded, the doctor will be required to pay a higher medical indemnity subscription, have more complicated accounts, arrange for the billing of patients and must make sure that their independent practice does not conflict with their NHS contract. Anyone (...) private hospitals only award practising privileges to doctors who hold or who have held a substantive consultant appointment in an NHS hospital; others consider this not to be necessary. All doctors should undergo regular appraisal and revalidation in line with national recommendations and standards. Processes for appraisal vary locally but if the anaesthetist holds an NHS contract, appraisal is usually undertaken within the NHS hospital. Practice within the independent sector should be addressed

2019 Association of Anaesthetists of GB and Ireland

177. Heart Disease and Stroke Statistics

of Medicine, Cardiology Medtronic Philanthropy ; Gilead Sciences None None None None None None Matthew Shane Loop University of North Carolina at Chapel Hill NHLBI (HCHS/SOL contract) ; NHLBI (ARIC contract) ; DENKA-SEIKEN ; Puget Sound Bloodworks None None None None None None Pamela L. Lutsey University of Minnesota, Division of Epidemiology and Community Health NIH None None None None None None Seth S. Martin Johns Hopkins School of Medicine, Department of Cardiology None None None None None None None

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2019 American Heart Association

178. AIM Clinical Appropriateness Guidelines for Advanced Imaging of the Heart.

2019. AIM Specialty Health. All Rights Reserved. 2 Table of Contents Description and Application of the Guidelines 3 Administrative Guidelines 4 Ordering of Multiple Studies 4 Pre-test Requirements 5 Cardiac Imaging 6 Myocardial Perfusion Imaging 6 Cardiac Blood Pool Imaging 12 Infarct Imaging 15 Stress Echocardiography (SE) 16 Transesophageal Echocardiography (TEE) 23 Resting Transthoracic Echocardiography (TTE) 25 Cardiac CT - Quantitative Evaluation of Coronary Calcification 33 CT Cardiac (...) but are thought to contribute to CAD risk. ? Selection of the optimal diagnostic work-up for evaluation or exclusion of coronary artery disease should be made within the context of available studies (which include treadmill stress test, stress myocardial perfusion imaging, stress echocardiography, cardiac PET imaging and invasive cardiac/coronary angiography), so that the resulting information facilitates patient management decisions and does not merely add a new layer of testing. ? Occasionally, it may

2019 AIM Specialty Health

179. Public health guidance on active case finding of communicable diseases in prison settings

was commissioned by ECDC and coordinated by Lara Tavoschi. Support was provided by Dagmar Hedrich (EMCDDA), Netta Beer (ECDC), Helena de Carvalho Gomes (ECDC), and the ECDC library staff. The systematic review for this report was performed by members of a consortium of Pallas Health Research and Consultancy and Health Without Barriers (framework contract ECDC/2015/028, specific contract ECD.5855), in cooperation with Università degli Studi di Sassari (UNISS): Anouk Oordt, Marije Vonk-Noordegraaf, Hilde Vroling (...) for Drugs and Drug Addiction GRADE Grading of recommendations assessment, development and evaluation HBV Hepatitis B virus HCV Hepatitis C virus HIV Human immunodeficiency virus IGRA Interferon gamma release assay LTBI Latent tuberculosis infection MSM Men who have sex with men PRISMA Preferred reporting items for systematic reviews and meta-analyses PWID People who inject drugs STI Sexually transmitted infection TasP Treatment as prevention TB Tuberculosis TST Tuberculin skin test UNODC United Nations

2018 European Centre for Disease Prevention and Control - Public Health Guidance

180. ESC/ESH Management of Arterial Hypertension

= transient ischaemic attack; PAD = peripheral artery disease; SCORE = Systematic COronary Risk Evaluation. Table 6 Risk modifiers increasing cardiovascular risk estimated by the Systemic COronary Risk Evaluation (SCORE) system Social deprivation, the origin of many causes of CVD Obesity (measured by BMI) and central obesity (measured by waist circumference) Physical inactivity Psychosocial stress, including vital exhaustion Family history of premature CVD (occurring at age <55 years in men and <60 years (...) in women) Autoimmune and other inflammatory disorders Major psychiatric disorders Treatment for infection with human immunodeficiency virus Atrial fibrillation LV hypertrophy CKD Obstructive sleep apnoea syndrome Social deprivation, the origin of many causes of CVD Obesity (measured by BMI) and central obesity (measured by waist circumference) Physical inactivity Psychosocial stress, including vital exhaustion Family history of premature CVD (occurring at age <55 years in men and <60 years in women

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2018 European Society of Cardiology

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