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Contraction Stress Test

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161. 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

162. 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

163. 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

164. 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

165. 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

166. 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

167. 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

168. 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

169. 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

170. 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

171. 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

173. 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

174. Acute pain management: scientific evidence (5th Edition)

obtained from case series, either post-test or pre-test and post-test Clinical practice points ? Recommended best practice based on clinical experience and expert opinion Key messages Key messages for each topic are given with the highest level of evidence available to support them, or with a symbol indicating that they are based on clinical experience or expert opinion. In the key messages, Level I evidence from the Cochrane Database is identified. Levels of evidence were documented according (...) anaesthetics 204 7.5.5 Safety 205 References 208 8. NON-PHARMACOLOGICAL TECHNIQUES 225 8.1 Psychological interventions 225 8.1.1 Provision of information 225 8.1.2 Stress and tension reduction 226 8.1.3 Attentional techniques 227 8.1.4 Cognitiv e-behavioural interventions 228 8.2 Transcutaneous electrical nerve stimulation 230 8.3 Acupuncture 231 8.4 Other physical therapies 232 8.4.1 Manual and massage therapies 232 8.4.2 Heat and cold 232 8.4.3 Other therapies 232 References 233 Acute Pain Management

2020 National Health and Medical Research Council

175. Indigenous Telepsychiatry

Profile Program Delivery Cultural Adaptations Partners ? There are 26 telebehavioural health sites located in rural and remote communities in Alaska, Arizona, Maine, Montana, New Mexico, New York, South Carolina, Washington, and Wisconsin. ? The rates of suicide, post-traumatic stress disorder (PTSD), alcohol dependence, and disruptive behaviour disorders are all higher in AI/AN communities. ? Each site has a dedicated Telebehavioral Health Coordinator who acts as the primary contact (...) Excellence in Suicide Prevention NLCAHR: Jurisdictional Snapshot March 2020 INDIGENOUS TELE-PSYCHIATRY 28 | P a g e Table 17: The MindSpot App (Australia) For more details, see p. 65 The MindSpot App, Australia ? MindSpot is a free service for Australians over the age of 18 who are experiencing anxiety, stress, depression, and low mood. MindSpot has seven courses including an Indigenous Wellbeing course designed to help Aboriginal and Torres Strait Islander adults learn to manage symptoms of depression

2020 Newfoundland and Labrador Centre for Health Information

176. 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

177. Precision public health – A critical review of the opportunities and obstacles

for Health Research (NIHR) Policy Research Programme (PRP) for the Department of Health and Social Care (DHSC). It was funded through the NIHR PRP contract with the EPPI Centre at UCL (Reviews facility to support national policy development and implementation). The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR or the DHSC. Funder involvement This work is part of an ongoing programme of work funded by DHSC. Throughout the review, DHSC (...) , including: • A digital health check, with only higher-risk patients being referred for clinical testing • Tailored interventions to support risk management after the health check • Low-cost interventions such as apps to support behaviour change Case study 2: Community-based interventions Community-based interventions aim to create multilevel change by identifying and building on resources in the community itself. Although speculative at this stage and subject to further research, PPH approaches could

2020 EPPI Centre

178. COVID-19 Recovery: Implications for cancer care

Screening Program continued to operate throughout the pandemic, reduced participation is indicated by a decrease in the use of relevant MBS items for testing and follow-up of positive results. 16 • Internationally, reports have emerged of fewer cancer referrals and notifications, including the Netherlands Cancer Registry reporting a decline in cancer incidence of about 25%. 17 In Australia, some cancer hospitals also reported reduced referrals of new patients. For example, average daily pathology (...) follow-up examinations to patients with a positive screening test. 7 • Potential diagnostic delays due to disruption of screening programs, delayed GP visits and delayed access to diagnostic pathways, have been modelled to result in patients potentially presenting with more advanced diseases (a shift in the disease stage at treatment initiation), the need for more complex treatments, including systemic therapies, and poorer outcomes. 20 6 COVID-19 Recovery: Implications for cancer care

2020 Cancer Australia

179. 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

180. How to better tackle Elder Abuse in Belgium?

– Overview table: Services involved in elder abuse management in Flanders, Wallonia and Brussels 108 Table 10 – Selection criteria 195 Table 11 – Evidence table of systematic reviews regarding the detection tools for identification of elder abuse 197 Table 12 – Overview of comprehensive detection tools 199 Table 13 – Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) 200 Table 14 – Vulnerability Abuse Screening Scale (VASS) 202 Table 15 – Elder Abuse Suspicion Index© (EASI) 203 Table 16 – Elderly (...) per theme. 551 22 Elder Abuse KCE Report 331 LIST OF QUESTIONNAIRES Questionnaire 1 – Vulnerability Abuse Screening Scale (VASS) 478 Questionnaire 2 – Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST) 478 Questionnaire 3 – Elder Abuse Suspicion Index© (EASI): french and german version 479 Questionnaire 4 – Indicators of Abuse (IOA): french* and english versions 481 Questionnaire 5 – Risk on Elder Abuse and Mistreatment-Instrument (REAMI): french version 482 Questionnaire 6 – Risicotaxatie

2020 Belgian Health Care Knowledge Centre

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