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Daily Energy Allowance

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81. Clinical care of severe acute respiratory infections – Tool kit

131 10.8 Guide to commonly used sedatives in adults 133 10.9 Guide to commonly used opioid analgesics in adults 134 10.10 Guide to using neuromuscular blockers in adults 135 10.11 Guide to commonly used antipsychotics (haloperidol) in adults 136 10.12 Guide to paediatric analgesics, sedatives and neuromuscular blockers 137 11. LIBERATION FROM INVASIVE MECHANICAL VENTILATION 139 Summary 140 References and resources 141 11.1 Algorithm for coordinating daily sedation interruption with daily SBT 143 (...) for providing enteral nutrition (EN) for adults 156 12.5 Procedure for providing enteral nutrition (EN): paediatric considerations 157 12.6 Algorithm for early mobility in the ICU 159 12.7 ABCDE bundle 160 13. QUALITY IN CRITICAL CARE 163 Summary 164 References and resources 165 13.1 Checklist for daily best practices 166 13.2 Surviving Sepsis Campaign bundles 167 13.3 Checklist: high-quality use of invasive mechanical ventilation for ARDS 168 13.4 Process for selecting problem to focus on in the ICU

2020 WHO Coronavirus disease (COVID-19) Pandemic

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

of independent housing information and advice – National and local government ensuring the availability of, and access to, organisations that support homeowners to maintain and improve their homes, such as home improvement agencies, handyperson services and energy efficiency schemes – Ensuring that there is sufficiently detailed local data to enable targeted action, including reviewing the sample size of the English Housing Survey to allow for more granular analysis that would enable targeted and strategic (...) : – Making the improvement of thermal standards in current homes a central tenet of national government policy around energy efficiency and the environment – Create and support new mechanisms to enable low-income homeowners, particularly those with health conditions to bring homes up to basic standards of decency – Giving local authorities power, resources and capacity to address non-decent homes in their communities, including taking action against landlords and effective support for retrofit and area

2020 The Centre for Ageing Better

83. Effectiveness of interventions to manage acute malnutrition in children under five years of age in low- and middle-income countries Full Text available with Trip Pro

vitamin A daily, either as an integral part of therapeutic foods or as part of a multi‐micronutrient formulation. According to these guidelines, children with complicated SAM are managed as inpatients in three phases; stabilisation phase which includes fluid management for severe dehydration, correction of hypothermia, hypoglycaemia and micronutrient deficiencies and the use of antibiotics for complications; rehabilitation phase which includes increased nutrient and energy intake through therapeutic (...) they have an appetite. Children who have appetite and are clinically well and alert (uncomplicated SAM) should be treated as outpatients and can be managed with RUTF in amounts adjusted to their weight, to provide recommended energy intakes for recovery while children with complications should be treated inpatient. 4. Children with uncomplicated SAM, not requiring to be admitted and who are managed as outpatients, should be given a course of oral antibiotics such as amoxicillin while children who

2020 Campbell Collaboration

84. Daily torpor is associated with telomere length change over winter in Djungarian hamsters Full Text available with Trip Pro

Daily torpor is associated with telomere length change over winter in Djungarian hamsters Ageing can progress at different rates according to an individual's physiological state. Natural hypothermia, including torpor and hibernation, is a common adaptation of small mammals to survive intermittent or seasonal declines in environmental conditions. In addition to allowing energy savings, hypothermia and torpor have been associated with retarded ageing and increased longevity. We tested (...) the hypothesis that torpor use slows ageing by measuring changes in the relative telomere length (RTL) of Djungarian hamsters, Phodopus sungorus, a highly seasonal rodent using spontaneous daily torpor, over 180 days of exposure to a short-day photoperiod and warm (approx. 20°C) or cold (approx. 9°C) air temperatures. Multi-model inference showed that change in RTL within individuals was best explained by positive effects of frequency of torpor use, particularly at low body temperatures, as well

2011 Biology letters

86. Ready-to-use therapeutic food (RUTF) for home-based nutritional rehabilitation of severe acute malnutrition in children from six months to five years of age. (Abstract)

presenting with uncomplicated SAM or those with complicated SAM after complications have been resolved), catch-up growth is the main focus and the recommended energy and protein requirements are much higher. In-hospital rehabilitation of children with SAM is not always desirable or practical - especially in rural settings - and home-based care can offer a better solution. Ready-to-use therapeutic food (RUTF) is a widely used option for home-based rehabilitation, but the findings of our previous review (...) and function, adverse outcomes and acceptability as secondary outcomes.We screened for eligible studies, extracted data and assessed risk of bias of those included, independently and in duplicate. Where data allowed, we performed a random-effects meta-analysis using Review Manager 5, and investigated substantial heterogeneity through subgroup and sensitivity analyses. For the main outcomes, we evaluated the quality of the evidence using GRADE, and presented results in a 'Summary of findings' table per

2019 Cochrane

88. Intrabeam radiotherapy system for adjuvant treatment of early breast cancer

carcinoma, extensive intraductal component, node involvement, and close margins) may go on to receive an additional course of EBRT. For patients having EBRT, treatment can only begin after the surgical wound has healed and takes several weeks of daily therapy to complete. Intrabeam also has the theoretical advantage of having the source of radiation directly applied to the tumour bed. However, the committee heard from the clinical experts that there are now techniques allowing clinical oncologists (...) of early breast cancer (TA501) © NICE 2018. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 4 of 302 2 The technology The technology Description of Description of the technology the technology The Intrabeam radiotherapy system (Carl Zeiss UK) is a mobile irradiation system. It is designed to deliver a single dose of targeted low-energy radiation (X-rays) directly to the tumour bed, while limiting the exposure of healthy tissue

2018 National Institute for Health and Clinical Excellence - Technology Appraisals

89. Health literacy: what lessons can be learned from the experiences of other countries?

for research and monitoring: o by investing in interdisciplinary research that demonstrates the benefits of tackling health literacy; o by conducting surveys of health literacy and the health literacy friendliness of systems at regular intervals to allow comparisons over time (also including children and adolescents); o by setting priorities in key developmental areas, such as analysing the effects of mass media and social media; o by expanding existing measures of health literacy oriented towards (...) this framework to Health Literacy, Van den Broucke (2019) describes these six dimensions as follows: 20 1.5.1 Knowledge development The development of a strong knowledge base with regard to health literacy requires a research infrastructure at national and international level that allows for the systematic collection of relevant high-quality data regarding the health literacy of the population, the determinants and consequences of low health literacy, and the effects of interventions aimed at tackling low

2020 Belgian Health Care Knowledge Centre

90. Guidelines for diagnosing and managing pediatric concussion

must give permission for the child/adolescent to return to school because concussion may affect his/her ability to learn. • It is reasonable for a child/adolescent to miss a day or two of school after concussion, regardless of symptoms. However, it is also important not to allow or encourage the child/adolescent to "settle into the habit" of missing school, which can create its own problems. Chapter: Recommendations Guidelines for Diagnosing and Managing Pediatric Concussion 14 Tipsheet / List (...) /attachments/201/original/ONF_mTBI_Guidelines_2nd_Ed ition_MODULE_12.pdf. Why: • Parents and/or caregivers need to know that most patients recover fully from concussion even though the recovery rate is variable and unpredictable. • The key to the initial management of concussion is physical and cognitive rest, which allow symptoms to resolve. Level of evidence: B for need for rest; C for ideal duration of rest. Chapter: Recommendations Guidelines for Diagnosing and Managing Pediatric Concussion 15 Tipsheet

2019 CPG Infobase

91. Canadian Cardiovascular Society/Canadian Cardiac Transplant Network Position Statement on Heart Transplantation: Patient Eligibility, Selection, and Post-Transplantation Care Full Text available with Trip Pro

by the total number of domains assessed. Value ≥ 0.32 considered significant for HF patients Cognition History of dementia; Mini-Cog test or Mini-Mental State Examination Exhaustion Dependency of activities in daily living Function Energy level Burden of chronic disease Charlson index; > 5 chronic medications Mood Depression, sadness, anxiety Nutritional status > 10-Pound weight loss in the past 6 months; low albumin, poor appetite Social vulnerability Presence of social support; lack of interactions (...) Phenotype Grip strength Handheld dynamometer (in kilograms) and stratified according to gender and body mass index quartiles; 1 point All values are summed with ≥ 3 consistent with frailty in HF patients Walk time Time to walk 15 feet stratified according to gender and height; 1 point Low level of physical activity “How often do you engage in activities that require a low or moderate level of energy, such as walking, chores (moderately strenuous), mowing the lawn, raking, gardening, hiking, jogging

2020 Canadian Cardiovascular Society

92. Cycling in Scotland: review of cycling casualties

at least 150 minutes of moderate physical activity or 75 minutes vigorous physical activity, or an equivalent combination of the two, per week. Health Economic Assessment Tool (HEAT): The World Health Organization’s Health Economic Assessment Tool (HEAT) for walking and cycling, allows for the economic assessment of the health impacts of walking and cycling. The tool is based on the best available evidence and transparent assumptions and can be used at national and local level. The tool works (...) or by using renewable energy which does not produce carbon emissions. 8 Abbreviations APPCG All Party Parliamentary Cycling Group CAFS Cleaner Air for Scotland CAPS Cycling Action Plan for Scotland CRASH Collision Reporting and Sharing System E-bikes Electronically assisted pedal bikes GCPH Glasgow Centre for Population Health GDP Gross Domestic Product HEAT Health Economic Assessment Tool HIA Health Impact Assessment KSI Killed or Seriously Injured km Kilometres mph Miles per hour NCN National Cycle

2020 Glasgow Centre for Population Health

93. Total distal radioulnar joint replacement for symptomatic joint instability or arthritis

limits hand movement and grip strength. 2.2 Initial treatment includes rest, analgesia and corticosteroid injections. If symptoms do not respond to conservative measures, surgical options include excision of the ulnar head or ulnar head replacement. Another option is to fuse the ulnar head to the radius and excise a small segment of bone proximal to the joint, to allow the hand to turn over. 3 3 The procedure The procedure 3.1 T otal distal radioulnar replacement differs from conventional treatment (...) , and with a tourniquet applied to the upper arm. Radiological screening is used during the procedure to check the position of the joint. An incision is made along the ulnar border and the ulnar head is removed, taking care to avoid damage to the ulnar nerve, tendons and artery. A plate bearing a socket is fixed to the radius, and the ulna component of the prosthesis is then inserted and attached to the radial component, using a ball to allow pronation and supination. The range of motion of the joint is checked

2017 National Institute for Health and Clinical Excellence - Interventional Procedures

94. Cystic fibrosis: diagnosis and management

. 1.6.57 Do not offer inhaled corticosteroids as an immunomodulatory treatment for cystic fibrosis. 1.7 Other monitoring, assessment and management Nutritional interv Nutritional interventions and e entions and ex xocrine pancreatic insufficiency ocrine pancreatic insufficiency 1.7.1 The cystic fibrosis specialist dietitian should offer advice on the benefits of optimal nutrition, and at the annual assessment review the person's: total nutritional intake, including energy intake (calories) estimated (...) nutritional needs pancreatic enzyme replacement therapy, if appropriate. 1.7.2 Encourage people to increase calorie intake by increasing portion size and eating high-energy foods if there is concern about their nutrition (including weight loss and inadequate weight gain). 1.7.3 If increased portion size and high-energy foods are not effective, consider a trial of oral nutritional supplements. 1.7.4 If attempts to increase calorie intake are not effective, consider: supplementation with enteral tube

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

95. Faltering growth: recognition and management of faltering growth in children

:// conditions#notice-of-rights). Page 2 of 23Contents Contents Overview 4 Who is it for 4 Recommendations 5 1.1 Weight loss in the early days of life 5 1.2 Faltering growth after the early days of life 6 1.3 Organisation of care 13 1.4 Information and support 14 T erms used in this guideline 15 Putting this guideline into practice 17 Context 19 More information 20 Recommendations for research 21 1 High energy liquid feed supplements 21 2 Feeding interventions for the management (...) than daily. 1.1.6 Be aware that supplementary feeding with infant formula in a breastfed infant may help with weight gain, but often results in cessation of breastfeeding. 1.1.7 If supplementation with an infant formula is given to a breastfed infant: support the mother to continue breastfeeding advise expressing breast milk to promote milk supply and and feed the infant with any available breast milk before giving any infant formula. 1.2 Faltering growth after the early days of life Thresholds

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

96. Eating disorders: recognition and treatment

the person practice in their daily life what they have learned. 1.3.6 MANTRA for adults with anorexia nervosa should: typically consist of 20 sessions, with: weekly sessions for the first 10 weeks, and a flexible schedule after this up to 10 extra sessions for people with complex problems base treatment on the MANTRA workbook motivate the person and encourage them to work with the practitioner be flexible in how the modules of MANTRA are delivered and emphasised when the person is ready, cover nutrition (...) and healthy eating allow the person to decide what else should be included as part of their therapy. 1.3.8 If individual CBT-ED, MANTRA, or SSCM is unacceptable, contraindicated or ineffective for adults with anorexia nervosa, consider: one of these 3 treatments that the person has not had before or or eating-disorder-focused focal psychodynamic therapy (FPT). 1.3.9 FPT for adults with anorexia nervosa should: typically consist of up to 40 sessions over 40 weeks make a patient-centred focal hypothesis

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

97. Guidelines on Chronic Coronary Syndromes Full Text available with Trip Pro

antithrombotic therapy in combination with aspirin 75-100 mg daily in alphabetical order in patients who have a high or moderate risk of ischaemic events, and do not have a high bleeding risk. 34 Table 10 Blood pressure thresholds for definition of hypertension with different types of blood pressure measurement 44 Table 11 Potential treatment options for refractory angina and summary of trial data 47 List of figures Figure 1 Schematic illustration of the natural history of chronic coronary syndromes 7 Figure (...) with Coronary Artery Disease SPECT Single-photon emission computed tomography VKA Vitamin K antagonist 1 Preamble Guidelines summarize and evaluate available evidence with the aim of assisting health professionals in proposing the best management strategies for an individual patient with a given condition. Guidelines and their recommendations should facilitate decision making of health professionals in their daily practice. However, the final decisions concerning an individual patient must be made

2019 European Society of Cardiology

98. Reducing costs in hospitals

, with the goal of reducing daily artificial variation to make bed occupancy more predictable. To do this, staff analysed patient-flow dynamics, evaluating surgical providers’ predicted need for intensive care and predicted length of stay (LOS). When a procedure was scheduled, surgical providers made initial LOS estimates on the basis of personal experience, the complexity of the case, patient co-morbidities, best-practice plans, and historical data. The electronic surgical scheduling system was revised so (...) that the operative case and an ICU bed (if needed postoperatively) were scheduled (reserved) at the same time. The surgeon estimated a projected LOS when the case was initially scheduled. Reserved beds were continuously monitored, and the computerised scheduling system restricted operative-case scheduling if a bed was needed and the elective case limit for that day had been reached. An admission control model was used to limit the maximum allowable elective surgical cases requiring ICU access per day

2019 Monash Health Evidence Reviews

100. Guidelines on Supraventricular Tachycardia (for the management of patients with) Full Text available with Trip Pro

Ventriculoatrial VT Ventricular tachycardia WL Wavelength WPW Wolff−Parkinson−White 1 Preamble Guidelines summarize and evaluate available evidence with the aim of assisting health professionals in proposing the best management strategies for an individual patient with a given condition. Guidelines and their recommendations should facilitate decision making of health professionals in their daily practice. However, the final decisions concerning an individual patient must be made by the responsible health

2019 European Society of Cardiology

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