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101. Diagnosis and Management of Acute Pulmonary Embolism Full Text available with Trip Pro

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 professional(s) in consultation with the patient and caregiver as appropriate. A great number of guidelines have been issued in recent years by the European

2019 European Society of Cardiology

102. Management of Dyslipidaemias Full Text available with Trip Pro

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 professional(s) in consultation with the patient and caregiver as appropriate. A great number of guidelines have been issued in recent years by the European

2019 European Society of Cardiology

103. Management of Poisoning

-Acetylcysteine without waiting for levels (even 2.0 at or before 48 hours or > 3.5 at or before 72 hours: – Consider measuring INR every 12 hourly. – Peak elevation occurs around 72 – 96 hours. – LFTs are not good markers of hepatocyte death. Renal: • Renal impairment (creatinine > 200 µmol/L):18 – Monitor urine output. – Daily urea, electrolytes and serum creatinine. – Consider haemodialysis if > 400 µmol/L. Resuscitation and intensive care monitoring required. Grade C, Level 2++ D Consider referrals (...) Patients who are suspected of ingesting toxic amounts of anticholinergics should be referred to an emergency department or further management (pg 121). Grade D, Level 419 Investigations D Capillary glucose should be done in any patient presenting with altered conscious status (pg 121). Grade D, Level 4 D Cardiac monitoring and ECG: it is crucial that patients suspected of having anticholinergic toxicity have an ECG to allow detection of QTc interval prolongation or frank arrhythmias. This can occur

2020 Ministry of Health, Singapore

104. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) Reporting Standards for Type B Aortic Dissections

in addition to measurement criteria and de?nitions of aortic remodeling. Overall, the document provides a facile framework of language that will allow more granular discussions and reporting of aortic dissection in the future. (Ann Thorac Surg 2020;-:---) 2020 by The Society of Thoracic Surgeons and the Society for Vascular Surgery Thisarticlehasbeencopublishedin The Annals of Thoracic Surgeryandthe Journal of Vascular Surgery. The Society of Thoracic Surgeons requests that this document be cited (...) was subsequently reviewed by the SVS and STS document committees and the FDA, and it was available for societal public com- ments.The?naldocumentwasapprovedbytheSVSand STSdocumentoversightcommitteesafter?naleditingby theWritingCommittee’sco-chairsbasedonthefeedback received in the review process. Section 2. Anatomic Classi?cation of Thoracic Aortic Dissection Classi?cation systems for thoracic aortic dissection allow caregivers to communicate accurately when describing aortic disease and are critical

2020 Society of Thoracic Surgeons

106. A palliative approach to care in the last 12 months of life

evidence. We encourage practice settings to adapt this BPG into formats that are feasible for daily use. If your organization is adopting this BPG, we recommend the following steps: 1. Assess your existing policies, procedures, protocols and educational programs in relation to the recommendations and supporting evidence in this BPG. 2. Identify existing needs or gaps in your policies, procedures, protocols and educational programs. 3. Note the recommendations that are applicable to your setting (...) goals of care Numerator: Number of persons who died with documented goals of care Denominator: Total number of persons who died New Other RNAO resources for the evaluation and monitoring of BPGs include the following: ? Nursing Quality Indicators for Reporting and Evaluation® (NQuIRE®), a unique nursing data system housed in the International Affairs and Best Practice Guidelines Centre, allows BPSOs ® to measure the impact of BPG implementation by BPSOs worldwide. The NQuIRE data system collects

2020 Registered Nurses' Association of Ontario

107. ASGE review of adverse events in colonoscopy

was conducted by a profes- sional librarian using Ovid MEDLINE: Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE Daily and Ovid MEDLINE 1946 to present, Embase Classi- cþEmbase 1947 to January 2018, and Wiley Cochrane. In cases of multiple studies from the same group using the same data source (such as a conference proceeding fol- lowed by a manuscript), we included only the more recent and extensive of the studies. Only studies published in English were included for analysis. We (...) Postcolonoscopy abdominal discomfort because of gaseousdistentionisusuallyself-limitedandrarelyrequires hospitalization. Gas explosion Explosive AEs from colonoscopy are rare but have serious consequences. 4 A 2007 review reported 9 cases, each resulting in colonic perforation and in 1 case, death. 67 Gas explosion can occur when combustible levels of hydrogen or methane gas are present in the colonic lumen, oxygen is present, and electrosurgical energy is used (eg, electrocautery or argon plasma coagulation

2020 American Society for Gastrointestinal Endoscopy

108. ASTRO Guideline on Definitive and Postoperative Radiation Therapy for Basal and Squamous Cell Cancers of the Skin

* are recommended: o Conventional (180–200 cGy/fx): BED 10 70–93.5 o Hypofractionation (210–500 cGy/fx): BED 10 56–88 Implementation Remark: Conventional fractionation is delivered 5 days per week; hypofractionation is delivered daily or 2-4 times per week. Strong Low 10,79,80,82,88-94 2. In patients with BCC and cSCC receiving RT in the postoperative setting, the following dose-fractionation schemes* are recommended: o Conventional (180–200 cGy/fx): BED 10 59.5–79.2 o Hypofractionation (210-500 cGy/fx): BED 10 (...) 56–70.2 Implementation Remark: Conventional fractionation is delivered 5 days per week; hypofractionation is delivered daily or 2-4 times per week. Strong Low 5,48,90,93,95-100 Abbreviations: BCC = basal cell carcinoma; BED10 = biologically effective dose assuming an ? ? ? = 10; cSCC = cutaneous squamous cell carcinoma; fx = fraction; KQ = key question; RT = radiation therapy. * See Table 8 with specific fractionation schemes. Multiple RT modalities can be used to appropriately treat BCC and cSCC

2020 American Society for Radiation Oncology

109. What works to improve early grade literacy in Latin America and the Caribbean? A systematic review and meta?analysis Full Text available with Trip Pro

status. School governance interventions address school management issues that affect the delivery, quality, and financing of education. These programs often focus on decentralizing decision‐making at the school level or improve parents' and communities' involvement in school management. Some school governance interventions involve cash transfers to schools and provision of matching funds for private investment to schools along with institutional changes, which allows parents to decide how to allocate (...) policy, practice, and programs in an evidence‐driven manner. Critical gaps in the literature and challenges in the achievement of EGL outcomes remain inside the LAC region. Most of the existing evidence on EGL is from outside the LAC region, and it is unclear whether these findings can be extrapolated to the LAC region. In addition, most of the evidence on EGL, both inside and outside the LAC region, is based on correlations and does not allow for causal claims about the impact of education

2019 Campbell Collaboration

110. Teduglutide (Revestive) - short bowel syndrome (SBS)

) (SMC No 1139/16). Chairman, Scottish Medicines Consortium 2 Indication For the treatment of patients aged one year and above with short bowel syndrome (SBS). Patients should be stable following a period of intestinal adaptation after surgery. 1, 2 Dosing Information The recommended dose for adults is 0.05mg/kg body weight subcutaneously (SC) once daily. The summary of product characteristics (SPC) includes details of injection volume per body weight using the 5mg vial (...) . Due to the heterogeneity of the SBS population, a carefully monitored down-titration of the daily dose may be considered for some patients to optimise tolerability of the treatment. Treatment effect should be evaluated after six months. Limited data from clinical studies have shown that some patients may take longer to respond to treatment (those who still have presence of colon-in-continuity or distal/terminal ileum); if no overall improvement is achieved after 12 months, the need for continued

2020 Scottish Medicines Consortium

111. Diagnosis and Treatment of Low Back Pain

) for or against recommending intervention. ? I: Insufficient or conflicting evidence not allowing a recommendation for or against intervention. Levels of evidence have very specific criteria and are assigned to studies prior to developing recommenda- tions. Recommendations are then graded based upon the level of evidence. To better understand how levels of evidence inform the grades of recommendation and the standard nomenclature used within the recom- mendations see Appendix C. Guideline recommendations (...) to participate in the sur- vey and 2 who did not participate. The survey included the following questions that allowed for check the box and open-ended responses:Recommendations were developed based on a specific definition, inclusion/exclusion criteria, and the resulting literature which excluded conditions such as presence of a neurological deficit or leg pain experienced below the knee, among others. Given the exclusion criteria, these guideline rec- ommendations address a subset of low back pain care

2020 North American Spine Society

112. Small Intestinal Bacterial Overgrowth

) for the diagnosis of SIBO in patients with IBS (conditional recommendation, very low level of evidence). IBS is one of the most commonly evaluated condition with ties to SIBO, which has allowed this association to be graded in this guideline. Although the rate of SIBO in IBS is debated, meta-analyses suggest that up to 78% of IBS subjects suffer from SIBO ( ). Although there remains a question of cause or effect in IBS, there is little controversy that a subset of subjects with IBS have SIBO. This evidence (...) bacterial overgrowth. Likewise, postsurgical changes such as gastrojejunostomy with a blind loop or injury to the vagus nerve may each provide an opportunity for bacterial overgrowth. Although strictures causing partial or fixed obstruction would be obvious causes of stagnation and have been considered to be risk factors for SIBO, there are currently no solid peer-reviewed publications validating this. Colectomy, either partial or complete, and especially with loss of the ileocecal valve, will allow

2020 American College of Gastroenterology

113. Staff and associate specialist (SAS) grade handbook

increasing pressure. Being a member of the Association allows you discounted rates for booking conferences, seminars and webinars. Some of these are tailored specifically to issues facing SAS anaesthetists. You can access Learn@, the online learning zone for members where you can find a wealth of educational, learning and CPD resources including free access to videos and lectures from recent meetings. You can learn in your own time and keep a record of your completed CPD for use in appraisals (...) mechanisms and organisations Association Link Scheme In addition to the SAS Link Scheme, the Association’s Link Scheme aims to maintain links and facilitate communication between members and the Association. This is a two-way process and not only allows the dissemination of important information to the members, but also allows us to hear your views. Your Link is one of your representatives to the Association. You can find the details of your Link by logging into your Association online member account. 6

2020 Association of Anaesthetists of GB and Ireland

114. Flash Glucose Monitoring System for People with Type 1 or Type 2 Diabetes

the pancreas does produce. Insulin is a hormone that helps the body’s cells use glucose (a type of sugar) for energy. Without insulin, glucose builds up in the blood and can cause serious damage to the body. Type 1 diabetes occurs when the pancreas produces little or no insulin. Type 2 diabetes occurs when the pancreas does not produce enough insulin or when the body does not respond to insulin properly. People with diabetes have a greater risk of being sent to hospital with life-threating conditions (...) , such as cardiovascular and kidney disease, than people without diabetes. People with type 1 diabetes and people with type 2 diabetes that requires insulin therapy (daily injections of insulin or a continuous infusion of insulin under the skin) must test their blood glucose levels regularly. The standard way to do this is to prick a finger to obtain a drop of blood, apply the drop of blood to a blood glucose test strip, and insert the strip into a device called a blood glucose meter. This is called self- monitoring

2019 Health Quality Ontario

115. Improving outdoor air quality and health: review of interventions

of innovation and skills, including developments in clean energy and technologies, which reduce the problem of air pollution, and this technological innovation is a benefit deriving from the desire to reduce air pollution. As action is taken some groups may need particular support. Some evidence- based actions may disproportionally affect some groups of people. For example, those whose livelihoods depend on driving but who do not have access to or the resources for cleaner vehicles may need particular (...) – some local authorities have successfully used workplace or other levies to fund improvement and use of public transport. Spatial planning can be used to reduce the need for vehicle use by design, and has a wider role in reducing emissions from buildings through energy-efficiency measures and use of renewable energy technologies. Promising local interventions that can help reduce demand for more polluting forms of transport are associated with use of public transport and active travel and include

2019 Public Health England

116. Empowering Caregivers to Deliver Home-based Restorative Care

and validation of their role from peer helpers was a particularly accessible form of support that allowed caregivers to feel more confident in their roles.(20) Behaviours • Social participation • Activities of daily life • Environmental adaptations • Lifestyle adaptations • One recent medium-quality review examined ways to reduce isolation through social participation including engaging in purposeful activities such as regular daily tasks and animal contact, or personal development, as well as through (...) towards people with dementia as part of its training curriculum, but no specific outcomes of the effects of cultivating a positive attitude were reported.(28) In addition, one primary study found that providing caregivers with affirmation and validation of their role from peer helpers was a particularly accessible form of support that allowed caregivers to feel more confident in their roles.(20) With regards to behaviours, we found three relevant systematic reviews. One recent medium-quality review

2019 McMaster Health Forum

117. Digital platforms as effective health promotion tools

for establishing lifelong healthy eating habits. 7 However, Australian children’s food intake does not meet dietary guidelines and poor dietary habits have remained virtually unchanged over the past few decades, despite considerable public health efforts. 8 Almost all school-age children do not consume enough vegetables, and many fall short against recommendations for grain foods, dairy and meat and alternatives. 8 Conversely, school-age children obtain about 40% of their energy intake from discretionary (...) choices — nutrient-poor foods and drinks that do not fit into the core food groups. 8, 9 Top sources of discretionary choices include potato crisps or similar savoury snack foods and sweet baked goods such as cakes, muffins and biscuits. 8, 10 School-age children consume more than one-third of their daily dietary intake at school. 1, 2 Therefore, the school day provides a window of opportunity for improving children’s diet quality. In Australia, about 90% of children bring a lunch box to school from

2019 Sax Institute Evidence Check

118. Population-level strategies to support healthy weight

government control * 2 Adopt consistent national regulations on menu energy (kJ) labelling in restaurants and takeaway outlets 3 Mandate implementation of the Health Star Rating labelling system 4 Adopt nutrition warning labels on front-of-pack that indicate products high in nutrients of concern (sodium, saturated fat, added sugar and/or energy content) * 5 Increase the price of sugar-sweetened beverages (SSBs) and other unhealthy foods 6 Increase the price of alcoholic beverages, potentially through (...) most likely to have overweight or obesity 7 . The Australian Burden of Disease study estimated that obesity explained 14% of the health gap between Indigenous and non- Indigenous Australians 8 . The causes of overweight and obesity are multifaceted and complex. Current evidence indicates that individual, social and environmental factors all contribute to obesity 9 . There is global recognition that the increased supply of relatively cheap, tasty, energy-dense food, and improved food distribution

2019 Sax Institute Evidence Check

119. Addressing the social and commercial determinants of healthy weight

activity and the conditions in which people are born, learn, live, work and age are shaped by deeper social structures and processes, including economic, social and health policies and priorities; commercial policies, practices and products; the governance arrangements that develop and implement policy and action; and the cultural norms and values that pervade society. It is within this context that we understand how choosing to eat healthy food, being physically active and maintaining energy balance (...) The foundation for the review was the report from the WHO Commission on the Social Determinants of Health (CSDH) (2005-2008). 2 The CSDH collated the global evidence on policy actions to address the social determinants of health and health inequities, organised according to structural drivers and intermediary daily living conditions. The Review also connects with a nascent field of research and policy action, termed the commercial determinants of health, where the activities of commercial players

2019 Sax Institute Evidence Check

120. Learning Resilience

Learning Resilience Supporting evidence for the Be You Professional Learning Learning Resilience domain This review has been developed to support the Learning Resilience domain of Be You Professional Learning. It provides an overview of the research and evidence underpinning each of the learning modules and allows you to further engage with the key themes and advice. The review provides an overview of the research examining the relationship between social and emotional learning skills (...) perspective than simply the self. Positive affect How much a person experiences positive moods such as joy and interest in daily life. Learning Resilience: Supporting evidence 3 Pro-social behaviour Voluntary behaviour intended to benefit another; empathy and positive behaviour towards others. Psychopathology May refer to the study of mental illness or the signs/symptoms of mental illness. Reappraisal Reinterpreting a situation in a more useful way. Social capital Networks of relationships among people

2019 Sax Institute Evidence Check

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