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121. KDOQI Clinical Practice Guidelines for Nutrition in CKD

the end of the hemodialysis session to allow for redistribution of body fluids (2C). Bioelectrical Impedance for Patients, Non-Dialyzed and on Peritoneal Dialysis (PD) 1.1.2 In adults with CKD who are non-dialyzed or on PD, there is insufficient evidence to suggest using bioelectrical impedance to assess body composition (2D). DEXA for Body Composition Assessment 1.1.3 In adults with CKD 1-5D and post-transplant, it is reasonable to use dual- energy x-ray absorptiometry (DEXA) when feasible (...) Usual Care Statements ………………………………………………………………………………… 36 1.1 Technical Devices & Anthropometric Measurements to Measure Body Composition …………… 36 1.2 Laboratory Measures of Body Composition ………………………………………………………. 50 1.3 Handgrip Strength …………………………………………………………………………………. 57 1.4 Methods to Assess Energy Requirements …………………………………………………………. 59 1.5 Composite Nutritional Indices to Measure Nutritional Status in CKD Patients …………………... 62 1.6 Tools/Methods Used to Assess Protein Intake and Calorie Intake

2020 National Kidney Foundation

122. Promoting Physical Activity in Schools: A Rapid Review

LITERATURE REVIEW QUESTION 7 4 LITERATURE SEARCH 7 5 RELEVANCE ASSESSMENT 8 6 RESULTS OF THE SEARCH 9 7 CRITICAL APPRAISAL 10 8 DESCRIPTION OF INCLUDED PAPERS 10 9 RESULTS 14 10 SYNTHESIS 18 11 APPLICABILITY AND TRANSFERABILITY 22 12 RECOMMENDATIONS 26 13 ACKNOWLEDGEMENTS 27 REFERENCES 28 DATA REFERENCES 30 APPENDIX A: STUDENT PHYSICAL ACTIVITY RATES, 2017 31 APPENDIX B: PLEDGE PROGRAM – PHYSICAL ACTIVITY PROGRAMS 32 APPENDIX C: PLEDGE PROGRAM – DAILY PHYSICAL ACTIVITY 33 APPENDIX D: SEARCH STRATEGY 34 (...) Leading to Healthier Youth (HEALTHY) Pledge Program (HPP) to support healthy lifestyle behaviours, such as physical activity among Peel students. The HPP is a comprehensive initiative to create sustainable school-level changes to promote student well- being. The Daily Physical Activity (DPA) Pledge (Appendix B) and Physical Activity Program (PAP) Pledge (Appendix C) are two components of the HPP that support physical activity in schools. These pledge programs support the Healthy Schools 8 component

2020 Peel Health Library

123. Clinical practice guideline for limb salvage or early amputation

FACTORS Clinicians should screen all patients with high energy lower extremity trauma for psychosocial risk factors (e.g. depression, PTSD, anxiety, low self-efficacy, poor social support) affecting patient outcomes. Strength of Recommendation: Strong (upgraded) Evidence from two or more “High” quality studies with consistent findings for recommending for or against the intervention. Also requires no reasons to downgrade from the EtD framework. REHABILITATION Clinicians should recommend patients (...) with high energy lower extremity trauma injuries participate in a rehabilitation program (e.g. PT, OT, behavioral health) to improve psychological and functional outcomes. Strength of Recommendation: Moderate Description: Evidence from two or more “Moderate” quality studies with consistent findings, or evidence from a single “High” quality study for recommending for or against the intervention. Also requires no or only minor concerns addressed in the EtD framework. NERVE INJURY The evidence suggests

2020 American Academy of Orthopaedic Surgeons

124. Organizational Guideline for the Delivery of Stereotactic Radiosurgery for Brain Metastasis in Ontario

the patient during treatment o Delivering accurate SRS treatment after appropriate approvals o Patient care and side effect management o Organizing daily workflow of patients and staff o Performing daily QA and ensuring safe operation of the technology unit o Performing emergency procedures adhering to protocols if necessary Guideline 21-4 Section 1: Recommendations – August 27, 2019 Page 4 Medical Dosimetrist ? Qualifications: o MRT(T) graduate of a recognized radiation therapy program with registration (...) patient positioning/immobilization o Performing and assessing pre-treatment imaging for treatment verification Guideline 21-4 Section 2: Guideline - August 27, 2019 Page 11 o Monitoring the patient during treatment o Delivering accurate SRS treatment after appropriate approvals o Patient care and side effect management o Organizing daily workflow of patients and staff o Performing daily QA and ensuring safe operation of the technology unit o Performing emergency procedures adhering to protocols

2019 Cancer Care Ontario

125. Transarterial radioembolisation with yttrium-90 (TARE-Y) for the treatment of unresectable hepatocellular carcinoma

this to be inappropriate as TACE is still used in practice. MSAC acknowledged that, for patients with advanced HCC, there is currently no alternative to sorafenib, a medicine that has major side effects. MSAC noted that TARE-Y is a one-off treatment (compared with daily doses of sorafenib). MSAC also noted that TARE-Y is the only treatment option when first-line TACE is contraindicated or fails, and when the patient is intolerant to second-line treatment with sorafenib (e.g. due adverse events relating to the skin (...) with advanced HCC; however, this is based on only one RCT (the SARAH trial). MSAC noted the substantially different adverse event profiles of TARE-Y and sorafenib. Adverse events for TARE-Y include one-off events such as REILD (radioembolisation-induced liver disease) and lung toxicity, whereas adverse events for sorafenib include daily systemic effects. MSAC noted that available evidence shows TARE-Y to be inferior to BSC in terms of safety in patients with intermediate or advanced unresectable HCC

2019 Medical Services Advisory Committee

126. Obesity Prevention and Management

to 90 minutes of daily moderate-intensity physical activity to sustain weight loss. To then help maintain weight and prevent weight gain, adults should engage in approximately 60 minutes of moderate- to vigorous-intensity activity on most days of the week. Older adults and those with chronic medical conditions limiting physical activity should be as physically active as their abilities allow. Those at risk of falling should also do exercises to improve balance. Dietary intervention. General dietary (...) and beverage marketing Sleep • Promote age-appropriate sleep durations Let’s Go! 5-2-1-0 (Quick Summary for Children and Adolescents) 5 or more servings daily of fruits and vegetables 2 hours or less of screen time daily (Keep TV/computer out of bedroom. No screen time under the age of 2.) 1 hour or more daily of physical activity 0 sugary drinks – more water & low fat milk Note: General summary based on obesity prevention recommendations of several national guidelines and of Let’s Go! 5-2-1-0 from http

2020 University of Michigan Health System

127. Ustekinumab for the treatment of adult patients with moderately to severely active ulcerative colitis (UC) who have had an inadequate response with, lost response to, or were intolerant to either conventional therapy or a biologic, or have medical contrai

of special interest ASA Acetylsalicylic acid ATC Anatomical Therapeutic Chemical [classification system] ATMP Advanced therapy medicinal product BF Biologic failure BID Twice daily CD Crohn’s disease CI Confidence interval CrI Credible interval CRP C-reactive protein CSR Clinical study report CTR Clinical trial register DIC Deviance information criterion ECCO European Crohn's and Colitis Organisation EL Evidence level EMA European Medicines Agency EOW Every other week EQ-5D EuroQol Questionnaire 5 (...) treatments approved for both the biologic-naïve population and for patients who have experienced biologic failure (BF). The label for vedolizumab states that it is indicated for patients for whom a previous TNFi has failed, while for tofacitinib any prior biologic therapy is allowed. Objective and scope Objective The aim of this EUnetHTA Joint Relative Effectiveness Assessment is to compare the clinical effectiveness and safety of ustekinumab in the target patient populations with relevant compara- tors

2020 EUnetHTA

128. Acute Kidney Injury (AKI)

system as described in the Renal Association’s previous guideline development policy manual [6]. Audit measures were chosen either based on their ease of automation (e.g. daily renal function monitoring following AKI detection) or, where individual case note review was deemed to be unavoidable, by identifying a single audit population across which several different measures could be assessed. Where possible, the guideline development group sought to identify individual measures that might represent (...) for that population or, where no specific risk factor profile exists, through clinical judgement and recognition of generic risk factors for AKI; in this way, appropriate preventative measures may be instituted as early as possible (1C) ? in-patients deemed at high risk of AKI should be closely monitored for AKI, particularly if there has been a new exposure. Urine output should be monitored and serum creatinine tested daily (for adults) or regularly (for paediatric patients, reflecting the potential burden

2019 Renal Association

129. Brexit: RCN priorities overview

:// resolution) • a coherent domestic health and social care workforce strategy, which includes preserving the rights of EEA nationals working in the sector and allows for future migration • continuing with appropriate EU education and professional regulatory frameworks for nursing and close alignment with other single market legislation supporting health • continuing to address public health threats collaboratively – particularly those crossing borders • safeguarding (...) workforce shortages, lack of swift access to EU wide systems on health alerts to protect the public, new drugs, or clinical trials. Brexit also has the potential to have significant implications for the devolution settlement in Northern Ireland, Scotland and Wales. The RCN supports the current settlement which allows health policy to be shaped by what is best for each nation and encourages citizen participation. The RCN has set out in our more detailed briefings why these five areas are so important

2019 Royal College of Nursing

130. Emergency Drought Relief Package: Health and Resilience Services

se. The evidence re one potential aspect of drought, high temperatures, has been increasingly studied, especially in Australia. Ding, Berry and Bennett (2016) (30) found a one-unit increase in temperature and vapour pressure was associated with an increase in the occurrence of very high mental health distress in sample of a NSW population by 0.1%, while Xu, Wheeler and Zuo (2018) (31) found an increase in the annual average daily maximum temperature worsened Australian childhood mental health

2019 Sax Institute Evidence Check

131. Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care

time of the healthcare practitioner. Continuous rather than bolus EN is strongly recommended, this is supported by both the ESPEN and SCCM/ASPEN guidelines. 1-3 Multiple meta-analyses have shown a significant reduction in diarrhea with no differences in other outcome parameters with continuous EN. 3 In addition, since bolus EN delivery would require more frequent patient interaction, continuous EN delivery decreases exposure of the healthcare team to SARS-CoV-2. If the patient room allows for pumps (...) to be placed “outside” the room, this should also include the feeding pump and bag set if possible. Use as much extension tubing as possible that allows for proper flow and is compatible with EN connectors and delivery system. Consult the pharmacist for concerns regarding medication administration via the enteral feeding tube. Early EN may not be preferential in a subset of patients with COVID-19 with gastrointestinal (GI) involvement. 5 Before the onset of respiratory symptoms, some patients initially

2020 American Society for Parenteral and Enteral Nutrition

132. Crizanlizumab, Voxelotor, and L-Glutamine for Sickle Cell Disease: Effectiveness and Value

-Encompassing Condition 47 Stigma and Limitations on Daily Life 48 Racial Bias 49 Lack of Specialists & Competent Treatment 51 Attitude Toward New Therapies 52 ICER’s Methods for Learning about Patient and Caregiver Perspectives 53 SCD Patient and Caregiver Survey 54 3. Summary of Coverage Policies and Clinical Guidelines 61 3.1 Coverage Policies 61 3.2 Clinical Guidelines 69 4. Comparative Clinical Effectiveness 72 4.1 Overview 72 4.2 Methods 72 4.3 Results 74 ©Institute for Clinical and Economic Review (...) , and I know he thinks he prevents our family from doing many things because so much of the year we have to stay indoors. He loves to visit places where the temperature is nice and he can easily be outside.” – Parent of an individual living with SCD Stigma and Limitations on Daily Life Patients with SCD may appear healthy. An outward appearance of wellbeing can present additional barriers to appropriate care and contribute to social stigmas surrounding the disease. A general lack of awareness about

2020 California Technology Assessment Forum

133. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain

evidence (Level II or III studies with con- sistent findings) for or against recommending intervention. ? C: Poor quality evidence (Level IV or V studies) 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 (...) Support Group on Facebook; and numerous Facebook shares (of the survey link) on consumer and physician profiles. A total of 415 people opened the survey link, including 413 who consented 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

2020 American Academy of Pain Medicine

134. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections Full Text available with Trip Pro

dissection. Measurements of true lumen ( TL ) and false lumen ( FL ) diameters, as shown, should be based on a single line bisecting the center of the intimal flap perpendicular to flow. TL ( x ) and FL ( y ) measurements should add up to the total ( z ) aortic diameter. ---- | Fig 16 A, Type IA entry flow is a perigraft leak at the proximal edge of the stent graft that allows continued antegrade flow into the false lumen through the primary entry tear. B, Type IB entry flow is a distal perigraft leak (...) hematoma and penetrating atherosclerotic ulcer. Complicated vs uncomplicated dissections are clearly defined with a new high-risk grouping that will undoubtedly grow in reporting and controversy. Follow-up criteria are also discussed with nomenclature for false lumen status in addition to measurement criteria and definitions 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

2020 Society for Vascular Surgery

135. Clinical Spotlight Review: Management of Choledocholithiasis

guidance. Credits to BSIR and Boston Scientific for permission to use the images of the internal/external biliary drain and biliary stents Extracorporeal shockwave lithotripsy (ESWL) involves high-pressure electrohydraulic or electromagnetic energy that is delivered through a liquid or tissue medium to the designated target point to fragmenting stones. A naso-biliary drain is inserted by radiology to allow for fluoroscopic identification and targeting of the common bile duct stones. The energy setting (...) an approximate sensitivity of 75–100% and a specificity of 76–100% [14,15]. When choledocholithiasis is confirmed intraoperatively, a decision should be made between common bile duct exploration at the time of cholecystectomy and post-operative ERCP, which is dependent on local availability of surgical and endoscopic expertise. Both IOC and LUS also allow for evaluation of biliary anatomy which can aid in determining the optimal approach for biliary clearance. Furthermore, laparoscopic common bile duct

2020 Society of American Gastrointestinal and Endoscopic Surgeons

136. Covid-19: Recommendations for GDM screening and oral glucose tolerance test (OGTT) during pregnancy and postpartum

the threshold(s) for diagnosis of diabetes outside pregnancy • May indicate undiagnosed/pre-existing diabetes but a definitive diagnosis of non-gestational diabetes cannot be made until the postpartum period • Additional management (beyond that required for lower abnormal plasma glucose levels) is required • Refer to Table 8. Plasma glucose values for diagnosis of GDM *Type 1 8 • The body no longer makes its own insulin and cannot convert glucose into energy • ß cell destruction usually leads to near (...) absolute insulin deficiency • Daily Insulin via injection or a continuous subcutaneous Insulin infusion (CSII) pump is required • Diagnosis is established outside of pregnancy (before or after) *Type 2 8 • Hyperglycaemia resulting from resistance to the effects of insulin and/or insufficient production of insulin • Life style modification (diet and physical activity) is the cornerstone of management • Oral hypoglycaemic medication and/or Insulin therapy may be required • Diagnosis is established

2020 Queensland Health

137. Exercise in Cancer Care

people with cancer adhere to exercise guidelines • Optimal practice to include referral to an accredited exercise physiologist or physiotherapist with experience in cancer care for an individualised exercise programCOSA’S POSITION EXERCISE IN CANCER CARE • All people who have had a cancer diagnosis to avoid inactivity and return to normal daily activities as soon as possible following diagnosis (i.e. be as physically active as current abilities and conditions allow) • All people who have had a cancer (...) of the respective accrediting bodies: Exercise physiologists – Physiotherapists – term physical activity applies to any movement produced by skeletal muscles that requires the body to exert energy. Exercise is structured physical activity for the purpose of conditioning the body to improve health and fitness. To maximise the therapeutic potential of exercise, well-established principles of training (including specificity, progression, overload, individualisation

2020 Clinical Oncology Society of Australia

138. Review of restrictive public policy measures to limit COVID-19

not implemented any form of cordon sanitaire (defined as a guarded line preventing anyone from leaving an area infected by a disease and thus spreading it) 1 restrictions. In Italy, an absolute ban was imposed on anyone leaving quarantined quarters due to infection, as well as quarantined quarters due to close contact with confirmed cases. (22) In Austria, no one is allowed to enter or leave affected parishes (the Paznaun Valley, St. Anton am Arlberg, and Sölden). (48) There has been a ban on the daily (...) in the number of new cases daily for countries that are scaling back measures (Table 2). V9.0 21 April 2020 Added restriction measures for the following countries: Pakistan and Saudi Arabia. Included information on the restrictions being eased/planned in Pakistan, Slovenia, Malaysia, and Australia. V10.0 24 April 2020 Added restriction measures for the following countries: United Arab Emirates, Serbia and the Philippines. Included information on the restrictions being eased/planned in Croatia, Estonia

2020 Health Information and Quality Authority

139. Nosebleed (Epistaxis) Full Text available with Trip Pro

guideline provides recommendations, as evidence allows, to assist with selection of the most appropriate pathways for initial and rescue treatment of nosebleed. Cost and Variations in Care While the majority of patients with nosebleeds may not seek medical care, a small percentage will have bleeding requiring presentation to the emergency department with possible admission for additional consultation and control. Sethi et al reported 132 emergency department visits for epistaxis per 100,000 population

2020 American Academy of Otolaryngology - Head and Neck Surgery

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