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181. Compression therapy after invasive treatment of superficial veins of the lower extremities

-layer” version. In fact, every bandage is composed of more than one layer and therefore the term multilayer bandage is misleading. Such multicomponent bandages should be applied with a pressure of approximately 50 mm Hg on the lower leg and >30 mm Hg on the thigh. x 6 Partsch, H., Clark, M., Mosti, G., Steinlechner, E., Schuren, J., Abel, M. et al. Classification of compression bandages: practical aspects. Dermatol Surg . 2008 ; 34 : 600–609 | | | The main advantage of this type of bandage (...) | eccentric and concentric, x 14 Ferrara, F. and Ferrera, G. Sclerotherapy in the patient with diabetes: indications and results. Phlebolymphology . 2012 ; 19 : 193–198 or tangential. x 15 Ragg, J. Film compression bandage: a new modality to improve sclerotherapy of superficial varicosities. Veins Lymphat . 2017 ; 6 : 6635–6636 | , x 16 Barnaby J, Azzam M, Choe E, Ash S, Kalodiki E, Lattimer CR. The effect of tangential skin compression with adhesive tape in reducing the size of bulging varicose veins

2019 American Venous Forum

182. Health technology assessment of a PrEP programme for populations at substantial risk of sexual acquisition of HIV

authority established to promote safety and quality in the provision of health and social care services for the benefit of the health and welfare of the public. HIQA’s mandate to date extends across a wide range of public, private and voluntary sector services. Reporting to the Minister for Health and engaging with the Minister for Children and Youth Affairs, HIQA has responsibility for the following: ? Setting standards for health and social care services — Developing person-centred standards (...) to identify potentially eligible studies. Full text articles were obtained for all citations identified as potentially relevant for inclusion. Both reviewers independently inspected these to establish the relevance of the articles according to the pre-specified criteria. Studies were reviewed for relevance based on study design, types of participants, interventions and outcome measures (see Table 4.1). 4.2.4 Data extraction and management Data were independently extracted using an agreed data extraction

2019 Health Information and Quality Authority

183. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

an emergency, including antagonists as indicated M = Monitors: functioning pulse oximeter with size-appropriate oximeter probes, , end-tidal carbon dioxide monitor, and other monitors as appropriate for the procedure (eg, noninvasive blood pressure, ECG, stethoscope) E = special Equipment or drugs for a particular case (eg, defibrillator) Specific Guidelines for Intended Level of Sedation Minimal Sedation Minimal sedation (old terminology, “anxiolysis”) is a drug-induced state during which patients respond (...) complications also may include seizures, vomiting, and allergic reactions. Facilities providing pediatric sedation should monitor for, and be prepared to treat, such complications. Back-up Emergency Services A protocol for immediate access to back-up emergency services shall be clearly outlined. For nonhospital facilities, a protocol for the immediate activation of the EMS system for life-threatening complications must be established and maintained. It should be understood that the availability of EMS does

2019 American Academy of Pediatrics

184. Treatment of Diabetes in Older Adults Full Text available with Trip Pro

works by this author on: Mark E Molitch Northwestern University Feinberg School of Medicine, Chicago, Illinois Search for other works by this author on: M Hassan Murad Division of Preventive Medicine, Mayo Clinic, Rochester, Minnesota Search for other works by this author on: Alan J Sinclair King’s College, London, United Kingdom Search for other works by this author on: The Journal of Clinical Endocrinology & Metabolism , Volume 104, Issue 5, May 2019, Pages 1520–1574, Published: 23 March 2019 (...) Article history Accepted: 25 January 2019 Received: 25 January 2019 Citation Derek LeRoith, Geert Jan Biessels, Susan S Braithwaite, Felipe F Casanueva, Boris Draznin, Jeffrey B Halter, Irl B Hirsch, Marie E McDonnell, Mark E Molitch, M Hassan Murad, Alan J Sinclair, Treatment of Diabetes in Older Adults: An Endocrine Society Clinical Practice Guideline, The Journal of Clinical Endocrinology & Metabolism , Volume 104, Issue 5, May 2019, Pages 1520–1574, Download citation file: © 2019 Oxford University

2019 The Endocrine Society

185. Society of Interventional Radiology Multisociety Consensus Position Statement on Prostatic Artery Embolization for Treatment of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia Full Text available with Trip Pro

, x 41 Maclean, D., Harris, M., Drake, T. et al. Factors predicting a good symptomatic outcome after prostate artery embolisation (PAE). Cardiovasc Intervent Radiol . 2018 ; 41 : 1152–1159 , x 42 Rampoldi, A., Barbosa, F., Secco, S. et al. Prostatic artery embolization as an alternative to indwelling bladder catheterization to manage benign prostatic hyperplasia in poor surgical candidates. Cardiovasc Intervent Radiol . 2017 ; 40 : 530–536 , x 43 Salem, R., Hairston, J., Hohlastos, E. et al (...) techniques. Cardiovasc Intervent Radiol . 2017 ; 40 : 366–374 , x 40 Kurbatov, D., Russo, G.I., Lepetukhin, A. et al. Prostatic artery embolization for prostate volume greater than 80 cm3: results from a single-center prospective study. Urology . 2014 ; 84 : 400–404 , x 41 Maclean, D., Harris, M., Drake, T. et al. Factors predicting a good symptomatic outcome after prostate artery embolisation (PAE). Cardiovasc Intervent Radiol . 2018 ; 41 : 1152–1159 , x 43 Salem, R., Hairston, J., Hohlastos, E. et al

2019 Society of Interventional Radiology

186. HTA of C-reactive protein point-of-care testing to guide antibiotic prescribing

Information and Quality Authority iii About the Health Information and Quality Authority (HIQA) The Health Information and Quality Authority (HIQA) is an independent statutory authority established to promote safety and quality in the provision of health and social care services for the benefit of the health and welfare of the public. HIQA’s mandate to date extends across a wide range of public, private and voluntary sector services. Reporting to the Minister for Health and engaging with the Minister (...) - of-care test with evidence for patients with symptoms of acute respiratory tract infection applicable to the primary care setting. The HTA aimed to establish the clinical and cost-effectiveness of CRP POCT. The HTA also examined the organisational implications of the potential introduction of the technology in primary care. The key findings of this HTA, which informed HIQA’s advice, are: ? Respiratory tract infections (RTIs) are the most frequent infections encountered in primary care, accounting

2019 Health Information and Quality Authority

187. The Collaborative Assessment, OTCA12, on “C-reactive protein point-of-care testing (CRP POCT) to guide antibiotic prescribing in primary care settings for acute respiratory tract infections (RTIs)

consumption correlates with in- creased antibiotic resistance, with countries that have moderate to high consumption of antibiotics also having high levels of AMR. However, a causal link between antibiotic consumption and re- sistance is difficult to establish. (A0002) At the patient level, there is a clear link between antibiotic dose and duration and the emergence of antibiotic resistance. There is also evidence that patients who have been treated frequently with antibiotics are at greater risk (...) not generally recommend the use of antibiotics in acute sinusitis, it is unclear what the aim of CRP testing, on its own or as part of a clinical prediction rule, would be even if a suitable threshold could be established. In pharyngitis/tonsillitis, treatment with antibiotics is generally only recommended in those with group A streptococcal (GAS) infection (5% to 30% of those presenting with sore throat). A cut-point of 35 mg/L CRP may be useful in discriminating bacterial from non-bacterial pharyngitis

2019 EUnetHTA

188. Bioresorbable Stents in cardiovascular indications (coronary artery disease)

hospitalisation or outpatient visits [7]. Therefore, revascularisation should ideally prolong life expectancy, reduce symptoms and future revascularisations, and increase health-related quality of life. Safety: Adverse events (AEs) • vascular access site complication • procedure-related contrast-induced nephropathy Bioresorbable stents for cardiovascular indications Version 1.4, 28 January 2019 EUnetHTA Joint Action 3 WP4 19 SAEs • late/very late (after =1 year) ScT and/or stent thrombosis and its (...) (studies) Quality Comments Risk with DES or other revascularisation strategies Risk with DESolve ® Scaffold System Effectiveness All-cause mortality — — — — — Outcome not reported Cardiac mortality — — — — — Outcome not reported MI — — — — — Outcome not reported Safety Periprocedural mortality — — — 345 ??? ? very low 5 No events of periprocedural mortality occurred in three single-arm observational studies of the DESolve ® Scaffold System Periprocedural MI — — — 345 ??? ? very low e One periprocedural

2019 EUnetHTA

189. The economic evaluation of early intervention with Anti-Tumor Necrosis Factor-alpha treatments in pediatric Crohn's disease

Staff Physician, Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Canada Anne M. Griffiths, MD Staff Physician, Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Canada Shinya Ito, MD Head, Division of Clinical Pharmacology & Toxicology, The Hospital for Sick Children, Toronto, Canada Professor, Faculty of Medicine, The University of Toronto, Toronto, Canada Wendy J. Ungar, MSc, PhD Senior Scientist, Child Health Evaluative (...) vi 2.1 Overview of Methods and Study Design 27 2.2 The Pediatric Crohn’s Disease Cohort 29 2.2.1 The RISK-PROKIIDS Study Data 29 2.2.1.1 Inclusion Criteria 30 2.2.2 Data Extraction and Patient Characteristics from the RISK-PROKIIDS Study 32 2.2.2.1 Assigning Visit Dates 32 2.2.2.2 Determining Patient Health State 34 2.2.2.2.1 The Weighted Pediatric Crohn’s Disease Activity Index and the Physician Global Assessment 35 2.2.2.3 Treatment Determination 38 2.2.2.4 Extracting Patient Characteristics

2019 SickKids Reports

190. ACR-ABS-ACNM-ASTRO-SIR-SNMMI Practice Parameters for Selective Internal Radiation Therapy (SIRT) or Radioembolization for Treatment of Liver Malignancies

in providing appropriate radiologic care for patients. Practice Parameters and Technical Standards are not inflexible rules or requirements of practice and are not intended, nor should they be used, to establish a legal standard of care 1 . For these reasons and those set forth below, the American College of Radiology and our collaborating medical specialty societies caution against the use of these documents in litigation in which the clinical decisions of a practitioner are called into question (...) in light of the standard’s stated purpose that ACR standards are educational tools and not intended to establish a legal standard of care. See also, Stanley v. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. PRACTICE

2019 Society of Interventional Radiology

191. Pediatric ICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance

Journal Info > > Criteria for Critical Care Infants and Children: PICU Admiss... Email to Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Pediatric Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Article Tools Share (...) this article on: Email to Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Pediatric Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Export to End Note Procite Reference Manager Save my selection doi: 10.1097/PCC

2019 Society of Critical Care Medicine

192. What is the evidence on the role of the arts in improving health and well-being? A scoping review

-of-life care (including palliative care and bereavement).WHAT IS THE EVIDENCE ON THE ROLE OF THE ARTS IN IMPROVING HEALTH AND WELL-BEING? A SCOPING REVIEW HEALTH EVIDENCE NETWORK SYNTHESIS REPORT 8 Fig. 2. Thematic content for prevention and promotion and management and treatment Management and treatment Prevention and promotion Social determinants of health Social cohesion Social inequalities Child development M other–infant bonding S peech and language E ducational attainment Caregiving (...) Understanding of health C linical skills W ell-being Prevention of ill health W ell-being M ental health T rauma Cognitive decline F railty Premature mortality Health- promoting behaviours Healthy living E ngagement with health care Health communication Health-related stigma E ngagement with hard-to-reach groups Neurodevel opmental & neurological disorders A utism Cerebral palsy S troke Other acquired brain injuries Degenerative neurological d isorders Dementia Acute conditions Premature infants I npatient

2019 WHO Health Evidence Network

193. Implementing routine outcome monitoring in specialist perinatal mental health services

monitoring, is available online on the Child Outcomes Research Consortium website, www.corc.uk.net. ROUTINE OUTCOME MONITORING IMPLEMENTATION MANUAL OVERVIEW 05WHAT IS THE MENTAL HEALTH SERVICES DATA SET (MHSDS)? The MHSDS is the mechanism used by NHS Digital to capture person-level data and information, for children, young people and adults who are in contact with Mental Health Services. It is unique in its coverage, because it covers not only services provided in hospitals, but also in outpatient (...) important thing is to ensure that the outcomes measures are clinically useful and the monitoring framework gives us timely and valuable information about the performance and quality of the service. Cambridge and Peterborough CCG have been working collaboratively with Cambridge and Peterborough NHS Foundation Trust (CPFT) to develop an outcome framework for use in the newly established Perinatal Mental Health Service. The starting point for the development of our framework was to agree the desired

2019 NHS England

194. Sepsis Management

to the best available evidence and/or expert opinion using the grades for recommendations. The National Clinical Guideline recommendations have been cross-referenced where relevant with other National Clinical Guidelines. National Clinical Effectiveness Committee (NCEC) The National Clinical Effectiveness Committee (NCEC) is a Ministerial committee established as part of the Patient Safety First Initiative. The NCEC role is to prioritise and quality assure National Clinical Guidelines and National (...) (e.g. pneumonia, urinary tract infection) rather than the systemic diagnosis of ‘respiratory sepsis’ or ‘urosepsis’. The HIPE data for sepsis above represents the number of hospital discharges with any diagnosis (i.e. primary or additional diagnosis) of sepsis using ICD-10 AM codes A40 Streptococcal Sepsis and A41 Other Sepsis (which includes sepsis due to Group A Streptococcus, Haemophilus influenzae, anaerobes, gram-negative organisms, E. coli and unspecified sepsis). The 8th Edition of ICD-10

2019 National Clinical Guidelines (Ireland)

195. BTS/SIGN British Guideline on the Management of Asthma

establish whether or not the airflow obstruction reverses to normal with treatment. Evidence of a symptomatic response, ideally using objective measures of asthma control and lung function, should be sought at a follow-up visit. If there is significant reversibility or improvement in symptom scores, confirm the diagnosis of asthma and record the basis on which the diagnosis was made. Continue to treat as asthma, but aim to find the minimum effective dose of therapy. If the patient remains asymptomatic (...) development group 152 17.3 Acknowledgements 154 17.4 Consultation and peer review 154 Abbreviations 156 Annexes 158 References 1721 1 | Introduction 1 Introduction 1.1 The need for a guideline Asthma is a common condition which produces a significant workload for general practice, hospital outpatient clinics and inpatient services. It is clear that much of this morbidity relates to poor management, particularly around the use of preventative medicine. 1.1.1 Background In 1999 the British Thoracic Society

2019 British Thoracic Society

196. Addressing Social Isolation To Improve the Health of Older Adults: A Rapid Review

://www.ncbi.nlm.nih.gov/pubmed/27195347 b Hartling L, Guise JM, Kato E, et al. EPC Methods: An Exploration of Methods and Context for the Production of Rapid Reviews. Rockville (MD): 2015. https://www.ncbi.nlm.nih.gov/pubmed/25654160 c Hartling L, Guise J-M, Hempel S, et al. Fit for purpose: perspectives on rapid reviews from end-user interviews. Systematic Reviews. 2017;6:32. doi: 10.1186/s13643-017-0425-7. PMID: PMC5316162. v Gopal Khanna, M.B.A. Director Agency for Healthcare Research and Quality Stephanie Chang (...) in this report. For assistance contact epc@ahrq.hhs.gov. Suggested citation: Veazie S, Gilbert J, Winchell K, Paynter R, Guise J-M. Addressing Social Isolation To Improve the Health of Older Adults: A Rapid Review. Rapid Evidence Product. (Prepared by Scientific Resource Center under Contract No. 290-2017-00003-C.) AHRQ Publication No. 19-EHC009-EF. Rockville, MD: Agency for Healthcare Research and Quality; February 2019. Posted final reports are located on the Effective Health Care Program search page. DOI

2019 Effective Health Care Program (AHRQ)

197. Diagnosis and management of acute lower gastrointestinal bleeding

indications for hospital admission can be discharged for urgent outpatient investiga- tion (strong recommendation, moderate quality evidence). 3. W e recommend that patients with a major bleed should be admitted to hospital for colonoscopy on the next available list (strong recommenda- tion, moderate quality evidence). 4. We recommend that if a patient is haemody- namically unstable or has a shock index (heart rate/systolic BP) of >1 after initial resuscita- tion and/or active bleeding is suspected, CT (...) Diagnosis and management of acute lower gastrointestinal bleeding 1 Oakland K, et al. Gut 2019;0:1–14. doi:10.1136/gutjnl-2018-317807 Guidelines Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology Kathryn Oakland, 1 Georgina Chadwick, 2 James E East, 3 Richard Guy, 4 Adam Humphries, 5 Vipul Jairath, 6,7 Simon McPherson, 8 Magdalena Metzner, 9 A John Morris, 10 Mike F Murphy, 11 Tony Tham, 12 Raman Uberoi, 13 Andrew McCulloch

2019 British Society of Gastroenterology

198. Management of Stroke in Neonates and Children Full Text available with Trip Pro

-Chair , MD, MAS, Co-Chair , MD, MSCS , MD, MSc, FRCPC , MD, PhD , MD, MPH , MD , MD , MD, PhD, FAHA , MSc, MD, MHSc , MSN , MD, FAHA , MD Donna M. Ferriero , Heather J. Fullerton , Timothy J. Bernard , Lori Billinghurst , Stephen R. Daniels , Michael R. DeBaun , Gabrielle deVeber , Rebecca N. Ichord , Lori C. Jordan , Patricia Massicotte , Jennifer Meldau , E. Steve Roach , Edward R. Smith , Originally published 28 Jan 2019 Stroke. 2019;50:e51–e96 Abstract Purpose— Much has transpired since the last (...) % to 38%. Seizures at stroke onset are more common in children than adults, affecting 15% to 25%, especially in those <6 years of age. , , Clinical presentation varies according to age, setting (inpatient versus emergency department [ED]), and stroke subtype. Childhood AIS resulting from cardiac disease occurs in the inpatient setting more often than the outpatient setting and involves younger children, with a median age of 6 months to 3 years. These children present with seizures in up to 40

2019 American Heart Association

199. Peri-operative care of people with dementia

of a Working Party established by the Association of AnaesthetistsofGreatBritainandIreland.IthasbeenseenandapprovedbytheBoardofDirectorsoftheAssociationof Anaesthetists. It has been endorsed by the British Geriatrics Society, the Royal College of Anaesthetists, the Age AnaesthesiaSocietyandtheRoyalCollegeofNursing.Dateofreview:2023. ThisarticleisaccompaniedbyaneditorialbyScottandEvered,Anaesthesia2019;doi:10.1111/anae.14473. Re-use of this article is permitted in accordance with the Creative Commons Deed (...) , surgery [7], an intoxicating substance, medication use or more than one cause. The disturbance and any associated changes in cognition are not better accounted for by pre- existing, established or evolving dementia. Older age and dementia are risk factors for developing POD. It is associated with prolonged postoperative hospitalisation, institutionalisation, mortality [8] and onward cognitive decline [9, 10]. It is distressing to the patient, their families and friends, has long-term psychological

2019 Association of Anaesthetists of GB and Ireland

200. Heart Disease and Stroke Statistics Full Text available with Trip Pro

, Myriam Fornage , Lori Chaffin Jordan , Sadiya S. Khan , Brett M. Kissela , Kristen L. Knutson , Tak W. Kwan , Daniel T. Lackland , Tené T. Lewis , Judith H. Lichtman , Chris T. Longenecker , Matthew Shane Loop , Pamela L. Lutsey , Seth S. Martin , Kunihiro Matsushita , Andrew E. Moran , Michael E. Mussolino , Martin O’Flaherty , Ambarish Pandey , Amanda M. Perak , Wayne D. Rosamond , Gregory A. Roth , Uchechukwu K.A. Sampson , Gary M. Satou , Emily B. Schroeder , Svati H. Shah , Nicole L. Spartano (...) “Search for Guidelines & Statements” or the “Browse by Topic” area. To purchase additional reprints, call 843-216-2533 or e-mail . The American Heart Association requests that this document be cited as follows: Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Chang AR, Cheng S, Das SR, Delling FN, Djousse L, Elkind MSV, Ferguson JF, Fornage M, Jordan LC, Khan SS, Kissela BM, Knutson KL, Kwan TW, Lackland DT, Lewis TT, Lichtman JH, Longenecker CT, Loop MS

2019 American Heart Association

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