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

Cardiovascular Society 12 Table 5 Pre-test probabilities of obstructive coronary artery disease in 15 815 symptomatic patients according to age, sex, and the nature of symptoms in a pooled analysis of contemporary data 16 Table 6 Definitions of high event risk for different test modalities in patients with established chronic coronary syndromes 21 Table 7 Lifestyle recommendations for patients with chronic coronary syndromes. 23 Table 8 Healthy diet characteristics 24 Table 9 Treatment options for dual (...) in asymptomatic apparently healthy subjects (primary prevention) and patients with established chronic coronary syndromes (secondary prevention) 21 Figure 7 The five As of smoking cessation 24 Figure 8 Suggested stepwise strategy for long-term anti-ischaemic drug therapy in patients with chronic coronary syndromes and specific baseline characteristics 28 Figure 9 Decision tree for patients undergoing invasive coronary angiography 36 Figure 10 Proposed algorithm according to patient types commonly observed

2019 European Society of Cardiology

42. Shared decision making training programs for doctors: A Rapid Review

the use of shared decision making by healthcare professionals. Cochrane Database of Systematic Reviews, (7). 2. Epstein, R. M., Duberstein, P. R., Fenton, J. J., Fiscella, K., Hoerger, M., Tancredi, D. J,& Kaesberg, P. (2017). Effect of a patient-centered communication intervention on oncologist-patient communication, quality of life, and health care utilization in advanced cancer: the VOICE randomized clinical trial. JAMA Oncology, 3(1), 92-100. 3. Gist, D. L., Bhushan, R., Hamarstrom, E., Sluka, P (...) was not set in a particular setting, [8] and the others were set across a range of primary and secondary settings. [9,10] The settings included: oncology; [2,5] psoriasis; [3] general surgery, [6] and a multicenter trial including a stroke unit, multiple sclerosis outpatient ward, stem cell transplantation unit, clinics of dentistry, radiation oncology, surgery, neurosurgery, and three clinics of gynecology. [4] Below is the summary of findings outlined by setting type (Table 2). The two randomised

2019 Monash Health Evidence Reviews

43. Supporting Rapid Learning and Improvement Across Ontario’s Health System

), and communities of practice appear promising to support problem-focused initiatives. • Element 2 – Support local area-focused rapid learning and improvement o This element could include: building local capacity (within health organizations and with front-line staff) and establishing dedicated staff to identify improvement priorities; determining what resources are available in (and beyond) local organizations and how they can be effectively harnessed to support rapid learning and improvement; and creating (...) of frequent service users; 2) experimentation with funding models (known as ‘bundled care’) to promote greater integration in healthcare delivery, drive high-quality and efficient care, and improve patient experiences and outcomes; and 3) the establishment of the Patients’ Ombudsman to champion fairness in health organizations across the province. In the research system, one step in this direction was the creation and operationalization of the Ontario Strategy on Patient-Oriented Research (SPOR) SUPPORT

2019 McMaster Health Forum

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

Plasminogen Activator for Occluded Coronary Arteries HAS-BLED Hypertension, Abnormal renal/liver function, Stroke, Bleeding history or predisposition, Labile international normalized ratio, Elderly (>65 years), Drugs/alcohol concomitantly HERDOO2 Hyperpigmentation, Edema, or Redness in either leg; D-dimer level ≥250 μg/L; Obesity with body mass index ≥30 kg/m 2 ; or Older age, ≥65 years H-FABP Heart-type fatty acid-binding protein HIV Human immunodeficiency virus HR Hazard ratio INR International (...) normalized ratio IU International units i.v Intravenous IVC Inferior vena cava LA Left atrium LMWH Low-molecular weight heparin(s) LV Left ventricle/ventricular MRA Magnetic resonance angiography NCT National clinical trial NOAC(s) Non-vitamin K antagonist oral anticoagulant(s) NT-proBNP N-terminal pro B-type natriuretic peptide NYHA New York Heart Association OBRI Outpatient Bleeding Risk Index o.d Omni die (once a day) OR Odds ratio PAH Pulmonary arterial hypertension PAP Pulmonary artery pressure PE

2019 European Society of Cardiology

45. Guidelines on Diabetes, Pre-Diabetes and Cardiovascular Diseases developed in collaboration with the EASD Full Text available with Trip Pro

, Gerasimos Filippatos, Diederick E Grobbee, Tina Birgitte Hansen, Heikki V Huikuri, Isabelle Johansson, Peter Jüni, Maddalena Lettino, Nikolaus Marx, Linda G Mellbin, Carl J Östgren, Bianca Rocca, Marco Roffi, Naveed Sattar, Petar M Seferović, Miguel Sousa-Uva, Paul Valensi, David C Wheeler, ESC Scientific Document Group, 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD: The Task Force for diabetes, pre-diabetes, and cardiovascular (...) works by this author on: , Victor Aboyans France Search for other works by this author on: , Clifford J Bailey United Kingdom Search for other works by this author on: , Antonio Ceriello Italy Search for other works by this author on: , Victoria Delgado Netherlands Search for other works by this author on: , Massimo Federici Italy Search for other works by this author on: , Gerasimos Filippatos Greece Search for other works by this author on: , Diederick E Grobbee Netherlands Search for other works

2019 European Society of Cardiology

46. Evidence Brief - Barriers and Facilitators to Use of Medications for Opioid Use Disorder

by the Substance Abuse and Mental Health Services Administration (SAMHSA). 9 OTPs can exist in multiple settings including intensive outpatient programs, residential programs, and hospital settings. OTPs are highly regulated, with requirements that patients receive psychosocial supports, complete frequent urine drug tests, and receive a limited number of take-home medications (thereby requiring frequent visits). 4 As of 2018, VHA operated 32 OTPs nationwide, but also contracts with an unknown number of OTPs (...) Mackey, MD, MPP Stephanie Veazie, MPH Johanna Anderson, MPH Donald Bourne, MPH Kim Peterson, MS Evidence Synthesis Program Evidence Brief: Barriers and Facilitators to Use of Medications for OUD Evidence Synthesis Program i PREFACE The VA Evidence Synthesis Program (ESP) was established in 2007 to provide timely and accurate syntheses of targeted healthcare topics of importance to clinicians, managers, and policymakers as they work to improve the health and healthcare of Veterans. These reports help

2019 Veterans Affairs Evidence-based Synthesis Program Reports

47. Learning from the Experience of Accountable Care Organizations in the U.S.

, but changes are often small and metrics such as hospital readmissions or care for specific disorders may not be affected; 2) results for improving health were mixed with some evaluations of ACOs finding improvements in the health of patients receiving care from them and other evaluations finding no improvements or poorer population health outcomes; 3) ACOs may help to reduce costs without reducing quality, and the cost reductions may be largely attributable to savings in outpatient expenses among the most (...) system in the U.S. as a means of meeting the Triple (now Quadruple) Aim of improving patient experiences and health outcomes while reducing per capita costs, and achieving positive provider experience.(4) An ACO is a sponsored a mix of providers and organizations who work together to deliver care through their network to a defined population group. ACOs vary significantly in their structure and leadership and may be physician (or practice)-led, hospital-led, have joint leadership, or be established

2019 McMaster Health Forum

48. Management of Poisoning

/ Anticholinergics 118 8 Psychotropics 126 9 Organophosphates 152 10 Industrial chemicals 171 11 Caustics / detergents 179 12 Bites and stings 186 Annex A: Commonly-used antidotes Annex B: Serum toxicity ranges and toxicology laboratory services in Singapore Annex C: Socio-psychiatric aspects of poisons management Annex D: Resources for industrial chemical exposure Annex E: Alternative medicine 199 255 265 270 275 References Self-assessment (MCQs) Workgroup members Acknowledgements 281 328 334 336Foreword (...) and Management [Internet]. Th e International Programme on Chemical Safety (IPCS) [cited 5 September 2010]. Available from: http://www.who.int/ipcs/poisons/en/. 1 Details of recommendations can be found in the main text at the pages indicated. Principles of management of acute poisoning – resuscitating the poisoned patient GPP In a critically poisoned patient, measures beyond standard resuscitative protocol like those listed above need to be implemented and a specialist experienced in poisoning management

2020 Ministry of Health, Singapore

49. Society of Interventional Radiology Quality Improvement Standards for Image-Guided Percutaneous Drainage and Aspiration of Abscesses and Fluid Collections Full Text available with Trip Pro

; 30 : 719–724 , x 4 Cinat, M.E., Wilson, S.E., and Din, A.M. Determinants for successful percutaneous image-guided drainage of intra-abdominal abscess. Arch Surg . 2002 ; 137 : 845–849 , x 5 Coelho, R.F., Schneider-Monteiro, E.D., Mesquita, J.L., Mazzucchi, E., Marmo Lucon, A., and Srougi, M. Renal and perinephric abscesses: analysis of 65 consecutive cases. World J Surg . 2007 ; 31 : 431–436 , x 6 Cronin, C.G., Gervais, D.A., Hahn, P.F., Arellano, R., Guimaraes, A.R., and Mueller, P.R. Treatment (...) color Doppler ultrasonic diagnosis and minimally invasive therapeutic management. Ultrasound Med Biol . 2004 ; 30 : 719–724 , x 4 Cinat, M.E., Wilson, S.E., and Din, A.M. Determinants for successful percutaneous image-guided drainage of intra-abdominal abscess. Arch Surg . 2002 ; 137 : 845–849 , x 5 Coelho, R.F., Schneider-Monteiro, E.D., Mesquita, J.L., Mazzucchi, E., Marmo Lucon, A., and Srougi, M. Renal and perinephric abscesses: analysis of 65 consecutive cases. World J Surg . 2007 ; 31 : 431

2020 Society of Interventional Radiology

50. Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children Full Text available with Trip Pro

Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children Surviving Sepsis Campaign International Guidelines for the M... : Pediatric Critical Care Medicine ')} You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Your account has been temporarily locked Your account has been temporarily locked due to incorrect sign in attempts (...) the . I have read & accept the terms of the . Enter your Email address: Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. Toggle navigation Articles & Issues For Authors Journal Info Email to Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e

2020 Society of Critical Care Medicine

51. Lorlatinib (Lorviqua) - non-small cell lung cancer (NSCLC)

is important to patients. 8 ? If patients respond to treatment and symptoms are controlled, this would result in less care responsibilities for family/carers, reduced time of work, and less financial implications. ? Lorlatinib is a well-tolerated oral treatment and requires a 4-weekly outpatient appointment, rather than multiple visits for chemotherapy. Lorlatinib is expected to have fewer adverse events than chemotherapy and patients who have received lorlatinib noted that side effects were manageable (...) chemotherapy carboplatin AUC 5 mg/ml/min intravenously on day 1 of each 21 day cycle for up to 4 cycles or cisplatin 75mg/m 2 intravenously on day 1 of each 21 day cycle for up to 4 cycles plus pemetrexed 500mg/m 2 intravenously on day 1 of each 21 day cycle, for up to 4 cycles or docetaxel 75mg/m 2 intravenously on day 1 of each 21 day cycle, for up to 4 cycles. 254 to 1,189 pemetrexed 500mg/m 2 intravenously on day 1 of each 21 day cycle, for up to 4 cycles 900 docetaxel 75mg/m 2 intravenously on day 1

2020 Scottish Medicines Consortium

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

Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Appendix E: Process for Guideline and Systematic Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Appendix F: Indicator Development Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Appendix G: Tools Used to Assess Domains of Health and Illness (...) Competency Framework—Nursing Competencies . . . . . . . . . . . . . . . . . . . 152 Appendix L: Resources Related to Medical Assistance in Dying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 Appendix M: Supporting Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178 Appendix N: Description of the Toolkit

2020 Registered Nurses' Association of Ontario

53. Guidelines for the management of pregnant and breastfeeding women in the context of Ebola virus disease

GSC Guideline Steering Committee GRADE Grading of Recommendations Assessment, Development and Evaluation GRC Guideline Review Committee HQ headquarters IPC infection prevention and control MCA Department of Maternal, Newborn, Child and Adolescent Health (at WHO) MEURI Monitored Emergency Use of Unregistered and Investigational Interventions NIH National Institutes of Health PPE personal protective equipment PECO population (P), exposure (E), comparator (C), outcome (O) PICO population (P (...) not be performed for foetal indications in pregnant women with acute EVD. Recommended Strong Very low quality evidence 5. All pregnant women with acute EVD should be managed using both standard precautions and Ebola-specific IPC measures. Recommended Strong Very low quality evidence 6. All pregnant women who have recovered from EVD (with conception prior to EVD) should be enabled and encouraged to attend frequent antenatal care. If there is no risk of exposure to pregnancy-related fluids during the visit, only

2020 World Health Organisation Guidelines

54. Clinical Practice Guideline on the Management of Rotator Cuff Injuries

Practice Guidelines and Appropriate Use Criteria in a User-Friendly Format, Please Visit the OrthoGuidelines Website at www.orthoguidelines.org or by downloading the free app to your smartphone or tablet via the Apple and Google Play stores! View background material via the RC CPG eAppendix 1 View data summaries via the RC CPG eAppendix 2 4 Table of Contents Summary of recommendations 7 Management of Small to Medium Tears 7 Long Term Non-Operative Management 7 Operative Management 7 Acromioplasty (...) treatment, reverse shoulder arthroplasty for unrepairable tears with glenohumeral joint arthritis can improve patient reported outcomes. Strength of Recommendation: Consensus DEVELOPMENT GROUP ROSTER Gregory A. Brown, MD, PhD – Oversight Chair American Academy of Orthopaedic Surgeons Stephen Weber, MD Co-Chair Arthroscopy Association of North America Jaskarndip Chahal, MD Co-Chair American Orthopaedic Society for Sports Medicine Shafic A. Sraj, MD American Academy of Orthopaedic Surgeons Jason M

2020 American Academy of Orthopaedic Surgeons

55. The promotion of well?being among children exposed to intimate partner violence: A systematic review of interventions Full Text available with Trip Pro

, for a review of early programming). More recently, theory‐driven psychosocial programs serving children exposed to violence have been developed and established in other venues (e.g., school‐based mental health clinics, outpatient psychotherapy settings). A scan conducted almost 5 years ago identified 23 unique programs designed to improve outcomes for children exposed to IPV currently being implemented across the United States, with at least eight of these programs having been subject to one or more (...) children exposed to intimate partner violence: A systematic review of interventions Corresponding Author E-mail address: RTI International, Research Triangle Park, North Carolina Correspondence Natasha E. Latzman, Children and Families Program, Survey Research Division, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC 27709. Email: RTI International, Research Triangle Park, North Carolina RTI International, Research Triangle Park, North Carolina RTI International, Research

2019 Campbell Collaboration

56. Diagnosis and Treatment of Low Back Pain

Treatment Section Section Chair: Christopher M. Bono, MD Authors: Paul Dougherty, DC Gazanfar Rahmathulla, MD, MBBS Christopher K. Taleghani, MD Terry Trammell, MD Randall P. Brewer, MD; Stakeholder Representative, American Academy of Pain Medicine (AAPM) Ravi Prasad, PhD; Stakeholder Representative, American Academy of Pain Medicine (AAPM) Contributor: John P. Birkedal, MD Physical Medicine & Rehabilitation Section Section Chair: Charles A. Reitman, MD Authors: R. Carter Cassidy, MD Dennis E. Enix, DC (...) or treatment is to be made by the physician and patient in light of all circumstances presented by the patient and the needs and resources particular to the locality or institution. 3 Surgical T reatment Section Section Chair: William C. Watters III, MD, MS Authors: Thiru M. Annaswamy, MD Steven W. Hwang, MD Cumhur Kilincer, MD, PhD Richard J. Meagher, MD Anil K. Sharma, MD Kris E. Radcliff, MD; Stakeholder Representative, American Academy of Orthopaedic Surgeons (AAOS) Contributor: Jordan Gliedt, DC Cost

2020 North American Spine Society

57. Recognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

of a lack of sensitivity and specificity compared with viral genome polymerase chain reaction performed on endomyocardial tissue obtained by biopsy. The emergency department and outpatient diagnosis of FM has several diagnostic pearls and potential pitfalls (partially listed in ) that should be kept in mind by frontline providers in the outpatient setting. Table 1. Potential Pearls and Pitfalls in the Evaluation and Early Management of FM Diagnosis Consider myocarditis in young patients with apparent (...) and Management Issues During Hospital Admission for FM: Roles for Multimodality Imaging and EMB Echocardiography Because of rapid and portable acquisition, echocardiography remains the first test in most cases of FM, with the ability to rapidly process a wide differential diagnosis (including pericardial disease) and to assess cardiac and valvular function and morphology. Early use of echocardiography is essential to establish a diagnosis and the severity of cardiovascular compromise. Apart from cardiac

2020 American Heart Association

58. Disorders of the Hepatic and Mesenteric Circulation Full Text available with Trip Pro

alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. Toggle navigation Articles & Issues For Authors Journal Info 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 American Journal of Gastroenterology. Send (...) University School of Medicine, New Haven, Connecticut, USA; 4 Division of Gastroenterology and Hepatology, University of Virginia School of Medicine, Charlottesville, Virginia, USA; 5 Division of Gastroenterology and Hepatology, Oregon Health & Science University, Portland, Oregon, USA. Correspondence: Patrick S. Kamath, MD. E-mail: . Received March 13, 2019 Accepted August 28, 2019 Online date: January 03, 2020 The American Journal of Gastroenterology: doi: 10.14309/ajg.0000000000000486 Free Metrics

2020 American College of Gastroenterology

59. 2020-2023 Value Assessment Framework

comes from health insurers, pharmacy benefit managers, or life science companies. ICER receives approximately 21% of its overall revenue from these health industry organizations to run a separate Policy Summit program, with funding approximately equally split between insurers/PBMs and life science companies. For a complete list of funders and for more information on ICER's support, please visit http://www.icer-review.org/about/support/. About this Document This paper presents final updates (...) is limited or unavailable, ICER will seek evidence on surrogate endpoints that might be associated with outcomes important to patients and families. Once we have defined the scope of a review, ICER evaluates the available clinical evidence. ICER conducts a systematic review of the existing literature using established best practices for evidence synthesis. The findings of our evidence review are described in a publicly available report, which includes a description of the sources of evidence

2020 California Technology Assessment Forum

60. Antibiotic Use for the Urgent Management of Dental Pain and Intra-oral Swelling Clinical Practice Guideline Full Text available with Trip Pro

-Dutra, K.E., and Roberts, R.M. Hicks LA. The Core elements of outpatient antibiotic stewardship. ( Available at: ) . § Clinicians should reevaluate within 3 d (for example, in-person visit or phone call). Dentists should instruct patients to discontinue antibiotics 24 h after their symptoms resolve, irrespective of reevaluation after 3 d. ¶ Although the expert panel recommends both amoxicillin and penicillin as first-line treatments, amoxicillin is preferred over penicillin because it is more (...) for treatment of immunocompetent adult patients seeking treatment in a dental setting with a pulpal or periapical condition, in which definitive, conservative dental treatment (DCDT) is immediately available. ∗ DCDT refers to pulpotomy, pulpectomy, nonsurgical root canal treatment, or incision for drainage abscess. Only clinicians who are authorized or trained to perform the specified treatment should do so. † Clinicians should reevaluate within 3 d (for example, in-person visit or phone call). Dentists

2020 American Dental Association Guidelines

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