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61. Policy on Medically-Necessary Care

. Lee LJ, Bouwens TJ, Savage MF, Vann WF Jr. Examining the cost-effectiveness of early dental visits. Pediatr Dent 2006;28(2):102-5, discussion 192-8. 44. Ladewig NM, Camargo LB, Tedesco TK, et al. Management of dental caries among children: A look at cost-effectiveness. Expert Rev Pharmacoecon Outcomes Res 2018;18(2):127-34. Available at: “ 321651003/download”. Accessed August 10, 2019. 45. Foster T, Perinpanayagam H, Pfaffenbach A, Certo M. Recurrence (...) of early childhood caries after comprehensive treatment with general anesthesia and follow-up. J Dent Child 2006;73(1):25-30. 46. Eidelman E, Faibis S, Peretz B. A comparison of restorations for children with early childhood caries treated under general anesthesia or conscious sedation. Pediatr Dent 2000;22(1):33-7. 47. Almeida AG, Roseman MM, Sheff M, Huntington N, Hughes CV. Future caries susceptibility in children with early childhood caries following treatment under general anesthesia. Pediatr Dent

2019 American Academy of Pediatric Dentistry

62. Tuberculosis

home visits to give information and advice to people who are disadvantaged on the importance of immunisation. This should be delivered by trained lay health workers, community-based healthcare staff or nurses. [new 2016] [new 2016] BCG v BCG vaccination for healthcar accination for healthcare work e workers ers Offer BCG vaccination to healthcare workers and other NHS employees as advised in the Green Book. [2006, amended 2016] [2006, amended 2016] BCG v BCG vaccination for contacts (...) (that is, without adequate documentation or a BCG scar) and and are aged: younger than 16 years or or 16–35 years from sub-Saharan Africa or a country with a TB incidence of 500 per 100,000 or more. [2006, amended 2016] [2006, amended 2016] Tuberculosis (NG33) © NICE 2019. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 11 of 178Encour Encouraging uptak aging uptake among infants, older childr e among infants, older children and new entr en

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

63. Women and women with children residential rehabilitation best practice

• Longitudinal research to determine the long-term effect of the different models of care • Models of care that have been established in the US need to be evaluated in the Australian setting. Programs such as the Oxford House design (with women living in a share house to support each other) warrants further investigation • Treatment outcomes for diverse cultural groups need to the evaluated. Specific attention should be given to Indigenous communities, where respect is a cultural requirement to ensure client (...) 4 observed the ratio of men and women in rehabilitation is less than the gender prevalence of substance use in the community. Also, women with substance abuse disorders tend to experience more severe medical and social consequences when compared to men. She noted that the odds of completing treatment were three times higher among adult clients in non-hospital residential rehabilitation facilities when compared to those in outpatient methadone programs. These findings suggest that more needs

2018 Sax Institute Evidence Check

64. Inpatient care for children and adolescents with mental disorders

: Randomised Controlled Trials (RCT) (N=5) Boege (2015) 16 GER RCT (8M FU) 1 unit, home care vs inpatient, cost 100 C&A 5-17 M Gowers (2007) 17 UK RCT (2Y FU) 35 units, inpatient vs specialist outpatient vs general CAMHS, anorexia 167 ADOL 12-18 H Harrington (2000) 18 UK RCT (1Y FU) 2 districts, parents of children with behavioural disorders; parent education groups 141 PAR 3-10 M Herpertz-Dahlmann (2014) 19 GER RCT (1Y FU) 6 units, day patient/inpatient vs continued inpatient, anorexia 172 ADOL 11-18 H (...) of the family in the young person’s care. This could involve improving family support (such as making family visits to inpatient care easy), improving family functioning (such as improved parent/child relationships) and providing family therapy as part of the treatment model of care. Another strong predictor of improved treatment outcomes was the provision of accessible post-discharge support and aftercare services. Discharge planning should be undertaken early in the inpatient treatment episode to ensure

2018 Sax Institute Evidence Check

65. Guidelines on Diagnosis and Management of Syncope

-129, ES-08035 Barcelona, Spain. Tel: +34 93 2746166, Fax: +34 93 2746002, Email: . Search for other works by this author on: Frederik J de Lange The Netherlands Search for other works by this author on: Jean-Claude Deharo France Search for other works by this author on: Perry M Elliott UK Search for other works by this author on: Alessandra Fanciulli Austria Search for other works by this author on: Artur Fedorowski Sweden Search for other works by this author on: Raffaello Furlan Italy Search (...) Search for other works by this author on: ESC Scientific Document Group Search for other works by this author on: European Heart Journal , Volume 39, Issue 21, 01 June 2018, Pages 1883–1948, Published: 19 March 2018 A correction has been published: Citation Michele Brignole, Angel Moya, Frederik J de Lange, Jean-Claude Deharo, Perry M Elliott, Alessandra Fanciulli, Artur Fedorowski, Raffaello Furlan, Rose Anne Kenny, Alfonso Martín, Vincent Probst, Matthew J Reed, Ciara P Rice, Richard Sutton, Andrea

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2018 European Society of Cardiology

66. Effectiveness of interventions to reduce homelessness

Retrieval Specialists Ingvild Kirkehei and Lien Nguyen were responsible for the searches conducted in 2014 and 2016 respectively. We would like to acknowledge Sissel Johansen and Karianne Thune Hammerstrøm for their assistance in screening studies from the 2014 search. Heather M. Munthe- Kaas will be responsible for updating this review as additional evidence and/or funding becomes available. Editors for this review Editor: Brandy Maynard Managing editor: Catriona Shatford Sources of support Norwegian (...) Institute of Public Health. This review was commissioned by the Norwegian State Housing Bank. It was published on the Norwegian Institute of Public Health website in December 2016. Declarations of interest The authors have no vested interest in the outcomes of this review, nor any incentive to represent findings in a biased manner. Corresponding author Heather Menzies Munthe-Kaas Norwegian Institute of Public Health, Division for health services PO Box 4404, Nydalen, N-0403 Oslo, Norway E-mail

2018 Campbell Collaboration

67. Review of effective strategies to promote breastfeeding

Program Sax Institute Phone: +61 2 91889500 Suggested Citation: Smith JP, Cattaneo A, Iellamo A, Javanparast S, Atchan M et al. Review of effective strategies to promote breastfeeding: an Evidence Check rapid review brokered by the Sax Institute ( for the Department of Health, 2018. Disclaimer: This Evidence Check Review was produced using the Evidence Check methodology in response to specific questions from (...) aim 18 Methods 20 Search strategies 20 Peer-reviewed literature 20 Grey literature 20 Evidence grading 21 Limitations 22 Findings 23 Question 1: 24 Findings — Major recent comprehensive systematic reviews 25 Findings — Individual strategies and interventions 30 A. Public awareness/marketing 33 B. Public law and regulation 34 C. Welfare, justice and healthcare systems 35 D. Education and support, training in health systems 36 E. Relationships and networks 37 F. Family and other support 38 G. Other

2018 Sax Institute Evidence Check

68. Multimorbidity: a priority for global health research

meeting, ‘Multiple morbidities as a global health challenge’, held on 7 October 2015. 16 This workshop recognised that multimorbidity was likely to be a global health challenge, and acknowledged that realisation of the Sustainable Development Goals, 17 and other broader development targets, is likely to require more research on multimorbidity. On this basis, an international working group project was established to explore in greater depth the challenges and evidence gaps associated

2018 Academy of Medical Sciences

69. Opioid Use Disorder - Diagnosis and Management in Primary Care

a specific meaning within the addiction medicine community. It describes the short-term process commonly known as detoxification or “detox” and does not simply refer to the management of withdrawal symptoms. Withdrawal management (inpatient or outpatient) often involves use of a short-term opioid agonist taper but does not include transition to stable, long-term opioid agonist treatment. In this guideline, “withdrawal management alone” refers to a short-term detox (days or weeks) typically administered (...) in an inpatient or intensive outpatient program, which does not bridge to long-term continuing addiction treatment. Due to serious safety risks, including increased risk of relapse, and increased high risk behaviours that may lead to serious harms and overdose death, withdrawal management alone is not recommended . 2–4 Opioid Agonist Treatment may also be called “opioid replacement therapy” or “opioid substitution therapy”. Opioid agonist treatment includes the use of buprenorphine/naloxone, methadone, slow

2018 Clinical Practice Guidelines and Protocols in British Columbia

70. Treating Opioid Use Disorder During Pregnancy: Guideline Supplement

to comprehensive specialist pregnancy and prenatal care • If applicable, access to postpartum and neonatal care, as well as onsite accommodation or visitation provision for patient’s child(ren). 61 Keeping mothers and children together should be among primary considerations when selecting a treatment setting for this population. Effective discharge planning is also crucial to ensure positive long-term residential treatment outcomes. 59,62 The residential facility should communicate outpatient care providers (...) , education and training, and clinical care guidance. With the support of the province of British Columbia, the BCCSU aims to help establish world leading educational, research and public health, and clinical practices across the spectrum of substance use. Although physically located in Vancouver, the BCCSU is a provincially networked resource for researchers, educators, and care providers as well as people who use substances, family advocates, support groups, and the recovery community. Perinatal

2018 British Columbia Perinatal Health Program

71. Accountable care organisations

in the first three performance years ( 2% and 13% reporting losses of >2%. Higher expenditure benchmarks were weakly associated with savings in US Medicare programs. However, overall there were few clear predictors of what types of ACOs were making savings, which is possibly indicative of the early stages of implementation of these models in most settings. • Quality: Quality of care outcomes focused on hospital admissions/re-admissions, unnecessary emergency department visits, outpatient clinic services (...) reported outcomes on quality of care (Figure 3). Outcomes included hospital admissions/ readmissions, unnecessary emergency department visits, outpatient clinic services, processes of care, patient adherence rates to treatment plans, disease management and lowering mortality rates (Table 2.) Only nine models reported on mortality outcomes, with six reporting reductions in mortality rates or improvements in life expectancy and three reporting no difference. Five of these models had a matched control

2018 Sax Institute Evidence Check

72. The Patient Centred Medical Home: barriers and enablers to implementation

time allocated to undertake comprehensive assessments and holistic interventions. • Recognition of the time it takes to make changes • Separate visits for preventive care • The use of electronic medical records (provided they have a user-friendly interface). Health information technology: Benefits of health information technology are widely • Time, effort and other resources for implementation. • Available technology is inadequate to support quality initiatives • Training, specifically, • Applied (...) to real cases • Delivered over a period of time 11 THE PATIENT CENTRED MEDICAL HOME: BARRIERS AND ENABLERS TO IMPLEMENTATION | SAX INSTITUTE Component of change and why it’s important Barriers/challenges Enablers documented and are central to supporting PCMH functions. • May lead to worse performance on adoption • Ability to be used as a substitute for face-to-face visits. • Recognition of the time it takes to make changes by organisations providing grants/supporting change • Development

2018 Sax Institute Evidence Check

73. Medical management of abortion

to lie down for 30 minutes. Surgical methods of abortion (surgical abortion): use of transcervical procedures for terminating pregnancy, including vacuum aspiration and dilatation and evacuation (D&E). See Chapter 2, section 2.2.4 in the WHO Safe abortion guideline (2012) 1 for a more detailed description of methods of surgical abortion. Human rights terminology International human rights treaty/covenant/convention: adopted by the international community of States, normally at the United Nations (...) level and on an outpatient basis, which further increases access to care. Medical abortion care reduces the need for skilled surgical abortion providers and offers a non-invasive and highly acceptable option to pregnant individuals.viii Executive summary Rationale for this guideline Recommendations for the use of mifepristone and misoprostol for inducing abortion and for managing incomplete abortion are contained within the 2012 WHO guideline Safe abortion: technical and policy guidance for health

2019 World Health Organisation Guidelines

74. Anaesthetic practice in the independent sector

in the independent sector 2018 15 M ode of pr ac tic e When practising in pain medicine, the anaesthetist’s mode of practice more resembles that of a surgeon than an anaesthetist. A pain specialist will need to arrange for outpatient consultation facilities to be made available by a private hospital or he or she may rent private consulting rooms. Referrals may come from GPs, consultant colleagues, physiotherapists, osteopaths or chiropractors. When the referral does not come from a GP , it is good practice (...) closed all pay beds in NHS hospitals, and this resulted in a major expansion of independent hospital facilities, rapidly doubling the number of private beds. BUPA purchased its first group of hospitals, and businesses from the USA also invested heavily to establish other hospital providers and hospital groups. This considerably improved the quantity and quality of private facilities available. There has been further expansion in the last decade and this trend looks to continue with other hospital

2019 Association of Anaesthetists of GB and Ireland

75. Management of Stroke in Neonates and Children

-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

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2019 American Heart Association

76. Heart Disease and Stroke Statistics

, 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

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2019 American Heart Association

77. 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

78. 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

79. Appropriate Use Criteria: Imaging of the Abdomen and Pelvis

of the Abdomen and Pelvis Copyright © 2019. AIM Specialty Health. All Rights Reserved. 5 Description and Application of the Guidelines The AIM Clinical Appropriateness Guidelines (hereinafter “the AIM Clinical Appropriateness Guidelines” or the “Guidelines”) are designed to assist providers in making the most appropriate treatment decision for a specific clinical condition for an individual. As used by AIM, the Guidelines establish objective and evidence-based criteria for medical necessity determinations (...) where possible. In the process, multiple functions are accomplished: ? To establish criteria for when services are medically necessary ? To assist the practitioner as an educational tool ? To encourage standardization of medical practice patterns ? To curtail the performance of inappropriate and/or duplicate services ? To advocate for patient safety concerns ? To enhance the quality of health care ? To promote the most efficient and cost-effective use of services The AIM guideline development

2019 AIM Specialty Health

80. Zolpidem

and safety of zolpidem extended-release 12.5 mg, administered 3 to 7 nights per week for 24 weeks, in patients with chronic primary insomnia: a 6 (...) -month, randomized, double-blind, placebo-controlled, parallel-group, multicenter study. 79-90 To evaluate long-term efficacy and safety of zolpidem extended-release 3 to 7 nights/week for chronic primary insomnia. Multicenter, 25-week, phase IIIb, randomized, double-blind, placebo-controlled, parallel-group. Outpatient; visits every 4 weeks. Aged 18 (...) sizes for zopiclone and zolpidem on measures of verbal memory. An additional medium effect size 2014 2. Benzodiazepines and zolpidem for chronic insomnia: a meta-analysis of treatment efficacy Benzodiazepines and zolpidem for chronic insomnia: a meta-analysis of treatment efficacy Benzodiazepines and zolpidem for chronic insomnia: a meta-analysis of treatment efficacy Nowell P D, Mazumdar S, Buysse D J, Dew M A, Reynolds C F, Kupfer D J Authors' objectives To assess the efficacy of benzodiazepines

2018 Trip Latest and Greatest

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