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61. 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

62. 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

63. 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

64. 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

65. 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

66. 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

67. 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

68. 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

69. 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

70. 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

71. 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

72. 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

73. 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

74. 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

75. 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

76. Staff and associate specialist (SAS) grade handbook

meetings • Guidance and information for SAS doctors • Access to The SAS Handbook • SAS audit poster prize and professional development grant • Representation at Westminster and the Department of Health • 20% discount on textbooks from OUP and Wiley • 30% discount on books from Cambridge University Press • Basic TTE Education • Mentoring • SAS Links network The SAS Committee The SAS Committee has been established for just over 15 years and continues to go from strength to strength. The Committee (...) was established by Dr Kate Bullen, the first SAS doctor to be elected to the Association’s Council. SAS doctors have been described as the hidden, unsung heroes of the NHS. Despite making up approximately 20% of the anaesthetic workforce, historically, SAS doctors have sometimes felt overlooked and under-valued, with some colleagues unaware of who we are and what we do. The Association recognised this, and so the Committee was set up to address these concerns and to represent the specific needs of SAS

2020 Association of Anaesthetists of GB and Ireland

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

Bradley, Alec Dobney, Karen Exley, Jim Stewart-Evans Stuart Aldridge, Amanda Craswell, Sani Dimitroulopoulou, Greg Hodgson, Lydia Izon- Cooper, Laura Mitchem, Christina Mitsakou, Sarah Robertson Project manager:Jim Stewart-Evans For queries relating to this document, please contact: AQreview@phe.gov.uk © Crown copyright 2019 You may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence v3.0. To view this licence, visit OGL (...) of interventions to improve outdoor air quality and public health 10 Improving air quality can go hand in hand with economic growth. A common misconception is that air pollution is a necessary consequence of economic prosperity, whereas a clean environment is increasingly understood to support, rather than hinder, economic growth. People prefer to live, and employers are likely to prefer to establish businesses, in places which are clean and support a healthy workforce. Furthermore, the UK is at the forefront

2019 Public Health England

78. Strategies to link people with undiagnosed HIV infection to HIV testing, care, and prevention services

analysis in New Zealand examined missed opportunities among adults presenting to a hospital offering risk-based screening (12). Results showed that nearly 34% of individuals who were newly diagnosed over a seven-year period had had contact with medical services prior to diagnosis, and within their estimated window of HIV infection. They also showed that these patients could have been diagnosed earlier by a median of 12 months. Furthermore, more than half of these missed opportunity visits were (...) % of non-infected controls (13). Results also showed that these patients frequently visited a general practitioner before their HIV diagnosis (13). Similarly, a retrospective cohort data linkage study in Australia showed that sexually transmitted infections (STIs) and certain hospital admissions were common among people estimated to be living with undiagnosed HIV; gonorrhea diagnosis was 18 times higher among people living with undiagnosed HIV (15). Despite this, the rate of missed opportunities

2019 Ontario HIV Treatment Network

79. Recommendations for good practice in Ultrasound: Oocyte retrieval

evidence available at the time of preparation. In the absence of scientific evidence on certain aspects, a consensus between the relevant ESHRE stakeholders has been obtained. The aim of clinical practice guidelines and good practice recommendations is to aid healthcare professionals in everyday clinical decisions about appropriate and effective care of their patients. However, adherence to these clinical practice guidelines does not guarantee a successful or specific outcome, nor does it establish (...) . - An appropriate protocol for transducer disinfection should be established, in accordance with manufacturer’s instructions. OPU operators and assistants should be familiar with the disinfection technique and keep detailed documentation of the disinfection procedure. - The transducer should be designed for easy application of a specific sterile cover, incorporating a good quality sonographic gel on the tip of the transducer. - An appropriate transducer cover should be used, powder-free and compatible

2019 European Society of Human Reproduction and Embryology

80. Organizational Guidance for the Care of Patients with Head and Neck Cancer in Ontario

Organizational Guidance for the Care of Patients with Head and Neck Cancer in Ontario Guideline 5-3ORG Version 2 A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO) Organizational Guidance for the Care of Patients with Head and Neck Cancer in Ontario J. Irish, J. Kim, J. Waldron, A. Wei, E. Winquist, J. Yoo, A. Boasie, M. Brouwers, E. Meertens, S. McNair, C. Walker-Dilks and the Expert Panel on Organizational Guidance for the Care of Patients with Head (...) and Neck Cancer in Ontario This document is an update of the organizational guidance portion of the 2009 version of the guideline (Evidence-Based Series 5-3 The Management of Head and Neck Cancer in Ontario). Report Date: April 25, 2019 For information about this document, please contact Dr. Jon Irish, the lead author, through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: ccopgi@mcmaster.ca For information about the PEBC and the most current version of all reports, please visit

2019 Cancer Care Ontario

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