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61. 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

62. 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

63. 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: © 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

64. 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

65. 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

66. 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: For information about the PEBC and the most current version of all reports, please visit

2019 Cancer Care Ontario

67. Preventing and Managing Infectious Diseases Among People who Inject Drugs in Ontario

to care for infectious diseases at all levels. Specifically, those who are homeless or marginally housed often have difficulty affording transportation to and from points of access for health and social services, lack the identification needed to access health and social services, and regularly move locations where they may not know how to access care, which may disrupt any trust or continuity in care that has been established with a previous provider. Finally, as noted earlier, those who are homeless

2019 McMaster Health Forum

68. A Case Management Tool for TB Prevention, Care and Control in the UK

month of medication (see Appendix 1: Form 3). Patient to be notified on TB surveillance system. One week Make contact with patient either by telephone or home visit (clinically assess patient and the environment and complete contact list within five working days). Visiting the patient in their own environment enhances the assessment of their needs and contact identifying. Two weeks Seen by case manager as an outpatient or in the community. One month Seen by case manager as an outpatient (...) clinical action 60 13. Simple guide to information sharing 61 ContentsROYAL COLLEGE OF NURSING 7 Glossary 62 References 65 Further reading 68A CASE MANAGEMENT TOOL FOR TB PREVENTION, CARE AND CONTROL IN THE UK 8 Purpose of this document This is a practical manual for any clinical or non-clinical professional involved in the case management of suspected and confirmed TB cases. It aims to: • promote standardisation of protocols and procedures • ensure accountability for delivery • establish clear

2019 Royal College of Nursing

69. Systematic Review - Relationship of Deployment-related Mild Traumatic Brain Injury to Posttraumatic Stress Disorder, Depressive Disorders, Substance Use Disorders, Suicidal Ideation, and Anxiety Disorders

of TBI to Psychiatric Conditions 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: · Develop clinical policies informed by evidence; · Implement effective services to improve patient outcomes and to support VA clinical practice guidelines (...) , Spoont M, Taylor B, MacDonald R, McKenzie L, Rosebush C, Wilt TJ. Relationship of Deployment-related Mild Traumatic Brain Injury to Posttraumatic Stress Disorder, Depressive Disorders, Substance Use Disorders, Suicidal Ideation, and Anxiety Disorders: A Systematic Review. Washington, DC: Evidence Synthesis Program, Health Services Research and Development Service, Office of Research and Development, Department of Veterans Affairs. VA ESP Project #09-009; 2019. Available at: https

2019 Veterans Affairs Evidence-based Synthesis Program Reports

70. Janus Kinase Inhibitors and Biosimilars for Rheumatoid Arthritis: Effectiveness and Value

, other benefits, and contextual considerations sections of the report. Varun M. Kumar developed the cost-effectiveness model and potential budget impact analysis and authored the corresponding sections of the report. Laura Cianciolo authored the section on coverage policies, managed the timeline and public process, and performed quality controls. Eric Borrelli authored the section on clinical guidelines. Pamela Bradt and Steven D. Pearson provided methodologic guidance on the clinical and economic (...) evaluations. We would like to thank Rick Chapman, Noemi Fluetsch, Foluso Agboola, David Rind, and Patty Synnott for their contributions to this report. We would also like to thank Jordan Amdahl, Rebecca Bornheimer, and Gerry Oster from Policy Analysis Inc. for their technical support with heRo3 throughout the course of this review. ICER Staff and Consultants Jeffrey A. Tice, MD Professor of Medicine University of California, San Francisco Varun M. Kumar, MBBS, MPH, MSc (Former) Associate Director

2020 California Technology Assessment Forum

71. Acute Treatments for Migraine

Director, Practice Based Research & Quality Improvement Division of General Internal Medicine Massachusetts General Hospital, Boston Foluso Agboola, MBBS, MPH Director, Evidence Synthesis Institute for Clinical and Economic Review Rick Chapman, PhD, MS Director of Health Economics Institute for Clinical and Economic Review David M. Rind, MD, MSc Chief Medical Officer Institute for Clinical and Economic Review Steven D. Pearson, MD, MSc President Institute for Clinical and Economic Review Daniel R (...) , and the resulting ICER reports do not necessarily represent the views of the UIC. DATE OF PUBLICATION: January 10, 2020 How to cite this document: Atlas S, Touchette D, Agboola F, Lee T, Chapman R, Pearson S D, Rind D M. Acute Treatments for Migraine: Effectiveness and Value. Institute for Clinical and Economic Review, January 8,2020. Steven Atlas served as the lead author for the report. Foluso Agboola led the systematic review and authorship

2020 California Technology Assessment Forum

72. Society of Interventional Radiology Quality Improvement Standards on Percutaneous Ablation in Renal Cell Carcinoma Full Text available with Trip Pro

. Global cancer statistics. CA Cancer J Clin . 2011 ; 61 : 69–90 | | | 1 ). The incidence of RCC has gradually increased over the last several decades, which has been attributed to the growing use of and technologic advancements in cross-sectional imaging in the diagnosis of intra-abdominal pathologies ( x 2 Shinagare, A.B., Krajewski, K.M., Braschi-Amirfarzan, M., and Ramaiya, N.H. Advanced renal cell carcinoma: role of the radiologist in the era of precision medicine. Radiology . 2017 ; 284 : 333–351 (...) ). According to guidelines from the American Urology Association (AUA) and the National Comprehensive Cancer Network (NCCN), partial nephrectomy (PN) remains the standard of care for patients with noncentral, T1a (≤4.0 cm), or T1b tumors (4.1–7.0 cm) ( x 7 Campbell, S., Uzzo, R.G., Allaf, M.E. et al. renal mass and localized renal cancer: AUA guideline. J Urol . 2017 ; 198 : 520–529 | | | 7 , x 8 Motzer, R.J., Jonas, E., Agarwal, N. et al. NCCN Clinical Practice Guidelines in Oncology: Kidney Cancer

2020 Society of Interventional Radiology

73. Palliative Care for Adults Institute for Clinical Systems Improvement 14 Palliative Care for Adults Sixth Edition /January 2020 Debility/Failure to Thrive • Greater than three chronic conditions in patient over 75 years old • Functional decline • Weight loss • Patient/family desire for low-yield therapy • Increasing frequency of outpatient visits, emergency department visits, hospitalizations Cancer • Uncontrolled symptoms due to cancer or treatment • Introduced at time of diagnosis – if disease likely incurable (...) Palliative Care for Adults Sixth Edition January 2020 Copyright © 2020 by Institute for Clinical Systems Improvement 1 Health Care Guideline: Palliative Care for Adults Text in blue in this algorithm indicates a linked corresponding annotation. Does patient choose hospice, and is hospice available? Patient presents with new or established diagnosis of a serious illness Initiate palliative care discussion 1 Assess patient’s palliative care needs based on the speci?ed domains

2020 Institute for Clinical Systems Improvement

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

. The ultimate judgment regarding any specific procedure 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 (...) the guideline, readers will see many ac- ronyms with which they may not be familiar. A glos- sary of acronyms is available on page 14. N omencla tur e f or M edical/In t erv en tional Treatment Throughout the guideline, readers will see that what has traditionally been referred to as “nonoperative,” “nonsurgical,” or “conservative” care is now referred to as “medical/interventional care.” The term medi- cal/interventional is meant to encompass pharmaco- logical treatment, physical therapy, exercise therapy

2020 American Society of Regional Anesthesia and Pain Medicine

75. KDOQI Clinical Practice Guidelines for Nutrition in CKD

). 1.1.10 In adults with CKD post-transplant, it is reasonable to consider using underweight and overweight/obesity status (based on BMI) as a predictor of higher mortality (OPINION). BMI and Protein Energy Wasting 1.1.11 In adults with CKD 1-5D and post-transplant, BMI alone is not sufficient to establish a diagnosis of PEW unless the BMI is very low ( 25 kg/m 2 ), the authors found no association between BMI and mortality at 10 years. 20 However, in the remaining studies in which BMI was examined (...) - Oral, Enteral, and Parental Nutrition ……………………… ……………………………….. 103 4.2 Nutrition Supplementation - Dialysate………………………………………..…….…… 115 4.3 Long Chain Omega-3 Polyunsaturated Fatty Acids ………………………… 119 Guideline 5: Micronutrients.……………………………………………………….…………. 128 5.0 General Guidance ……………………………………………………………………….. 128 5.1 Folic acid (with and without other B Vitamins) ……..…………………………………… 132 5.2 Vitamin C ………………………………………………………………………………… 137 5.3 Vitamin D ………………………………………………………………………………… 142 5.4 Vitamin E

2020 National Kidney Foundation

76. Treatment of Patients with Schizophrenia

Treatment of Patients with Schizophrenia This guideline is undergoing copyediting and the final version is expected to be released summer 2020. THE AMERICAN PSYCHIATRIC ASSOCIATION PRACTICE GUIDELINE FOR THE TREATMENT OF PATIENTS WITH SCHIZOPHRENIA Guideline Writing Group George A. Keepers, M.D. (Chair) Laura J. Fochtmann, M.D., M.B.I. (Vice-Chair; Methodologist) Joan M. Anzia, M.D. Sheldon Benjamin, M.D. Jeffrey M. Lyness, M.D. Ramin Mojtabai, M.D. Mark Servis, M.D. Art Walaszek, M.D. Peter (...) Buckley, M.D. Mark F. Lenzenweger, Ph.D. Alexander S. Young, M.D., M.S.H.S. Amanda Degenhardt, M.D. Systematic Review Group Laura J. Fochtmann, M.D., M.B.I. (Methodologist) Seung-Hee Hong Committee on Practice Guidelines Daniel J. Anzia, M.D. (Chair) R. Scott Benson, M.D. Thomas J. Craig, M.D. Catherine Crone, M.D. Annette L. Hanson, M.D. John M. Oldham, M.D. Carlos N. Pato, M.D., Ph.D. Michael J. Vergare, M.D. Joel Yager, M.D. (Consultant) Laura J. Fochtmann, M.D., M.B.I. (Consultant) APA Assembly

2020 American Psychiatric Association

77. Prenatal Care

, intrauterine growth restriction, and low birth weight. Established parameters for weight gain are based on pre- pregnancy body mass index (BMI). ACOG, IOM, and AAP recommend the following: Pre-pregnancy BMI (kg/m 2 ) Recommended Weight Gain 29 5.0-9.1 kg (11-20 lbs) Women with a BMI = 40 may benefit from lesser amount of weight gain or even weight loss during pregnancy. Behavioral counseling and dietary education have been shown to be beneficial for women with BMI 10,000 feet [3,000 meters]) is suggested (...) /90 mm/Hg for patients 60 - 85 years of age without diabetes. (HEDIS, BCBSM, BCN, CMS) BMI Screening: The percentage of members 18–74 years of age who had an outpatient visit and whose body mass index (BMI) was documented during the measurement year or the year prior to the measurement year. (HEDIS, BCBSM, BCN) Chlamydia Screening: The percentage of women 16–24 years of age who were identified as sexually active and who had at least one test for chlamydia during the measurement year. (HEDIS

2020 University of Michigan Health System

78. Management of Cancer Medication-Related Infusion Reactions

the first day of administration. 8 Management of Cancer Medication-Related Infusion Reactions 7 Hypersensitivity reactions (HSRs) are a subset of IRs that occur at doses normally tolerated by patients and are not consistent with a known toxicity of the drug. 2 HSRs can be divided into subtypes as defined by Gell and Coombs, depending on the mechanism of reaction. • Type I reactions are those mediated by immunoglobulin E (IgE) antibodies, and include anaphylaxis, a type of systemic HSR that is severe (...) prophylaxis with extended infusion and/or pre-medications reduce IR rates. Current evidence suggests that pre-medications may reduce IR rates; however, the optimal pre- medication regimen has yet to be established. It may be reasonable to consider pre- medications (e.g. corticosteroids, H1-receptor antagonists ± H2-receptor antagonists) routinely in gynecological patients receiving carboplatin starting from the 7 th cycle, especially in patients at high risk of developing an IR. High risk factors include

2019 Cancer Care Ontario

79. Testosterone Testing - Protocol

and Determinants of Testosterone, Dihydrotestosterone, and Estradiol Levels Measured using Liquid Chromatography-Tandem Mass Spectrometry in a Population-Based Cohort of Older Men. J Clin Endocrinol Metab. 2012 Nov;97(11):4030–9. Kannenberg F, Fobker M, Schulte E, Pierściński G, Kelsch R, Zitzmann M, et al. The Simultaneous measurement of serum testosterone and 5α-dihydrotestosterone by gas chromatography–mass spectrometry (GC–MS). Clin Chim Acta. 2018 Jan;476:15–24. Locke J, Flannigan R, Etminan M, Tavokoli H (...) frequently receive prescriptions for testosterone replacement without first having a serum testosterone test to confirm low levels. This practice is not appropriate, as biochemical confirmation of a low for age serum total testosterone (or cBAT) is necessary to confirm the clinical impression of hypogonadism. In the absence of this biochemical confirmation, a re-visitation or verification of the original empiric diagnosis will be very difficult since prolonged androgen therapy will result in suppression

2019 Clinical Practice Guidelines and Protocols in British Columbia

80. Informing best practice in writing discharge summaries

details Y Sick note Y Support to relatives Y Religious/cultural concepts about disease/death Y Complimentary/alternativ e medicines y Pain relief Y Resuscitation status Y Optional nursing comments Y Reminder to bring documentation to next visit Y Psychosocial support Y Clinical trial involvement Y Excluded references 1. Amy J.H. Kind. Documentation of Mandated Discharge Summary. Components in Transitions from Acute to Subacute Care. 2012. Available online from: (...) associated with a discharge summary. There is currently no standardised template for a discharge summary used within Monash Health. Well-defined criteria for the quality of a discharge summary is lacking [1] . However, reviews of literature agree that good quality discharge summaries should avoid error, efficiently communicate information necessary for the ongoing care of a patient, and increase the quality of care of a patient [1-2] . Time pressure in hospitals, outpatient clinics and GP practices does

2019 Monash Health Evidence Reviews

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