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E/M Medical Decision Making

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8901. Individualised treatment improves depression in people with depression and diabetes

). Many of the same principles apply to diabetes as well as depression and other chronic illnesses. Thus, the tools and resources with which clinical teams need to be familiar seem to be generic—but in order to be effective, they may need to be targeted to each specific condition or target of focus. References Tunis SR, Stryer DB, Clancey CM. Practical clinical trials. Increasing the value of clinical research for decision making in clinical and health policy. JAMA 2003 ; 290 : 1624 –32. Glasgow RE (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Individualised treatment improves depression in people with depression and diabetes Article Text Therapeutics Individualised treatment improves depression in people with depression and diabetes Free Russell E Glasgow

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2006 Evidence-Based Mental Health

8902. 5 themes described the views of older people on advance care statements and their role in end of life care

, and other healthcare providers should develop care plans that reflect patient and family goals and wishes for treatment. This can only be achieved by improving communication with patients and their substitute decision makers. References Alemayehu E, Molloy DW, Guyatt GH, et al . Variability in physicians’ decisions on caring for chronically ill elderly patients: an international study. CMAJ 1991 ; 144 : 1133 –8. Emanuel LL, Emanuel EJ. The medical directive. A new comprehensive advance care document (...) on advance care statements and their role in end of life care Free Judith A Lever , RN, MSc(A), GNC(C) Statistics from Altmetric.com Seymour J, Gott M, Bellamy G, et al . Planning for the end of life: the views of older people about advance care statements. Soc Sci Med 2004 ; 59 : 57 –68. Q What are the views of older people on advance care statements and their role in end of life care and treatment decisions? DESIGN Qualitative study. SETTING Sheffield, UK. PARTICIPANTS 32 older people (72% women; 27

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2006 Evidence-Based Nursing

8903. Management of patients with asthma in the emergency department and in hospital

1995 ; 155 : 496 -500. 116. Browne GJ, Penna AS, Phung X, Soo M. Randomised trial of intravenous salbutamol in early management of acute severe asthma in children. Lancet 1997 ; 349 : 301 -5. 117. Kelly HW, Murphy S. Should we stop using theophylline for the treatment of the hospitalized patient with status asthmaticus? DICP 1989 ; 23 : 995 -8. 118. Huang D, O'Brien RG, Harman E, Aull L, Reents S, Visser J, et al. Does aminophylline benefit adults admitted to the hospital for an acute exacerbation (...) in terms of rate of resolving airflow limitation. The parenteral route is preferred if patients are unable to take medication orally (e.g., they are too breathless or are intubated) or if they are unable to absorb an oral dose readily (e.g., because of vomiting). The recommended oral dose is 40-60 mg of prednisone or equivalent and the single intravenous dose is 125 mg solumedrol or 200 mg hydrocortisone.[ , ] In 4 meta-analyses[ – ] of double-blind studies of therapy for acute asthma in adults

1999 CPG Infobase

8904. An evidence-based approach to the management of uninvestigated dyspepsia in the era of Helicobacter pylori

the medical literature and clinical expertise to aid decision-making in patient care. The Canadian Dyspepsia (CanDys) Working Group was convened with the mandate to develop an evidence-based management tool for uninvestigated dyspepsia that would be practical and would reflect the realities of the primary care setting. The aim was to provide primary care physicians with recommendations and guidance concerning appropriate investigations, treatments and indications for referral for patients (...) with uninvestigated dyspepsia. The resulting clinical management tool is intended not to regulate practice but, rather, to support clinical decision-making. Methods Canadian Dyspepsia Working Group The 18 members of the working group were selected by the chair (S.v.Z.) because of their expertise in dyspepsia, evidence-based medicine and continuing medical education. Broad representation from across the country was sought. The group is a mixture of university-based and private practice family physicians

2000 CPG Infobase

8905. The role of hormone replacement therapy in women with a previous diagnosis of breast cancer

symptoms are particularly troublesome and do not respond to alternative approaches, a well-informed woman may choose to use HRT to control these symptoms after discussing the risks with her physician. In these circumstances, both the dose and the duration of treatment should be minimized. If HRT is to be considered, factors that may be included in the decision-making process include low-risk disease and long disease-free interval. There are alternatives to the use of HRT in women with a previous (...) Related Articles Cited By... More in this TOC Section Similar Articles Collections Content Information for About , Joule Inc. or its licensors. All rights reserved. ISSN 1488-2329 (e) 0820-3946 (p) All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries.

2002 CPG Infobase

8906. Principles on Intervention for People Unable to Comply with Routine Dental Care

for dentistry. J Am Coll Dent 2001; 68: 9-11. 4. Budtz -Jorgensen E, Chung JP, Rapin CH. Nutrition and oral health. Best Pract Res Clin Gastroenterol 2001; 15: 885-896 5. Locker D, Matear D, Stephens M. Jokovic A. Oral health -related quality of like of a population of medically compromised elderly people. Community Dent Health 2002; 19: 90-97. 6. McGrath C, Bedi R. Population based norming of the UK oral health related quality of life measure (OHQoL-UK). Br Dent J 2002; 193:521-524. 7. King J. Making (...) be obtained from the person’s Medical Practitioner primarily responsible for the patient’s general medical care (MPPR). This person is usually their general medical practitioner but may in certain instances be another person known as the Welfare Attorney or Welfare Guardian. In some instances it may be appropriate for the Hospital Consultant who is responsible f or the patient’s care to give a Certificate, lawfully. The Act does not give the MPPR the role of making treatment planning decisions, but simply

2004 British Society for Disability and Oral Health

8907. Guidelines for the Management of Colorectal Cancer

MR Thompson Mr WJ Cunliffe Dr I Geh Dr M Hill Dr A Hartley Mr A Radcliffe Dr E Levine Dr A Higginson Prof GT Williams Prof P Quirke Prof M G Dunlop Association of Coloproctology of Great Britain and Ireland Prof MG Dunlop Mr I MacLennan Prof D Morton Prof JMA Northover Prof NS Williams Royal College of Physicians Prof R Logan Prof J Rhodes Royal College of General Practitioners Dr P Sutton Royal College of Radiologists Dr S Taylor Professor T Maughan (Oncology) Royal College of Surgeons (...) , colorectal cancer. The original Guidelines were published in 1996, with the purpose of assisting clinicians in clinical decision- making and practice by removing uncertainty in areas where it was possible to do so. In addition, they described the gold standard of good clinical care and were proscriptive of unacceptable clinical standards. This, the third edition of the Association’s Guidelines has maintained these guiding principles and added newer evidence, where available, to support changes

2007 Association of Coloproctology of Great Britain and Ireland

8908. Position Statements on Malignant Large Bowel Obstruction & Anal Fistula

-enhancedtransanalultrasoundintheassessmentof ?stula-in-ano.DisColonRectum1998;41:1147–52. 49 Ratto C, Gentile E, Merico M et al. How can the assessmentof?stula-in-anobeimproved?DisColonRectum 2000; 43: 1375–82. 50 Schwartz DA, Wiersema MJ, Dudiak KM et al. A compar- ison of endoscopic ultrasound, magnetic resonance imag- ing, and exam under anesthesia for evaluation of Crohn’s perianal ?stulas. Gastroenterology 2001; 121: 1064–72. 51 Duinslaeger M. Dif?cult ?stula. Acta Chir Belg 2000; 100: 118–22. 52 Cirocco WC, Reilly JC. Challenging (...) , J. MacFie, M. Gatt, M. C. Parker, R. Bhardwaj, N. R. Hall 18 The Treatment of Anal Fistula: ACPGBI Position Statement J. G. Williams, P. A Farrands, A. B. Williams, B. A. Taylor, P. J. Lunniss, P. M. Sagar, J. S. Varma, B. D. George Cover image: Transverse section through a rectal cancer.Position statement The Management of Malignant Large Bowel Obstruction: ACPGBI Position Statement P. J. Finan (Chairman) General In?rmary at Leeds, Leeds, UK, S. Campbell Leicester Royal In?rmary, Leicester, UK

2006 Association of Coloproctology of Great Britain and Ireland

8909. Management of Thyroid Cancer

of the multidisciplinary team meetings in making these decisions, based on risk assessment. In addition, the updated guidelines incorporate issues that have arisen as a result of the implementation of waiting times of the NHS Cancer Plan and the publication of Improving outcomes in head and neck cancer by the National Institute for Health and Clinical Excellence in 2004. 1 The second edition of the guidelines differs in emphasis on some aspects of management of thyroid cancer from recent guidelines published (...) measurements and possibly earlier detection of recurrent or metastatic disease. 9,113 vi The acute and late side effects of radioiodine (also see section 6.4) should be discussed with the patient (IV, C), particularly stressing: moderate risk of a dry mouth and sialadenitis very small risk of second malignancies. vii Whenever possible the patient should make an informed decision based on the above risks and benefits (IV, C). In the absence of randomised trials, recommendations on 131 I ablation have

2007 British Association of Endocrine and Thyroid Surgeons

8910. Resources for Coloproctology

unrealistic under current arrangements resulting the need for additional endoscopy staff. Key points • Shared responsibilities between the gastroin- testinal physicians and gastrointestinal surgeons • In the future when screening is introduced, it is likely that non-medical staff will be needed to cover requirements. • The changes introduced by JAG are having a major impact on endoscopy training and practice making prediction of future resource needs increasingly difficult. Colorectal nurse specialists (...) and will be reduced when junior anaesthetists are being taught procedures. r re ef fe er re en nc ce e 1 Audit in practice. Jones SM. Collins CD. BMJ 1990; 301:324-511 Association of Coloproctology of Great Britain and Ireland d de em ma an nd d f fo or r c co ol lo or re ec ct ta al l s su ur rg gi ic ca al l s se er rv vi ic ce es s a an nd d t th he e m ma an np po ow we er r a an nd d t th he ea at tr re e r re es so ou ur rc ce es s r re eq qu ui ir re ed d The demand for colorectal surgical services

2006 Association of Coloproctology of Great Britain and Ireland

8911. SPECT/CT and PETCT Imaging

, Pruim J. HOVON Imaging workgroup and the Netherlands Society of Nuclear Medicine. 2007 R. Boellaard (*) : O. S. Hoekstra : E. F. I. Comans : A. A. Lammertsma Department ofNuclear Medicine and PET Research, VU University Medical Centre, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands e-mail: r.boellaard@vumc.nl M. J. O’Doherty : P. K. Marsden PET Imaging Centre, Division of Imaging Sciences, King’s College London and Guys and St Thomas’ NHS Foundation Trust, London, UK W. A. Weber Department (...) . Stroobants Department of Nuclear Medicine, University Hospital Antwerpen, Antwerpen, Belgium W. J. G. Oyen: E. P. Visser Department of Nuclear Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands J. Kotzerke Clinic and Outpatient Clinic for Nuclear Medicine, University Hospital Dresden, Dresden, GermanyJ. Pruim: A. M. Paans: A. T. Willemsen Department of Nuclear Medicine and Molecular Imaging, University Medical Centre Groningen, Groningen, The Netherlands K. Tatsch EANM

2006 British Nuclear Medicine Society

8912. Paediatric Endocrine Tumour Guidelines

the child in a paediatric or adolescent environment, under the care of qualified children's nurses, in accordance with the Children's National Standards Framework. Any peri-operative care should always involve paediatric endocrinologists, in collaboration with paediatric surgeons, paediatric oncologists and adult specialists as appropriate. One paediatric speciality (usually endocrinology or oncology) should assume responsibility for the co- ordination of investigations, treatment, decision making (...) to collect incidence and outcome data systematically through a national registration system. The latter has been confounded to date by the difficult distinction between malignant and benign disease in certain endocrine tumours, the prophylactic surgical treatment of at risk individuals identified through genetic screening, and the multiplicity of presentations to a number of paediatric or adult medical and surgical disciplines. In November 2001, a multidisciplinary working party of paediatric

2005 British Association of Endocrine and Thyroid Surgeons

8913. Management of uterine fibroids. Volume 1: evidence report. Volume 2: evidence tables and bibliography

Management of uterine fibroids. Volume 1: evidence report. Volume 2: evidence tables and bibliography Management of uterine fibroids. Volume 1: evidence report. Volume 2: evidence tables and bibliography Management of uterine fibroids. Volume 1: evidence report. Volume 2: evidence tables and bibliography Matchar D B, Myers E R, Barber M W, Couchman G M, Datta S, Gray R N, Gustilo-Ashby T, Kolimaga J T, McCrory D C Authors' objectives To assess the benefits and risks of the management (...) birth rates or pregnancy complications; quality of life measures; adverse outcomes such as side effects, complications of treatment and development of new symptoms; need for additional treatment after uterus-conserving therapy; and resource use, including length of stay, medical costs and time lost from work or usual activities. How were decisions on the relevance of primary studies made? Four revewiers independently assessed an initial set of studies and inter-rater agreement was assessed using

2001 DARE.

8914. A systematic review and economic evaluation of computerised cognitive behaviour therapy for depression and anxiety

, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 1996;17:1-12. 2. Levine M, Walter S, Lee H, Haines T, Holbrook A, Moyer V. How to use an article about harm. JAMA 1994;271:1615-9. 3. Kaltenthaler E, Parry G, Beverley C. Computerized cognitive behaviour therapy: a systematic review. Behav Cogn Psychoth 2004;32:31-55. Indexing Status Subject indexing assigned by NLM MeSH Adolescent; Adult; Aged; Anxiety /diagnosis /therapy (...) A systematic review and economic evaluation of computerised cognitive behaviour therapy for depression and anxiety A systematic review and economic evaluation of computerised cognitive behaviour therapy for depression and anxiety A systematic review and economic evaluation of computerised cognitive behaviour therapy for depression and anxiety Kaltenthaler E, Shackley P, Stevens K, Beverley C, Parry G, Chilcott J Authors' objectives To assess the effectiveness of computer-based cognitive

2002 DARE.

8915. Snoezelen: an overview of research with people with developmental disabilities and dementia

Snoezelen: an overview of research with people with developmental disabilities and dementia Snoezelen: an overview of research with people with developmental disabilities and dementia Snoezelen: an overview of research with people with developmental disabilities and dementia Lancioni G E, Cuvo A J, O'Reilly M F Authors' objectives To present an overview of the research studies on snoezelen with people with developmental disabilities and dementia, and to discuss the findings in relation (...) and evaluated; the combined and separate impacts of snoezelen programmes and pharmacotherapy should be assessed with people with dementia; and the influence of snoezelen programmes on the mood, satisfaction and performance of staff involved in such programmes should be determined. Bibliographic details Lancioni G E, Cuvo A J, O'Reilly M F. Snoezelen: an overview of research with people with developmental disabilities and dementia. Disability and Rehabilitation 2002; 24(4): 175-184 PubMedID Other

2002 DARE.

8916. Telemedicine and doctor-patient communication: an analytical survey of the literature

. It will also represent a first step towards formulating behavioural norms to aid telemedicine transactions, while furthering the development of educational and other strategies to reduce any trepidation associated with this comparatively new medium. Understanding the relationship between telemedicine and doctor-patient communication will also shed light on the distribution of decision-making power between consultation participants, as well as any effect telemedicine may have on patient trust and privacy (...) Telemedicine and doctor-patient communication: an analytical survey of the literature Telemedicine and doctor-patient communication: an analytical survey of the literature Telemedicine and doctor-patient communication: an analytical survey of the literature Miller E A Authors' objectives To review the literature about the effect of telemedicine on doctor-patient communication. Searching MEDLINE and HealthSTAR were searched using combinations of the following keywords: 'telemedicine', 'doctor

2001 DARE.

8917. Positron emission tomography

with epilepsy refractory to medical treatment who were being considered for surgery. Coronary revascularisation: patients being considered for revascularisation. Those considered on SPECT to have nonviable myocardium, or where viability was uncertain, were of special interest. Outcomes assessed in the review Diagnostic accuracy and the impact on clinical decision-making and health outcomes were assessed. Inclusion criteria specific to the individual review questions were detailed in the report. How were (...) . Ongoing studies were mentioned in relation to some of the questions addressed. Bibliographic details Medicare Services Advisory Committee. Positron emission tomography. Canberra, ACT, Australia: Medicare Services Advisory Committee. Final assessment report. 2000 Original Paper URL Other publications of related interest Adams E, Asua J, Conde Olasagasti J, Erlichman M, Flynn K, Hurtado-Saracho I, on behalf of INAHTA. Positron Emission tomography: experience with PET and synthesis of the evidence

2000 DARE.

8918. Treatment of depression: newer pharmacotherapies

Treatment of depression: newer pharmacotherapies Treatment of depression: newer pharmacotherapies Treatment of depression: newer pharmacotherapies Mulrow C D, Williams J W, Trivedi M, Chiquette E, Aguilar C, Cornell J E Authors' objectives To evaluate the benefits and adverse effects of newer pharmacotherapies and herbal treatments for depressive disorders in adults and adolescents. Searching The Cochrane Collaboration Depression, Anxiety and Neurosis Group's Controlled Trials Register (...) : 1.0, 1.4). Publication bias was identified (p=0.009) Authors' conclusions Newer antidepressants are clearly effective in treating depressive disorders in diverse settings. However, both newer and older antidepressants should be considered when making treatment decisions because of their similar efficacy. Better information is urgently needed on the efficacy of newer antidepressants in patients with non-major depression and in special populations, including adolescents. CRD commentary

1999 DARE.

8919. Reviewing audit: barriers and facilitating factors for effective clinical audit

Reviewing audit: barriers and facilitating factors for effective clinical audit Reviewing audit: barriers and facilitating factors for effective clinical audit Reviewing audit: barriers and facilitating factors for effective clinical audit Johnston G, Crombie I K, Davies H T, Alder E M, Millard A Authors' objectives To review the literature on the benefits and disadvantages of clinical and medical audit, and to assess the main facilitators and barriers to conducting the audit process. Searching (...) . Bibliographic details Johnston G, Crombie I K, Davies H T, Alder E M, Millard A. Reviewing audit: barriers and facilitating factors for effective clinical audit. Quality in Health Care 2000; 9(1): 23-36 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Attitude of Health Personnel; Databases, Bibliographic; Evaluation Studies as Topic; Family Practice; Great Britain; Hospitals, General; Interprofessional Relations; Job Satisfaction; Leadership; MEDLINE; Medical Audit /standards; Medical Records

2000 DARE.

8920. An evaluation of technologies for identifying acute cardiac ischemia in the emergency department: a report from a National Heart Attack Alert Program Working Group

Program Working Group. Annals of Emergency Medicine 1997; 29(1): 13-87 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Acute Disease; Body Surface Potential Mapping; Clinical Trials as Topic; Creatine Kinase /blood; Decision Making, Computer-Assisted; Echocardiography; Electrocardiography /economics /instrumentation /methods; Emergency Medical Services /methods /standards; Emergency Service, Hospital /standards; Evaluation Studies as Topic; Exercise Test; Humans; Medical Laboratory (...) H P, Zalenski R J, Antman E M, Aufderheide T P, Bernard S A, Bonow R O, Gibler W B, Hagen M D, Johnson P, Lau J, McNutt R A, Ornato J, Schwartz J S, Scott J D, Tunick P A, Weaver W D Authors' objectives To assess the technologies for identifying acute cardiac ischaemia (ACI), both acute myocardial infarction (MI) and unstable angina pectoris (AP), in the emergency department. Searching MEDLINE (search terms not stated) and related electronic literature were searched. The authors supplemented

1997 DARE.

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