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E/M Medical Decision Making

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141. Canadian Association of Gastroenterology Clinical Practice Guideline for the Medical Management of Pediatric Luminal Crohn’s Disease

. No consensus E: In patients with mild to moderate CD, the consensus group does not make a recommendation (for or against) regarding the use of antibiotics to maintain clinical remission. No consensus F: In male patients with CD the consensus group does not make a recommendation (for or against) regarding a thiopurine to maintain remission. No consensus G: In patients with mild to moderate CD, the consensus group does not make a recommendation (for or against) regarding methotrexate monotherapy to induce (...) it with a thiopurine to maintain a durable clinical remission. No consensus L: In patients with CD who have achieved a clinical remission with anti-TNF therapy, the consensus group does not make a recommendation (for or against) regarding assessment for mucosal healing within the first year to determine the need to modify therapy. No consensus M: In patients with moderate to severe CD who fail to achieve or maintain clinical remission with an anti-TNF–based therapy, the consensus group does not make

2019 Canadian Association of Gastroenterology

142. Medical Cannabinoids

Medical Cannabinoids PEER SIMPLIFIED GUIDELINE: MEDICAL CANNABINOIDS Clinical Practice Guideline | January 2018 These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. They should be used as an adjunct to sound clinical decision making. OBJECTIVE Primary care physicians can incorporate medical cannabinoids into their prescribing practices by being informed with best available (...) evidence and using a simplified, shared decision-making approach with their patients. TARGET POPULATION Adults (i.e., 18 years of age and older) EXCLUSIONS Children RECOMMENDATIONS See recommendations summary algorithm in Appendix A. GENERAL RECOMMENDATION X DO NOT prescribe medical cannabinoids for most medical conditions. There is a lack of evidence of benefit, and known harms. [Strong recommendation] Note: Possible exceptions are described elsewhere in this document for some types of pain

2019 Accelerating Change Transformation Team

143. Epigenetics and Reproductive Medicine Full Text available with Trip Pro

Epigenetics and Reproductive Medicine Epigenetics and Reproductive Medicine - Huntriss - 2018 - BJOG: An International Journal of Obstetrics & Gynaecology - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term RCOG Scientific Impact Paper Free Access Epigenetics and Reproductive Medicine Scientific Impact Paper No. 57 on behalf of Corresponding Author E-mail address: Correspondence: Royal College (...) : 840 – 52 . 30 Vermeiden, JP , Bernardus, RE . Are imprinting disorders more prevalent after human in vitro fertilization or intracytoplasmic sperm injection? Fertil Steril 2013 ; 99 : 642 – 51 . 31 Denomme, MM , Mann, MR . Genomic imprints as a model for the analysis of epigenetic stability during assisted reproductive technologies . Reproduction 2012 ; 144 : 393 – 409 . 32 Anckaert, E , De Rycke, M , Smitz, J . Culture of oocytes and risk of imprinting defects . Hum Reprod Update 2013 ; 19 : 52

2018 Royal College of Obstetricians and Gynaecologists

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

teamwork. Staff experience: Without adequate staff/staff support, the model cannot be adequately implemented or sustained. • Inadequate staff • Staff dissatisfied with roles • Staff burnout. • Participatory decision-making • Having adequate staff • Trust-building exercises. Time: Major change initiatives such as PCMH take time. Beyond implementation, many of the facets of PCMH take time (e.g. preventative measures, care coordination). • Inadequate time allocated to transition to a PCMH • Inadequate (...) 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

2018 Sax Institute Evidence Check

145. Beyond consent--the ethics of decision-making in emergency medicine. Full Text available with Trip Pro

Beyond consent--the ethics of decision-making in emergency medicine. 847978 1977 05 12 2018 11 13 0093-0415 126 2 1977 Feb The Western journal of medicine West. J. Med. Beyond consent--the ethics of decision-making in emergency medicine. 156-9 Tait K K Winslow G G eng Journal Article United States West J Med 0410504 0093-0415 E IM Decision Making Emergency Medicine Ethics, Medical Humans Informed Consent Paternalism Personal Autonomy Wounds and Injuries therapy 06292 KIE BoB Subject Heading (...) : PROLONGATION OF LIFE/EMERGENCY CARE Full author name: Tait, Karen M Full author name: Winslow, Gerald 1977 2 1 1977 2 1 0 1 1977 2 1 0 0 ppublish 847978 PMC1237490 JAMA. 1974 Jul 8;229(2):172-6 4406917 N Engl J Med. 1974 Apr 18;290(16):907-8 4816967 J Leg Med (N Y). 1975 Oct;3(9):15-9 1081111 Hastings Cent Rep. 1975 Jun;5(3):9-10, 47 1150424 J Pediatr. 1975 Aug;87(2):327-8 1151575 J Trauma. 1975 Feb;15(2):94-8 1113362 Neb Law Rev. 1975;54(1):66-92 11664487 New Engl Law Rev. 1974 Winter;9(2):293-310

1977 Western Journal of Medicine

146. Evidence-Based Policy Making: Assessment of the American Heart Association?s Strategic Policy Portfolio Full Text available with Trip Pro

such as electronic cigarettes (e-cigarettes). In general, facilitating tobacco cessation remains a highly cost-effective strategy, although it is very difficult for most people to quit this deadly, addictive habit. Available forms of nicotine replacement therapy (gum, transdermal patch, drugs for smoking cessation, nasal spray, inhaler, and lozenges) increase quit rates by 50% to 100% compared with not using any of these products; however, <1 in 5 smokers making an attempt to quit takes advantage (...) Evidence-Based Policy Making: Assessment of the American Heart Association?s Strategic Policy Portfolio Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses

2016 American Heart Association

147. Medical Training to Achieve Competency in Lifestyle Counseling: An Essential Foundation for Prevention and Treatment of Cardiovascular Diseases and Other Chronic Medical Conditions: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

in all US medical schools by 1995. , The brief physician counseling approach that was recommended for training was a variant of the 5 A’s intervention that has proved effective for treating many chronic disease risk behaviors, which the US Preventive Services Task Force continues to endorse today. The approach delineates 5 counseling steps that a provider can complete in a few minutes: (1) assess the risk behavior, (2) advise change, (3) agree on goals and an action plan via shared decision making (...) of medical training curricula of US medical schools. The learning objectives were adapted from the nutrition care process in collaboration with registered dietitians and registered dietitian nutritionists. The nutrition care process guides clinical practice for registered dietitians and registered dietitian nutritionists and is designed to provide a consistent and systematic approach for critical thinking and decision making to provide optimal patient care. Adams and colleagues previously proposed

2016 American Heart Association

148. Does advance care planning alter management decisions made by healthcare professionals?

/AdvanceCarePlanning.pdf Although there is a significant body of literature informing the development and implementation of advance care planning processes, the impact of completed advance care plans on the decision making of healthcare professionals at the time of a medical event is less clear. Evidence for the impact of advance care planning programmes on the quality of care provided is required to underpin funding and delivery of integrated advance care planning across care settings. The purpose of this rapid (...) in the ACP, there is no direct correlation with preferences expressed in the ACP and outcomes, so the specific impact of stated patient preferences on outcome is unclear Cohen- Mansfield et al 2008 Study Setting & Design – A single care home, USA; Retrospective observational study. Study Objective To ascertain the role that advance directives (ADs) play in actual decision making in nursing homes at the time of a medical event. Participants 6 physicians and 3 nurses 64 patients with an AD in place

2017 Palliative Care Evidence Review Service (PaCERS)

149. Use of Biomarkers to Guide Decisions on Adjuvant Systemic Therapy for Women With Early-Stage Invasive Breast Cancer Full Text available with Trip Pro

/JCO.2017.74.0472 Journal of Clinical Oncology - published online before print July 10, 2017 PMID: Use of Biomarkers to Guide Decisions on Adjuvant Systemic Therapy for Women With Early-Stage Invasive Breast Cancer: American Society of Clinical Oncology Clinical Practice Guideline Focused Update x Ian Krop , x Nofisat Ismaila , x Fabrice Andre , x Robert C. Bast , x William Barlow , x Deborah E. Collyar , x M. Elizabeth Hammond , x Nicole M. Kuderer , x Minetta C. Liu , x Robert G. Mennel , x (...) in Research, Danville, CA; M. Elizabeth Hammond, University of Utah and Intermountain Health Care, Salt Lake City, UT; Nicole M. Kuderer, University of Washington Medical Center, Seattle, WA; Minetta C. Liu, Mayo Clinic College of Medicine, Rochester, MN; Catherine Van Poznak, University of Michigan, Ann Arbor, MI; and Antonio C. Wolff and Vered Stearns, Johns Hopkins University, Baltimore, MD. I.K. and V.S. contributed equally as Expert Panel co-chairs. Abstract Section: Purpose This focused update

2017 American Society of Clinical Oncology Guidelines

150. Moving Toward a Recovery-Oriented System of Care: A Resource for Service Providers and Decision Makers

Moving Toward a Recovery-Oriented System of Care: A Resource for Service Providers and Decision Makers www.ccsa.ca • www.ccdus.ca Moving Toward a Recovery- Oriented System of Care A Resource for Service Providers and Decision Makers September 2017 Moving Toward a Recovery- Oriented System of Care A Resource for Service Providers and Decision Makers Suggested citation: Canadian Centre on Substance Use and Addiction (2017). Moving Toward a Recovery-Oriented System of Care: A Resource for Service (...) Providers and Decision Makers. Ottawa, Ont.: Author. © Canadian Centre on Substance Use and Addiction, 2017. CCSA, 500–75 Albert Street Ottawa, ON K1P 5E7 Tel.: 613-235-4048 Email: recovery@ccsa.ca Production of this document has been made possible through a financial contribution from Health Canada. The views expressed herein do not necessarily represent the views of Health Canada. This document can also be downloaded as a PDF at www.ccsa.ca Ce document est également disponible en français sous le

2017 Canadian Centre on Substance Abuse

151. Peri- and postmenopause-diagnosis and interventions interdisciplinary S3 guideline of the association of the scientific medical societies in Germany (AWMF 015/062): short version Full Text available with Trip Pro

in Ortmann O, Beckermann MJ, Inwald EC, Strowitzki T, Windler E, Tempfer C; Guideline Group. Ortmann O, et al. Arch Gynecol Obstet. 2021 May;303(5):1377-1378. doi: 10.1007/s00404-021-06009-7. Arch Gynecol Obstet. 2021. PMID: 33725192 Free PMC article. No abstract available. Abstract This short version of the interdisciplinary S3 guideline "Peri- and Postmenopause-Diagnosis and Interventions" is intended as a decision-making instrument for physicians who counsel peri- and postmenopausal women (...) for Evidence-based Medicine in Oxford was used in this guideline. Keywords: Diagnosis; Hormone replacement therapy; Perimenopause; Postmenopause; Risk communication; Treatment. Conflict of interest statement Author O. Ortmann declares that he has no conflict of interest. Author M. J. Beckermann declares that she has no conflict of interest. Author E. C. Inwald declares that she has no conflict of interest. Author T. Strowitzki declares that he has no conflict of interest. Author E. Windler declares that he

2020 German Clinical Guidelines

152. Medications used to treat Covid-19 in pregnancy

cohort study. BMJ. 2020 May 22; 3. RCOG. Coronavirus (COVID-19) infection and pregnancy. 2020. Available from: 4. Allotey J, Stallings E, Bonet M, Yap M, Chatterjee S, Kew T, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ. 2020 Sep 1; 5. Collin J, Byström E, Carnahan A, Ahrne M. Public Health Agency of Sweden’s Brief Report: Pregnant and postpartum women with severe acute (...) respiratory syndrome coronavirus 2 infection in intensive care in Sweden. Acta Obstetricia et Gynecologica Scandinavica. 2020 Jul 13;99(7). 6. Knight M, Bunch K, Vousden N, Morris E, Simpson N, Gale C, et al. Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. BMJ. 2020 Jun 8; 7. De-Haan T, Dinavitser N, Cohen R, Berkovitch M, Berlin M. The Corona Pandemic- Safety/Risk of COVID 19 During Pregnancy

2020 UK Teratology Information Service

153. What makes community‐based physical activity programs for culturally and linguistically diverse older adults effective? A systematic review Full Text available with Trip Pro

) Reijneveld, S. A., Westhoff, M. H., & Hopman‐Rock, M. (2003) Sin, M. K., Belza, B., LoGerfo, J., & Cunningham, S. (2005) Taylor‐Piliae, R. E., Haskell, W. L., Stotts, N. A., & Froelicher, E. S (2006a) Taylor‐Piliae, R. E., Haskell, W. L., Waters, C. M., & Froelicher, E. S. (2006b) Research design Test‐retest Test‐retest Randomised controlled trial Randomised controlled trial Mixed methods Test‐retest Same as 6a Research purpose To assess the effectiveness of an intervention for improving functional (...) What makes community‐based physical activity programs for culturally and linguistically diverse older adults effective? A systematic review What makes community‐based physical activity programs for culturally and linguistically diverse older adults effective? A systematic review - Montayre - 2020 - Australasian Journal on Ageing - Wiley Online Library Working off-campus? Learn about our By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search

2020 Australasian journal on ageing

154. Patient-Reported Health-Related Quality of Life Is a Predictor of Outcomes in Ambulatory Heart Failure Patients Treated With Left Ventricular Assist Device Compared With Medical Management: Results From the ROADMAP Study (Risk Assessment and Comparative E Full Text available with Trip Pro

Patient-Reported Health-Related Quality of Life Is a Predictor of Outcomes in Ambulatory Heart Failure Patients Treated With Left Ventricular Assist Device Compared With Medical Management: Results From the ROADMAP Study (Risk Assessment and Comparative E The prospective observational ROADMAP study (Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management) demonstrated that ambulatory advanced heart failure patients selected for left ventricular (...) assist device (LVAD) were more likely to be alive at 1 year on original therapy with ≥75-m improvement in 6-minute walk distance compared with patients assigned to optimal medical management. Whether baseline health-related quality of life (hrQoL) resulted in a heterogeneity of this treatment benefit is unknown.Patient-reported hrQoL was assessed with EuroQol questionnaire and visual analogue scale (VAS). We aimed to identify predictors of event-free survival and survival with acceptable hrQoL (VAS

2017 Circulation. Heart failure

155. Medical exercise therapy alone versus arthroscopic partial meniscectomy followed by medical exercise therapy for degenerative meniscal tear: a systematic review and meta-analysis of randomized controlled trials Full Text available with Trip Pro

recovery postarthroscopic meniscectomy: results of a randomized controlled study. Archives of physical medicine and rehabilitation. 1994;75:415–26. 18. Borjesson M, Robertson E, Weidenhielm L, Mattsson E, Olsson E. Physiotherapy in knee osteoarthrosis: effect on pain and walking. Physiotherapy research international : the journal for researchers and clinicians in physical therapy. 1996;1:89–97. 19. Pedersen BK, Saltin B. Evidence for prescribing exercise as therapy in chronic disease. Scand J Med Sci (...) , particularly to both the health care providers and the patients when making the clinical treatment decision. Besides, the prevalent occurrence of osteoarthritis after APM remains an issue [ , ]. To our knowledge, there might be a large gap between clinical reality and the conclusions of present articles preferring APM as the prior choice of treatment for degenerative meniscus tears. Choosing the proper treatment could be challenging because multiple factors should be taken into considerations, and APM may

2020 Journal of orthopaedic surgery and research

156. A decision aid for women considering further chemotherapy for refractory or resistant ovarian cancer

healthcare team Complementary and alternative medicine Making the right decision for me Worksheets Box: Steps to help you decide Who should make the decision about treatment options? Example: Susan’s decision Example: Annie’s decision Y our decision Questions to ask your healthcare team 34 56 57 58 64 37 37 38 62 66 39 41 60 60 47 52 20,30,36,46,65REFRACTORY AND RESISTANT OVARIAN CANCER 4 This booklet and you. This booklet has been written for women who have had a diagnosis of recurrent ovarian cancer (...) multidisciplinary team and your family about the options available to you. It is another resource you can use to ensure that you are making a decision that is right for you. The following sections discuss recurrent, resistant and refractory ovarian cancer and treatment options. They contain a lot of medical information and new terms. If you are ? nding it dif? cult to read all at once, it may be helpful to come back and re-read it again at another time. There is also a glossary of terms on page 62.REFRACTORY

2015 SickKids Supportive Care Guidelines

157. Effectiveness of universal programmes for the prevention of suicidal ideation, behaviour and mental ill health in medical students: a systematic review and meta-analysis Full Text available with Trip Pro

, suicidal ideation and behaviour in medical students may be due to a range of unique stressors, including a demanding study load, which in turn may reduce available time for self-care, and frequent exposure to death and dying in patients, including suicide death. Other commonly reported stressors specific to medical education include fear over making mistakes during, for example, clinical rotations, and fear over making the right decision for patients’ care. The format and delivery of medical curricula (...) the World Health Organization World Mental Health Surveys . Tyssen R , Vaglum P , Grønvold NT , et al . Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors . beyondblue . National Mental Health Survey of Doctors and Medical Students . Hawthorne, VIC : beyondblue , 2013 . Rotenstein LS , Ramos MA , Torre M , et al . Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review

2019 Evidence-Based Mental Health

158. E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review Full Text available with Trip Pro

allows you to learn more about MDPI. JSmol Viewer Open Access Review E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review by 1 , 1 , 2,3 , 2,3,4 , 5,6 and 1,* 1 iBiMED–Institute of Biomedicine, Department of Medical Sciences, University of Aveiro, 3800 Aveiro, Portugal 2 Department of Preventive Medicine and Public Health, University of Santiago de Compostela, 15702 Santiago de Compostela, Spain 3 Consortium for Biomedical Research in Epidemiology and Public Health (CIBER (...) E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review Antibiotics | Free Full-Text | E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review Next Article in Journal Next Article in Special Issue Previous Article in Journal Previous Article in Special Issue Information Initiatives Notice You can make submissions to other journals . You seem to have javascript disabled. Please note that many of the page functionalities won't work as expected without

2020 Antibiotics

159. Which is the Optimal Frozen Elephant Trunk? A Systematic Review and Meta-Analysis of Outcomes in 2161 Patients Undergoing Thoracic Aortic Aneurysm Surgery Using E-vita OPEN PLUS Hybrid Stent Graft versus ThoraflexTM Hybrid Prosthesis Full Text available with Trip Pro

. regarding the understanding and application of device technology used in multiple aortic extent operations. The fact that E-vita was launched and used previously to Thoraflex TM allowed us as surgeons to appreciate the concept of frozen elephant trunk device and ability to interpret and make decisions on procedural extent and surgical applications. In a meta-analysis done by a group from Taiwan [37] on the efficacy and safety of the frozen elephant technique in the setting of acute type A aortic (...) hybrid procedures. To achieve maximum sensitivity, all search terms were combined with Boolean operators and searched as both keywords and Medical Subject Headings (MeSH) terms. Following exclusion of articles based on title or abstract, full text articles selected had reference lists searched for any potential further articles to be included in this review. Selection Criteria Studies in which patient cohorts underwent thoracic aortic surgery with frozen elephant trunk, with either E-vita device

2020 Brazilian journal of cardiovascular surgery

160. Research trends in measurement and intervention tools for self-regulated learning for e-learning environments—systematic review (2008–2018) Full Text available with Trip Pro

and how they contribute and boost academic performance for learners. However, there is little systematic review on the literature on the techniques and tools used to measure SRL on e-learning platforms. This review sought to outline recent advances and the trends in this area to make it more efficient for researchers to establish the empirical studies and research patterns among different studies in the field of SRL. The findings from this study are concurrent with existing empirical evidence (...) measurement and promotion approaches can be categorized into two. First category is approaches that extend the decision making capability for teachers to be able to offer data-driven and personalized support to learners. These approaches take advantage of teachers’ knowledge and augment its information from the analyzed data. The second type of approaches are those that offer metacognitive feedback by making learners stop learning and reflect on the learning process and then proceed. Most of the existing

2020 Research and practice in technology enhanced learning

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