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4661. Antiviral medications provide no benefit over placebo treament in the treatment of Bell's palsy.

palsy, treatment with antivirals alone does not appear to have any benefit over placebo treatment. Evidence Quality Rating Limited Evidence Structured Abstract Clinical Questions: For patients with Bell's palsy, does treatment with antiviral agents decrease risk for incomplete recovery and does treatment with antivirals plus corticosteroids further decrease the risk for incomplete recovery over treatment with corticosteroids alone? Review Methods: The researchers searched four electronic databases (...) in this review. Antiviral therapy commonly is prescribed to treat Bell’s palsy based on an assumption that herpes simplex may be implicated in this condition. In 2009 two systemic review articles (4, 5) compared corticosteroid treatment alone with corticosteroid plus antiviral treatment for Bell's palsy. Their published findings conflicted, with one review suggesting that combination treatment improved the rate of full recovery while the second did not. The contradictory findings of those reviews

2011 ADA Center for Evidence-Based Dentistry

4662. Studies suggest suboptimal compliance of bisphosphonate therapy for osteoporosis increases fracture risk.

patient not to discontinue medication unless directed by physician. Evidence Quality Rating Limited Evidence Structured Abstract Clinical Questions: In postmenopausal women with osteoporosis, does noncompliance (compared to compliance) with bisphosphonate therapy result in more bone fractures? Review Methods: The authors of this systematic review, utilizing six electronic databases, evaluated studies up to March 2009. They conducted a comprehensive search with defined inclusion and exclusion criteria (...) . Two authors independently assessed quality (Newcastle-Ottawa Scale) and extracted data, with disagreements resolved through consensus. The 15 included studies were seven studies, one study and seven observational retrospective studies without control. The authors defined “persistence” as drug discontinuation greater than 30 days in one year, and “compliance” as the medication possession ratio (MPR), proportion of doses dispensed compared to doses prescribed. Main Results: The 15 included studies

2011 ADA Center for Evidence-Based Dentistry

4663. Developing a Clinical Pediatric Interventional Practice: A Joint Clinical Practice Guideline from the Society of Interventional Radiology and the Society for Pediatric Radiology

for and arrange consultation with other physicians; 3. Schedule interventional procedures; 4. Obtain informed consent and assent; 5. Order or prescribe appropriate medications and laboratory or imaging studies; 6. Provide follow-up care, including testing and evaluation after a proce- dure; and 7. Provide counseling visits. Currently, provision of a full clinical service represents a culture change in practice for some interventional programs and in the perception of many administrators (23). Provision (...) interventional radiologists, such privileges may specify a wide variety of procedures, use of diagnostic imaging equipment for diagnostic and therapeutic procedures, and prescription and dispensing of radiographic contrast media, among other tasks. The pediatric interventional service and its parent radiology depart- ment should work carefully to delineate and secure all appropriate clinical privileges commensurate with the interventional radiologists’ training, experience, and certi?cation. The health care

2011 Society of Interventional Radiology

4666. ACR-SNMMI Technical Standard for Diagnostic Procedures Using Radiopharmaceuticals

, state or local regulations. The nuclear medicine physician remains responsible for supervising those persons to whom tasks are delegated. 3. The qualified individual performing radiopharmaceutical tasks shares responsibility for the safety and quality of all radio- pharmaceuticals with which he or she is involved. B. Radiopharmaceuticals 1. Prescription: The quantity of radioactivity to be administered must be prescribed (either individually by prescription or by protocol). When (...) as recommended by the manufacturer. For information on picture archiving and communication systems (PACS), see the ACR Technical Standard for Electronic Practice of Medical Imaging [9]. G. Radiation Detectors and Radiation Survey Instruments Each instrument must be calibrated before first use and following repair, in accordance with local regulations. Each instrument must be checked for proper operation with a dedicated check source before each use, if required by state or local regulations. H. Radionuclide

2011 Society of Nuclear Medicine and Molecular Imaging

4667. Hyperthyroidism and Other Causes of Thyrotoxicosis

took place during several lengthy committee meetings, multiple telephone conference calls, and through electronic communication. Rating of the recommendations These guidelines were developed to combine the best scientific evidence with the experience of seasoned clinicians and the pragmatic realities inherent in implementation. The task force elected to rate the recommendations according to the system developed by the Grading of Recommendations, Assessment, Development, and Evaluation Group (3

2011 American Association of Clinical Endocrinologists

4668. Treatment and recommendations for homeless people with Chronic Non-Malignant Pain

medicines, herbal remedies, dietary supplements, and any ?borrowed? medicine prescribed for others. If medical records and patient recollection are insufficient to identify medications taken, ask to see old prescriptions or medicine bottles. Ask about any problems adhering to prescribed treatment. Assess ability to take pills daily and return for follow-up care. Inquire about other health care providers seen; ask if the patient already has a regular source of primary care and whether access (...) and www.guideline.gov. Chronic pain management for homeless and other marginalized people was identified as a Network training priority in 2008. A literature review revealed knowledge gaps in this area; and responses to a survey of homeless services providers conducted in 2010 revealed both knowledge and practice limitations. The 101 participants in this survey were from 26 states in the U.S. and one province in Canada. Results showed that these providers were uncomfortable prescribing opioid analgesics for pain

2011 National Health Care for the Homeless Council

4669. ACR-ASNR-SIR-SNIS Practice Guideline for the Performance of Diagnostic Cervicocerebral Catheter Angiography in Adults

and radiographic equipment, mechanical injectors, digital subtraction, and other electronic imaging systems. e. Principles of radiation protection, hazards of radiation exposure both to patients and to radiologic personnel, and monitoring requirements. PRACTICE GUIDELINE Cervicocerebral Catheter Angiography / 5 f. Pharmacology of contrast agents and recognition and treatment of potential adverse reactions. g. Percutaneous needle and catheter introduction techniques. h. Technical aspects of performing (...) radiologic technologists who may perform such procedures. (ACR Resolution 26, 1987 – revised in 2007, Resolution 12m) 6 / Cervicocerebral Catheter Angiography PRACTICE GUIDELINE patient for the arteriographic procedure and, together with the nurse, monitor the patient during the procedure. The technologist should obtain the imaging data in a manner prescribed by the supervising physician. The technologist should also perform regular quality control testing of the equipment under supervision

2011 American Society of Neuroradiology

4670. ACR-ASNR-SIR-SNIS Practice Guideline for the Performance of Diagnostic Cervicocerebral Catheter Angiography in Adults

and radiographic equipment, mechanical injectors, digital subtraction, and other electronic imaging systems. e. Principles of radiation protection, hazards of radiation exposure both to patients and to radiologic personnel, and monitoring requirements. PRACTICE GUIDELINE Cervicocerebral Catheter Angiography / 5 f. Pharmacology of contrast agents and recognition and treatment of potential adverse reactions. g. Percutaneous needle and catheter introduction techniques. h. Technical aspects of performing (...) radiologic technologists who may perform such procedures. (ACR Resolution 26, 1987 – revised in 2007, Resolution 12m) 6 / Cervicocerebral Catheter Angiography PRACTICE GUIDELINE patient for the arteriographic procedure and, together with the nurse, monitor the patient during the procedure. The technologist should obtain the imaging data in a manner prescribed by the supervising physician. The technologist should also perform regular quality control testing of the equipment under supervision

2011 American Society of Neuroradiology

4671. Cardiovascular Disease Prevention in Women: Evidence-Based Guidelines For

further research and the dissemination and implementation of lifestyle and treatment interventions. In the interim, quality improvement efforts can focus on incorporating multidimensional, interac- tive systems to increase accountability among payers, health- care professionals, and patients for cardiovascular preventive care in women (90). Patient and Public Education In 2000, it was estimated that only 7% of people with CHD adhered to prescribed treatments for CVD lifestyle risk factors (91 (...) diabetes mellitus), computer- assisted reminders, and other electronic communication to support behavioral change have been shown to improve both lifestyle and medication adherence (102–106). Involving the patient and the patient’s family in setting appropriate short- term achievable goals with frequent follow-up will also enhance success. These guidelines call for a renewed focus on health education, including systematic follow-up to assess effective- ness of medical and lifestyle therapies

2011 American College of Cardiology

4672. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease Full Text available with Trip Pro

for regulatory or payer decisions, the goal should be improvement in quality of care. The Task Force recognizes that situations arise in which additional data are needed to inform patient care more effectively; these areas will be identified within each respective guideline when appropriate. Prescribed courses of treatment in accordance with these recommendations are effective only if followed. Because lack of patient understanding and adherence may adversely affect outcomes, physicians and other healthcare (...) providers should make every effort to engage the patient's active participation in prescribed medical regimens and lifestyles. In addition, patients should be informed of the risks, benefits, and alternatives to a particular treatment and should be involved in shared decision making whenever feasible, particularly for COR IIa and IIb, for which the benefit-to-risk ratio may be lower. The Task Force makes every effort to avoid actual, potential, or perceived conflicts of interest that may arise

2011 American Heart Association

4673. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention Full Text available with Trip Pro

these guidelines are used as the basis for regulatory or payer decisions, the goal should be improvement in quality of care. The Task Force recognizes that situations arise in which additional data are needed to inform patient care more effectively; these areas will be identified within each respective guideline when appropriate. Prescribed courses of treatment in accordance with these recommendations are effective only if followed. Because lack of patient understanding and adherence may adversely affect (...) outcomes, physicians and other healthcare providers should make every effort to engage the patient's active participation in prescribed medical regimens and lifestyles. In addition, patients should be informed of the risks, benefits, and alternatives to a particular treatment and be involved in shared decision making whenever feasible, particularly for COR IIa and IIb, where the benefit-to-risk ratio may be lower. The Task Force makes every effort to avoid actual, potential, or perceived conflicts

2011 American Heart Association

4674. Polysomnography for Sleep-Disordered Breathing Prior to Tonsillectomy in Children

of quality improvement opportunities, deemed most important by the working group, and is not intended to be a comprehen- sive, general guide for prescribing PSG for tonsillectomy can- didates and patients with SDB. In this context, the purpose is to define actions that could be taken by otolaryngologists to deliver quality care. Conversely, statements in this guideline are not intended to limit or restrict care provided by clinicians based on assessment of individual patients. The development panel (...) and totaled 24 trials. 4. Original research studies were identified by limiting the MEDLINE, CINAHL, and EMBASE search to articles on humans published in English. The resulting data set of 92 articles yielded 47 related to indications for PSG, 69 to advocating for PSG, 48 to postoperative monitor- ing, 6 to anesthesiology, and 2 to portable devices. Results of all literature searches were distributed to guide- line panel members, including electronic listings with abstracts (if available) of the searches

2011 American Academy of Otolaryngology - Head and Neck Surgery

4675. Guideline on the management of patients with extracranial carotid and vertebral artery disease

. Clinical decision making should consider the quality and availability of expertise in the area where care is provided. When these guidelines are used as the basis for regulatory or payer decisions, the goal should be improve- ment in quality of care. The Task Force recognizes that situations arise for which additional data are needed to better inform patient care; these areas will be identified within each respective guideline when appropriate. Prescribed courses of treatment in accordance (...) with these recommendations are effective only if they are followed. Because lack of patient understanding and adherence may adversely affect outcomes, physicians and other healthcare providers should make every effort to engage the patient’s active participation in prescribed medical regimens and lifestyles. The guidelines will be reviewed annually by the Task Force and considered current unless they are updated, re- vised, or withdrawn from distribution. The executive sum- mary and recommendations are published

2011 American Academy of Neurology

4676. Guideline on the Management of Patients with Extracranial Carotid and Vertebral Artery Disease

. Clinical decision making should consider the quality and availability of expertise in the area where care is provided. When these guidelines are used as the basis for regulatory or payer decisions, the goal should be improve- ment in quality of care. The Task Force recognizes that situations arise for which additional data are needed to better inform patient care; these areas will be identified within each respective guideline when appropriate. Prescribed courses of treatment in accordance (...) with these recommendations are effective only if they are followed. Because lack of patient understanding and adherence may adversely affect outcomes, physicians and other healthcare providers should make every effort to engage the patient’s active participation in prescribed medical regimens and lifestyles. The guidelines will be reviewed annually by the Task Force and considered current unless they are updated, re- vised, or withdrawn from distribution. The executive sum- mary and recommendations are published

2011 Congress of Neurological Surgeons

4678. Percutaneous Coronary Intervention: Guideline For

. Clinical decision making should involve consideration of the quality and availability of expertise in the area where care is provided. When these guidelines are used as the basis for regulatory or payer decisions, the goal should be improvement in quality of care. The Task Force recognizes that situations arise in which additional data are needed to inform patient care more effectively; these areas will be identi?ed within each respec- tive guideline when appropriate. Prescribed courses of treatment (...) in accordance with these recommendations are effective only if followed. Because lack of patient understanding and adherence may adversely affect outcomes, physicians and other healthcare providers should make every effort to engage the patient’s active participation in prescribed medical regimens and lifestyles. In addition, patients should be informed of the risks, bene?ts, and alternatives to a particular treatment and be involved in shared decision making whenever feasible, particularly for COR IIa

2011 American College of Cardiology

4679. Treatment of Fungal Infections in Adult Pulmonary, Critical Care, and Sleep Medicine: An Official ATS Statement

and previously publishedguidelines, and conducted an evaluation of electronic databases, including PubMed and MEDLINE. In general, only articles written in English were used in the ?nal recommenda- Am J Respir Crit Care Med Vol 183. pp 96–128, 2011 DOI: 10.1164/rccm.2008-740ST Internet address: www.atsjournals.orgtions.Themostrelevantliteraturereferencesareincludedinthis publication. Discussion and consensus among workgroup mem- bers formed the basis for the recommendations made in this statement (...) andpruritus,nauseaandvomiting,increasedliverenzymes,and headache.Anaphylacticreactionsaregenerallyrareforallazoles. Compared with other azole antifungal agents, such as itracona- zole,voriconazole,andposaconazole,drug–druginteractionsare relativelylesscommonwith?uconazole,asthedrugisarelatively less active inhibitor of P450. Prescribing physicians should generally consult pharmacy and medication cross-reference re- sourceswheninitiatingtreatment. Voriconazole. Voriconazole is a newer azole antifungal

2011 American Thoracic Society

4680. Extracranial Carotid and Vertebral Artery Disease: Guideline on the Management of Patients With

as the basis for regulatory or payer decisions, the goal should be improvement in quality of care. The Task Force recognizes that situations arise for which additional data are needed to better inform patient care; these areas will be identi?ed within each respective guideline when appropriate. Prescribed courses of treatment in accordance with these recommendations are effective only if they are followed. Because lack of patient understanding and adherence may adversely affect outcomes, physicians (...) and other healthcare providers should make every effort to engage the patient’s active participation in prescribed medical regimens and lifestyles. The guidelines will be reviewed annually by the Task Force and considered current unless they are updated, revised, or withdrawn from distribution. The executive summary and recommendations are published in the Journal of the American College of Cardiology, Circulation, Catheter- ization and Cardiovascular Interventions, the Journal of Cardiovascular

2011 American College of Cardiology

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