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Emergency Medicine Pitfalls

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161. Guidelines for Laparoscopic Ventral Hernia Repair

, Robert Fanelli, MD 6 , Raymond Price, MD 7 , William S. Richardson, MD 8 , Dimitrios Stefanidis, MD, PhD 9 . SAGES Guidelines Committee Corresponding author: William S. Richardson, MD Ochsner Medical Center 1514 Jefferson Highway New Orleans, LA 70121 Baystate Medical Center, Tufts University School of Medicine, Springfield, MA University of Kentucky College of Medicine, Lexington, KY Weill Cornell Medical College, New York, NY NorthShore University HealthSystem, Evanston, IL Premier Surgical (...) of the defect. It is important to note that the thicker the abdominal wall, the larger the difference will be between measured and actual size of defect. Factors increasing this discrepancy include a fully insufflated abdomen, obesity, and a large hernia sac. In the setting of obesity and a large sac, the discrepancy will be greatest. Pitfalls of performing the external measurements include 1) angling the needle (either towards or away from the defect) through the abdominal wall rather than removing and re

2016 Society of American Gastrointestinal and Endoscopic Surgeons

162. Celiac Disease

Epidemiology 9 3.1 Global emergence of celiac disease 9 3.2 Genetics 12 3.3 Environmental factors 13 4 Clinical history and key symptoms 13 4.1 Classic celiac disease 13 4.2 Nonclassic celiac disease 13 4.3 Asymptomatic celiac disease 14 5 Diagnosis of celiac disease 14 5.1 Why is celiac disease difficult to diagnose? 14 5.2 Which patients should be tested? 16 5.2.1 Patients with clinical manifestations suggestive of celiac disease 16 5.2.2 Conditions associated with an increased risk for celiac disease 16 (...) , IgG-based tests should be used: anti- DGP, anti-tTG, or EMA (the latter two are highly sensitive, but with lower specificity) ? Intestinal biopsies are always necessary if the antibodies are low or negative, and if there are no signs/symptoms of malabsorption. However, pitfalls in histological diagnosis are common, and findings are characteristic, but not specific ? In certain situations, biopsies may be omitted after the pros and cons have been discussed with an expert physician with special

2016 World Gastroenterology Organisation

163. Management of Intra-Abdominal Infection : guidelines by the Surgical Infection Society

Infection , , , , , , , , , , , and Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri. , JPS Health System, Fort Worth, Texas. , Department of Surgery, Vanderbilt University, Nashville, Tennessee. , Department of Surgery, University of Virginia, Charlottesville, Virginia. , Division of Pediatric Surgery, Children's National Medical Center, Washington, DC. , Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania. , Department of Surgery, University (...) of Kentucky, Lexington, Kentucky. , Trauma Department, Abrazo West Campus, Goodyear, Arizona. , Division of Pediatric Surgery, Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania. , Department of Surgery, Hofstra Northwell School of Medicine, Hempstead, New York. , Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland. , and Departments of Surgery and Pediatrics, Hofstra-Northwell School of Medicine, Hempstead, New York. Published Online: 1 Jan 2017

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2016 Surgical Infection Society

164. Measurement of Reactive Oxygen Species, Reactive Nitrogen Species, and Redox-Dependent Signaling in the Cardiovascular System

or RNS accumulation. Despite extensive data implicating oxidative stress in animal models of cardiovascular disease and dysfunction, there is still no conclusive evidence that ROS/RNS are fundamentally involved in the pathogenesis of cardiovascular disease in humans, and there is a paucity of convincing evidence that antioxidants are effective therapies in cardiovascular medicine. Yet the belief remains that oxidative stress contributes to many cardiovascular pathologies. Putative reasons

2016 American Heart Association

166. Interpretive Diagnostic Error Reduction in Surgical Pathology and Cytology

: an emerging consensus on rating quality of evidence and strength of recommendations . BMJ . 2008 ;336(7650): 924 – 926 . 18. Cancer Care Ontario. Pathology and laboratory medicine evidence-based series (EBS). Cancer Care Ontario Web site . . Accessed September 22, 2014 . 19. Lind AC, Bewtra C, Healy JC, Sims KL. Prospective peer review in surgical pathology . Am J Clin Pathol . 1995 ;104(5): 560 – 566 . 20. Novis D. Routine review of surgical pathology cases as a method by which to reduce diagnostic (...) Interpretive Diagnostic Error Reduction in Surgical Pathology and Cytology Interpretive Diagnostic Error Reduction in Surgical Pathology and Cytology: Guideline From the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology | Archives of Pathology & Laboratory Medicine | | > > > Interpretive Diagnostic Error Reduction in Surgical Pathology and Cyto... Volume 140, Issue 1 (January 2016) Alerts for the Journal

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2016 College of American Pathologists

167. Evidence-Based Policy Making: Assessment of the American Heart Association?s Strategic Policy Portfolio

. There is also likely no evidence on equity and/or efficiency. Promising Impact In general, the evidence shows that these components positively affect health across at least a few settings, and there might also be evidence of improved equity and/or efficiency. However, the evidence base is lacking rigorous study types, peer review, and a sufficient amount of evidence from practice or theory and research. Emerging In general, there is very little or no evidence on the health, equity, and efficiency impacts (...) : Class I, LOE A Implement robust stroke systems of care, including stroke telemedicine (federal/state/local) AHA guidelines: Class I, LOE A and Class I, LOE B , Support comprehensive, coordinated emergency medical servicessystems of care: support strengthening 9-1-1 systems, establish quality community CPR/AED programs, establish quality school-based programs, protect funding for NEMSIS (federal/state/local) AHA guidelines: Class I, LOE B , Support out-of-hospital cardiac arrest systems (state/local

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2016 American Heart Association

168. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient

and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Volume 40 Issue 8 Journal of Parenteral and Enteral Nutrition pages: 1200-1200 First Published online: September 15, 2016 Corresponding Author E-mail address: Department of Medicine, University of Louisville, Louisville, Kentucky Beth Taylor and Steven McClave are co–first authors of this article. Stephen A. McClave, MD (...) , Department of Medicine, University of Louisville, Louisville, KY. Email: Charlene Compher, RD, PhD, Professor of Nutrition Science, University of Pennsylvania School of Nursing, Philadelphia, PA, USA. Email: Nutrition Support Specialist, Barnes Jewish Hospital, St Louis, Missouri Beth Taylor and Steven McClave are co–first authors of this article. Chief Division of General Surgery, Oregon Health and Science University, Portland, Oregon Critical Care Dietitian, Portland VA Medical Center, Portland, Oregon

2016 American Society for Parenteral and Enteral Nutrition

169. Mitochondrial Function, Biology, and Role in Disease

regulatory cues need to be explored. Finally, although the role of acetylation in modifying individual proteins is the main focus of this section, data are emerging to show that the overall function of mitochondrial quality control and integrity, which are also modulated by nutrient levels and redox stress, including mitochondrial turnover (mitochondrial dynamics, mitophagy, and biogenesis) , , , and redox- and proteotoxic-stress amelioration effects, , might be regulated by the mitochondrial acetylome

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2016 American Heart Association

170. Pediatric Chronic Home Invasive Ventilation: An Official ATS Clinical Practice Guideline

ventilation.Standardizedhospitaldischargecriteriaaresuggested. Anawake,trainedcaregivershouldbepresentatalltimes,andatleast twofamilycaregiversshouldbetrainedspeci?callyforthechild’s care.Standardizedequipmentformonitoring,emergency preparedness,andairwayclearanceareoutlined.The recommendationspresentedarebasedonthecurrentevidenceand expertopinionandwillrequireanupdateasnewevidenceand/or technologiesbecomeavailable. Keywords: respiratory insuf?ciency; mechanical ventilators; discharge planning; medical home; children Contents Overview Introduction (...) Home Equipment Requirements Be Applied When Planning for the Equipment Needs of Children Requiring Invasive Ventilator Support in the Home? Research Priorities Conclusions An Executive Summary of this document is available at http://www.atsjournals.org/doi/suppl/10.1164/rccm.201602-0276ST Correspondence and requests for reprints should be addressed to Laura M. Sterni, M.D., Eudowood Division of Pediatric Respiratory Sciences, The Johns Hopkins University School of Medicine, 200 North Wolfe Street

2016 American Thoracic Society

171. Acute Myocardial Infarction in Women

Classification of Diseases, 10th Revision (1999–2011) is 0.9962. No comparability ratios were applied. Source: National Center for Health Statistics and National Heart, Lung, and Blood Institute. Reprinted from Mozaffarian et al. Copyright © 2015 American Heart Association, Inc. Emerging data highlight important sex differences in the pathophysiology, clinical presentation, and clinical outcomes that were spurred by 2 milestone reports from the Institute of Medicine: Exploring the Biological Contributions (...) to Human Health: Does Sex Matter? and Women’s Health Research: Progress, Pitfalls, and Promise. These reports highlight the fact that although major progress has been made in reducing CVD mortality in women, medical research has historically neglected the health needs of women, apart from reproductive concerns. Women’s health involves 2 aspects: sex differences resulting from biological factors and gender differences affected by broader social, environmental, and community factors. Although

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2016 American Heart Association

172. Portal Hypertension Bleeding in Cirrhosis, Guidance

for the study of liver diseases Volume 66 Issue 1 Hepatology pages: 304-304 First Published online: June 8, 2017 Corresponding Author E-mail address: Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT Department of Medicine, VA‐CT Healthcare System, West Haven, CT ADDRESS CORRESPONDENCE AND REPRINT REQUESTS TO : Guadalupe Garcia‐Tsao, M.D. Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine 333 (...) Cedar Street ߚ 1080 LMP New Haven, CT 06520 Tel: + 1‐203‐737‐6063 E‐mail: Cirrhosis Care Clinic, Division of Gastroenterology (Liver Unit), Department of Medicine, University of Alberta, Edmonton, Alberta, Canada Hepatology, Inselspital, University Clinic of Visceral Surgery and Medicine (UVCM), University of Bern, Switzerland Hepatology, Inselspital, University Clinic of Visceral Surgery and Medicine (UVCM), University of Bern, Switzerland Hospital Clinic, Barcelona, Spain Liver Unit, Hepatic

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2016 American Association for the Study of Liver Diseases

173. Initial Diagnostic Workup of Acute Leukemia

abnormalities (partic- Accepted for publication December 9, 2016. Published as an Early Online Release February 22, 2017. Supplemental digital content is available for this article at www. archivesofpathology.org in the October 2017 table of contents. From the Department of Pathology, University of Chicago, Chicago, Illinois (Dr Arber); the Department of Pathology, Johns Hopkins Medicine, Baltimore, Maryland (Dr Borowitz); the Depart- ment of Pathology, Intermountain Healthcare, Salt Lake City, Utah (...) using an evidence-based meth- odology intended to meet recommendations for a report from the Institute of Medicine. 9 This guideline is based on the results of a systematic review (SR) of available evidence. A detailed description of the methods and SR (including the quality assessment and complete analysis of the evidence) used to create this guideline can be found in the supplemental digital content, which also includes 24 tables and 2 ?gure ?les, at www.archivesofpathology.org in the October 2017

2016 College of American Pathologists

174. Practice Guidelines for the Diagnosis and Management of Aspergillosis

works by this author on: Raoul Herbrecht 6University of Strasbourg, France Search for other works by this author on: Dimitrios P. Kontoyiannis 7University of Texas MD Anderson Cancer Center, Houston Search for other works by this author on: Kieren A. Marr 8Johns Hopkins University School of Medicine and the Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland Search for other works by this author on: Vicki A. Morrison 9Hennepin County Medical Center and University of Minnesota, Minneapolis (...) Search for other works by this author on: M. Hong Nguyen 10University of Pittsburgh, Pennsylvania Search for other works by this author on: Brahm H. Segal 11University at Buffalo Jacobs School of Medicine and Biomedical Sciences, and Roswell Park Cancer Institute, New York Search for other works by this author on: William J. Steinbach 12Duke University Medical Center, Durham, North Carolina Search for other works by this author on: David A. Stevens 13California Institute for Medical Research, San

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2016 Infectious Diseases Society of America

175. Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis

, Canada Tyler Hughes, M.D. McPherson Hospital McPherson, KS Douglas Katz, M.D., FACR Vice Chairman of Research and Education Winthrop Radiology Associates Winthrop-University Hospital, Department of Radiology Director of Body CT, Winthrop-University Hospital Mineola, NY Anupam Kharbanda, M.D., M.Sc. Director of Research, Emergency Services Associate PEM Fellowship Director Department of Pediatric Emergency Medicine Children’s Hospitals and Clinics of Minnesota Minneapolis, MN Susan Promes, M.D (...) . University of California San Francisco School of Medicine San Francisco, CA David Rahn, M.D. University of Texas Southwestern Dallas, TX Martin P. Smith, M.D. Beth Israel Deaconess Medical Center Harvard Medical School Boston, MA Daniel Dante Yeh, M.D. Massachusetts General Hospital Division of Trauma, Emergency Surgery and Surgical Critical Care Boston, MA v Technical Expert Panel In designing the study questions and methodology at the outset of this report, the EPC consulted several technical

2016 Effective Health Care Program (AHRQ)

176. TREKK Series | Pediatric Multisystem Trauma

TREKK Series | Pediatric Multisystem Trauma TREKK Series | Pediatric Multisystem Trauma - CanadiEM TREKK Series | Pediatric Multisystem Trauma In by Ashley Lubberdink September 6, 2016 Editor’s note: This post represents the second in a series led by Drs. Ashley Lubberdink and Kaif Pardhan translating the pediatric guidelines that have been developed by TREKK (TRanslating Emergency Knowledge for Kids). For more information and further pediatric emergency medicine guidelines, please visit (...) . Remember to displace the soft tissue when doing these in the femur, either laterally or medially! Pediatric Glasgow Coma Score Remember the Pediatric GCS is age based. This chart was adapted from Rosen’s Emergency Medicine textbook, 8th ed. 1 Radiography in Blunt Pediatric Trauma CXR: Recommended C- spine X-rays or CT imaging of neck: Not warranted for all patients. May be done if not able to clinically clear the C-spine or mechanism. Luckily, C-spine injuries are significantly less common in kids

2016 CandiEM

177. Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention

Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account (...) INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal Medicine . You will be directed to acponline.org to complete your purchase. Search Clinical Guidelines | 15 March 2016 Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention Free Aaron M. Harris, MD, MPH; Lauri A. Hicks, DO; Amir Qaseem, MD, PhD, MHA; for the High Value Care Task Force of the American College

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2016 American College of Physicians

178. Vascular Claudication?Assessment for Revascularization

or for both legs secondary to the very fast scanning protocols. In general, these pitfalls are less problematic in MRI because time-resolved imaging could be used with modern technologies to improve the MR properties of image quality [71]. Some of the aforementioned limitations of CTA, such as vessel calcification, insufficient contrast enhancement of the vasculature, and contrast nephropathy, may soon be mitigated with the advent of dual-energy spectral CT [72]. Compared to MRI, CT has the advantages (...) in a defined population. Circulation. 1985;71(3):510-515. 5. Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology

2016 American College of Radiology

179. Telemedicine quality and outcomes in stroke

of incorrect treatment decisions. The objective of applying telemedicine to stroke is to provide patients experiencing symptoms and signs of stroke with an immediate stroke expert–directed clinical assessment, a review of tests, a diagnosis, and an emergency management plan. These should be performed in collaboration with local healthcare providers, regardless of geographic location, time, and distance from the nearest stroke center. Despite the demonstrated benefit of acute stroke therapies in improving (...) in sparsely populated communities. With telestroke, rural hospitals can effectively treat ischemic stroke patients with intravenous tPA on site rather than transferring them to the closest available stroke center for delayed evaluation and treatment, often arriving beyond thrombolytic time windows. The availability of effective treatment for stroke, the lack of stroke expert access in many emergency departments (EDs), the pressures to improve quality of care for stroke patients, the time sensitivity

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2016 American Academy of Neurology

180. Management of Carpal Tunnel Syndrome

of the physician to determine the FDA clearance status of each drug or device he or she wishes to use in clinical practice. Copyright All rights reserved. No part of this Clinical Practice Guideline may be reproduced, stored in a retrieval system, or transmitted, in any form, or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the AAOS. If you wish to request permission please contact the AAOS Evidence-Based Medicine Unit at ebm@aaos.org (...) The purpose of this clinical practice guideline is to help improve treatment based on the current best evidence. Current evidence-based medicine (EBM) standards demand that physicians use the best available evidence in their clinical decision making. To assist them, this clinical practice guideline consists of a systematic review of the available literature regarding the diagnosis and treatment of CTS. The systematic review detailed herein was conducted between February 2013 and February 2015

2016 American Academy of Orthopaedic Surgeons

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