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201. Optimizing Postpartum Care

Optimizing Postpartum Care Optimizing Postpartum Care - ACOG Menu ▼ Optimizing Postpartum Care Page Navigation ▼ Number 736, May 2018 (Replaces Committee Opinion Number 666, June 2016) Presidential Task Force on Redefining the Postpartum Visit The Committee on Obstetric Practice The Academy of Breastfeeding Medicine, the American College of Nurse-Midwives, the National Association of Nurse Practitioners in Women’s Health, the Society for Academic Specialists in General Obstetrics and Gynecology (...) , and the Society for Maternal–Fetal Medicine endorse this document. This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Presidential Task Force on Redefining the Postpartum Visit and the Committee on Obstetric Practice in collaboration with task force members Alison Stuebe, MD, MSc; Tamika Auguste, MD; and Martha Gulati, MD, MS. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use

2016 American College of Obstetricians and Gynecologists

202. Salt Sensitivity of Blood Pressure

in some SS subjects, whereas it is stimulated as a compensatory response to hypertension in others, analogous to the observations in different genetic SS strains of rats. 6.CYP450-derived metabolites of arachidonic acid: Two major products of this pathway, the vasoconstrictor 20-hydroxyeicosatetraeonic acid (20-HETE; produced by omega hydroxylases) and the vasodilator epoxyeicosatrienoic acids (EETs; produced by epoxygenases), are natriuretic agents in different parts of the renal tubule acting

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2016 American Heart Association

203. Clinical Guideline: Early onset Group B streptococcal disease

of membranes (PROM) to birth. Shared decision making Shared decision making involves the integration of a woman’s values, goals and concerns with the best available evidence about benefits, risks and uncertainties of treatment, in order to achieve appropriate health care decisions. It involves clinicians and the woman making decisions about the woman’s management together. In partnership with their clinician, women are encouraged to consider available screening, treatment, or management options (...) reduction can be identified • Establish systematic data collection regarding EOGBSD incidence in Queensland (and Australia) to evaluate effectiveness of prevention strategies GBS isolates • GBS isolates are characterised according to capsular polysaccharide (CPS) serotype, of which 10 are recognized: Ia, Ib, II–IX 22 • An increase of disease caused by serotype IV isolates and concurrent emergence of lincomycin resistance within this serotype has been reported 23 o Large proportions of type IV isolates

2016 Queensland Health

204. Collaboration in Practice: Implementing Team-Based Care

. Passage of the Patient Protection and Affordable Care Act in 2010 highlighted the need to develop alternate care delivery and payment models that improve patient outcomes to achieve the “Triple Aim” of improving the experience of care of individuals and families, improving the health of populations, and lowering per capita costs (1). Even before the Affordable Care Act, Crossing the Quality Chasm, published by the Institute of Medicine in 2001, proposed the core expectations that health care be safe (...) capita costs. It also should respond to emerging demands and reduce undue burdens on health care providers. Team-based care has the ability to more effectively meet the core expectations of the health care system proposed by the Institute of Medicine. These expectations require that care be safe, effective, patient centered, timely, efficient, and equitable. This report outlines a mechanism that all specialties and practices can use to achieve these expectations. The report was written

2016 American College of Obstetricians and Gynecologists

205. Management of Concussion-mild Traumatic Brain Injury (mTBI)

offering medications, supplements, nutraceuticals or herbal medicines for ameliorating the neurocognitive effects attributed to mTBI. Weak against Not Reviewed, Amended D. Setting of Care 20. We suggest against routine referral to specialty care in the majority of patients with a history of mTBI. Weak against Reviewed, Amended 21. If the patient’s symptoms do not resolve within 30-90 days and are refractory to initial treatment in primary care and significantly impact activities of daily living (ADLs (...) A. Methods 9 B. Conflict of Interest 12 C. Scope of this CPG 12 D. Highlighted Features of this CPG 12 E. Patient-centered Care 13 F. Implementation 14 IV. Guideline Working Group 15 V. Algorithms 16 A. Module A: Initial Presentation (>7 Days Post-injury) 17 B. Module B: Management of Symptoms Persisting >7 days 18 VI. Recommendations 19 A. Diagnosis and Assessment 22 B. Co-occurring Conditions 27 C. Treatment 27 D. Setting of Care 39 VII. Knowledge Gaps and Recommended Research 43 A. Diagnosis

2016 VA/DoD Clinical Practice Guidelines

206. Management of Carpal Tunnel Syndrome

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 (...) This Clinical Practice Guideline was developed by an AAOS physician volunteer Guideline development group based on a systematic review of the current scientific and clinical information and accepted approaches to treatment and/or diagnosis. This Clinical Practice Guideline is not intended to be a fixed protocol, as some patients may require more or less treatment or different means of diagnosis. Clinical patients may not necessarily be the same as those found in a clinical trial. Patient care and treatment

2016 American Academy of Orthopaedic Surgeons

207. Clinical practice guideline on Perioperative Care in Major Abdominal Surgery

and quality of life of people who undergo elective major abdominal surgery. JOSÉ JAVIER CASTRODEZA SANS Director-General of Public Health, Quality and Innovation CLINICAL PRACTICE GUIDELINES ON PERIOPERATIVE CARE IN MAJOR ABDOMINAL SURGERY 7Authorship and collaboration Work Group of the CPG on Perioperative Care in Major Abdominal Surgery Antonio Arroyo Sebastián. Doctor of Medicine, Specialist in General Surgery and Surgery of the Digestive Tract. Hospital General Universitario de Elche. Elche. José (...) María Calvo Vecino. Doctor of Medicine, Specialist in Anaesthesia and Reanimation. Hospital Universitario Infanta Leonor. Madrid. Rubén Casans Francés. Doctor of Medicine, Specialist in Anaesthesia and Reanimation. Hospital Clínico Universitario Lozano Blesa. Zaragoza. Emilio del Valle Hernández. Doctor of Medicine, Specialist in General Surgery and Surgery of the Digestive Tract. Hospital General Universitario Gregorio Marañón. Madrid. Patricia Gavín Benavent. Doctor of Medicine, Specialist

2016 GuiaSalud

208. American Association of Clinical Endocrinologists and American College of Endocrinology Clinical Practice Guidelines for Comprehensive Medical Care of Patients with Obesity

. The presented recommendations may not be appropriate in all situations. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances. From 1 Professor and Chair, Department of Nutrition Sciences, University of Alabama at Birmingham, Director, UAB Diabetes Research Center, GRECC Investigator & Staff Physician, Birmingham VA Medical Center, Birmingham, Alabama; 2 Director, Metabolic Support, Clinical Professor of Medicine, Division (...) of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, New York; 3 Associate Clinical Professor, Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, New York; 4 Professor, Departments of Medicine, Biochemistry and Molecular Biology, and Molecular and Cellular Biology, Baylor College of Medicine, Houston, Texas; 5 Assistant Professor of Medicine, Mayo Clinic, Rochester, Minnesota; 6 Assistant Professor, Yale University

2016 American Association of Clinical Endocrinologists

209. Cervical Radiculopathy and Myelopathy

] . ? Steroid injections may provide short term pain relief for patients with radiculopathy [17, 18] , although they are not without risks. The injection typically includes both steroid and a long acting anesthetic. See L&I’s guideline on spinal injections at http://www.lni.wa.gov/ClaimsIns/Providers/TreatingPatients/ByCondition/SpinalInjections.asp 10 Effective December 1, 2014 Formatting and hyperlinks updated September 2016 B. Surgical Treatment The ideal surgical approach for radiculopathy related (...) Cervical Radiculopathy and Myelopathy Effective December 1, 2014 Formatting and hyperlinks updated September 2016 Diagnosis and Treatment of Cervical Radiculopathy and Myelopathy Table of Contents I. Cervical Surgery Review Criteria II. Introduction III. Background and Prevalence IV. Establishing Work-Relatedness A. Cervical Conditions as Industrial Injury B. Cervical Conditions as Occupational Disease V. Making the Diagnosis A. History and Clinical Exam B. Diagnostic Tests and Imaging C

2016 Washington State Department of Labor and Industries

210. Liver Disease and Pregnancy

in the need to consider the safety of both the expectant mother and the unborn fetus in the clinical management decisions. This practice guideline provides an evidence-based approach to common diagnostic and treatment challenges of liver disease in pregnant women. Am J Gastroenterol advance online publication, 2 February 2016; doi: 10.1038/ajg.2015.430 1 Department of Medicine, Liver Transplant, Cedars Sinai Medical Center , Los Angeles , California , USA ; 2 Department of Medicine, Oregon Health (...) li v er dis e as e is a co mmo n clinical scenario, and one that can be challenging given the need to consider not only the expectant mother, but also the unborn fetus in treatment decisions. Th e purpose of this guideline is to provide a review of the diagnostic and treatment challenges of managing liver disease in pregnant women. Th e evidence behind approaches to diagnosis and treatment of liver disease in pregnant women are assessed to provide management recommendations. Th ese

2016 American College of Gastroenterology

211. Interventions to Improve the Economic Self-sufficiency and Well-being of Resettled Refugees: A Systematic Review

resettlement country, passed the 1980 Refugee Act, which serves as the basis for the mandate and structure of its current programme. Australia’s contemporary approach to refugees emerged in December 1979 when the Community Refugee Resettlement scheme came into force. This scheme included housing, social and employment support (Refugee Council of Australia, 2012). Canada’s current refugee programme is based on the 1976 Immigration Act and further shaped by the 1982 entrenchment of the Canadian Charter (...) Databases 16 3.2.3 Searching other resources 17 3.2.4 Selection of studies 18 3.3 Plans for analysis 19 3.3.1 Data extraction 19 3.3.2 Risk of bias table 19 3.3.3 Measures of treatment effect 20 3.3.4 Unit of analysis issues 21 3.3.5 Dealing with missing data 21 3.3.6 Assessment of heterogeneity 22 3.3.7 Assessment of reporting biases 22 3.3.8 Subgroup analysis 23 3.3.9 Sensitivity analyses 23 3.3.10 Data synthesis 24 3.3.11 Statistical procedures and conventions 24 5 The Campbell Collaboration

2015 Campbell Collaboration

212. Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version

Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version Cancer Genetics Risk Assessment and Counseling (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002-. PDQ Cancer Information (...) , benefits, and limitations of genetic testing. References Riley BD, Culver JO, Skrzynia C, et al.: Essential elements of genetic cancer risk assessment, counseling, and testing: updated recommendations of the National Society of Genetic Counselors. J Genet Couns 21 (2): 151-61, 2012. [ ] Weitzel JN, Blazer KR, MacDonald DJ, et al.: Genetics, genomics, and cancer risk assessment: State of the Art and Future Directions in the Era of Personalized Medicine. CA Cancer J Clin 61 (5): 327-59, 2011 Sep-Oct

2018 PDQ - NCI's Comprehensive Cancer Database

213. Harm of HPV vaccine: Latest information and examination of epidemiological studies

precautions Reviews H.pylori eradication may shorten life span: Gastric cancer risk decreases, but incidence of C.difficile infection and pneumonia increase instead Harm of HPV vaccine: Latest information and examination of epidemiological studies Plain Language Summary SGLT-2 inhibitors: inaccurate to call these “medicines” What is diabetes? What is insulin? What is the target of treatment? "Pylori" bacteria removal may shorten life Harm of HPV vaccine: epidemiologic studies do not prove safety p.2 p.3 p (...) ]. In addition, it acts as an antagonist to N-methyl-D-aspartate (NMDA) receptor [1]. Because of the latter effect, it is used as one of the most important medicines in the “opioid rotation therapy” for the patients who do not respond to and/or have become tolerant to common opioids such as morphine or oxycodone [4]. It will be a boon to patients who suffer from refractory pain if used appropriately. However, it could easily induce serious harm including respiratory arrest and/or lethal arrhythmia

2015 Med Check - The Informed Prescriber

214. Breastfeeding Healthy Term Infants

6. A Breastfeeding assessment of mother and infant should be carried out at key timeframes through discussion and observation (A) 7. Pr ovide support for infants identified with specific challenges (A) 8. Pr ovide support for mothers identified with specific challenges (A) The recommendations included in these guidelines have been adapted from the Levels of Quality of Evidence for Treatment Recommendations described in The Canadian Task Force on Preventive Health Care (http (...) such as the eventual use of a supplemental nursing system if the mother’s milk supply does not increase to meet the infant’s nutritional needs • Discuss prenatal preparation of nipples: use of creams and lotions; and that Hoffman’s exercise and nipple “conditioning” is ineffective and not recommended: stimulation may cause uterine contractions, leading to premature labor 38,39 • Encourage parents to attend support groups and prenatal breastfeeding education sessions • Prenatal education includes: 1. Exploration

2015 British Columbia Perinatal Health Program

215. Genetics of Endocrine and Neuroendocrine Neoplasias (PDQ®): Health Professional Version

for risk of metastases or recurrence with increased tumor diameter.[ ] Unfortunately, there is no specific tumor marker or combination of tumor markers that are predictive of disease-specific mortality.[ ] Long-acting somatostatin analogs may have a role in early-stage MEN1 duodenopancreatic NETs.[ ] Initial study results of pharmacologic therapy suggest that the treatment is safe and that long-term suppression of tumor and hormonal activity can be seen in up to 10% of patients and stability of hormone (...) Genetics of Endocrine and Neuroendocrine Neoplasias (PDQ®): Health Professional Version Genetics of Endocrine and Neuroendocrine Neoplasias (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002-. PDQ Cancer

2018 PDQ - NCI's Comprehensive Cancer Database

216. Reducing the Risk - Thrombosis and Embolism during Pregnancy and the Puerperium

] Thrombophilia-associated VTE Heritable thrombophilia Women with previous VTE associated with antithrombin deficiency (who will often be on long-term oral anticoagulation) should be offered thromboprophylaxis with higher dose LMWH (either 50%, 75% or full treatment dose) (see Appendix IV) antenatally and for 6 weeks postpartum or until returned to oral anticoagulant therapy after delivery. Management should be undertaken in collaboration with a haematologist with expertise in thrombosis in pregnancy (...) associated with the antiphospholipid syndrome (APS) (who will often be on long- term oral anticoagulation) should be offered thromboprophylaxis with higher dose LMWH (either 50%, 75% or full treatment dose) (see Appendix IV) antenatally and for 6 weeks postpartum or until returned to oral anticoagulant therapy after delivery. [New 2015] Pregnant women with APS and prior VTE or arterial thromboses should be managed in collaboration with a haematologist and/or rheumatologist with expertise in this area

2015 Royal College of Obstetricians and Gynaecologists

217. Acute pain management: scientific evidence (3rd Edition)

to members: American?Academy?of?Pain?Medicine? ? ? ? Approved by the NHMRC on 4 February 2010 © Australian and New Zealand College of Anaesthetists 2010 ISBN Print: 978-0-977517-4-4-2 Online: 978-0-9775174-5-9 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from ANZCA. Requests and enquiries concerning reproduction and rights should be addressed to the Chief Executive Officer, Australian (...) in every case, early recognition and treatment of incipient chronic pain by a vigilant healthcare system is necessary for cost- effective intervention. The National Pain Strategy document that underpins the 2010 Australian Pain Summit summarises the emerging literature on social, human and economic costs of undertreated acute and chronic pain — establishing pain as a major disease burden (www.painsummit.org.au) and proposing an integrated new framework for management of acute, chronic and cancer pain

2015 National Health and Medical Research Council

218. Core Competencies for Management of Labour

Maternal/Fetal/Newborn Conditions • Maternal/fetal/newborn urgent and emergent conditions • Guidelines for maternal/ fetal/newborn urgent and emergent conditions • Initiating appropriate treatment for urgent and emergent conditions • Effective and timely communication with primary care provider • Facilitating transfer to another facility • Keeping mother and support person(s) informed of condition • Participating in post birth debriefing with the woman and her support person(s) • Recognizing the onset (...) of urgent and emergent complications • Demonstrating Woman- Centred Care principles Core Nursing Practice Competencies: Managing Labour 6 Perinatal Services BC Copyright © 2011 - PSBC D. Managing Labour: Decision Support Tools As indicated by CRNBC, DSTs for managing labour are evidenced-based documents used to guide the assessment, diagnosis and treatment of client-specific clinical problems. When practice support tools are used to direct practice, they are used in conjunction with clinical judgment

2014 British Columbia Perinatal Health Program

219. Population and Public Health Prenatal Care Pathway

, information sharing and collaboration between the woman and provider? As stated by the College of Registered Nurses of British Columbia, “nurses provide information that a reasonable person would require in order to make an informed decision about the proposed care, treatment or research”? Nurses also consider the impact of barriers arising from inequity – including gender – on the ability Introduction4 Perinatal Services BC of their clients to make informed choices and assist them to build the skills (...) characteristics that differ from those of men (sex) and by socially determined roles and relationships”? To address this, Canada’s National Women’s Health Strategy is based on the principle that the health system should accord women and men equal “treatment” in every sense of the word? 6 The BC Provincial Women’s Health Strategy, 7 uses the framework of Women-Centred Care which respects women’s diversity, supports the way women attend to their health needs within their social, cultural and spiritual context

2014 British Columbia Perinatal Health Program

220. Perinatal Management of Pregnant Women at the Threshold of Infant Viability? the Obstetric Perspective

or the optimum arrangements for postnatal counselling appointments. 3. Opinion The limit of viability has been lowered along with advancements in perinatal and neonatal medicine. The viability limit defined in the Japanese Motherhood Protection Act was amended from 24 to 22 completed weeks of gestation in 1991 based on the survival rate of extremely preterm infants. 56 In contrast in the UK, this has legally remained at 24 weeks due to the poor survival at gestations below this threshold, while in certain (...) A. Tocolytics for preterm labor: a systematic review. Obstet Gynecol 1999;94:869–77. 17. Papatsonis D, Flenady V, Cole S, Liley H. Oxytocin receptor antagonists for inhibiting preterm labour. Cochrane Database Syst Rev 2005;(3):CD004452. 18. Romero R, Sibai BM, Sanchez–Ramos L, Valenzuela GJ, Veille JC, Tabor B, et al. An oxytocin receptor antagonist (atosiban) in the treatment of preterm labor: a randomized, double–blind, placebo–controlled trial with tocolytic rescue. Am J Obstet Gynecol 2000;182:1173–83

2014 Royal College of Obstetricians and Gynaecologists

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