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Emergency Medicine Treatment and Labor Act

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201. Portable Normothermic Cardiac Perfusion System in Donation After Cardiocirculatory Death

as a result of congenital heart defects (problems with the structure of the heart that are present at birth), coronary heart disease (a narrowing of the heart’s coronary arteries), or any number of diseases that cause the heart muscle to become thick or rigid or to harden. Interventions to manage end-stage heart failure include medications and mechanical circulatory support; however, heart transplantation is the most effective treatment for some people with end-stage heart failure. It is considered (...) by a multidisciplinary team from the Quality business unit at Ontario Health. The clinical epidemiologist was Alexis Schaink, the health economist was Olga Gajic- Veljanoski, the patient and public partnership analyst was David Wells, and the medical librarian was Corinne Holubowich. The medical editor was Timothy Maguire. Others involved in the development and production of this report were Doug Willcocks, Claude Soulodre, Kara Cowan, Saleemeh Abdolzahraei, Kathryn Schwarz, Sarah McDowell, Vivian Ng, Andrée

2020 Health Quality Ontario

202. The use of comic books, graphic novels, and fotonovelas as a health promotion tool

. Labour/Le Travail. 2014;73:151–77. Green MJ, Mahato M. Graphic medicine: The best of 2018. Journal of the American Medical Association. 2018;320(24):2510–1. Williams IC. Graphic medicine: Comics as medical narrative. Medical Humanities. 2012;38(1):21–7. King AJ. Using comics to communicate about health: An introduction to the symposium on visual narratives and graphic medicine. Health Communication. 2017;32(5):523–4. Gessell P. Guru of graphic medicine. Canadian Medical Association Journal. 2016;188 (...) as graphic medicine: how sequential, visual storytelling is used to share health-related experiences and information (18). Comics — presented in a variety of mediums — are the visual narrative most relevant to the study of graphic medicine (18). This review explores how graphic medicine is used in medical education and patient care, examining evidence that supports the use of graphic medicine as a health education tool. While the specific focus is on HIV and other sexually transmitted infections (STIs

2020 Ontario HIV Treatment Network

203. The Japanese Hypertension Guidelines

a fair decision regarding hypertension management or medication? Since the treatment descriptions in the hypertension guidelines are dominated by drug therapy, recommendations regarding the therapy should be made only by members with no or minimal funding from pharmaceutical companies. , Guidelines are recognized as highly reliable sources of medical information. They not only affect the prescribing behaviour of many doctors, but also are used as good evidence in medical litigation. It would (...) their conflict of interest with pharmaceutical companies which are involved in development and marketing of Note: The increase of absolute risk by 8.9% indicates that 1 out of 11 patients who used antihypertensive medication discontinued the treatment and dropped out due to adverse events. Page 46 · MED CHECK December 2019/ Vol.5 No.15 antihypertensive drugs. Among the 17 members, 4 (24%) had conflict of interest. Those with conflicts were allowed to participate in discussions as long as they declared

2020 Med Check - The Informed Prescriber

204. Examining the Effects of Prenatal Education

and their families for pregnancy, labour and birth, care of the newborn and the adjustments to life as a family.(1) It also provides an opportunity to assist women in detecting warning signs in pregnancy, build confidence in self-care, and can act as an opportunity for early intervention in high-risk pregnancies.(1) Across Canada, prenatal education programs are commonly provided by public-health departments, hospitals, midwives, and private and community agencies.(1) Currently, public health, perinatal, child (...) -quality review found that prenatal education helped mothers to identify true labour and reduced emergency-department admissions.(8) In this review, education focused on active identification of labour and self-diagnosing onset of labour. Mixed effects were found among three reviews that focused on breastfeeding education, with two reviews finding that it increased the uptake of breastfeeding in the short term, while another found no difference between mothers attending additional education

2020 McMaster Health Forum

205. Employment support for over 50s: Rapid evidence review

experienced workers losing jobs. Many older people are being forced to re-start or re-imagine their working lives at a time when many would have been expecting to enjoy peak earnings and secure employment. In general, many older people find difficulty in accessing work-related training (McNair, 2011) and re-entering employment (BIC, 2014: 2015) once they have exited the labour market or lost their jobs for any reason. Despite anti-age discrimination measures and specifically the Equalities Act 2010 (...) evidence 19 2.3 Evidence quality and relevance 21 2.4 Available and prospective data 23 2.5 Reflections on evidence quality and gaps 25 3. Findings – intervention targeting for over 50s 25 3.1 Introduction 25 3.2 Targeting of older people in active labour market measures 26 3.3 Targeting of older people in interventions 29 3.4 Evidence of effective targeting 35 3.5 Segmentation of over 50s in delivery 37 4. Findings – effective employment support for over 50s 37 4.1 Introduction 37 4.2 Overview

2020 The Centre for Ageing Better

206. Point-of-care creatinine devices to assess kidney function before CT imaging with intravenous contrast

include chronic kidney disease, critical illness, contrast-enhanced imaging done as an emergency, older age, diabetes, use of nephrotoxic drugs and reduced kidney function (for example, if a person is dehydrated or has congestive heart failure). Short- and long-term mortality rates are significantly higher in patients Point-of-care creatinine devices to assess kidney function before CT imaging with intravenous contrast (DG37) © NICE 2019. All rights reserved. Subject to Notice of rights (https (...) actions to reduce post-contrast acute kidney injury (PC-AKI) risk in patients with eGFR below the cut-off value (correct or incorrect eGFR) the subsequent risk of PC-AKI (depends on eGFR status and any actions to reduce PC-AKI risk) the risk of renal replacement therapy (depends on whether a patient had a PC-AKI). 3.16 The model assessed 6 strategies to identify and manage treatment for patients with an eGFR less than 30 ml/min/1.73 m 2 : laboratory testing only risk factor screening with POC

2019 National Institute for Health and Clinical Excellence - Diagnostics Guidance

207. Coronavirus (COVID-19) infection and abortion care

their IT policies regarding remote access are clear, and where possible should facilitate this. The prescribing of medication to procure an abortion is controlled by the Abortion Act 1967, and current restrictions on prescribing may be amended depending on the terms of any emergency regulation issued by government. 6. Staffing issues21 Additional resources Support, advice and resources are also available from: British Society of Abortion Care Providers (BSACP) – www.bsacp.org.uk IPAS – www.ipas.org World Health (...) Government. In Northern Ireland access to abortion care is currently minimal, with most women travelling to England in order to access services. The Northern Ireland (Executive Formation etc.) Act 2019 requires the UK Government to introduce regulations for providing abortion care in Northern Ireland by 31 March 2020. Current law does not permit an early medical abortion service which could be completely provided through remote assessment and mail delivery. A change to allow such remote assessment

2020 Royal College of Obstetricians and Gynaecologists

208. Covid-19: Safety of Extended Use and Reuse of N95 Respirators

standard procedures, which may be labor-intensive. - Expired N95 stocks: Devices beyond their labeled shelf life may retain adequate filter performance if stored properly, but aged rubber bands and other elastic parts may not ensure a proper fit. Also, heat and humidity can compromise the filter material. Devices should be closely inspected for signs of damage (e.g., discoloration, residue shedding) and fit-tested before use. - N95s not certified for medical use: These include respirators certified (...) and effectiveness. Employees must be trained in the employer’s procedures. • Use industrial filtering facepiece respirators in health care On March 2, 2020, the U.S. Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) allowing the use of certain industrial N95 respirators in health care settings. • Use filtering facepiece respirators after their expiration date NIOSH has approved use of certain expired fileting facepiece respirators under specific conditions. See Release of Stockpile

2020 Covid-19 Ad hoc papers

209. Clinical care of severe acute respiratory infections – Tool kit

appropriate use of PPE (gown, gloves, medical mask eye protection), and addition of airborne precautions (N95/FFP2/3 if AGP) when performing aerosol-generating procedures. Treatment • No specific vaccine or treatment is available for COVID-19 but clinical trials are ongoing. • Optimized supportive care delivery is the mainstay of treatment, with supplemental oxygen therapy required by up to 20% of infections (severe disease). • Early recognition of those with (or at risk of) severe disease, and access (...) for Communicable Diseases, Johannesburg, South Africa) – Diagnostics and specimen collection, antimicrobial therapy; Charles David Gomersall (The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China) – ICU best practices, weaning; Carlos G Grijalva (Vanderbilt University School of Medicine, Nashville, TN, United States of America) – Influenza epidemiology; Wendy Hansen (University of Kentucky, Lexington, KY, United States of America) – Pregnant patient; Shevin Jacob (University

2020 WHO Coronavirus disease (COVID-19) Pandemic

210. Safety of Extended Use and Reuse of N95 Respirators

Pharmaceuticals and Medical Device/Ministry of Health, Labour, and Welfare. - March 26, Duke University (Chapel Hill, NC, USA) clinical teams began “using existing vaporized hydrogen peroxide methods to decontaminate the masks so they can be reused.” - March 20, 2020: 3M issued a technical bulletin that states, “based on currently available data, 3M does not recommend or support attempts to sanitize, disinfect, or sterilize 3M FFRs.” - March 20, 2020: New legislation let U.S. manufacturers sell N95 masks made (...) certified under standards of other countries or jurisdictions but that has surpassed its manufacturer’s recommended shelf life should be stored separately. o Train employees on the procedures for the sequence of donning/doffing to prevent self- contamination. - FDA. Enforcement Policy for Face Masks and Respirators during the Coronavirus Disease (COVID-19) Public Health Emergency (revised): Guidance for Industry and Food and Drug Administration Staff. 2020. This guidance states: o In general, FDA

2020 Covid-19 Ad hoc papers

211. Home and dry: The need for decent homes in later life

that poses a risk to the occupants’ health or safety, such as excess cold or a fall hazard. Over a million over 55s are living in a home with at least one such problem. In addition, 15% of all wheelchair users of all ages live in a non-decent home. The cost of non-decent homes in England to the NHS is estimated at around £1.4 billion per annum for all ages (Nicol et al, 2015). New analysis for this report shows that the NHS spends £513 million alone on first year treatment costs for over 55s living (...) in the Housing Act 2004 (updated in 2006). The Decent Home Standard also applies to private rented and owner- occupied properties but local authorities' obligations and powers of enforcement differ across the three tenures. Section 2 The quality of homes in England Home and dry: the need for decent homes in later life 16 The quality of homes in EnglandA home is defined as 'decent' or 'non-decent' according to a set of technical measures, including whether or not it: 1. Has specific hazards that pose a threat

2020 The Centre for Ageing Better

212. Supporting Clients on Methadone Maintenance Treatment

and other opioid substitution therapies. Detoxification from opioids is a method of treatment aimed at eliminating the use of opioids. Detoxification may include the use of methadone or other pharmaceutical therapies to treat symptoms of withdrawal while the client elimi- nates the dependent opioid from his or her body. The main goal of detoxification is to reduce withdrawal symptoms until the client adjusts to living drug-free. Substitution programs are designed to change a patient’s opioid of choice (...) • www.rnao.org 5 BACKGROUND Supporting Clients on Methadone Maintenance Treatment Purpose and Scope Best practices are emerging guidelines – gleaned from key experts' perspectives and client focus groups, and substantiated by evidence found in the literature – on the approaches and elements of treatment that appear to result in successful treatment outcomes. Given this definition, best practices are recommendations that may evolve, based on ongoing key expert experience, judgment, perspective and continued

2009 Registered Nurses' Association of Ontario

213. America's Affordable Health Choices Act of 2009

by the policymakers over other types of medical advice. He has written: When my father was dying, my mother and brother and I had to decide how much treatment to pursue. What was a better way to ascertain my father's wishes: What he checked off on a form... or what we, who had known him intimately for decades, thought he would want? Competition [ ] A report has stated that the proposed public option is a ' ' in American public opinion about healthcare reform. Republicans, people with the insurance industry (...) America's Affordable Health Choices Act of 2009 America's Affordable Health Choices Act of 2009 - Wikipedia America's Affordable Health Choices Act of 2009 From Wikipedia, the free encyclopedia Proposed U.S. law Parts of this article (those related to or superseded by the current consideration of the , H.R. 3962) need to be updated . Please update this article to reflect recent events or newly available information. ( February 2010 ) This article is part of on Legislation Preceding (1986) (1996

2012 Wikipedia

214. Americans with Disabilities Act of 1990 Full Text available with Trip Pro

of the bill which was introduced in the House and Senate in 1988. The final version of the bill was on July 26, 1990, by President . It was later and signed by President with changes effective as of January 1, 2009. Contents Disabilities included [ ] Americans with Disabilities Act of 1988, S. 2346, Page 1 Americans with Disabilities Act of 1990, Page 52 Americans with Disabilities Act of 1990, Page 1 ADA disabilities include both mental and physical medical conditions. A condition does not need (...) disorder, obsessive compulsive disorder, and schizophrenia. Other mental or physical health conditions also may be disabilities, depending on what the individual's symptoms would be in the absence of "mitigating measures" (medication, therapy, assistive devices, or other means of restoring function), during an "active episode" of the condition (if the condition is episodic). Certain specific conditions that are widely considered , or tend to result in illegal activity, such as , , exhibitionism

2012 Wikipedia

215. Health Insurance Portability and Accountability Act Full Text available with Trip Pro

for transactions and national identifiers for providers, health insurance plans, and employers. Title III sets guidelines for pre-tax medical spending accounts, Title IV sets guidelines for group health plans, and Title V governs company-owned life insurance policies. Contents Titles [ ] There are five sections to the act, known as titles. Title I: Health Care Access, Portability, and Renewability [ ] Title I of HIPAA regulates the availability and breadth of group health plans and certain individual health (...) and disclosure of Protected Health Information (PHI) in healthcare treatment, payment and operations by covered entities. The effective compliance date of the Privacy Rule was April 14, 2003, with a one-year extension for certain "small plans". The HIPAA Privacy Rule regulates the use and disclosure of (PHI) held by "covered entities" (generally, health care clearinghouses, employer-sponsored health plans, health insurers, and medical service providers that engage in certain transactions). By regulation

2012 Wikipedia

216. Safe nurse staffing levels in acute hospitals

management undone during the last shift, at hospital and regional level in 2019 130 Figure 52 – Percentage of nurses who reported leaving treatments/procedures undone during the last shift, at hospital and regional level in 2019 131 Figure 53 – Percentage of nurses who reported leaving timely medication administration undone during the last shift, at hospital and regional level in 2019 131 Figure 54 – Percentage of nurses who reported leaving frequent changing patient position undone during the last (...) (i.e. amount of nursing care that is given to a patient)’ at the individual patient level, to patient outcomes start to emerge. These studies confirm these relationships. 30-33 Another limitation of the body of evidence is that most of the research is conducted on general surgical and internal medicine wards or ICU (intensive care wards). 29 Yet, evidence about a relationship between poor staffing levels and worse outcomes is growing in other domains as well. 34, 35 The importance of missed nursing

2020 Belgian Health Care Knowledge Centre

217. British guideline on the management of asthma

in pregnancy 126 12.1 Natural history and management of stable asthma 126 12.2 Management of acute asthma in pregnancy 127 12.3 Drug therapy in pregnancy 128 12.4 Management during labour 131 12.5 Drug therapy for breastfeeding mothers 132 13 Occupational asthma 133 13.1 Incidence 133 13.2 At-risk populations 133 13.3 Diagnosis 133 13.4 Management of occupational asthma 136 14 Organisation and delivery of care 138 14.1 Care pathways 138 14.2 Educating clinicians 138 14.3 Asthma clinics 139 14.4 (...) and efficacy • take responsibility for prescribing the medicine and for overseeing the patient’s care, including monitoring the effects of the medicine and any follow-up treatment, or ensure that arrangements are made for another suitable doctor to do so • make a clear, accurate and legible record of all medicines prescribed and, when not following common practice, the reasons for prescribing an unlicensed medicine. Non-medical prescribers should ensure that they are familiar with the legislative framework

2019 SIGN

218. Organisation of maternity services in Belgium

in a limited number of hospitals within the network. • Patients have free choice of provider. Source: Act of 28 February 2019 2 Although there is no exhaustive or commonly accepted list of criteria (or weights for these criteria) to classify hospital activities in terms of where they should be provided (close to the patient or more centralised), the following criteria emerge from the literature and practice abroad: 3 • Interventions for time-critical conditions • Capital intensity (expensive equipment (...) to situation 2019 for subset of impacted maternity services 153 Table 33 – Overview bed capacity needs and timely access in scenario of closure of maternity services for subset of impacted maternity services 157 10 Organisation of maternity services in Belgium KCE Report 323 LIST OF ABBREVIATIONS ABBREVIATION DEFINITION ALOS Average Length of Stay AR Labour room APR-DRG All Patient Refined-Diagnosis Related Group BBC Banker, Charnes and Cooper BFM Budget of Financial Means CCR Charnes, Cooper and Rhodes

2020 Belgian Health Care Knowledge Centre

219. Towards integrated antenatal care for low-risk pregnancy

, obesity). The content of additional interventions are out-of-scope of the report. The scope of the report focuses on care and support provided by skilled healthcare and social workers during pregnancy until start of labour and delivery. Other non-medical or non-paramedical actors in the field who may assist women before, during, or after childbirth (e.g. doulas) are out-of-scope of the present report. In the same way, interventions dedicated to common physiological symptoms (e.g. medicine use during (...) the baseline ANC services that all pregnant women have to benefit from. The baseline care are sufficient for low risk pregnancies and have to be completed with additional interventions for pregnant women who present one or more medical and/or psychosocial risk factors. These additional interventions have to be tailored in function of the particular needs engendered by their medical condition(s), personal characteristics (e.g. teenage mothers) or living conditions (e.g. victims of violence, drug users

2020 Belgian Health Care Knowledge Centre

220. Optimisation of RIZIV – INAMI lump sums for incontinence

Incontinence KCE Report 304 Table 7 – ICS Recommendations for the treatment of UI Pelvic floor muscle training Vaginal cones Electrical Stimulation Bladder Training Pessary Posterior tibial nerve stimulation Acu- puncture Drug therapy Surgery Grade of recommendation * Explanation Women Stress UI X X B Both effective as conservative therapy, although PFMT is better because inability of use and side effects are experienced with VC in some women. X X B PFMT is better than EStim as first line conservative (...) Stimulation Bladder Training Pessary Posterior tibial nerve stimulation Acu- punc-ture Drug the-rapy Surgery Grade of recommend- dation* Explanation Women Stress UI or Mixed UI X X B VC do not appear to be better than PFMT in the treatment of UI. PFMT should be KCE Report 304 Incontinence 27 recommended as first-line conservative therapy. X X D Both seem equally effective. Side effects and discomfort appear to limit their utility in clinical practice. Urgency UI or Mixed UI X X B Both are effective first

2020 Belgian Health Care Knowledge Centre

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