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261. Transitions of Care for Children with Special Health Care Needs

and assessments provide organizations with comprehensive, science-based information on common, costly medical conditions and new health care technologies and strategies. The EPCs systematically review the relevant scientific literature on topics assigned to them by AHRQ and conduct additional analyses when appropriate prior to developing their reports and assessments. This EPC evidence report is a Technical Brief. A Technical Brief is a rapid report, typically on an emerging medical technology, strategy (...) Research and Quality Stephanie Chang, M.D., M.P.H. Director, EPC Program Center for Outcomes and Evidence Agency for Healthcare Research and Quality Yen-pin Chiang, Ph.D. Acting Director, Center for Outcomes and Evidence Agency for Healthcare Research and Quality Christine Chang, M.D., M.P.H. Task Order Officer Center for Outcomes and Evidence Agency for Healthcare Research and Quality iii Acknowledgments The authors gratefully acknowledge the following individuals for their contributions

2014 Effective Health Care Program (AHRQ)

262. Whole of government obesity prevention interventions

Whole of government obesity prevention interventions Whole of government obesity prevention interventions: a rapid review T Gill D Hector C Rissel K Trieu A Zhong B O’Hara A Bauman An Evidence Check review brokered by the Sax Institute for the ACT Government January 2013 This rapid review was brokered by the Sax Institute. This report was prepared by: Tim Gill, Debra Hector, Chris Rissel, Kathy Trieu, Amy Zhong, Blythe O’Hara and Adrian Bauman. Prevention Research Collaboration, Sydney School (...) www.saxinstitute.org.au knowledge.exchange@saxinstitute.org.au Phone: +61 2 95145950 Fax: +61 2 95145951 Suggested Citation: Gill T, Hector D, Rissel C, O’Hara B, Bauman A. Whole of government obesity prevention interventions: an Evidence Check rapid review brokered by the Sax Institute (http://www.saxinstitute.org.au) for the ACT Government, 2013. Disclaimer: This Evidence Check Review was produced using the Evidence Check methodology in response to specific questions from the commissioning agency

2013 Sax Institute Evidence Check

263. Migrant Farm Workers and Sexual Health

staff.(4;13) Language and cultural barriers also result in incomplete medical histories, misdiagnoses, unnecessary tests, poor patient education, non-adherence to medicines, and patient dissatisfaction, which in turn leads to underutilization of health services, distrust of Western medicine, and treatment failures.(1;3;4;11;13) Many migrant farm workers complain that Western doctors do not take their health complaints seriously and the patients are poorly treated. Many Spanish- speaking migrant farm (...) prevent the diagnosis and treatment of HIV and sexually transmitted infections (STIs), and encourage their transmission. ? Data on the behaviours of migrant farm workers show: lower rates of condom use; higher rates of use of workers in the sex trade; multiple sex partners; needle-sharing activities, and higher rates of substance use. ? Migrant farm workers may hold misconceptions about safer sex and HIV infection, as well as cultural values, beliefs, and customs that may facilitate HIV acquisition

2013 Ontario HIV Treatment Network

264. Heart Disease and Stroke Statistics?2016 Update

: —An expanded focus on not only CVD prevention but also promotion of positive cardiovascular health, in addition to the treatment of established CVD —The prioritization of both health behaviors (healthy diet pattern, appropriate energy balance, PA, and nonsmoking) and health factors (optimal blood lipids, blood pressure, glucose levels) throughout the lifespan as primary goals unto themselves —Population-level health promotion strategies to shift the majority of the public toward greater cardiovascular (...) and glucose metrics. Trends for other metrics are not evident over time in adults. Effective Approaches to Improve Cardiovascular Health (Chapter 2) The current evidence supports a range of complementary strategies to improve cardiovascular health, including the following: —Individual-focused approaches, which target lifestyle and treatments at the individual level —Healthcare systems approaches, which encourage, facilitate, and reward efforts by providers and patients to improve health behaviors

2014 American Heart Association

265. Clinical practice guideline for care in pregnancy and puerperium

and InnovationCPG FOR CARE IN PREGNANCY AND PUERPERIUM 9 Authors and Collaborations Working Group of the CPG for care in pregnancy and puerperium Carmen Beltrán-Calvo. Head of Technology Assessment Unit, Andalusian Health Technologies Assessment Agency, (AETSA), Seville. Juliana Ester Martín-López. Specialist in Family and Community Medicine, Andalusian Health Technologies Assessment Agency (AETSA), Seville. Ivan Solà-Arnau. Researcher, Iberoamerican Cochrane Centre (CCIb), Barcelona. Longinos Aceituno-Velasco (...) in Family and Community Medicine, Palma Palmilla Clinical Management Unit, Primary Care District of Málaga, Málaga. Dolors Costa-Sampere. Midwife, Maternal and Child care and Sexual and Reproductive care Coordintator. Instituto Catalán de la salud, Barcelona. Manuel Fillol Crespo. Gynaecologist, Head of Gynaecology and Obstetrics of the Hospital de La Plana de Villarreal, Castellón. Isabel Espiga-López. Nurse, Diploma on Public Health and Gender, Head of the Women Healthcare Observatory Service, Sub

2014 GuiaSalud

266. Home Modifications and Their Impact on Waged Care Substitution

Bridgefor the Home Modification Information Clearinghouse, City Futures Research Centre, UNSW Australia. Occasional Paper: Home Modifications and their impact on waged care substitution. April 2011; 2 nd printing July 2014 ISBN: 978-0-7334-2893-7 www.homemods.info 8 Glossary ACAP Aged Care Assessment Program AIHW Australian Institute of Health and Welfare CACP Community Aged Care Package CDC Consumer Directed Care CDSA Commonwealth State Disability services Act DACS Disability Ageing and Carers Survey (...) limitations. The literature review that underpins this research indicates that home modifications are useful for a range of reasons: ? They facilitate ageing in place; ? Maintain sense of independence; ? Reduce hazards in the home environment; and ? Act as a substitution for assisted care services – reducing the need for care. It is this final benefit of home modification that has been of most interest in this report, in particular the cost analysis investigations based on the theoretical framework

2014 Home Modification Information Clearinghouse

267. Efficacy of Tranexamic Acid in Preventing Postpartum Haemorrhage After Elective Caesarean Section

) Masking Description: Trial is an open label randomized control trial Primary Purpose: Prevention Official Title: Efficacy of Tranexamic Acid in Preventing Postpartum Haemorrhage After Elective Caesarean Section Actual Study Start Date : April 8, 2018 Estimated Primary Completion Date : December 2018 Estimated Study Completion Date : February 2019 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Arm Intervention/treatment (...) will be administered to all the women. The primary outcome will be incidence of PPH defined by blood loss equal to or more than 1,000ml calculated by determining the difference in haematocrit values taken prior to and 48 hours after caesarean section. Discussion In addition to prophylactic uterotonic administration, TXA is a complementary component acting on the haemostatic process that can be used in the third stage of labour to prevent PPH. It is a promising intervention that is cheap, easy to administer

2018 Clinical Trials

268. IDegLira HIGH Trial

Description Go to Brief Summary: Basal-bolus insulin therapy is recommended for patients with poorly controlled type 2 diabetes (T2D) and HbA1c >9%. However, basal-bolus insulin is labor intensive and associated with increased risk of hypoglycemia, glycemic variability, weight gain and poor compliance. Thus, there is a critical need for a simpler treatment regimen that could overcome these limitations. IDegLira, a fixed-ratio combination (FRC) therapy consisting of insulin degludec and liraglutide (...) of hypoglycemia, weight gain and glycemic variability, which are limiting factors in achieving glycemic targets. A basal-bolus insulin regimen is also labor intensive and often requires multiple daily injections, further increasing the burden of diabetes care and decreasing patient adherence. In contrast, simplified treatment plans may improve adherence, leading to glycemic targets achievement. Thus, there is a critical need for simpler regimens that could overcome clinical inertia, improve patient adherence

2018 Clinical Trials

269. Patient Modesty: Volume 88

Patient Modesty: Volume 88 Bioethics Discussion Blog: Patient Modesty: Volume 88 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) ? And if this analogy is realistic, what is the solution since seems obvious that we (all of us) need trained humans to diagnose and treat us for many of our illnesses? Should we have folks not trained in medicine or business to actually run the medical system? Should they be "voted into office" and that by public vote decisions in medical-surgical practice be made? What is your opinion? Got one? If so, then Comment. ..Maurice. As of July 1 2018, Volume 88 will be closed for further Comments. However, Comments can

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2018 Bioethics Discussion Blog

270. Patient Modesty: Volume 84

Patient Modesty: Volume 84 Bioethics Discussion Blog: Patient Modesty: Volume 84 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) letters along with examples I have printed from the internet and will be sending them to many news organizations in this country. We will see what happens. PT At , said... PT, I am all in favor of what you are doing and intend to do. In medicine, we look forward for the patient to tell us their symptoms, if possible (unless they arrive unconscious) so we know a better way to diagnosis and treatment. Also important in medicine is comparing outcomes of similar pathology, try to understand pathogenesis

2018 Bioethics Discussion Blog

271. Electricity Access and Maternal Care in Rural Health Facilities in Uganda

) Primary Purpose: Health Services Research Official Title: Evaluation of the Impact of the 'Solar Suitcase' Installation in Healthcare Facilities in Uganda on Quality of Care During Labor and Delivery and Reliability of Electricity Actual Study Start Date : June 13, 2018 Estimated Primary Completion Date : April 30, 2019 Estimated Study Completion Date : August 31, 2019 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment (...) a fetal doppler during labor and delivery Phone availability as measured by observer recorded questionnaire [ Time Frame: up to 6 months after installation ] Phone is available and on for deliveries APGAR Score Assigned as measured by observer recorded questionnaire [ Time Frame: up to 6 months after installation ] Provider assigns any APGAR score (binary variable equal to 1 if provider assigns an APGAR score (range of 0-10), and equal to 0 if no APGAR score is assigned. Basic emergency obstetric care

2018 Clinical Trials

272. Carbetocin Versus Buccal Misoprostol Plus IV Tranexamic Acid for Prevention of Postpartum Hemorrhage at Cesarean Section

of Postpartum Hemorrhage at Cesarean Section: A Double-blind, Randomized, Placebo-controlled Trial Actual Study Start Date : December 1, 2018 Estimated Primary Completion Date : May 30, 2020 Estimated Study Completion Date : July 1, 2020 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: carbetocin 100 μg carbetocin ampoule will be diluted in 10 mL normal saline and administered slowly (over 30 (...) . ClinicalTrials.gov Identifier: NCT03710317 Recruitment Status : Recruiting First Posted : October 18, 2018 Last Update Posted : December 17, 2018 See Sponsor: Aswan University Hospital Information provided by (Responsible Party): hany farouk, Aswan University Hospital Study Details Study Description Go to Brief Summary: The Millennium Development Goal of reducing the maternal mortality ratio by 75 % by 2015 will remain beyond our reach unless we prioritize the prevention and treatment of postpartum hemorrhage

2018 Clinical Trials

273. Patient Modesty: Volume 90

Patient Modesty: Volume 90 Bioethics Discussion Blog: Patient Modesty: Volume 90 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) bodily visual inspection during medical or surgical procedures. Of course, other unprofessional acts by the "professionals" have also been described but unnecessary and patient unwanted inspection, looking or "peeking" is a common behavior presented. However, the graphic should also represent the eye movements and "attention" by patient's themselves, looking out, keeping their eyes open to professional misbehavior coming from any direction. I think this graphic should emphasize the need

2018 Bioethics Discussion Blog

274. Patient Dignity (Formerly: Patient Modesty): Volume 92

Patient Dignity (Formerly: Patient Modesty): Volume 92 Bioethics Discussion Blog: Patient Dignity (Formerly: Patient Modesty): Volume 92 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent (...) only a cultural construct – and we see this attitude enter the medical system. Exempting emergency situations, it wasn’t that long ago that male orderlies or nurses or doctors handled intimate procedures with male patients. Even the “older” retired nurses today will tell you that. As more women entered medicine, it was just expected that gender didn’t matter and that they would have access to males just as the male doctors over the years had had access to females. Although attitudes are changing

2018 Bioethics Discussion Blog

275. Patient Modesty: Volume 91

Patient Modesty: Volume 91 Bioethics Discussion Blog: Patient Modesty: Volume 91 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) for speaking out patiens threatened with medication/treatment witholding or dismissal The authorities aren't always helpful The authorities do not understand that these infractions are crimes End Part 1 -- Banterings At , said... Part 2 This is another way victim blaming commonly occurs in healthcare; saying that if one goes to a teaching facility, they consent to the understanding that students will practice upon them. Victim blaming exists in modern medicine just as paternalism, the hidden curriculum

2018 Bioethics Discussion Blog

276. Patient Modesty: Volume 87

Patient Modesty: Volume 87 Bioethics Discussion Blog: Patient Modesty: Volume 87 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) .” Most people go into the make’emsick industry for the money (and they think the prestige, but man are they fooling themselves here!). I’m sure hags are making ugly comments about clients about a zillion times a day! That men would even have to think this way as one contributor has written, BESPEAKS VOLUMES about the abusive foundations of Western medicine: “Men will be afraid to come forward and take their case to its conclusion through the courts of public opinion and the criminal justice system

2018 Bioethics Discussion Blog

277. British HIV Association guidelines for the management of HIV infection in pregnant women

(Vice Chair) Ms P Clayden UK Community Advisory Board representative/HIV treatment advocates network, London, UK Dr J Dhar Consultant in Genitourinary Medicine, University Hospitals of Leicester NHS Trust, Leicester, UK Mrs K Gandhi Specialist HIV Pharmacist, Heart of England NHS Foundation Trust, Birmingham, UK Dr Y Gilleece Consultant Physician in HIV and Genitourinary Medicine, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK Dr K Harding Consultant Obstetrician, Guy’s and St (...) HIV Medicine (2012), 13 (Suppl. 2), 87–1571.0 Scope and purpose The overall purpose of these guidelines is to provide guid- ance on best clinical practice in the treatment and man- agement of human immunode?ciency virus (HIV)-positive pregnant women in the UK. The scope includes guidance on the use of antiretroviral therapy (ART) both to prevent HIV mother-to-child transmission (MTCT) and for the welfare of the mother herself, guidance on mode of deliv- ery and recommendations in speci?c patient

2012 The Children's HIV Association

278. 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

2016 PDQ - NCI's Comprehensive Cancer Database

279. Acute Myocardial Infarction in patients presenting with ST-segment elevation

antiplatelet therapy DES drug-eluting stent DIGAMI Diabetes, Insulin Glucose Infusion in Acute Myocardial Infarction EAPCI European Association of Percutaneous Car- diovascular Interventions ECG electrocardiogram EMS emergency medical system EPHESUS Eplerenone Post-AMI Heart failure Ef?cacy and SUrvival Study ESC European Society of Cardiology ExTRACT-TIMI 25 Enoxaparin and Thrombolysis Reperfusion for ACute myocardial infarction Treatment— Thrombolysis In Myocardial Infarction 25 FINESSE Facilitated (...) which justi?es continuous efforts to improve quality of care, adherence to guidelines and research. 3. Emergency care 3.1 Initial diagnosis Management—including both diagnosis and treatment—of AMI starts at the point of ?rst medical contact (FMC), de?ned as the point at which the patient is either initially assessed by a paramedic or physician or other medical personnel in the pre-hospital setting, or the patient arrives at the hospital emergency department— and therefore often in the outpatient

2012 European Society of Cardiology

280. Acute and Chronic Heart Failure

Acute and Chronic Heart Failure ESC GUIDELINES ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012 The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC Authors/Task Force Members: John J.V. McMurray (Chairperson) (UK) * , Stamatis Adamopoulos (Greece), Stefan D. Anker (Germany), Angelo Auricchio (Switzerland (...) investigations . . . . . . . . . . . . . . . . . . . . . . . . . . . .1803 5.1 Cardiac catheterization and endomyocardial biopsy . . .1803 5.2 Exercise testing . . . . . . . . . . . . . . . . . . . . . . . . . . .1804 5.3 Genetic testing . . . . . . . . . . . . . . . . . . . . . . . . . . .1804 5.4 Ambulatory electrocardiographic monitoring . . . . . . . .1804 6. Prognosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1804 7. Pharmacological treatment of heart failure with reduced

2012 European Society of Cardiology

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