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Emergency Medicine Treatment and Labor Act

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1241. Children and physical activity: a systematic review of barriers and facilitators

in unspecified locations (Fulton et al., 2001; Pender, 1998). One review focused solely on the correlates of physical activity (Sallis et al., 2000), and one combined examination of correlates of physical activity with effectiveness of interventions to improve physical activity (Pender, 1998). Fulton and colleagues (2001) examined the evidence from weight loss treatment programmes and weight gain prevention trials to summarise research on how to prevent weight gain. Pender (1998) looked at the correlates (...) , 1993). Hood and colleagues similarly note the ‘welfarist’ or ‘developmental’ underpinnings of research ‘on’ children, highlighting how children are predominantly constituted as a ‘social problem’, with the role of adults being defined as protecting and controlling them (Hood et al., 1996, p.119). The distinction between research ‘with’ or ‘for’, rather than ‘on’, children has only very recently been made. The emergence of a ‘sociology of childhood’ (see e.g. Mayall, 2002) has led to new ways

2003 EPPI Centre

1242. Clinical practice guidelines for the psychosocial care of adults with cancer

Email: directorate@nbcc.org.au These guidelines were approved by the National Health and Medical Research Council at its 147th Session on 10 April 2003, under section 14A of the National Health and Medical Research Council Act 1992.Approval for the guidelines by NHMRC is granted for a period not exceeding five years, at which date the approval expires.The NHMRC expects that all guidelines will be reviewed no less than once every five years. Readers should check with the National Breast Cancer Centre (...) in the treatment unit and evidence to support their implementation 38 3.1 General interactional skills 42 3.2.1 Recommended steps for telling a person they have cancer, a recurrence or metastases 45 3.2.2 Recommended steps for discussing prognosis with individuals with cancer 50 3.2.3 Recommended steps for discussing treatment options and encouraging involvement in decision-making 62 3.2.4 Recommended steps involved in adequately preparing a patient for a potentially threatening medical procedure 64 3.2.5

2002 Cancer Australia

1243. Clinical practice guidelines for the psychosocial care of adults with cancer

Email: directorate@nbcc.org.au These guidelines were approved by the National Health and Medical Research Council at its 147th Session on 10 April 2003, under section 14A of the National Health and Medical Research Council Act 1992.Approval for the guidelines by NHMRC is granted for a period not exceeding five years, at which date the approval expires.The NHMRC expects that all guidelines will be reviewed no less than once every five years. Readers should check with the National Breast Cancer Centre (...) in the treatment unit and evidence to support their implementation 38 3.1 General interactional skills 42 3.2.1 Recommended steps for telling a person they have cancer, a recurrence or metastases 45 3.2.2 Recommended steps for discussing prognosis with individuals with cancer 50 3.2.3 Recommended steps for discussing treatment options and encouraging involvement in decision-making 62 3.2.4 Recommended steps involved in adequately preparing a patient for a potentially threatening medical procedure 64 3.2.5

2003 National Breast and Ovarian Cancer Centre

1244. APA Guidelines on Multicultural Education, Training, Research, Practice and Organizational Change for Psychologists

forces acting upon the individual without necessarily having a direct link to individual experience; (4) the macrosystem that corresponds with the cultural context in which the individual lives, such as cultural values and norms, as well as laws and governmental influences; and (5) the chronosystem that deals with the influence of the passage of time, historical trends and transitions, and the historical context that surrounds individual experience. The Layered Ecological Model of the Multicultural (...) ) function within Level 3, the institutional context that considers the influence of local, state, and federal governments; medical systems; legal systems (including law enforcement); mental and behavioral health systems; and educational systems. Level 3 examines the effects of institutional context on how clients and psychologists experience the community, school, and family contexts (Level 2) and how this experience influences both the individual’s self-definition and relationships with one another

2002 American Psychological Association

1245. Managing attendance at work

of Medicine Subject: General medicine including occupational medicine Content: Citations and abstracts to world wide medical literature. NIOSHTIC US National Institute for Occupational Safety and Health (NIOSH) Producer: NIOSH Technical Information Centre Subject: Occupational Health and Safety Content: Citations and abstracts 9 RILOSH [Ryerson International Labour Occupational Safety and Health Index] Producer: Ryerson Technical University Library, Canada. Subject: Health and safety, labour relations (...) that in a number of areas of policy and practice such a knowledge base is often much more limited than is generally assumed, and on occasions is lacking altogether. These concerns have arisen as a result of the application of what is known 3 as the “evidence-based approach” to the evaluation of knowledge in a particular field. This approach, initially developed in the field of medicine to provide more rational evaluation of the efficacy of certain treatments, has subsequently been applied more widely

2002 British Occupational Health Research Foundation

1246. Phenylephrine in Spinal Anesthesia in Preeclamptic Patients

Library of Medicine related topics: related topics: available for: resources: Arms and Interventions Go to Arm Intervention/treatment Experimental: Phenylephrine Subject will receive a phenylephrine infusion to prevent and to treat hypotension associated with spinal anesthesia Drug: Phenylephrine Phenylephrine concentration: 100 mcg/mL. The infusion will be initiated immediately after completion of the spinal injection at a rate of 1 mL/min and continued for a minimum of 2 min after which the infusion (...) of preeclampsia Exclusion Criteria: patients with failed trial of labor preexisting hypertension body mass index (BMI) ≥ 40 kg/m2 resting heart rate < 60 bpm progression to eclampsia, > twin gestation known fetal anomalies contraindications to spinal anesthesia emergency procedure or refusal of consent failure to achieve a T6 level of anesthesia conversion to general anesthesia Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may

2007 Clinical Trials

1247. Labetalol Versus Magnesium Sulfate (MgSO4) for the Prevention of Eclampsia Trial

, and will represent a major advance in terms of the availability and safety of prophylactic therapy, especially in developing nations where MgSO4 is underutilized due to cost constraints. Condition or disease Intervention/treatment Phase Preeclampsia Pregnancy Induced Hypertension Gestational Hypertension Chronic Hypertension Superimposed Preeclampsia Drug: labetalol (seizure prevention) Drug: MgSO4 (seizure prevention) Phase 2 Phase 3 Study Design Go to Layout table for study information Study Type (...) , in the opinion of the investigators, might affect responsiveness to therapy or any other aspect of the study. Patients who are allergic to drugs with a chemical structure similar to labetalol or magnesium sulfate. Patients given magnesium sulfate, labetalol or short acting beta blockers or calcium channel blockers less than 12 hours prior to enrollment in the study. Evidence of fetal distress or fetal anomalies. Inability to secure intravenous access. Patient's primary physician declines to enroll patient

2006 Clinical Trials

1248. Deficits in EMTALA Knowledge Among Pediatric Physicians. (Abstract)

Deficits in EMTALA Knowledge Among Pediatric Physicians. All US hospitals that participate in Medicare and Medicaid are regulated by the Emergency Medical Treatment and Active Labor Act (EMTALA). The law was enacted to prevent hospitals from turning away patients with emergency medical conditions. The law imposes specific obligations on hospitals and their physicians, and provides severe penalties for violations. The objective of this study was to evaluate hospital-based pediatric physicians (...) ' knowledge of these obligations and potential liabilities.A questionnaire was submitted to the active medical staff and pediatric subspecialty residents at a tertiary care pediatric hospital. The questionnaire collected demographic information and posed 12 questions, based on well-established EMTALA principles, which addressed specific EMTALA obligations and liabilities.The questionnaire was returned by 123 of 332 (37%) potential participants. Twenty-four percent (n = 30) had never heard of EMTALA, 24

2006 Pediatric Emergency Care

1249. Impact of a transfer center on interhospital referrals and transfers to a tertiary care center. (Abstract)

% of the adult patients were transferred for conditions that required tertiary care or met Emergency Medical Treatment and Labor Act (EMTALA) requirements. The patient conditions that did not meet tertiary care needs included obstetric patients who did not have prenatal care, patients who had hand and facial trauma, and patients who weighed more than 300 pounds. The payer mix of transfer patients remained stable when using the administrator and physician team to determine acceptance of transfers. During (...) Impact of a transfer center on interhospital referrals and transfers to a tertiary care center. The partnership of faculty physicians and senior clinical hospital administrators in the decision to accept interhospital transfers has not been fully studied. Transfers to academic medical centers on the basis of economics have been of particular concern.To evaluate the impact of joint decision making on transfer acceptance, and to evaluate the basis for decisions to transfer patients to an academic

2005 Academic Emergency Medicine

1250. EMTALA, two decades later: a descriptive review of fiscal year 2000 violations. (Abstract)

EMTALA, two decades later: a descriptive review of fiscal year 2000 violations. To determine to what extent cases sanctioned under the Emergency Medical Treatment and Active Labor Act (EMTALA) reflect willful refusal of screening or stabilization.The Centers for Medicare and Medicaid Services were petitioned for all confirmed EMTALA citations from year 2000. Each citation was classified into one of three categories: (1) willful refusal to perform a screening exam or to stabilize; (2) possible

2006 American Journal of Emergency Medicine

1251. Probiotics and Prebiotics

Probiotics and Prebiotics Probiotics and Prebiotics. About Probiotics and Prebiotics. | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Probiotics and Prebiotics Authored by , Reviewed by | Last edited 16 Apr 2014 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK (...) that fermented milk-based probiotic preparations increased eradication rates in patients on standard eradication therapy by 5-15%. [ ] . . Probiotic therapy reduced both the incidence and severity of this condition in a study of very low birth weight infants. [ , ] Other possible uses Many studies are ongoing into the possible benefits of probiotics in areas including: . . . Prevention of preterm labour. Prevention of . Prevention of infant eczema. However, the evidence suggests probiotics are not beneficial

2008 Mentor

1252. Keratoplasty

Keratoplasty Keratoplasty | Doctor | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Keratoplasty Authored by , Reviewed by | Last edited 24 Mar 2016 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You may find one of our more useful (...) symptoms online with our free symptom checker. Article Information Last Reviewed 24 March 2016 Next Review 23 March 2021 Document ID 12144 (v3) Author Peer reviewer Dr Colin Tidy The information on this page is written and peer reviewed by qualified clinicians. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its

2008 Mentor

1253. Major Incident Plans

, or non-emergency drugs such as . When the MERIT arrives at the scene they should report to the MIO whose position will be apparent from a flashing green beacon. If none is present, they should report to the AIO at the ambulance with the flashing blue light. The team will probably be sent to the CCS but may be required to assist with the triage and treatment of entrapped casualties. It is not the role of the doctor or nurse to be involved in search and rescue, counselling victims or commanding (...) Major Incident Plans Major Incident Plans. Learn about Major Incident Plans | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Major Incident Plans Authored by , Reviewed by | Last edited 23 Oct 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European

2008 Mentor

1254. Malaria Full Text available with Trip Pro

policies can be revised as necessary. There are currently no effective alternatives to artemisinins for the treatment of resistant P. falciparum malaria. Artemisinin, derived from wormwood leaves, has been used in traditional Chinese medicine for centuries to treat malaria and other conditions but its use beyond China has only really happened in the last decade. Synthetic derivatives such as artemether and artesunate have greater bioavailability than artemisinin. Artemisinin-based combination therapies (...) Malaria Malaria. Professional reference for Malaria. | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Malaria Authored by , Reviewed by | Last edited 22 Feb 2016 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You may find the article

2008 Mentor

1255. Bronchial Asthma

to bronchodilator therapy. Acute severe asthma (status asthmaticus) can be life-threatening and the disease causes significant morbidity, so it is imperative to treat it energetically. The bulk of asthma management has taken place within primary care. Epidemiology [ ] Undoubtedly, asthma is a very common condition and, according to Asthma UK [ ] : 5.4 million people in the UK receive treatment for asthma: 1 in 11 children and 1 in 12 adults. It is the most common chronic medical condition in children. The cost (...) Bronchial Asthma Bronchial Asthma. Asthma help and information. Patient | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Asthma Authored by , Reviewed by | Last edited 8 Nov 2016 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You may

2008 Mentor

1256. Booking Criteria and Home Delivery

Booking Criteria and Home Delivery Booking Criteria and Home Delivery. Antenatal Care Info | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Booking Criteria and Home Delivery Authored by , Reviewed by | Last edited 23 Sep 2016 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research (...) are precious; however, some are conceived only after a long time of trying and perhaps only with medical intervention. It is a basic truth that those who have problems with fertility have problems at all stages and, hence, those who have difficulty with conception are more likely to miscarry and more likely to have complications in labour. Similarly, whilst no baby may be regarded as disposable, if a 'precious' baby were to die it would be much harder to have another. Hence, any difficulty in conception

2008 Mentor

1257. Uterine Cervix and Common Cervical Abnormalities Full Text available with Trip Pro

diagnosed in the context of a miscarriage occurring after 12-14 weeks or in premature labour. It presents as a painless dilatation of the cervix through which the membranes bulge and eventually spontaneously erupt. Diagnosis is based on a past history of second-trimester miscarriages, and ultrasound scanning may confirm shortening or funnelling of the cervix. Treatment involves prophylactic placement of a cervical stitch (cerclage) with the aim to prevent loss of the pregnancy (an emergency procedure (...) Uterine Cervix and Common Cervical Abnormalities Uterine Cervix and Common Cervical Abnormalities | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Uterine Cervix and Common Cervical Abnormalities Authored by , Reviewed by | Last edited 13 Mar 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors

2008 Mentor

1258. Gestational Diabetes

blood glucose targets are not achieved with metformin but who decline insulin therapy, or who cannot tolerate metformin. Insulin treatment Rapid-acting insulin analogues (aspart and lispro) have advantages over soluble human insulin during pregnancy. Advise women with insulin-treated diabetes of the risks of hypoglycaemia and impaired awareness of hypoglycaemia in pregnancy, particularly in the first trimester. Advise pregnant women with insulin-treated diabetes always to have available a fast (...) Gestational Diabetes Gestational Diabetes information. Diabetes in pregnancy | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Gestational Diabetes Authored by , Reviewed by | Last edited 2 Dec 2016 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European

2008 Mentor

1259. Health and Social Class

a social science." [ ] The greatest influences on the improvement in health with longer expectancy of life, lower infant mortality, etc have been not so much medical discoveries as improved social conditions. One study in America found that, despite improvements in cancer detection and treatment, disparities in cancer mortality rates are chiefly related to race and social class. [ ] History [ ] In 1572 an Elizabethan Act made provision for the punishment of sturdy beggars and the relief of the impotent (...) Health and Social Class Health and Social Class information. | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Health and Social Class Authored by , Reviewed by | Last edited 10 Dec 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You

2008 Mentor

1260. Inducing labour

Radiologist, Royal Cornwall Hospital NHS Trust Dr Ash P Dr Ash Paul aul Deputy Medical Director, Health Commission Wales Professor Liam Smeeth Professor Liam Smeeth Professor of Clinical Epidemiology, London School of Hygiene and Tropical Medicine Mr P Mr Peter Gosling eter Gosling Lay member Mr Johnathan Hopper Mr Johnathan Hopper Medical Director (Northern Europe), ConvaT ec Ltd Inducing labour (CG70) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms (...) of changes in the evidence base and clinical practice. Induced labour has an impact on the birth experience of women. It may be less efficient and is usually more painful than spontaneous labour, and epidural analgesia and assisted delivery are more likely to be required. Induction of labour is a relatively common procedure. In 2004 and 2005, one in every five deliveries in the UK was induced. This includes induction for all medical reasons. When labour was induced using pharmacological methods (whether

2008 National Institute for Health and Clinical Excellence - Clinical Guidelines

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