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121. Management of Cardiovascular Diseases during Pregnancy

mobile search navigation Article navigation 07 September 2018 Article Contents Article Navigation 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy Vera Regitz-Zagrosek Chairperson Corresponding authors. Vera Regitz-Zagrosek, Charité Universitaetsmedizin Berlin, Institute for Gender in Medicine, CCR, DZHK, partner site Berlin, Hessische Str 3-4, 10115 Berlin, Germany, Tel: +49 30 450 525 288, Fax: +49 30 450 7 525 288, E-mail: . Search for other works by this author (...) Navbar Search Filter Mobile Microsite Search Term Close search filter search input , , , , , , , , , , , , , , The Task Force for the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC) Endorsed by: the International Society of Gender Medicine (IGM), the German Institute of Gender in Medicine (DGesGM), the European Society of Anaesthesiology (ESA), and the European Society of Gynecology (ESG) Table of Contents Table of Contents 3166 List of tables 3168

2018 European Society of Cardiology

122. Review of effective strategies to promote breastfeeding

INSTITUTE Executive summary Purpose of the Evidence Check Babies who are not breastfed, and women who don’t breastfeed, are at an increased chance of many health risks in both the short and long term, including in high-income countries such as Australia. 1, 2 Studies in countries such as the US, Britain and Australia have also shown that the economic and health treatment costs of prevailing low rates of breastfeeding are high. Globally, interventions to support breastfeeding are among the most effective (...) ) for low-birthweight infants. 19, 21 Studies from other areas of public health and nutrition, such as tobacco control or food systems, can inform choices about cost-effective approaches to increasing breastfeeding. For example, financial incentives are emerging as an effective strategy for encouraging health-related behaviours (such as smoking cessation among pregnant women). Research published in 2017 shows that offering financial incentives has potential to improve breastfeeding practices

2018 Sax Institute Evidence Check

123. Pneumonia induced by benzodiazepines

mongering Medical checkups create “patients” and shorten their lifespan by “treatment” Adverse Reactions Pneumonia induced by benzodiazepines Evidence shows causal relations CONTENTS (August 2018, Vol. 4, No. 11 ) 16 17 20 24 Volume 4 Page 16 · MED CHECK - TIP August 2018/ Vol.4 No.11 What we learned from epidemiological studies on drug-induced pneumonia It is well known that corticosteroids and cytotoxic anticancer agents cause infections. The labels of non- steroidal anti-inflammatory drugs (NSAIDs (...) was confirmed ( p.24). Some other sleeping pills such as svorexant (orexin antagonist: MedCheckTIP No. 74 or English edition No. 9) and ramelteon (melatonin agonist: ibid No. 75) also have immunosuppressive effect and increase infectious diseases. We have learned the followings from the epidemiological survey which showed strong association between sleeping pills and CAP: First, drugs that act on the basic mechanism of the body, such as proton pumps and benzodiazepine receptors, have immunosuppressive

2018 Med Check - The Informed Prescriber

124. Nifedipine

to 7.2 mm Hg], diastolic: 3.3 mm Hg [-0.6 to 7.3 mm Hg]). Mean blood pressure was 134/84 mm Hg 2017 4. Nifedipine or Nifedipine Plus Indomethacin for Treatment of Acute Preterm Labor Nifedipine or Nifedipine Plus Indomethacin for Treatment of Acute Preterm Labor - Full Text View - Example: "Heart attack" AND "Los Angeles" Search for studies: IMPORTANT : Listing of a study on this site does not reflect endorsement by the National Institutes of Health. Talk with a trusted healthcare (...) professional before volunteering for a study. Study Record Detail Nifedipine or Nifedipine Plus (...) View Purpose Tocolytic agents are used for the treatment of preterm labor. It is unclear whether combination treatments of two tocolytic agents are more effective in stopping preterm labor compared to one. Therefore, the investigators propose a comparative effective trial of nifedipine plus indomethacin vs. nifedipine alone for the treatment of preterm labor Preterm Labor Drug: Nifedipine Drug

2018 Trip Latest and Greatest

125. What are the methods for improving mental or physical health after a transition from unemployment to employment in those with a long term condition or disability?

high-intensity mental health intervention, access to clinical treatment and support in navigating disability management programs ? individual placement and support (IPS) participants were more likely to gain employment and less likely to have been hospitalised, and some have improved clinical and social functioning on RTW Evidence briefings are a summary of the best available evidence that has been selected from research using a systematic and transparent method in order to answer a specific (...) 2018 support and access to interventions, that will help the individual before they get too far removed from the workplace. A CFE Research report states that health and social care interventions generally have a positive effect on employment for those with mental health problems, but no evidence currently exists in this area for physical conditions (11). Anti-depressant medication, cognitive behavioural therapy and combinations of treatments were all found to improve employment outcomes

2018 Publication 4890972

126. Peripartum Analgesia and Anesthesia for the Breastfeeding Mother

the prenatal period, before the onset of labor. This discussion should include what is known about the association of various modalities on the progress of labor, risk of instrumented and cesarean delivery, effects on the newborn, and possible breastfeeding effects (IV). 1 Department of Anesthesiology, University of California, San Diego, California. 2 Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland. 3 Department of Anesthesiology, Columbia University (...) , New York City, New York. 4 Division of Anesthesiology, Pain, and Perioperative Medicine, Children’s National Health System, Washington, District of Columbia. 1 Downloaded by Ucsd Libraries University of California San Diego from at 03/31/18. For personal use only. ABM Protocol 2 ABM PROTOCOL Regardless of the modality used for labor analgesia, comprehensive patient and provider education, early and uninterrupted initiation of maternal–infant skin-to-skin con- tact, continuing

2019 Academy of Breastfeeding Medicine

127. Primary postpartum haemorrhage

than Refer to online version, destroy printed copies after use Page 4 of 35 Queensland Clinical Guideline: Primary postpartum haemorrhage Abbreviations ABG Arterial blood gas APTT Activated partial thromboplastin time CCT Controlled cord traction CI Confidence interval CS Caesarean section Hb Haemoglobin FBC Full blood count FFP Fresh frozen plasma GP General Practitioner IOL Induction of labour INR International normalised ratio LAM List of approved medicines (QH) MHP Massive haemorrhage protocol (...) management 12 2.3.1 Third stage management 13 2.3.2 Fourth stage monitoring 14 2.4 Postnatal risk management 14 2.5 Secondary prevention with misoprostol 15 3 Treatment 16 3.1 Estimation of blood loss 16 3.2 Point of care blood clotting analysers 16 3.3 Resuscitation 17 3.3.1 Tranexamic acid 18 3.3.2 Support during PPH 18 3.4 Tone 19 3.4.1 First line pharmacological therapy for uterine atony 19 3.4.2 Second line pharmacological therapy for uterine atonia 20 3.4.3 Intractable bleeding 21 3.5 Trauma 22

2019 Queensland Health

128. Levels of Maternal Care

; and Jeanne Conry, MD, PhD. The information reflects emerging clinical and scientific advances as of the date issued, is subject to change, and should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice. This document has been endorsed by the following organizations: American Association of Birth Centers American College (...) . obstetric provider with privileges to perform emergency cesarean available to attend all deliveries. anesthesia services available to provide labor analgesia and surgical anesthesia. Examples of appropriate patients (not requirements) Any patient appropriate for a birth center, plus capable of managing higher-risk conditions such as term twin gestation trial of labor after cesarean delivery uncomplicated cesarean delivery preeclampsia without severe features at term Level II (Specialty Care) Definition

2019 American College of Obstetricians and Gynecologists

129. Stillbirth care

of conception’ · Use medical terminology or language, jargon and ambiguous descriptions · including ‘incompatible with life’ · Argue with parents · Avoid questions Queensland Clinical Guideline: Stillbirth care Refer to online version, destroy printed copies after use Page 13 of 34 2 Reporting requirements 2.1 Legal definitions Table 6. Legal definitions Aspect Considerations Births, Deaths and Marriages Act 2005 · In Queensland: Part 6, Section 33 Births, Deaths and Marriages Act 2005 a stillborn child (...) is taken to have died: o When the child left the mother’s body; and o At the place where the mother was when the child left the mother’s body 4 Public Health Act 2003 · In Queensland: Part 1 Perinatal Statistics Division 1 Definitions 214 Public Health Act 2003 defines a baby not born alive as a baby: o Who has shown no sign of respiration or heartbeat, or other sign of life after completely leaving the child’s mother; and o Who has been gestated for 20 weeks or more or weighs 400 grams or more 3

2019 Queensland Health

130. Guidelines for Psychological Practice for People with Low-Income and Economic Marginalization

MARGINALIZATION III TABLE OF CONTENTS Introduction 1 The Guidelines 8 Domain 1: Training and Education 9 Domain 2: LIEM and Health Disparities 13 Domain 3: Treatment Considerations 16 Domain 4: Intersection of LIEM with Career Concerns and Unemployment 22 References 25 Appendix A: Definitions 34 Appendix B 36GUIDELINES FOR PSYCHOLOGICAL PRACTICE FOR PEOPLE WITH LOW-INCOME AND ECONOMIC MARGINALIZATION 1 INTRODUC TION Socioeconomically disadvantaged adults and children constitute a large and relatively stable (...) on the research question being asked or the population being stud- ied. Some inroads and clear best practices in measuring social class have emerged; see Diemer et al., (2013) and Roosa et al., (2005) for instructive primers (which include sample questions for a variety of measures) on the measurement of social class. Because of omissions and measurement inconsistency, there is a critical concern that the full spectrum of SES is not represented in the psychological literature. This lack of representation

2019 American Psychological Association

131. Child Abuse, Elder Abuse, and Intimate Partner Violence

); or their intimate partner.  Substitute caregivers may or may not reside with the child and can include clergy, coaches, teachers, relatives, babysitters, residential facility staff, or others who are not the child’s primary caregiver(s). 4 The Child Abuse Prevention and Treatment Act (CAPTA) (P .L. 100-294) (amended by the CAPTA Reauthorization Act of 2010 [P .L. 1 1 1–320]) establishes the standard legal definition of child abuse and neglect as “any recent act or failure to act on the part of a parent (...) Guideline Gap Assessment Tool 108 Appendix A-3 Intimate Partner Violence Guideline Gap Assessment Tool 111 Appendix A-4 Sex Trafficking Guideline Gap Assessment Tool 114 Appendix B-1 Mary Bridge Children’s Hospital Screening Tool for Child Abuse 116 Appendix B-2 Emergency Department: Mistreatment Assessment Tool for Social Workers (ED-MATS), Comprehensive Assessment 118 Appendix B-3 Elder Abuse Suspicion Index (EASI © ) 119 Appendix B-4 Geriatric Injury Documentation Tool 120 Appendix C-1 Screening

2019 American College of Surgeons

132. 2019 AHA/ACC Clinical Performance and Quality Measures for Adults With High Blood Pressure: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures (Full text)

HBP. CMS recently determined that the evidence is sufficient to cover ambulatory BP monitoring for the diagnosis of hypertension in Medicare beneficiaries with suspected white coat or masked hypertension. , Annals of Internal Medicine also published an “In the Clinic” section for screening, prevention, diagnosis, and treatment of hypertension, citing the 2017 Hypertension Clinical Practice Guidelines. The writing committee was also interested in translating some of the 2017 Hypertension Clinical (...) for hypertension that had been released in 2011. The writing committee also was charged with the task of developing new measures to evaluate the care of patients in accordance with the 2017 Hypertension Clinical Practice Guidelines. The writing committee developed a comprehensive measure set for the diagnosis and treatment of high blood pressure (HBP) that includes 22 new measures: 6 performance measures, 6 process quality measures, and 10 structural quality measures. In conceptualizing these measures

2019 American Heart Association PubMed abstract

133. Sudden Hearing Loss (Full text)

, 30 articles were reviewed for inclusion. Quality criteria for including RCTs were (a) relevance to the guideline topic, (b) publication in a peer-reviewed journal, and (c) clear methodology with randomized allocation to treatment groups. The total final data set retained 36 RCTs that met inclusion criteria. The AAO-HNSF assembled a GUG representing the disciplines of otolaryngology–head and neck surgery, otology, neurotology, family medicine, audiology, emergency medicine, neurology, radiology (...) Practice Guideline Development Manual, Third Edition” (Rosenfeld et al. Otolaryngol Head Neck Surg . 2013;148[1]:S1-S55), the guideline update group was convened with representation from the disciplines of otolaryngology–head and neck surgery, otology, neurotology, family medicine, audiology, emergency medicine, neurology, radiology, advanced practice nursing, and consumer advocacy. A systematic review of the literature was performed, and the prior clinical practice guideline on sudden hearing loss

2019 American Academy of Otolaryngology - Head and Neck Surgery PubMed abstract

134. Neuro-urology

Association of Urology (EAU) Guidelines on Neuro-Urology. Eur Urol, 2015. 5. Nosseir, M., et al. Clinical usefulness of urodynamic assessment for maintenance of bladder function in patients with spinal cord injury. Neurourol Urodyn, 2007. 26: 228. 6. Panicker, J.N., et al. Lower urinary tract dysfunction in the neurological patient: clinical assessment and management. Lancet Neurol, 2015. 14: 720. 7. Guyatt, G.H., et al. GRADE: an emerging consensus on rating quality of evidence and strength (...) of recommendations. BMJ, 2008. 336: 924. 8. Guyatt, G.H., et al. What is “quality of evidence” and why is it important to clinicians? BMJ, 2008. 336: 995. 9. Phillips B, et al. Oxford Centre for Evidence-based Medicine Levels of Evidence. Updated by Jeremy Howick March 2009. 1998. 10. Guyatt, G.H., et al. Going from evidence to recommendations. BMJ, 2008. 336: 1049. 11. Townsend, N., et al. Cardiovascular disease in Europe - epidemiological update 2015. Eur Heart J, 2015. 12. Tibaek, S., et al. Prevalence

2019 European Association of Urology

135. Is there a role for DOAC level monitoring in clinical practice?

developed in-house assays, however this is labor intensive and relatively few centers offer this testing. More studies will be needed to ultimately validate the clinical utility of testing. Meanwhile, my prediction is that testing will have a role in select populations. Dr. Thatcher Heumann is an internist, internal medicine at NYU Langone Health Peer reviewed by David Green, MD, Chief Anticoagulation Services, NYU Langone Health Image courtesy of Wikimedia Commons References Connolly SJ, Ezekowitz MD (...) Medicine Alternative Monitoring For Antithrombotic Agents: SUMMARY OF ANTICOAGULATION LAB TESTS AT UWMedicine. 2018; . Steiner T, Bohm M, Dichgans M, et al. Recommendations for the emergency management of complications associated with the new direct oral anticoagulants (DOACs), apixaban, dabigatran and rivaroxaban. Clin Res Cardiol. 2013;102(6):399-412. Heidbuchel H, Verhamme P, Alings M, et al. Updated European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist

2019 Clinical Correlations

136. WHO Guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents

quality of life. 21 5.2. Global assessment of the person should guide treatment, recognizing that individuals experience and express pain differently. 21 5.3. Safety of patients, carers, health-care providers, communities and society must be assured. . 22 5.4. A pain management plan includes pharmacological treatments and may include psychosocial and spiritual care. 22 5.5. Analgesics, including opioids, must be accessible: both available and affordable. 22 5.6. Administration of analgesic medicine (...) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 6.2.1. Choice of opioid 29 6.2.2. Treatment of breakthrough pain 31 6.2.3. Switching or rotating opioid medicines 32 6.2.4. Choosing between immediate-release morphine and slow-release morphine 33 6.2.5. Route of administration of opioids 35 6.3. Cessation of opioid use 36 6.4. Adjuvant medicines for cancer pain management 37 6.4.1. Steroids 374 WHO GUIDELINES FOR THE PHARMACOLOGICAL AND RADIOTHERAPEUTIC MANAGEMENT OF CANCER PAIN IN ADULTS AND ADOLESCENTS WHO GUIDELINES FOR THE PHARMACOLOGICAL

2019 World Health Organisation Guidelines

137. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice

Mental Health, and a recent review article in the New England Journal of Medicine . Congress designated increased funding to address screening and treatment of perinatal depression through the Health Resources and Services Administration’s Maternal and Child Health Bureau in 2004. In 2018, Congress designated $5 million for programs used to address maternal perinatal depression in the 2018 Omnibus Funding Bill (public law 114–255). This funding will be used to support state grants primarily aimed (...) early evidence-based treatment and referrals, if necessary. Despite significant gains in screening rates from 2004 to 2013, a minority of pediatricians routinely screen for postpartum depression, and many mothers are still not identified or treated. Pediatric primary care clinicians, with a core mission of promoting child and family health, are in an ideal position to implement routine postpartum depression screens at several well-child visits throughout infancy and to provide mental health support

2019 American Academy of Pediatrics

138. SCAI/ACVP expert consensus statement on cardiovascular catheterization laboratory economics: (Full text)

not meeting requirements for inpatient designation are considered outpatients and reimbursed under the OPPS APC system. Observation status is typically ordered for individuals who present to the emergency department and who then require a period of treatment and monitoring to determine whether or not their condition warrants inpatient admission or discharge. Payment for observation is based on Comprehensive APC 8011, valued at $2,387 in 2019, which is much less than the reimbursement for either inpatient (...) . Blankenship, Department of Cardiology 27‐75, 100 N Academy Avenue, Geisinger Medical Center, Danville PA 17822. Email: Department of Cardiology, Baylor Scott & White Heart and Vascular Hospital, Dallas, Texas Department of Cardiology, Presbyterian Hospital of Dallas, Dallas, Texas Executive Director, Alliance of Cardiovascular Professionals, Midlothian, Virginia Peggy M. McElgunn is the representative of the Alliance of Cardiovascular Professionals Department of Cardiology and Internal Medicine, Texas

2019 Society for Cardiovascular Angiography and Interventions PubMed abstract

139. Registries for Evaluating Patient Outcomes: A User's Guide

and providers; in practice, concerns have emerged about the validity of outcome measures, the difficulty of attributing healthcare costs, and increased administrative burden. Value-based care gained significant momentum in 2015, when the Congress replaced the Sustainable Growth Rate with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA made significant changes to the way providers were reimbursed for Medicare patients. MACRA offers two pathways for providers: the Merit-Based Incentive (...) musculoskeletal conditions. 45 With support from PCORI, this initiative seeks to compare treatments, identify new treatments, and track long-term outcomes for patients with arthritis, while also providing a platform to develop robust patient-reported outcomes (e.g., measures of depression, fatigue, sleep disturbances). Another relevant examples is the National Institutes of Health All of Us project. 46 Embedded as part of the Federal government’s Personalized Medicine Initiative, All of Us seeks to build

2019 Effective Health Care Program (AHRQ)

140. Hepatitis B Virus Infection in Pregnant Women: Screening

with antiviral therapy. In response, the USPSTF added information about emerging evidence that treatment with antiviral therapy works and that more research is needed in the Clinical Considerations and Research Needs and Gaps sections. Reaffirmation of Previous USPSTF Recommendation This recommendation is a reaffirmation of the USPSTF 2009 recommendation statement. In 2009, the USPSTF reviewed the evidence for screening for HBV infection in pregnant women and found that the benefits of screening (...) in the United States by country of origin. Hepatology . 2012;56(2):422-33. 20. Gish RG, Sollano JD Jr, Lapasaran A, Ong JP. Chronic hepatitis B virus in the Philippines. J Gastroenterol Hepatol . 2016;31(5):945-52. 21. Society for Maternal-Fetal Medicine (SMFM), Dionne-Odom J, Tita AT, Silverman NS. #38: Hepatitis B in pregnancy screening, treatment, and prevention of vertical transmission. Am J Obstet Gynecol . 2016;214(1):6-14. 22. Ko SC, Fan L, Smith EA, Fenlon N, Koneru AK, Murphy TV. Estimated annual

2019 U.S. Preventive Services Task Force

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