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Emergency Medicine Treatment and Labor Act


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141. 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

142. 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 available with Trip Pro

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

143. Sudden Hearing Loss Full Text available with Trip Pro

, 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

144. 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

145. 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

146. 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

147. 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

148. SCAI/ACVP expert consensus statement on cardiovascular catheterization laboratory economics: Full Text available with Trip Pro

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

149. 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)

150. 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

151. Substance use disorders in pregnancy: clinical, ethical, and research imperatives of the opioid epidemic Full Text available with Trip Pro

on epidemiology, prenatal screening, pain management, and treatment modalities of OUD in pregnancy, workshop participants were assigned to 1 of 3 breakout groups to discuss the following key issues in greater depth and to make preliminary recommendations: (1) screening and testing for substance use disorder, including OUD, in pregnancy; (2) pain management during the antepartum, intrapartum, and postpartum periods; and (3) management modalities for pregnant women with OUD. The following key findings emerged (...) and whom to screen for substance use disorder Ideally, screening for substance use disorder should occur when clinicians in a health-care system first recognize a pregnancy. In most cases, this would be the first prenatal visit. However, emergency rooms, primary care offices, and urgent care centers are all places where pregnancies are diagnosed. Clinicians can facilitate early substance use disorder treatment by considering the use of a basic screening questionnaire coupled with a list of treatment

2019 Society for Maternal-Fetal Medicine

152. Endoscope Disinfection

cultures suggest that at least 2–4% of endoscopes — including gastroscopes, colonoscopes, and duodenoscopes — are transmitting bacteria [ – ]. Transmission of antibiotic-sensitive enteric bacteria at gastroscopy and colonoscopy rarely causes clinical illness, but the transmitted bacteria may colonize the patient [ , ]. In the past, it was not possible to identify transmission and subsequent colonization with antibiotic-sensitive enteric bacteria, but CPEs are now acting as a marker of transmission (...) [ ]. The emergence of CPEs has exposed long-standing flaws in reprocessing. Many of the problems associated with recent outbreaks are well-recognized problems from the past, including breaches of cleaning and disinfection protocols, often failure to dry before storage, and occult endoscope defects that compromise cleanability. However, there are also outbreaks in which cleaning and disinfection were performed in accordance with the guidelines and the manufacturer can find no fault in the endoscope. Recent

2019 World Gastroenterology Organisation

153. Prevention and Control of Methecillin-Resistant Staphylcoccus Aureus (MRSA)

will use clinical judgment and knowledge in applying the general principles and recommendations contained in this document. Recommendations may not be appropriate in all circumstances and decisions to adopt specific recommendations should be made by the practitioner taking into account the circumstances presented by individual patients and available resources. Antibiotic stewardship is the subject of on-going research and debate. Local antibiotic susceptibility data should be used to guide treatment (...) measures in the acute hospital setting 13 2.1.3 MRSA in the non-acute healthcare setting 20 2.1.4 MRSA in obstetrics and neonates 26 2.1.5 Community-associated MRSA 29 2.1.6 Eradication of MRSA carriage (decolonisation) 38 2.1.7 Antimicrobial stewardship in the prevention and control of MRSA 44 2.1.8 Occupational health aspects of MRSA 46 2.2 Management of MRSA 55 2.2.1 Treatment and prophylaxis 55 2.3 Surveillance 66 2.4 Evaluation and audit 68 3.0 Background and methodology 70 3.1 Economic impact

2019 National Clinical Guidelines (Ireland)

154. What is the evidence on availability and integration of refugee and migrant health data in health information systems in the WHO European Region?

and Examination Survey for Adults EEA European Economic Area EU European Union KiGGS German Health Interview and Examination Survey for Children and Adolescents NCD noncommunicable disease MeSH Medical Subject Headings TB tuberculosis TropNetEurop European Network for Tropical Medicine and Travel Health tw textwordsv ACKNOWLEDGEMENTS Technical development, review and publication coordination Technical conceptualization, financial support for the preparation and evidence synthesis, and coordination (...) of the publication processes were provided by Santino Severoni, Elisabeth Waagensen, Soorej Jose Puthoopparambil and Marie Yolanda Wolf as part of the Migration and Health programme, WHO Regional Office for Europe. Authors Kayvan Bozorgmehr Professor, Head of Department of Population Medicine and Health Services Research, School of Public Health, Bielefeld University, Bielefeld and Head, Social Determinants, Equity and Migration Group, Department of General Practice and Health Services Research, University

2019 WHO Health Evidence Network

155. Asymptomatic Bacteriuria in Adults: Screening

, and nausea and rashes were reported with use of nalidixic acid and nitrofurantoin. Complications of pregnancy and delivery (such as third-trimester hemorrhage, premature rupture of the membranes, nonspontaneous onset of labor, or cesarean delivery before onset of labor) were inconsistently and sparsely reported, limiting any conclusions. Nonpregnant Adults Two studies of treatment in nonpregnant women , and 2 studies in older adults , reported on rates of adverse events associated with treatment (...) for and treatment of asymptomatic bacteriuria in pregnant persons could prevent cases of pyelonephritis and associated negative pregnancy outcomes. Antibiotics are the mainstay treatment for urinary tract infections, but there are consequences to their use. The use of antibiotics is known to lead to antimicrobial resistance. In addition, there is emerging evidence that bacterial colonization of the gastrointestinal and genitourinary tracts plays a protective role. Antibiotic use can disrupt these effects

2019 U.S. Preventive Services Task Force

156. Human Trafficking

labor, debt bondage among migrant workers, involuntary domestic servitude, and sex trafficking. Victims of trafficking have been found in a wide range of legal and illegal business settings, and this frequently hidden population is most often exploited in the commercial sex industry, agriculture, factories, hotels, restaurants, as domestic workers, and by marriage brokers and some adoption firms ( ). Sex trafficking is a form of human trafficking in which a commercial sex act is induced by force (...) , community health centers, family planning clinics, urgent care centers, and adolescent medicine clinics, and one half of all female victims of sex trafficking have visited the emergency department while involved in sex trafficking ( ). These visits to health care providers may be one of few opportunities for a victim of human trafficking to speak to outsiders and are an important chance to intervene. The International Classification of Diseases, Tenth Revision codes on human trafficking released in 2018

2019 American College of Obstetricians and Gynecologists

157. Guidelines for the Administration of Electroconvulsive Therapy

Mental Health Acts (RANZCP, 2017a). Further local guidelines are also avail- able, including Chief Psychiatrist’s guidelines. ECT should only be administered for an illness where there is adequate evidence of effectiveness and an appropri- ate clinical indication. It should be considered as a thera- peutic option alongside other treatments after detailed psychiatric assessment. Indications for ECT include the treatment of the following: • • Depressive disorders including major depression and major (...) , 2013), and for the treatment of agitation and aggression in patients with dementia (Glass et al., 2017; Isserles et al., 2017; Manjola, 2015), though should only occur in these circumstances and for other emerging indica- tions in consultation with a psychiatrist with expertise in the use of ECT for such indications. There is also potential application of ECT in the treatment of severe Parkinsonism not responsive to medication with the on–off phenomenon and the occasional use of ECT for intractable

2019 American Psychiatric Association

158. Professional Practice Guidelines for the Psychological Practice with Boys and Men

problems (e.g., cardiovascular problems), public health concerns (e.g., violence, substance abuse, incarceration, and early mortality), and a wide variety of other quality-of-life issues (e.g., relational problems, family well-being; for comprehensive reviews, see Levant & Richmond, 2007; Moore & Stuart, 2005; O’Neil, 2015). Additionally, many men do not seek help when they need it, and many report distinc- tive barriers to receiving gender-sensitive psychological treatment (Mahalik, Good, Tager (...) ; research; scholarly writing; administration; lead- ership; and social policy (APA, 2010). GENDER-SENSITIVE A gender-sensitive treatment, prevention program, or other psy- chological intervention has been adjusted or manipulated to poten- tially be more effective or appropriate for men based on the extant literature. Need for Professional Practice Guidelines for Boys and Men Boys and men have historically been the focus of psychological research and practice as a normative referent for behavior rather

2019 American Psychological Association

159. Prepregnancy counseling

for reducing the risk of viral transmission during fertility treatment with the use of autologous gametes: a committee opinion. Practice Committee of American Society for Reproductive Medicine. Fertil Steril 2013;99:340–6. yy Preexposure prophylaxis for the prevention of human immunode?ciency virus. Committee Opinion No. 595. American College of Obstetricians and Gynecologists. Obstet Gynecol 2014;123:1133–6. zz Inherited thrombophilias in pregnancy. Practice Bulletin No. 138. American College (...) Prepregnancy counseling Prepregnancy counseling Committee Opinion No. 762 American Society for Reproductive Medicine and American College of Obstetricians and Gynecologists' Committee on Gynecologic Practice American Society for Reproductive Medicine, Birmingham, Alabama; and American College of Obstetricians and Gynecologists, Washington, D.C. The goalof prepregnancycare istoreduce the risk ofadverse health effectsfor thewoman,fetus,and neonate byworkingwiththe woman to optimize health

2019 Society for Assisted Reproductive Technology

160. Interpregnancy Care

Interpregnancy Care Interpregnancy Care - ACOG Menu ▼ Interpregnancy Care Page Navigation ▼ Number 8 This document is endorsed by the American College of Nurse-Midwives and the National Association of Nurse Practitioners in Women’s Health. This document was developed by the American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine in collaboration with Judette Marie Louis MD, MPH; Allison Bryant, MD, MPH; Diana Ramos, MD, MPH; Alison Stuebe, MD, MSc (...) ; and Sean C. Blackwell, MD. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. It is not intended to substitute for the independent professional judgment of the treating clinician. Variations in practice may be warranted when, in the reasonable judgment

2019 American College of Obstetricians and Gynecologists

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