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Femoral Neck Stress Fracture

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181. Heart Failure Full Text available with Trip Pro

) with late gadolinium enhancement (LGE) may be considered in patients with heart failure who have a low-to-intermediate pretest probability of coronary artery disease, to distinguish ischaemic and non-ischaemic causes of ventricular dysfunction. Weak FOR Low Non-invasive functional testing—stress echocardiography, single-photon emission CT scan (SPECT), positron emission tomography (PET) and CMR with LGE—may be considered in patients with heart failure and established coronary artery disease

2018 Cardiac Society of Australia and New Zealand

182. New Technologies for the Treatment of Peripheral Artery Disease

particles by the sanding action of the crown of the catheter as it spins in various elliptical orbits. 23,24 Diamondback 360 Peripheral Orbital Atherectomy System (Cardiovascular Systems). 26 Laser ablation (photoablative) atherectomy Plaque is vaporized. 23 Turbo-Elite a and Turbo-Tandem a excimer laser catheters, used with the CVX-300 excimer laser system* (Spectranetics). 23,25 Rotational atherectomy Plaque is cut using tiny blades on the tip, and in some systems, the neck or side, of the catheter (...) Emitters on the Lithoplasty catheter deliver pulses of sound waves around the interior of the artery wall to break up superficial and deeper calcifications before angioplasty balloon inflation. 15,29-32 The Lithoplasty system is intended to fracture calcifications and allow lower pressure balloon expansion, while minimizing damage to the artery wall. 15 The system consists of a single-use balloon catheter with multiple lithotripsy emitters, and a reusable generator and connector cable. 29,31 Pantheris

2018 CADTH - Issues in Emerging Health Technologies

184. Management of Non-neurogenic Male LUTS

and fracture with the initiation of a prostate-selective alpha antagonist: a population based cohort study. BMJ, 2015. 351: h5398. 145. Chang, D.F., et al. Intraoperative floppy iris syndrome associated with tamsulosin. J Cataract Refract Surg, 2005. 31: 664. 146. Chatziralli, I.P., et al. Risk factors for intraoperative floppy iris syndrome: a meta-analysis. Ophthalmology, 2011. 118: 730. 147. van Dijk, M.M., et al. Effects of alpha(1)-adrenoceptor antagonists on male sexual function. Drugs, 2006. 66: 287

2018 European Association of Urology

185. Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries

or breastfeeding for longer durations may be associated with lower rates of breast cancer, epithelial ovarian cancer, hypertension, and type 2 diabetes, but not fractures. Because of heterogeneity and inconsistent results, we found insufficient evidence on whether breastfeeding is associated with postpartum depression, cardiovascular disease, or postpartum weight change. x Conclusions. The body of evidence for breastfeeding programs and policies was diverse in terms of interventions and settings. Current (...) Type 2 Diabetes 92 Fracture 99 Postpartum Depression 107 xii Return to Prepregnancy Weight or Postpartum Weight Change 120 Chapter 4. Discussion 132 Key Findings and Strength of Evidence 132 Effectiveness and Harms of Breastfeeding Programs and Policies 132 Baby-Friendly Hospital Initiative Interventions 132 Other (Non-BFHI) Health Care System–Based Interventions 133 WIC-Based Interventions 135 Community-Based Interventions 136 Effectiveness and Harms of Breastfeeding Programs and Policies

2018 Effective Health Care Program (AHRQ)

186. Chronic Pelvic Pain

. Pitfalls of the medical paradigm in chronic pelvic pain. Baillieres Best Pract Res Clin Obstet Gynaecol, 2000. 14: 525. 82. Sharpe, M., et al. "Unexplained" somatic symptoms, functional syndromes, and somatization: do we need a paradigm shift? Ann Intern Med, 2001. 134: 926. 83. Malykhina, A.P. Neural mechanisms of pelvic organ cross-sensitization. Neuroscience, 2007. 149: 660. 84. Sanford, M.T., et al. The role of environmental stress on lower urinary tract symptoms. Curr Opin Urol, 2017. 27: 268. 85 (...) subtypes of chronic pelvic pain and how subtypes differ in health status and trauma history. Am J Obstet Gynecol, 2006. 195: 554. 90. Meltzer-Brody, S., et al. Trauma and posttraumatic stress disorder in women with chronic pelvic pain. Obstet Gynecol, 2007. 109: 902. 91. Iglesias-Rios, L., et al. Depression and Posttraumatic Stress Disorder Among Women with Vulvodynia: Evidence from the Population-Based Woman to Woman Health Study. Journal of Women's Health (15409996), 2015. 24: 557. 92. Anderson, A.B

2018 European Association of Urology

188. Adalimumab (Cyltezo) - Juvenile Rheumatoid Arthritis, Psoriatic Arthritis, Rheumatoid Arthritis, Ulcerative Colitis, Crohn Disease, Hidradenitis Suppurativa, Psoriasis, Ankylosing Spondylitis, Uveitis

deviations that may arise during transport have been conducted as well as certain stress studies to investigate the impact of stress factors on the finished product quality. Concerning the auto-injector the strategy to consider results from the product in pre-filled syringe, as these data form part of the basis for the shelf-life claim of the product in the auto-injector, is reasonable. Stability data do not indicate any significant trends or out-of-specification results and indicate that the auto

2017 European Medicines Agency - EPARs

189. CRACKCast E176 – Pediatric Musculoskeletal Disorders

or pelvis fractures, overuse injuries Infection : septic arthritis, osteomyelitis, myositis, Lyme disease Inflammation : transient synovitis, juvenile rheumatoid arthritis, rheumatic fever Neoplasm : leukaemia, osteogenic/Ewing’s sarcoma, metastatic disease Haematologic disorders : haemophilia, sickle cell disease Miscellaneous : Legg-Calvé-Parthes disease, slipped capital femoral epiphysis [11] Provide a differential diagnosis of limp in the toddler, school-aged child and adolescent. Toddler School (...) )*; blanch sign of Steele *Klein’s line is a line drawn along the superior margin of the femoral neck. With a normal hip, the line intersects with or falls within the epiphysis, whereas in a hip with a slipped epiphysis, the line does not come into contact with the epiphysis. Legg-Calvé-Perthes disease is diagnosed and staged by AP and frog leg lateral radiographs. ● Radiolucent, V-shaped, osteoporotic defect in the lateral epiphysis (Gage’s sign), ● speckled calcification lateral to the capital

2018 CandiEM

190. Appropriate Use Criteria: Imaging of the Abdomen & Pelvis

? Lasting more than three weeks with exceptions for immunocompromised patients ? Following standard work-up to localize the source Hematoma / hemorrhage Computed Tomography (CT) AbdomenCT Abdomen | Copyright © 2018. AIM Specialty Health. All Rights Reserved. 7 Common Diagnostic Indications Hernia ? For diagnosis of a hernia with suspected complications or presurgical planning including, but not limited to the following types of hernia: ? Femoral ? Internal ? Inguinal ? Spigelian (through semilunar line

2018 AIM Specialty Health

191. Imaging Guidelines

are not applicable for the pediatric patient or the older adult patient (55 years and older). z Clinical decision rule criteria are less sensitive for older adults indicating a need for more liberal imaging decisions. z MDCT is the preferred imaging for cervical spine fracture identification. z Perform an MRI in patients with possible spinal cord injury; clinical concern for cord compression due to disk protrusion, hematoma, or unstable fracture pattern; or neck pain or tenderness out of proportion to the CT (...) 1 1. Imaging for Extremity Vascular Injury 60 12. Interventional Radiology for Traumatic Injuries 64 13. Imaging in Penetrating Neck Injury 72 14. Imaging in Penetrating Transthoracic Trauma 76 15. Imaging in Penetrating Abdominal Trauma 80 16. Imaging in the Trauma Patient Who Is Morbidly Obese 84 17 . Imaging in the Trauma Patient Who Is Pregnant 88 18. Imaging in Geriatric Patients with Low Energy Mechanism Injuries 92 19. Imaging for Intentional Injury in Children 96 20. Imaging at Rural

2018 American College of Surgeons

192. Chenodeoxycholic acid sigma-tau - cerebrotendinous xanthomatosis

, with no significant degradation detected under long term and accelerated conditions. The polymorphic form of batches was also tested at either 18 or 24 months by XRD. Results indicated that form 1 is stable during storage. Photostability testing following the ICH guideline Q1B was performed on one batch. The stability data provided shows that the active substance is not affected by exposure to light. Forced degradation studies under stressed conditions (acidic conditions (10% sol in HCl 1 N for 72 hours), basic

2017 European Medicines Agency - EPARs

193. Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review

nonpharmacological treatments for common chronic pain conditions improve function and pain for at least 1 month after treatment. Key Messages • Interventions that improved function and/or pain for at least 1 month when used for— o Chronic low back pain: Exercise, psychological therapies (primarily cognitive behavioral therapy [CBT]), spinal manipulation, low-level laser therapy, massage, mindfulness-based stress reduction, yoga, acupuncture, multidisciplinary rehabilitation (MDR). o Chronic neck pain: Exercise (...) (massage) 51 Table 13. Chronic low back pain: mindfulness-based stress reduction 58 Table 14. Chronic low back pain: mind-body practices (yoga) 64 Table 15. Chronic low back pain: mind-body practices (qigong) 73 Table 16. Chronic low back pain: acupuncture 75 Table 17. Chronic low back pain: multidisciplinary rehabilitation 84 Table 18. Chronic neck pain: exercise therapies 99 Table 19. Chronic neck pain: psychological therapies 107 Table 20. Chronic neck pain: physical modalities 109 Table 21. Chronic

2018 Effective Health Care Program (AHRQ)

195. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions Full Text available with Trip Pro

of health care practitioners Marketing and distribution of app using and Physical Therapy National Outcomes Data Registry Support the ongoing usage of data registry for common musculoskeletal conditions of the head and neck region Logical Observation Identifiers Names and Codes mapping Publication of minimal data sets and their corresponding Logical Observation Identifiers Names and Codes for the head and neck region on Non-English versions of the guidelines and guideline implementation tools (...) 4 (severely abnormal, full-thickness osteochondral injury). The most frequent localizations of cartilage lesions were to the medial femoral condyle and the patellar articular surface. Medial meniscal tears (37%) and ACL ruptures (36%) were the most common injuries concomitant with articular cartilage injuries. Evidence Update Meniscus Tear patterns of the knee meniscus can be classified as either traumatic tears or degenerative tears. Younger active participants are more likely to sustain

2018 American Physical Therapy Association

196. Required hospital capacity in 2025 and criteria for rationalisation of complex cancer surgery, radiotherapy and maternity services

and admission rates 69 Figure 14 – Outline of the statistical trend model 71 Figure 15 – Overview of time periods 72 Figure 16 – Observed evolution and forecasts for hospital inpatient stays 83 Figure 17 – Expected change in ALOS between 2014 and 2025 for important MDCs (left panel) and important APR-DRGs (right panel) 86 Figure 18 – Projected change in ALOS by APR-DRG-SOI for APR-DRGs 301 ‘Hip joint replacement’, 302 ‘Knee joint replacement’ and 347 ‘Other back and neck disorders, fractures and injuries

2017 Belgian Health Care Knowledge Centre

197. Occupational Therapy for people Undergoing total hip replacement

, as a guideline development topic, was identified by the Royal College of Occupational Therapists Specialist Section – Trauma and Orthopaedics (RCOTSS – Trauma and Orthopaedics). A decision was made to focus the guideline on total hip replacement both as an elective procedure and following trauma (i.e. fractured neck of femur). While it is recognised that there are differences for the service user having elective compared with trauma surgery, the role of the occupational therapist and the care pathway (...) evidence 2017] 1A Reduced demand on support services 26. It is suggested that there are potential benefits in including informal carers in pre-operative assessment/education, and post-operative intervention, to maximise service user independence and reduce carer stress. (Chow 2001 [C]) 2C It is additionally recommended that occupational therapists use the audit tool that is available to support this guideline (see section 8) to audit against the above recommendations. 6 Occupational therapy for adults

2018 Publication 1554

198. Proposals for a further expansion of day surgery in Belgium

high on the political agenda of many countries. 6 a “An Enhanced Recovery After Surgery (ERAS) programme represents an interdisciplinary model, designed with the intention of safely hastening postoperative recovery by easing the stress response. Inevitably, postoperative complications impede recovery. However, several factors other Barriers to day-surgery growth Yet, despite the growth in day surgery worldwide, several factors may impede the establishment of day surgery or may slow a further (...) , in cultures where day surgery is new, it is important to educate patients on the advantages. 6 than morbidity delay recuperation in postoperative patients, namely: pain; gut dysfunction, and immobility. Rehabilitation pathways apply evidence-based principles of care, focusing on the optimization of postoperative analgesia, early feeding, and ambulation to reduce stress and organ dysfunction.” 7 KCE Report 282 Proposals for a further expansion of day surgery in Belgium 13 ? Deficient local, home

2017 Belgian Health Care Knowledge Centre

199. Clinical Practice Guideline on the Management of Osteoarthritis of the Hip

require surgical treatment for osteoarthritis of the hip have developed the condition naturally over time due to a variety of risk factors or in an accelerated fashion due to prior trauma about the hip. Osteoarthritis is the imbalance of breakdown and repair of tissues within a synovial joint. The etiology of osteoarthritis is varied and includes genetic factors, trauma, femoral and acetabular morphology, overuse, and infection. INCIDENCE AND PREVALENCE Twenty-seven million adults (more than 10 (...) such that surgical treatment is required include joint degeneration over time due to hereditary vulnerability, femoral and acetabular bone morphology, large body mass, certain occupations, and past trauma affecting the joint or subchondral bone adjacent to the joint. For information regarding the evidence base behind various risk factors, please refer to the recommendations within this document regarding risk stratification. EMOTIONAL AND PHYSICAL IMPACT Older adults with self-reported osteoarthritis of the hip

2017 American Academy of Orthopaedic Surgeons

200. Guidelines for the use of imaging in the management of patients with myeloma Full Text available with Trip Pro

represent treatment response Trauma Osteoporotic fracture (especially vertebral body, ribs, sacrum) Stress fracture, Bone infarcts (especially femoral head) Degenerative joint disease Orthopaedic devices and surgical interventions Diffuse bone marrow uptake Positive: intensity > normal liver but reactive changes can give similar appearances Correlation with MRI or bone marrow biopsy advised as appropriate Negative: intensity ≤ normal liver Positive: heterogeneous uptake > normal liver Equivocal (...) in the vertebrae (Mahnken et al , ; Hur et al , ). Therefore, bone changes can be identified earlier and potential instabilities and fracture risks estimated with greater reliability (Horger et al , ; Zamagni & Cavo, ), particularly in areas where it is difficult to survey by plain X‐ray, e.g. scapulae and sternum. Given the recently revised classification of multiple myeloma, CT scanning is a suitable option for patients with suspected smouldering myeloma, but is not necessary in straightforward MGUS patients

2017 British Committee for Standards in Haematology

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