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41. Recurrent Uncomplicated Urinary Tract Infections in Women

not treat ASB in patients. (Strong Recommendation; Evidence Level: Grade B) Antibiotic Treatment 9. Clinicians should use first-line therapy (i.e., nitrofurantoin, TMP-SMX, fosfomycin) dependent on the local antibiogram for the treatment of symptomatic UTIs in women. (Strong Recommendation; Evidence Level: Grade B) 10. Clinicians should treat rUTI patients experiencing acute cystitis episodes with as short a duration of antibiotics as reasonable, generally no longer than seven days. (Moderate (...) , or constipation; recent use of antibiotics for any medical condition; prior antibiotic-related problems (e.g., C. difficile infection); antibiotic allergies and sensitivities; back or flank pain; catheter usage; vaginal discharge or irritation; menopausal status; post-coital UTIs; contraceptive method; and use of spermicides or estrogen- or progesterone-containing products. Details of prior urinary tract or pelvic surgery should be obtained, and patients should be queried as to travel history. Baseline

2019 American Urological Association

42. Surveillance, Diagnosis and Management of Clostridium Difficile Infection in Ireland

Surveillance, Diagnosis and Management of Clostridium Difficile Infection in Ireland Surveillance, Diagnosis and Management of Clostridium difficile Infection in Ireland National Clinical Guideline No. 3 June 2014National Clinical Effectiveness Committee (NCEC) The National Clinical Effectiveness Committee (NCEC) was established as part of the Patient Safety First Initiative in September 2010. The NCECs mission is to provide a framework for national endorsement of clinical guidelines and audit (...) . Information on the NCEC and endorsed National Clinical Guidelines is available on the Patient Safety First website at www.patientsafetyfirst.ie, www.health.gov.ie/patient-safety/ncec Disclaimer The Guideline Development Group’s expectation is that healthcare staff will use clinical judgement, medical, nursing and clinical knowledge in applying the general principles and recommendations contained in this document. Recommendations may not be appropriate in all circumstances and the decision to adopt

2019 National Clinical Guidelines (Ireland)

43. WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights

Development Goals – not just to improve health outcomes, but to transform the health systems on which billions of people depend. This first consolidated guideline on self-care interventions is a milestone for WHO. It is an important paradigm shift in normative guidance from WHO and paves the way for the years ahead in the links between primary health care, communities and health systems. The partnerships and experts who have contributed to the development of this guideline will also be important for its (...) / AIDS [UNAIDS]), Lucinda O’Hanlon (Office of the United Nations High Commissioner for Human Rights [OHCHR]), Shaffiq Essajee (United Nations Children’s Fund [UNICEF]), Kenechukwu Esom (United Nations Development Programme [UNDP]), Ayman Abdelmohsen, Petra ten Hoope-Bender and Tim Sladden (United Nations Population Fund [UNFPA]) and David Wilson (World Bank). The following WHO staff members contributed as members of the WHO Guideline Steering Group (SG), which managed the guideline development

2019 World Health Organisation Guidelines

44. Achieving Health Equity in Preventive Services

, rural, and low-income patients. Two studies of interventions with patient navigators showed improvement in colorectal cancer screening rates, while tailored and personalized risk assessment using printed materials and telephone counseling improved screening for first-degree relatives of patients with colorectal cancer. Educational videos with physician reminders and a screening decision aid also improved colorectal cancer screening rates in specific populations. Mailed or in-person reminders (...) counseling 1 RCT (1,280) Increased screening rates among first-degree relatives of colorectal cancer cases for Latinos, Asians, and Whites, but not African Americans Low; low Mailed materials 1 RCT (1,430) Higher screening rates in Whites than African Americans Insufficient; insufficient Educational video and physician reminder 1 RCT (65) Higher screening rates among Latinos Insufficient; insufficient Decision aid with or without personalized risk assessment 1 RCT (825) Increased screening completion

2019 Effective Health Care Program (AHRQ)

45. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

not replace the practitioner’s responsibility to provide initial rescue for life-threatening complications. On-site Monitoring, Rescue Drugs, and Equipment An emergency cart or kit must be immediately accessible. This cart or kit must contain the necessary age- and size-appropriate equipment (oral and nasal airways, bag-valve-mask device, LMAs or other supraglottic devices, laryngoscope blades, tracheal tubes, face masks, blood pressure cuffs, intravenous catheters, etc) to resuscitate a nonbreathing (...) and unconscious child. The contents of the kit must allow for the provision of continuous life support while the patient is being transported to a medical/dental facility or to another area within the facility. All equipment and drugs must be checked and maintained on a scheduled basis (see for suggested drugs and emergency life support equipment to consider before the need for rescue occurs). Monitoring devices, such as electrocardiography (ECG) machines, pulse oximeters with size-appropriate probes, end

2019 American Academy of Pediatrics

46. Sepsis Management

to the best available evidence and/or expert opinion using the grades for recommendations. The National Clinical Guideline recommendations have been cross-referenced where relevant with other National Clinical Guidelines. National Clinical Effectiveness Committee (NCEC) The National Clinical Effectiveness Committee (NCEC) is a Ministerial committee established as part of the Patient Safety First Initiative. The NCEC role is to prioritise and quality assure National Clinical Guidelines and National (...) stream infection 2.3% Device-related 1.3% CNS 0.8% Others e.g. cellulitis, intra-articular 11.3% 1.2 Clinical impact of sepsis Sepsis claims more lives than lung cancer, and more than breast cancer, bowel cancer and HIV/ AIDS combined. Mortality in adults with severe sepsis/septic shock a decade ago was 37 – 53% with a mortality of approximately 10% in paediatric sepsis.(10, 11) Since then the Surviving Sepsis Campaign, The UK Sepsis Trust, the Australian Commission for Clinical Excellence

2019 National Clinical Guidelines (Ireland)

47. Heart Disease and Stroke Statistics Full Text available with Trip Pro

cause or a contributing cause (ie, the “any-mention” status). The number of deaths in 2016 with any mention of specific causes of death was tabulated by the NHLBI from the NCHS public-use electronic files on mortality. The first set of statistics for each disease in this Update includes the number of deaths for which the disease is the underlying cause. Two exceptions are Chapter 8 (High Blood Pressure) and Chapter 20 (Cardiomyopathy and Heart Failure). High BP, or hypertension, increases (...) of hospital discharges and numbers of procedures performed are for inpatients discharged from short-stay hospitals. Discharges include those discharged alive, dead, or with unknown status. Unless otherwise specified, discharges are listed according to the first-listed (primary) diagnosis, and procedures are listed according to all listed procedures (primary plus secondary). These estimates are from the HCUP 2014. Ambulatory care visit data include patient visits to primary providers’ offices and hospital

2019 American Heart Association

48. Prepregnancy Counseling

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 of the treating clinician, such course of action (...) with the following question: “ Would you like to become pregnant in the next year ?” The goal of prepregnancy care is to reduce the risk of adverse health effects for the woman, fetus, and neonate by working with the woman to optimize health, address modifiable risk factors, and provide education about healthy pregnancy. Women should be counseled to seek medical care before attempting to become pregnant or as soon as they believe they are pregnant to aid in correct dating and to be monitored for any medical

2019 American College of Obstetricians and Gynecologists

49. Optimal Care Pathway for Aboriginal and Torres Strait Islander people with cancer

, or Hospital Liaison Officer.Patients first – optimal care 2 Support: Assess supportive care needs at every step of the pathway and refer to appropriate health professionals or organisations. Step 2 Presentation, initial investigations and referral Presentation: Some Aboriginal and Torres Strait Islander people may: • present with multiple comorbidities • have multiple risk factors • present with a later stage of disease • avoid discussing gender-specific matters in the presence of a member of the opposite (...) and staging: The diagnostic workup depends on the type of cancer involved. Some procedures may require the patient to travel to receive care at a specialised centre, which could be arranged through jurisdictional Patient Assistance Travel Schemes and with assistance by an Aboriginal and/or Torres Strait Islander Hospital Liaison Officer. All patients should be assessed for medical comorbidities during the diagnostic workup. Treatment planning: Newly diagnosed patients should be discussed

2018 Cancer Australia

50. Interventional Therapies for Acute Pulmonary Embolism: Current Status and Principles for the Development of Novel Evidence: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

which patients with PE would derive the greatest net benefit from their use in various clinical settings. First, definitions and limitations of commonly used risk stratification tools for PE are reviewed. An adjudication of risks and benefits of available interventional therapies for PE follows. Next, considerations for optimal future evidence development in this field are presented in the context of the current US regulatory framework. Finally, the document concludes with a discussion of the pros (...) in various clinical settings. In this document, we first to define and discuss the limitations of current PE risk stratification that influence when endovascular therapies are used. Next, we review potential benefits and risks of endovascular PE intervention and then provide suggestions for which patient subgroups might benefit from various interventional therapies. Then, we offer considerations for interventional PE therapeutic evidence development (eg, trial designs, end points) and an assessment

2019 American Heart Association

51. Supporting Adults Who Anticipate or Live with an Ostomy

that health providers are committed to delivering every day. We offer our heartfelt thanks to the many stakeholders who make our vision for BPGs a reality. First, and most important, we thank the Government of Ontario that recognized early on RNAO’s capacity to lead a program that has gained worldwide recognition and is committed to fund it. We also thank the co-chairs of the RNAO expert panel, Dr. Christine Murphy (Nurse Specialist and Enterostomal Therapist, The Ottawa Hospital) and Dr. Kim LeBlanc (...) : The expert panel recommends that health service organizations include the following interventions within a standardized ostomy care program: ? Preoperative education and counselling on ostomy surgery, daily living, and self-care . ? Postoperative education regarding stoma self-management and potential complications . ? Discharge planning that is based on a readiness criteria and includes follow-up information . ? Scheduled home visits and telephone follow-up within the first four weeks . ? Access

2019 Registered Nurses' Association of Ontario

52. Preventing Violence, Harassment and Bullying Against Health Workers

professionals are committed to delivering every day. We offer our heartfelt thanks to the many stakeholders who make our vision for BPGs a reality. First, and most important, we thank the Government of Ontario that recognized early on RNAO’s capacity to lead a program that has gained worldwide recognition and is committed to fund it. We also thank the co-chairs of the RNAO expert panel, Henrietta Van Hulle (Vice President, Client Outreach at the Public Services Health & Safety Association) and Dr. Gordon (...) /nquire for more information. ? BPG Order Sets TM G embedded within electronic records provide a mechanism for electronic data capture of process measures. The ability to link structure and process indicators with specific client outcome indicators aids in determining the impact of BPG implementation on specific health outcomes. Please visit http://RNAO.ca/ ehealth/bpgordersets for more information. BACKGROUND Preventing Violence, Harassment and Bullying Against Health Workers - Second Edition 23 BEST

2019 Registered Nurses' Association of Ontario

53. Chronic Pelvic Pain

: guidance for study inclusion criteria, outcome measurement and clinical practice. Aliment Pharmacol Ther, 2010. 32: 1192. 274. Slieker-ten Hove, M.C., et al. Face validity and reliability of the first digital assessment scheme of pelvic floor muscle function conform the new standardized terminology of the International Continence Society. Neurourol Urodyn, 2009. 28: 295. 275. Wyndaele, J.J., et al. Reproducibility of digital testing of the pelvic floor muscles in men. Arch Phys Med Rehabil, 1996. 77

2019 European Association of Urology

54. WHO Guideline: recommendations on digital interventions for health system strengthening

be guided by evidence to establish sustainable harmonized digital systems, not seduced by every new gadget. That’s what this guideline is all about. At the Seventy-First World Health Assembly, WHO’s Member States asked us to develop a global strategy on digital health. This first WHO guideline establishes recommendations on digital interventions for health system strengthening and synthesizes the evidence for the most important and effective digital technologies. The nature of digital technologies (...) characteristics Health worker decision support via mobile devices Digitized job aids that combine an individual’s health information with the health worker’s knowledge and clinical protocols to assist health workers in making diagnosis and treatment decisions ? Clinical decision support systems (CDSS) ? Job aid and assessment tools to support service delivery, may or may not be linked to a digital health record ? Algorithms to support service delivery according to care plans and protocol Digital tracking

2019 World Health Organisation Guidelines

55. Renal Cell Carcinoma

. Systematic Review and Meta-analysis of Diagnostic Accuracy of Percutaneous Renal Tumour Biopsy. Eur Urol, 2016. 69: 660. 147. Motzer, R.J., et al. Phase II randomized trial comparing sequential first-line everolimus and second-line sunitinib versus first-line sunitinib and second-line everolimus in patients with metastatic renal cell carcinoma. J Clin Oncol, 2014. 32: 2765. 148. Wood, B.J., et al. Imaging guided biopsy of renal masses: indications, accuracy and impact on clinical management. J Urol, 1999

2019 European Association of Urology

56. Best Practices on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents

as the first primary teeth erupt and be reassessed periodically by dental and medical providers. 6,25 Its goal is to prevent disease by (1) identifying children at high risk for caries, (2) developing individualized preventive measures and caries management, as well as (3) aiding the practitioner in determining appropriate periodicity of services. 25,52,53 Given that the etiology of dental caries is multifactorial and complex, current caries-risk assessment models entail a combination of factors including (...) injuries could have improved outcomes not only if the public were aware of first-aid measures and the need to seek immediate treatment, but also if the injured child had access to emergency care at all times. Caregivers report that, even though their children had a dental home, they have experienced barriers to care when referred outside of the dental home for emergency services. 112 Barriers faced by caregivers include availability of providers and clinics for delivery of emergency care

2018 American Academy of Pediatric Dentistry

57. Interventions to improve the labour market outcomes of youth: A systematic review of training, entrepreneurship promotion, employment services and subsidized employment interventions Full Text available with Trip Pro

Organization Switzerland E‐mail: Jochen Kluve Humboldt University of Berlin and RWI Germany E‐mail: Corresponding Author E-mail address: International Labour Organization Corresponding authors Susana Puerto International Labour Organization Switzerland E‐mail: Jochen Kluve Humboldt University of Berlin and RWI Germany E‐mail: The World Bank The World Bank The World Bank Humboldt University Berlin and RWI International Labour Organization University of Oxford First published: 04 December 2017 Citations (...) and communication. Increasingly, employers across the world are placing higher value on these non‐technical skills than on technical competencies ( ; Youth Employment Network & International Youth Foundation, 2009). This analysis classifies training programmes according to the skill set which they target ( ): 1 First, training programmes that address a lack of trade‐ or job‐specific technical skills demanded by employers. Such skills range from manual skills to computer literacy. Technical skills training

2017 Campbell Collaboration

58. Cash?based approaches in humanitarian emergencies: a systematic review Full Text available with Trip Pro

Hopkins School of Public Health 615 N. Wolfe Street, Suite E8132 Baltimore, Maryland 21205 USA E‐mail: Corresponding Author Corresponding author Shannon Doocy Johns Hopkins School of Public Health 615 N. Wolfe Street, Suite E8132 Baltimore, Maryland 21205 USA E‐mail: First published: 21 December 2017 Citations: Linked article: . Give access Share full text access Please review our and check box below to share full-text version of article. I have read and accept the Wiley Online Library Terms (...) , this distinction is less clear and when extended over periods of many years they are considered ‘protracted.’ Internationally, the humanitarian response community has tended to distinguish between natural disasters and conflict and they respond frequently to both types of events (whereas responses to technological disasters are uncommon). The assistance provided by the humanitarian response sector in the case of a humanitarian emergency is defined as “aid to a stricken population that complies with the basic

2017 Campbell Collaboration

59. Approaches to promote handwashing and sanitation behaviour change in low? and middle?income countries: a mixed method systematic review Full Text available with Trip Pro

Approaches to promote handwashing and sanitation behaviour change in low‐ and middle‐income countries: a mixed method systematic review Corresponding Author E-mail address: Corresponding author Emmy De Buck Centre for Evidence‐Based Practice Belgian Red Cross Motstraat 40 B‐2800 Mechelen Belgium E‐mail: Corresponding Author E-mail address: Corresponding author Emmy De Buck Centre for Evidence‐Based Practice Belgian Red Cross Motstraat 40 B‐2800 Mechelen Belgium E‐mail: First published: 19 May 2017 (...) succesful techniques. 1.4.2 Overview of existing systematic reviews In a first scoping phase (September 2015 – January 2016) an extensive overview of existing systematic reviews was performed, to answer the following research questions: Research question 1 : What is the effectiveness of approaches aiming to promote WASH behaviour change in low‐ and middle‐income countries? Research question 2 : How do the perceptions and experiences of participants in terms of the programme's feasibility

2017 Campbell Collaboration

60. Renal Cell Carcinoma

. Systematic Review and Meta-analysis of Diagnostic Accuracy of Percutaneous Renal Tumour Biopsy. Eur Urol, 2016. 69: 660. 147. Motzer, R.J., et al. Phase II randomized trial comparing sequential first-line everolimus and second-line sunitinib versus first-line sunitinib and second-line everolimus in patients with metastatic renal cell carcinoma. J Clin Oncol, 2014. 32: 2765. 148. Wood, B.J., et al. Imaging guided biopsy of renal masses: indications, accuracy and impact on clinical management. J Urol, 1999

2018 European Association of Urology

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