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61. Diagnosis of Tuberculosis in Adults and Children: Official ATS/IDSA/CDC Clinical Practice Guidelines

; accepted 14 October 2016. by guest on January 10, 2017 http://cid.oxfordjournals.org/ Downloaded from e2 • CID 2017:64 (15 January) • Lewinsohn et al acceptable alternative, especially in situations where an IGRA is not available, too costly, or too burdensome. • There are insufficient data to recommend a preference for either a TST or an IGRA as the first-line diagnostic test in individuals 5 years or older who are likely to be infected with Mtb, who have a high risk of progression to disease (...) to recom- mend a preference for either a TST or an IGRA as the first-line diagnostic test in individuals 5 years or older who are likely to be infected with Mtb, who have a high risk of progression to disease, and in whom it has been determined that diagnostic testing for LTBI is warranted. by guest on January 10, 2017 http://cid.oxfordjournals.org/ Downloaded from Diagnosis of TB in Adults and Children • CID 2017:64 (15 January) • e13 Rationale The committee judged the body of evidence insufficient

2017 American Thoracic Society

62. Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea

. , , , , EXECUTIVE SUMMARY The following evidence-based guidelines for management of infants, children, adolescents, and adults in the United States with acute or persistent infectious diarrhea were prepared by an expert panel assembled by the Infectious Diseases Society of America (IDSA) and replace guidelines published in 2001 [ ]. Public health aspects of diarrhea associated with foodborne and waterborne diarrhea, international travel, antimicrobial agents, immunocompromised hosts, animal exposure, certain (...) can be found online in the full text of the guidelines. RECOMMENDATIONS FOR THE DIAGNOSIS AND MANAGEMENT OF INFECTIOUS DIARRHEA Clinical, Demographic, and Epidemiologic Features I. In people with diarrhea, which clinical, demographic, or epidemiologic features have diagnostic or management implications? (Tables 1–3) Table 1. Modes of Acquisition of Enteric Organisms and Sources of Guidelines Mode Title URL Author/Issuing Agency International travel Expert Review of the Evidence Base for Prevention

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2017 Infectious Diseases Society of America

63. Heart Disease and Stroke Statistics 2017 Update: A Report From the American Heart Association

amputation, as well as shorter hospital length of stay. • Endovascular repair may yield better outcomes in the first few years, but after 8 years of follow-up in one study, the open repair group and the endovas- cular repair group demonstrated similar survival. Of note, individuals in the endovascular repair group had a higher rate of eventual aneurysm rupture (5.4%) than patients who underwent open repair (1.4%). Quality of Care (Chapter 25) • Overall, inpatient quality of care for patients with acute (...) electronic files on mortality. The first set of statistics for each disease in this Up- date includes the number of deaths for which the disease is the underlying cause. Two exceptions are Chapter 9 (High Blood Pressure) and Chapter 20 (Coronary Heart Disease, Acute Coronary Syndrome, and Angina Pecto- ris). HBP, or hypertension, increases the mortality risks of CVD and other diseases, and HF should be selected as an underlying cause only when the true underlying cause is not known. In this Update

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2017 American Heart Association

64. Cerumen Impaction

. A major goal of the GUG was to be transparent and explicit about how values were applied and to document the process. Financial Disclosure and Conflicts of Interest The cost of developing this guideline, including travel expenses of all panel members, was covered in full by the AAO-HNSF. Potential conflicts of interest for all panel members in the past 5 years were compiled and distributed before the first conference call. After review and discussion of these disclosures, the panel concluded (...) Academy of Otolaryngology—Head and Neck Surgery Foundation, Alexandria, Virginia, USA14American Academy of Otolaryngology—Head and Neck Surgery Foundation, Alexandria, Virginia, USA by this author for this author ... First Published January 3, 2017 Research Article Article Information Volume: 156 issue: 1_suppl, page(s): S1-S29 Article first published online: January 3, 2017; Issue published: January 1, 2017 This article is part of the following special collection(s): , MD, MPH 1 , , MD, MPH 2 , , MD

2017 American Academy of Otolaryngology - Head and Neck Surgery

65. Management of Opioid Therapy (OT) for Chronic Pain

The Department of Veterans Affairs (VA) and Department of Defense (DoD) Evidence-Based Practice Work Group (EBPWG) was established and first chartered in 2004, with a mission to advise the “…Health Executive Council on the use of clinical and epidemiological evidence to improve the health of the population across the Veterans Health Administration and Military Health System,” by facilitating the development of clinical practice guidelines (CPGs) for the VA and DoD populations.[1] This CPG is intended (...) as their first opioid, while in the 2000s, 75% of people entering treatment for heroin use started using prescription opioids as their first opioid.[20] This increase in the use of opioids, as well as associated morbidity, V A / D o D Cli ni cal P r a cti ce G ui d el i n e f o r O p ioid T h e r a p y for Ch r on ic Pa in February 2017 Page 16 of 198 mortality, and other adverse outcomes, has called attention to the need for a paradigm shift in pain and in the way it is treated. Consult the VA/DoD Clinical

2017 VA/DoD Clinical Practice Guidelines

66. Clinical indications, image acquisition and data interpretation for white blood cells and anti-granulocyte monoclonal antibody scintigraphy

devices for WBC labelling (Leukokit® and WBC Marker kit®) [9], functioning as disposable mini-isola- tors, has enormously facilitated the labelling procedure that, however, remains time consuming and requires with- drawing 30–40 ml of blood from patient. Once injected i.v. in the patient, radiolabelled WBC migrate rapidly to the lungs and, if not damaged, proceed to liver, spleen and the reticulo-endothelial system, including bone marrow. Approximately 1 h after injection, labeled cells further (...) Morethanamillionhipreplacementsareperformedeachyear worldwide,andthenumberofotherartificialjoints(shoulder, elbow,hip,knee)insertedisalsorising.Withincreasingnum- bers of implantations, mechanical and infected loosening of theprostheseshavebecomemorecommon.Theriskofinfec- tion is highest during the first two years after implantation. Differentiating infection from aseptic loosening is difficult because the clinical presentation and the histopathological changes in both entities can be similar, but at the same time is extremely important because

2018 European Association of Nuclear Medicine

67. Oral health: local authorities and partners

economic, social, environmental circumstances or lifestyle place them at high risk of poor oral health or make it difficult for them to access dental services. It is not possible to provide a comprehensive list of all these groups, but they include people: who are homeless or frequently move, such as traveller communities who are socially isolated or excluded who are older and frail Oral health: local authorities and partners (PH55) © NICE 2018. All rights reserved. Subject to Notice of rights (https (...) staff in health, children and adult services to use every opportunity to promote oral health and to emphasise its links with general health and wellbeing. Ensure easy access to services to help prevent oral disease occurring in the first place and to prevent it worsening or recurring for everyone, throughout their lives. Evaluate what works for whom, when and in what circumstances. Monitor and evaluate the effect of the local oral health improvement strategy as a whole. Recommendation 5 Ensure

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

68. Physical activity: exercise referral schemes

to participants (including travel and childcare costs) was not considered in the economic model. 4.17 The PHAC noted that any increase in physical activity is associated with positive health benefits. But unless people achieved the CMOs' recommended levels of activity, these benefits were not captured in the economic modelling. This means that the true gains from exercise referral schemes are likely to be underestimated by the model. However, the economic model used is comparable to that used to assess (...) exercise referral tool kit. Members also noted that this training could help alleviate concerns about possible litigation issues. The latter was highlighted as a significant barrier to referral in review 2 undertaken for this guideline. Physical activity: exercise referral schemes (PH54) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 22 of 464.29 The PHAC noted that the range of physical activities provided is a key

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

69. WHO recommendations on antenatal care for a positive pregnancy experience

women after the first trimester as part of worm infection reduction programmes. x Context-specific recommendation T etanus toxoid vaccination C.5: T etanus toxoid vaccination is recommended for all pregnant women, depending on previous tetanus vaccination exposure, to prevent neonatal mortality from tetanus. y Recommended Recommendations integrated from other WHO guidelines that are relevant to ANC Malaria prevention: intermittent preventive treatment in pregnancy (IPT p) C.6: In malaria-endemic

2016 World Health Organisation Guidelines

70. What is the evidence on the reduction of inequalities in accessibility and quality of maternal health care delivery for migrants? A review of the existing evidence in the WHO European Region

. Culturally sensitive provision of language support and good educational aids will tackle some of these barriers. Affordability This is a major barrier to accessing care. Failure to access care prenatally often leads to more expensive emergency care as well as to unwanted pregnancy outcomes, and strategies such as promoting and investing in family planning can be a cost–effective way to improve migrant women’s health and prevent unintended pregnancies. Quality of care Universal definitions of indicators (...) are women (world average is 48%) (15). Recent data show that women also represent a growing proportion of migrant workers who travel to Kazakhstan and the Russian Federation, primarily from other countries of the Commonwealth of Independent States (CIS) (15–17). Consequently, maternal health care is a significant issue in provision of health care to migrants of all types.3 In 2010, WHO stated that reproductive health included “the right of access to appropriate health care services that will enable

2016 WHO Health Evidence Network

71. WHO guidelines for the treatment of Treponema pallidum (syphilis)

) Methodologist: Nancy Santesso. ACKNOWLEDGEMENTSWHO GUIDELINES FOR THE TREATMENT OF TREPONEMA PALLIDUM (SYPHILIS) iv ABBREVIATIONS AND ACRONYMS AIDS acquired immune deficiency syndrome AMR antimicrobial resistance CI confidence interval DFA direct fluorescent antibody DNA deoxyribonucleic acid DOI declaration of interests FTA-ABS fluorescent treponemal antibody absorbed GDG Guideline Development Group GRADE Grading of Recommendations Assessment, Development and Evaluation GUD genital ulcer disease HIV human (...) – to end the epidemics of AIDS and other communicable diseases; target 3.4 – to reduce premature mortality from noncommunicable diseases and promote mental health and well-being; target 3.7 – to ensure universal access to sexual and reproductive health-care services; and target 3.8 – to achieve universal health coverage. Worldwide, more than a million curable STIs are acquired every day. In 2012, there were an estimated 357 million new cases of curable STIs among adults aged 15–49 years worldwide: 131

2016 World Health Organisation Guidelines

72. Evidence-Based Policy Making: Assessment of the American Heart Association?s Strategic Policy Portfolio

the evidence behind AHA’s policies to determine how well they address the association’s 2020 cardiovascular health (CVH) metrics and cardiovascular disease (CVD) management indicators and identified research needed to fill gaps in policy and support further policy development. Methods and Results— The AHA policy research department first identified current AHA policies specific to each CVH metric and CVD management indicator and the evidence underlying each policy. Writing group members then reviewed each (...) effectiveness. Provide FDA Regulation of Tobacco AHA worked with Congress to pass the 2009 Family Smoking and Tobacco Control Act. This legislation, for the first time, gave the FDA the oversight authority to regulate tobacco products and to restrict tobacco company efforts to addict more children and adults. The AHA continues to work with the FDA and the Center for Tobacco Products to provide evidence and advice with potential to facilitate the development and implementation of FDA regulatory and other

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2016 American Heart Association

73. Obesity: working with local communities

and education levels. Developing communication strategies that are sensitive to language use and information requirements. For example, they involve staff who can speak the languages used by the community. In addition, they may provide information in different languages and for varying levels of literacy (for example, by using colour-coded visual aids and the spoken rather than the written word). T aking account of cultural or religious values, for example, the need for separate physical activity sessions (...) and balanced diet, or opportunities to use more physically active modes of travel consider inequalities and the social determinants of obesity consider local evidence on obesity (such as data from the National Child Measurement Programme). Health and wellbeing boards should ensure tackling obesity is one of the strategic priorities of the joint health and wellbeing strategy (based on needs identified in JSNAs). Health and wellbeing boards and local authority chief executive officers should encourage

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

74. Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version

Intern Med 160 (4): 271-81, 2014. [ ] Resta RG: Defining and redefining the scope and goals of genetic counseling. Am J Med Genet C Semin Med Genet 142C (4): 269-75, 2006. [ ] Baty BJ, Kinney AY, Ellis SM: Developing culturally sensitive cancer genetics communication aids for African Americans. Am J Med Genet 118A (2): 146-55, 2003. [ ] Jenkins JF, Lea DH: Nursing Care in the Genomic Era: A Case-Based Approach. Sudbury, Mass: Jones and Bartlett Publishers, 2005. Meiser B, Gaff C, Julian-Reynier C, et (...) . History of benign or precancerous tumors or polyps, surgeries, biopsies, major illnesses, medications, and reproductive history (for women, this includes age at menarche, parity, age at first live birth, age at menopause, and history of exogenous hormone use). Screening practices and date of last screening exams, including imaging and/or physical examinations. Environmental exposures. Past and current alcohol intake and tobacco use. Diet, exercise, and complementary and alternative medicine practices

2018 PDQ - NCI's Comprehensive Cancer Database

75. Making decisions: Choices for women aged 55-64 years:Should you have a test to screen for bowel cancer?

Professor Phyllis Butow Professor Judy Simpson Professor Donald Nutbeam Ann Dixon Monika Wadolowski ContACt DetAilS: Screening and Test Evaluation Program (STEP) School of Public Health Edward Ford Building A27 The University of Sydney NSW 2006 AUSTRALIA Acknowledgments: The decision aid was developed using the decision support format of the Ottawa Health Decision Centre at the University of Ottawa and Ottawa Health Research Institute, Ontario, Canada. This booklet was illustrated by Fiona Katauskas (...) you start, ask your doctor: • If she or he has time to discuss your questions • To explain any words you do not understand 1. Which bowel cancer risk group am I in? (see page 4) 2. If I had screening, what are my chances of dying from bowel cancer in the next 10 years? (see pages 12 – 19) 3. If I do not have screening, what are my chances of dying from bowel cancer in the next 10 years? (see pages 12 – 19) 4. If I want to do the test, how do I do it? (see test kit instructions) 5. What happens

2015 SickKids Supportive Care Guidelines

76. Making decisions: Choices for men aged 55-64 years:Should you have a test to screen for bowel cancer?

Phyllis Butow Professor Judy Simpson Professor Donald Nutbeam Ann Dixon Monika Wadolowski ContACt DetAilS: Screening and Test Evaluation Program (STEP) School of Public Health Edward Ford Building A27 The University of Sydney NSW 2006 AUSTRALIA Acknowledgments: The decision aid was developed using the decision support format of the Ottawa Health Decision Centre at the University of Ottawa and Ottawa Health Research Institute, Ontario, Canada. This booklet was illustrated by Fiona Katauskas (...) start, ask your doctor: • If she or he has time to discuss your questions • To explain any words you do not understand 1. Which bowel cancer risk group am I in? (see page 4) 2. If I had screening, what are my chances of dying from bowel cancer in the next 10 years? (see pages 12 – 19) 3. If I do not have screening, what are my chances of dying from bowel cancer in the next 10 years? (see pages 12 – 19) 4. If I want to do the test, how do I do it? (see test kit instructions) 5. What happens if I have

2015 SickKids Supportive Care Guidelines

77. Point-of-care calprotectin tests

specialist nurses, and therefore can still be resource demanding, so the effect on referral behaviour is difficult to predict (4). The rapid test kits could enable the use of calprotectin as a first line diagnostic aid in determining the presence or absence of gastrointestinal pathology, in combination with traditional methods. Patients presenting to primary care with non-acute intestinal symptoms and no “red flag” features would potentially be suitable candidates for faecal calprotectin testing. As some (...) calprotectin tests; Quantum Blue®, PreventID by CalDetect® and Calpro® all of which are based on a chromatographic immunoassay technique. The faecal sample is prepared for testing by first dissolving into solution. This involves inserting a smear sample of stool into an extraction device which is a prepared tube/pipette containing buffer solution, and mixing. The test kit itself is a plastic cassette or lateral flow device, with a window displaying a test line and control line. The test line contains anti

2014 NIHR DEC Oxford

78. Policies to support practice areas caring for neonates, children and young people

to attend or inform their manager. Booking travel arrangements This policy informs the employee how to make travel arrangements to ensure the most effective use of the orgnisation’s resources. Breastfeeding staff support This policy provides information for staff who are breastfeeding, regarding the orgnisation’s commitments to, and provision for, breastfeeding mothers when they return to work. Career breaks This policy supports staff wishing to undertake a break in employment for personal or domestic

2014 Royal College of Nursing

79. Patient Dignity (Formerly: Patient Modesty): Volume 95

. At , Anonymous said... Biker, The first area I am tackling are the consent forms. I am including for her viewing actual consent forms to show her where the issues are and what might be done to correct them. I think the forms need to be broken down in different signature areas and with the ability for patients to exclude and add. I feel that since we live in a computer age that procedures, risks, sedation, who's involved, etc. should be tailored for each patient's specific situation. Another area I want (...) sufficiently traumatic to cause PTSD. It states: ...Among patients admitted to the intensive care unit (ICU), a meta-analysis of outcomes for survivors, during the first 6 months after ICU discharge, indicated a pooled prevalence for clinically important posttraumatic stress disorder (PTSD) symptoms of 25%. Acute stress while in the ICU and early memories of frightening ICU experiences (eg, hallucinations, paranoid delusions, and nightmares)1 have been identified as independent risk factors for longer-term

2019 Bioethics Discussion Blog

80. Four Health and Safety Tips for Mass Gatherings

travelers—also prepare a that includes: First-aid supplies , including a first aid reference card, bandages, antiseptic, aloe, and a thermometer Important papers , including hardcopies of passports, medical insurance cards, and prescriptions Personal needs , including prescriptions and over-the-counter medicines for diarrhea, allergies, asthma, motion sickness Items specific to your destination, the time of year, and your planned activities , including water purification tablets, sunscreen, and insect (...) the itinerary for your trip, including your airplane and hotel reservations. Identify an emergency meeting place. Wherever you go—the airport, the hotel, the stadium, etc. — make sure everyone in your group knows where to meet in case you get separated in an emergency. Create a travel-size emergency kit Emergency kits come in all shapes and sizes from large 72-hour family supply kits to smaller “go kits” for use in an evacuation. CDC recommends that anyone who travels—from daily commuters to world business

2018 CDC Public Health Matters

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