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Insight and Judgement

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61. Postpartum women living with HIV: Challenges related to retention in care, treatment adherence, and mental health

“supporting mothers to avoid mother-to-child transmission” (e.g. reinforcing medical advice and strategies to manage HIV and motherhood) and “emotional support” (e.g. role modelling and non-judgemental acceptance). Authors concluded that the program was a successful hybrid between the Mentor Mother programs in Africa and peer support models already operating in England. A recent intervention in the U.S. evaluated a Perinatal Medical Case Management (PCM) program among pregnant and postpartum women living (...) retention in HIV care: Insight from the Swiss HIV Cohort Study over a 15-year observational period. HIV Medicine. 2016;17(4):280–88. Boehme AK, Davies SL, Moneyham L, Shrestha S, Schumacher J, Kempf MC. A qualitative study on factors impacting HIV care adherence among postpartum HIV-infected women in the rural southeastern USA. AIDS Care. 2014;26(5):574–81. Williams E, Barnes L, Rowsell C, Islam M, Amofa N, Wills M, et al. The impact of financial support for replacement infant feeding on postpartum

2018 Ontario HIV Treatment Network

63. The Collaborative Assessment, OTCA12, on “C-reactive protein point-of-care testing (CRP POCT) to guide antibiotic prescribing in primary care settings for acute respiratory tract infections (RTIs)

studies investigated the diagnostic accuracy of CRP in combination with signs and symptoms for determining pneumonia in patients presenting with LRTIs. One study found the addition of CRP at a cut-point of 20 mg/L resulted in increased speci- ficity, but reduced sensitivity compared with clinical judgement alone, suggesting it would have limited use in primary care unless the GP was trying to rule in a diagnosis of pneumonia [8]. Four other studies used CRP in combination with a signs and symptoms (...) of the general population. The results of this systematic review do provide important insights into the performance of CRP as a test to help identify patients who will benefit from antibiotic treatment and to aid decision- making for a number of conditions. The evidence in relation to the diagnostic test accuracy of CRP in URTI is inconclusive. Limited evi- dence was found for the use of CRP testing in patients presenting with symptoms of acute sinusitis. Given this, and that current clinical guidelines do

2019 EUnetHTA

64. Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults

. The second part—under development when this guideline went to press—will cover aspects related to access choice, preoperative vessel assessment and central venous catheters. We hope the current and planned CPG will assist the professional community in making decisions about vascular access processes, pathways and care; help patients and caregivers gain insight and facilitate joint decision making in this field. SUMMARY OF THE RECOMMENDATIONS Chapter 1. Medical treatments for promoting arteriovenous

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2019 European Renal Best Practice

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

in the preparation of this guideline 133 Annex 2: Existing recommendations for noncommunicable diseases (NCDs) 135 Annex 3: Scoping review: WHO self-care definitions Annex 8: Guideline Development Group (GDG) judgements related to the new recommendations 149 152 Annex 6: Priority questions and outcomes for the interventions identified for this guideline Web annex: GRADE tables (available at: https://www.who.int/ reproductivehealth/self- care-interventions/en/) 138 Annex 4: Glossary 151 Annex 7: List of reviews

2019 World Health Organisation Guidelines

69. Prevention and early intervention for adults with mild to moderate depression

and programs identified in the Evidence Check on prevention and early intervention programs for people aged 18 years and over with mild–moderate depression and anxiety 83 MILD-MODERATE DEPRESSION AND ANXIETY IN ADULTS | SAX INSTITUTE 7 1 Executive summary Background The purpose of the report is to review and summarise the evidence base for the effectiveness of interventions that prevent or manage mild to moderate depression and anxiety in adults. The review makes judgements about the overall strength

2018 Sax Institute Evidence Check

70. ACC/AHA/SCAI/SIR/SVM 2018 Appropriate Use Criteria for Peripheral Artery Intervention: a report of the American College of Cardiology Appropriate Use Criteria Task Force, American Heart Association, Society for Cardiovascular Angiography and Interventions

to thank the writing group for their dedication to the drafting and editing of numerous versionsofthismanuscript,whichresultedinanessential list of clinical scenarios, and to the rating panel for scoring the scenarios numerous times and offering sage input in this process. A special tribute is extended to rating panelist Dr. Alan Hirsch, whose untimely passing created avoidintheperipheralvascularcommunity.Iam also grateful to the parent AUC Task Force, which provided signi?cant guidance and insights (...) insights, might have a natural tendency to rate the indications within their specialty at a higher degree of appropriate- ness than nonprocedural raters. For the scoring, care was takentoprovidetheratingpanelwithobjective,unbiased information, including guidelines and key references in the ?eld (see Guideline Mapping and References). In scoring the clinical scenarios, the rating panel was asked to assess whether the use of a speci?cintervention for each clinical indication should be categorized

2019 Society of Interventional Radiology

72. Practice Advisory Interim Guidance for Care of Obstetric Patients During a Zika Virus Outbreak

ultrasounds every 3-4 weeks for women with laboratory evidence of Zika virus infection based on existing fetal growth monitoring for other maternal conditions (e.g., hypertension or diabetes) (Oduyebo 2017). However, there are no data specific to congenital Zika virus infection to guide recommendations for timing of serial ultrasounds; ob-gyns and other obstetric providers may consider extending the time interval between ultrasounds in accordance with patient preferences and clinical judgement (Adebanjo (...) tissues in the event of an infant death) to provide insight into the potential etiology of the fetal loss or infant death ( ), which could inform a woman’s future pregnancy planning. Additional information is available at . TABLE 2. Interim guidance for Zika virus testing* of formalin-fixed, paraffin-embedded placental, fetal, or infant autopsy tissues† for completed pregnancies with possible Zika virus exposure§ during pregnancy¶ — United States (including U.S. territories), July 2017 Abbreviations

2019 American College of Obstetricians and Gynecologists

74. Pentosan polysulfate sodium (Elmiron) - bladder pain syndrome characterised by either glomerulations or Hunner’s lesions

, Herschorn S, Whitmore KE, Forrest JB, Hu P, Friedman AJ, et al. Pentosan polysulfate sodium for treatment of interstitial cystitis/bladder pain syndrome: Insights from a randomized, double-blind, placebo controlled study. Journal of Urology. 2015;193(3):857-62. 9. Nickel JC, Egerdie RB, Steinhoff G, Palmer B, Hanno P. A Multicenter, Randomized, Double- blind, Parallel Group Pilot Evaluation of the Efficacy and Safety of Intravesical Sodium Chondroitin Sulfate Versus Vehicle Control in Patients (...) in the exercise of their clinical judgement in the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

2019 Scottish Medicines Consortium

75. Supporting Adults Who Anticipate or Live with an Ostomy

, and policy across a range of health service organizations, practice areas, and sectors. These experts shared their insights on supporting and caring for adults who anticipate or live with an ostomy across the continuum of care (e.g., acute care, rehabilitation, community, and primary care). A systematic and comprehensive analysis was completed by the RNAO Best Practice Guideline Development and Research Team and the RNAO expert panel to determine the scope of this BPG and to prioritize recommendation

2019 Registered Nurses' Association of Ontario

78. Review of the New Strategic Direction for Alcohol and Drugs – Phase 2

of the review. This component of the review sought to understand the factors influencing the delivery of actions set out in NSD-2. Research approach ? A mixed methods approach was used which focused on process evaluation. Three research tools were employed - an online questionnaire, semi- structured interviews and focus groups. ? The research tools gathered data based on six evaluation criteria. Participants also shared insights on the drug and alcohol landscape, achievements and lost opportunities (...) insights within the evaluation criteria. ? A diverse group of stakeholders with both strategic and operational roles in the delivery of NSD-2 was engaged. ? Nine interviews and four focus groups were conducted, while questionnaires were issued to 77 contacts held on the Department of Health NSD-2 stakeholder list. ? 43 valid responses to the online questionnaire were returned. 165,394 words of free text were returned across the three research tools. Perspectives on trends in the alcohol and drug

2019 Institute of Public Health in Ireland

79. Concise practice guidance on the prevention and management of accidental awareness during general anaesthesia

At the meeting stage it is important for the patient and the anaesthetist involved that a potential diagnosis of AAGA is verified or excluded. NAP5 provides a methodology for assessing reported cases. This methodology includes assessing the patient report to help locate any experience to a phase of anaesthesia. For example, a judgement should be made on whether the account is plausible, given what actually occurred during the anaesthesia and surgery. AAGA can occur at induction (the majority of cases (...) . Conceptual and technical insights into the basis of neuromuscular monitoring. Anaesthesia 2017; 72 (Suppl. 1): 16–37. 34. Aranake A, Mashour GA, Avidan MS. Minimum alveolar concentration: ongoing relevance and clinical utility. Anaesthesia 2013; 68: 512–22. 35. Avidan MS, Jacobsohn E, Glick D, et al. BAG-RECALL Research Group. Prevention of intraoperative awareness in a high-risk surgical population. New England Journal of Medicine 2011; 365: 591–600. 36. Popat MT, Mitchell V, Dravid R, Patel

2019 Association of Anaesthetists of GB and Ireland

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