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Insight and Judgement

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142. Management of Hyperbilirubinemia in Healthy Term and Late Preterm Neonates

in this CPG is consistent with the best evidence available as of the date of publication, which is subject to change. The information in this guideline is not intended to dictate a course of action, but inform clinical decision-making. Midwives should use their clinical judgement on how to interpret and apply the recommendations to individual circumstances. Local standards may cause clinical practice to diverge from the suggestions within this guideline. If practice groups protocols depart from (...) of the recommendation. Certainty of evidence in this CPG is rated from very low to high, according to five GRADE domains: risk of bias, inconsistency, indirectness, imprecision and publication bias. Methodological concerns about the included studies, variability across results, applicability of the evidence to our context, precision of the results and completeness of the evidence base are considered as part of these domains. The work group’s judgements about the certainty of evidence reflect the work group’s

2019 Ontario Midwives

143. Critical Foundation

, that is ‘intended to equip doctors with the generic skills and professional capabilities to progress to specialty training’ (UK Foundation Programme). It gives junior doctors the opportunity to develop and improve their clinical skills, judgement and decision making and allows participants to experience a wide range of specialties that will ultimately shape future interests and careers. The Foundation Programme Curriculum is a framework for educational progression in the first two years of professional (...) had already gained in previous years of training, but also build on these by gaining experience in more complex procedures, such as the insertion of central and arterial lines. Finally, the placement gave me insight into the multidisciplinary approach required to manage critically unwell patients effectively, which will certainly be very helpful for my placement in future rotations. Lisa Jachertz, FY 2, Salford Royal Hospital “ “ “ “ 5 3. What are the benefits of your hospital offering Critical

2019 Faculty of Intensive Care Medicine

144. Canadian Cardiovascular Society Guidelines on perioperative cardiac risk assessment and management for patients who undergo noncardiac surgery

are aimed to provide a reasonable and practical approach to care for specialists and allied health professionals obliged with the duty of bestowing optimal care to patients and families, and can be subject to change as scienti?c knowledge and technology advance and as practice patterns evolve. The statement is not intended to be a substitute for physicians using their individual judgement in managing clinical care in consultation with the patient, with appropriate regard to all the individual (...) Recommendation; Low- Quality Evidence). Duceppe et al. 21 Perioperative Cardiac Risk Assessment & Managementprovide more insight into the value of estimating a patients’ METs. 31 Cardiac biomarkers Brain natriuretic peptides (BNPs) and N-terminal frag- ment of proBNP (NT-proBNP) are released from the myocardium in response to various stimuli such as myocardial stretch and ischemia. 32-34 Several prospective observational studies have evaluated the prognostic capabilities of NT- proBNP and BNP to predict

2017 CPG Infobase

145. Canadian Cardiovascular Society/Canadian Cardiovascular Critical Care Society/Canadian Association of Interventional Cardiology position statement on the optimal care of the postarrest patient

and technology advance and as practice patterns evolve. The statement is not intended to be a substitute for physicians using their individual judgement in managing clinical care in consultation with the patient, with appropriate regard to all the individual circumstances of the patient, diagnostic and treatment options available and available resources. Adherence to these recommendations will not necessarily produce successful outcomes in every case. http://dx.doi.org/10.1016/j.cjca.2016.10.021 0828-282X (...) al. Effect of therapeutic hypothermia on survival to hospital discharge in out-of-hospital cardiac arrest sec- ondary to nonshockable rhythms. Acad Emerg Med 2016;23:14-20. 23. DumasF,GrimaldiD,ZuberB,etal.Ishypothermiaaftercardiacarrest effective in both shockable and nonshockable patients?: Insights from a large registry. Circulation 2011;123:877-86. 24. Lundbye JB, Rai M, Ramu B, et al. Therapeutic hypothermia is asso- ciated with improved neurologic outcome and survival in cardiac arrest

2017 CPG Infobase

146. Healthy Ageing in Scotland: the pilot survey

quality of life, less happiness, and more anxiety • Results may provide insight to individuals who may be targeted for future campaigns to increase cancer screening Chapter 16 Wellbeing • HAGIS collects a number of measures of individual well-being in its self-report questionnaire. These cover life satisfaction, whether individuals feel their life is worthwhile, their happiness and their level of anxiety • The distributions derived from the HAGIS data are quite similar to the distribution of well

2018 Health Economics Research Unit

147. Appropriate care at the end of life

all studies, we consistently referred to end of life (care) with ‘(zorg in de) laatste levensfase’ and ‘(soins en) fin de vie’ in Dutch and French, respectively. 2.2 Belgian literature review 2.2.1 Orientation of the study Though the Netherlands and Belgium are neighbouring countries, strong societal differences exist. We therefore found it recommended to conduct an additional literature review that specifically focused on the Belgian situation. Concretely, we aimed to inventory ‘Belgian’ insights

2018 Belgian Health Care Knowledge Centre

148. Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada

on Clinical Practice Guidelines (Davis D, et al. Ottawa, ON: Canadian Medical Association; 2007), guidelines should not be used as a legal resource in malpractice cases as “their more general nature renders them insensitive to the particular circumstances of the individual cases.” Health-care professionals must consider the needs, values and preferences of individual patients, use clinical judgement and work with available human and health-care service resources in their settings. These guidelines were (...) for their participation. Each chapter was adapted from the 2013 iteration and we thank the previous authors for their insight and expertise.2018ClinicalPracticeGuidelines Introduction DiabetesCanadaClinicalPracticeGuidelinesExpertCommittee RobynL.HouldenMD,FRCPC Welcome to the Diabetes Canada 2018 Clinical Practice Guide- lines for the Prevention and Management of Diabetes in Canada. Updated every ?ve years, these comprehensive, evidence-based guidelinesrepresentthesixthsetsincetheirintroductionin1992; andthe

2018 Diabetes Canada

150. Evaluation of the Glasgow Lone Parent Project: final report

was ensuring the priorities and direction of the project was driven by lone parents, thus funding a Lone Parent Advisor and establishing a lone parent advisory group. A key characteristic of the advisory group was the non-judgemental, comfortable, informal and supportive environment created by the Lone Parent Advisor, as was basing the Advisor within an established third sector organisation for the target group, partly as it provided continuity for lone parents involved with the project. Barriers (...) of experience highlights new issues and new connections: holistic support; risk of income and time poverty; and working hours. This helped to ensure that policy was both grounded in 21 their realities, that parents trusted these policy/services which made sense to them, while also instilling a sense of ownership and information that could increase uptake of services. As such, the lone parent advisory group generated new insights into the impact of current policies. Equipped with factual knowledge

2018 Glasgow Centre for Population Health

152. Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes Full Text available with Trip Pro

of the athletes were deemed asymptomatic. x 18 Finocchiaro, G., Papadakis, M., Robertus, J.L. et al. Etiology of sudden death in sports: insights from a United Kingdom regional registry. J Am Coll Cardiol . 2016 ; 67 : 2108–2115 Several studies have included athletes who screened “positive” for conditions associated with no additional risk of SCD (ie, isolated bicuspid aortic valve) and were subsequently cleared for participation. x 15 Tischer, S.G., Mattsson, N., Storgaard, M. et al. Results of voluntary (...) in Switzerland: implications for routine ECG screening. Br J Sports Med . 2014 ; 48 : 1157–1161 The reported low sensitivity of history/questionnaire is not surprising because 70%-80% of SCD occurs as the first manifestation of an underlying cardiac disease. x 18 Finocchiaro, G., Papadakis, M., Robertus, J.L. et al. Etiology of sudden death in sports: insights from a United Kingdom regional registry. J Am Coll Cardiol . 2016 ; 67 : 2108–2115 , x 21 Corrado, D., Basso, C., Schiavon, M., and Thiene, G

2018 Canadian Cardiovascular Society

153. A Guideline for the Clinical Management of Opioid Use Disorder

to be significant gender-related differences in treatment outcomes for buprenorphine/nal- oxone compared to methadone. 92,93 Further research is needed since few studies have examined gender-based outcomes; 22 however, forthcoming systematic reviews may provide further insights in this area. 94 Care providers with gender-specific concerns, including the care of pregnant women with opioid use disorder, should consult with provincial specialist resources at BC Women’s Hospital or call the Rapid Access

2017 Clinical Practice Guidelines and Protocols in British Columbia

154. 12?step programs for reducing illicit drug use Full Text available with Trip Pro

by, for example, the Addiction Severity Index (McLellan, Luborsky, Woody, & O'Brien, 1980), were excluded. Studies that included participants who had both participants with illicit drugs or alcohol as their drug of choice were only included if they reported outcomes separately for participants with illicit drugs as their drug of choice. When the reported information on usage was insufficient for a judgement to be made, we contacted the study authors for clarification and used this information to determine (...) for Systematic Reviews of Interventions ( ). The risk of bias model for non‐randomised studies is an elaboration of the existing Cochrane risk of bias tool and incorporates particular attention to selection bias and risk of confounding. The extended tool includes assessment of risk of bias on a 5‐point scale for some items. 3.4.2.1 Risk of bias judgement items The risk of bias model is based on nine items (see 9.4.1). For some items, risk is assessed to be High, Low, or Uncertain; other items are judged

2017 Campbell Collaboration

155. Later school start times for supporting the education, health, and well?being of high school students: a systematic review Full Text available with Trip Pro

period in 1999 and 2008 school years Notes Funding sources: grant from the Massey University Research Fund Risk of bias table Bias Authors’ judgement Support for judgement Random sequence generation (selection bias) High risk Non‐randomized study; high risk by definition Allocation concealment (selection bias) High risk Non‐randomized study; high risk by definition Blinding of participants and personnel (performance bias) High risk No blinding of participants or personnel mentioned; participants knew (...) Científico e Tecnológico (CNPq) Risk of bias table Bias Authors’ judgement Support for judgement Random sequence generation (selection bias) High risk CBA study; high risk by definition Allocation concealment (selection bias) High risk CBA study; high risk by definition Blinding of participants and personnel (performance bias) High risk No blinding of participants or personnel mentioned; participants knew their start time Incomplete outcome data (attrition bias) Unclear risk Attrition was not addressed

2017 Campbell Collaboration

156. Mindfulness?based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta?analysis Full Text available with Trip Pro

healthy, dealing with illness and enjoying life. Coping with stress and life challenges is a skill that can be developed. 1.2 THE INTERVENTION 1.2.1 Mindfulness‐Based Stress Reduction (MBSR) A well described group‐based mind‐body intervention Program that has received a lot of attention is Mindfulness‐Based Stress Reduction or MBSR ( ). Mindfulness may be defined as the skill to non‐judgementally observe sensations, thoughts, emotions and the environment, while encouraging openness, curiosity (...) scan exercises, mental exercises focusing one's attention on the breath, physical exercises with a focus on being aware of bodily sensations, and practicing being fully aware during everyday activities. Essential to all parts of the Program is developing an accepting and non‐reactive attitude to what one experiences in each moment. The intervention derives its roots from ancient Buddhist practices of Samatha (concentration) and Vipassana (insight) meditation and yoga exercises, but has been adapted

2017 Campbell Collaboration

158. E?learning of evidence?based health care (EBHC) to increase EBHC competencies in healthcare professionals: a systematic review Full Text available with Trip Pro

of individual patients” ( ). It thus requires practitioners to bring together external evidence that informs about the effects of new tests, treatments and interventions; clinical judgement and expertise of the clinician; and the patient's clinical state, values, preferences, needs and predicament. These days, EBM is commonly referred to as evidence‐based practice (EBP) or evidence‐based health care (EBHC), as EBM is not limited to medical doctors, but should be adopted by all healthcare practitioners

2017 Campbell Collaboration

160. Effects of certification schemes for agricultural production on socio?economic outcomes in low? and middle?income countries: a systematic review Full Text available with Trip Pro

with one another (von Hagen et al, 2010). A systematic review could in theory be conducted on every single intervention, which could happen under different CS, as in the case of labour standards interventions that are common to most schemes subscribing to ethical trade standards. However, the reality is that most CS operate with bundles of interventions and most studies will report on the fact of being ‘certified’ and not on single interventions that are part of a scheme. A reasonable judgement can (...) reported by available studies some insights into the key causal mechanisms either through quantitative or qualitative evidence would be considered to assess Review Question 2 (see the section on objectives for questions addressed in this review). Finally, the description of the interventions under CS must include the fact that the process of certification involves costs. This is indeed a contentious issue when producers are asked to evaluate the benefits of certification. While there is generally

2017 Campbell Collaboration

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