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Insight and Judgement

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161. A resource for developing an evidence synthesis report for policy-making

HEALTH EVIDENCE NETWORK SYNTHESIS REPORT 2 making, for example resources, culture, political context, values and judgement, the principle of EIP is that evidence should not be only one among various inputs but should be prioritized and considered first in policy-making (4). 1.4. Evidence synthesis Evidence synthesis is an approach to integrating findings from peer-reviewed and grey literature (14) to summarize a substantive and diverse body of evidence. Evidence synthesis is characterized by its (...) in English but also in the languages of the target audiences and can be applied in databases specific to a region or subregion (e.g. East View). In addition to peer-reviewed literature, various types of grey literature can complement the search to reflect insights from the local policy environment or to highlight topics and issues that are not found in the peer-reviewed literature (55). In addition, grey literature can help to fill the publication delay of peer-reviewed research, which can be one to two

2017 WHO Health Evidence Network

162. Talking leadership: Mark Doughty on delivering a vision of real collaboration

the pressures on them to deliver, and the embedded mindset associated with a traditional model of delivering health and social care, I think it’s important for health and social care professionals to consciously reflect on how they are as leaders. From my experience this means finding the time and space to ask challenging questions, both of themselves and of others. It requires engaging with people with an open mind, acknowledging any pre-judgements and biases, and being prepared to have their beliefs (...) challenged. It also means accepting that sometimes insights, wisdom and potential solutions might come from members of the workforce or parts of our local communities that have not traditionally been listened to. I find that structured forums such as Schwartz rounds, action learning sets, process consulting and peer coaching can help to support the change in thinking that’s needed. What work are you and The King’s Fund doing to support them? We are continuing to run our programme, which is a key part

2017 The King's Fund

163. Consolidated guideline on sexual and reproductive health and rights of women living with HIV

7.3 Updating the guideline 95 References 97 Annex 1. External experts and WHO staff involved in the preparation of this guideline 110 Annex 2. Summary of declarations of interest from the Guideline Development Group (GDG) members and how they were managed 115 Annex 3. Priority questions and outcomes for the interventions identified for this guideline 118 Annex 4. Systematic and literature reviews 119 Annex 5. Guideline Development Group (GDG) judgements related to the new recommendations 121 Web

2017 World Health Organisation Guidelines

165. New tool could help identify people at high risk of repeat blood clots

-effective for informing clinical judgement and patient opinion in treatment decisions. Further research may investigate new predictors to enhance model performance and aim to further externally validate to confirm performance in new, non-trial populations. Finally, it is essential that further research is conducted to develop a model predicting bleeding risk on therapy, to manage the balance between the risks of recurrence and bleeding. FUNDING: The National Institute for Health Research Health (...) up to date with the latest health research through our monthly bulletin of new NIHR Signals. | | Powered by Insight Explorer / HaystackLabs © 2015. All Rights Reserved. Please enable JavaScript to view the

2019 NIHR Dissemination Centre

166. Predicting severe brain injuries from apparent minor head trauma without a scan

(LR 3.6, 95% CI 3.1 to 4.1); any decline in GCS score (LR range 3.4 to 16), and pedestrians struck by motor vehicles (LR range, 3.0 to 4.3). The criteria of pedestrians struck by motor vehicles alone (LR of 3.0 to 4.3) was linked to 19-25% probability of severe internal head injury. What does current guidance say on this issue? 2014 NICE guidance on head injury assessment and early management provides a list of risk factors necessitating a CT head scan. This includes clinical judgement as well (...) as similar criteria to those investigated in this review, although not identical. What are the implications? For assessing people with minor head trauma, increased adoption of clinical decision rules such as the Canadian Head CT Rule or the New Orleans Criteria may help improve clinicians’ ability to prioritise CT scans. However, no single factor or rule can completely exclude the likelihood of traumatic brain injury, or replace clinical judgement and repeated assessment. The review’s findings

2019 NIHR Dissemination Centre

167. Optometrists are cautious, but may be as good as ophthalmologists at monitoring a common cause of blindness

– and this was compared against the judgment of three separate experts. The main outcome of interest was correct classification of the status of wet AMD. Other outcomes were potentially sight-threatening errors, judgements about specific components of the condition, and the participant’s self-rated confidence in decision-making. What did it find? There was no significant difference in the ability to correctly classify scenarios between optometrists (84.4%; 1,702 of 2,016) compared with ophthalmologists (85.4%; 1,722 (...) , judgements about specific components of the condition, and the participant’s self-rated confidence in decision-making. What did it find? There was no significant difference in the ability to correctly classify scenarios between optometrists (84.4%; 1,702 of 2,016) compared with ophthalmologists (85.4%; 1,722 of 2,016; odds ratio [OR] 0.91, 95% confidence interval [CI] 0.66 to 1.25). The number of potentially sight-threatening errors was also no different between optometrists and ophthalmologists (5.7% vs

2019 NIHR Dissemination Centre

168. Nexgen found to be best value for total knee replacement

use a single brand for the majority of patients, allowing them to negotiate a discounted price. Therefore, if Nexgen is more cost-effective for most patients, then it should be considered as a first choice prosthesis for total knee replacement unless clinical judgement and patient need suggests otherwise. This is an important contribution to the debate, but other factors may also influence buying decisions. The data for the analysis was observational studies rather than from randomised controlled (...) use a single brand for the majority of patients, allowing them to negotiate a discounted price. Therefore, if Nexgen is more cost-effective for most patients, then it should be considered as a first choice prosthesis for total knee replacement unless clinical judgement and patient need suggests otherwise. This is an important contribution to the debate, but other factors may also influence buying decisions. The data for the analysis was observational studies rather than from randomised controlled

2019 NIHR Dissemination Centre

169. Two injections are equally effective for treating flare ups of severe ulcerative colitis

which will provide further insights on effectiveness over the long-term. Share your views on the research. Why was this study needed? Ulcerative colitis is a chronic debilitating disease that can present rapidly and with severe symptoms, flare-ups. It affects around 150,000 people in the UK. A quarter of these people have acute severe ulcerative colitis flare-ups which require hospitalisation and usually treatment with intravenous steroids. Approximately 30% of people with acute severe ulcerative (...) programme. The severity of Ulcerative colitis was judged by the following criteria: (which include more than six bowel movements da day, presence of blood in the stools and other signs of illness such as rapid pulse), a Mayo score of at least 2 on endoscopic finding (where 0 is healthy, 2 represents moderate disease and 12 is severe disease) or clinical judgement. Quality-adjusted survival was determined using the area under the curve of scores from completed by participants at three and six months

2019 NIHR Dissemination Centre

170. Cognitive behavioural therapy could benefit adults with attention deficit hyperactivity disorder (ADHD)

of the results. None of the included studies reported severe adverse events, but five participants receiving different modalities of CBT described some type of adverse event, such as distress and anxiety. Mindfulness is a technique to help reduce stress and cope with problems by noticing what is going on in the present moment, without judgement. Metacognitive therapy is a treatment which involves looking at your own thoughts and how you think, identifying unhelpful patterns of thought, and finding more (...) by Insight Explorer / HaystackLabs © 2015. All Rights Reserved. Please enable JavaScript to view the

2019 NIHR Dissemination Centre

171. Cataracts in adults: management.

expanded into a large amount of related projects for saving online and digital history. History is littered with hundreds of conflicts over the future of a community, group, location or business that were "resolved" when one of the parties stepped ahead and destroyed what was there. With the original point of contention destroyed, the debates would fall to the wayside. Archive Team believes that by duplicated condemned data, the conversation and debate can continue, as well as the richness and insight (...) and 10.2. The Committee prioritised areas in which they felt that original analysis would be particularly informative, on the grounds of uncertainty and variation in current practice and/or the presence of complex trade-offs between the benefits, harms and costs of various courses of action. In questions for which no published evidence was identified and original analysis was not prioritised, the committee made a qualitative judgement about cost effectiveness by considering potential differences

2017 National Guideline Clearinghouse (partial archive)

172. Contraception for women aged over 40 years.

as the richness and insight gained by keeping the materials. Our projects have ranged in size from a single volunteer downloading the data to a small-but-critical site, to over 100 volunteers stepping forward to acquire terabytes of user-created data to save for future generations. The main site for Archive Team is at and contains up to the date information on various projects, manifestos, plans and walkthroughs. This collection contains the output of many Archive Team projects, both ongoing and completed (...) care or to replace clinical judgement in the management of individual cases. An implementation strategy was not provided. Audit Criteria/Indicators Staff Training/Competency Material For information about availability, see the Availability of Companion Documents and Patient Resources fields below. Staying Healthy Effectiveness Patient-centeredness Clinical Effectiveness Unit. Contraception for women aged over 40 years. London (UK): Faculty of Sexual and Reproductive Healthcare (FSRH); 2017 Aug. 57

2017 National Guideline Clearinghouse (partial archive)

173. Faltering growth: recognition and management of faltering growth in children.

condemned data, the conversation and debate can continue, as well as the richness and insight gained by keeping the materials. Our projects have ranged in size from a single volunteer downloading the data to a small-but-critical site, to over 100 volunteers stepping forward to acquire terabytes of user-created data to save for future generations. The main site for Archive Team is at and contains up to the date information on various projects, manifestos, plans and walkthroughs. This collection contains

2017 National Guideline Clearinghouse (partial archive)

174. Emergency contraception.

into a large amount of related projects for saving online and digital history. History is littered with hundreds of conflicts over the future of a community, group, location or business that were "resolved" when one of the parties stepped ahead and destroyed what was there. With the original point of contention destroyed, the debates would fall to the wayside. Archive Team believes that by duplicated condemned data, the conversation and debate can continue, as well as the richness and insight gained (...) to serve alone as a standard of medical care or to replace clinical judgement in the management of individual cases. Emergency contraception (EC) is intended for occasional use, to reduce the risk of pregnancy after unprotected sexual intercourse (UPSI). It does not replace effective regular contraception. An implementation strategy was not provided. Audit Criteria/Indicators Patient Resources Staff Training/Competency Material For information about availability, see the Availability of Companion

2017 National Guideline Clearinghouse (partial archive)

175. Quick starting contraception.

into a large amount of related projects for saving online and digital history. History is littered with hundreds of conflicts over the future of a community, group, location or business that were "resolved" when one of the parties stepped ahead and destroyed what was there. With the original point of contention destroyed, the debates would fall to the wayside. Archive Team believes that by duplicated condemned data, the conversation and debate can continue, as well as the richness and insight gained (...) with a small risk of miscarriage. It is illegal to knowingly insert intrauterine contraception (IUC) in a woman who is pregnant. Refer to the for information about medical contraindications. The recommendations included should be used to guide clinical practice but are not intended to serve alone as a standard of medical care or to replace clinical judgement in the management of individual cases. An implementation strategy was not provided. Audit Criteria/Indicators Staff Training/Competency Material

2017 National Guideline Clearinghouse (partial archive)

176. Endometriosis: diagnosis and management.

as the richness and insight gained by keeping the materials. Our projects have ranged in size from a single volunteer downloading the data to a small-but-critical site, to over 100 volunteers stepping forward to acquire terabytes of user-created data to save for future generations. The main site for Archive Team is at and contains up to the date information on various projects, manifestos, plans and walkthroughs. This collection contains the output of many Archive Team projects, both ongoing and completed (...) plausible confounding would reduce a demonstrated effect, or suggest a spurious effect when results showed no effect. Each quality element considered to have 'serious' or 'very serious' issues was rated down by 1 or 2 points respectively. Value based judgements for relevant interpretation of the levels of quality elements were informed by discussion with the Committee for each review to balance consistency of approach across the guideline and clinical relevance within each review. The downgraded

2017 National Guideline Clearinghouse (partial archive)

177. Mental health of adults in contact with the criminal justice system.

, the conversation and debate can continue, as well as the richness and insight gained by keeping the materials. Our projects have ranged in size from a single volunteer downloading the data to a small-but-critical site, to over 100 volunteers stepping forward to acquire terabytes of user-created data to save for future generations. The main site for Archive Team is at and contains up to the date information on various projects, manifestos, plans and walkthroughs. This collection contains the output of many (...) explain the outcome of assessment and help them make informed decisions about their care. Take into account: The person's wishes The nature and quality of family relationships, including any safeguarding issues Any statutory or legal considerations that may limit family and carer involvement The requirements of the Care Act 2014 Carry out assessments: In a suitable environment that is safe and private In an engaging, empathic and non-judgemental manner When assessing a person, make reasonable

2017 National Guideline Clearinghouse (partial archive)

178. Parkinson's disease in adults.

into a large amount of related projects for saving online and digital history. History is littered with hundreds of conflicts over the future of a community, group, location or business that were "resolved" when one of the parties stepped ahead and destroyed what was there. With the original point of contention destroyed, the debates would fall to the wayside. Archive Team believes that by duplicated condemned data, the conversation and debate can continue, as well as the richness and insight gained (...) ' and 'consider') denotes the certainty with which the recommendation is made (the strength of the recommendation) and is defined at the end of the "Major Recommendations" field. Communication with People with Parkinson's Disease and Their Carers Communication with people with Parkinson's disease should be aimed towards empowering them to participate in the judgements and choices about their own care. [2006] In discussions, aim to achieve a balance between providing honest, realistic information about

2017 National Guideline Clearinghouse (partial archive)

179. BTS guideline for oxygen use in adults in healthcare and emergency settings.

data, the conversation and debate can continue, as well as the richness and insight gained by keeping the materials. Our projects have ranged in size from a single volunteer downloading the data to a small-but-critical site, to over 100 volunteers stepping forward to acquire terabytes of user-created data to save for future generations. The main site for Archive Team is at and contains up to the date information on various projects, manifestos, plans and walkthroughs. This collection contains

2017 National Guideline Clearinghouse (partial archive)

180. Developmental follow-up of children and young people born preterm.

, the conversation and debate can continue, as well as the richness and insight gained by keeping the materials. Our projects have ranged in size from a single volunteer downloading the data to a small-but-critical site, to over 100 volunteers stepping forward to acquire terabytes of user-created data to save for future generations. The main site for Archive Team is at and contains up to the date information on various projects, manifestos, plans and walkthroughs. This collection contains the output of many

2017 National Guideline Clearinghouse (partial archive)

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