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61. Determining the Features of Managed Alcohol Programs

are delivered. • The types of health workers involved in managed alcohol programs include regulated health professionals (dietitians, licensed practical nurses, nurse practitioners, registered nurses, physicians, psychologists and social workers) and unregulated workers (case managers, healthcare aides and personal-care workers).Determining the Features of Managed Alcohol Programs 4 Evidence >> Insight >> Action QUESTIONS • How effective are managed alcohol programs in supporting individuals with severe (...) Evidence >> Insight >> Action KEY MESSAGES Questions • How effective are managed alcohol programs in supporting individuals with severe alcohol-related problems reduce harm? • What are the features of managed alcohol programs that have been implemented in Canada and select comparator countries? Why the issue is important • There are growing concerns globally about the health and social harms caused by alcohol. • Increases in the global burden of disease attributable to alcohol highlight the importance

2019 McMaster Health Forum

62. Emergency Drought Relief Package: Health and Resilience Services

9188 9500 Suggested Citation: Wheeler S, Zuo A, Xu Y, Grafton Q. Emergency Drought Relief Package — Health and Resilience Services: an Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the NSW Ministry of Health, 2019. Disclaimer: This Evidence Check Review was produced using the Evidence Check methodology in response to specific questions from the commissioning agency. It is not necessarily a comprehensive review of all literature relating to the topic area (...) Contents Executive summary 5 Background 9 Methods 10 Findings 12 Discussion 27 Conclusion 30 References 32 Appendix 1: NHMRC Levels of Evidence 37 Appendix 2: Question 1 studies (excluding review studies) 38 Appendix 3: Included papers for intervention evaluations 42 Tables and figures Table 1. Countries and numbers covered in review studies 12 Table 2. Study types and numbers of reviewed studies 13 Table 3. Numbers of reviewed studies on subgroups of population 17 Table 4. Study numbers

2019 Sax Institute Evidence Check

63. Impact of Community Health Worker Certification on Workforce and Service Delivery for Asthma and Other Selected Chronic Diseases

. Further viii research is needed to determine if certification is linked to improved outcomes for people with asthma and other chronic illness outcomes. ix Contents Introduction 1 Background 1 Guiding Questions 2 Methods 4 Published Literature 4 Grey Literature 5 Discussions With Key Informants 5 Peer Review and Public Commentary 6 Results 7 Results of the Published Literature Search 7 Results of the Grey Literature Search 7 Results of the Key Informant Interviews 8 Guiding Question 1: Effects (...) of Certification on Community Health Worker Recruitment, Retention, Scope of Practice, Reimbursement or Employer Liability 11 Findings From the Published Literature Search 11 Findings From the Grey Literature Search 13 Findings From Key Informant Interviews 13 Guiding Question 2: Effects of Certification on Quality or Consistency of Care, Health Outcomes, or Patient/Family Acceptance, Trust, and Use of Community Health Workers 14 Findings From the Published Literature Search 14 Findings From the Grey

2020 Effective Health Care Program (AHRQ)

64. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain

Support Group on Facebook; and numerous Facebook shares (of the survey link) on consumer and physician profiles. A total of 415 people opened the survey link, including 413 who consented to participate in the sur- vey and 2 who did not participate. The survey included the following questions that allowed for check the box and open-ended responses:Recommendations were developed based on a specific definition, inclusion/exclusion criteria, and the resulting literature which excluded conditions (...) as including all proper methods of care or excluding other acceptable methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding any specific procedure or treatment is to be made by the physician and patient in light of all circumstances presented by the patient and the needs and resources particular to the locality or institution. 2 Authors & Contributors Evidence-Based Guideline Development Committee Co-Chairs D. Scott Kreiner, MD Paul Matz, MD Diagnosis Section

2020 American Academy of Pain Medicine

65. What is effective to support the mental wellbeing of healthcare staff during times of extreme pressure / crisis? (such as that expected to be experienced during the current COVID-19 pandemic)

about the nature of the role during the interview. Employers should be mindful of the possible impacts of their staff being exposed to potentially traumatic material; and staff should be given the opportunity to reflect on their suitability and preparedness for this work before they start the role. The UKPTS notes that there is no reliable evidence to support the use of formal pre-enlistment screening processes based upon psychometric testing or profiling of candidates for trauma prone roles. Any (...) What is effective to support the mental wellbeing of healthcare staff during times of extreme pressure / crisis? (such as that expected to be experienced during the current COVID-19 pandemic) Gwasanaeth Tystiolaeth Evidence Service Rapid summary Question: What is effective to support the mental wellbeing of healthcare staff during times of extreme pressure / crisis? (such as that expected to be experienced during the current COVID-19 pandemic) Brief summary: One systematic review and six

2020 Public Health Wales Observatory Evidence Service

66. What is the evidence on policies, interventions and tools for establishing and/or strengthening national health research systems and their effectiveness?

of relevant research that is used and to draw sufficiently on the global stock of evidence. The synthesis question The aim of this review is to address the question: “What is the evidence on policies, interventions and tools for establishing and/or strengthening national health research systems and their effectiveness?” Types of evidence Evidence was obtained by a scoping review of peer-reviewed and grey literature in English or with an English translation and with no restrictions on geographical region (...) and capacity are available, they are not always used effectively. A study in 2009 estimated that up to 85% of all biomedical research was wasted because it asked questions that were not relevant to clinicians and patients, was poorly designed or was either not published or poorly reported, with only about 50% of studies being published in full (35). Diverse challenges in the production, dissemination and use of health research evidence also include increasing policy- makers’ and practitioners’ access

2020 WHO Health Evidence Network

67. Ménière’s Disease (Meniere) Full Text available with Trip Pro

with respect to MD. Main considerations in this CPG are to increase rates of accurate diagnosis, improve symptom control with appropriate treatments, and reduce inappropriate use of medications, procedures, or testing. It is also intended to reduce adverse events associated with undiagnosed or untreated MD. Other CPG considerations include increasing patient-provider shared decision making, minimizing diagnostic and treatment costs, reducing unnecessary return physician visits, and maximizing the health (...) in and . Table 2. Strength of Action Terms in Guideline Statements and Implied Levels of Obligation. Table 2. Strength of Action Terms in Guideline Statements and Implied Levels of Obligation. Table 3. Aggregate Grades of Evidence by Question Type. Table 3. Aggregate Grades of Evidence by Question Type. Guidelines are never intended to supersede professional judgment; rather, they may be viewed as a relative constraint on individual clinician discretion in a specific clinical circumstance. Less frequent

2020 American Academy of Otolaryngology - Head and Neck Surgery

68. Diagnosis and Treatment of Clinical Alzheimer’s-Type Dementia

, but potential benefits of testing are limited by lack of effective treatments for AD and non-AD dementias. Cholinesterase-inhibitors slightly outperformed placebo for cognition and function, but evidence of whether any drug treatments improved BPSD was largely insufficient. x Contents Evidence Summary ES-1 Chapter 1. Introduction 1 Background 1 Scope and Key Questions 4 Key Questions 4 PICOTS 7 Analytic Framework 12 Chapter 2. Methods 16 Topic Refinement and Review Protocol 16 Literature Search Strategy 16 (...) Electronic Database Search 16 Grey Literature Search 16 Study Selection and Risk of Bias Assessment 16 Data Extraction 19 Data Synthesis 20 Strength of Evidence for Major Comparisons and Outcomes 21 Applicability 23 Peer Review and Public Commentary 23 Chapter 3. Search Results 24 Chapter 4. Key Question 1: Brief Cognitive Tests for Identifying CATD 27 Key Messages 27 Eligible Studies 27 Harms of Cognitive Testing 29 Brief Cognitive Tests Commonly Used as Individual Stand-Alone Tests 29 Baseline Study

2020 Effective Health Care Program (AHRQ)

69. Opioid Treatments for Chronic Pain

The purpose of this review is to update the 2014 AHRQ report 7 on opioids for chronic pain. This update includes new evidence for questions covered in the 2014 AHRQ report, including efficacy and harms, comparisons with nonopioid therapies, dosing strategies, dose-response relationships, risk mitigation strategies, discontinuation and tapering of opioid therapy, and population differences. This review is one of three concurrent AHRQ systematic reviews on treating chronic pain; the other reviews address (...) nonpharmacologic treatments 10 and nonopioid pharmacological treatments. 11 ES-2 Scope and Key Questions This Comparative Effectiveness Review focused on opioid treatments with short-term (1 to 1 year) RCTs of opioid therapy versus placebo. One new cohort study found no association between long-term opioid therapy versus no opioids and pain, function or other outcomes. 21 New observational studies were consistent with the 2014 AHRQ report in finding an association between use of prescription opioids and risk

2020 Effective Health Care Program (AHRQ)

70. Focused deterrence strategies effects on crime: A systematic review Full Text available with Trip Pro

criminologists seem unaware of the existing empirical evidence. For instance, in his 2013 summary of the crime prevention value of focused deterrence programs, former National Council on Crime and Delinquency president Barry Krisberg reported, “It certainly hasn't been effective so far, and there is no information suggesting it is effective” (as interviewed by KTVU, ). Recently, more cities have tested the focused deterrence approach to control gang violence, disorderly drug markets, and repeat offender (...) in conducting meta‐analyses in crime and justice is that investigators often do not prioritize outcomes examined. This is common in studies in the social sciences in which authors view the good practice as demanding that all relevant outcomes be reported. However, the lack of prioritization of outcomes in a study raises the question of how to derive an overall effect of treatment. For example, the reporting of one significant result may reflect a type of “creaming” in which the authors focus on one large

2019 Campbell Collaboration

71. EHRA/HRS/APHRS/LAHRS Expert Consensus on Risk Assessment in Cardiac Arrhythmias: Use the Right Tool for the Right Outcome

ventricular complex frequency 34 Premature ventricular complex morphology 34 Prematureventricularcomplexcoupling interval 34 Patients with supraventricular tachyarrhythmiasuch as Wolff–Parkinson– White syndrome and focal atrial tachycardia 35 Summary 35 Supplementary Data 36 Introduction Patientswithcardiacdiseasesorconditionswithhighriskof developing cardiacdiseases undergo risk assessment bycar- diologists, primary care physicians, and scientists based on referralformoreadvancedriskassessmentstrategies (...) ,including representativesfromeachofthefoursocieties. Withthisdocument,weintendtodescribeandreviewsta- tusofperformingriskassessmentindifferentpatientpopula- tions with cardiac diseases or conditions with high risk of developingsuch.Ourobjectivesaretoraiseawarenessofus- ing the right risk assessment tool for a given outcome in a given population, and to provide physicians with practical proposals that may lead to improvement of patient care in this regard. For quick reference, sub-chapters start

2020 Heart Rhythm Society

73. Modulator Treatments for Cystic Fibrosis: Effectiveness and Value

for the F508del mutation, or who are heterozygous for the F508del mutation with a minimal function mutation had the highest annual risk of CFRD, and patients who are heterozygous for the F508del mutation with a residual function mutation had the lowest risk. We assumed that 5% of CF individuals who are candidates for Kalydeco only, who are homozygous for the F508del mutation, or who are heterozygous for the F508del mutation with a minimal function mutation (i.e., Populations 1, 2, and 4) had pancreatic (...) in the context of what is already known. Objectives 4 Provide an explicit statement of questions being addressed with reference to participants, interventions, comparisons, outcomes, and study design (PICOS). METHODS Protocol and Registration 5 Indicate if a review protocol exists, if and where it can be accessed (e.g., Web address), and, if available, provide registration information including registration number. Eligibility Criteria 6 Specify study characteristics (e.g., PICOS, length of follow-up

2020 California Technology Assessment Forum

74. Cardiac arrhythmias in coronary heart disease

a medicine ‘off label’ , doctors should: y be satisfied that such use would better serve the patient’s needs than an authorised alternative (if one exists) y be satisfied that there is sufficient evidence/experience of using the medicines to show its safety and efficacy, seeking the necessary information from appropriate sources y record in the patient’s clinical notes the medicine prescribed and, when not following common practice, the reasons for the choice y take responsibility for prescribing (...) effective than electrophysiologically-guided class 1 antiarrhythmic therapy in preventing recurrent arrhythmic events and cardiac death. 13 R In patients who have recovered from an episode of sustained ventricular tachycardia (with or without cardiac arrest) who are not candidates for an ICD, amiodarone or sotalol should be considered. Calcium channel blockers Calcium channel blocker therapy in post-MI patients does not reduce all-cause mortality. 13 R Calcium channel blocker therapy is not recommended

2018 SIGN

75. Diagnosis and management of epilepsy in adults

. It does not include patients with a non-epileptic attack disorder (see section 3.3.1). 1.2.2 TARGET USERS OF THE GUIDELINE This guideline will be of interest to all health professionals in primary and secondary care involved in the management of people with epilepsy, including general practitioners, practice nurses, epilepsy specialist nurses, general physicians, emergency department specialists, neurologists, obstetricians, clinical neuropsychologists and psychiatrists. It will also be of interest (...) to those commissioning epilepsy services, public-health physicians, pharmacists, social-work staff, carers and relatives of people with epilepsy and people with epilepsy themselves. 1.3 STATEMENT OF INTENT This guideline is not intended to be construed or to serve as a standard of care. Standards of care are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge and technology advance and patterns of care evolve. Adherence

2018 SIGN

76. Bariatric surgery: an HTA report on the efficacy, safety and cost-effectiveness

problems are very prevalent in severely obese patients who are candidates for MBS, and prevalence is even higher in the population of severely or morbidly obese children and young adolescents. (Cf. personal communication and report based on preliminary data analysis from the medical centre taking care of obese children in Walony: Centre Médical Pédiatrique Clairs Vallons ASBL; link to report: http://www.clairsvallons.com/kce-obesity-final/). Very often, severe and morbid obesity in young people may

2019 Belgian Health Care Knowledge Centre

77. Quality indicators for pulmonary rehabilitation programs in Canada: A CTS expert working group report

to develop QI that addresses the pro- cess, structure and outcomes of PR. METHODS: The development process was based on the modified RAND Appropriateness Method that included a systematic review of the literature to identify candidate QI and refinement of these QI by a Working Group before they were sent to a Delphi panel. Panel members rated the import- ance, scientific soundness, reliability, and feasibility of each candidate using an electronic survey. The results of the survey were distributed (...) to panelists who deliberated by teleconference prior their re-rating the candidate QI. RESULTS: The literature review identified 5490 titles and abstracts. A total of 1653 articles were retained after initial screening. After full text screening, 190 articles remained and were used to generate 90 candidate QI. The Delphi panel identified 56 QI: 19 structural, 29 process, 8 outcome. The Working Group distilled these to a shorter list of 14 core QI that defined the minimal requirements for PR. CONCLUSIONS

2019 Canadian Thoracic Society

78. Blood donor deferral policies for men who have sex with men across high-income countries

sexual exposure are included in their respective pre-donation questionnaires (1). In Italy, the national policy since 2001 is to exclude on basis of “risky behaviour” (11) and all donors are interviewed by a doctor (1). For example, a man who has sex with men could be considered “low risk” for HIV if he is in a long-term monogamous relationship and therefore, he is a “safer” candidate for blood donation. On the other hand, heterosexual men who had multiple sexual partners and unprotected sex during (...) Blood donor deferral policies for men who have sex with men across high-income countries Blood donor deferral policies for men who have sex with men across high-income countries | The Ontario HIV Treatment Network The Ontario HIV Treatment Network Blood donor deferral policies for men who have sex with men across high-income countries Blood donor deferral policies for men who have sex with men across high-income countries , , , Questions What are current policies related to men who have sex

2018 Ontario HIV Treatment Network

79. Opioid Use Disorder - Diagnosis and Management in Primary Care

are interested in discussing treatment. Delays in starting treatment increase risk of overdose. If possible, same day or next day treatment initiation is preferred. For “mild” OUD (individuals who meet 2-3 of the DSM-5 criteria), consider and discuss starting buprenorphine/naloxone treatment after assessing and discussing the risks and benefits. DSM-5 OUD criteria is not validated in youth. However, youth with significant impairment and high risk of overdose may be good candidates for opioid use disorder (...) treatment including buprenorphine/naloxone treatment. (Refer to (available June 8th, 2018 ) , for youth-specific criteria for starting OAT). If patients are unable or uninterested in starting treatment at this time, keep the door open for future treatment and begin building a rapport. Identify and address patient-centred goals. Follow up on patient goals regularly and consider motivational interviewing and harm reduction counselling. Treatment Options Consider the advantages and disadvantages

2018 Clinical Practice Guidelines and Protocols in British Columbia

80. Organisation of mental health care for adults in Belgium

THE BELGIAN HEALTH INTERVIEW SURVEY (HIS) 66 3 RESULTS 67 4 CONCLUSION 71 5 KEY MESSAGES 72 6 REFERENCES 72 CHAPTER 04 INTERNATIONAL FRAMEWORKS FOR MENTAL HEALTH SERVICE ORGANIZATION 73 AUTHORS: RICOUR C 1 , DETOLLENAERE J 1 , CORNELIS J 1 , DEVRIESE S 1 , MISTIAEN P 1 . 73 1 INTRODUCTION 73 2 OVERVIEW OF THE FRAMEWORK DEVELOPMENT DURING THE 21TH CENTURY 74 3 DESCRIPTION OF THE DEVELOPED INTERNATIONAL POLICIES 75 3.1 THE WHO MENTAL HEALTH ACTION PLAN 2013-2020 75 3.2 WHO/EUROPE ACTION PLAN 2013-2020 77 (...) INTERVENTIONS: PRIORITIES AND PREFERENCES 233 KCE Report 318 Organisation Mental Health Care adults Belgium 11 4.6.1 Stakeholders' prioritized organisational interventions, for the overall sample, by region and by stakeholders’ profile 233 4.6.2 Stakeholders' preferred organisational interventions 237 4.6.3 Clustering of organisational interventions 239 4.7 IMPLICIT VALUES OF THE ORGANISATION OF MENTAL HEALTH CARE BEHIND SELECTED ORGANISATIONAL INTERVENTIONS 242 4.8 INTERVIEWS WITH STAKEHOLDERS 244 4.8.1

2019 Belgian Health Care Knowledge Centre

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