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141. Pharmacologic and Nonpharmacologic Therapies in Adult Patients With Exacerbation of COPD

for Healthcare Research and Quality, our Task Order Officer, Lionel Bañez, M.D., and from the American Academy of Family Physicians, Melanie Bird, Ph.D. Key Informants In designing the study questions, the EPC consulted several Key Informants who represent the end-users of research. The EPC sought the Key Informant input on the priority areas for research and synthesis. Key Informants are not involved in the analysis of the evidence or the writing of the report. Therefore, in the end, study questions, design (...) (www.effectivehealthcare.ahrq.gov) to see draft research questions and reports or to join an email list to learn about new program products and opportunities for input. If you have comments on this systematic review, they may be sent by mail to the Task Order Officer named below at: Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, or by email to epc@ahrq.hhs.gov. Gopal Khanna, M.B.A. Arlene S. Bierman, M.D., M.S. Director Director Agency for Healthcare Research and Quality Center for Evidence

2019 Effective Health Care Program (AHRQ)

142. Management of Stroke Rehabilitation

. Communication 80 C. Dysphagia 81 D. Driving 82 E. Pseudobulbar Affect 83 Appendix C: Patient Focus Group Methods and Findings 84 A. Methods 84 B. Patient Focus Group Findings 84 Appendix D: Evidence Review Methodology 87 A. Developing the Key Questions 87 B. Conducting the Systematic Review 98 C. Convening the Face-to-face Meeting 103 D. Grading Recommendations 103 E. Recommendation Categorization 107 F. Drafting and Submitting the Final Clinical Practice Guideline 109 Appendix E: Evidence Table 111 (...) the effect of guideline adherence on clinical outcomes. This guideline is intended for use by VA and DoD healthcare practitioners including physicians, nurses, nurse practitioners, physician assistants, psychologists and other mental health providers, social workers, pharmacists, physical therapists, occupational therapists, case managers, speech language pathologists, vision therapists, vocational rehabilitation specialists, recreation therapists, and others involved in the care of Service Members

2019 VA/DoD Clinical Practice Guidelines

143. Substance use disorders in pregnancy: clinical, ethical, and research imperatives of the opioid epidemic Full Text available with Trip Pro

rather than use in pregnancy. An additional limitation is that, with 10 questions, many may find it too lengthy. 4Ps screen The 4Ps screen was first developed by Hope Ewing in 1990. x 24 Ewing, H. A practical guide to intervention in health and social services with pregnant and postpartum addicts and alcoholics: theoretical framework, brief screening tool, key interview questions, and strategies for referral to recovery resources. The Born Free Project, Contra Costa County Department of Health (...) Services , Martinez (CA) ; 1990 Since then, the measure has evolved along 2 paths. The first path is the 4Ps Plus (NTI Publishing), which includes 5 questions, is copyrighted, and only available for a fee. The utility of this screening tool was reported in a study of 228 pregnant women. x 25 Chasnoff, I.J., Wells, A.M., McGourty, R.F., and Bailey, L.K. Validation of the 4P’s plus screen for substance use in pregnancy validation of the 4P’s plus. J Perinatol . 2007 ; 27 : 744–748 Compared with results

2019 Society for Maternal-Fetal Medicine

144. What are the effects of Teach For America on Math, English Language Arts, and Science outcomes of K–12 students in the USA? Full Text available with Trip Pro

across the United States ( ). These programs seek to increase the supply of teachers more rapidly than traditional teacher preparation programs ( ; ; ). Although their requirements vary widely, most are shorter, less expensive, and more practically oriented than traditional teacher preparation programs (Blazer, 2102). These programs also vary widely in their selection criteria for teacher candidates, approach to training these candidates, notoriety among education stakeholders, and evidence (...) diverse corps members to teach difficult‐to‐staff subjects such as science, math, and special education ( ). Figure 1 Number of individuals recruited versus number of individuals selected to become corps members during the past 25 years of TFA's history Source: Compiled fromdata reported in Teach For America (2010) Selection TFA's selection process aims to identify candidates who are most likely to succeed in the classroom. Roughly 25% of recruits become corps members (see ). The selection process

2018 Campbell Collaboration

145. Preventing Violence, Harassment and Bullying Against Health Workers

and priority recommendation questions for this BPG (see Appendix C). Scope To determine the scope and organization of this BPG, the RNAO Best Practice Guideline Development and Research team took the following steps: ? reviewed the RNAO BPGs Preventing and Managing Violence in the Workplace (3) and Workplace Health, Safety and Well-being of the Nurse (2); ? conducted two scoping reviews G of the literature to determine existing research on bullying among health workers in organizations; and ? consulted (...) colleagues; (c) between students and health workers; and (d) between formal leaders and health workers. Health worker: Defined as “all people engaged in actions whose primary intent is to enhance health” (7). This includes regulated health professionals (e.g., registered nurses, registered practical nurses, physicians, social workers and physiotherapists), unregulated health workers (e.g., personal support workers, physician assistants and outreach workers) and additional support staff (e.g., patient

2019 Registered Nurses' Association of Ontario

146. What is the evidence on the role of the arts in improving health and well-being? A scoping review

. The synthesis question This scoping review addressed the question: “What is the evidence on the role of the arts in improving health and well-being?” Types of evidence This report used a scoping review methodology to map the global academic literature in English and Russian from January 2000 to May 2019. Over 900 publications were identified, of which there were over 200 reviews, systematic reviews, meta- analyses and meta-syntheses covering over 3000 studies, and over 700 further individual studies (...) case studies, small-scale cross-sectional surveys, nationally representative longitudinal cohort studies, community-wide ethnographies and randomized controlled trials. Research methods included psychological scales, biological markers, neuroimaging, physiological assessments, behavioural observations, interviews and examinations of clinical records. Research studies also drew on theories from diverse disciplines. There is naturally variation in the quality of this evidence, and certain areas where

2019 WHO Health Evidence Network

147. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults: an AUA/SUFU Guideline

(SNS) as third-line treatment in a carefully selected patient population characterized by severe refractory OAB symptoms or patients who are not candidates for second-line therapy and are willing to undergo a surgical procedure. Recommendation (Evidence Strength Grade C) 21. Practitioners and patients should persist with new treatments for an adequate trial in order to determine whether the therapy is efficacious and tolerable. Combination therapeutic approaches should be assembled methodically (...) . The same system was used to assess the quality of additional included studies. The categorization of evidence strength is conceptually distinct from the quality of individual studies. Evidence strength refers to the body of evidence available for a particular question and includes consideration of study design, individual study quality, consistency of findings across studies, adequacy of sample sizes and generalizability of samples, settings and treatments for the purposes of the guideline. AUA

2019 American Urological Association

148. Methodology for Creating Expert Consensus Decision Pathways

, such guidelines may contain gaps in how to make clinical decisions, particularly when equipoise is present in a topic. To help inform clinicians about areas where evi- dence may be new and evolving or where suf?cient datamaybemorelimited,theACCestablishedExpert ConsensusDecisionPathwaysasaformatforaddress- ing key questions facing members across a range of high-value clinical topics. Their methodology is grounded in assembling a group of clinical experts to develop content that builds consensus advice to sup (...) , but to encourage clinicians to ask certainquestionsandconsiderkeyfactorsastheycometo their own decision on a treatment plan to be recom- mended and discussed with their patients. Given the na- ture of clinical evidence, there may be multiple reasonable treatment options for physicians and patients to consider together. 2. SUMMARY GRAPHIC Figure 1 summarizes both the process for identifying Expert Consensus Decision Pathway topics as well as how they are developed and published. The subsequent sec- tions

2019 American College of Cardiology

149. 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

150. 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

151. Guidelines for Living Donor Kidney Transplantation

, Consultant Nephrologist, Guy’s & St Thomas’ NHS Foundation Trust, London Dr Gareth Jones PhD FRCP, Consultant Nephrologist, Royal Free Hospital, London Dr Graham Lipkin MD FRCP, Consultant Nephrologist, University Hospitals Birmingham NHS Foundation Trust, Birmingham Dr Adam Mclean DPhil FRCP, Consultant Nephrologist & Transplant Physician, West London Renal & Transplant Centre, London Prof Nizam Mamode MD FRCS, Professor of Transplant Surgery, Guy’s & St Thomas’ NHS Foundation Trust, London Ms Hanna (...) (IA) has conducted separate interviews with the donor (and if different from the donor, the person giving consent) and the recipient (or the person acting on behalf of the recipient) and submitted a report of their assessment to the HTA. With the exception of non-directed altruistic donors (NDADs), a joint IA interview with donor and recipient is also required by the HTA. In cases of directed genetically or emotionally related donation, the HTA requires that evidence of relationship is provided

2018 Renal Association

152. Esketamine for the Treatment of Treatment-Resistant Depression: Effectiveness and Value

hoped that out-of-pocket costs may be decreased if esketamine becomes covered by insurers, but worried that they still may have large out-of-pocket expenses through deductibles or non-coverage policies. • Finally, there was concern that the time commitment to receive esketamine in a doctor’s office, even if less than for IV ketamine, would still be substantial. ©Institute for Clinical and Economic Review, 2019 Page ES4 Final Evidence Report – Esketamine for Treatment-Resistant Depression Return (...) of patients receiving each dose for esketamine (Table 4.8). Since esketamine requires observation of the patient for two hours after each administration, a physician office visit (CPT code 99214) was assigned for each dose, estimated using the Centers for Medicare and Medicaid Services (CMS) Physician Fee Schedule. 106 Costs for alternative treatments used in the model were derived from data on pharmaceutical costs by number of depression medication regimen changes. 101 These costs from the year 2000 were

2019 California Technology Assessment Forum

153. Weight Management Screening and Intervention Guideline

with patients. These specialists use motivational interviewing to help patients with behavior change to achieve weight management goals determined by the patient and provider. The coaching may be by telephone, face-to- face, or via virtual consultation, and is documented in Epic. Helpful websites on fostering positive weight-related conversations with sample motivational interviewing scripts include: • Fostering Positive Weight-Related Conversations from the Holland Bloorview Kids Rehabilitation Hospital (...) coaches are Kaiser Permanente staff trained in motivational interviewing and behavioral counseling. All coaches are Master's level Allied Clinicians who have received certification in a Health and Wellness Coaching Certification program. All the coaches have additional licenses and certifications in disciplines specific to their degrees. 6 Lifestyle modification resources Community Resource Specialists also provide referrals to resources in the local community to help patients achieve sustainable

2018 Kaiser Permanente Clinical Guidelines

154. Remote Patient Monitoring

with chronic obstructive pulmonary disease (COPD) as well. (5) Service User/Eligibility Delivery Model Service Providers Partners Involved Patient or System Outcomes Cost ? Heart failure or COPD patients can be self-referred or consent to be referred by a healthcare professional (family doctor, emergency room physician, hospital liaison in acute care.) ? The HHM Clinician in a client’s region assesses eligibility after referral. ? Service duration is approx. 12 weeks ? A blood pressure monitor, weigh scale (...) , contacts client regularly to review results and answer questions, reports and communicates concerns to patient’s physician. ? Hospital Liaison (acute care nurse) supports the discharge process for clients back into the community and is a source of referrals for patients to HHM ? Trained HHM Clinician (nurse) monitors clients in the HHM program using the TELUS RPM application) ? Physician ? Island Health Authority and BC’s Home Health Monitoring provincial initiative partnered to implement

2018 Newfoundland and Labrador Centre for Health Information

155. Rural Psychiatry Services

with the attending psychiatrists at a distance. Community Profile Service Users Service Providers Program Delivery Interventions Outcomes Financial Considerations ? Small, rural communities ? Long commuting distances to urban centres ? Small catchment area ? Individuals with psychiatric diagnoses ? Psychiatrist ? Nurse ? Social worker ? Family physician ? Telepsychiatry ? Outpatient ? In existing community health settings ? Referral required ? Initial assessment ? Diagnosis and follow-up ? Clinical interviews (...) from a primary care provider (family physician or nurse practitioner) ? Primary care provider ? Specialist physician ? Web-based portal ? Service builds on existing infrastructure ? Technical support: user support service for technical troubleshooting, information technology ? Human resources support: project coordination, clinician engagement and training ? eConsult: a primary care provider electronically sends a question to a specialist, potentially avoiding the need to refer the patient

2018 Newfoundland and Labrador Centre for Health Information

157. Occupational Therapy for people Undergoing total hip replacement

Contents Foreword (2nd edition) vi Foreword (1st edition) vii Foreword (1st edition) viii Key recommendations for implementation 1 1 Introduction 6 1.1 Practice requirement for the guideline 6 1.2 Topic identification process 7 1.3 National context: hip replacement statistics 7 1.4 Context of service de livery 8 2 The occupational therapy role 11 3 Objective of the guideline 14 4 Guideline scope 15 4.1 Clinical question 15 4.2 Target population 16 4.3 Target audience 17 5 Background to clinical (...) Guideline methodology 65 11.1 Guideline question 65 11.2 Literature search str ategy and outcomes 65 11.3 Criteria for inclusion and exclusion of evidence 67 11.4 Strengths and limitat ions of body of evidence 68 11.5 Method used to arriv e at recommendations 70 12 Guideline review process 72 12.1 Guideline review gro up established 72 12.2 Identification of new evidence 72 12.3 Assessment of upda te requirements 74 12.4 External review 74 12.5 College appraisal and ratification process 75 12.6 Overview

2018 Publication 1554

158. Occupational Therapists' Use of Occupation Focused Practice in Secure Hospitals

National context of secure services 7 2 The occupational therapy role 13 2.1 Occupational therapy in mental health 13 2.2 History of occupational therapy in forensic mental health services 14 2.3 Occupational therapy intervention 15 3 Objective of the guideline 17 4 Guideline scope 18 4.1 Clinical question 18 4.2 Target population 19 4.3 Target audience 20 5 Recommendations and supporting evidence 21 5.1 Volition 22 5.2 Habituation 28 5.3 Performance capacity 31 5.4 Environmental considerations 38 5.5 (...) involvement 56 9.4 External peer review and consultation 56 9.5 Conflict of interest 56 9.6 Declaration of funding for the guideline development 57 9.7 Appraisal and ratification process 57 10 Guideline methodology 58 10.1 Guideline question 58 10.2 Literature search strategy and outcomes 58 10.3 Criteria for inclusion and exclusion of evidence 60 10.4 Strengths and limitations of body of evidence 61 10.5 Method used to arrive at recommendations 63 11 Guideline review process 65 11.1 Guideline review

2018 Publication 1554

159. How to improve the Organisation of Mental healthcare for older adults in Belgium?

as moderator) Presidency or accountable function within an institution, association, department or other entity on which the results of this report could have an impact: Wouter Decat (AUVB Algemene Unie der Verpleegkundigen van België), Gérald Deschietere (Vice-president APsy (association of psychiatric service of UCL)), An Haekens (Head doctor RK Alexianen), Véronique Tellier (Direction of the public health services of the Province of Namur), Robert Van Buggenhout (President sector elderly psychiatrie (...) and age group 149 Table 15 – Type of lump-sum for residents in homes for the elderly and nursing homes (in %) 150 Table 16 – Number of internments in prisons in Belgium based on conviction in 2010-2016 per age category 151 Table 17 – Number of physicians with proven practice – 2007-2015 153 Table 18 – Number of GP visits per patients – Patients from the Permanent sample with at least one GP visit (2008 – 2009) 158 Table 19 – Percentage of persons not living in a residential care facility that received

2018 Belgian Health Care Knowledge Centre

160. Atrial Fibrillation Full Text available with Trip Pro

of the guideline during the development process. A reference group was established comprising appointed representatives of key stakeholder organisations with national relevance in the provision of AF care in Australia. The key roles of the group were to review and provide input into the scope of the guidelines and the questions being submitted for literature review, draft guideline content and recommendations, and facilitate implementation of the guidelines. The working group generated clinical questions (...) to form the basis of external literature searches in consultation with the clinical expert committees of NHFA and CSANZ. Questions for external literature searches were prioritised according to uniqueness to Australia, and to areas not covered in recent European guidelines [ x [1] Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B. et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J . 2016 ; | | , x [15

2018 Cardiac Society of Australia and New Zealand

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