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163. An International Consortium Update: Pathophysiology, Diagnosis, and Treatment of PCOS in Adolescence Full Text available with Trip Pro

" /> A " /> JavaScript is currently disabled, this site works much better if you enable JavaScript in your browser. × Title First Name* Last Name* Company/Institution E-Mail* Message *indicates required fields This site is protected by reCAPTCHA and the Google and apply. Login to MyKarger New to MyKarger? to sign up. Authors, Editors, Reviewers For Manuscript Submission, Check or Review Login please go to . Institutional Login (Shibboleth or OpenAthens) For the academic login, please select your organization (...) Features As in adults, signs of hyperandrogenism in adolescents can be clinical or biochemical. Hirsutism is defined as excessive, coarse, terminal hairs distributed in a male fashion, and PCOS is the most common cause of hirsutism in adolescence [ ]. The severity of hirsutism may not correlate with serum androgen levels; moreover, there are ethnic/genetic differences that may affect the degree of hirsutism [ - ]. Hirsutism must be distinguished from hypertrichosis defined as excessive vellus hair

2019 Pediatric Endocrine Society

164. Global Vascular Guidelines for patients with chronic limb-threatening ischemia Full Text available with Trip Pro

and made final revisions to the document, which was then approved by the sponsoring societies before publication and dissemination. Target population The target population of patients includes adults with CLTI, defined as a patient with objectively documented PAD and any of the following clinical symptoms or signs: • Ischemic rest pain with confirmatory hemodynamic studies • Diabetic foot ulcer (DFU) or any lower limb ulceration present for at least 2 weeks • Gangrene involving any portion of the lower

2019 Society for Vascular Surgery

165. Clinical practice guideline on peri- and postoperative care of arteriovenous fistulas and grafts for haemodialysis in adults Full Text available with Trip Pro

ratio PTFE polytetrafluoroethylene RCT randomized controlled trial RD risk difference RR relative risk 95% CI 95% Confidence Interval SIGN Scottish Intercollegiate Guidelines Network SD standard deviation SMD standardized mean difference UKRA UK Renal Association VAS Vascular Access Society DEFINITIONS Interpreting evidence in the arteriovenous (AV) access literature is challenged by the heterogeneity in terminology and the lack of standardization in outcomes. Below some of the terms used

2019 European Renal Best Practice

166. ACR–ASNR–SPR Practice Parameter for the Performance of Computed Tomography (CT) Perfusion in Neuroradiologic Imaging Revised

of such training and experience. The technologist should be certified by the ARRT and, if applicable, have an unrestricted state license in radiological technology. E. Nurse, if Applicable Under the supervision of the physician, the nurse, if available, should be responsible for the care of the patient, including screening, preparation, sedation, monitoring of vital signs, support, recovery, discharge, and medical record documentation. The nurse should have documented training or experience in the care (...) of the examination and allow for its proper performance and interpretation. Documentation that satisfies medical necessity includes 1) signs and symptoms and/or 2) relevant history (including known diagnoses). Additional information regarding the specific reason for the examination or a provisional diagnosis would be helpful and may at times be needed to allow for the proper performance and interpretation of the examination. CT Perfusion PRACTICE PARAMETER The request for the examination must be originated

2019 American Society of Neuroradiology

167. ACR–ASNR–SPR Practice Parameter for the Performance of Computed Tomography (CT) of the Extracranial Head and Neck

with Ionizing Radiation [59]. III. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL See the ACR Practice Parameter for Performing and Interpreting Diagnostic Computed Tomography (CT) [60]. IV. SPECIFICATIONS OF THE EXAMINATION The written or electronic request for CT of the head and neck should provide sufficient information to demonstrate the medical necessity of the examination and allow for its proper performance and interpretation. Documentation that satisfies medical necessity includes 1) signs (...) . Je BK, Kim MJ, Kim SB, Park DW, Kim TK, Lee NJ. Detailed nodal features of cervical tuberculous lymphadenitis on serial neck computed tomography before and after chemotherapy: focus on the relation between clinical outcomes and computed tomography features. J Comput Assist Tomogr. 2005;29(6):889-894. 14. Kane AG, Reilly KC, Murphy TF. Swimmer's CT: improved imaging of the lower neck and thoracic inlet. AJNR Am J Neuroradiol. 2004;25(5):859-862. 15. Katsura K, Hayashi T. Non-neoplastic process

2019 American Society of Neuroradiology

169. Diagnosis and staging of patients with ovarian cancer

Ireland and Honorary Professor in Gynecological Pathology of Queen’s University of Belfast, Northern Ireland) and Professor Evis Sala (Professor of Oncological Imaging at the University of Cambridge, UK). We would like in addition to thank Louise Murphy for her editorial support during preparation for publication. A full list of members of the Guideline Development Group is available in the previous pages. ____________________________ ____________________________ Signed by the Chairs: Dr Josephine (...) Radiology Dr Josephine Barry Consultant Radiologist, CUH Co-chair & writing member Dr Tony Geoghegan Consultant Radiologist, MMUH Writing member Dr Joan Heneghan Consultant Radiologist, UHW Writing member Dr Anne Carroll Radiology Specialist Registrar, SVUH Writing member Dr Laura Murphy Radiology Specialist Registrar, CUH Writing member Dr Charles Sullivan Radiology Specialist Registrar, SJH Writing member Dr Zoe Hutchinson Radiology Specialist Registrar, SVUH Writing member Dr Conor Houlihan Radiology

2019 National Clinical Guidelines (Ireland)

170. ACR–ASNR–ASSR–SIR–SNIS Practice Parameter for the Performance of Vertebral Augmentation

. 2. Retropulsion of a fracture fragment causing signs and symptoms of neurological compromise 3. Epidural tumor extension with significant encroachment on the spinal canal 4. Ongoing systemic infection 5. Patient improving on medical therapy 6. Prophylaxis in osteoporotic patients (unless being performed as part of a research protocol) 7. Myelopathy or cauda equina syndrome originating at the fracture level V. QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL A. Physician In general (...) to surgical, interventional, and medical management of complications. C. Patient Care 1. Preprocedural care a. The clinical history and findings, including the indications for the procedure, must be reviewed and recorded in the patient’s medical record by the physician performing the procedure. Specific inquiry should be made with respect to relevant medications, prior allergic reactions, and bleeding/ clotting status. PRACTICE PARAMETER 8 VERTERBRAL AUGMENTATION b. The vital signs and the results

2019 American Society of Neuroradiology

171. ACR–ASNR–ASSR–SPR Practice Parameter for the Performance of Computed Tomography (CT) of the Spine

information to demonstrate the medical necessity of the examination and allow for its proper performance and interpretation. Documentation that satisfies medical necessity includes 1) signs and symptoms and/or 2) relevant history (including known diagnoses). Additional information regarding the specific reason for the examination or a provisional diagnosis would be helpful and may at times be needed to allow for the proper performance and interpretation of the examination. The request for the examination (...) manufacturers, consultation with the manufacturer regarding protocol recommendations is advised in order to optimize spatial and contrast resolution. It is important that the clinical information be reviewed so that the examination is obtained at the appropriate level where the patient is symptomatic. If the patient’s signs and symptoms are limited to a given level, CT of the entire spine segment may not be necessary; for example, if spondylolysis at L5-S1 is suspected from clinical examination and from

2019 American Society of Neuroradiology

172. Emergency management of adrenal insufficiency in children: advocating for treatment options in outpatient and field settings

, acute onset of nausea and vomiting for the previous 24 hours. Physical examina- tion revealed an ill-appearing, thin male with tachycardia (pulse 110 bpm), mild hypoten- sion (85/60 mm Hg), signs of dehydration, and hyperpigmentation. Laboratory testing showed hyponatremia (sodium 129 mEq/L), hyperka- lemia (potassium 5.8 mEq/L) and hypoglycemia (glucose 55 mg/dL). Despite urgent fluid resus- citation with 2 intravenous boluses of normal saline and a bolus of 10% dextrose, hypoten- sion persisted (...) / J Investig Med: first published as 10.1136/jim-2019-000999 on 28 February 2019. Downloaded from 2 Miller BS, et al. J Investig Med 2019;0:1–10. doi:10.1136/jim-2019-000999 Review glucocorticoids when under physiological stress. Adrenal crisis can also occur as the initial clinical presentation of AI. Appropriate management requires immediate recognition of the clinical signs, symptoms and biochemical profile of AI and the triggers for adrenal crisis. Therefore, primary care, urgent care and ED

2019 Pediatric Endocrine Society

173. Sexual Assault

, including sexual assault. The trauma experienced by individuals can have lasting adverse effects on their functioning and mental, physical, social, and emotional well-being (17). The trauma-informed approach to care usesaframework thatacknowledges the effect oftrauma, recognizes signs and symptoms of trauma, responds by integrating knowledge about trauma into practices, and seeks to resist retraumatization. The key principles of trauma-informed care include ensuring physical and emotional safety (...) . 22. U.S.DepartmentofJustice,OfficeofJusticePrograms.National best practices for sexual assault kits: a multidisciplinary approach. Washington, DC: DOJ; 2017. Available at: https:// www.ncjrs.gov/pdffiles1/nij/250384.pdf. Retrieved October 18, 2018. 23. Lamba H, Murphy SM. Sexual assault and sexually trans- mittedinfections: anupdated review. IntJSTD AIDS2000; 11:487–91. 24. Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. Centers for Disease Control and Prevention

2019 American College of Obstetricians and Gynecologists

174. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. From the American Academy of Pediatrics Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures Charles J. Coté , Stephen Wilson , AMERICAN ACADEMY OF PEDIATRICS , AMERICAN ACADEMY OF PEDIATRIC DENTISTRY Abstract The safe sedation of children for procedures requires a systematic approach (...) alter the child’s expected responses to sedating/analgesic medications. A specific query regarding signs and symptoms of sleep-disordered breathing and OSA may be helpful. Children with severe OSA who have experienced repeated episodes of desaturation will likely have altered mu receptors and be analgesic at opioid levels one-third to one-half those of a child without OSA – , , ; lower titrated doses of opioids should be used in this population. Such a detailed history will help to determine which

2019 American Academy of Pediatrics

176. HTA of C-reactive protein point-of-care testing to guide antibiotic prescribing

(10 and 17 mg/L) that may be useful to rule out sinusitis, however, as most clinical guidelines for the diagnosis and management of acute sinusitis (of less than 10 days’ duration) do not generally recommend the use of antibiotics, the utility of CRP POCT in sinusitis is unclear. CRP testing is better at ruling in than ruling out bacterial pharyngitis at a threshold of 35 mg/L and one study suggests it may be useful when used in combination with other signs and symptoms. The utility of CRP testing (...) for the detection of bacterial pharyngitis is sensitive to the cut-point used. For LRTI and pneumonia, there was mixed evidence regarding the diagnostic test accuracy of CRP testing. CRP testing may be useful at ruling in a diagnosis of pneumonia at a cut-point of 100 mg/L, but is not reliable at ruling out pneumonia at a cut-point of 20 mg/L. The use of CRP POCT may be more useful when used in combination with a prediction rule that incorporates specific signs and symptoms and may increase the specificity

2019 Health Information and Quality Authority

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

such as integration within society, contribution to society, acceptance and trust within society, individual understanding of society and belief in the potential of society (15). In the decades since 1948 when this definition of health was published, the concept of health has expanded further (16). Complete health and well-being may not be everyone’s goal. For example, the presence of a chronic mental or physical illness is not necessarily a sign of being ill but may be something that can be managed (17

2019 WHO Health Evidence Network

178. Primary Prevention of ASCVD and T2DM in Patients at Metabolic Risk Full Text available with Trip Pro

by combinations of clinical criteria that are defined differently by various organizations and attempt to describe a clinical entity, the metabolic syndrome. The major purpose was to use clinical signs and symptoms to identify people who have a combination of risk factors that contribute to a higher long-term risk for ASCVD and T2DM than that in the general population. This guideline addresses the population of individuals with components of the metabolic syndrome who do not yet have diagnosed ASCVD or T2DM

2019 The Endocrine Society

179. NeoMedQ: Neonatal medicines

errors • Include in local medicine administration protocols, the requirement to” o Double check patient identification o Route of administration o Time to be administered o Medicine calculations o Duration of administration o Double signing of medication charts o Observe the administration of the medication • Possible approaches to double checking include: o Independent: Nurse 1 and 2 calculate the drug separately o Watching: Nurse 2 watches Nurse 1 do the calculation o Do and show: Nurse 1 shows (...) /Neonatal Nurse Educator, Rockhampton Hospital Mr Karl Kizur, Pharmacist, The Townsville Hospital Ms Judy Lin, Pharmacist Logan Hospital Ms Katri Malinen, Advanced Pharmacist, Townsville Hospital Mrs Colette Mcintyre, Clinical Nurse Consultant, Royal Brisbane and Women's Hospital Ms Melissa Melville, Nurse Unit Manager, Royal Brisbane and Women's Hospital Mrs Renee Muirhead, Clinical Nurse Consultant, Mater Mothers' Hospital Mrs Megan Murphy, Neonatal Nurse Practitioner, The Townsville Hospital

2019 Queensland Health

180. UK guidelines on the management of iron deficiency in pregnancy Full Text available with Trip Pro

is associated with increased risk of perinatal morbidity and mortality, and has important potential implications for the future neuro‐development of the infant (2B). Diagnosis Clinical symptoms and signs The clinical symptoms of iron deficiency anaemia in pregnancy are non‐specific and cannot be relied on for diagnostic purposes. Fatigue is the most common symptom but women may also present with pallor, weakness, headache, palpitations, dizziness, dyspnoea, irritability and restless legs. Pica, a craving

2019 British Committee for Standards in Haematology

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