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Pediatric Auditory Screening

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181. Diagnosis and Management of Acute Otitis Media

Diagnosis and Management of Acute Otitis Media The Diagnosis and Management of Acute Otitis Media | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. The Diagnosis and Management of Acute Otitis (...) Media Allan S. Lieberthal , Aaron E. Carroll , Tasnee Chonmaitree , Theodore G. Ganiats , Alejandro Hoberman , Mary Anne Jackson , Mark D. Joffe , Donald T. Miller , Richard M. Rosenfeld , Xavier D. Sevilla , Richard H. Schwartz , Pauline A. Thomas , David E. Tunkel This article has a correction. Please see: Abstract This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family

2013 American Academy of Family Physicians

182. The Diagnosis and Management of Acute Otitis Media

The Diagnosis and Management of Acute Otitis Media The Diagnosis and Management of Acute Otitis Media | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care. The Diagnosis and Management of Acute Otitis (...) Media Allan S. Lieberthal , Aaron E. Carroll , Tasnee Chonmaitree , Theodore G. Ganiats , Alejandro Hoberman , Mary Anne Jackson , Mark D. Joffe , Donald T. Miller , Richard M. Rosenfeld , Xavier D. Sevilla , Richard H. Schwartz , Pauline A. Thomas , David E. Tunkel This article has a correction. Please see: Abstract This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family

2013 American Academy of Pediatrics

183. Clinical Practice Guideline for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit

sedation assessment tools for measuring quality and depth of sedation in adult ICU patients (B). We do not recommend that objective measures of brain function (e.g., auditory evoked potentials [AEPs], Bispectral Index [BIS], Narcotrend Index [NI], Patient State Index [PSI], or state entropy [SE]) be used as the primary method to monitor depth of sedation in noncomatose, nonparalyzed critically ill adult patients, as these monitors are inadequate substitutes for subjective sedation scoring systems (–1B (...) with prolonged ICU and hospital LOS in adult ICU patients (A). Delirium is associated with the development of post-ICU cognitive impairment in adult ICU patients (B). Detecting and monitoring delirium We recommend routine monitoring of delirium in adult ICU patients (+1B). The Confusion Assessment Method for the ICU (CAM-ICU) and the Intensive Care Delirium Screening Checklist (ICDSC) are the most valid and reliable delirium monitoring tools in adult ICU patients (A). Routine monitoring of delirium in adult

2013 Society of Critical Care Medicine

184. Cardiovascular Function and Treatment in ß-Thalassemia Major

the normal range. Although the changes in serum creatinine are usually nonprogressive, deferasirox is currently contraindicated in patients with creatinine clearance <40 mL/min or serum creatinine greater than twice the age-appropriate normal threshold. Several cases of Fanconi syndrome have been reported with deferasirox. In some cases, overdosage related to low total iron burden has been reported. Cases were reversible with cessation of the drug. Auditory and ocular toxicities occur in ≈1% of patients

2013 American Heart Association

185. Bell's palsy

to improve quality of care and may be used to develop performance measures. Table 3. Topics and issues considered in Bell’s palsy guideline development. Table 3. Topics and issues considered in Bell’s palsy guideline development. Health Care Burden Bell’s palsy is a relatively uncommon condition, but one that affects people across the age and sex spectrum, with incidence ranging from 11.5 to 53.3 per 100,000 person years in different populations. - Notably, Bell’s palsy is seen in the pediatric (...) . An interactive Lyme disease map and Lyme disease cases and incidence by state for 2002-2011 are available from the Centers for Disease Control and Prevention. For patients in endemic areas (or patients who have recently traveled to endemic areas), Lyme disease serology should be drawn, particularly when a patient’s history is suggestive of an exposure. Currently, there are 3 antibody tests available to aid in the diagnosis of Lyme disease, typically performed using a 2-step process. If screening tests

2013 American Academy of Otolaryngology - Head and Neck Surgery

186. Tympanostomy Tubes in Children

parental/caregiver concern about hearing loss should be taken seriously and requires an objective hearing screening of the patient. All providers of pediatric health care should be proficient with pneumatic otoscopy and tympanometry; however, neither of these methods assess hearing. Developmental abnormalities, level of functioning, and behavioral problems may preclude accurate results on routine audiologic screening and testing. In this situation, referral to an otolaryngologist and pediatric (...) , Throat & Plastic Surgery Associates, Winter Park, Florida, USA by this author for this author , , AuD 7 7Department of Otology, Head and Neck Surgery, UCLA Medical Center, Los Angeles, California, USA by this author for this author , , MD, FAAP 8 8Pomona Pediatrics, Pomona, New York, USA by this author for this author , , PhD 9 9Department of Speech and Hearing Sciences, UNC School of Medicine, Chapel Hill, North Carolina, USA by this author for this author , , MA 10 10Mothers Against Medical Error

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2013 American Academy of Otolaryngology - Head and Neck Surgery

188. Attention-Deficit Hyperactivity Disorder

statements: An algorithm and explanation for process of care for the evaluation, diagnosis, treatment, and monitoring of ADHD in children and adults. Pediatrics, 2011; 128(5): SI 1-SI19 *The overall sequence of evaluation and treatment of adults is similar, see the text details specific to adults. Perform diagnostic evaluation for ADHD and evaluate or screen for other/coexisting conditions. See Table 3 Other condition? Provide education addressing concern (e.g., expectations for attention as a function (...) Attention-Deficit Hyperactivity Disorder 1 Quality Department Guidelines for Clinical Care Ambulatory ADHD Guideline Team Team Leaders John M O'Brien, MD Family Medicine Jennifer G. Christner, MD Child Behavioral Health Team Members Bernard Biermann, MD, PhD Child/Adolescent Psychiatry Barbara T Felt, MD Child Behavioral Health R Van Harrison, PhD Medical Education Paramjeet K Kochhar, MD General Pediatrics Consultant Darcie-Ann Streetman, PharmD College of Pharmacy Initial Release August, 2005

2013 University of Michigan Health System

189. Tinnitus in Children and Teenagers

. ADHD Attention De?cit Hyperactivity Disorder APD Auditory Processing Disorder ASD Autistic Spectrum Disorder AVM Audiovestibular Medicine AVP Audiovestibular Physician BSA British Society of Audiology BTA British Tinnitus Association CBT Cognitive Behavioural Therapy ENT Ear, Nose and Throat GP General Practitioner IEP Individual Educational Plan IHP Individual Hearing Pro?le LDLs Loudness Discomfort Levels PTA Pure Tone Audiogram/Audiometry SENCO Special Educational Needs Co-ordinator VAS Visual (...) and management of the child’s tinnitus need to respect the child’s age, cognitive and linguistic ability and individual circumstances. The evidence base for the management of childhood anxiety and pain is relevant to aspects of the tinnitus pro?le of children. • These guidelines offer a pragmatic approach to the management of children with tinnitus at all levels of severity for children up to 16 years. • In general, in hearing appointments other than routine ENT audiometry and school screening, children

2014 British Society of Audiology

190. Australian guidelines for the treatment of acute stress disorder and posttraumatic stress disorder

to potentially traumatic events 22 Traumatic stress syndromes 23 Acute stress disorder 23 Posttraumatic stress disorder 25 Re-experiencing symptoms 25 Avoidance and numbing symptoms 25 Arousal symptoms 25 Features commonly associated with PTSD 27 Prevalence and incidence of PTSD 27 Comorbid conditions 28 The course of PTSD 28 Resilience in the face of potentially traumatic events 28 1 2viii Posttraumatic mental health disorders: Key differences between ASD and PTSD 29 Screening, assessment and diagnosis 29 (...) Connor-Davidson Resilience Scale CI Confidence interval CINAHL Cumulative Index to Nursing and Allied Health Literature CISD Critical incident stress debriefing CISM Critical incident stress management CNS Central nervous system CP Consensus point CPP Child–parent psychotherapy CPSS Child PTSD Symptom Scale CPT Cognitive processing therapy CPTSDI Children’s PTSD Inventory CPTSD-RI Child PTSD Reaction Index CSA Childhood sexual abuse CT Cognitive therapy CTSQ Child Trauma Screening Questionnaire DALY

2013 Clinical Practice Guidelines Portal

192. Magnetic Resonance Imaging

anesthesiologists and intensive care specialists may also provide conscious sedation and are always required for general anesthetic. Conscious sedation is safer and more efficient when it is provided by a dedicated team [2]. Knowledge of pediatric cardiac life support and availability of the drugs and equipment needed for resuscitation of children of all ages/sizes are essential [3]. Prior to any sedation methods being used on a patient, screening must be done to identify possible health concerns (see sample (...) PHYSICISTS 5 C. MR TECHNOLOGISTS 5 D. FIELD ENGINEERS (FE) 5 III. CHOICE OF AN MR SYSTEM 6 IV. EQUIPMENT SPECIFICATIONS 6 V. QUALITY CONTROL PROGRAM 6 A. QUALITY CONTROL TESTS 7 B. PERFORMANCE EVALUATION TESTS 7 VI. ACCEPTANCE TESTING 7 VII. QUALITY IMPROVEMENT PROGRAM 8 VIII. MRI SAFETY 8 CONTRAINDICATIONS 9 CONTRAST AGENT USE AND SAFETY 9 IX. USE OF SEDATION OR GENERAL ANESTHESIA 10 CLINICAL STANDARDS 10 A. ADULT AND PEDIATRIC BRAIN 11 INDICATIONS FOR MRI OF THE BRAIN 12 EXTENDED INDICATIONS 13

2011 Canadian Association of Radiologists

193. Neurodevelopmental Outcomes in Children With Congenital Heart Disease: Evaluation and Management

versions: Abstract Background— The goal of this statement was to review the available literature on surveillance, screening, evaluation, and management strategies and put forward a scientific statement that would comprehensively review the literature and create recommendations to optimize neurodevelopmental outcome in the pediatric congenital heart disease (CHD) population. Methods and Results— A writing group appointed by the American Heart Association and American Academy of Pediatrics reviewed (...) been constructed to serve as a supplement to the 2006 American Academy of Pediatrics statement on developmental surveillance and screening. The proposed algorithm is designed to be carried out within the context of the medical home. This scientific statement is meant for medical providers within the medical home who care for patients with CHD. Conclusions— Children with CHD are at increased risk of developmental disorder or disabilities or developmental delay. Periodic developmental surveillance

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2012 American Heart Association

194. Obsessive Compulsive Disorder

of evidence. EPIDEMIOLOGY The high prevalence of OCD in children was not generallyrecognizeduntilthe?rstepidemiologic study just over 20 years ago. 2 In that study, most subjects identi?ed through screening who were later diagnosed with OCD had been previously undiagnosed, leading to the notion of pediatric OCD as a “hidden epidemic.” The secretive na- ture of OCD symptoms and the isolated and idiosyncratic functional de?cits that may be se- vere but variable and domain speci?c contribute to the ?nding (...) symptoms within several distinct dimensions that combine thematically re- lated obsessions and compulsions. Early-onset cases have a high frequency of subjective sensations known as “sensory phe- nomena” preceding or accompanying their com- pulsions. Physical sensations include localized tactile and musculoskeletal sensations, and men- tal sensations include “just-right” perceptions (to tactile, visual, and auditory sensory stimuli) and “incompleteness” (or need for accuracy). 22 Pediatric OCD

2012 American Academy of Child and Adolescent Psychiatry

195. Guidelines for intensive care unit design

be driven by the function and place it serves. As such, these ICU Guidelines must adapt to a range of facilities, from a rural or community hospital to a teaching hospital. These Guidelines are intended to apply to adult medical/surgical ICUs. Other patient populations, such as pediatric, neonatal, and subspecialty, may have additional or different requirements that may not be mentioned in these Guidelines ( , , ). Some issues are changing so rapidly, such as information technology, they are referred (...) in isolation rooms. Pneumatic tube systems may be used for rapid transport of specimens to and from the laboratory. | Imaging Imaging services should be readily accessible to the ICU. The unit should provide adequate storage for portable imaging machines. The patient archive communication system and a reading room with film-view boxes and/or digital access with high-resolution screens should be available within or adjacent to the unit. | Respiratory Therapy A respiratory therapist is frequently a part

2012 Society of Critical Care Medicine

196. Monitoring of Nonsteroidal Immunosuppressive Drugs in Patients With Lung Disease and Lung Transplant Recipients

with no history of demyelin- ating disease who undergo anti-TNF- a therapy and experience symptoms or display signs of a demyelinating process, discontinuation of ther- apy is suggested (Grade 2C) . 3.1k. For patients who undergo anti-TNF- a therapy and develop symptoms of a lupus-like disorder, discontinuation of therapy is suggested (Grade 2C) . 3.1l. For patients who will undergo anti-TNF- a therapy and who are at risk for viral hepatitis, serologic screening for hepatitis B is recom- mended prior (...) , a reduction in the target dose concentration is suggested (Grade 2C) . 3.1a. For patients who will undergo anti-TNF- a therapy, a chest radiograph is recommended prior to treatment (Grade 1C) . 3.1b. For patients who will undergo anti-TNF- a therapy, a tuberculin skin test is recommended to screen for latent TB prior to treatment (Grade 1C) . 3.1c. For patients who will undergo anti-TNF- a therapy and present with a chest radiograph con- sistent with prior TB or a positive tuberculin skin test

2012 American College of Chest Physicians

197. Interactive metronome in improving attention, timing, rhythm, motor planning, and sequencing

, criterion, and construct validity), and it can be tailored to measure functional changes specific to the individual. SUPPORTING INFORMATION Background/Purpose of BESt Development The IM program is a computer-based intervention tool that combines auditory feedback and movement exercises to promote improved motor planning and sequencing. Individuals who have completed the IM program have reported improvements in their focus and attention, coordination, endurance and stamina, ability to filter internal (...) in a variety of settings by persons who are certified trainers in using the method. Trainers are able to structure a program that is specific to the needs of the individual participant. The purpose of this evidence-based practice project was to appraise research evidence on interactive metronome and provide recommendations regarding use of the IM program. Definitions 1. Interactive Metronome Program: Is a computer-based intervention tool that combines auditory feedback and movement exercises to promote

2012 Cincinnati Children's Hospital Medical Center

198. ACR-ASNR-SPR Practice Guideline for the Performance of Magnetic Resonance Imaging (MRI) of the Head and Neck

effective and safe medical care. The sole purpose of these guidelines is to assist practitioners in achieving this objective. I. INTRODUCTION This guideline was revised collaboratively by the American College of Radiology (ACR), the American Society of Neuroradiology (ASNR), and the Society for Pediatric Radiology (SPR). Magnetic resonance imaging (MRI) of the head and neck is a proven and useful tool for the diagnosis, evaluation, and follow-up of diseases of the head and neck. Head and neck MRI should (...) images of the oropharynx, nasopharynx, orbits, and sinonasal cavities. If detection of calcification or bone erosion is important to answer a clinical question, CT scanning may be a better choice than MRI. In certain clinical scenarios such as skull base neoplasia, both MRI and CT may be required to address all clinical and management issues. In the pediatric population, the majorities of neck masses are benign and are congenital/developmental, acquired inflammatory or vascular origin. After detailed

2012 American Society of Neuroradiology

199. Home Modifications in Aboriginal Housing

replace auditory doorbells and alarm systems, including fire detection systems (Lee et al., Authored by Rachel Walls, Catherine Bridge, Lyndal Millikan and Laura Davy Author for the Home Modification Information Clearinghouse, City Futures Research Centre, UNSW Australia. Occasional Paper: Home Modifications in Aboriginal Housing. July 2012, 2 nd ed.,April 2013; 3 rd printing June 2014 ISBN: 978-0-7334-3064-0 www.homemods.info 14 2006). Because of the potential impacts of otitis media on balance, all (...) to the needs of people with reduced vision and their carers (Whitfield et al., 2005) ? Good quality lighting in the home is a priority in ensuring safe and independent mobility for the individual with visual impairment (Bridge & Pitch, 2006) People with visual impairments may also require a range of equipment to assist in daily living tasks. As hearing and touch become much more valuable discriminators in navigation for those who have a visual impairment, it is important to consider the auditory qualities

2012 Home Modification Information Clearinghouse

200. CPG for the Prevention and Treatment of Suicidal Behaviour

. International suicidal behaviour prevention programmes 143 8.2. Enhancing protective factors and resilience 149 8.3. Restricting access to methods for suicide 151 8.4. The media and suicide 152 8.4.1. The communication media 152 8.4.2. The Internet 155 8.5. Training programmes for the prevention of suicidal behaviour 158 8.5.1. Health professionals 158 8.5.2. Non-health professionals 167 9. Screening for suicide risk 179 9.1. Fundamentals of screening 179 9.2. Screening for suicide risk in adults 180 9.3 (...) . Screening for suicide risk in childhood and adolescence 181 9.4. Screening for suicide risk in older people 186 9.5. Suicide risk screening in prisons 189 9.6. Possible adverse effects of screening 191 10. Suicidal behaviour in risk groups 195 10.1. Suicidal behaviour in childhood and adolescence 196 10.1.1. Risk and protective factors 196 It has been 5 years since the publication of this Clinical Practice Guideline and it is subject to updating. CLINICAL PRACTICE GUIDELINE FOR THE PREVENTION

2012 GuiaSalud

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