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Pneumonia Accelerated Diagnostic Protocol

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1. Pneumonia Accelerated Diagnostic Protocol

Pneumonia Accelerated Diagnostic Protocol Pneumonia Accelerated Diagnostic Protocol Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Pneumonia Accelerated Diagnostic Protocol Pneumonia Accelerated Diagnostic Protocol Aka: Pneumonia Accelerated Diagnostic Protocol , Pneumonia ADP From Related Chapters II. Indications Symptoms suggesting III. Imaging: Chest XRay Indications History Known structural lung disease Age > 60 years old Symptoms Abnormal s > 100/min >24 >38 C Signs Rales, asymmetric breath sounds or other signs of lung consolidation Confusion Systemic illness signs IV. Management: Aspiration Pneumonia Option 1 Two drug

2018 FP Notebook

2. Pneumonia Accelerated Diagnostic Protocol

Pneumonia Accelerated Diagnostic Protocol Pneumonia Accelerated Diagnostic Protocol Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Pneumonia Accelerated Diagnostic Protocol Pneumonia Accelerated Diagnostic Protocol Aka: Pneumonia Accelerated Diagnostic Protocol , Pneumonia ADP From Related Chapters II. Indications Symptoms suggesting III. Imaging: Chest XRay Indications History Known structural lung disease Age > 60 years old Symptoms Abnormal s > 100/min >24 >38 C Signs Rales, asymmetric breath sounds or other signs of lung consolidation Confusion Systemic illness signs IV. Management: Aspiration Pneumonia Option 1 Two drug

2016 FP Notebook

3. Accelerated Hypofractionated Radiotherapy in the Treatment of Malignant Pleural Mesothelioma

a retrospective analysis of accelerated hypofractionated Intensity modulated arc therapy (IMAT) using TomoTherapy in MPM following P/D or diagnostic biopsy. In the investigators experience of MPM, treatment of the intact lung with pleural IMAT using helical Tomotherapy is a safe and feasible option with an acceptable lung toxicity profile. The results obtained in terms of toxicity were encouraging. In fact, the investigators only observed one case of G3 pneumonia, and the patient in question is still alive (...) and off oxygen therapy. Patient compliance with this short-course treatment was also very good. Overall, the investigators found that accelerated hypofractionation with IMAT was feasible at the dose delivered and had an acceptable toxicity profile. So the investigators want to propose this protocol for treatment of MPM in intact lung to improve local control. In patients with malignant pleural mesothelioma who underwent pleurectomy / decortications (P/D) or only diagnostic biopsy, it is difficult

2017 Clinical Trials

4. Prognostic factors for acute exacerbation of idiopathic pulmonary fibrosis: protocol for a systematic review and meta-analysis. (PubMed)

Prognostic factors for acute exacerbation of idiopathic pulmonary fibrosis: protocol for a systematic review and meta-analysis. Idiopathic pulmonary fibrosis (IPF) is a form of chronic fibrosing interstitial pneumonia with unknown disease aetiology. Acute exacerbation (AE) of IPF is an accelerated disease progression beyond its expected course. A 30-day mortality of AE of IPF is 40%. While death may occur, there is much variation in the clinical progression of this condition. Previous attempts (...) have been made to investigate various possible prognostic factors for AE of IPF; however, they have yet to be confirmed. The aim of this systematic review is to clarify these prognostic factors.In this review, AE of IPF is the condition of interest, which has been defined according to previously established diagnostic criteria. The primary outcomes of interest include short-term all-cause mortality and pulmonary-cause mortality. The secondary outcomes of interest include long-term mortality

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2019 BMJ open

5. Pneumonia (Overview)

of pulmonary function is rare, even in children with pneumonia that has been complicated by empyema or lung abscess. Patients placed on a protocol-driven pneumonia clinical pathway are more likely to have favorable outcomes. The prognosis for varicella pneumonia is somewhat more guarded. Staphylococcal pneumonia, although rare, can be very serious despite treatment. Morbidity Although viral pneumonias are common in school-aged children and adolescents and are usually mild and self-limited, these pneumonias (...) . 1999 Nov. 27(11):2537-43. . Falade AG, Mulholland EK, Adegbola RA, Greenwood BM. Bacterial isolates from blood and lung aspirate cultures in Gambian children with lobar pneumonia. Ann Trop Paediatr . 1997 Dec. 17(4):315-9. . Klein JO. Diagnostic lung puncture in the pneumonias of infants and children. Pediatrics . 1969 Oct. 44(4):486-92. . Wigglesworth JS. Perinatal Pathology . 2nd ed. Philadelphia, Pa: WB Saunders Co; 1996. 131-57, 184-7. Handy LK, Bryan M, Gerber JS, Zaoutis T, Feemster KA

2014 eMedicine Pediatrics

6. Pneumonia (Diagnosis)

of pulmonary function is rare, even in children with pneumonia that has been complicated by empyema or lung abscess. Patients placed on a protocol-driven pneumonia clinical pathway are more likely to have favorable outcomes. The prognosis for varicella pneumonia is somewhat more guarded. Staphylococcal pneumonia, although rare, can be very serious despite treatment. Morbidity Although viral pneumonias are common in school-aged children and adolescents and are usually mild and self-limited, these pneumonias (...) . 1999 Nov. 27(11):2537-43. . Falade AG, Mulholland EK, Adegbola RA, Greenwood BM. Bacterial isolates from blood and lung aspirate cultures in Gambian children with lobar pneumonia. Ann Trop Paediatr . 1997 Dec. 17(4):315-9. . Klein JO. Diagnostic lung puncture in the pneumonias of infants and children. Pediatrics . 1969 Oct. 44(4):486-92. . Wigglesworth JS. Perinatal Pathology . 2nd ed. Philadelphia, Pa: WB Saunders Co; 1996. 131-57, 184-7. Handy LK, Bryan M, Gerber JS, Zaoutis T, Feemster KA

2014 eMedicine Pediatrics

7. Pediatrics, Pneumonia (Diagnosis)

of pulmonary function is rare, even in children with pneumonia that has been complicated by empyema or lung abscess. Patients placed on a protocol-driven pneumonia clinical pathway are more likely to have favorable outcomes. The prognosis for varicella pneumonia is somewhat more guarded. Staphylococcal pneumonia, although rare, can be very serious despite treatment. Morbidity Although viral pneumonias are common in school-aged children and adolescents and are usually mild and self-limited, these pneumonias (...) . 1999 Nov. 27(11):2537-43. . Falade AG, Mulholland EK, Adegbola RA, Greenwood BM. Bacterial isolates from blood and lung aspirate cultures in Gambian children with lobar pneumonia. Ann Trop Paediatr . 1997 Dec. 17(4):315-9. . Klein JO. Diagnostic lung puncture in the pneumonias of infants and children. Pediatrics . 1969 Oct. 44(4):486-92. . Wigglesworth JS. Perinatal Pathology . 2nd ed. Philadelphia, Pa: WB Saunders Co; 1996. 131-57, 184-7. Handy LK, Bryan M, Gerber JS, Zaoutis T, Feemster KA

2014 eMedicine Emergency Medicine

8. Pediatrics, Pneumonia (Overview)

of pulmonary function is rare, even in children with pneumonia that has been complicated by empyema or lung abscess. Patients placed on a protocol-driven pneumonia clinical pathway are more likely to have favorable outcomes. The prognosis for varicella pneumonia is somewhat more guarded. Staphylococcal pneumonia, although rare, can be very serious despite treatment. Morbidity Although viral pneumonias are common in school-aged children and adolescents and are usually mild and self-limited, these pneumonias (...) . 1999 Nov. 27(11):2537-43. . Falade AG, Mulholland EK, Adegbola RA, Greenwood BM. Bacterial isolates from blood and lung aspirate cultures in Gambian children with lobar pneumonia. Ann Trop Paediatr . 1997 Dec. 17(4):315-9. . Klein JO. Diagnostic lung puncture in the pneumonias of infants and children. Pediatrics . 1969 Oct. 44(4):486-92. . Wigglesworth JS. Perinatal Pathology . 2nd ed. Philadelphia, Pa: WB Saunders Co; 1996. 131-57, 184-7. Handy LK, Bryan M, Gerber JS, Zaoutis T, Feemster KA

2014 eMedicine Emergency Medicine

9. HIP Fracture Accelerated Surgical TreaTment And Care tracK (HIP ATTACK) Trial

a large multicentre randomized controlled trial (RCT) of accelerated surgical care (i.e., goal of surgery within 6 hours of diagnosis) versus usual timing of surgery among elderly adults diagnosed with a hip fracture. This protocol is for a pilot RCT that will inform the feasibility of undertaking a large RCT. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 60 participants Allocation: Randomized Intervention Model: Parallel (...) HIP Fracture Accelerated Surgical TreaTment And Care tracK (HIP ATTACK) Trial HIP Fracture Accelerated Surgical TreaTment And Care tracK (HIP ATTACK) Trial - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2011 Clinical Trials

10. Public health guidance on HIV, hepatitis B and C testing in the EU/EEA

Hepatitis B and C 5 2.1.2 HIV 5 2.2 Continuum of care for HBV, HCV and HIV 6 2.3 Individual and public health benefits of early diagnosis 6 2.4 Diagnostics for HBV, HCV and HIV infection 7 2.4.1 HBV and HCV diagnostics 7 2.4.2 HIV diagnostics 8 2.5 Core principles 8 Principle 1. Testing should be accessible, voluntary, confidential and contingent on informed consent 8 Principle 2. Appropriate information should be available before and after testing 9 Principle 3. Linkage to care is a critical part (...) controlled trial RDT Rapid diagnostic test RNA Ribonucleic acid SACC Shared Addiction Care Copenhagen STI Sexually transmitted infection TasP Treatment as prevention TB Tuberculosis TESSy The European Surveillance System UNAIDS Joint United Nations Programme on HIV/AIDS WHO World Health Organization Public health guidance on HIV, hepatitis B and C testing in the EU/EEA – An integrated approach SCIENTIFIC ADVICE vi Glossary Acceptability. Degree to which given intervention is acceptable to target

2019 European Centre for Disease Prevention and Control - Public Health Guidance

11. Improving outdoor air quality and health: review of interventions

that source emission contributions presented are based on official national statistics releases and may not be directly comparable with source categories and contributions presented in the Clean Air Strategy 2 Non-road transport also includes other mobile combustion military aircraft and naval shipping 3 See source reference for memo items reported but excluded for protocol totals Review of interventions to improve outdoor air quality and public health 24 Environmental concentrations of pollutants

2019 Public Health England

12. Optimisation of RIZIV – INAMI lump sums for incontinence

and reimbursement amounts 145 5.4.6 Involved professionals for assessing incontinence 151 6 COST OF ABSORBENT MATERIALS 154 6.1 INTRODUCTION 154 6.2 UROBEL COST ESTIMATES 154 6.3 VAPH DATA 155 6.4 DATA ESTIMATES FROM DUTCH COLLEGE VOOR ZORGVERZEKERINGEN 159 KCE Report 304 Incontinence 5 7 BELRAI 159 7.1 INTRODUCTION 159 7.2 BELRAI ITEMS ON (IN)CONTINENCE 160 7.3 CLINICAL ASSESSMENT PROTOCOLS (CAPS) 161 7.3.1 CAP for urinary incontinence 161 7.3.2 CAP for bowel conditions 163 7.4 ASSESSMENT OF THE POSSIBLE USE (...) Table 48 – Urinary incontinence pads in the Italian national benefit catalogue (Decree 332/99) 143 Table 49 – Patient categories and payment amounts 147 Table 50 – Example of a Dutch health insurer protocol to categorise patients into profiles 148 Table 51 – Patient profiling example from a Dutch health insurer 149 Table 52 – Involved professionals 152 Table 53 – Cost estimates Urobel 155 Table 54 – Cost assumptions for previous VAPH lump sums 156 Table 55 – Results of cost study commissioned

2019 Belgian Health Care Knowledge Centre

13. Heart Disease and Stroke Statistics

and pneumonia (No. 8), kidney disease (No. 9), and suicide (No. 10). Seven of the 10 leading causes of death had a decrease in age-adjusted death rates. The age-adjusted death rates decreased 1.8% for heart disease, 1.7% for cancer, 2.4% for chronic lower respiratory diseases, 0.8% for stroke, 1.4% for DM, 11.2% for influenza and pneumonia, and 2.2% for kidney disease. The age-adjusted rate increased 9.7% for unintentional injuries, 3.1% for Alzheimer disease, and 1.5% for suicide. In 2016, ≈17.6 million

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2019 American Heart Association

14. 5 pearls on troponin

of cardiology, 227, 656-661. Antman, E. M., Cohen, M., Bernink, P. J., McCabe, C. H., Horacek, T., Papuchis, G., … & Braunwald, E. (2000). The TIMI risk score for unstable angina/non–ST elevation MI: a method for prognostication and therapeutic decision making. Jama , 284 (7), 835-842. Than, M., Cullen, L., Aldous, S., Parsonage, W. A., Reid, C. M., Greenslade, J., … & Troughton, R. (2012). 2-Hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins (...) or 12 hour period or whatever is delaying your making a diagnosis and it’s, it’s just not necessary. M: Yeah, a good example of this are the “rule out ACS” protocols in the ED, the ADAPT Trial being one of the more well-known examples. They looked at patients and found that if they were low-risk, like TIMI Scores 0 or 1, they could be safely ruled out for ACS and discharged home if they had 2 negative troponins over just 2 hours. S: So unfortunately our patient doesn’t qualify as “low-risk” based

2019 Clinical Correlations

15. The Collaborative Assessment, OTCA12, on “C-reactive protein point-of-care testing (CRP POCT) to guide antibiotic prescribing in primary care settings for acute respiratory tract infections (RTIs)

pharyngitis (Centor Score 1-4: sensitivity: 0.90; specificity 0.45), but only if RADT is not available (Centor Score 1-4: sensitivity: 0.90; specificity 0.97) [6]. The low specificity of this cut-point means that many false positives may be treated unnecessarily with antibiotics. (D1005, D1006) Nine studies reported on the usefulness of CRP in LRTI and, or specifically in pneumonia. Five studies reported on the diagnostic accuracy of CRP at a specified threshold for diagnosing pneu- monia. Four studies (...) reported on a cut-point of 20 mg/L: three reported a sensitivity between 0.48 and 0.79 [8-11], while the fourth study reported a sensitivity of 100% at this cut-point [12]. One study (n=69) reported diagnostic accuracy at a lower threshold of 11 mg/L (sensitivity 0.82) [10], suggesting that some cases of pneumonia would be missed even at this lower threshold. At a threshold of 50 mg/L and 100 mg/L, specificity was between 0.84 and 0.96 and may be suitable for ruling in a diagnosis of pneumonia. Five

2019 EUnetHTA

16. Paediatric Urology

techniques in managing children with undescended testes. J Urol, 1993. 150: 458. 56. Tasian, G.E., et al. Diagnostic performance of ultrasound in nonpalpable cryptorchidism: a systematic review and meta-analysis. Pediatrics, 2011. 127: 119. 57. Elder, J.S. Ultrasonography is unnecessary in evaluating boys with a nonpalpable testis. Pediatrics, 2002. 110: 748. 58. Wenzler, D.L., et al. What is the rate of spontaneous testicular descent in infants with cryptorchidism? J Urol, 2004. 171: 849. 59. Park, K.H (...) ., et al. Histological evidences suggest recommending orchiopexy within the first year of life for children with unilateral inguinal cryptorchid testis. Int J Urol, 2007. 14: 616. 60. Engeler, D.S., et al. Early orchiopexy: prepubertal intratubular germ cell neoplasia and fertility outcome. Urology, 2000. 56: 144. 61. Forest, M.G., et al. Undescended testis: comparison of two protocols of treatment with human chorionic gonadotropin. Effect on testicular descent and hormonal response. Horm Res, 1988

2019 European Association of Urology

17. BSG consensus guidelines on the management of inflammatory bowel disease in adults

3.12.7 Sequential therapy (infliximab and ciclosporin) in refractory ASUC 52 3.12.8 Accelerated infliximab induction regimen in ASUC 52 3.12.9 Colectomy for ASUC 53 3.13 Surgical management in UC 54 3.13.1 Emergency colectomy for UC 54 3.13.2 Outcomes after colectomy for UC 55 3.13.3 Surgery in UC patients with primary sclerosing cholangitis 56 3.13.4 Fertility and delivery after restorative proctocolectomy 57 3.14 Pouches and pouchitis 57 3.14.1 Assessment of new symptoms after IPAA 57 3.14.2 (...) Treatment of acute pouchitis 59 3.14.3 Treatment of chronic pouchitis 60 3.14.4 Treatment with biologics in chronic refractory pouchitis 61 3.14.5 Follow-up of pouch patients 61 3.14.6 Pouch surveillance 62 4 Crohn's disease 63 4.1 Diagnosis, classification and assessment 63 4.1.1 Phenotypic classification 63 4.1.2 Clinical and endoscopic disease activity 64 4.1.3 Diagnostic tests 66 Accepted manuscript 9 Version accepted by Gut 10 th June 2019 4.1.3.1 Cross-sectional imaging: CT, MR and small bowel

2019 British Society of Gastroenterology

18. WHO recommendations: intrapartum care for a positive childbirth experience

and contemporary practice. Target audience The recommendations in this guideline are intended to inform the development of relevant national- and local-level health policies and clinical protocols. Therefore, the target audience includes national and local public health policy-makers, implementers and managers of maternal and child health programmes, health care facility managers, nongovernmental organizations (NGOs), professional societies involved in the planning and management of maternal and child health (...) of “normality” in labour and childbirth is not universal or standardized. There has been a substantial increase over the last two decades in the application of a range of labour practices to initiate, accelerate, terminate, regulate or monitor the physiological process of labour, with the aim of improving outcomes for women and babies. This increasing medicalization of childbirth processes tends to undermine the woman’s own capability to give birth and negatively impacts her childbirth experience

2018 World Health Organisation Guidelines

19. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

recommendations are provided for the care of patients with an AAA, including suggestions to improve mutual decision-making between the treating physician and the patients and their families as well as a number of new strategies to enhance perioperative outcomes for patients undergoing elective and emergent repair. Areas of uncertainty are highlighted that would benefit from further investigation in addition to existing limitations in diagnostic tests, pharmacologic agents, intraoperative tools, and devices (...) Good Practice Statement Quality of evidence Ungraded An established protocol for the management of ruptured AAA is essential for optimal outcomes. Level of recommendation Good Practice Statement Quality of evidence Ungraded We recommend implementing hypotensive hemostasis with restriction of fluid resuscitation in the conscious patient. Level of recommendation 1 (Strong) Quality of evidence B (Moderate) We suggest that patients with ruptured AAA who require transfer for repair be referred

2018 Society for Vascular Surgery

20. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutritio

, Hepatology, and Nutrition (ESPGHAN) 2009 clinical guidelines for the diagnosis and management of gastroesophageal re?uxdisease(GERD)ininfants andchildrenand is intendedtobeappliedin daily practice and as a basis for clinical trials. Eight clinical questions addressing diagnostic, therapeutic and prognostic topics were formulated. A systematic literature search was performed from October 1, 2008 (if the question was addressed by 2009 guidelines) or from inception to June 1, 2015 using Embase, MEDLINE (...) , the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Clinical Trials. The approach of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) was applied to de?ne and prioritize outcomes. For therapeutic questions, the quality of evidence was also assessed using GRADE. Grading the quality of evidence for other questions was performed according to the Quality Assessment of Studies of Diagnostic Accuracy (QUADAS) and Quality in Prognostic Studies

2018 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

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