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61. Abortion care

for the approval of independent sector places for the termination of pregnancy. Further government guidance has recently been issued in the form of letters from the Chief Medical Officer. Providers of abortion services must comply with the Health and Social Care Act 2008 and regulations made under that Act. In particular, providers must register with the Care Quality Commission (CQC). This is because under section 10 of the Health and Social Care Act 2008, it is an offence to carry out a regulated activity

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

62. COVID-19 Strategic Preparedness and Response Plan Operational Planning Guideline

and launched with the UN Development Coordination Office in 2020, and updated in 2021 to reflect the actions outlined in this document; • the WHO COVID-19 SPRP 2021 Monitoring and evaluation framework (to be published in the first quarter of 2021). Implementation Evaluation Planning The action checklist for readiness and response: • translates strategic objectives and knowledge into high-level actions to be taken at national and subnational levels;high-level actions to be taken at national and subnational (...) mechanisms are in place to collect, analyse and report all data relevant to the response. ? Prepare for regulatory approval, market authorization and post-market surveillance of COVID-19 products such as diagnostics, therapeutics, and vaccines. ? Consult with neighbouring countries, other countries and regional bodies on planning, information sharing, and COVID-19 preparedness and response across sectors, as well as strengthening collaboration and process harmonization though the EOC-NET supported by WHO

2021 WHO Coronavirus disease (COVID-19) Pandemic

63. Looking back at a year that changed the world: WHO’s response to COVID-19

of the response that were required to reduce transmission of the virus, save lives, and protect the vulnerable. Since then, WHO has scaled up and adapted its emergency platforms, and supported countries to implement national COVID-19 plans. Through WHO’s 157 global, regional, and national offices, we have supported countries to adapt to every context, and through our planning and operational support platforms we have ensured that our guidance can be translated into action. In under 12 months we have shipped (...) , gloves, gowns and goggles 156 WHO offices have implemented an Incident Support Team 12 000 Intensive care unit beds provided by WHO through surge mechanisms 19 million Tests shipped 150 COVID-19 online trainings available on OpenWHO 4.7 million Course enrolments 19.7 million Respirator masks shipped 58 Countries, territories and areas implementing sero-epidemiological investigations or studies 140 Countries, territories and areas on Partners Platform 35 Countries, territories and areas on WHO

2021 WHO Coronavirus disease (COVID-19) Pandemic

64. Coronavirus (COVID-19) infection and pregnancy

advise that women and healthy infants, not otherwise requiring neonatal care, are kept together in the immediate post-partum period. A risks / benefits discussion with neonatologists and families to individualise care in babies that may be more susceptible is recommended. We emphasise that this guidance may change as knowledge evolves. All babies born to COVID-19 positive mothers should have appropriate close monitoring and early involvement of neonatal care, where necessary. Babies born to mothers (...) available. We therefore suggest that you visit this page regularly for updates. This guidance will be kept under regular review as new evidence emerges. If you would like to suggest additional areas for this guidance to cover, any clarifications required or to submit new evidence for consideration, please email Please note, we will not be able to give individual clinical advice or information for specific organisational requirements via this email address. 1.1 The virus Novel

2021 Royal College of Obstetricians and Gynaecologists

65. Identifying Educational Approaches and Resources to Support Seamless Transitions Between Cancer Programs and Primary Care

) interventions initiated within the hospital setting for patients with chronic diseases were associated with positive outcomes, including: o Psychosocial outcomes: high patient confidence in managing their conditions and/or understanding their medical regimen, improvements in post-discharge quality of life and patient satisfaction (compared with usual care) (19) o Healthcare-utilization outcomes: lower mortality rate post-discharge, lower re-admission rate, lower emergency-department visit rate (20 (...) -up care)(62) • To prepare providers for the post- treatment follow-up of cancer survivors, several clinical practice guidelines recommended that members of survivorship-care teams be provided with ongoing education opportunities (50) 62; 64) follow-up guidelines (including visit reminders) tailored to patients,(61; 62; 64) information on symptoms/side effects,(50; 62; 64) key contact numbers and program information,(62) and information on available community resources (62) o Some positive

2021 McMaster Health Forum

66. Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience

to 16.18). 44 No trials showed a significant improvement in substance use compared with standard care. 30,33,41–43 Most trials reported no effect of PSH on acute care outcomes (e.g., number of emergency department visits and percentage of participants admitted to hospital). 30,41 How- ever, 2 trials suggest that PSH participants had lower rates of hospital admission (rate reductions of 29%, 95% CI 10 to 44) and time in hospi- tal (e.g., mean difference –31, 95% CI –48 to –14). 34,38,45 One trial found (...) , tended to decline with time. No significant effects were found on overall quality-of-life, finances, health and social relations scores. Provision of housing vouchers resulted in higher family-relations score and satisfaction, and quality of housing compared with stan- dard care. 55 One trial reported that rental assistance was associated with reduced emergency department visits and time spent in hospi- tal, but this reduction was not significantly different than in the com- parator group. 56

2020 CPG Infobase

67. Somatic health care in a psychiatric setting

, the employees of ministerial offices and federal and regional administrations for their responsiveness to our questions and in particular the team from Adhoc (Nathalie Terryn, Ine Alaerts, Delfien Verhelst, François Windy), l’Agence pour une Vie de Qualité, AVIQ (Anouck Billiet, Patrick Vanneste, Christophe Buret), the VIP 2 and VIKZ team (Ariane Ghekiere, Svin Deneckere), and PAQS (Quentin Schoonvaere). We would like to thank the Easytranslate team for transcription of the interviews (Willem Van Den Brekel (...) - Psychiatrische verzorgingstehuizen (PVT) - Maisons de soins psychiatriques (MSP)), or when living at a sheltered housing inititiative (SHI) - Initiatieven Beschut Wonen (IBW) - Initiatives d’Habitations Protégées (IHP)). The situation of the ambulant patient and care by the general practitioner is addressed only in relation to a stay at the identified care facilities, this means for example, follow-up after discharge, liaison with a general practitioner visiting a care setting. The care of children

2021 Belgian Health Care Knowledge Centre

68. Canadian Immunization Guide Chapter on Influenza and Statement on Seasonal Influenza Vaccine for 2020–2021

., oseltamivir, zanamivir) are stopped, and those antiviral agents, unless medically indicated, should not be administered until 2 weeks after receipt of LAIV so that the antiviral agents do not kill the replicating vaccine virus. If antiviral agents are administered within this time frame (i.e., from 48 hours pre-vaccination with LAIV to 2 weeks post-vaccination), revaccination should take place at least 48 hours after the antivirals are stopped, or IIV could be given at any time. LAIV recipients who (...) administration timing rules, please refer to in Part 1 of the CIG. When more than one injection is given at a single clinic visit, it is preferable to administer them in different limbs. If it is not possible to do so, injections given in one limb should be separated by a distance of at least 2.5 cm (1 inch). A separate needle and syringe should be used for each injection. The target groups for influenza and pneumococcal polysaccharide vaccines overlap considerably. Vaccine providers should take

2021 Canadian Thoracic Society

69. Guidance for maternal medicine in the evolving coronavirus (COVID-19) pandemic

for adaptation of maternal medicine services to safely reduce face-to-face contact during the evolving coronavirus pandemic, for example by offering virtual consultations where appropriate, ensuring women are seen in one-stop clinics that cover all medical and obstetric needs in the same visit, avoiding unnecessary hospital admissions and offering new innovations, such as home monitoring of blood pressure, where it is safe to do so. • Specific advice for healthcare professionals caring for pregnant women (...) . A minority of maternal medicine clinic appointments will need to be face-to-face, primarily when the woman is having a physical interaction such as an obstetric scan, an echocardiogram, or an exchange transfusion. Face-to- face interactions should be limited by reviewing the purpose of the appointment in advance (ideally one week earlier) and ensuring that the relevant tests/treatments can all be done in a single visit. For many non-pregnant patients this is already happening as medical specialties adapt

2020 Royal College of Obstetricians and Gynaecologists

70. Depression: Perinatal

the Maternal Behavioral Health (MBH) Screening questionnaire is recommended for all pregnant and postpartum women. MBH screening is optimally performed at four visits during the pregnancy and four times through the infant's first year, at the following routine visits: Pregnancy care (In Women’s Health or Family Practice) Pediatric care (In Pediatrics or Family Practice) • First prenatal visit • 16-week visit • 32-week visitPostpartum • 7–14-day well baby visit • 4-month well baby visit • 6-month well (...) baby visit • 12-month well baby visit MBH screening has been integrated into the OB and Well Child Visit SmartSets. The MBH incorporates the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder (GAD-2) questionnaire, and questions about substance abuse and domestic violence. A job aid provides details about MBH visit content and documentation (staff intranet). Note: Pregnant and postpartum women who have a current diagnosis of depression—whether made prior to pregnancy or during

2020 Kaiser Permanente Clinical Guidelines

71. Recommendations for good practice in Ultrasound: Oocyte retrieval Full Text available with Trip Pro

by this author on: , Frank Vandekerckhove Department for Reproductive Medicine , University hospital, Ghent, Belgium Search for other works by this author on: , Zdravka Veleva Department of Obstetrics and Gynecology , University of Helsinki, Helsinki, Finland Search for other works by this author on: , Nathalie Vermeulen ESHRE Central Office , Grimbergen, Belgium Search for other works by this author on: , Veljko Vlaisavljevic IVF Adria Consulting , Maribor, Slovenia Search for other works by this author (...) ), and more specifically during the different stages of transvaginal oocyte retrieval, based on evidence in the literature and expert opinion on US practice in ART? SUMMARY ANSWER This document provides good practice recommendations covering technical aspects of US-guided transvaginal oocyte retrieval (oocyte pick up: OPU) formulated by a group of experts after considering the published data, and including the preparatory stage of OPU, the actual procedure and post-procedure care. WHAT IS KNOWN ALREADY US

2020 European Society of Human Reproduction and Embryology

72. Update on COVID-19 epidemiology and impact on medical care in children: April 2020

in community, group, and long-term care settings. Data from low-income countries are not yet widely available. It is theoretically possible that vertical transmission of COVID-19 occurs, but the studies published to date examining this route of infection either lack critical information to reach such a definitive conclusion or cannot exclude post-natal transmission from caregivers or health care workers as a possible route of infection [ ] - [ ] . Clinical disease presentation and severity Reports continue (...) Update on COVID-19 epidemiology and impact on medical care in children: April 2020 Update on COVID-19 epidemiology and impact on medical care in children: April 2020Update on COVID-19 epidemiology and impact on medical care in children: April 2020 | Canadian Paediatric Society A home for paediatricians. A voice for children and youth. Current: Update on COVID-19… Practice Point Update on COVID-19 epidemiology and impact on medical care in children: April 2020 Posted: Apr 29, 2020 The Canadian

2020 Canadian Paediatric Society

73. What asymptomatic groups of individuals should be screened for COVID-19?

, hypertension, lung diseases, diabetes, cancer, people with weakened immune systems from a medical condition or treatment, such as chemotherapy (Public Health Agency of Canada, 2020). Continuous masking and routine practices would mitigate the risk even if asymptomatic patients end up as positive. Visitors are currently restricted from hospitals with the exception of end of life, maternity/post-partum, pediatrics and outpatient/ED/Urgent Care, which allow 1 visitor at a time, thus reducing the excess (...) Medical Officer of Health that asymptomatic transmission in Alberta may be occurring more often than previously thought. • On April 17, 2020, Alberta’s Chief Medical Officer of Health announced that all residents and staff of LTC facilities that have experienced an outbreak will be eligible for SARS-CoV-2 testing, including asymptomatic individuals. • On April 27, 2020, it was announced that in the context of an outbreak shelters will be testing all clients for COVID-19, as well as symptomatic

2020 Covid-19 Ad hoc papers

74. Assisted Vaginal Birth

should be educated about the risk of urinary retention so that they are aware of the importance of bladder emptying in the postpartum period. [New 2020] Grade of recommendation: GPP The timing and volume of the first void urine should be monitored and documented. [New 2020] Grade of recommendation: C A post void residual should be measured if urinary retention is suspected. Grade of recommendation: ✓ Recommend that women who have received regional analgesia for a trial of assisted vaginal birth (...) be considered. [New 2020] Grade of recommendation: ✓ Do not offer single session, high‐intensity psychological interventions with an explicit focus on ‘reliving’ the trauma. [New 2020] Grade of recommendation: ✓ Offer women with persistent post‐traumatic stress disorder (PTSD) symptoms at 1 month referral to skilled professionals as per the NICE guidance on PTSD. [New 2020] Grade of recommendation: D What information should women be given for future births? Inform women that there is a high probability

2020 Royal College of Obstetricians and Gynaecologists

75. Cancer and the Health Effects of Cannabis and Cannabinoids: An update of the systematic review by the National Academies of Sciences, Engineering, and Medicine (2017) Consensus Study Report

Report W.K. Evans, L.D. Durocher-Allen, P. Daeninck, D. Hammond, A. Lofters, P. Selby, M. Slaven Report Date: June 29, 2020 For information about this document, please contact Dr. Bill Evans the lead author, through the PEBC : Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: For information about the PEBC and the most current version of all reports, please visit the Ontario Health (Cancer Care Ontario) website at (...) or contact the PEBC office at: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: PEBC Report Citation (Vancouver Style): Evans W, Durocher-Allen L, Daeninck P, Hammond D, Lofters A, Selby P, Slaven M. Cancer and the Health Effects of Cannabis and Cannabinoids: An update of the National Academies of Sciences, Engineering, and Medicine (2016). Toronto (ON): Ontario Health (Cancer Care Ontario); 2020, June 29. Program in Evidence-Based Care Evidence Summary No.: 23-2, available

2020 Cancer Care Ontario

76. Coronavirus (COVID-19) infection and pregnancy

Antenatal and postnatal care should be therefore regarded as essential and women advised to attend, whilst observing current social distancing measures. Recommendations on social distancing are available from the UK Government. 39 It is good practice to reconfigure services to reduce the number of times a woman is required to leave home to attend essential medical care. This may be achieved by offering consultations, investigations and care at the same clinic or hospital visit, or during virtual (...) obstetrician or clinician with expertise in managing VTE in pregnancy. • All pregnant women who have been hospitalised and have had confirmed COVID-19 should receive thromboprophylaxis for 10 days following hospital discharge. For women with persistent morbidity, consider a longer duration of thromboprophylaxis. • If women are admitted with confirmed or suspected COVID-19 within 6 weeks postpartum, they should receive thromboprophylaxis for the duration of their admission and for at least 10 days post

2020 Royal College of Obstetricians and Gynaecologists

77. COVID-19: Operational guidance for maintaining essential health services during an outbreak

. It complements existing and forthcoming WHO guidance on the wider implications of COVID-19 for health systems and cross-government strategies for responding to the COVID-19 outbreak, including region-specific technical guidance being developed by WHO Regional Offices. 1. Elston, J. W. T., Cartwright, C., Ndumbi, P., & Wright, J. (2017). The health impact of the 2014–15 Ebola outbreak. Public Health, 143, 60–70. 2. Parpia, A. S., Ndeffo-Mbah, M. L., Wenzel, N. S., & Galvani, A. P. (2016). Effects of response (...) will be guided by health system context and the local burden of disease, but should initially be oriented to preventing communicable disease, averting maternal and child morbidity and mortality, preventing acute exacerbations of chronic conditions by maintaining established treatment regimens, and managing emergency conditions that require time-sensitive intervention. Routine health promotion visits may be limited, and delivery of vaccinations and antenatal care will likely need to be adapted (see optimizing

2020 WHO Coronavirus disease (COVID-19) Pandemic

79. Coronavirus (COVID-19) infection and pregnancy

for the duration of their admission and for at least 10 days post discharge. Consider extending this until 6 weeks postpartum for women with significant ongoing morbidity. 2223 Summary of evidence and rationale for guidance Pregnancy is widely recognised as a hypercoagulable state. 67 The existing RCOG Green-top Guidelines on VTE prevention and management should continue to support decision making during the COVID-19 pandemic. 68 There is emerging evidence suggesting that individuals admitted to hospital (...) Coronavirus (COVID-19) infection and pregnancy 1 Information for healthcare professionals Version 11: Published Friday 24 July 2020 Coronavirus (COVID-19) Infection in Pregnancy2 Contents Summary of updates 3-6 1 Purpose and scope 7-12 2 Antenatal care during the COVID-19 pandemic 13-20 3 Venous thromboembolism prevention 21-23 4 Labour and birth during the COVID-19 pandemic 24-32 5 Managing clinical deterioration during the COVID-19 pandemic 33-38 6 Postnatal care 39-42 7 Acknowledgments 43 8

2020 Royal College of Obstetricians and Gynaecologists

80. ADA Standards of Medical Care in Diabetes

2019 by the American Diabetes Association. Readers may use this work as long as the work is properly cited, the use is educational and not for pro?t, and the work is not altered. Readers may link to the version of record of this work on, but ADA permission is required to post this work on any third-party website or platform. Requests to reuse or repurpose; adapt or modify; or post, display, or distribute this work may be sent to ©2019 (...) , FACC, FAHA, FRSE, FMedSci Maureen Monaghan, PhD, CDE Kristen J. Nadeau, MD, MS Gregory A. Nichols, PhD, MBA Bruce A. Perkins, MD, MPH Ravi Retnakaran, MD, MSc, FRCPC Elizabeth Seaquist, MD Jonathan Shaw, MD, FRCP, FRACP, FAAHMS Jay M. Sosenko, MD, MS Kristina M. Utzschneider, MD Daniel H. van Raalte, MD, PhD Ram Weiss, MD, PhD Deborah Wexler, MD, MSc Vincent C. Woo, MD, FRCPC Bernard Zinman, CM, MD, FRCPC, FACP AMERICAN DIABETES ASSOCIATION OFFICERS CHAIR OF THE BOARD David J. Herrick, MBA

2021 Pediatric Endocrine Society

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