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121. 2018 guidelines for the early management of patients with acute ischemic stroke

by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit . Select the “Guidelines & Statements” drop-down menu, then click “Publication Development.” Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution of this document are not permitted without the express permission of the American Heart Association. Instructions for obtaining permission are located at . A link to the “Copyright Permissions Request Form” appears (...) contraindications such as coagulation abnormalities, recent surgery, or systemic bleeding do not coexist. Pregnancy IV alteplase administration may be considered in pregnancy when the anticipated benefits of treating moderate or severe stroke outweigh the anticipated increased risks of uterine bleeding. ( Class IIb; LOE C-LD ) The safety and efficacy of IV alteplase in the early postpartum period (<14 d after delivery) have not been well established. ( Class IIb; LOE C-LD ) Ophthalmological conditions Use of IV

2018 American Academy of Neurology

122. 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

. The expert peer review of AHA-commissioned documents (eg, scientific statements, clinical practice guidelines, systematic reviews) is conducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit . Select the “Guidelines & Statements” drop-down menu, then click “Publication Development.” Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution of this document are not permitted without the express permission of the American (...) ) Patients with systemic malignancy and reasonable (>6 mo) life expectancy may benefit from IV alteplase if other contraindications such as coagulation abnormalities, recent surgery, or systemic bleeding do not coexist. Pregnancy IV alteplase administration may be considered in pregnancy when the anticipated benefits of treating moderate or severe stroke outweigh the anticipated increased risks of uterine bleeding. ( Class IIb; LOE C-LD ) The safety and efficacy of IV alteplase in the early postpartum

2018 American Heart Association

123. Clearing the Smoke on Cannabis: Maternal Cannabis Use during Pregnancy ? An Update

proposed changes to medical marijuana regulations. Retrieved from http://www.cfpc.ca/ uploadedFiles/Health_Policy/CFPC_Policy_Papers_ and_Endorsements/CFPC_Policy_Papers/Medical%20 Marijuana%20Position%20Statement%20CFPC.pdf Colorado Department of Public Health and Environment. (2017). Marijuana pregnancy and breastfeeding guidance for Colorado health care providers prenatal visits. Retrieved from https://www.colorado.gov/pacific/ sites/default/files/MJ_RMEP_Pregnancy-Breastfeeding- Clinical

2018 Canadian Centre on Substance Abuse

124. Chronic Pelvic Pain

of laparoscopy and hysteroscopy in the diagnostics and treatment of infertility. Neuro Endocrinol Lett, 2006. 27: 813. 333. Hay-Smith, E.J. Therapeutic ultrasound for postpartum perineal pain and dyspareunia. Cochrane Database Syst Rev, 2000: CD000495. 334. Cappell, J., et al. Clinical profile of persistent genito-pelvic postpartum pain. Midwifery, 2017. 50: 125. 335. Landau, R., et al. Chronic pain after childbirth. Int J Obstet Anesth, 2013. 22: 133. 336. Roovers, J.P., et al. A randomised controlled trial

2018 European Association of Urology

125. Breastfeeding - Promoting and Supporting the Initiation, Exclusivity, and Continuation of Breastfeeding in Newborns, Infants and Young Children

’ Association of Ontario 158 Pearl Street, Toronto, Ontario M5H 1L3 Website: www.RNAO.ca/bpgBreastfeeding - Promoting and Supporting the Initiation, Exclusivity, and Continuation of Breastfeeding for Newborns, Infants, and Y oung Children Third EditionGreetings from Doris Grinspun, Chief Executive Officer, Registered Nurses’ Association of Ontario The Registered Nurses’ Association of Ontario (RNAO) is delighted to present the third edition of the clinical best practice guideline Breastfeeding - Promoting (...) of evidence-based practice. We invite you to share this Guideline with your colleagues from other professions and with the patient advisors who are partnering within organizations because we have so much to learn from one another. Together, we must ensure that the public receives the best possible care every time they come in contact with us—making them the real winners in this important effort! Doris Grinspun, RN, MSN, PhD, LLD (Hon), Dr (hc), O. ONT Chief Executive Officer Registered Nurses’ Association

2018 Registered Nurses' Association of Ontario

126. Implementing Supervised Injection Services

Doris Grinspun, Chief Executive Officer, Registered Nurses’ Association of Ontario The Registered Nurses’ Association of Ontario (RNAO) is delighted to present the new best practice guideline Implementing Supervised Injection Services. Evidence- based practice supports the excellence in service that health professionals are committed to delivering every day. We offer our heartfelt thanks to the many stakeholders who are making our vision for best practice guidelines a reality, starting (...) , MSN, PhD, LLD (Hon), O. ONT. Chief Executive Officer Registered Nurses’ Association of Ontario 2 REGISTERED NURSES’ ASSOCIATION OF ONTARIO Implementing Supervised Injection Services 3 BEST PRACTICE GUIDELINES • www.RNAO.ca Implementing Supervised Injection Services Dedication This Guideline is dedicated to Raffi Balian (1956–2017). Raffi was a tireless advocate, teacher, and friend to countless harm reductionists around the globe. He was a champion for harm reduction that is based on universal

2018 Registered Nurses' Association of Ontario

127. Assessment and Interventions for Perinatal Depression

; 2018. Funding This work is funded by the Ontario Ministry of Health and Long-Term Care. All work produced by RNAO is editorially independent of its funding source. Contact Information Registered Nurses’ Association of Ontario 158 Pearl Street, Toronto, Ontario, M5H 1L3 Website: www.RNAO.ca/bpg Assessment and Interventions for Perinatal Depression Second EditionGreetings from Doris Grinspun, Chief Executive Officer, Registered Nurses’ Association of Ontario The Registered Nurses’ Association (...) in contact with us—making them the real winners in this important effort! Doris Grinspun, RN, MSN, PhD, LLD(Hon), Dr (hc), FAAN, O. ONT Chief Executive Officer Registered Nurses’ Association of Ontario Assessment and Interventions for Perinatal Depression, Second Edition Table of Contents Assessment and Interventions for Perinatal Depression, Second Edition 3 BEST PRACTICE GUIDELINES • www.RNAO.ca BACKGROUND RECOMMENDATIONS Practice Recommendations

2018 Registered Nurses' Association of Ontario

128. Management of Hypertension (5th Edition)

to 89 mmHg, based on 2 or more seated BP readings on each of 2 or more office visits. Recommendations • Non-pharmacological intervention is the mainstay of management. (Grade C) • Patient at high CV risk may require pharmacological intervention. (Grade A)13 5.0 NON-PHARMACOLOGICAL MANAGEMENT Non-pharmacological management (therapeutic lifestyle modification) plays an important role in the management of hypertension and in improving overall cardiovascular health. 39 However evidence from randomized (...) value. 14,15 (Level II-2) Systematic review has shown that HBPM is superior compared to office measurements in diagnosing uncontrolled hypertension, assessing antihypertensive treatment, improving patients compliance and provides potential cost saving. 16 (Level I) Additionally, some studies have shown that HBPM measurements can be an alternative to ABPM and may have similar prognostic value. 17,18 (Level I)5 Indications for HBPM 19 • At initial assessment • T o diagnose isolated office hypertension

2018 Ministry of Health, Malaysia

129. Required hospital capacity in 2025 and criteria for rationalisation of complex cancer surgery, radiotherapy and maternity services

Magnetic Resonance Imaging MZG – RHM Hospital discharge dataset (‘Minimale Ziekenhuis Gegevens’/’Résumé Hospitalier Minimum’) KCE Report 289 Required hospital capacity and criteria for rationalisation 29 NAO National Audit Office NCCN National Comprehensive Cancer Network NHS National Health Service (UK) NIC Neonatal Intensive Care NPoC National Programmes of Care NRZV – CNEH ‘Nationale Raad voor Ziekenhuisvoorzieningen’/’Conseil National des Etablissements Hospitaliers’ NSCLC Non-Small-Cell Lung

2017 Belgian Health Care Knowledge Centre

130. Preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups

is a severe public health problem, with a prevalence of 40% or higher among pregnant women, a in order to reduce the worm burden of hookworm and T. trichiura infection (conditional recommendation, moderate-quality evidence). a For the most recent estimates of prevalence of anaemia, visit the WHO-hosted Vitamin and Mineral Nutrition Information System (VMNIS). The current guideline updates and supersedes previous recommendations contained in the WHO publication Preventive chemotherapy in human (...) than 115 g/L for school-age children aged 5–12 years, less than 120 g/L for non-pregnant women, and less than 110 g/L at 34 weeks’ gestation or more for pregnant women, adjusted by altitude where appropriate); moderate maternal anaemia during the postpartum period (defined as haemoglobin concentration between 80–109 g/L, adjusted by altitude where appropriate); severe anaemia (defined as haemoglobin concentration lower than 70 g/L at any time for non-pregnant women, or during the second or third

2017 World Health Organisation Guidelines

131. Consolidated guidelines on person-centred HIV patient monitoring and case surveillance

-Brandão, Barbara Roussel, Anne Sites, and Lucy Slater — National Alliance of State and Territorial AIDS Directors (USA). PATIENT MONITORING EXPERTS Renée Fiorentino, Mike Isbell, Mark Shields ACKNOWLEDGEMENTS Acknowledgements vii WHO REGIONAL OFFICES WHO Regional Office for South-East Asia: Dongbao Yu, Mark Landry WHO Regional Office for the Western Pacific: Linh-Vi Le WHO COUNTRY OFFICES Marie Catherine Barouan, Côte D’Ivoire; Natahn Bakyaita, Kenya; Daniel Kertesz, Kenya; Jorge Mario Luna, Myanmar (...) , assess performance or reflect changes connected to an activity, project or programme. The sources of data for indicators should be clearly identified. Integrated care is the delivery of multiple health services or interventions to a patient during the same visit by a single health worker or clinical team. By extension, integration within a patient monitoring system is the use of a single folder, patient card, electronic medical record (or register) when managing or monitoring a patient’s care

2017 World Health Organisation HIV Guidelines

132. Selected practice recommendations for contraceptive use

, Keri Barnett-Howell (volunteer), Shannon Carr (volunteer), Venkatraman Chandra-Mouli, Monica Dragoman, Mario Festin, Mary Lyn Gaffield, Rajat Khosla, James Kiarie, Caron Kim, Sharon Phillips, Maria Rodriguez, Theresa Ryle, Petrus Steyn, Marleen Temmerman, Katherine Whitehouse, Teodora Wi WHO regional offices WHO Regional Office for Africa – Léopold Ouedraogo WHO Regional Office for the Americas (Pan American Health Organization) – Suzanne Serruya WHO Regional Office for the Eastern Mediterranean (...) – Ramez Mahaini (unable to attend) WHO Regional Office for Europe – Gunta Lazdane WHO Regional Office for South-East Asia – Arvind Mathur WHO Regional Office for the Western Pacific – Wen Chunmei Overall coordination WHO Department of Reproductive Health and Research – Mary Lyn Gaffield. Theresa Ryle provided coordination and logistic support. Writing The first draft of the guideline was written by Erin Berry-Bibee, Melissa Chen, Kathryn Curtis, Monica Dragoman, Mary Lyn Gaffield, Leah Horton, Tara

2017 World Health Organisation Guidelines

133. Diabetes Prevention Programs

, Institute for Clinical and Economic Review Karen K. Shore, PhD Principal, Transform Health Matt Seidner, BS Program Manager, Institute for Clinical and Economic Review Daniel A. Ollendorf, PhD Chief Scientific Officer, Institute for Clinical and Economic Review Jed Weissberg, MD Senior Fellow, Institute for Clinical and Economic Review Steven D. Pearson, MD, MSc President, Institute for Clinical and Economic Review DATE OF PUBLICATION: July 25, 2016 We would also like to thank Erin Lawler and Anne Loos (...) , provider groups, and health industry manufacturers. For a complete list of funders, visit http://www.icer- review.org/about/support/. Through all its work, ICER seeks to help create a future in which collaborative efforts to move evidence into action provide the foundation for a more effective, efficient, and just health care system. More information about ICER is available at http://www.icer- review.org About CTAF The California Technology Assessment Forum (CTAF) – a core program of ICER – provides

2017 California Technology Assessment Forum

134. National minimum retesting intervals in pathology: A final report detailing consensus recommendations for minimum retesting intervals for use in pathology

Measurement of urate in pre- eclampsia Awaiting expert advice whilst not admitted: twice-weekly urate No evidence but reflects the practice of tertiary centre of excellent B-P9 Urine protein in pre-eclampsia At each antenatal visit to screen for pre-eclampsia Once diagnosed do not repeat quantification of proteinuria However, daily urine protein recommended in severe hypertension NICE CG. Antenatal care for uncomplicated pregnancies. NICE, 2008. www.nice.org.uk/guidance/cg62 NICE CG. Hypertension (...) , Mestman J, Negro R et al. Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid 2011;21:1081–1125. CEff 161215 31 V7 Final Ref Clinical situation Recommendation Source B-P13 Pregnant women – monitoring thyroxine replacement therapy Both TSH and fT4 (and fT3 if TSH below detection limit) should be measured to assess thyroid status and monitor thyroxine therapy in pregnancy The thyroid status of hypothyroid patients

2016 Royal College of Pathologists

135. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting

, including TTE at 4- to 8-week intervals during pregnancy and during the first 6 months postpartum (⨁◯◯◯). R 3.13. We suggest that CMR imaging (without gadolinium) should be performed during pregnancy when there is suspicion of disease of the distal ascending aorta, aortic arch or descending aorta (⨁◯◯◯). R 3.14. We recommend that blood pressure control is strict (135/85 mmHg) in all pregnant women with TS (⨁◯◯◯). R 3.15. We suggest that during pregnancy, prophylactic surgery is reasonable in case

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2016 European Society of Human Reproduction and Embryology

136. Consolidated guideline on sexual and reproductive health and rights of women living with HIV

(Department of Reproductive Health and Research [RHR]), Rachel Baggaley (Department of HIV/ AIDS), John Beard (Department of Ageing and Life Course [ALC]), Ana Pilar Betrán Lazaga (Department of RHR), Francoise Bigirimana (WHO Regional Office for Africa), Sonja Caffe (WHO Regional Office for the Americas/Pan American Health Organization [PAHO]), Rebekah Bosco Thomas (Gender, Equity and Human Rights T eam), Nathalie Broutet (Department of RHR), T arun Dua (Department of Mental Health and Substance Abuse (...) [MSD]), Shaffiq Essajee (Department of HIV/AIDS), Jane Ferguson (Department of Maternal, Newborn, Child and Adolescent Health [MCA]), Mario Festin (Department of RHR), Bela Ganatra (Department of RHR), Claudia García Moreno (Department of RHR), Fahmy Hanna (Department of MSD), Rajat Khosla (Department of RHR), Gunta Lazdane (WHO Regional Office for Europe), Ramez Mahaini (WHO Regional Office for the Eastern Mediterranean), Léopold Ouedraogo (WHO Regional Office for Africa), Razia Pendse (WHO

2017 World Health Organisation Guidelines

137. CRACKCast E082 – Pericardial & Myocardial Disease

Post MI, cardiac surgery, thoracic sx, trauma – penetrating injury Usually appears 4-12 days post Metabolic Systemic autoimmune diseases Tumours Aortic dissection 2) Describe typical pain of pericarditis & expected labwork abnormalities Chest pain Sharp Pleuritic Varies with position Relieved by sitting forward and worse lying down/deep breath in/swallowing May radiate to shoulders/diaphragm Hx of fevers and myalgia The friction rub – is typically only heard in sound-proofed cardiologists offices (...) ) List 5 RFs for developing a dilated cardiomyopathy Primary cardiac muscle disease – e.g. hx of myocarditis Infectious Post-ischemia Auto-immune disease ETOH abuse Cocaine abuse 18) In what time frame would one expect peripartum DCM? Last 3 months of pregnancy or first 5 months postpartum 19) List 5 causes of restrictive cardiomyopathy Tropical endomyocardial fibrosis Amyloidosis Scarcoidosis Hemochromatosis*** only treatable kind! Slcerderma Neoplasm Glyocogen storage diseses 20) List 8 common

2017 CandiEM

138. Adolescent Pregnancy, Contraception, and Sexual Activity

a parent or guardian present for at least part of the visit. The College supports the use of evidence-based, medically accurate, age-appropriate sexuality education as an integral part of health education. Dual method use—pairing condoms with more effective contraceptive methods to protect against sexually transmitted infections (STIs) and unwanted pregnancy—is the ideal contraceptive practice for adolescents. Background In 2015, the birth rate among U.S. adolescents and young adults (aged 15–19 years (...) and advocate for equitable access and change ( ). Adolescents face unique barriers in accessing contraceptive services, including concerns about confidentiality and cost. Adolescents’ legal rights to confidential contraceptive services vary by state and change over time. Where allowed, obstetrician–gynecologists should provide adolescents the opportunity to discuss their reproductive goals and contraceptive needs without a parent or guardian present for at least part of the visit. Additionally

2017 American College of Obstetricians and Gynecologists

139. Canadian Consensus on Female Nutrition: Adolescence, Reproduction, Menopause, and Beyond

; FSH, follicle-stimulating hormone; AMH, anti-mullerian hormone Abstract Objectives To provide health care professionals in Canada with the basic knowledge and tools to provide nutrition guidance to women through their lifecycle. Outcomes Optimal nutrition through the female lifecycle was evaluated, with specific focus on adolescence, pre-conception, pregnancy, postpartum, menopause, and beyond. The guideline begins with an overview of guidance for all women, followed by chapters that examine (...) in high risk women such as those with a history of fractures, malabsorption, renal disease, or using medications that impact vitamin D or bone metabolism (e.g., chronic steroid use, anticonvulsant therapy). (III-A) 10. During routine visits, advise all women of reproductive age about the benefits of adequate intake of folate from foods (e.g., dark green, leafy vegetables and legumes) and folic acid in a multivitamin supplement. (I-A) Chapter 3: Adolescence Nutrition Summary Statements 1. Adolescence

2016 Society of Obstetricians and Gynaecologists of Canada

140. Final recommendation statement: obesity in children and adolescents: screening.

efforts to recognize the added patient and clinician barriers that affect preventive care. These include clinicians' ambivalence about whether preventive medicine is part of their job, the psychological and practical challenges that patients face in changing behaviors, lack of access to health care or of insurance coverage for preventive services for some patients, competing pressures within the context of shorter office visits, and the lack of organized systems in most practices to ensure (...) years and older. Obesity is defined as an age- and sex-specific BMI in the 95th percentile or greater. Screening Interval The USPSTF found no evidence regarding appropriate screening intervals for obesity in children and adolescents. Height and weight, which are necessary for BMI calculation, are routinely measured during health maintenance visits. Treatment and Implementation The USPSTF recognizes the challenges that children and their families encounter in having limited access to effective

2017 National Guideline Clearinghouse (partial archive)

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