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Postpartum Office Visit

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162. HIVA/BASHH guidelines on the use of HIV pre-exposure prophylaxis (PrEP)

College London Dan Clutterbuck Consultant HIV and Sexual Health, NHS Lothian Monica Desai Consultant Epidemiologist, Public Health England Nigel Field Senior Lecturer, Consultant Clinical Epidemiologist, University College London Justin Harbottle Programme Officer, Terrence Higgins Trust, London Zahra Jamal Policy and Research Officer, NAZ, London Sheena McCormack Professor of Clinical Epidemiology, MRC Clinical Trials Unit at University College London Adrian Palfreeman Consultant HIV and Sexual (...) resistance In the iPrEx trial, FTC-related drug resistance developed in two participants who had unrecognised acute HIV infection at baseline [19]. These individuals had a negative antibody test before starting PrEP, but later tested positive. In the PROUD study, two of the three participants with a positive HIV test at enrolment or the 4-week visit had FTC-related drug resistance; no resistance was detected in participants who acquired HIV post-randomisation [2]. In IPERGAY, none of the incident HIV

2018 British HIV Association

163. Domestic violence and abuse: multi-agency working

specialist statutory, community and voluntary services, such as drug and alcohol services.) Map services against the Home Office-endorsed Coordinated Community Response Model and identify any gaps. Local commissioners (see above) should use the results of the needs assessment and mapping exercise to inform commissioning. They should develop referral pathways that aim to meet the health and social care needs of all those affected by domestic violence and abuse. This includes people with protected (...) authorities, health services and their strategic partners (including the voluntary and community sectors) should: Ensure senior officers from the following services participate in a local strategic partnership to prevent domestic violence and abuse, along with representatives of frontline practitioners and service users or their representatives: health services and the local authority (including the chairs of local safeguarding boards for adults and children) public health sexual violence services housing

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

164. How to improve the detection of child abuse in Belgium

, Action point 2.1, KCE report 232A 19 ). A perinatal care coordinator can play a key role in follow-up of worrisome factors during pregnancy, birth and postpartum, and can ensure continuity of care at crucial times, including discharge (early or otherwise) from the maternity clinic. From the interviews it appears that neither Kind & Gezin (K&G) nor the teams from SOS Enfants and the Office de la Naissance et de l’Enfance (ONE) uses checklists to identify families at risk. Nonetheless the list of signs (...) Child abuse in Belgium KCE Report 269Cs customised resources for every family, such as a house visit, online services, the portal site mijnkindengezin.be and group contacts. 23 Recommendation 2 Invest in postnatal care as recommended in KCE report 232-2014 19 and support mothers and fathers in their (new) role as a parent. Action point 2.1: Strengthen the informal support networks of parents by bringing them together in educational groups during pregnancy and postpartum. Many small-scale initiatives

2016 Belgian Health Care Knowledge Centre

165. Oral Health Care for the Pregnant Adolescent

More than half of these pregnancies (59 percent) end in births, 14 percent result in miscarriages, and 27 percent result in abortion. 7 There exist economic, racial, and ethnic disparities related to oral hygiene practices and dental service utilization during pregnancy; reports indicate minority pregnant adolescents had only limited dental visits and possessed limited knowledge of oral health and pregnancy outcomes. 9,10 Little is known about individual characteristics or behaviors related (...) Risks for the baby include premature birth and low birthweight. 13 Proper prenatal care is essential, and blood pressure monitoring, weighing in, and testing the urine for protein should take place at each prenatal healthcare visit. 15 If an abnormal elevation in blood pressure is noted during a dental visit, the patient’s physician should be notified. Blood pressure greater than or equal to 140/90 mmHg is considered mild hypertension, whereas values greater than or equal to 160/110 mmHg

2016 American Academy of Pediatric Dentistry

166. Better Mental Health for All: A Public Health Approach to Mental Health Improvement

exacerbation. However, the hospital had no formal service provision for the condition. The COPD manual was designed to improve psychological adjustment and coping with COPD and breathlessness over a five-week period which included a home visit and follow up calls. The aim for the programme was to both prevent mental health problems as well as the promotion of mental wellbeing. Over the 12 month trial period: The total A&E visits in the COPD manual group fell by 42% compared with an increase of 16

2016 Faculty of Public Health

167. Guidelines on HIV self-testing and partner notification

(Lindsley F. Kimball Research Institute, New York Blood Center, USA), Gitau Mburu (AIDS Alliance, United Kingdom), Kristina Grabbe (Office of the Global AIDS Coordinator, USA), Bernadette Hensen, Melissa Neuman (London School of Hygiene and Tropical Medicine, United Kingdom), Yan Jiang (National AIDS Reference Laboratory, China), Chonticha Kittinunvorakoon (CDC, Thailand), Raquel Lima (CDC, Brazil), Sheri Lippman (University of California, USA), Peter MacPherson (Farr Institute, United Kingdom), Keletso (...) , Robert Matiru, Olawale Olayiwola + , Carmen Pérez Casas + (UNITAID, Switzerland), Lisa Nelson (Office of the United States Global AIDS Coordinator, USA), Susan Kasedde, Ravi Bhairavabhotla + and Paul Nary (United Nations Children’s Fund (UNICEF), USA). World Health Organization Steering Group WHO Guideline Steering Group core team: Rachel Baggaley, Cheryl Johnson, Carmen Figueroa, Shona Dalal (Department of HIV) and Anita Sands (Department of Essential Medicines and Health Products). WHO Guideline

2016 World Health Organisation HIV Guidelines

168. Effective Interventions for Families and Caregivers to Reduce Tobacco Second-hand Smoke Exposure in Homes: A Rapid Review

controlled trials that focused on counselling, self-help materials, discussion of health effects, home visits, motivational interviewing, parents agreeing to stop smoking and a school-based intervention were effective in achieving relevant outcomes. Authors concluded that interventions are moderately beneficial at the individual level, and suggest the potential for significant population level impact. Recommendations 1. Develop a population-level smoke-free home strategy, which is multicomponent (...) the predominant location for SHS exposure among children. (1) This rapid review addresses: “What interventions for families and caregivers are effective in reducing tobacco second-hand smoke in homes where pregnant women and children live?” Anecdote During a home visit with a mother of an infant and young child, a Public Health Nurse noted the strong smell of cigarette smoke. The client openly shared that both she and her husband usually smoke outside on the balcony, but will smoke inside if it is too cold

2016 Peel Health Library

169. CRACKCast E018 – Seizures

on the block. Avoid propofol in young children, as incidence of mitochondrial dysfunction is higher in this population and the mitochondrial suppression of propofol is theoretically harmful. 3) List 10 differential diagnoses for seizures 4) List 10 indications for head CT in new-onset seizure Wisecracks: 1) How long does a driver in British Columbia require their driver’s license suspended after a seizure? The Office of the Superintendent of Motor Vehicles publishes the BC Guide in Determining Fitness (...) refractory seizures despite benzo’s **pyridoxine is the only effective treatment** Eclampsia seizing woman of childbearing age – Consider in 20 weeks GA to up to 6 weeks postpartum Give IV magnesium 6 g over 15 mins h. Water intoxication / hyponatremia children, psych. patients, athletes treat with hypertonic saline 3% – 4-6 ml/kg over 1 hr (up to 100 ml) OR i) 5% hypertonic 50cc ii) 3% hypertonic 100ml-200ml over 1-2 hours iii) 6% Saline (2 amps bicarb) see: http://emcrit.org/pulmcrit/emergenttreatment

2016 CandiEM

170. WHO recommendations on antenatal care for a positive pregnancy experience

, Newborn, Child and Adolescent Health (at WHO) MD mean difference MLCC midwife-led continuity of care MMN multiple micronutrient MUAC mid-upper arm circumference NHD Department of Nutrition for Health and Development (at WHO) NRS non-randomized studyWHO recommendations on antenatal care for a positive pregnancy experience viii OR odds ratio PAHO Pan American Health Organization (WHO Regional Office for the Americas) PCG Pregnancy and Childbirth Group (Cochrane Collaboration) PICO population (P (...) the evidence indicating increased fetal deaths and lesser satisfaction of women with the four-visit model (also known as focused or basic ANC), decided to increase the recommended number of contacts between the mother and the health-care providers at time points that may facilitate assessment of well-being and provision of interventions to improve outcomes if problems are identified (see Recommendation E.7 in T able 1). The recommendations in this guideline should be implemented alongside other quality

2016 World Health Organisation Guidelines

171. Prevention of Cardiovascular Disease in Women

outcome in individual patient care. Every health care provider is responsible for the management of his/her unique patient based on the clinical presentation and management options available locally. REVIEW OF THE GUIDELINE This guideline is issued in 2016 and will be reviewed in 2021 or earlier if important new evidence becomes available. CPG Secretariat Health Technology Assessment Unit Medical Development Division Level 4, Block EI, Parcel E Government Offices Complex 62590 Putrajaya, Malaysia (...) Senior Consultant Endocrinologist Subang Jaya Medical Centre, Selangor Dr Emily Tan Lay Koon Consultant Cardiologist Insti tut Jantung Negara, KL Dr Nor Hanim Mohd Amin Consultant Cardiologist Sarawak Heart Centre Physician Hospital Sungai Buloh Dr Ong Mei Lin Consultant Cardiologist Gleneagles Penang Dr Santha Kumari Senior Consultant Physician Hospital Tengku Ampuan Rahimah, Selangor Dr Sim Kui Hian Visiting Senior Consultant Cardiologist Sarawak Heart Centre Dr Zanariah Hussein Senior Consultant

2016 Ministry of Health, Malaysia

172. Current Diagnostic and Treatment Strategies for Specific Dilated Cardiomyopathies: A Scientific Statement From the American Heart Association

, alcohol use, to- bacco, age, and number of pregnancies. pathogenesis The pathogenesis of PPCM remains unknown; however, it is suspected that there are both inflammatory and genetic components. The timing of the most common presentation in the early postpartum period suggests an autoimmune component, most likely related to the cessation of the need for fetal tolerance and the reset- ting of maternal cellular immunity. 167 Viral causes and nutritional deficiency could play a significant role, par (...) in women with baseline LVEF =30% than in those with LVEF 5.6 cm was associated with less recovery. 164 Other potential predictors of recovery include higher initial EF, presence of gestational hypertension, breastfeeding, postpartum diagnosis, lack of troponin elevation, lower BNP, absence of LV thrombus, and nonblack ethnicity. 173,174,178–181 In a small study of 7 women, the presence of contractile reserve was associated with recovery of LV function. 182 Of note, withdrawal of HF therapy did

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2016 American Heart Association

173. Acute Myocardial Infarction in Women

of 0.2% to 4% of patients undergoing cardiac catheterization, and it is reported to occur in 10.8% of women <50 years of age who present with an ACS or AMI. SCAD is associated with peripartum and postpartum status, oral contraceptive use, exercise, connective tissue disorders, and vasculitides (including fibromuscular dysplasia). In some cases, there are no identifiable coexisting conditions. The clinical presentation of SCAD can vary among unstable angina, MI, ventricular arrhythmias, and SCD

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2016 American Heart Association

174. Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science

. In this article, IHD is inclusive of coronary heart disease. Table 2. Milestones in Sex and Gender Differences in Research 1985 Public Health Service Task Force on Women’s Health was established. Recommendations for a greater focus on women’s health issues led to guidelines for inclusion of women in NIH-funded extramural research ( ). 1990 The NIH created the Office of Research on Women’s Health to ensure that women’s health issues were appropriately addressed and that women were represented in NIH-supported

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2016 American Heart Association

175. Uterus Transplantation Intersociety Roundtable

, postpartum complications, or irreversible acquired uterine injury (for example, radiation, adhesions, and inoperable fibromas) The alternative to uterine transplantation is gestational surrogacy, in which a pregnancy is carried by a woman other than the intended parent. There were approximately 3,400 gestational carrier (GC) cycles (not patients) performed in the United States in 2013 (the latest year for which statistics were currently available). A total of 57% of GC transfers result in live birth (...) who would be responsible for the VCA program. The letter of intent had to be signed by the surgical and medical directors and the chief administrative officer of the institution. It is important to note that the first VCA Membership Bylaws did not contain any training or experience requirements for VCA program key personnel. The membership requirements were passed by the Board in June 2014 with the provision they would sunset in September 2015 so that the Committee could develop more specific

2016 Society for Assisted Reproductive Technology

177. Guideline Supplement: Establishing breastfeeding

in its current form for non-commercial purposes, as long as you attribute Queensland Clinical Guidelines, Queensland Health and abide by the licence terms. You may not alter or adapt the work in any way. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc- nd/3.0/au/deed.en For further information contact Queensland Clinical Guidelines, RBWH Post Office, Herston Qld 4029, email Guidelines@health.qld.gov.au, phone (07) 3131 6777. For permissions beyond the scope (...) of this licence contact: Intellectual Property Officer, Queensland Health, GPO Box 48, Brisbane Qld 4001, email ip_officer@health.qld.gov.au, phone (07) 3234 1479. Queensland Clinical Guideline Supplement: Establishing breastfeeding Refer to online version, destroy printed copies after use Page 3 of 12 1 Introduction This document is a supplement to the Queensland Clinical Guideline (QCG) Establishing breastfeeding. It provides supplementary information regarding guideline development, makes summary

2016 Queensland Health

178. Guideline supplement: Perinatal substance use: maternal

. In essence, you are free to copy and communicate the work in its current form for non-commercial purposes, as long as you attribute Queensland Clinical Guidelines, Queensland Health and abide by the licence terms. You may not alter or adapt the work in any way. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc- nd/3.0/au/deed.en For further information contact Queensland Clinical Guidelines, RBWH Post Office, Herston Qld 4029, email Guidelines@health.qld.gov.au, phone (07 (...) pregnant women under care of both maternity and drug services in a continuity of care/carer model 3.1 Management and care 2. Gestation at booking in visit 3.1 Management and care 3. Number of antenatal visits 3.1 Management and care 4. Number of women screened about substance use in antenatal, intrapartum and postpartum periods 2. Antenatal screening 3.1 Management and care 5. Number of women provided brief interventions about tobacco, alcohol and other drug use 3.1 Management and care 6. Number

2016 Queensland Health

179. Guideline supplement: Hypertensive disorders of pregnancy

in its current form for non-commercial purposes, as long as you attribute Queensland Clinical Guidelines, Queensland Health and abide by the licence terms. You may not alter or adapt the work in any way. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/3.0/au/deed.en For further information contact Queensland Clinical Guidelines RBWH Post Office, Herston Qld 4029, email Guidelines@health.qld.gov.au, phone (07) 3131 6777. For permissions beyond the scope (...) of this licence contact: Intellectual Property Officer, Queensland Health, GPO Box 48, Brisbane Qld 4001, email ip_officer@health.qld.gov.au, phone (07) 3234 1479. Queensland Clinical Guideline Supplement: Hypertensive disorders of pregnancy Refer to online version, destroy printed copies after use Page 3 of 13 1 Introduction This document is a supplement to the Queensland Clinical Guideline Hypertensive disorders of pregnancy. It provides supplementary information regarding guideline development, makes

2016 Queensland Health

180. Maternity shared care

. In essence, you are free to copy and communicate the work in its current form for non-commercial purposes, as long as you attribute Queensland Clinical Guidelines, Queensland Health and abide by the licence terms. You may not alter or adapt the work in any way. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/3.0/au/deed.en For further information, contact Queensland Clinical Guidelines, RBWH Post Office, Herston Qld 4029, email Guidelines@health.qld.gov.au, phone (07 (...) ) 3131 6777. For permissions beyond the scope of this licence, contact: Intellectual Property Officer, Queensland Health, GPO Box 48, Brisbane Qld 4001, email ip_officer@health.qld.gov.au, phone (07) 3234 1479. Queensland Clinical Guidelines: Maternity shared care operational framework: Refer to online version, destroy printed copies after use Page 3 of 11 Abbreviations GP General Practitioner PHR Pregnancy health record PMC Primary maternity carer Definitions Maternity care collaboration 1

2016 Queensland Health

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