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Saint Louis University Mental Status

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21. Assessment of falls in the elderly

University Geriatric Medicine Fellowship Program Director Center for Geriatric Medicine, Medicine Institute Cleveland Clinic Cleveland OH Disclosures RF is a Pfizer stockholder. Peer reviewers Professor of Medicine Division of Geriatric Medicine Saint Louis University Saint Louis MO Disclosures DT declares that he has no competing interests. Consultant Physician Nuffield Department of Medicine John Radcliffe Hospital Oxford UK Disclosures AD declares that he has no competing interests. Use (...) A, Jarnlo GB, Laake K. Predictors of falls in the elderly by location. Aging Clin Exp Res. 2003 Feb;15(1):43-50. http://www.ncbi.nlm.nih.gov/pubmed/12841418?tool=bestpractice.com Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975 Oct;23(10):433-41. http://www.ncbi.nlm.nih.gov/pubmed/1159263?tool=bestpractice.com Coleman AL, Stone K, Ewing SK, et al. Higher risk of multiple falls among elderly women who lose

2018 BMJ Best Practice

22. School?based interventions for reducing disciplinary school exclusion: a systematic review Full Text available with Trip Pro

threatens the physical or psychological integrity of any member of the school community 8 Unknown Colombia 9 In Colombia, each school must define school exclusion length. This is established in the Ley General de Educación N° 115, February 1994. . Additional information can be retrieved from Suspension Fixed Each school community issues their disciplinary codes and defines disciplinary sanctions and their duration. Normally fixed exclusion lasts 3 days. Discretionary Violation to the code of conduct (...) (secondary schools) France 13 In France, school exclusions are regulated by the Code de l'education: Exclusion Temporary exclusion from the classroom Maximum of 8 days. Consultation between the various members of the pedagogical and educational team Serious cases of violence (physical or psychological) against the school community Unknown Temporary exclusion from school Maximum of 8 days. School principal or school board Definitive exclusion Permanent Disciplinary board. The student should be represented

2018 Campbell Collaboration

23. Treatment of Diabetes in Older Adults Full Text available with Trip Pro

Jan Biessels University Medical Center Utrecht, Utrecht, Netherlands Search for other works by this author on: Susan S Braithwaite Presence Saint Francis Hospital, Evanston, Illinois Presence Saint Joseph Hospital, Chicago, Illinois Search for other works by this author on: Felipe F Casanueva Complejo Hospitalario Universitario de Santiago, CIBER de Fisiopatologia Obesidad y Nutricion, Instituto Salud Carlos III, Santiago de Compostela, Spain Search for other works by this author on: Boris Draznin (...) University of Colorado Denver Anschutz Medical Campus, Aurora, Colorado Search for other works by this author on: Jeffrey B Halter University of Michigan, Ann Arbor, Michigan National University of Singapore, Singapore, Singapore Search for other works by this author on: Irl B Hirsch University of Washington Medical Center–Roosevelt, Seattle, Washington Search for other works by this author on: Marie E McDonnell Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts Search for other

2019 The Endocrine Society

24. Management of Stroke in Neonates and Children Full Text available with Trip Pro

with AIS or CSVT, clinical trial data are lacking. Childhood Stroke Approach to a Suspected Stroke in a Child Clinical Presentation Signs and symptoms of acute stroke in children are similar to those in adults. The most common symptoms include hemiparesis and hemifacial weakness in 67% to 90%, speech or language disturbance in 20% to 50%, vision disturbance in 10% to 15%, and ataxia in 8% to 10%. Children present with nonlocalizing symptoms such as headache in 20% to 50% and altered mental status in 17 (...) healthy children in the vast majority of cases. , Presenting signs and symptoms include localizing deficits referable to the posterior circulation in 70% to 100%: hemiparesis, ataxia, dysarthria, visual field deficits, and oculomotor deficits. Nonlocalizing symptoms occur in 60% to 70%, especially headache, vomiting, and altered mental status. Vertebral artery (VA) dissection is the most common underlying cause (25%–50%), especially in younger boys, and is frequently preceded by recent minor head

2019 American Heart Association

25. Heart Disease and Stroke Statistics Full Text available with Trip Pro

as among individuals with low socioeconomic status, those with mental illness, individuals with HIV who are receiving medical care, and those who are active-duty military. Tobacco use remains a leading cause of preventable death in the United States and globally. It was estimated to account for 7.1 million deaths worldwide in 2016. Over the past 6 years, there has been a sharp increase in e-cigarette use among adolescents, and e-cigarettes are now the most commonly used tobacco product (...) after myocardial infarction (MI), lower risk of atrial fibrillation, and greater positive psychological functioning (dispositional optimism). Among children, from 1999 to 2000 to 2015 to 2016, prevalence of nonsmoking, ideal total cholesterol, and ideal BP improved. For example, nonsmoking among children aged 12 to 19 years went from 76% to 94%. However, meeting ideal levels for physical activity, body mass index (BMI), and blood glucose did not improve. For example, prevalence of ideal BMI declined

2019 American Heart Association

26. 2019 AHA/ACC Clinical Performance and Quality Measures for Adults With High Blood Pressure: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures Full Text available with Trip Pro

support a measure, the writing committee may feel it is necessary to have the measure tested to identify the consequences of measure implementation. Quality measures may then be promoted to the status of performance measures as supporting evidence becomes available. Gregg C. Fonarow, MD, FACC, FAHA Chair, ACC/AHA Task Force on Performance Measures 1. Introduction In 2018, the Task Force convened the writing committee to begin the process of revising the existing performance measures set (...) should be collaborative decisions made between a clinician and a patient. SM-6 Demonstration of infrastructure and personnel that assess and address social determinants of health of patients with HBP CDU It is important to tailor advice to an individual’s socioeconomic and educational status, as well as cultural, work, and home environments. SM-7 Use of team-based care to better manage HBP CDU RCTs and meta-analyses of RCTs of team-based HBP care involving nurse or pharmacist intervention

2019 American Heart Association

27. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease

needs, and interpersonal safety (S2.1-29). ASCVD prevention could benefit from such screening. ASCVD risk begins early in life, with heightened susceptibility tied to low socioeconomic status (S2.1-25). Examples of upstream social determinants of health that affect treatment adherence and ASCVD health outcomes include comorbid mental illness, lack of health literacy, exposure to adversity (e.g., home/community violence, trauma exposures, safety concerns), financial strain, inadequate housing (...) and Science University to perform rapid systematic evidence reviews for 5 of the key topics: aspirin use, T2DM, nutrition and diet, obesity and weight loss, and tobacco use. In parallel, an independent health data and epidemiology expert, Lee Ann Prebil, conducted a systematic evidence review for the key topic of exercise and physical activity and conducted targeted literature searches to support this document’s discussion of patient-centered approaches, including team-based care, shared decision-making

2019 American Heart Association

28. Screening for Breast Cancer in Average-Risk Women Full Text available with Trip Pro

Permanente Northwest, Portland, Oregon (J.S.L.) Reem A. Mustafa, MD, MPH, PhD University of Kansas Medical Center, Kansas City, Kansas (R.A.M.) Carrie A. Horwitch, MD, MPH Virginia Mason Medical Center, Seattle, Washington (C.A.H.) Timothy J. Wilt, MD, MPH Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota (T.J.W.) for the Clinical Guidelines Committee of the American College of Physicians Author, Article, and Disclosure Information This article was published at on 9 April 2019 (...) public representative. American College of Physicians, Philadelphia, Pennsylvania (A.Q.) Kaiser Permanente Northwest, Portland, Oregon (J.S.L.) University of Kansas Medical Center, Kansas City, Kansas (R.A.M.) Virginia Mason Medical Center, Seattle, Washington (C.A.H.) Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota (T.J.W.) Note: Guidance statements are “guides” only and may not apply to all patients and all clinical situations. Thus, they are not intended to override clinicians

2019 American College of Physicians

29. Primary Prevention of Cardiovascular Disease

safety (S2.1- 29). ASCVD prevention could benefit from such screening. ASCVD risk begins early in life, with heightened susceptibility tied to low socioeconomic status (S2.1-25). Examples of upstream social determinants of health that affect treatment adherence and ASCVD health outcomes include comorbid mental illness, lack of health literacy, exposure to adversity (e.g., home/community violence, trauma exposures, safety concerns), financial strain, inadequate housing conditions, lack of food (...) development process. Avalere Health commissioned the Pacific Northwest Evidence-based Practice Center at Oregon Health and Science University to perform rapid systematic evidence reviews for 5 of the key topics: aspirin use, T2DM, nutrition and diet, obesity and weight loss, and tobacco use. In parallel, an independent health data and epidemiology expert, Lee Ann Prebil, conducted a systematic evidence review for the key topic of exercise and physical activity and conducted targeted literature searches

2019 American College of Cardiology

30. Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada

Michael Riddell PhD Professor School of Kinesiology and Health Science Muscle Health Research Centre, York University, Senior Scientist, LMC Diabetes & Manna Research, Toronto, ON David J. Robinson MD FRCPC FCPA DFAPA Consultant Psychiatrist Canadian Mental Health Association, London/Middlesex Branch, London, ON Robert S. Roscoe BSc Pharm ACPR CDE Clinical Collaborative Pharmacist Saint John Regional Hospital Diabetes Education Centre, R2 Consulting Ltd. Rothesay, NB Elizabeth Tan Rosolowsky MD MPH (...) Research Institute, University of Western Ontario, London, ON Mélanie Henderson MD FRCPC PhD Clinical Assistant Professor Division of Endocrinology, Department of Pediatrics, Faculty of Medicine, Sainte-Justine CHU, Montréal, QC Rita Henderson MA, PhD Department of Family Medicine, University of Calgary, Calgary, AB Josephine Ho MD MSc FRCPC Associate Professor Division of Endocrinology, Department of Pediatrics, University of Calgary, Calgary, AB Robyn L. Houlden MD FRCPC Professor and Chair, Division

2018 Diabetes Canada

31. Mindfulness?based interventions for improving cognition, academic achievement, behavior, and socioemotional functioning of primary and secondary school students Full Text available with Trip Pro

Search term Search term SYSTEMATIC REVIEW Open Access Mindfulness‐based interventions for improving cognition, academic achievement, behavior, and socioemotional functioning of primary and secondary school students First published: 10 March 2017 Citations: Corresponding authorBrandy R. MaynardSchool of Social WorkTegeler Hall, 3550 Lindell BlvdSaint Louis UniversitySt. Louis, MO 63103USAE‐mail: Linked article: . Give access Share full text access Please review our and check box below to share full (...) -text version of article. I have read and accept the Wiley Online Library Terms and Conditions of Use. Shareable Link Use the link below to share a full-text version of this article with your friends and colleagues. Copy URL Share a link Share on ; ). Approximately 13%‐20% of children in the U.S. experience at least one mental disorder, and these rates have been on the rise since 2005 (Centers for Disease Control and Prevention, 2013). The increased prevalence of stress and anxiety, and at earlier

2017 Campbell Collaboration

32. Approaches to promote handwashing and sanitation behaviour change in low? and middle?income countries: a mixed method systematic review Full Text available with Trip Pro

; visit frequency; use of short communication messages; availability of training materials; kindness, respect, status and accessibility of the implementer; recipient awareness about costs and benefits and their access to infrastructure and social capital. For community‐based approaches , involvement of the community, enthusiasm of community leaders, having a sense of ownership, the implementer being part of the community, gender of the implementer, trust, income generating activities, clear (...) communication messages, availability of training materials, funding/resources and partnerships, kindness and respect of the implementer, accessibility of the implementer, and the implementer's authority/status; as well as, on the side of the recipient, awareness about costs and benefits, social capital, access to infrastructure and availability of space, and others showing the behaviour. AUTHORS’ CONCLUSIONS Implications for policy and practice. Based on our findings, promotional approaches aimed

2017 Campbell Collaboration

33. Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU Full Text available with Trip Pro

and Intensive Care , Montpellier University Saint Eloi Hospital, Montpellier, France. 25 PhyMedExp, INSERM, CNRS, University of Montpellier, Montpellier, France. 26 Melbourne School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia. 27 Faculte de Medecine Pharmacie, University of Poitiers, Poitiers, France. 28 Service de Neurophysiologie, CHU de Poitiers, Poitiers, France. 29 Department of Critical Care, Maine Medical Center and School of Medicine, Tufts University, Portland, ME. 30 (...) adults that include impaired communication, altered mental status, mechanical ventilation, procedures and use of invasive devices, sleep disruption, and immobility /mobility status ( ). Critically ill adults experience moderate-to-severe pain at rest ( ) and during standard care procedures ( ). Pain is defined as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” ( ). Pain should be considered to be “whatever

2018 Society of Critical Care Medicine

34. Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update

), Mary McLennan, M.D. (Saint Louis University), Vivian Sung, M.D. (Brown University), Donna Thompson, M.S.N. (Society of Urologic Nurses and Associates), and Blair Washington, M.D. (Virginia Mason Medical Center). We would further like to thank the following research associates and other staff who helped to conduct this systematic review: Georgios Markozannes, M.Sc., Katherine Corsi, Pharm.D., Amanda Mogul, Pharm.D., Mengyang Di, Ph.D., Gowri Raman, M.B.B.S, M.S., Esther Avendano, M.S., Andrew Zullo (...) Acknowledgments The authors gratefully acknowledge the contribution of Aysegul Gozu, M.D., M.P.H., our AHRQ Task Order Officer; Jennifer Croswell, M.D., M.P.H., our PCORI Senior Program Officer; Kimberly Bailey, M.S., our PCORI Program Officer; and Kathleen Lohr, Ph.D., M.Phil., M.A., our Associate Editor. We would also like to thank and acknowledge the following people who provided insights related to the Contextual Question: Heidi Brown, M.D. (University of Wisconsin School of Medicine and Public Health

2018 Effective Health Care Program (AHRQ)

35. Evaluation and Management of Testosterone Deficiency

Deficiency Copyright © 2018 American Urological Association Education and Research, Inc.® 18 2. The diagnosis of low testosterone should be made only after two total testosterone measurements are taken on separate occasions with both conducted in an early morning fashion. (Strong Recommendation; Evidence Level: Grade A) There are inherent challenges in testosterone measurement due to the health status of patients at the time of testing, circadian rhythms in testosterone production, intra-individual (...) , this difference, while significant, is negligible and does not provide the clinician with clinically relevant discrimination between these populations. There does appear to be a trend towards lower total testosterone and a diagnosis of ED. The European Male Aging Study (EMAS) 8 studied 3,369 men (mean age 59 years) and culled data on their sexual, physical, and psychological symptoms along with morning total testosterone measurements. Adjusted logistical regression showed an inverse relationship between total

2018 American Urological Association

36. A Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2018 Update by the Infectious Diseases Society of America and the American Society for Microbiology Full Text available with Trip Pro

and the American Society for Microbiology J Michael Miller Microbiology Technical Services, LLC, Dunwoody, Georgia Correspondence: J. M. Miller, Microbiology Technical Services, LLC, PO Box 88212, Dunwoody, GA 30338 ( ). Search for other works by this author on: Matthew J Binnicker Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota Search for other works by this author on: Sheldon Campbell Yale University School of Medicine, New Haven (...) , Connecticut Search for other works by this author on: Karen C Carroll Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, Maryland Search for other works by this author on: Kimberle C Chapin Department of Pathology, Rhode Island Hospital, Providence Search for other works by this author on: Peter H Gilligan Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill Search for other works by this author on: Mark D Gonzalez Department of Pathology

2018 Infectious Diseases Society of America

37. Proposals for a further expansion of day surgery in Belgium

Middelares, Gent), Raberahona Mamisoa Andriantafika (Hôpital Baron Lambert, Bruxelles), Ernesto Bali (CHIREC, Bruxelles), Gilbert Bejjani (CHIREC, Bruxelles), Taoufik Ben Addi (CHIREC, Bruxelles), Denis Berghmans (Clinique Saint-Luc, Bouge), Guy Bergiers (Clinique de l'Europe, Bruxelles), Martine Berlière (Cliniques Universitaires Saint-Luc, Bruxelles), Luc Berwouts (Sint- Vincentius Ziekenhuis, Deinze), Sabine Bonnet (CHR Citadelle, Liège), Arnaud Bosteels (Kliniek Sint-Jan, Brussel), Jan Bosteels (...) (CH, Jolimont), François Daubresse (CHR de Namur), Veerle De Boe (UZ Brussel), Jeremy De Brauwer (AZ Sint-Dimpna, Geel), Michael De Brucker (UZ Brussel & CHU Tivoli), Patrick De Brucker (AZ Sint-Maria, Halle), Joke De Ceulaer (AZ Sint-Jan, Brugge), Albert De Decker (Sint-Elisabeth Ziekenhuis, Brussel), Charles de Gheldere (Heilig Hart Ziekenhuis, Lier), Frederic De Ryck (UZ Gent), Luc de Visscher (Clinique Saint-Luc, Bouge), Olivier De Witte (Hôpital Erasme, Bruxelles), Joke De Wolf (Heilig Hart

2017 Belgian Health Care Knowledge Centre

38. Towards an inclusive system for major trauma

universitaires Saint-Luc), Jean- Louis Mariage (CHM Mouscron), Jose Panza (CHM Mouscron), Fabienne Vandercleyen (CHM Mouscron), Etienne Danse (Cliniques universitaires Saint-Luc), Philippe Meert (Cliniques universitaires Saint-Luc), Maximilien Thoma (Cliniques universitaires Saint-Luc), Eveline Depuijdt (FOD Volksgezondheid – SPF Santé Publique) Other reported interests: All experts and stakeholders consulted within this report were selected because of their involvement in the topic of traumatology (...) ), Patriek Mistiaen (KCE), Audrey Cordon (KCE), Sabine Stordeur (KCE), Koen Van Den Heede (KCE) Authors of the chapter 4: Maaike Langelaan (NIVEL), Nanne Bos (NIVEL), Julie Heeren (NIVEL), Janke de Groot (NIVEL) Project coordinator: Sabine Stordeur (KCE) Senior supervisor: Koen Van den Heede (KCE) Reviewers: Mélanie Lefèvre (KCE), Raf Mertens (KCE), France Vrijens (KCE) External experts: Howard Champion (Uniformed Services University of the Health Sciences, USA), Olivier Cornu (Cliniques universitaires

2017 Belgian Health Care Knowledge Centre

39. Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU

Care , Hôpital Saint Louis, Paris, France. 15 Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel. 16 Department of Anaesthesiology and Intensive Care Medicine, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany. 17 Graduate School of Nursing Midwifery and Health, Victoria University of Wellington; Capital and Coast District Health Board, Wellington, New Zealand. 18 Center of Intensive Care , Medisch Centrum (...) , Leeuwarden, The Netherlands. 19 Psychology Department and Neuroscience Center, Brigham Young University, Provo, UT. 20 Department of Medicine, Pulmonary and Critical Care Division, Intermountain Medical Center, Murray, UT. 21 Department of Family Health Care Nursing, University of California, San Francisco, San Francisco, CA. 22 Department of Medicine, MSc McGill University, Montreal, QC, Canada. 23 Naval Medical Center San Diego and University of California San Diego, San Diego, CA. 24 Quality

2017 Society of Critical Care Medicine

40. Cough in the Athlete

Health & Science University, Portland, OR), Surinder S. Birring, MB ChB, MD (Division of Asthma, Allergy and Lung Biology, King’s College London, London, UK), Fiona Blackhall, MD, PhD (University of Manchester, Department of Medical Oncology, Manchester, England), Donald C. Bolser, PhD (College of Veterinary Medicine, University of Florida, Gainesville, FL), Louis-Philippe Boulet, MD, FCCP (Institut universitairedecardiologieetdepneumologiedeQuébec,Quebec,QC, Canada), Sidney S. Braman, MD, FCCP (...) ),MarkA.Malesker,PharmD,FCCP(CreightonUniversitySchool of Pharmacy and Health Professions, Omaha, NE), Peter Mazzone, MD, MPH, FCCP (The Cleveland Clinic, Cleveland, OH), Lorcan McGarvey, MD (The Queen’s University Belfast, Belfast, United Kingdom), M. Hassan Murad, MD, MPH (Mayo Clinic, Rochester, MN), Peter Newcombe, PhD (School of Psychology, University of Queensland, Queensland, Australia), Huong Q. Nguyen, PhD, RN (Kaiser Permanente, Pasadena, CA), John Oppenheimer, MD (University of Medicine

2017 American College of Chest Physicians

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