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Six Item Cognitive Impairment Test

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161. Guidelines for diagnosing and managing pediatric concussion

://www.essentialevidenceplus.com/product/ebm_loe.cfm?show=sort. Accessed May 8, 2014. 2 Ebell MH, Siwek J, Weiss BD, et al. Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician. 2004;69(3):548-56. Chapter: Tipsheet Guidelines for Diagnosing and Managing Pediatric Concussion 3 Tipsheet / List of Tools Tipsheet for Health Care Professionals In Advance (before the first activity) Number Evidence 0.4 Consider baseline neuro-cognitive testing (...) for Diagnosing and Managing Pediatric Concussion 5 Tipsheet / List of Tools 5.4c(i) Assess for persistent cognitive difficulties. B 5.4c(ii) Manage any cognitive impairments. B 5.4d(i) Assess for balance and vestibular impairments. B 5.4d(ii) Assess for benign positional vertigo. B 5.4d(iii) Refer for further assessment and treatment if balance and/or vestibular system are dysfunctional. B 5.4e(i) Assess ongoing vision dysfunctions. B 5.4e(ii) Refer children/adolescents who have changes in functional vision

2019 CPG Infobase

162. Risk reduction and management of delirium

onset (hours, days) of acute mental status deterioration. Patients may present with cognitive impairment, but drowsiness to the point that the patient is not speaking, severe agitation, or psychotic features such as hallucinations or delusions may be the most prominent features. Delirium is sometimes described using hyperactive, hypoactive or mixed labels depending on the level of arousal. 13 Most delirium has a duration of a small number of days, but in around 20% of cases, it can persist for weeks (...) Scale; SQiD – Single Question to Identify Delirium Tool Time taken (min) Training Required Staff Settings Reported Sensitivity % Reported Specificity % Delirium severity rating Suitable for monitoring Suitable for detecting DSD 4AT 20,24,26,27,30,32 80 years in the majority of studies in the systematic review). 125,127-129 The studies addressed a variety of population groups, in acute and ICU settings, and used different measures for delirium, mental and cognitive impairment and depression. R

2019 SIGN

163. Health literacy: what lessons can be learned from the experiences of other countries?

Mannaerts (Cultures et santé), Emmanuelle Nijs (Koning Boudewijnstichting – Fondation Roi Baudouin), Maryse Van Audenhaege (Landsbond der Christelijke Mutualiteiten), Martine Van Hecke (Test Aankoop), Tinne Vandesande (Koning Boudewijnstichting – Fondation Roi Baudouin), Rebekka Verniest (Landsbond der Christelijke Mutualiteiten) External validators: Gilles Henrard (ULg – Université de Liège), Diane Levin-Zamir (Clalit Health Services, Israel), Orkan Okan (Universität Bielefeld) Acknowledgements: Jamie (...) : Valérie Fabri (UNMS), Siska Germonpré (Staff member NVSM), Martine Van Hecke (Test Aankoop) Participation in scientific or experimental research as an initiator, principal investigator or researcher: Tine Vandesande (Selection of health literacy projects supported by the Fonds Daniël De Coninck) Layout: Joyce Grijseels, Ine Verhulst Disclaimer: • The external experts were consulted about a (preliminary) version of the scientific report. Their comments were discussed during meetings. They did not co

2020 Belgian Health Care Knowledge Centre

164. The promotion of well?being among children exposed to intimate partner violence: A systematic review of interventions (Full text)

and the SD of the mean change in each group; (d) group means and paired t statistics for each group; (e) group means and between‐group t statistic; and (f) between‐group t statistic only. Examples of intervention effects that were reported on a continuous scale include internalizing and externalizing distress (e.g., behavioral checklist raw scores), total problems (e.g., behavioral checklists raw scores), and cognitive functioning (e.g., intelligence test total score). Examples of dichotomous outcomes (...) health problem. An estimated 8–15 million children in the United States (Hamby, Finkelhor, Turner, & Ormrod, ; McDonald, Jouriles, Ramisetty‐Mikler, Caetano, & Green, ) and 275 million children worldwide are exposed to IPV each year (Pinheiro, ). The consequences of exposure can be severe and long‐lasting. Research has linked IPV exposure in childhood to impaired neurological, physiological, and psychosocial functioning that contribute to a wide‐range of health consequences. Indeed, IPV exposure has

2019 Campbell Collaboration PubMed abstract

165. The impact of care farms on quality of life, depression and anxiety among different population groups: A systematic review (Full text)

of study methodologies, including qualitative studies 5 METHODS 5.1 General approach We conducted a mixed methods synthesis using a sequential explanatory approach (Pluye & Hong, ) that involved the development of an intervention framework based on existing theories. These theories propose how care farming might work, and our review used qualitative and quantitative evidence to test the processes and outcomes suggested by these theories. This approach is valuable in identifying possible mechanisms (...) we do not include in the analysis any secondary outcomes that had been developed in‐house or failed to be defined. The secondary outcomes included were: Mental health outcomes: self‐efficacy, self‐esteem, stress, coping, mood, mental status, mental functioning, positive affect, rehabilitation and cognitive functioning, empowerment Social outcomes: social functioning/interaction, group cohesion, recidivism, employment, school exclusion Physical outcomes: functional performance, physical activity

2019 Campbell Collaboration PubMed abstract

166. What works to improve early grade literacy in Latin America and the Caribbean? A systematic review and meta?analysis (Full text)

that had an emphasis on EGL outcomes but did not emphasize a specific intervention, 14 qualitative studies without a focus on a specific intervention, and six qualitative studies that focused on a specific intervention. Most of the studies included in our review of evidence were published journal articles and came from either Mexico or South America; significantly fewer articles were from Central America and the Caribbean. Almost all articles were published in English or Spanish. More than 90 (...) in the lowest level of the reading test, and <5% of the third graders performed so well that they were categorized as achieving the highest levels of reading. Figure depicts these challenges by demonstrating that there are still a significant number of third graders scoring at the lowest levels of reading. In fact, more than 60% of third‐grade students have only achieved basic reading skills (Levels 1 and 2). Figure 2 Percentage of third graders scoring at level 1 or below on reading, 2013. (1) Lowest

2019 Campbell Collaboration PubMed abstract

167. Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed?methods systematic review

included in the review, representing 19 titles in total. One of the studies was an unpublished report (available online), while the remaining six were reported in both unpublished reports and published peer‐reviewed journal articles. All studies were English language and the majority were based in the United States ( n = 5). One study was a ‘quasi‐experimental controlled longitudinal survey’, three were ‘randomized, controlled cross‐sectional surveys’ and three were ‘randomized controlled before (...) as an umbrella term for impairments, activity limitations, and participation restrictions. According to the WHO, disability is the interaction between individuals with a health condition (e.g., cerebral palsy, Down syndrome, and depression) and personal and environmental factors (e.g., negative attitudes, inaccessible transportation and public buildings, and limited social supports; WHO, ). The WHO ( ) recognizes that disability is extremely diverse, but that generally, rates of disability are increasing due

2019 Campbell Collaboration

168. Istradefylline (Nourianz) - Parkinson's disease

database: 23 8.3. Adequacy of Applicant’s Clinical Safety Assessments 23 8.3.1. Issues Regarding Data Integrity and Submission Quality 24 8.3.2. Categorization of Adverse Events 24 8.3.3. Routine Clinical Tests 25 8.4. Safety Results 26 8.4.1. Deaths 26 8.4.2. Serious Adverse Events 29 8.4.3. Dropouts and/or Discontinuations Due to Adverse Effects 35 8.4.4. Significant Adverse Events 37 8.4.5. Treatment Emergent Adverse Events and Adverse Reactions 39 8.4.1. Laboratory Findings 49 8.4.2. Vital Signs 56 (...) of TEAEs. The duration of follow up of TEAEs appeared acceptable given that the terminal half-life of istradefylline (82.7 hours). 8.3.3. Routine Clinical Tests The schedule of assessments for clinical laboratory tests (chemistry, hematology, and urine analysis) were as per the individual study protocols. Seven out of eight studies in Pool 1 had clinical laboratory assessments at baseline (Study Day -1), and then Week 2, 4, 8, and 12. Study 6002-014 had clinical laboratory assessments on Study Days 1

2019 FDA - Drug Approval Package

169. Early Support

evidence 15 III-2 A comparative study with concurrent controls (i.e. non- randomised experimental trials, cohort studies, case-control studies, interrupted time series studies with a control group) 1 III-3 A comparative study without concurrent controls (i.e. historical control study, two or more single arm studies, interrupted time series studies without a parallel control group) 3 IV Case series with either post-test or pre-test/post-test outcomes 8 See Appendix 2 for explanation of NHMRC levels (...) participation in classroom activities. (24) One PD program, the Freedom Writers Institute (FWI), found that students taught by educators who had received the training reported higher levels of school engagement than those with educators in the control group. (25) In the FWI program, school engagement was defined as more than academic engagement, and included the provision of ongoing support around the young person’s cognitive, behavioural and emotional interactions in the classroom and school settings

2019 Sax Institute Evidence Check

170. Vagus Nerve Stimulation for chronic major depressive episodes

regional cerebral blood flow to multiple brain areas. VNS settings are adjusted using a magnetic wand placed on the skin surface overlying the pulse generator. The estimated battery life is 10 years. MSAC noted that the applicant had agreed to amend the item descriptor to ‘four or more classes of antidepressants’, but also considered that it was unclear what defined an ‘adequate’ response. MSAC also considered that, of the six proposed MBS items for VNS implantation, it was unclear who would (...) and Victoria. This may create issues around equity of access if adopted. 6. Proposal for public funding There are six proposed MBS items for VNS implantation, relating to the placement of the generator, repositioning or removal of the generator, placement of the lead, repositioning or removal of the lead, device programming and replacement of the battery. These items mirror the same items that were approved for VNS in the treatment of refractory epilepsy. The proposed MBS item descriptors are presented

2019 Medical Services Advisory Committee

171. Iron Deficiency – Diagnosis and Management

ages: tiredness, restless legs, inattention, poor school performance, irritability/depression, growth retardation, unexplained cognitive and intellectual impairment, breath-holding spells, developmental delay, pica/pagophagia Infants: poor feeding, lethargy, failure to thrive, cardiomegaly, tachypnea Adolescents: presyncope, syncope, headache, irritability, fatigue, exercise intolerance, restless legs Diagnosis Serum ferritin is the diagnostic test of choice for iron deficiency. The ferritin cut (...) intolerance Headaches Restless leg syndrome Irritability/depression Angular cheilitis Pica/pagophagia (ice craving) Decreased aerobic work performance Hair loss Adverse pregnancy outcome Impaired immune function * Iron therapy may improve restless legs syndrome severity and restlessness. Iron supplementation is recommended if serum ferritin is ≤ 75 ug/L. , Testing Initial investigational tests The recommended initial tests for iron deficiency and for IDA, in otherwise well patients, should usually

2019 Clinical Practice Guidelines and Protocols in British Columbia

172. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS) (Full text)

of these recommendations was endorsed by the Enhanced Recovery after Surgery Society and the European Society for Thoracic Surgery. Recommendations were developed for a total of 45 enhanced recovery items covering topics related to preadmission, admission, intraoperative care and postoperative care. Most are based on good-quality studies. In some instances, good-quality data were not available, and subsequent recommendations are generic or based on data extrapolated from other specialties. In other cases (...) was based on the ERAS ® Society guidelines for colorectal surgery [ ] and gynaecological surgery [ ]. After the topics were agreed upon, they were allocated among the group according to expertise. The literature search (1966–2017) used Embase and PubMed to search medical subject headings including ‘thoracic surgery’, ‘lung cancer surgery’ and all perioperative ERAS items (Table ). Reference lists of all eligible articles were crosschecked for other relevant studies. Table 1: Guidelines for enhanced

2020 ERAS Society PubMed abstract

173. Evidence Map - Art Therapy

/dementia, 47-53 of which 1 was an RCT. 53 In addition, there were 3 impact evaluations related to Alzheimer’s/dementia that combined art therapy with music, horticulture activity, memory training, and cognitive stimulation activities. 54 with music, 55 and with choral singing 56 of which 1 was an RCT. 56 There were 2 systematic reviews related to Alzheimer’s/dementia that included a mixture of art therapy and other treatment modality. Both were rated low confidence. 57,58 Schizophrenia/Psychosis (...) trial. Art Therapy. 2007;24(2):71-75. 44. Rawtaer I, Mahendran R, Yu J, Fam J, Feng L, Kua EH. Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: A naturalistic study in Singapore. Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists. 2015;7(1758-5872 (Electronic)):240-250. 45. Im ML, Lee JI. Effects of art and music therapy on depression and cognitive function of the elderly. Technology

2019 Veterans Affairs Evidence-based Synthesis Program Reports

174. Canadian stroke best practice recommendations: secondary prevention of stroke, sixth edition practice guidelines

A]. ii. Echocardiography should be considered in cases where a stroke mechanism has not been identified [Evidence Level C]. 1.3 Functional assessment i. Selected patients with transient ischemic attack or ischemic stroke should be assessed for neurological impairments and functional limitations when appropriate (e.g. cognitive evaluation, screening for depression, screening of fitness to drive, need for potential rehabilitation therapy, and assistance with activities of daily living), especially (...) for the Secondary Prevention of Stroke is a collection of current evidence-based recommendations intended for use by clinicians across a wide range of settings. The goal is to provide guidance for the prevention of ischemic stroke recurrence through the identification and management of modifiable vascular risk factors. Recommendations include those related to diagnostic testing, diet and lifestyle, smoking, hypertension, hyperlipidemia, diabetes, antiplatelet and anticoagulant therapies, carotid artery disease

2018 CPG Infobase

175. Cardiac arrhythmias in coronary heart disease

and is applicable to guidance produced using the processes described in SIGN 50: a guideline developer’s handbook, 2015 edition (www.sign.ac.uk/guidelines/fulltext/50/ index.html). More information on accreditation can be viewed at www.nice.org.uk/ accreditation Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines (...) assessment of LV function for risk stratification at least six weeks following the acute event. 2.3 ARRHYTHMIAS ASSOCIATED WITH CHRONIC CORONARY HEART DISEASE/LEFT VENTRICULAR DYSFUNCTION R Rate control is the recommended strategy for management of patients with well-tolerated atrial fibrillation. R In patients with permanent AF or persistent AF following a rate-control strategy and a resting heart rate >110 bpm, appropriate rate-control therapy should be instituted with an initial target of resting

2018 SIGN

176. Management of stable angina

questionnaire using a set of common daily living items. 210 Simple exercise testing may further refine risk assessment. The failure to climb two flights of stairs, which is the equivalent of more than four METs, is a good predictor of mortality associated with thoracic surgery and complications after major non-cardiac surgery. 211 Cardiopulmonary exercise testing has been used to identify high-risk groups for major non-cardiac surgery. The measurement of anaerobic threshold may be a better predictor than (...) in SIGN 50: a guideline developer’s handbook, 2015 edition (www.sign.ac.uk/guidelines/fulltext/50/ index.html). More information on accreditation can be viewed at www.nice.org.uk/ accreditation Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been

2018 SIGN

177. Diagnosis and management of epilepsy in adults

but usually resolve with time. 126 Sedation may be less with AEDs licensed from, for example, 1990 onwards, particularly lamotrigine, oxcarbazepine and levetiracetam. 94 Many patients on long term AED therapy report cognitive adverse effects (see section 4.6.5) but studies to confirm this have been contradictory and confounded by the effects of chronic epilepsy. 142, 143 Polytherapy is probably associated with more cognitive adverse effects than monotherapy. 144 Impaired bone health is associated (...) be viewed at www.evidence.nhs.uk Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been equality impact assessed to ensure that these equality aims are addressed in every guideline. This methodology is set out in the current version of SIGN 50, our

2018 SIGN

178. What helps to support people affected by Adverse Childhood Experiences? A Review of Evidence

around’ 30 Continuity and Dependability – ‘they just leave you after a while’ 31 Flexibility and Control – ‘They don’t tell you what to do’ 32 4 Overview: Interventions to support people affected by Adverse Childhood Experiences (RoR) 33 4.1 Flow of literature through the review 33 4.2 Quality assessment 34 4.3 Best evidence synthesis 34 4.4 Classification of interventions 36 4.5 Summary and key findings 36 4.6 Findings 36 Cognitive Behavioural Therapy (CBT) 37 Psychological therapies other than (...) Cognitive Behavioural Therapy (CBT) 39 Psychoeducation 42 Treatments aimed predominately at parents 44 Parent / foster carer training 45 Cross-sector support 47 Educational 49 Housing and life skills 50 Foster care / out-of-home care 52 5 Stakeholder workshop 53 5.1 Findings 53 Inflexibility of school system and teachers’ attitudes 53 ACEs impact people in different ways and at different times 53 Ethnic background 54 Recreation and practical skills 54 Counselling and talking therapies 54 Ways to measure

2019 EPPI Centre

179. Public health service provision by community pharmacies: a systematic map of evidence

The included studies 88 9.3 Alcohol 88 9.4 Services for people who inject drugs 91 10 Obesity and weight management 98 10.1 Introduction 98 10.2 Included studies 98 11 Other health conditions 103 11.1 Introduction 103 11.2 Bowel disease and gastrointestinal conditions 106 11.3 Early cancer awareness 108 11.4 Chronic kidney disease (CKD) and renal impairment 112 11.5 Dementia and cognitive impairment 113 11.6 Depression 114 11.7 Low back pain 115 11.8 Migraine and headache 116 Public health service (...) health services via community pharmacies (n=15). The number of studies identified for each of these and other study foci are outlined in Figure 3.5. 1 1 1 1 1 1 1 2 2 2 4 7 9 12 Chronic kidney disorder (CKD) Dementia and cognitive impairment Depression Low back pain Migraine/headache Osteoarthritis Urinary tract infections (UTI) Skin disorders Sleep disorders Streptococcal infections Bowel disorders and GI conditions Cancer Respiratory health Osteoporosis Other health conditions The evidence-base

2019 EPPI Centre

180. Multimorbidity: a priority for global health research

complexes such as frailty or chronic pain. • Sensory impairment such as sight or hearing loss. • Alcohol and substance misuse.2.2 Challenges arising from a lack of consensus regarding definition It was clear from our evidence gathering that the diversity of terminology, multiplicity of definitions, and the inconsistency in how these terms and definitions are used, makes the scientific literature about multimorbidity difficult to navigate and assimilate. Inconsistent approaches to the definition

2018 Academy of Medical Sciences

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