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141. Early pregnancy loss

to MFM for follow-up— direct injection of potassium chloride may be indicated Advice for women • Refer to Section 1.2 for information/advice requirements • Provide information about usual cytotoxic precautions post treatment with methotrexate • Avoid: o Sun exposure (to limit skin inflammation) o Foods and vitamins containing folate/folic acid • Advise: o Pelvic examination and sexual intercourse carry risk of rupture in acute phase of resolution o Common side effects of methotrexate include: nausea (...) • Offer options to include extended family (e.g. photographs of family groups, relatives/siblings) Mementos • Suggestions to support memory creation include: o Apply for an EPL recognition certificate from the Department of Births, Deaths, Marriages and Divorces 94 o Create a keepsake box to keep sentimental items in o Collect mementos such as USS photos, initial positive pregnancy test, hospital identification tags, cot card, sympathy cards, toys or clothes that had been purchased for the baby o Name

2017 Queensland Health

142. NASPGHAN Capsule Endoscopy Clinical Report

the procedure, further laboratory or radiologic testing, undergoing SB enteroscopy, CTE, MRE, or exploratory laparoscopy (51). Finally the risks of CE should be disclosed to the family. These may include capsule retention, aspiration, skin or mucosal irritation, vomiting, pain, sore throat, missed lesion, repeat study, or equipment malfunction. If a capsule delivery device is used, then the risks of standard endoscopy are also present (52). Per one of the capsule manufac- turers, hypertension, respiratory (...) (1) Pain; (2) nausea; (3) vomiting; (4) obstruction-capsule retention (2.3%); (5) need for surgical or endoscopic removal; (6) bruising; (7) bleeding; (8) mucosal/skin irritation; (9) aspiration; (10) risks associated with EGD; (11) missed lesion; (12) incomplete Study; (13) need for repeat study; (14) equipment malfunction More thorough investigation of small bowel mucosa for lesion of interest (1) Not doing procedure; (2) surgical evaluation; (3). MR/CT enterography; (4) small bowel enteroscopy

2017 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

143. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Gui

. This format also will facilitate seamless updating of guidelines with focused updates as new evidence is published, and content tagging for rapid electronic retrieval of related recommendations on a topic of interest. This evolved format was instituted when this guideline was near completion; therefore the current document represents a transitional formatting that best suits the text as written. Future guidelines will fully implement this format, including provisions for limiting the amount of text

2017 American Heart Association

144. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

“chunk” includes a table of related recommendations, a brief synopsis, recommendation-specific supportive text, and when appropriate, flow diagrams or additional tables. References are provided within the modular chunk itself to facilitate quick review. Additionally, this format will facilitate seamless updating of guidelines with focused updates as new evidence is published, as well as content tagging for rapid electronic retrieval of related recommendations on a topic of interest. This evolved

2017 American Heart Association

145. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Hea

diagrams or additional tables. References are provided within the modular chunk itself to facilitate quick review. This format also will facilitate seamless updating of guidelines with focused updates as new evidence is published, and content tagging for rapid electronic retrieval of related recommendations on a topic of interest. This evolved format was instituted when this guideline was near completion; therefore, the current document represents a transitional formatting that best suits the text

2017 American Heart Association

146. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary

of related recommendations, a brief synopsis, recommendation-specific supportive text, and when appropriate, flow diagrams or additional tables. References are provided within the modular chunk itself to facilitate quick review. Additionally, this format will facilitate seamless updating of guidelines with focused updates as new evidence is published, as well as content tagging for rapid electronic retrieval of related recommendations on a topic of interest. This evolved approach format was instituted

2017 American Heart Association

147. Daptomycin for Methicillin-Resistant and Methicillin-Sensitive Staphylococcus Aureus Infection: A Review of Clinical Effectiveness, Cost-Effectiveness and Guidelines

and vancomycin for the treatment bacteremia, skin and soft tissue infections (SSTI), and complicated skin and skin structure infections (cSSSI) caused by Staphylococcus aureus including MRSA. There was no significant difference between daptomycin, linezolid and vancomycin with regards to infection related length of stay (IRLOS) in hospital, total length of stay, medical resource utilization, and clinical response measures such as cure, improvement, no improvement, or failure. The efficacy of daptomycin (...) treatment failure, daptomycin is a preferred treatment option. Tags daptomycin, methicillin-resistant staphylococcus aureus, infection control, infectious diseases, cubicin; Mrsa; methicillin resistant staphylococcus aureus; methicillin sensitive staphylococcus aureus; MSSA; Antibiotic resistant organisms Files Rapid Response Summary with Critical Appraisal Published : January 21, 2016 Follow us: © 2019 Canadian Agency for Drugs and Technologies in Health Get our newsletter:

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

148. Guidelines for Diagnostic Imaging During Pregnancy and Lactation

) to no MRI (n=1,418,451), there were 19 stillbirths or deaths versus 9,844 in the unexposed cohort (adjusted relative risk [RR], 1.68; 95% CI, 0.97–2.90). The risk also was not significantly higher for congenital anomalies, neoplasm, or vision or hearing loss. However, comparing gadolinium MRI (n=397) with no MRI (n=1,418,451), the outcome of any rheumatologic, inflammatory, or infiltrative skin condition occurred in 123 versus 384,180 births (adjusted hazard ratio, 1.36; 95% CI, 1.09–1.69). Stillbirths (...) and neonatal deaths also occurred more frequently among 7 gadolinium MRI-exposed versus 9,844 MRI unexposed pregnancies (adjusted RR, 3.70; 95% CI, 1.55–8.85). Limitations of the study assessing the effect of gadolinium during pregnancy include using a control group who did not undergo MRI (rather than patients who underwent MRI without gadolinium) and the rarity of detecting rheumatologic, inflammatory, or infiltrative skin conditions ( ). Given these findings, as well as ongoing theoretical concerns

2017 American College of Obstetricians and Gynecologists

149. Chlorhexidine Gluconate Wipes for Infection Prevention in Acute and Critical Care: A Review of Clinical Effectiveness and Cost-Effectiveness

with a reduction in health care-associated infections and bacterial transmission, while two randomized controlled trials suggested that CHG wipes do not provide an advantage over alternative bathing methods with respect to infection prevention. When reported, adverse events associated with CHG wipes were limited to mild skin reactions. Considering the methodological limitations of the evidence from non-randomized trials in particular, results should be interpreted with caution. No evidence regarding (...) the clinical effectiveness of CHG wipes in acute care settings, or cost-effectiveness of CHG wipes in either acute or critical care units, was identified. Tags baths, chlorhexidine, infection control, medical devices, ChloraPrep, Chlorascrub, Hibiclens, Hibiscrub, chlorhex, cloth, cloths, washcloth, washcloths Files Rapid Response Summary with Critical Appraisal Published : April 13, 2016 Follow us: © 2019 Canadian Agency for Drugs and Technologies in Health Get our newsletter:

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

150. Nutrition Assessment and Interventions for Wound Care: Guidelines

guidelines for conducting nutrition assessment in patients receiving wound care? What are the evidence-based guidelines for providing nutritional support in patients receiving wound care in non-acute settings? What are the evidence-based guidelines regarding the provision of micronutrient supplementation in patients receiving wound care? Key Message Eleven systematic reviews and 14 evidence-based guidelines were identified regarding nutrition and wound care. Tags amino acids, burns, diet, dietary (...) supplements, glutamine, lacerations, micronutrients, nutrients, nutrition assessment, nutrition therapy, nutritional status, nutritional support, pressure sore, skin ulcer, soft tissue injuries, ulcer, vitamin, vitamins, wound healing, wounds, wounds and injuries, zinc, Dietary, Penetrating, Ulceration, Ulcerations, amino acid, malnourished, multivitamin, multivitamins, pressure sores Files Rapid Response Reference List Published : April 7, 2016 Follow us: © 2019 Canadian Agency for Drugs and Technologies

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

151. HTA of smoking cessation interventions

with nicotine replacement therapy (NRT) are mild and temporary in nature. Commonly reported side effects include mild skin sensitivity (patch), hiccoughs and gastrointestinal disturbance (gum), local irritation of mouth, nose and throat (inhaler, spray and sublingual tablets). Chest pain and heart palpitations are the only potentially clinically significant serious adverse events to emerge from clinical trials. NRT does not appear to be associated with an increase in serious cardiovascular adverse events

2017 Health Information and Quality Authority

152. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting in: European Journal of Endocrinology Volume 177 Issue 3 Year 2017 This site uses cookies, tags, and tracking settings to store information that help give you the very best browsing experience. If you don't change your (...) (⨁⨁◯◯). R 6.7. We recommend that, while peripheral edema mostly resolves by 2 years of age without therapy, any serious compromise of fingernails, toenails or extremity skin at any age be assessed and treated by a professional edema therapist (⨁◯◯◯). R 6.8. We recommend dental/orthodontic evaluation at diagnosis if no previous dental/orthodontic care was established. Future management and follow-up should be based on the standard of dental/orthodontic care, individual clinical findings and patient needs

2017 European Society of Endocrinology

153. Diagnosis, staging and treatment of patients with Lung Cancer

the National Cancer Registry Ireland (NCRI) and population projections from the Central Statistics Office (CSO) have been combined by the NCRI to estimate the number of new cancer cases expected in five year bands from 2015 to 2040. The total number of new invasive cancer cases (including non-melanoma skin cancer) is projected to increase by 84% for females and 107% for males between 2010 and 2040, based only on changes in population size and age distribution (demography). If trends in incidence since 1994

2017 Health Service Executive (Ireland) - Clinical Guidelines

154. Diagnosis, staging and treatment of patients with lung cancer

the National Cancer Registry Ireland (NCRI) and population projections from the Central Statistics Office (CSO) have been combined by the NCRI to estimate the number of new cancer cases expected in five year bands from 2015 to 2040. The total number of new invasive cancer cases (including non-melanoma skin cancer) is projected to increase by 84% for females and 107% for males between 2010 and 2040, based only on changes in population size and age distribution (demography). If trends in incidence since 1994

2017 National Clinical Guidelines (Ireland)

155. ECCO-ESCP Surgical Crohn?s guidelines

ulcerations, mucosal tags, mucogingivitis, glossitis, and palatal ulcerations are all typical presentations. The main differential diagnosis is orofacial granulomatosis, where the lesions may be found in the absence of gastrointestinal disease. Patients with oral manifestations of CD tend to be male, present at a younger age [paediatric onset], have upper GI involvement, and perianal involvement. Gastroenterologist and colorectal surgeons working in an IBD multidisciplinary team need to be familiar

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2017 Palliative Care Evidence Review Service (PaCERS)

156. Immunoglobulin infusions: intravenous and subcutaneous

Immunoglobulin infusions: intravenous and subcutaneous Immunoglobulin infusions: intravenous and subcutaneous | Great Ormond Street Hospital Google Tag Manager Navigation Search Search You are here Immunoglobulin infusions: intravenous and subcutaneous Immunoglobulin infusions: intravenous and subcutaneous ) ( ). In addition, it can be used as supportive therapy for secondary immunodeficiency where extrinisic factors such as chemotherapy cause damage to the immune system, eg following stem cell (...) in children under two. The thighs become more muscular as the child gets older ( ). The abdomen is preferred in older children/young people as the skin is more pliable and allows larger volumes to be infused ( ). Trial and error may be required until best site and infusion time is identified for a particular patient. Choice of site may change with weight gain/loss and dose adjustment. Remove the local anaesthetic cream (if used) five minutes before the needles are inserted ( ). Draw up the immunoglobulin

2017 Publication 1593

157. Specimen collection – microbiology and virology

Specimen collection – microbiology and virology Specimen collection – microbiology and virology | Great Ormond Street Hospital Google Tag Manager Navigation Search Search You are here Specimen collection – microbiology and virology Specimen collection – microbiology and virology Microbiological and virological laboratory testing has a key role in the management of children with infection. Accurate and rapid identification of significant microorganisms is vital for guiding optimal antimicrobial (...) acids found on the skin. For virology specimen, a viral transport medium should be used as many viruses do not survive well outside the body. This can be obtained from the Virology Laboratory, Level 4 Camelia Botnar Laboratories. It may be stored at room temperature on theward, but should only be used for viral investigation. The viral transport medium must not be used after the expiry date. Samples submitted for bacterial polymerase chain reaction (PCR) should NOT be in transport medium. Transport

2017 Publication 1593

158. Peripheral venous cannulation of children

Peripheral venous cannulation of children Peripheral venous cannulation of children | Great Ormond Street Hospital Google Tag Manager Navigation Search Search You are here Peripheral venous cannulation of children Peripheral venous cannulation of children ). Peripheral cannulation provides access for the purpose of intravenous hydration, feeding, and administration of medication and blood products. A cannula is a flexible tube containing a needle (stylet), which may be inserted (...) equipment protecting key-parts using ANTT (aseptic non-touch technique) on a clean tray that has been disinfected with a 70% isopropyl alcohol wipe (eg Sani-Cloth 70 ® ) Select the correct size and type of cannula for the child. Selection should be based upon the needs of the patient and the intended use and position of the cannula ( )( ). Prepare personal protective clothing, ie clean gloves and apron ( ). Gloves should be of a comfortable fit but tight to the skin, particularly at the fingertips

2017 Publication 1593

159. Epidermolysis bullosa (EB): management of the newborn infant with EB

Epidermolysis bullosa (EB): management of the newborn infant with EB Epidermolysis bullosa (EB): management of the newborn infant with EB | Great Ormond Street Hospital Google Tag Manager Navigation Search Search You are here Epidermolysis bullosa (EB): management of the newborn infant with EB Epidermolysis bullosa (EB): management of the newborn infant with EB ). Infants with EB are nursed in their local neonatal unit (there is no need to transfer to specialised centres) and managed (...) as outreach ( ). The Great Ormond Street Hospital (GOSH) EB Clinical Nurse Specialist team delivers an outreach service. These guidelines are intended to support practitioners looking after infants with EB and to improve the care and safety of this group of patients. Background There are four major types of EB, each with different clinical outcomes. The common factor is an extreme fragility of the skin and mucous membranes ( ). The type of EB is determined by analysis of a skin biopsy. Regardless of type

2017 Publication 1593

160. Prosthetic and Amputee Rehabilitation - Standards and Guidelines (3rd Edition)

. Extensive use was also made of pre-existing reviews especially previously published guidelines and standards and their supportive evidence. The working party decided not to label each standard with a formal level of evidence tag because of the recognised problems of these levels of evidence for standards in rehabilitation. 1.17 This report cannot be directive and it is not within the remit of the report to designate the status of any provider unit. However, it is hoped that the recommendations

2018 British Society of Rehabilitation Medicine

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