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1761. Clinical Guideline on the Treatment of Carpal Tunnel Syndrome

, antidepressants and NSAIDs), nutritional supplements, phonophoresis, smoking cessation, systemic steroid injection, therapeutic touch, vitamin B6 (pyridoxine), weight reduction, yoga. (Inconclusive, Level II and V) Recommendation 5 We recommend surgical treatment of carpal tunnel syndrome by complete division of the flexor retinaculum regardless of the specific surgical technique. (Grade A, Level I and II) Recommendation 6 We suggest that surgeons do not routinely use the following procedures when performing (...) after three voting rounds, no recommendation is adopted. ARTICLE INCLUSION AND EXCLUSION CRITERIA Inclusion and exclusion criteria were developed a priori. Articles were retrieved and included only if they met these specific inclusion and exclusion criteria (see Appendix II: Article Inclusions and Exclusions). Supplemental searches were conducted to identify national rates and other information relevant to performance measures. Work Group members were given the opportunity to supplement the searches

2008 Congress of Neurological Surgeons

1762. Nursing Care of Dyspnea:The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease

directed at practice settings and the environment in order to facilitate nurses’ practice and (4) Evaluation and monitoring indicators. It is acknowledged that individual competencies of nurses vary between nurses and across categories of nursing professionals (RNs and RPNs) and are based on knowledge, skills, attitudes and judgement enhanced over time by experience and education. It is expected that individual nurses will perform only those aspects of care for which they have received appropriate (...) (2001). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute and World Health Organization Global Initiative for Chronic Obstructive Lung Disease (GOLD): Executive summary. Respiratory Care, 46(8), 798-825. Veterans Health Administration (2000). VHA/DOD clinical practice guideline for the management of chronic obstructive pulmonary disease. Clinical Practice Guidelines Office of Quality and Performance

2005 Registered Nurses' Association of Ontario

1763. Care and Maintenance to Reduce Vascular Access Complications

Nurses will select a peripheral insertion site appropriate for the required therapy IV and with the least risk of complication. Site and Catheter Care Safety/Infection 2.0 Nurses will prevent the spread of infection by following routine practices and IV Prevention Control using additional precautions. Skin Antisepsis 3.0 Nurses will consider the following factors when performing catheter site care IV using aseptic technique: ¦ Catheter material (composition); ¦ Antiseptic solution; and ¦ Client’s (...) access devices? It is acknowledged that the individual competencies of nurses varies between nurses and across categories of nursing professionals (RPNs and RNs) and are based on knowledge, skills, attitudes, critical analysis andCare and Maintenance to Reduce Vascular Access Complications 14 decision making which are enhanced over time by experience and education. It is expected that individual nurses will perform only those aspects of care and maintenance for vascular access devices for which

2005 Registered Nurses' Association of Ontario

1764. Eating disorders toolkit, a practice based guide to the inpatient management of adolescents with eating disorders, with special reference to regional and rural areas

and will depend, in part, on their level of insight to the illness as well as their medical and psychological status at the time. Parent or carer input is required to validate or supplement some of the interview findings. ? Involve the patient and family in assessment, treatment and discharge planning. ? Adolescents are still growing and developing. Physical consequences of the eating disorder may be irreversible, though may be treatable if intervention is timely. ? See Appendix 5 for examples of psychometric (...) , difficulties) Eating Disorders Toolkit - Assessment and Treatment Planning 18 PAST AND CO-MORBID PSYCHIATRIC HISTORY 1. Past psychiatric history and treatment 2. Co-morbid conditions (mood and anxiety disorders are common) 3. Other psychological history including neglect, trauma, depression, self-harm, suicidal thoughts and bullying 4. Personality traits (e.g., perfectionism, obsessiveness) SOCIAL AND FAMILY HISTORY 1. Personal interests (e.g., hobbies, sport, recreations) and strengths 2. History

2008 Clinical Practice Guidelines Portal

1765. Opioid prescription in chronic pain conditions guidelines for South Australian general practitioners

, and diversion. By establishing treatment expectations for each patient, and structuring therapy appropriately, GPs can identify these patients who are at risk, help those who may need controls to manage the therapy responsibly, and provide monitoring necessary for safe and effective prescribing. GPs should consider the following approaches in developing a universal precautions approach: 1. In assessing patients for opioid therapy, take a detailed history and perform an appropriate physical examination (...) in function may be demonstrated by improved sleep patterns, and ability to relieve incident pain by resting and waiting for the pain to ease over time. It is rare for complete pain relief to occur. For some patients, pain relief may be meaningful when specific tasks can be performed, mood improves, sleep is better, or relationships with others can occur. The monitoring of pain intensity is important but the GP needs to assess all activities of daily living in an effort to understand the overall effects

2008 Clinical Practice Guidelines Portal

1766. Physical Activity and Cardiovascular Health

. The appropriate type of activity is best determined by the individual’s preferences and what will be sustained. Exercise, or a structured program of activity, is a subset of activity that may encourage interest and allow for more vigorous activity. People who perform more formal exercise (i.e., structured or planned exercise programs) can accumulate this daily total through a variety of recreational or sports activities. People who are currently sedentary or minimally active should grad­ ually build up (...) , epidemiology, exercise physiology, geriatrics, nutrition, pediatrics, public health, and sports medicine presented data to the panel and a conference audience of 600. Evidence The literature was searched through Medline and an exten­ sive bibliography of references was provided to the panel and the conference audience. Experts prepared abstracts with relevant citations from the literature. Scientific evidence was given precedence over clinical anecdotal experience. Consensus Process The panel, answering

1995 NIH Consensus Statements

1767. Exercise for female osteoporosis: a systematic review of randomised clinical trials

; regular training of the deltoid muscle; upper limb exercises; undefined exercise; low-intensity non-loading exercise; and no exercise controls. Regimes with and without concomitant drug therapies were included. Concomitant drug therapy included oestrogen (0.625 mg/day), oestrogen and progesterone replacements, placebo, and calcium supplements. The intervention periods ranged from 7 months to 4 years. Participants included in the review The groups of female participants included were: postmenopausal (...) mass; and those with low bone density. Outcomes assessed in the review The following outcomes were assessed in the primary studies: bone density; bone mass of the trunk and upper thighs; strength of back extensor muscle; muscle strength; calcium homeostasis; back pain; back pain intensity; cardiovascular performance; dynamic balance; functional fitness; well-being; and the number of falls. Bone density measurements included the radius, forearm, non-dominant forearm, spine, lumbar spine, femoral

1998 DARE.

1768. Physical activity dose-response effects on outcomes of depression and anxiety

stated that future studies should carefully document the exercise dose and examine the relation of treatment outcomes with cardiorespiratory and/or muscular fitness. In addition, the authors provide a 5-point list of issues that should be resolved in future studies. Bibliographic details Dunn A L, Trivedi M H, O'Neal H A. Physical activity dose-response effects on outcomes of depression and anxiety. Medicine and Science in Sports and Exercise 2001; 33(Supplement 6): S587-S597 PubMedID Indexing Status (...) . Outcomes assessed in the review Studies that measured the effects of physical activity on symptoms of anxiety and depression were eligible. Studies that only examined the acute effects of exercise were excluded. Studies that did not specify the methods used to measure the anxiety and depression outcomes were excluded. How were decisions on the relevance of primary studies made? The authors did not state how the papers were selected for the review, or how many reviewers performed the selection

2001 DARE.

1769. A systematic overview of the effectiveness of physical therapy intervention on soft tissue neck injury following trauma

1985 to 1997. The keywords used were 'physical therapy', 'intervention', 'whiplash', 'cervical strain', 'neck', 'pain' and 'treatment'. The authors also reviewed the reference lists of the identified articles. Four key journals were handsearched back one year. These included Spine, Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and Journal of Manipulative Therapeutics. Relevant references (going back to 1980) from each paper were also reviewed. Study selection Study designs (...) not state how the data were extracted for the review, or how many of the reviewers performed the data extraction. Methods of synthesis How were the studies combined? A qualitative, narrative synthesis was undertaken. Publication bias was not assessed. How were differences between studies investigated? The authors stated that the studies were too different to pool results in a meta-analysis, but no formal statistical test of heterogeneity was performed. Results of the review Of the 320 articles

2000 DARE.

1770. Exercise in preventing falls and fall related injuries in older people: a review of randomised controlled trials

training using weights machine; endurance training using stationary bicycles; combination of strength and endurance training; and strength and balance retraining exercise, as prescribed and modified by a physiotherapist. Exercise sessions included one-to-one and group activities, sessions conducted both under supervision and self-supervised, and sessions conducted at centres and at home. Cointerventions included home visits, phone calls encouraging continuance of activities, and calcium supplements (...) , adverse effects, costs and cost-effectiveness of interventions. How were decisions on the relevance of primary studies made? The authors do not state how the papers were selected for the review, or how many of the reviewers performed the selection. Assessment of study quality Validity was not formally assessed, although issues such as randomisation and blinding were considered. Data extraction The authors do not state how the data were extracted for the review, or how many of the reviewers performed

2000 DARE.

1771. Children and physical activity: a systematic review of barriers and facilitators

. All five studies examined children’s views on what stopped them taking part in physical activity. These studies highlighted a total of 20 distinct but interrelated barriers. The 20 barriers clustered around three underlying themes: preferences and priorities (e.g. a preference for doing other things, a lack of spare time); family life and parental support (e.g. parents’ lack of current participation in, or enthusiasm for, sports and exercise); restricted access to opportunities for participation (...) in sport or exercise (e.g. cost, particularly for children from families with a low income; distance, particular for children from rural areas; lack of means for safe travel; lack of facilities) and participating in unstructured forms of physical activity (e.g. busy traffic; threat of crime; threat of intimidation by older children; and neglect of local play areas). Four of the five studies also examined children’s views about what helped them to take part in physical activity. A total of 14 distinct

2003 EPPI Centre

1772. Clinical practice guidelines for the psychosocial care of adults with cancer

especially when these pose emotional stress. Participation in communication skills training also appears to be a valuable strategy, given evidence that those health professionals who feel insufficiently trained in communication and management skills have higher levels of stress. 35 It may be necessary for health professionals to challenge unrealistic expectations of professional performance. Investing in interpersonal relationships is likely to improve coping ability, since supportive relationships

2002 Cancer Australia

1773. Clinical practice guidelines for the management of advanced breast cancer

MMM mitozantrone, methotrexate and mitomycin C MRI magnetic resonance imaging NBCC National Breast Cancer Centre NHMRC National Health and Medical Research Council NSAID nonsteroidal anti-inflammatory drug NSW New South Wales Prn as required PS performance statusviii Clinical practice guidelines for the management of advanced breast cancer QCHOC Quality of Care and Health Outcomes Committee QOL quality of life RCT randomised controlled trial SCF supraclavicular fossa SNRI selective noradrenergic (...) or other medical conditions. Symptoms which affect quality of life include nausea, pain, dyspnoea, tiredness, anorexia, vomiting, constipation, abdominal bloating and lymphoedema. Loss of function may relate to the performance of (or capacity to perform) a variety of activities that are normal for most people. Such activities may include self-care activities (feeding, dressing, bathing), mobility (ability to move indoors/ outdoors), physical activities (walking, lifting, bending) and role activities

2000 Cancer Australia

1774. Clinical practice guidelines for the management of early breast cancer

demonstrate a reduction in DCIS recurrence and invasive breast cancer if radiotherapy is performed after local excision for DCIS (Level II). 38,41,42 Axillary lymph node dissection is not necessary in the management of most patients with DCIS. 43 Chemotherapy has never been investigated or used in the treatment of DCIS. Recent evidence indicates that the use of tamoxifen in women with DCIS in the adjuvant setting reduces the risk of DCIS recurrence and invasive breast cancer (Level II). 44 Women should (...) as the only abnormality following a surgical breast biopsy. Close surveillance, including frequent clinical examination and bilateral mammography, supplemented by ultrasound if indicated, appears to be the best management option currently available. Atypical hyperplasia (AH) refers to the proliferation of atypical cells in the breast epithelium. AH has been further sub-classified into atypical ductal hyperplasia (ADH) and atypical lobular hyperplasia (ALH). The cells in ADH are similar to those in DCIS

2001 Cancer Australia

1775. Clinical practice guidelines for the psychosocial care of adults with cancer

especially when these pose emotional stress. Participation in communication skills training also appears to be a valuable strategy, given evidence that those health professionals who feel insufficiently trained in communication and management skills have higher levels of stress. 35 It may be necessary for health professionals to challenge unrealistic expectations of professional performance. Investing in interpersonal relationships is likely to improve coping ability, since supportive relationships

2003 National Breast and Ovarian Cancer Centre

1776. The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults

evaluation should be performed on an obese patient starting a weight loss regimen if this has not been done within the past year. The medical history and physical exam should focus on causes and complications of obesity. BMI should be calculated and waist circumference measured to better assess risk and to offer measures of outcome in addition to weight loss. Although the causes of obesity are not fully known, certain factors clearly play a role. Family history is important because of the strong (...) - stimulating hormone, or full thyroid function tests. A recent baseline electrocardiogram should be available; if not, it should be performed. Other laboratory studies should be performed on the basis of findings from the initial evaluation. Medical Evaluation, Treatment, and Monitoring of the Obese Patient on a Weight Loss Regimen— A Clinician’s Approach and Perspective40 Lifestyle, Diet, and Physical Activity If the patient is not seeing a registered dietitian or other counselor, food and exercise

2000 The Obesity Society

1777. Enhancing Healthy Adolescent Development

of information are necessary supplements to or stand-ins for research. The evidence base for a decision is the multiple forms of evidence combined to balance rigor with expedience, while privileging the former over the latter (Canadian Health Services Research Foundation, 2006, p.11). Family: Whomever the person defines as being family. Family members can include parents, children, siblings, partners, neighbours, and significant people in the community. Health Organization: Any agency, institution

2002 Registered Nurses' Association of Ontario

1778. Guidelines for the treatment of postmenopausal osteoporosis for general practitioners

, University of Adelaide, South Australia (Nominee of ANZBS). Maria Fiatarone Singh, MD, FRACP, is Professor of Medicine, John Sutton Chair of Exercise and Sport Science, University of Sydney, New South Wales. Stephen Lord, BSc, MA, PhD, is Associate Professor and Principal Research Fellow, Prince of Wales Medical Research Institute, New South Wales. Alastair MacLennan, MB, ChB, MD, FRCOG, FRANZCOG, is Professor of Obstetrics and Gynaecology, University of Adelaide, South Australia. Alex Markwell, BSc (...) ) of yoghurt contains 340 mg of calcium. For those who are unable to tolerate dairy products, calcium enriched soy milk and a large variety of calcium supplements are currently available from pharmacies and health food stores. However, patients need to understand the varying calcium content of different supplements and that the recommended daily intake relates to elemental calcium. Controlled trials have found small effects of calcium on bone Guidelines for the treatment of postmenopausal osteoporosis

2002 The Royal Australian College of General Practitioners

1779. Potassium

supplements such as Sando K and increasing the amount of potassium-rich foods in the diet, such as bananas, beef, or spinach. Treatment for is usually based on treatment of the underlying cause and may include the use of , kidney dialysis, or insulin injections. A number of fruits, vegetables, and meats are good sources of potassium. Examples are bananas, melons, orange juice, potatoes, spinach, broccoli, milk, yoghurt, turkey and beef. No. tests are performed by trained, highly skilled, healthcare (...) age, gender, sample population, and test method, and numeric test results can have different meanings in different laboratories. For these reasons, you will not find reference ranges for the majority of tests described on this web site. The lab report containing your test results should include the relevant reference range for your test(s). Please consult your doctor or the laboratory that performed the test(s) to obtain the reference range if you do not have the lab report. For more information

2004 Lab Tests Online UK

1780. Intervention With Black Currant Seed Press Residues in Healthy Subjects

Information provided by: University of Jena Study Details Study Description Go to Brief Summary: The study was performed to investigate the effects of the consumption of black currant seed press residues, which were baked into bread. Condition or disease Intervention/treatment Phase Smoking Dietary Supplement: black currant seed press residue Dietary Supplement: Bread without black currant seed press residues Dietary Supplement: Baseline data Not Applicable Detailed Description: Berry seeds (...) -smoker Exclusion Criteria: diet during the study serious sport diagnosed diseases use of nutritional supplements Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00662766 Sponsors and Collaborators University of Jena German Federal Ministry

2008 Clinical Trials

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