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Work-Related Eye Injury

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61. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline

impairment), and work-related accidents. General treatment measures for insomnia include the treatment of comorbid medical and psychiatric conditions, modifying sleep-interfering medications and substances, and optimizing the sleep environment. Specific treatments for insomnia fall into two primary categories. Non-pharmacological therapies, largely cognitive behavioral in nature, have been the subject of numerous meta-analyses and practice guidelines. , – Pharmacological therapy, including over

2017 American Academy of Sleep Medicine

62. Management of Posttraumatic Stress Disorder and Acute Stress Reaction

electronic media, television, movies, or pictures, unless this exposure is work related. Criterion B. Presence of nine (or more) of the following symptoms from any of the five categories of intrusion, negative mood, dissociation, avoidance, and arousal, beginning or worsening after the traumatic event(s) occurred: Intrusion Symptoms 1. Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s) 2. Recurrent distressing dreams in which the content and/or affect of the dream (...) repeatedly exposed to details of child abuse) Note: This does not apply to exposure through electronic media, television, movies or pictures unless this exposure is work-related. VA/DoD Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute Stress Disorder June 2017 Page 9 of 200 DSM-5 Diagnostic Criteria for PTSD Criterion B. Presence of one (or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s

2017 VA/DoD Clinical Practice Guidelines

63. Adult Asthma Care: Promoting Control of Asthma

. Pharmacological management is comprehensively addressed in the CTS 2012 Guideline Update (Lougheed et al., 2012). ? Work-related asthma. While it is acknowledged that work-related asthma G (WRA) affects many adults with asthma, recommendation statements specific to WRA have not been developed. However, many of the recommendations are relevant for health-care providers, including occupational health nurses, who practise with individuals in this population. This Guideline is designed to apply to all domains (...) of publication, neither the authors nor the Registered Nurses’ Association of Ontario (RNAO) gives any guarantee as to the accuracy of the information contained in them or accepts any liability with respect to loss, damage, injury, or expense arising from any such errors or omission in the contents of this work. Copyright With the exception of those portions of this document for which a specific prohibition or limitation against copying appears, the balance of this document may be produced, reproduced

2017 Registered Nurses' Association of Ontario

64. Staff and Associate Specialist Grade Handbook (Third Edition)

with separate and identifiable time allocated for administration, education, audit and teaching commitments, etc. • Access to office accommodation and a computer in each directorate where SAS doctors are employed. This should include email and suitable storage facilities for confidential work, related papers, books, etc. • Adequate support and time allocation to allow SAS doctors to fully participate in the employer’s appraisal process (including access to appraisal training) and the necessary CPD and study (...) immense support and continue to do so. None of the success would have been possible without this and it has been a pleasure and privilege to be a part of the SAS Committee. It is important to maintain the momentum and go on to greater achievements in the future. Dr Ramana Alladi Former AAGBI SAS Committee Chair 3. WHy jOIN THE AAGBI? Benefits of joining include: • Personal injury and life insurance cover of up to £1 million for patient transfer • Subscription to Anaesthesia – the renowned

2017 Association of Anaesthetists of GB and Ireland

65. Interventions to Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer's-Type Dementia

disease, frontotemporal, traumatic brain injury, or isolated post-stroke dementia), including some that can otherwise be well-identified. Because the literature currently does not use the term CATD, we specified whenever the diagnosis of dementia was defined. Some decline in cognition with aging is considered normal or inevitable, particularly for people past the age of 60 years. For example, reaction time and speed of processing are known to decline slowly throughout adulthood. Therefore, greater (...) or dementia, and did not examine the epidemiological literature on risk factors for cognitive decline or dementia. With the focus on CATD, the review does not include dementia due to specific, identifiable conditions such as Lewy body, infectious diseases, frontotemporal, and traumatic brain injury. The review does include studies addressing vascular components of mixed dementia, but clear post-stroke dementia is out of scope. Intermediate outcomes, such as measures of biomarkers and cognitive test

2017 Effective Health Care Program (AHRQ)

66. Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review

(components): eye (scored 1 to 4), verbal (scored 1 to 5), and motor (scored 1 to 6). Scores on each of these components are added to obtain the total Glasgow Coma Scale (tGCS) score, ranging from 3 to 15. Lower scores on the tGCS indicate lower levels of consciousness, generally correlating with more severe injury associated with poorer prognosis and requiring more intensive care. For patients with TBI, scores of 3 to 8 are generally considered to denote severe head injury, 9 to 12 moderate, and 13 to 15 (...) mild. 14 The 2011 field triage guidelines from the Centers for Disease Control and Prevention (CDC) National Expert Panel recommend transporting patients with tGCS scores of 13 or less to facilities providing the highest level of trauma care. 4 In some circumstances (e.g., trauma victims who are intoxicated, intubated, or whose other injuries influence response) it may not be possible to accurately assess the verbal and eye components of the GCS. In these cases, assessments may be primarily based

2017 Effective Health Care Program (AHRQ)

68. Interventions to Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer's-Type Dementia

disease, frontotemporal, traumatic brain injury, or isolated post-stroke dementia), including some that can otherwise be well-identified. Because the literature currently does not use the term CATD, we specified whenever the diagnosis of dementia was defined. Some decline in cognition with aging is considered normal or inevitable, particularly for people past the age of 60 years. For example, reaction time and speed of processing are known to decline slowly throughout adulthood. Therefore, greater (...) or dementia, and did not examine the epidemiological literature on risk factors for cognitive decline or dementia. With the focus on CATD, the review does not include dementia due to specific, identifiable conditions such as Lewy body, infectious diseases, frontotemporal, and traumatic brain injury. The review does include studies addressing vascular components of mixed dementia, but clear post-stroke dementia is out of scope. Intermediate outcomes, such as measures of biomarkers and cognitive test

2017 Effective Health Care Program (AHRQ)

69. Diagnosis and management of epilepsy in adults

after a seizure, and by recordings during sleep or following sleep deprivation. 16, 37, 38 Incidental epileptiform abnormalities are found in 0.5% of healthy young adults, but are more likely in people with learning disability and psychiatric disorders, patients with previous neurological insult (for example head injury, meningitis, stroke, cerebral palsy), and patients who have undergone neurosurgery. 39-41 Diagnosis and management of epilepsy in adults 3 • Diagnosis 2 +10 | In a patient in whom (...) for children the risks are higher after less than two years of seizure freedom than for more than two years. 153 Diagnosis and management of epilepsy in adults 4 • Treatment 2 + 2 - 2 + 1 + 1 ++20 | The effect of different rates of AED withdrawal on the risk of seizure recurrence has not been adequately studied. Important factors influencing a decision about AED withdrawal in adults include driving, employment, fear of further seizures, risks of injury or death with further seizures and concerns about

2015 SIGN

70. Autism in adults: diagnosis and management

or with a mild learning disability, who are having difficulty obtaining or maintaining employment, consider an individual supported employment programme. 1.4.12 An individual supported employment programme should typically include: help with writing CVs and job applications and preparing for interviews training for the identified work role and work-related behaviours carefully matching the person with autism with the job advice to employers about making reasonable adjustments to the workplace continuing (...) teams should work jointly to provide assessment and services to young people with autism. Diagnosis and management should be reviewed throughout the transition process, and there should be clarity about who is the lead clinician to ensure continuity of care. Autism spectrum disorder in adults: diagnosis and management (CG142) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 7 of 50K Ke ey priorities

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

71. Interventions to Improve the Labour Market Situation of Adults with Physical and/or Sensory Disabilities in Low? and Middle?Income Countries: A Systematic Review Full Text available with Trip Pro

of disability. Studies focused on workrelated and non‐work related health conditions were both eligible for inclusion in the review. Finally, eligibility for the review was extended to both primary studies that incorporated the ICF diagnostic framework in identifying and selecting its subjects and studies that did not use this framework. Non‐eligible studies . Studies focused solely on (i) people with mental health conditions and/or intellectual impairments, (ii) those with chronic illnesses (...) entrepreneurial activities (such as rickshaw pulling), but excludes other forms of making a living, such as begging, foraging, and scavenging. Intermediate outcomes : Intermediate outcomes reflect the pathways through which the primary outcomes may be influenced. Studies that measured an intermediate job‐related outcome (i.e., where individuals are still in the process of preparing for, and gradually moving closer to, work) were eligible for inclusion in the review. Studies that only reported non‐workrelated

2015 Campbell Collaboration

72. Sleep disorders - shift work and jet lag

and that required in the new time zone. SWD may increase the risk of chronic sleep distubance; excessive sleepiness and fatigue; cognitive impairment and depression; reduced performance, work-related errors and accidents, and road traffic collisions; cardiometabolic conditions; cancer; and cardiovascular death. JLD may increase the risk of excessive daytime sleepiness and fatigue; cognitive impairment; and gastrointestinal and bladder disturbance. Advice on measures to promote sleep include: Creating a cool (...) reduced attention, poorer working and short-term memory, impaired executive functioning, reduced emotional regulation, and psychosocial stress related to conflict between work, family, and social commitments which negatively affect work-life balance [ ; ]. See the CKS topics on and for more information. Reduced performance, work-related errors and accidents, and road traffic collisions. There is an increased safety risk with long waking periods, night shifts, and while driving following night shift

2019 NICE Clinical Knowledge Summaries

73. Post-traumatic stress disorder

treatment for an anxiety disorder have their response to treatment recorded at each treatment session. [ ] Background information Background information Definition What is it? Post-traumatic stress disorder (PTSD) is a relatively common mental health condition which can affect people of any age and develops following exposure to a major traumatic event, such as: A serious/life-threatening accident. Physical or sexual assault. Abuse, including childhood or domestic abuse. Work-related exposure to trauma (...) or threatened death, serious injury, or sexual violence'. The onset of symptoms is usually in the first month after the traumatic event. However, in a minority of people, symptoms can be delayed by months or years. In adults: In around two-thirds of people, symptoms resolve naturally, although this may take several months. For around a third of people, symptoms are longer lasting, and for many, these are severe and enduring. Complex post-traumatic stress disorder may develop after extreme prolonged

2019 NICE Clinical Knowledge Summaries

74. Developing evidence informed, employer-led workplace health

; their health, in turn, impacts on these environments. This includes the circumstances in which people work. For example, people’s health may impact on the work environment if they enter into work with pre-existing health conditions or challenging social conditions; conversely, the conditions of people’s working lives may lead to ill health due to work-related injuries, stress, anxiety and depression, substance abuse, cardiovascular disease or cancer. The workplace thus presents an ideal arena in which (...) relationship and can be addressed in the workplace setting (Black 2008). The conditions of people’s working lives, which are closely intertwined with their physical and psychosocial health, can lead to ill health due to work-related injuries, stress, anxiety and depression, substance abuse, cardiovascular disease or cancer (Burton 2010). For working-age adults, the workplace presents an arena in which to promote health and integrate healthy measures into lifestyles. Ill health impacts on people’s working

2016 EPPI Centre

76. Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

disorders, traumatic brain injury), or another mental disorder [26]. However, since comorbid conditions are common, the presence of some of these other conditions may not pre- clude the diagnosis of an anxiety or related disorder. Certain risk factors have been associated with anxiety and related disorders and should increase the clinician’s index of suspicion (Table 6) [4,9,33-37]. A family [33] or personal history of mood or anxiety disorders [34,35] is an important predictor of anxiety symptoms (...) ) that the individual feels driven to perform to reduce the anxiety generated by the obsessions Posttraumatic stress disorder (PTSD) ? Exposure to actual or threatened death, serious injury, or sexual violation ? Intrusion symptoms (e.g., distressing memories or dreams, flashbacks, intense distress) and avoidance of stimuli associated with the event ? Negative alterations in cognitions and mood (e.g., negative beliefs and emotions, detachment), as well as marked alterations in arousal and reactivity (e.g

2014 CPG Infobase

77. Treatment of Drug-Susceptible Tuberculosis: Official ATS/CDC/IDSA Clinical Practice Guidelines

liver injury. 8 Baseline for all patients. Further mon- itoringiftherearebaselineabnormalitiesorasclinicallyindicated. 9 HIVtestinginall patients. CD4 lymphocyte count and HIV RNA load if positive. 10 Patients with hep- atitisBorCriskfactor(eg,injectiondruguse,birthinAsiaorAfrica,orHIVinfection) should have screening tests for these viruses. 11 Fasting glucose or hemoglobin A1c for patients with risk factors for diabetes according to the American Diabetes As- sociation including: age >45 years, body (...) concentration of ?rst-line drugs than administration with food [54]. Any combination of otherwise unexplained nausea, vomiting, and abdominal painisevaluatedwithaphysicalexaminationandliverfunction tests, including alanine aminotransferase (ALT), aspartate ami- notransferase (AST), bilirubin, and alkaline phosphatase to as- sess for possible hepatotoxicity [55].Drug-induced hepatitis is the most frequent serious adverse reaction to the ?rst-line drugs. INH, RIF, and PZA can cause drug-induced liver injury

2016 American Thoracic Society

78. Assessing Fitness to Drive

of weather and glare • vehicle and equipment characteristics, for example, the type of vehicle, braking performance and maintenance • personal requirements, trip purpose, destination, appointments and time pressures • passengers and their potential to distract the driver. For commercial or heavy vehicle drivers there are a range of additional factors including: • business requirements, for example, rosters (shifts), driver training and contractual demands • work-related multitasking, for example (...) on Australian roads, and many tens of thousands hospitalised with serious injuries. The annual economic cost of road crashes in Australia is estimated to be $27 billion, which is accompanied by devastating social impacts. While many factors contribute to safety on the road, driver health and fitness to drive is an important consideration. Drivers must meet certain medical standards to ensure their health status does not unduly increase their crash risk. Assessing Fitness to Drive is a joint publication

2016 Cardiac Society of Australia and New Zealand

79. Age and the anaesthetist

to a basic state pension, the value of which relates to the number of years of contributions that have been paid. This is a set figure, unrelated to employment income or work-related pensions. In one year, £102 billion (5.8% of gross domestic product) [3] will be spent on basic state pensions, again coming out of current taxation. • Increases in longevity and the gradual accrual of treatable morbidities mean that those living longer in retirement are making more demands on the NHS and social services (...) . This demand is increasing year-on-year. Current expenditure on the NHS is > £115 billion and is increasingly difficult to contain. The combination of these factors and their projected costs is a huge burden for current and future governments. The single most effective strategy to manage the increasing costs is simply to decrease the period for which government-funded pensions (work-related and basic state) are paid to individuals. Since it is not possible to affect the date of death, this has resulted

2016 Association of Anaesthetists of GB and Ireland

80. Clinical Guideline for the Diagnosis of Beryllium Sensitization and Chronic Beryllium Disease

acute conjunctivitis). [2, 10] Page 6 FOLLOW-UP FOR BERYLLIUM SENSITIZED WORKERS Chronic beryllium disease can be present without obvious symptoms, and the latency between exposure and manifestation of disease ranges from months to decades. [10, 17, 18] Because of this long latency, workers might file an initial claim years after a work-related exposure, or might need to re-open a claim filed years before, to receive care for their beryllium-related condition. Workers with beryllium sensitization (...) ] There is currently no vaccine or post- exposure prophylaxis for beryllium exposure. ESTABLISHING WORK-RELATEDNESS Beryllium sensitization and chronic beryllium disease as an industrial injury: An injury is defined as “a sudden and tangible happening, of a traumatic nature, producing an immediate or prompt result, and occurring from without, and such physical conditions as result therefrom.” The only requirement for establishing work-relatedness for an injury is that it occur “in the course of employment

2015 Washington State Department of Labor and Industries

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