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bell's palsy guideline

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61. Diagnosis and Treatment of Clinical Alzheimer’s-Type Dementia

consuming and access is limited in some healthcare settings. This has heightened interest in identifying which brief cognitive tests or their combinations are most accurate for 2 distinguishing CATD from mild cognitive impairment (MCI) or normal cognition in patients in whom CATD is suspected (case finding) (Appendix Table K.1). Currently, no evidence-based guidelines address the merits of brief cognitive testing in patients suspected to have CATD. Though brief cognitive tests are not by themselves

2020 Effective Health Care Program (AHRQ)

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

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

63. Diagnosis and management of epilepsy in adults

Diagnosis and management of epilepsy in adults SIGN 143 • Diagnosis and management of epilepsy in adults A national clinical guideline Evidence May 2015 · Revised 2018KEY TO EVIDENCE STATEMENTS AND GRADES OF RECOMMENDATIONS LEVELS OF EVIDENCE 1 ++ High-quality meta-analyses, systematic reviews of RCTs, or RCTs with a very low risk of bias 1 + Well-conducted meta-analyses, systematic reviews, or RCTs with a low risk of bias 1 - Meta-analyses, systematic reviews, or RCTs with a high risk of bias (...) ; or Extrapolated evidence from studies rated as 2 + GOOD PRACTICE POINTS ? Recommended best practice based on the clinical experience of the guideline development group NHS Evidence has accredited the process used by Scottish Intercollegiate Guidelines Network to produce guidelines. Accreditation is applicable to guidance produced using the processes described in SIGN 50: a guideline developer’s handbook, 2008 edition ( More information on accreditation can

2018 SIGN

64. Corticosteroids

), African Index Medicus (up to January 2015), the Cumulative Index to Nursing and Allied Health Literature (CINAHL) (up to July 2015), EMBASE (up to July 2015) and the metaRegister of Controlled Trials (mRCT) for ongoing trials. SELECTION CRITERIA: All randomised 2015 14. Antiviral Agents Added to Corticosteroids for Early Treatment of Adults With Acute Idiopathic Facial Nerve Paralysis (Bell Palsy). CLINICAL QUESTION: Compared with oral corticosteroids alone, are oral antiviral drugs associated (...) with improved outcomes when combined with oral corticosteroids in patients presenting within 72 hours of the onset of Bell palsy? BOTTOM LINE: Compared with oral corticosteroids alone, the addition of acyclovir, valacyclovir, or famcyclovir to oral corticosteroids for 2016 15. Saline irrigation and corticosteroid spray are effective first choice treatments for chronic sinusitis NIHR DC | Signal - Saline irrigation and corticosteroid spray are effective first choice treatments for chronic sinusitis

2018 Trip Latest and Greatest

65. Acyclovir

In [uncomplicated chicken pox infection in immunocompetent children] is [oral acyclovir ] beneficial in [reducing severity and duration of infection]? Clinical Scenario A 4-year-old child is brought to the emergency department by her mother because of a rash that has developed over the preceding 24 hours. The rash is that of uncomplicated chicken pox infection and the child has no medical history of note and is not immunocompromised 2005 13. Early treatment with prednisolone or acyclovir in Bell's palsy (...) . 17942873 2007 10 18 2007 10 25 2013 11 21 1533-4406 357 16 2007 Oct 18 The New England journal of medicine N. Engl. J. Med. Early treatment with prednisolone or acyclovir in Bell's palsy. 1598-607 Corticosteroids and antiviral agents are widely used to treat the early stages of idiopathic facial paralysis (i.e., Bell's palsy), but their effectiveness is uncertain. We conducted a double-blind, placebo-controlled, randomized (...) , factorial trial involving patients with Bell's palsy who were recruited

2018 Trip Latest and Greatest

66. Valacyclovir

-dose acyclovir compared to valacyclovir for reduction of asymptomatic 2006 18. Prednisone-Placebo vs Prednisone- Valacyclovir in Bell´s Palsy Prednisone-Placebo vs Prednisone- Valacyclovir in Bell´s Palsy - Full Text View - A service of the U.S. National Institutes of Health Example: "Heart attack" AND "Los Angeles" Search for studies: Study Record Detail Prednisone-Placebo vs Prednisone- Valacyclovir in Bell´s Palsy (PVBP) This study has been completed. Sponsor: Universidad de (...) la Republica Information provided by: Universidad de la Republica (...) Identifier: NCT00561106 First received: November 19, 2007 Last updated: NA Last verified: November 2007 History: No changes posted Full Text View Purpose Since steroids carry a moderate beneficial effect in Bell's palsy, and to address this question, valacyclovir was added to prednisone for the treatment of this condition. Bell´s Palsy Drug: prednisone- valacyclovir Drug: prednisone-placebo Study Type

2018 Trip Latest and Greatest

67. Prednisolone

13 2017 03 15 2345-4563 5 1 2017 Emergency (Tehran, Iran) Emerg (Tehran) Methyl prednisolone vs Dexamethasone in Management of COPD Exacerbation; a Randomized Clinical Trial. e35 Corticosteroids are routinely used in management of chronic obstructive pulmonary disease (COPD) exacerbation. The main purpose of present study was to compare the efficacy of methyl prednisolone (MP 2017 4. Treatment of Bell's Palsy - Should antivirals be added to prednisolone ? BestBets: Treatment of Bell's Palsy (...) - Should antivirals be added to prednisolone ? Treatment of Bell's Palsy - Should antivirals be added to prednisolone ? Report By: Saba Mattar - ENT Clinical Fellow Search checked by Muhammad Azam Majeed and Bernard A Foex - SpR Emergency Medicine and Consultant in Emergency Medicine Institution: St Michael's Hospital, Bristol, UK Original institution: Queen Elizabeth Hospital, Birmingham (...) , UK and Manchester Royal Infirmary, Manchester, UK Date Submitted: 31st July 2011 Date Completed: 12th June

2018 Trip Latest and Greatest

68. Prednisone

in the Complete Recovery of Patients With Bell?s Palsy: A Systematic Review "The Efficacy of Prednisone Versus Antivirals in the Complete Recovery " by Robin Tyner > > > > Title Author Date of Award Summer 8-10-2013 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract Background: Bell’s palsy is an idiopathic condition, caused by inflammatory injury to the facial nerve, resulting (...) viral etiology. Does the use of antivirals alone or in conjunction (...) with steroids substantially increase the overall recovery in patients with Bell’s palsy? Methods: An exhaustive search was conducted using Medline-OVID, CINAHL-EBSCOhost, EBMR Multifile, and Web of Science using the keywords: Bell’s palsy, antiviral agents and prednisone or prednisolone. The NIH clinical trials site revealed no on-going or registered trials comparing the treatment of steroids and antivirals in patients with Bell’s 2013 11. AAP Top 10 2016 #6: RCT of single dose Dex vs multi dose prednisone

2018 Trip Latest and Greatest

69. Hepatitis E Virus Infection

includes neuralgic amyotrophy (NA), Guillain-Barré syndrome (GBS), encephalitis/myelitis, mononeuritis multiplex, Bell’s palsy, vestibular neuritis, myositis and peripheral neuropathy. ThebestdocumentedareNA,GBS,andencephalitis/myelitis. 63,66 There have been several cohort and case studies of HEV infectioninpatients withNA.Thesearealmostuniversallyfrom Europe in the context of HEV gt 3 infection. In an Anglo/Dutch cohort study, 5/47 (10.6%) of patients with NA had evidence of HEV infection (...) infections. Table 2. Extrahepatic manifestations of acute and chronic hepatitis E. Organ system Clinical syndrome Notes Neurological * Neuralgic amyotrophy * Guillain-Barré syndrome * Meningoencephalitis Mononeuritis multiplex Myositis Bell’s palsy, vestibular neuritis and peripheral neuropathy See main text Renal * Membranoproliferative and membranous glomerulonephritis IgA nephropathy See main text Haematological Thrombocytopenia Monoclonal immunoglobulin Cryoglobulinemia Aplastic anaemia

2018 European Association for the Study of the Liver

70. Sudden Hearing Loss Full Text available with Trip Pro

Sudden Hearing Loss Clinical Practice Guideline: Sudden Hearing Loss (Update) - Sujana S. Chandrasekhar, Betty S. Tsai Do, Seth R. Schwartz, Laura J. Bontempo, Erynne A. Faucett, Sandra A. Finestone, Deena B. Hollingsworth, David M. Kelley, Steven T. Kmucha, Gul Moonis, Gayla L. Poling, J. Kirk Roberts, Robert J. Stachler, Daniel M. Zeitler, Maureen D. Corrigan, Lorraine C. Nnacheta, Lisa Satterfield, 2019 Cookies Notification This site uses cookies. By continuing to browse the site you (...) and conditions Share URL copied to clipboard View permissions information for this article Clinical Practice Guideline: Sudden Hearing Loss (Update) .entryAuthor" data-author-container-selector=".NLM_contrib-group"> Show all authors , MD 1 2 3 1ENT & Allergy Associates, LLP, New York, New York, USA2Zucker School of Medicine at Hofstra-Northwell, Hempstead, New York, USA3Icahn School of Medicine at Mount Sinai, New York, New York, USA by this author for this author , , MD 4 4Kaiser Permanente, Walnut Creek

2019 American Academy of Otolaryngology - Head and Neck Surgery

71. Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

when 153 addressing a different critical question. Question-specific Classes of Evidence grading may be found in the 154 Evidentiary Table included at the end of this policy. 155 156 Translation of Classes of Evidence to Recommendation Levels 157 Based on the strength of evidence grading for each critical question (ie, Evidentiary Table), the 158 subcommittee drafted the recommendations and the supporting text synthesizing the evidence, using the following 159 guidelines: 160 Level (...) believe that it is equally important to alert emergency physicians to this fact. 186 This clinical policy is not intended to represent a legal standard of care for emergency physicians. 187 Recommendations offered in this policy are not intended to represent the only diagnostic or management options 188 available to the emergency physician. ACEP recognizes the importance of the individual physician’s judgment and 189 patient preferences. This guideline provides clinical strategies for which medical

2019 American College of Emergency Physicians

72. Management of Infertility

and the Agency for Healthcare Research and Quality. This report may be used and reprinted without permission except those copyrighted materials that are clearly noted in the report. Further reproduction of those copyrighted materials is prohibited without the express permission of copyright holders. AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools (...) assisted reproduction by infertility diagnosis 98 Table 32. Birth rates by number of embryos transferred 100 Table 33. Outcomes with fresh and frozen IVF cycles 100 Table 34. Strength of evidence for major outcomes—across all infertility diagnoses 102 Table 35. Report findings and major guidelines/recommendations—KQ 1. PCOS 108 Table 36. Report findings and major guidelines/recommendations—KQ 2, endometriosis 110 xiii Table 37. Report findings and major guidelines/recommendations—KQ 3, unexplained

2019 Effective Health Care Program (AHRQ)

73. ACR–ASNR–SPR Practice Parameter for the Performance of Computed Tomography (CT) of the Extracranial Head and Neck

tools and not intended to establish a legal standard of care. See also, Stanley v. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. 2 / CT_Extracranial Head and Neck PRACTICE PARAMETER I. INTRODUCTION This practice (...) in patients without contraindications. For selected indications, a noncontrast examination may be obtained focused to the area of specific interest, such as concern for a foreign body, trauma, salivary stones, or for patients undergoing radioiodine therapy for thyroid cancer as per institutional guidelines [61,62]. If the examination is performed for a vocal cord tumor, axial sections (or axial reformats) should be parallel to the vocal cords or hyoid bone. Most indications for soft-tissue neck CT can

2019 American Society of Neuroradiology

74. ACR–ASNR–SPR Practice Parameter for the Performance of Magnetic Resonance Imaging (MRI) of the Head and Neck

standard of care. See also, Stanley v. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. PRACTICE PARAMETER 2 MRI Head and Neck I. INTRODUCTION This practice parameter was revised collaboratively by the American College (...) , and congenital lesions like encephalocele. In addition, in the pediatric population, neck MRI can be considered when cross-sectional imaging of the neck is indicated because of concerns about radiation exposure with CT [2]. Nevertheless, there are many clinical scenarios in which CT of the head and neck are appropriate in children, particularly when pediatric dose-reduction strategies are employed. II. SAFETY GUIDELINES AND POSSIBLE CONTRAINDICATONS See the ACR Practice Parameter for Performing

2019 American Society of Neuroradiology

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

are numerous and diverse. The most common are migraine with aura, Bell palsy, and seizure, especially with Todd paresis. Other stroke mimics include brain tumor, demyelinating disease, cerebellitis, encephalitis, epidural abscess, traumatic brain injury, syncope, intoxication, metabolic disease, and psychogenic disorders. Up to 40% of patients with stroke mimics have serious disease or time-sensitive treatment implications. , Clinical diagnostic strategies and tools used in adults to distinguish stroke (...) appointed by the American Heart Association Stroke Council’s Scientific Statement Oversight Committee and the American Heart Association’s Manuscript Oversight Committee and were chosen to reflect the expertise of the subject matter. The writers used systematic literature reviews, references to published clinical and epidemiology studies, morbidity and mortality reports, clinical and public health guidelines, authoritative statements, personal files, and expert opinion to summarize existing evidence

2019 American Heart Association

76. Tonsillectomy in Children

Tonsillectomy in Children Clinical Practice Guideline: Tonsillectomy in Children (Update) | American Academy of Otolaryngology-Head and Neck Surgery b Search form Toggle navigation Bundle includes SHL, Tubes, Bell's Palsy, AOE and Tonsillectomy Clinical Practice Guideline: Tonsillectomy in Children (Update) Clinical Practice Guideline: Tonsillectomy in Children (Update) This is more content. This guideline was published as a supplement in the February 2019 issue of Otolaryngology — Head (...) and Neck Surgery. This clinical practice guideline (CPG), which is intended for all clinicians in any setting who interact with children aged 1 to 18 years who may be candidates for tonsillectomy, is an update of, and replacement for, the prior CPG that was published in 2011. The purpose of this multidisciplinary CPG is to identify quality improvement opportunities in managing children under consideration for tonsillectomy and to create explicit and actionable recommendations to implement

2019 American Academy of Otolaryngology - Head and Neck Surgery

77. Appropriate Use Criteria: Imaging of the Brain

sclerosis and other white matter diseases 11 Inflammatory conditions, unspecified 11 Trauma 11 Trauma 11 Tumor or Neoplasm 12 Acoustic neuroma (Adult only) 12 Pituitary adenoma (Adult only) 13 Tumor – not otherwise specified 13 Miscellaneous Conditions 14 Bell’s palsy (peripheral facial nerve palsy) 14 Cerebrovascular accident or transient ischemic attack 14 Dementia (Adult only) 15 Horner’s syndrome 16 Hydrocephalus/ventricular assessment 16 Mental status change and encephalopathy 17 Movement disorders (...) Appropriate Use Criteria: Imaging of the Brain 8600 West Bryn Mawr Avenue South Tower – Suite 800 Chicago, IL 60631 Appropriate.Safe.Affordable © 2017 ©©©© 2019 AIM Specialty Health 2057-0119 CLINICAL APPROPRIATENESS GUIDELINES ADVANCED IMAGING Appropriate Use Criteria: Imaging of the Brain EFFECTIVE JANUARY 1, 2019 Proprietary Imaging of the Brain Copyright © 2019. AIM Specialty Health. All Rights Reserved. 2 Table of Contents Description and Application

2019 AIM Specialty Health

78. Neonatal seizures

Neonatal seizures Refer to online version, destroy printed copies after use Maternity and Neonatal C linical G uideline Queensland Health Neonatal seizures Queensland Clinical Guideline: Neonatal seizures Refer to online version, destroy printed copies after use Page 2 of 32 Document title: Neonatal seizures Publication date: May 2017 Document number: MN17.23-V2-R22 Document supplement: The document supplement is integral to and should be read in conjunction with this guideline. Amendments (...) : Full version history is supplied in the document supplement. Amendment date: Full review of original document published in 2011. Replaces document: MN23-V1-R16 Author: Queensland Clinical Guidelines Audience: Health professionals in Queensland public and private maternity and neonatal services. Review date: 2022 Endorsed by: Queensland Clinical Guidelines Steering Committee Statewide Maternity and Neonatal Clinical Network (Queensland) Contact: Email: URL

2019 Queensland Health

79. The Utility and Practice of Electrodiagnostic Testing in the Pediatric Population: An AANEM Consensus Statement

elicits a blink response in 100% of term infants 85 , whereas handheld esthiometers elicited a blink in only in 25% of infants at 1 week old, slowly increasing to 100% of infants by 12 weeks of age 86 . An intact blink reflex has been consistently shown to be a good predictor of clinical outcome for adults with idiopathic facial palsy (Bell’s palsy) 87,88 as well as children 89 . Blink reflex is abnormal in children with Moebius syndrome and other disorders of brainstem dysgenesis, a finding that can (...) . Electrophysiologic features of fibular neuropathy in childhood and adolescence. Muscle Nerve 2017;55(5):693-697. 23. Song KS, Kang CH, Min BW, Bae GC, Cho CH, Lee JH. Congenital clubfoot with concomitant peroneal nerve palsy in children. J Pediatr Orthop B 2008;17(2):85-89. 24. Thometz J, Sathoff L, Liu XC, Jacobson R, Tassone JC. Electromyography nerve conduction velocity evaluation of children with clubfeet. Am J Orthop (Belle Mead NJ) 2011;40(2):84-86. 25. Abid A. Brachial plexus birth palsy: Management

2019 American Association of Neuromuscular & Electrodiagnostic Medicine

80. Perinatal Management of Extreme Preterm Birth Before 27 weeks of Gestation

largely on data from the original EPICure study in 1995 of births before 26 weeks of gestation, with some additional preliminary data from EPICure 2 regarding babies born in 2006 before 27 weeks of gestation (2,3) . Subsequently, the Royal College of Obstetricians and Gynaecologists (RCOG) developed a scientific position paper about the management of delivery at the threshold of viability (4) . The ethical principles that formed the basis for these earlier guidelines have not changed but advances (...) guidelines, to ensure consistency of practice within units and networks and acknowledgement of the importance of individualised care for families. Definitions In the UK, a stillbirth is legally defined as the birth of a baby with no signs of life at, or after, 24 completed weeks of gestation. For consistency, we have used the term “fetus” to describe the baby before birth, and “baby” after birth. Within the document “parents” refers to the mother and her partner. We have used the terms “active care

2019 British Association of Perinatal Medicine

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