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182. Specification, implementation and management of information technology (IT) systems in hospital transfusion laboratories

) in blood transfusion laboratories were published there has been considerable development in IT applications available for use in transfusion medicine. IT has made a major contribution to blood safety throughout the transfusion chain, by facilitating secure electronic data transfer within the laboratory and clinical areas (SHOT 1996 to 2012). There is increasing use of IT solutions to allow laboratories to meet some of the challenges of the Blood Safety and Quality Regulations SI 50/2005 (as amended (...) ) (BSQR 2005) legislation, such as traceability. These guidelines update those published in 2007, to reflect these developments. Scope These guidelines are intended to support hospital blood transfusion laboratories when changing Laboratory Information Management Systems (LIMS) and provide guidance on the operational use of such systems. The LIMS is the hub of laboratory IT in these settings and whilst many IT systems are in use in transfusion medicine, from vein to vein, these guidelines address

2014 British Committee for Standards in Haematology

183. First line management of classical Hodgkin lymphoma

intensification with transplantation (see separate guidelines) (1A). Management of HL in pregnancy Patients should be closely co‐managed with a speciald obstetric/fetal medicine unit (1B). Staging investigations and response evaluation should be tailored to the clinical presentation with radiology input to minimize fetal radiation exposure (1C). Delaying commencement of chemotherapy until post‐delivery would not be standard practice and should be done with caution (1C). ABVD is the regimen of choice unless (...) has been used to treat patients in all 3 trimesters (Anselmo et al , ; Cardonick & Iacobucci, ), the potential risk to fetal development from chemotherapy is likely to be higher in the first trimester and most clinicians would try and avoid exposure to chemotherapy at this time. Wherever possible, RT should be delayed until post‐delivery. Key recommendations for HL in pregnancy Patients should be closely co‐managed with a specialized obstetric/fetal medicine unit (1B). Staging investigations

2014 British Committee for Standards in Haematology

184. Asthma

Asthma 1 UMHS Asthma Guideline, March 2010 Quality Department Guidelines for Clinical Care Ambulatory Asthma Guideline Team Team Leader Sean K Kesterson, MD General Medicine Team Members Joyce E Kaferle, MD Family Medicine Jill A Noble, MD General Pediatrics Manuel Arteta, MD Pediatric Pulmonology Alan P Baptist, MD. MPH Allergy & Clinical Immunology James A Freer, MD Emergency Medicine Cyril M Grum, MD Pulmonary & Critical Care Medicine Cary E Johnson, Pharm.D. College of Pharmacy R Van (...) , and the infant or young child must keep the mask in place for the duration of therapy. Older children may use a mouthpiece instead. Using a face mask made for delivering the medication is important. Attempting to short-cut the process by partially blocking one side of the nebulizer mouth piece and using the nebulizer machine to blow the medicine at the face/nose (i.e. "blow by") is ineffective and must be avoided. Pediatric patients may be uncooperative with nebulized medication delivery. If proper

2011 University of Michigan Health System

185. Acute Low Back Pain

Acute Low Back Pain 1 Quality Department Guidelines for Clinical Care Ambulatory Low Back Pain Guideline Team Team leader Anthony E. Chiodo, MD Physical Medicine & Rehabilitation Team members David J. Alvarez, DO Family Medicine Gregory P. Graziano, MD Orthopedic Surgery Andrew J. Haig, MD Physical Medicine & Rehabilitation R. Van Harrison, PhD Medical Education Paul Park, MD Neurosurgery Connie J. Standiford, MD General Internal Medicine Consultant Ronald A. Wasserman, MD Anesthesiology, Back (...) , cigarettes Pain Experience • Rate pain as severe • Maladaptive pain beliefs (e.g., pain will not get better, invasive treatment is required) • Legal issues or compensation Premorbid Factors • Rate job as physically demanding • Believe they will not be working in 6 months • Don’t get along with supervisors or coworkers • Near to retirement • Family history of depression • Enabling spouse • Are unmarried or have been married multiple times • Low socioeconomic status • Troubled childhood (abuse, parental

2011 University of Michigan Health System

186. Quality of Life in Children with Sequential Bilateral Cochlear Implants

) ear at a later date. Simultaneous Bilateral Cochlear Implant: one CI device surgically implanted in each ear during the same surgery. Binaural/bilateral hearing: coordination of inputs from both ears by the nervous system Quality of Life (QoL): physical functioning, emotional functioning, social functioning and school functioning. Other important indicators of QoL in the CI population include hearing in noise, localization, communicative intent and behavior, nature of interpersonal relationships (...) , Roland, PS. (2010). The children speak: An examination of the quality of life of pediatric cochlear implant users. Otolaryngology Head and Neck Surgery, 142, 247-53 [4b] McJunkin, J, Jeyakumar, A. (2010). Complications in pediatric cochlear implants. American Journal of Otolaryngology – Head and Neck Medicine and Surgery 31, 110-113 [4b] Moog, J.S., Geers, A.E. (1999). Speech and language acquisitions in young children after cochlear implantation. Otolaryngology Clinical North American, 32, 6-18 [4b

2011 Cincinnati Children's Hospital Medical Center

187. Communication of healthcare information to patients and caregivers using multiple means

population. Occupational Therapy and Speech Pathology/Mental Health/Caregiver Communication/BESt 096 Copyright © 2011 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 4 of 5 BESt Development Team [Team members and Contributors]: Lindy Tomawis, MOT, OTR/L, Team Leader, Division of Occupational and Physical Therapy Mallory Carter, MS, CCC-SLP, Division of Speech Pathology Lisa Carvitti, MOT, OTR/L, Division of Occupational and Physical Therapy Tabetha Frost, MS, OTR/L, Division (...) of Occupational and Physical Therapy Dawn Girten, MA, CCC-SLP, Division of Speech Pathology Katherine McCormick, MOT, OTR/L, Division of Occupational and Physical Therapy April Nelson MA, CCC-SLP, Division of Speech Pathology Sarah Schnieber, MS, CCC-SLP, Division of Speech Pathology Matthew Schwendeman, OTR/L, Division of Occupational and Physical Therapy Brigid Weber, MOT, OTR/L, Division of Occupational and Physical Therapy Senior Clinical Directors Rebecca D. Reder OTD, OTR/L, Division of Occupational

2011 Cincinnati Children's Hospital Medical Center

188. Erectile Dysfunction

, and psychosocial history; a physical examination; and selective laboratory testing. (Clinical Principle) For the man with ED, validated questionnaires are recommended to assess the severity of ED, to measure treatment effectiveness, and to guide future management. (Expert Opinion) Men should be counseled that ED is a risk marker for underlying cardiovascular disease (CVD) and other health conditions that may warrant evaluation and treatment. (Clinical Principle) In men with ED, morning serum total testosterone (...) have comorbidities known to negatively affect erectile function that lifestyle modifications, including changes in diet and increased physical activity, improve overall health and may improve erectile function. (Moderate Recommendation; Evidence Level: Grade C) 8. Men with ED should be informed regarding the treatment option of an FDA-approved oral phosphodiesterase type 5 inhibitor (PDE5i), including discussion of benefits and risks/burdens, unless contraindicated. (Strong Recommendation; Evidence

2018 American Urological Association

189. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease

With Chest Pain: Recommendations. . . . . . . .e367 2.1.2. History. . . . . . . . . . . . . . . . . . . . . . . . . .e367 2.1.3. Physical Examination. . . . . . . . . . . . . . .e368 2.1.4. Electrocardiography. . . . . . . . . . . . . . . .e368 2.1.4.1. Resting Electrocardiography to Assess Risk: Recommendation. . . . . . . . . . .e369 2.1.5. Differential Diagnosis. . . . . . . . . . . . . .e370 2.1.6. Developing the Probability Estimate. . .e370 2.2. Noninvasive Testing for Diagnosis of IHD. . . .e371 (...) Modification: Recommendations. . . . . . . . . . . . . . . . .e395 4.4.1.1. Lipid Management. . . . . . . . . .e395 4.4.1.2. Blood Pressure Management. . .e397 4.4.1.3. Diabetes Management. . . . . . . .e398 4.4.1.4. Physical Activity. . . . . . . . . . . .e399 4.4.1.5. Weight Management. . . . . . . . .e400 4.4.1.6. Smoking Cessation Counseling. . . . . . . . . . . . . . . .e401 4.4.1.7. Management of Psychological Factors. . . . . . . .e401 4.4.1.8. Alcohol Consumption. . . . . . . .e402 4.4.1.9

2011 American Heart Association

190. Developing a Clinical Pediatric Interventional Practice: A Joint Clinical Practice Guideline from the Society of Interventional Radiology and the Society for Pediatric Radiology

in a broad spectrum of interventional procedures from both the private and academic sectors of medicine. Generally, Standards of Practice Committee members dedicate the vast majority of their professional time to performing interventional procedures; as such, they represent a valid expert constituency of the subject matter under consideration for standards production. Technical documents specifying the exact consensus and litera- ture review methodologies as well as the institutional af?liations (...) . The practice of medicine involves not only the science but also the art of the promotion of health and the prevention, diagnosis, alleviation, and treatment of disease. The variety and complexity of human conditions make it impossible to always reach the most appropriate diagnosis or to predict with certainty a particular response to treatment. Therefore, it should be recognized that adherence to these guidelines will not assure an accurate diagnosis or a successful outcome. All that should be expected

2011 Society of Interventional Radiology

191. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the Diagnosis and Treatment of Acromegaly

not be appropriate in all situations. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances. Copyright © 2011 AACE. 2 AACE Acromegaly Task Force Chair Laurence Katznelson, MD Departments of Medicine and Neurosurgery, Stanford University, Stanford, California Task Force Members John L. D. Atkinson, MD Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota David M. Cook, MD, F ACE Department of Medicine, Oregon Health & Science (...) University, Portland, Oregon Shereen Z. Ezzat, MD, FRCPC Department of Medicine and Endocrinology, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada Amir H. Hamrahian, MD, F ACE Department of Endocrinology, Diabetes and Metabolism, Cleveland Clinic, Cleveland, Ohio Karen K. Miller, MD Neuroendocrine Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts Reviewers William H. Ludlam, MD, PhD Susan L. Samson, MD, PhD, F ACE Steven

2011 American Association of Clinical Endocrinologists

192. Diagnosis and Treatment of Degenerative Lumbar Spinal Stenosis (Revised 2011)

referred to as “nonoper-ative,” “nonsurgical” or “conservative” care is now referred to as “medical/interventional care.” The term medical/interventional is meant to encompass pharmacological treatment, physical therapy, exercise therapy, manipulative therapy, modalities, various types of external stim- ulators and injections. IntroductIon /GuIdelIne MethodoloGy Degenerative Spinal Stenosis | NASS Clinical GuidelinesThis clinical guideline should not be construed as including all proper methods of care (...) of spinal stenosis. A comparison of surgically treated and untreated patients. Spine. Jun 1991;16(6):615-619. 28. Keller RB, Atlas SJ, Singer DE, et al. The Maine Lumbar Spine Study, Part I. Background and concepts. Spine. Aug 1 1996;21(15):1769-1776. 29. Koc Z, Ozcakir S, Sivrioglu K, Gurbet A, Kucukoglu S. Ef- fectiveness of physical therapy and epidural steroid injec- tions in lumbar spinal stenosis. Spine (Phila Pa 1976). May 1 2009;34(10):985-989. 30. Kondrashov DG, Hannibal M, Hsu KY , Zucherman

2011 North American Spine Society

193. Traumatic brain injury (TBI) ? Coordination of outpatient rehabilitative care

, and alternative treatment intensities. Reference List: (Evidence Level in [ ]; See Table of Evidence Levels) Altman, I., Swick, S., Parrot, D. & Malec, J. (2010): Effectiveness of community-based rehabilitation after traumatic brain injury for 489 program completers compared with those precipitously discharged. Archives of Physical Medicine and Rehabilitation, 91: 1697-1704. doi: 10.1016/j.apmr.2010.08.001[4b]. American Association of Occupational Therapy. (2008) Occupational therapy practice framework (...) : Domain & process (2 nd ed.) Author: American Journal of Occupational Therapy, 2 nd Ed., [5a] Commission of Accreditation of Rehabilitation Facilities (2012). International Standards Manual for Pediatric Specialty Programs. Author: Tucson, AZ [5a] Cicerone, K., Mott, T., Azulay, J., Sharlow-Galella, M., Ellmo, W., Paradise, S. & Friel, J. (2008): A randomized controlled trial of holistic neuropsychologic rehabilitation after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 89

2012 Cincinnati Children's Hospital Medical Center

194. The role of CT screening for Lung Cancer in clinical practice

Improvement Performance Measures Perioperative Care and Consultation Pharmacoeconomics Pharmacoepidemiology Pharmacogenetics Pharmacy and Clinical Pharmacology Physical Medicine and Rehabilitation Physical Therapy Physician Leadership Poetry Population Health Professional Well-being Professionalism Psychiatry Public Health Pulmonary Medicine Radiology Regulatory Agencies Research, Methods, Statistics Resuscitation Rheumatology Scientific Discovery and the Future of Medicine Shared Decision Making (...) Support Clinical Implications of Basic Neuroscience Clinical Pharmacy and Pharmacology Complementary and Alternative Medicine Consensus Statements Critical Care Medicine Dental Medicine Dermatology Diabetes and Endocrinology Drug Development Electronic Health Records Emergency Medicine End of Life Environmental Health Ethics Facial Plastic Surgery Foodborne Illness Gastroenterology and Hepatology Genetics and Genomics Genomics and Precision Health Geriatrics Global Health Guide to Statistics

2012 American Society of Clinical Oncology Guidelines

195. Imaging in pediatric patients with first time febrile urinary tract infection (UTI)

of physical harm, was judged sufficient for the benefits to out-weigh the harms but may merit a discussion with parents (AAP 2011 [CCHMC 5a]). Deferring a VCUG with a first time UTI avoids radiation exposure, discomfort and unnecessary cost. The diagnosis of a small number of cases of VUR and correctable abnormalities may be delayed. However, there is not sufficient evidence to support use of prophylactic antibiotics to prevent recurrent UTI in patients with VUR. Hence, the identification of VUR (...) , Credentials, Specialty/Area of Expertise) Team Leader/Author: Karen Jeradi, MD, Hospital Medicine Team Members/Co-Authors: Dena Elkeeb, MD, Hospital Medicine; Ndidi Unaka, MD, Hospital Medicine Support/Consultant: William Brinkman, MD, Hospital Medicine; Eloise Clark, MPH, MBA, Methodologist; Wendy Gerhardt, MSN, RN-BC Conflicts of Interest were declared for each team member and: No financial conflicts of interest were found. No external funding was received for development of this recommendation. Note

2012 Cincinnati Children's Hospital Medical Center

196. Breast Cancer Follow-Up and Management After Primary Treatment

Follow-Up and Management After Primary Treatment: American Society of Clinical Oncology Clinical Practice Guideline Update Intervention Modes of surveillance for patients with breast cancer who have completed primary therapy with curative intent Target Audience Medical oncologists, primary care providers, oncology nurses, surgical oncologists, pathologists, and nuclear medicine specialists Key Recommendations Regular history, physical examination, and mammography are recommended Examinations should (...) . Somerfield, American Society of Clinical Oncology, Alexandria, VA; Elissa Bantug, Thomas J. Smith, and Antonio C. Wolff, Johns Hopkins Medicine and Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD; Laura J. Esserman, Carol Franc Buck Breast Care Center and Helen Diller Family Comprehensive Cancer Center, University of California at San Francisco, San Francisco; Francine Halberg, Marin Cancer Institute, Greenbrae, CA; Eva Grunfeld, University of Toronto and Ontario Institute for Cancer Research

2012 American Society of Clinical Oncology Guidelines

197. American College of Chest Physicians and Society of Thoracic Surgeons Consensus Statement for Evaluation and Management for High-Risk Patients With Stage I Non-small Cell Lung Cancer

American College of Chest Physicians and Society of Thoracic Surgeons Consensus Statement for Evaluation and Management for High-Risk Patients With Stage I Non-small Cell Lung Cancer Evidence-Based Medicine CHEST 1620 Evidence-Based Medicine Executive Summary T he standard treatment of stage I non-small cell lung cancer (NSCLC) is lobectomy with systematic mediastinal lymph node evaluation. American College of Chest Physicians and Society of Thoracic Surgeons Consensus Statement for Evaluation (...) the Department of Cardiothoracic Surgery (Dr Donington), NYU School of Medicine, New York, NY; the Department of Surgery (Dr Ferguson), University of Chicago, Chicago, IL; the Department of Pulmonary, Allergy, and Critical Care Medicine (Dr Mazzone), Cleveland Clinic Foundation, Cleveland, OH; the Providence Cancer Center (Dr Handy), Portland, OR; the Department of Cardiothoracic Surgery (Drs Schuchert, Pennathur, and Landreneau), University of Pittsburgh Medical Center, Pittsburgh, PA; the Department

2012 American College of Chest Physicians

198. Penetrating Lower Extremity Arterial Trauma, Evaluation and Management of

of Trauma and Surgical Critical Care (N.F.), Department of Surgery, Cooper University Hospital, Camden, New Jersey; Division of Vascular Surgery (R.R.R.), Department of Surgery, Emory University School of Medicine, Atlanta, Georgia; Department of Trauma (F.B.), Burns and Critical Care, Stroger Hospital of Cook County, Chicago, Illinois; Program in Trauma (W.C.C.), Department of Surgery, R. Adams Cowley Shock Trauma Center, Baltimore, Maryland; Division of Trauma and Acute Care Surgery (A.K., E.F (...) . They are identified in Section 3 as the recommendation followed by “(2002).” Process Identification of References A search of the National Library of Medicine and the National Institutes of Health MEDLINE database was performed using (www.pubmed.gov), with citations published between the years 1998 and 2011. Search terms included “vascular trauma,” “arterial injury,” “extremity trauma,” “penetrating trauma,” and “vascular injury.” Articles were limited to those in the English language involving human subjects

2012 Eastern Association for the Surgery of Trauma

199. The Lung Cancer Framework: Principles for Best Practice Lung Cancer Care in Australia

of Cancer Australia’s Principles for Best Practice Management of Lung Cancer in Australia (the Principles). The Advisory Group consists of members with relevant multidisciplinary expertise including respiratory medicine, radiation oncology, medical oncology, cardiothoracic surgery, general practice, lung cancer nursing and lung cancer consumer representation. The development of the Lung Cancer Framework and strategic support for its national implementation has also been guided and supported (...) MacCallum Cancer Centre’s validated Supportive Needs Screening Tool to be used by health care professionals to determine the care for cancer patients. 44, 45 The tool asks cancer patients specific questions related to their physical health and well-being.Principles of Best Practice Lung Cancer Care in Australia 17 Timely access to evidence-based pathways of care is a Principle of best practice lung cancer in Australia. Timely access to evidence-based pathways of care means that best practice pathways

2018 Cancer Australia

200. Gynaecological Cancers: a Handbook for Aboriginal and Torres Strait Islander Health Workers and Health Practitioners

Investigating symptoms 12 Chapter 3: If it’s cancer – what next? 17 Explaining test results 17 Overview of treatments for gynaecological cancers 18 Complementary therapies and bush medicine 19 Multidisciplinary care 21 Chapter 4: Cervical cancer 25 What causes cervical cancer? 25 Reducing the risk of cervical cancer 26 National HPV Vaccination Program 26 Cervical Screening Test 27 Why has the Cervical Screening Test changed? 27 Why does screening start at 25? 27 What does the Cervical Screening Test involve (...) mean 39 Treatments for endometrial cancer 40 Chapter 6: Ovarian cancer 47 What causes ovarian cancer? 47 Questions to ask about family history 47 What do we mean by inherited factors? 48 Reducing the risk of ovarian cancer 48 Symptoms of ovarian cancer 49 Tests for ovarian cancer 49 What the test results mean 50 Treatments for ovarian cancer 50 Chapter 7: Wellbeing and practical support 55 Physical issues 55 Emotional issues 59 Practical issues 62 Support for family and community 65 Chapter 8

2018 Cancer Australia

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