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2921. Joint AAD-NPF guidelines of care for the management and treatment of psoriasis with awareness and attention to comorbidities

for the management and treatment of psoriasis with awareness and attention to comorbidities x Craig A. Elmets Affiliations University of Alabama, Birmingham, Alabama , MD ((Co-Chair)) a , x Craig L. Leonardi Affiliations Central Dermatology, St. Louis, Missouri , MD b , x Dawn M.R. Davis Affiliations Mayo Clinic, Rochester, Minnesota , MD c , x Joel M. Gelfand Affiliations University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania , MD, MSCE d , x Jason Lichten Affiliations National (...) , California , MD h , x Boni E. Elewski Affiliations University of Alabama, Birmingham, Alabama , MD a , x Kenneth B. Gordon Affiliations Medical College of Wisconsin, Milwaukee, Wisconsin , MD i , x Alice B. Gottlieb Affiliations Department of Dermatology, Icahn School of Medicine at Mt. Sinai, New York, New York , MD, PhD j , x Daniel H. Kaplan Affiliations University of Pittsburgh, Pennsylvania , MD, PhD k , x Arthur Kavanaugh Affiliations University of California San Diego, San Diego, California , MD l

2019 American Academy of Dermatology

2922. Patients Hospitalized with Heart Failure: Risk Assessment, Management, and Clinical Trajectory

the evidence-based approaches to HF therapy and management enumerated in the 2013 ACCF/AHA GuidelinefortheManagementofHeartFailureandthe 2016 and 2017 ACC/AHA/HFSA focused updates (15,25,26). 3. These algorithms assume that a broad multidisci- plinary approach is ideal, with input anticipated from experienced physician and nurse specialists, as well as other disciplines such as pharmacy, social work, psy- chiatry, physical therapy, and nutrition. 4. Therapeutic decisions should be governed by clinical (...) bypass surgery. Exercise program/cardiac rehabilitation. Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: US Preventive Services Task Force Recommendation Statement Malnutrition Assess for protein calorie malnutrition. Referral to dietician. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Frailty, deconditioning Assess for frailty, consider physical therapy and/or referral for rehabilitation

2019 American College of Cardiology

2923. Management of Infants at Risk for Group B Streptococcal Disease

% to 12% of such infants. , Centers that adopt this approach will need to establish processes to ensure serial, structured, documented physical assessments and develop clear criteria for additional evaluation and empirical antibiotic administration. Physicians and families must understand that the identification of initially well-appearing infants who develop clinical illness is not a failure of care, but rather an anticipated outcome of this approach to GBS EOD risk management. FIGURE 1 Options

2019 American Academy of Pediatrics

2924. Identifying Child Abuse Fatalities During Infancy

in the population younger than 1 year. Most maltreatment fatalities are attributed to neglect, with or without additional physical abuse. Factors identified in families with increased risk for child maltreatment fatality include poverty, previous or current involvement with child protective services, unrelated male caregivers, and previous unexplained death or nonaccidental trauma of other infants. – In recent literature, it is suggested that natural or accidental deaths are more commonly reported than child (...) of Innocents: A True Story of Murder, Medicine, and High-Stakes Science . New York, NY : Bantam Books ; 1997 Heisler T . As overdose deaths pile up, a medical examiner quits the morgue. New York Times. October 7, 2017. Available at: . Accessed October 7, 2017 US Commission to Eliminate Child Abuse and Neglect Fatalities . Within Our Reach: A National Strategy to Eliminate Child Abuse and Neglect Fatalities . Washington, DC : Government Printing Office ; 2016 Tieder JS , Bonkowsky JL , Etzel RA , et al

2019 American Academy of Pediatrics

2925. Access to Hormonal Contraception

- monal contraception. A web-based survey of 617 physicians, nurse practitioners, certified nurse– midwives, physician assistants, and registered nurses (recruited from the National American Society for Pediatric and Adolescent Gynecology, National Fam- ily Planning and Reproductive Health Association, American Society of Adolescent Health and Medicine, and the Association of Reproductive Health Pro- fessionals) reported that 28% supported over-the- counter access to OCPs, the contraceptive patch (...) veins)? 9. Do you have diabetes? 10. Do you have migraine headaches? 11. Do you have liver disease or have you had liver cancer? 12. Do you have gall bladder disease? 13. Have you had breast cancer? 14. Do you take medicine for high cholesterol? 15. Do you take medicine for seizures or tuberculosis? Modified from Grossman D, Fernandez L, Hopkins K, Amastae J, Garcia SG, Potter JE. Accuracy of self- screening for contraindications to combined oral con- traceptive use. Obstet Gynecol 2008;112:572–8

2019 American College of Obstetricians and Gynecologists

2926. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

Guidelines,” was followed in designating aggregate evidence quality levels for the available evidence (see ). The AAP policy statement is consistent with the grading recommendations advanced by the University of Oxford Centre for Evidence Based Medicine. FIGURE 1 AAP rating of evidence and recommendations. The subcommittee reached consensus on the evidence, which was then used to develop the clinical practice guideline’s KASs. When the scientific evidence was at least “good” in quality and demonstrated (...) of recommendations range from “A” to “D,” with “A” being the highest: grade A: consistent level A studies; grade B: consistent level B or extrapolations from level A studies; grade C: level C studies or extrapolations from level B or level C studies; grade D: level D evidence or troublingly inconsistent or inconclusive studies of any level; and level X: not an explicit level of evidence as outlined by the Centre for Evidence-Based Medicine. This level is reserved for interventions that are unethical

2019 American Academy of Pediatrics

2927. Movement Disorder and Neurodegenerative Diseases.

such as quantitative volumetric analysis, may be useful in the evaluation of the microstructural makeup of the brain parenchyma, including the integrity of gray matter, white matter, and their connecting neural pathways. Nuclear medicine studies can be used to evaluate for abnormal patterns of glucose metabolism, buildup of abnormal particles or proteins within neurons, dysfunction or loss of specific categories of neurons, or individual neurochemical deficits. Discussion of Procedures by Variant Variant 1 (...) Network, Philadelphia, Pennsylvania. i University of California San Diego Medical Center, San Diego, California. j Oregon Health & Science University, Portland, Oregon. k University of North Carolina School of Medicine, Chapel Hill, North Carolina; American Academy of Neurology. l Northwestern University Feinberg School of Medicine, Chicago, Neurosurgery Expert. m Walter Reed National Military Medical Center, Bethesda, Maryland. n UIC Medical Center, Chicago, Illinois; Neurosurgery Expert. o Columbia

2019 American College of Radiology

2928. Major Blunt Trauma

to the physical examination and is primarily used for triage in a hemodynamically stable patient with major blunt trauma and suspected extremity trauma. Radiography of the extremity, CT whole body with IV contrast, or radiography trauma series is usually appropriate in addition to US FAST for the initial imaging of these patients. These procedures are equivalent alternatives (ie, only one procedure will be ordered to provide the clinical information to effectively manage the patient’s care). ACR (...) as a limited bedside adjunct to the physical examination and is primarily used for triage in a hemodynamically stable patient with major blunt trauma and suspected bowel trauma. CT abdomen and pelvis with IV contrast, CT whole body with IV contrast, or radiography trauma series is usually appropriate in addition to US FAST for the initial imaging of these patients. These procedures are equivalent alternatives (ie, only one procedure will be ordered to provide the clinical information to effectively manage

2019 American College of Radiology

2929. Policy on Medically-Necessary Care

. 57 While some third-party carriers restrict reimbursement for sealants to patients of certain ages, it is important to consider that timing of dental eruption can vary widely. Furthermore, caries risk may increase at any time during a patient’s life due to changes in habits (e.g., dietary, home care), oral microflora, or physical condition, and previously unsealed teeth subsequently might benefit from sealant application. 53,58 The extent of the disease process, as well as the patient’s (...) for children. Pediatrics 2013;132(2):398-401. 3. U.S. Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, Md.: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health; 2000. Available at: “https://www.nidcr.nih.gov/sites/default/files/2017-10/hck1ocv.%40www.surgeon. fullrpt.pdf”. Accessed August 10, 2019. 4. Institute of Medicine, National Research Council. Improving Access

2019 American Academy of Pediatric Dentistry

2930. Policy on Acute Pediatric Dental Pain Management

combination medications are used. 14 Alternat- ing administration of ibuprofen and acetaminophen is another strategy for pain management in children. 6,15 Acetaminophen or NSAIDs also can be administered rectally or intravenously, which may be practical in some settings (e.g., an operating room). 13 Practitioners may be hesitant to prescribe opioid analgesics for pediatric patients for fear of addiction. Because opioid use for dental pain should be of short duration, physical depend- ence is unlikely (...) opioid analgesics. 18 Tramadol and, to a lesser extent, hydrocodone and oxycodone also are influenced by CYP2D6 activity, and ultra-rapid metabolizers may have an increased risk of toxicity. 20 In April, 2017, the FDA issued a warning to restrict the use of codeine and tramadol medicines in children and breastfeeding mothers. 21 Morphine and non-opioid alter- natives are not influenced by CYP2D6 metabolism. 20 Policy statement The AAPD recognizes that children experience pain and ex- hibit

2017 American Academy of Pediatric Dentistry

2931. Policy on the Use of Lasers for Pediatric Dental Patients

and/or abstract and relevance to pediatric dental care. Expert and/or consensus opinion by experienced researchers and clinicians also was considered. Background Medicine began integrating lasers in the mid 1970s for soft tissue procedures. Oral and maxillofacial surgeons incorpo- rated the carbon dioxide (CO 2 ) laser into practice for removal of oral lesions in the 1980s. 1,2 The first laser specifically for dental use was a neodymium-yttrium-aluminum-garnet (Nd:YAG) laser, developed in 1987 and approved (...) physics prior to selecting a laser for dental treat- ment. The term laser is an acronym for light amplification by stimulated emission of radiation. Lasers are classified by the active medium that is used to create the laser energy. Within a laser, an active medium is stimulated to produce photons of energy that are delivered in a beam of unique wavelength that is measured in nanometers. 4 The wavelength of a dental laser is the determining factor of the level to which the laser energy is absorbed

2017 American Academy of Pediatric Dentistry

2932. The Subacute Rehabilitation of Childhood Stroke, Clinical Guideline

when: CBR N/A a) Goals are broad or generic b) There are sufficient numbers of children working towards similar goals at the same time c) Goals focus on social and communication skills d) Goals focus on common physical skills e.g. riding a bike, running skills The child’s family should be involved at all stages of rehabilitative care CBR N/A In particular, the child’s family should be involved in the following aspects of rehabilitation: CBR N/A a) Creation of the individual care plan b) S et t i n (...) , experience significant difficulties in participating in physical play and leisure 51 . These difficulties are likely to be worsened in children with stroke due to additional cognitive impairment. Research in adult stroke has shown that behavioural interventions can be used to increase what an individual has the capability to do as well as what they actually do in real life 52 . However, little is known about factors and interventions to improve participation in recreation and leisure for children

2017 Stroke Foundation - Australia

2933. Translation and implementation of the Australian-led PCOS guideline: clinical summary and translation resources from the International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome

. Governance included an international advisory and a project board, five guideline development groups, and consumer and translation committees. The NHMRC Australian Centre for Research Excellence in PCOS co-funded the guideline in partnership with the European Society of Human Reproduction and Embryology and the American Society for Reproductive Medicine. Thirty-seven organisations across 71 countries collaborated to address 60 prioritised clinical questions based on 40 systematic and 20 narrative reviews (...) Tool and care plan Outline of PCOS for GPs to be used during the consultation https://www.monash.edu/__data/assets/pdf_file/0003/1411662/PCOS-GP-Tool-20180622.pdf; https://www.monash.edu/medicine/sphpm/mchri/pcos/resources/practice-tools-for-health-practitioners Resources for women Infographic 1 What is PCOS and do I have it? https://www.monash.edu/__data/assets/pdf_file/0009/1410858/PCOS-Quiz.pdf Infographic 2 Lifestyle and PCOS https://www.monash.edu/__data/assets/pdf_file/0006/1410855/PCOS

2018 MJA Clinical Guidelines

2934. Integrated care for older people (?ICOPE)? implementation framework: guidance for systems and services

pathways for: • rapid access to acute care and specialist services when needed (e.g. to a geriatric medicine unit) • rehabilitation • palliative and end-of-life care. These networks can build communities of practice to optimize care delivery and coordination. A referral network to accommodate respite services for caregivers and to maintain their physical and mental well-being is also an important component of service delivery. 6 ESSENTIAL21 Service actions 7–9 ENGAGE AND EMPOWER PEOPLE AND COMMUNITIES (...) that enables well-being in older age. ii Intrinsic capacity is a person’s total physical and mental reserves. iii Functional ability comprises the health-related attributes that enable people to be and to do what they value.4 Integrated care for older people (ICOPE) implementation framework: guidance for systems and services FIGURE 1. A public health framework for healthy ageing and the opportunities for public health High and stable capacity HEALTH SERVICES: LONG-TERM CARE: ENVIRONMENTS: Declining

2019 World Health Organisation Guidelines

2935. BTS/SIGN British Guideline on the Management of Asthma

development group 152 17.3 Acknowledgements 154 17.4 Consultation and peer review 154 Abbreviations 156 Annexes 158 References 1721 1 | Introduction 1 Introduction 1.1 The need for a guideline Asthma is a common condition which produces a significant workload for general practice, hospital outpatient clinics and inpatient services. It is clear that much of this morbidity relates to poor management, particularly around the use of preventative medicine. 1.1.1 Background In 1999 the British Thoracic Society (...) College of Paediatrics and Child Health, the General Practice Airways Group (now Primary Care Respiratory Society UK), and the British Association of Accident and Emergency Medicine (now the College of Emergency Medicine). The outcome of these efforts was the British Guideline on the Management of Asthma, developed using SIGN methodology 1 and published in 2003. 2 1.1.2 Updating the evidence Between 2004 and 2012 sections within the guideline were updated annually. Subsequently, updating moved

2019 British Thoracic Society

2936. Guidelines for the management of hereditary colorectal cancer

Kaur, Patient representative, Bowel Cancer UK. Fiona Lalloo, UKCGG, Consultant Clinical Geneticist, Manchester Centre for Genomic Medicine. Andrew Latchford, BSG, Consultant Gastroenterologist, St Marks Hospital, Harrow, London; Department of Surgery and Cancer, Imperial College, London. Matthew D Rutter, BSG, Consultant Gastroenterologist, University Hospital of North Tees, Stockton on Tees, UK; Northern Institute for Cancer Research, Newcastle University, Newcastle-upon-Tyne, UK. Bianca De Souza (...) , UKCGG, Consultant Clinical Geneticist, Guy's and St Thomas' NHS Foundation Trust, London. Ian Tomlinson, UKCGG, Director of Institute of Cancer and Genomic Sciences, University of Birmingham Huw Thomas, BSG, Professor of Medicine and Consultant Gastroenterologist, Family Cancer Clinic, St Marks Hospital, Harrow, London; Department of Surgery and Cancer, Imperial College, London. James Hill, ACPGBI, Clinical Professor of Colorectal Surgery, Manchester Royal Infirmary and Manchester Academic Health

2019 British Society of Gastroenterology

2937. Baseline Staging Imaging for Distant Metastasis in Women with Stage I, II, and III Breast Cancer

According to the AJCC: Physical examination, breast and axillary US, and MRI in a few cases: 109 FDG-PET/CT 3 (1): I 43 (18): IIA 66 (28): IIB 82 (35): IIIA 16 (7): IIIB 24 (10): IIIC Judgement of two experienced nuclear medicine physicians, histopathology, MRI, US Distant metastasis (unclear if symptomatic) Lebon et al., 2017 [16] 2006-2015 RET 214 107 40 and 18 According to AJCC: Physical exam, mammography, breast ultrasound and MRI FDG-PET/CT 32 (38) II 53 (62) III Histopathology or imaging follow-up (...) Unsuspected distant metastases Ng et al., 2015 [10] 2004-2014 PROSP 154 LABC 49 (26-70) Physical examination, breast mammography, ultrasound, tumor core biopsy, chest, abdomen and pelvis CT scan, whole-body bone scan FDG-PET/CT 20 (13) IIA 81 (53) IIB 43 (28) IIIA 7 (5) IIIB 3 (2) IIIC 99 ER+ 55 ER- 86 PR+ 68 PR- 52 HER2+ 102 HER2- PET/CT results were compared with initial CI results. In selected patients, follow-up imaging and/or biopsy were performed to confirm metastatic disease CI: chest, abdominal

2019 Cancer Care Ontario

2938. Quality indicators for pulmonary rehabilitation programs in Canada: A CTS expert working group report

University, Halifax, Nova Scotia, Canada; b Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada; c Centre for Heart Lung Innovation, University of British Columbia, Vancouver, British Columbia, Canada; d Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; e Division of Respirology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada; f Division of Pulmonary Medicine, Department of Medicine (...) , University of Alberta, Edmonton, Alberta, Canada; g G.F. MacDonald Centre for Lung Health, Covenant Health, Edmonton, Alberta, Canada; h Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; i Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada; j Department of Medicine, University of Toronto, Toronto, Ontario, Canada; k Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; l Division of Respirology, Critical Care and Sleep

2019 Canadian Thoracic Society

2939. Management of Osteoporosis in Survivors of Adult Cancers With Nonmetastatic Disease

10 Massachusetts General Hospital Cancer Center, Boston, MA 11 University of South Florida Health, Tampa, FL 12 University of Chicago Medicine, Chicago, IL 13 Medical College of Wisconsin, Milwaukee, WI Abstract Section: PURPOSE The aim of this work is to provide evidence-based guidance on the management of osteoporosis in survivors of adult cancer. METHODS ASCO convened a multidisciplinary Expert Panel to develop guideline recommendations based on a systematic review of the literature. RESULTS (...) with radiation therapy can also have a direct effect on bone in the treated field which leads to bone atrophy. It can also indirectly effect bone through vascular changes. Insufficiency fractures are a common complication after radiation therapy and generally affect bones that are under the most physiologic stress —for example, pelvic or rib fractures with pelvic or chest irradiation, respectively. A variety of physical, metabolic, and psychosocial changes in patients with cancer, such as malnourishment due

2019 American Society of Clinical Oncology Guidelines

2940. Use of Endocrine Therapy for Breast Cancer Risk Reduction

of Medicine and Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 2 University of Kansas Medical Center, Kansas City, KS 3 Johns Hopkins School of Medicine, Baltimore, MD 4 University of Texas MD Anderson Cancer Center, Houston, TX 5 University of Washington, Seattle, WA 6 National Hospital E.O. Ospedali Galliera S.C. Oncologia Medica, Genoa, Italy; and Queen Mary University of London, United Kingdom 7 Cancer Care Specialists of Illinois, Swansea, IL 8 Dana-Farber Cancer Institute, Boston, MA (...) 9 Yale Cancer Center, New Haven, CT 10 Northwestern University Feinberg School of Medicine, Chicago, IL 11 University of Basel Nursing Science, Basel, Switzerland 12 Mayo Clinic Cancer Center, Rochester, MN 13 Cancer Care of Western North Carolina, Asheville, NC 14 Florida International University, Miami, FL 15 American Society of Clinical Oncology, Alexandria, VA Abstract Section: PURPOSE To update the ASCO guideline on pharmacologic interventions for breast cancer risk reduction and provide

2019 American Society of Clinical Oncology Guidelines

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