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61. Breast Cancer: Medication Use to Reduce Risk

-sensitive epithelial cells where breast cancer can develop. These medications have been approved by the US Food and Drug Administration for risk reduction of breast cancer. Aromatase inhibitors inhibit conversion of androgen to estrogen and can reduce risk of ER-positive breast cancer by decreasing the amount of estrogen available to bind to estrogen-sensitive epithelial cells. Aromatase inhibitors have been evaluated for risk reduction of breast cancer in clinical trials, although they are primarily (...) used for treatment rather than risk reduction of primary cancer. Aromatase inhibitors are not currently approved by the US Food and Drug Administration for risk reduction of primary breast cancer. This recommendations is consistent with the 2013 USPSTF recommendation. As before, the USPSTF recommends offering risk-reducing medications to women at increased risk for breast cancer and at low risk for adverse medication effects (B recommendation) and recommends against routine use of risk-reducing

2019 U.S. Preventive Services Task Force

62. Medical Emergencies - dyspnoea

decompression of the affected side, if suitably trained (refer to thoracic trauma guideline). Reassess degree of dyspnoea after treatment ADDITIONAL INFORMATION SpO2 level ? SpO2 levels 0.5cm and clinically meaningful improvement seen in changes >2.2cm. 18 VAS scales have been utilised in the pre-hospital ?eld to indicate the ef?cacy of different drug treatments. 19,20Dyspnoea Page 4 of 5 October 2006 Medical Emergencies In Adults Medical Emergencies in Adults Visual Analogue Scale GREATEST BREATHLESSNESS (...) NO BREATHLESSNESS Key Points – Dyspnoea ? Is breathlessness of respiratory, cardiac, both or other causes? ? Saturation levels of oxygen <95% are considered hypoxic. ? The visual analogue score is a useful indicator as to the level of dyspnoea and response to treatment. ? Oxygen therapy is essential in dyspnoeic patients; a diagnosis of COPD is not a contra- indication to its administration. REFERENCES 1 Frownfelter D, Ryan J. Dyspnea – Measurement and evaluation. Cardiopulmonary Physical Therapy Journal

2007 Joint Royal Colleges Ambulance Liaison Committee

63. Medical Emergencies - mental disorder

of the complaint is required. This should be carefully explored, with particular reference to previous mental health service involvement, prescription medication, the level of alcohol use and potential substance misuse. Details of the nature of the problem, the presence of hallucinations or delusions, whether visual or auditory, and the patient’s thoughts about their experiences and problems are key. Examination Physical illness can present as an apparent mental health problem and clinical examination (...) , these drugs can be taken orally or given by injection and are powerful tranquillizers. They can be used in acute situations to sedate, but are most frequently used in the medium to long- term management of disorders such as schizophrenia. Mental Disorder Medical Emergencies in Adults October 2006 Page 3 of 4Mental Disorder Page 4 of 4 October 2006 Medical Emergencies In Adults Medical Emergencies in Adults COMPULSORY ASSESSMENT, TREATMENT AND DETENTION USING THE MENTAL HEALTH ACT 1983 The principal series

2007 Joint Royal Colleges Ambulance Liaison Committee

64. The Geriatricians’ Perspective on Medical Services to Residential Aged Care Facilities (RCFs) in Australia.

Comprehensive Medical Assessments and Care Plans and assisting them with access to the multidisciplinary team enhancements and allied health funding. Multidisciplinary practice models that include a geriatrician, nurses, and allied health therapists, are the cornerstone of hospital and ambulatory geriatric medicine, and there is good evidence for the efficacy of this model in reducing decline in physical functioning. [54]. The Transition Care Program in Australia has allowed for the development (...) The Geriatricians’ Perspective on Medical Services to Residential Aged Care Facilities (RCFs) in Australia. Australian and New Zealand Society for Geriatric Medicine Position Statement No’s 9 and 10 The Geriatricians’ Perspective on Medical Services to Residential Aged Care Facilities (RCFs) in Australia. Revised August 2011 Companion paper regarding the NZ perspective to follow. 1. The demand for residential aged care in Australia continues to grow as the population ages. 2. Dementia, chronic

2020 Australian and New Zealand Society for Geriatric Medicine

65. The Provision of Medical Services to Residential Aged Care Facilities (RCF's) in Australia

The Provision of Medical Services to Residential Aged Care Facilities (RCF's) in Australia Australian and New Zealand Society for Geriatric Medicine Position Statement No’s 9 and 10 Provision of Medical Services to Residential Aged Care Facilities (RCFs) in Australia. Revised August 2011 Companion paper regarding the NZ perspective to follow 1. The demand for residential aged care in Australia continues to grow as the population ages. 2. Dementia, chronic illness, and physical disability (...) . There is a need for the establishment of a medical special interest group, dedicated to promoting high quality research and medical care for the residential care population, in which the Australian and New Zealand Society for Geriatric Medicine should have a major role. This body could progressively establish education and training requirements for recognition of competency in residential care medicine. This recognition could become an entitlement to a remuneration margin, thereby creating a competitive

2011 Australian and New Zealand Society for Geriatric Medicine

66. Update on COVID-19 epidemiology and impact on medical care in children: April 2020

) and underline the primary importance of meticulous environmental cleaning [ ] . Managing children and youth infected with symptomatic COVID-19 No treatment for COVID-19 is proven to be effective at the present time, and early reports from trials of hydroxychloroquine in adults have not demonstrated any beneficial effect on morbidity or mortality [ ] . Several Canadian universities, research centres, and medical organizations have recommended against using of off-label, investigational therapies (...) (PHAC) has suggested that wearing a non-medical mask can prevent spread of respiratory droplets from contaminating others or landing on surfaces. Both the PHAC and the American Academy of Pediatrics (AAP) have indicated that masks covering the nose and mouth can be used by adults and by children over 2 years of age in community settings, for short periods, when physical distancing measures cannot be taken [ ] [ ] . Remind patients that touching the mask is a risk factor for contamination of hands

2020 Canadian Paediatric Society

67. European Academy of Neurology guideline on the management of medication-overuse headache

headache to exam- ine the impact of a 3-week outpatient interdisciplinary program that included medical interventions address- ing long-term preventive medications, intravenous bridge therapies such as intravenous dihydroergo- tamine and optimization of acute migraine and head- ache management strategies. Outcome parameters were physical functioning and psychological impair- ment. Assessments of headache severity, psychological status and functional impairment were completed by 371 subjects (97.8 (...) - usual frequency during the initial withdrawal period without the fear of causing rebound MOH. The drugs proposed for the treatment of headache dur- ing withdrawal as a bridging therapy are those rec- ommended for the acute migraine attack, e.g. diphenhydramine [93], dihydroergotamine [94], anti- dopaminergic drugs (chlorpromazine, prochlorper- azine, metoclopramide, droperidol) [95-98], valproic acid [99], ketorolac [10], magnesium [11] or corticos- teroids [12,103]. Many medications have been

2020 European Academy of Neurology

68. Drugs - drug introduction

from: http://www.opsi.gov.uk/si/si1989/Uksi_1989019 2_en_1.htm. 2 HM Government. The Prescription Only Medicines (Human Use) Amendment Order 2003. Statutory Instrument 2003 No. 696: London: HMSO. Available from: http://www.opsi.gov.uk/si/si2003/20030696.htm 3 Joint Formulary Committee, editor. British National Formulary. 50th ed. London: British Medical Association and Royal Pharmaceutical Society of Great Britain, 2005. APPENDIX 1 – Some common abbreviations 4 ac ante cibum (before food) approx (...) Drugs - drug introduction Adrenaline (epinephrine) ADM/ADX Drugs October 2006 Page 1 of 2 Drugs Drug Introduction Drugs October 2006 Page 1 of 2 This section outlines the common drugs currently available for administration by Ambulance Clinicians (refer to speci?c drug protocols). Legal Considerations Drugs administered by Ambulance Clinicians fall into two categories: 1. non-prescription drugs such as aspirin 2. drugs under the Medicines Act 1968 1 designated prescription-only medicines (POMs

2007 Joint Royal Colleges Ambulance Liaison Committee

69. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition (Full text)

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition Guidelines for the Provision and Assessment of Nutrition Sup... : Pediatric Critical Care Medicine 1 mo and < 18 yr) critically ill patient expected to require a length of stay greater than 2 or 3 days in a PICU admitting medical, surgical, and cardiac patients. In total, 2,032 citations were (...) Medicine, to describe best practices in nutrition therapy in critically ill children. The target of these guidelines is intended to be the pediatric (> 1 mo and < 18 yr) critically ill patient expected to require a length of stay greater than 2 or 3 days in a PICU admitting medical, surgical, and cardiac patients. In total, 2,032 citations were scanned for relevance. The PubMed/Medline search resulted in 960 citations for clinical trials and 925 citations for cohort studies. The EMBASE search

2017 Society of Critical Care Medicine PubMed abstract

70. Mental wellbeing in over 65s: occupational therapy and physical activity interventions

Mental wellbeing in over 65s: occupational therapy and physical activity interventions Mental wellbeing in o Mental wellbeing in ov ver 65s: er 65s: occupational ther occupational therap apy and ph y and physical ysical activity interv activity interventions entions Public health guideline Published: 22 October 2008 nice.org.uk/guidance/ph16 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our (...) of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Mental wellbeing in over 65s: occupational therapy and physical activity interventions (PH16) © NICE 2018. All rights

2008 National Institute for Health and Clinical Excellence - Clinical Guidelines

71. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America

, and the patient's values, expectations, and preferences. However, we suggest that the rationale for significant departures from accepted guidelines be documented in the patient's medical records at the time the relevant clinical decision is made. METHODS Summary of Literature Search 37/7/2017 Pelvic Girdle Pain in the Antepartum Population: Physical T... : Journal of Women’s Health Physical Therapy http://journals.lww.com/jwhpt/Fulltext/2017/05000/Pelvic_Girdle_Pain_in_the_Antepartum_Population__.7.aspx 6/27 (...) Process and Reliability Each literary article was reviewed by 2 reviewers and required greater than 95% agreement among reviewers via Key Questions from the Evidence Based Physical Therapy for determination of article quality for the appropriate of level of evidence established by the Centers for Evidence­Based Medicine. If greater than 95% agreement was not achieved, a third reviewer was utilized for quality determination. Articles were considered “high quality” if they fulfilled greater than 75

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

72. MASAC Recommendations Regarding Physical Therapy Guidelines in Patients with Bleeding Disorders

MASAC Recommendations Regarding Physical Therapy Guidelines in Patients with Bleeding Disorders MASAC Recommendations Regarding Physical Therapy Guidelines in Patients with Bleeding Disorders | National Hemophilia Foundation Secondary menu Search form Search this site Search Main menu » » » » MASAC Recommendations Regarding Physical Therapy Guidelines In Patients With Bleeding Disorders PrintFriendly MASAC Recommendations Regarding Physical Therapy Guidelines in Patients with Bleeding Disorders (...) Date: November 13, 2015 ID: 238 Revisions: 222; 204 Attachment Size 129.19 KB 197.48 KB 173.03 KB 98.09 KB 191.99 KB 158.08 KB 116.41 KB 157.18 KB 271.89 KB Physical therapy is an important adjunct in the management of individuals with hemophilia and other inherited bleeding disorders. [1] Physical therapy is used to rehabilitate muscles and joints following acute soft tissue injuries and hemarthroses, chronic synovitis, and hemophilic arthritis. In addition, physical therapy is critical to pre

2015 National Hemophilia Foundation

73. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American (Full text)

the Evidence Based Physical Therapy for determination of article quality for the appropriate of level of evidence (I-V) established by the Centers for Evidence-Based Medicine and grades of evidence for strength according to the guidelines of Guyatt et al and modified by Law and MacDermid (A-F). Results: A total of 105 references were included and the following recommendations were found with evidence. The evidence is moderate to strong for identification of risk factors, clinical course, diagnosis (...) Appraisal Process and Reliability Each literary article was reviewed by 2 reviewers and required greater than 95% agreement among reviewers via Key Questions from the Evidence Based Physical Therapy for determination of article quality for the appropriate of level of evidence established by the Centers for Evidence-Based Medicine. If greater than 95% agreement was not achieved, a third reviewer was utilized for quality determination. Articles were considered “high quality” if they fulfilled greater than

2017 American Physical Therapy Association PubMed abstract

74. Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association (Full text)

Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association | Physical Therapy | Oxford Academic ') We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can (...) change your cookie settings at any time. Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term Close search filter search input Article Navigation Close mobile search navigation Article Navigation July 2017 Article Contents Article Navigation Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association Kimberly Levenhagen K. Levenhagen, PT, DPT, Saint Louis University, Doisy College

2017 American Physical Therapy Association PubMed abstract

75. Physical Therapy Evaluation and Treatment After Concussion/Mild Traumatic Brain Injury

have ex- perienced a concussive event for mental health, cognitive impairment, and other potential coinciding diagnoses and refer for additional evaluation and services as indicated. F For patients not deemed appropriate for a comprehen- sive physical therapy examination (ie, those who present with severe mental health concerns or health conditions that re- quire medical clearance prior to comprehensive physical exam- ination), physical therapists should provide education regarding concussion (...) , of the practice of physical therapists • Provide information for payers and claims reviewers re- garding the practice of physical therapy for common neu- rologic and musculoskeletal conditions • Create a reference publication for physical therapy clini- cians, academic instructors, clinical instructors, students, interns, residents, and fellows regarding the best current practice of physical therapy STATEMENT OF INTENT This CPG is not intended to be construed or to serve as a standard of medical care

2020 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

76. Clinical Appropriateness Guidelines: Radiation Oncology Brachytherapy, intensity modulated radiation therapy (IMRT), stereotactic body radiation therapy (SBRT) and stereotactic radiosurgery (SRS) treatment guidelines

), stereotactic radiosurgery (SRS) or intraoperative radiation therapy (IORT). Special physics consult, CPT ® code 77370, describes work performed by a qualified medical physicist to address a specific question or problem related to a complex radiation therapy plan. This only applies when the query to the physicist is beyond the scope of the routine physics work effort associated with radiation therapy planning and delivery. In response to a physician request, the physicist prepares a customized written (...) consuming plan required) Special physics consult is indicated when requested by physician for any one of the following: ? Brachytherapy ? Fusion of multiple image sets (CT, MRI, PET) when performed by the medical physicist ? Dosimetric analysis of previous radiation field overlapping or abutting current field ? Analysis of dose to a fetus ? Analysis of dose to a pacemaker ? Stereotactic radiosurgery (SRS) or stereotactic body radiation therapy (SBRT) with report of dosimetric parameters and specific

2018 AIM Specialty Health

77. Integrating collaborative TB and HIV services within a comprehensive package of care for people who inject drugs

for people who inject drugs | Consolidated Guidelines II. Definition of key terms People who inject drugs (PWID) refers to people who inject psychotropic (or psychoactive) substances for non- medical purposes. These drugs include opioids, amphetamine-type stimulants, cocaine, hypnotics/sedatives and hallucinogens. Injection may be through intravenous, intramuscular or subcutaneous routes. The definition does not include people who self-inject medicines for medical purposes, or individuals who self-inject (...) services within a comprehensive package of care for people who inject drugs | Consolidated Guidelines I. Acronyms AIDS acquired immunodeficiency syndrome APRI aminotransferase/platelet ratio index ART antiretroviral therapy ASSIST Alcohol, Smoking and Substance Involvement Screening T est CHB chronic hepatitis B CI confidence interval CPT co-trimoxazole preventive therapy DAA direct-acting antiviral (drug) DIH drug-induced hepatotoxicity DNA deoxyribonucleic acid FIB-4 Fibrosis-4 score GRC Guideline

2016 World Health Organisation HIV Guidelines

78. BAP guidelines on the management of weight gain, metabolic disturbances and cardiovascular risk associated with psychosis and antipsychotic drug treatment

weight risk (Roffeei et al., 2014). These genetic factors associated with drug-induced weight gain and its metabolic consequences provide clues as to the underlying mechanisms, and in the future may provide opportu- nities for personalised medicine in the predictive assessment of metabolic risk with antipsychotic drug treatment. Antipsychotic medications and diabetes. One aspect of the metabolic pathology of schizophrenia is a two-fold increase in diabetes. The aetiology of this is complex (...) weight gain and diabetes. Weight gain also reinforces service users’ negative views of themselves and is a factor in poor adherence with treatment. Monitoring of relevant physical health risk factors is frequently inadequate, as is provision of interventions to modify these. These guidelines review issues surrounding monitoring of physical health risk factors and make recommendations about an appropriate approach. Overweight and obesity, partly driven by antipsychotic drug treatment, are important

2016 British Association for Psychopharmacology

79. Controlled drugs in peri-operative care

/competency/safe use of controlled drugs by theatre staff. • Medication Safety Officer/Medical Device Safety Officer o The CQC checks whether there is a medication safety officer appointed to link with the theatre team and the CDAO/pharmacy team around safe use of medicines and devices. • Implementation of relevant legislation and guidance o Whether the organisation’s controlled drugs policy takes account of relevant legislation, alerts and national guidance.7 Association of Anaesthetists | Controlled (...) -butyrolactone, which is not scheduled due to wide use in industry) are listed in one of five schedules to the regulations, based on an assessment of their medical therapeutic usefulness together with their potential harm when misused. Schedule 1 covers drugs that have no therapeutic value and are mainly used for research under a Home Office licence. Schedule 2 controlled drugs are subject to the greatest restrictions and Schedule 5 the least. Human medicines only contain controlled drugs in Schedules 2, 3

2019 Association of Anaesthetists of GB and Ireland

80. Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations (Full text)

Term Close search filter search input Article Navigation Close mobile search navigation Article Navigation January 2018 Article Contents Article Navigation Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations Charles E Argoff, MD Department of Neurology, Albany Medical Center, Albany, New York Search for other works by this author on: Daniel P Alford, MD, MPH Department of Medicine, Boston University School of Medicine and Boston Medical Center (...) . Clinicians should also be aware of relevant state mandates, regulations, and guidelines [ ]; descriptions of UDM requirements by state are available from state medical boards and the AAPM website ( ). Question 2: How Should Patients Undergoing UDM Be Stratified for Opioid Misuse Risk? Expert Panel Recommendations To guide UDM frequency, assess and stratify patients who are prescribed opioid therapy for chronic pain with the following strategies: Perform a physical examination and obtain relevant patient

2018 American Academy of Pain Medicine PubMed abstract

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