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81. Faltering growth: recognition and management of faltering growth in children

://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 4 of 23Recommendations Recommendations People have the right to be involved in discussions and make informed decisions about their care, as described in your care. Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off-label use), professional guidelines, standards and laws (including on consent and mental capacity (...) direct observation of feeding, consider whether any of the following are contributing to faltering growth in milk-fed infants: ineffective suckling in breastfed infants ineffective bottle feeding feeding patterns or routines being used the feeding environment feeding aversion parent/carer–infant interactions how parents or carers respond to the infant's feeding cues physical disorders that affect feeding. 1.2.11 Based on the feeding history and any direct observation of mealtimes, consider whether

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

82. Management of COPD exacerbations: a European Respiratory Society/American Thoracic Society guideline

Respiratorias (CIBERES), Barcelona, Spain For correspondence: John R. Hurst UCL Respiratory, University College London, London, UK Peter M.A. Calverley Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK Richard K. Albert Dept of Medicine, University of Colorado, Denver, Aurora, CO, USA Antonio Anzueto University of Texas Health Science Center and South Texas Veterans Health Care System, San Antonio, TX, USA Gerard J. Criner Dept of Thoracic Medicine and Surgery, Lewis Katz (...) School of Medicine at Temple University, Philadelphia, PA, USA Alberto Papi Respiratory Medicine, Dept of Medical Sciences, University of Ferrara, Ferrara, Italy Klaus F. Rabe Dept of Internal Medicine, Christian-Albrechts University, Kiel and LungenClinic Grosshansdorf, Airway Research Centre North, German Centre for Lung Research, Grosshansdorf, Germany David Rigau Iberoamerican Cochrane Center, Barcelona, Spain Pawel Sliwinski 2nd Dept of Respiratory Medicine, Institute of Tuberculosis and Lung

2017 European Respiratory Society

83. Canadian guidelines for controlled pediatric donation after circulatory determination of death-summary report

Canadian guidelines for controlled pediatric donation after circulatory determination of death-summary report Canadian Guidelines for Controlled Pediatric Donation After... : Pediatric Critical Care Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free (...) . Toggle navigation Articles & Issues For Authors Journal Info > > Canadian Guidelines for Controlled Pediatric Donation After... Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Pediatric Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request

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2017 CPG Infobase

84. Responding to large-scale traumatic events and acts of terrorism

- mation should also be made available to the family members of those directly affected by the incident (for example, the leaflet produced by Royal College of Psychiatrists (2014)). 4 The UK government should implement an evidence-based ‘screen and treat’ approach (Royal College of Psychiatrists, 2014) a suitable period (such as a few months) after the event, as people frequently do not seek help. This is in line with the drive to achieve parity of esteem between mental and physical health as most (...) - dence-based approaches for preparing emergency responders for the psychological effects of their work and supporting them become part of routine practice (Greenberg, 2013; Hunt et al, 2013).5 Royal College of Psychiatrists r eferences Brewin CR, Fuchkan N, Huntley Z, et al (2010) Outreach and screening following the 2005 London bombings: usage and outcomes. Psychological Medicine, 40: 2049–57. Greenberg N (2013) Fostering resilience across the deployment cycle. In Building Psycho- logical Resilience

2016 Royal College of Psychiatrists

85. Counter-terrorism and psychiatry

://www.rcpsych.ac.uk those found to carry out such acts may have experienced physical and mental health problems. Current tools and methodologies should be viewed with considerable caution. There is a temptation to misuse them, and they should be used primarily to structure assessments in the context of the Vulnerability Assessment Framework (HM Government, 2012). Methodologies that aim to forecast rare events, such as acts of terror, yield consistently poor results. We do not know what the base-rates (...) ) Prevent: Training Catalogue. TSO (The Stationery Office). Lyons HA, Harbinson HJ (1986) A comparison of political and non-political murderers in Northern Ireland 1974–1984. Medicine, Science and the Law, 26: 193–8. Mental Health Taskforce (2016) The Five Year Forward View for Mental Health. Mental Health Taskforce. Merari A (2010) Driven to Death: Psychological and Social Aspects of Suicide Terrorism. Oxford University Press. Monahan J (2012) The individual risk assessment of terrorism. Psychology

2016 Royal College of Psychiatrists

86. Psychiatric reports: preparation and use in cases involving asylum, removal from the UK or immigration detention

the psychiatrist’s expertise; z that the psychiatrist will not treat the applicant for any illness following the completion of the report but may, with consent, speak or write to their GP about treatment for physical or mental health problems. Family members The psychiatrist may find it valuable to speak pri - vately with the applicant’s family members, but should be aware of cultural taboos and of the need The interviewCollege Report 199 10 for informed consent. In general, family members should not be present (...) if there were none. Where discrepancies arise, they should be noted and described. Trying to resolve the discrepancy is not generally the function of the psychiatrist’s report, but if noted and explored it provides an opportunity to discuss the impact 2 ‘… it was not for the doctor to reach an overall conclusion on the credibility or otherwise of the victim’s account. The most that any doctor could say was the physical and psychological condition of an appellant was consistent with her story.’ HH (Ethiopia

2016 Royal College of Psychiatrists

87. Position paper on requirements for toxicological studies in the specific case of radiopharmaceuticals

Position paper on requirements for toxicological studies in the specific case of radiopharmaceuticals POSITION PAPER Open Access Position paper on requirements for toxicological studies in the specific case of radiopharmaceuticals J. Koziorowski 1* , M. Behe 2 , C. Decristoforo 3 , J. Ballinger 4 , P. Elsinga 5 , V. Ferrari 6 , P. Kolenc Peitl 7 , S. Todde 8 and T. L. Mindt 9* * Correspondence: jacek.koziorowski@regionostergotland. se; t.mindt@gmx.ch 1 Department of Radiation Physics (...) and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden 9 University of Basel Hospital, Radiopharmaceutical Chemistry, 4031 Basel, Switzerland Full list of author information is available at the end of the article Abstract This is a position paper of the Radiopharmacy Committee of the EANM (European Association of Nuclear Medicine) addressing toxicology studies for application of new diagnostic and therapeutic radiopharmaceuticals (RP) that are not approved (i.e., not having

2016 European Association of Nuclear Medicine

88. Guidelines on autopsy practice: Fetal autopsy (2nd trimester fetal loss and termination of pregnancy for congenital anomaly)

of genetic disease and to allow determination of the likely recurrence risk · provide pathology input for local perinatal mortality, fetal medicine or clinical genetics review meetings · provide information for audit purposes (e.g. antenatal diagnosis, pregnancy and intrapartum care) · provide information for national clinical outcome review programmes and local or national congenital malformation registers. 3 Pathology encountered at autopsy · Amniotic infection sequence · Oligohydramnios · Growth (...) of the HTA s Code of Practice: Code A: Guiding Principles and the Fundamental Principle of Consent. 7 · The autopsy consent form should be compliant with the model Consent form for perinatal post mortem developed by SANDS, the stillbirth and neonatal death charity, in consultation with the HTA. 8 · The pathologist performing the autopsy must see the completed consent form, either as a physical copy or electronically, before commencing the autopsy. Any limitations on the scope of the autopsy must

2017 Royal College of Pathologists

89. Guidelines on the management of abnormal liver blood tests

College of General Practice, British Society of Gastrointestinal and Abdominal Radiologists (BSGAR) and Society of Acute Medicine. The quality of evidence and grading of recommendations was appraised using the AGREE II tool. These guidelines deal specifically with the management of abnormal liver blood tests in children and adults in both primary and secondary care under the following subheadings: (1) What constitutes an abnormal liver blood test? (2) What constitutes a standard liver blood test panel (...) -invasive assessment, such as Fibrosis-4 (FIB-4) 49 or NAFLD Fibrosis Score (NFS), 50 is undertaken to identify patients with advanced fibrosis (Table 3). Patients with a low FIB-4 ( 65 years) or low NFS ( 65 years) can be managed in primary care. 51 Presently, the mainstay of treatment for NAFLD is to reduce calorie intake and increase physical activity with the aim of inducing gradual and long-term weight loss (see figures 1 and 2). Those patients with indeterminate FIB-4 (1.3–3.25) or NFS scores

2017 British Society of Gastroenterology

90. Guidelines on autopsy practice: Autopsy in sickle cell disease and persons with sickle trait

number G159 Document name Guidelines on Autopsy Practice: Autopsy in sickle cell disease and persons with sickle trait Version number 2 Produced by The specialist content of this guideline has been produced by Professor Sebastian Lucas (Consultant Histopathologist at Guy s and St Thomas NHS Foundation Trust and Emeritus Professor of Pathology at King s College London School of Medicine) and Dr Juliet Raine (Specialty Trainee in Histopathology, Guy s and St Thomas NHS Foundation Trust) Date active (...) , Lee E, de la Fuente J. Hyperhaemolysis syndrome in sickle cell disease: case report (recurrent episode) and literature review. Transfusion 2008;48:1231 1238. 19 Biedrzycki O, Bevan, Lucas S. Fatal overdose due to prescription fentanyl patches in a patient with sickle cell/ -thalassaemia and acute chest syndrome. Am J Forensic Med Pathol 2009;30:188 190. 20 Kark JA, Posey DM, Schumacher HR, Ruehle CJ. Sickle cell trait as a risk factor for sudden death in physical training. N Engl J Med 1987;317

2017 Royal College of Pathologists

91. Administration of Blood Components

Administration of Blood Components The administration of blood components: a British Society for Haematology Guideline - Robinson - 2018 - Transfusion Medicine - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term The full text of this article hosted at iucr.org is unavailable due to technical difficulties. GUIDELINES Free Access The administration of blood components: a British Society (...) cells, platelets, fresh‐frozen plasma (FFP), cryoprecipitate or granulocytes], whereas blood products are derived from the whole blood or plasma [e.g. solvent detergent (SD)‐FFP, albumin and anti‐D immunoglobulin] and are classed as medicinal products. Blood components are excluded from the legal definition of medicinal products (The Human Medicines Regulations, ) and must be ‘authorised’ rather than ‘prescribed’ (Pirie & Green, ). Because SD‐FFP is classed as a product, it must therefore

2017 British Committee for Standards in Haematology

92. Summary of the development process and methodology for the investigation of a new breast symptom GP card

Green Representative, Breast Surgeons of Australia and New Zealand St Andrews War Memorial Hospital, QLD Member Ms Alysia Kepert Consumer Representative, Breast Cancer Network Australia WA Member Ms Christine Mitchell Consumer Representative, Breast Cancer Network Australia NSW Member Dr Jenny O’Sullivan Representative, Australasian Society of Breast Physicians Northern Breast Care, NSW Member Dr Dagmara Poprawski Representative, Australian College of Rural and Remote Medicine Lyell McEwin Hospital (...) for the investigation of a new breast symptom and a new nipple discharge were updated to reflect the new INBS guide content. Expert review and endorsement The updated INBS guide was reviewed and endorsed by: ? The Australian College of Rural and Remote Medicine ? Breast Cancer Network Australia ? Breast Surgeons of Australia and New Zealand ? The Royal Australian and New Zealand College of Radiologists ? The Royal College of Pathologists of Australasia The updated INBS Guide was also reviewed and approved

2017 Cancer Australia

93. Canadian guideline on HIV pre-exposure prophylaxis and nonoccupational postexposure prophylaxis

, respectively. 6 National data on HIV incidence among sex workers and their cli- ents are scarce, perhaps in part because sex work is criminalized in Canada; as such, this guideline should be applied to these indi- viduals based on the presence of other risk factors. We adopted a client perspective, as our primary intended audi- ence is clinicians working in primary care, infectious diseases, emergency medicine, nursing, pharmacy and related disciplines. GUIDELINE Canadian guideline on HIV pre-exposure (...) of Health Research and in- kind support from the CIHR Canadian HIV Trials Network. We fol- lowed the GRADE (Grading of Recommendation, Assessment, Development and Evaluation) system, a rigorous and widely accepted methodology for the development of clinical practice guidelines (Box 1). We first assembled a panel of 25 experts from across Canada who represent diverse disciplines (infectious diseases, primary care, emergency medicine, public health, pharmacy, nursing, community), with invitations from

2017 CPG Infobase

94. Frailty in Older Adults - Early Identification and Management

with the patient and/or family/caregivers/representatives, and with other key care providers. Initiate advance care planning discussions for patients with frailty or vulnerable to frailty. Definition Frailty is broadly seen as a state of increased vulnerability and functional impairment caused by cumulative declines across multiple systems. 1–4 Frailty has multiple causes and contributors 5 and may be physical, psychological, social, or a combination of these. Frailty may include loss of muscle mass (...) /concerns inappropriate behaviour irregular sleep patterns Functional: declining functional status* immobility* recent fall(s)* , fear of falling impaired balance fatigue or loss of energy reduced physical activity/endurance Medications and alcohol: susceptibility to medication side effects* polypharmacy related issues increased alcohol consumption Social and environmental: social isolation transition in living circumstances change in family/caregiver support caregiver stress Frailty Scoring Tools

2017 Clinical Practice Guidelines and Protocols in British Columbia

95. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock

Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock Surviving Sepsis Campaign: International Guidelines for Man... : Critical Care Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free account Registered users can (...) & Issues Collections For Authors Journal Info > > Surviving Sepsis Campaign: International Guidelines for Man... Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Critical Care Medicine. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time

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2016 European Respiratory Society

96. Influencing best practice in breast cancer

of Australia and New Zealand, the Clinical Oncology Society of Australia, the Australian College of Rural and Remote Medicine, Cancer Australia’s breast Cancer Advisory group and breast Cancer Network Australia. Cancer Australia sourced relevant national and international clinical guidelines, publications and position statements to develop a list of potential breast cancer practices, with additional practices nominated by the breast Cancer Expert group. Criteria for inclusion of practices on the list were (...) of Clinical pathology. 2007;60(11):1277-83. Mann gb, f ahey Vd, f eleppa f, buchanan MR. Reliance on hormone receptor assays of surgical specimens may compromise outcome in patients with breast cancer. Journal of Clinical Oncology. 2005;23(22):5148-54. Nkoy fL, Hammond ME, Rees W, et al. Variable specimen handling affects hormone receptor test results in women with breast cancer: a large multihospital retrospective study. Archives of pathology and Laboratory Medicine. 2010;134(4):606-12. Royal College

2016 Cancer Australia

97. Planning, initiation & withdrawal of Renal Replacement Therapy

Planning, initiation & withdrawal of Renal Replacement Therapy - 1 - CLINICAL PRACTICE GUIDELINE Planning, Initiating and Withdrawal of Renal Replacement Therapy UK Renal Association 6 th Edition Final Version (based on literature up to Feb 2013) Graham Warwick, Consultant Nephrologist Andrew Mooney, Consultant Nephrologist Lynne Russon, Consultant in Palliative Medicine, Rebecca Hardy, SpR in Nephrology Posted at www.renal.org/guidelines Please check for updates Please send feedback (...) to perform as much self-care as possible and be engaged in all aspects of their treatment including medicines management and changes in diet and lifestyle (2B). Audit measures 1. Proportion of incident patients on UK transplant waiting list at RRT initiation 2. Proportion of incident RRT patients transplanted pre-emptively from living donors and deceased donors 3. eGFR at time of pre-emptive transplantation 4. Proportion of incidents patients commencing peritoneal or home haemodialysis - 16 - Rationale

2014 Renal Association

98. Vascular Access for Haemodialysis

“mature” or “usable” by experienced dialysis or vascular access nurse. The combination of these parameters has a 95% chance for successful use of AVF for dialysis (13). AVF stenosis is suspected if there is a palpable pulse at the arterial end with a faint thrill or there is failure of AVF to collapse with arm elevation or a discontinuous thrill and change of the character of bruit. Swelling and prominent venous collaterals may indicate AVF stenosis. Physical examination performed by skilled staff may (...) reach a positive predictive value of stenosis as high as 70-90% for AVG and 90% specificity 17 and 38% sensitivity in AVF, in a study of 177 patients referred with dysfunctional AVF, there was a moderate correlation of physical examination and angiographic examination for AVF inflow stenosis (? = 0.49), outflow stenosis (? = 0.58) and thrombosis (? = 0.52) (14). Physical examination of vascular access to determine whether or not there are clinical signs to suggest the presence of access dysfunction

2015 Renal Association

99. ABCD position statement on standards of care for management of adults with type 1 diabetes

Wilmott Marc Atkin PratiK Choudhury 2 Contents Introduction 1. Diagnosis of type 1 diabetes 1.1 Criteria for diagnosis of diabetes 1.2 Differentiating between type 1 and type 2 diabetes 1.3 Immediate treatment 1.4 Autoimmune conditions associated with type 1 diabetes 2. Initial management 2.1 Education 2.2 Nutritional advice 2.3 Physical activity and exercise 3. Follow up consultations and ongoing support 3.1 Consultation process 3.2 Annual review 3.3 Psychological support 4. Treatment, targets (...) . ? Delivered by trained educators 9 ? Quality assurance with regular audit NB. Many people require regular educational updates; the need for further education should be reviewed annually 2.2 Nutritional advice Individualised nutritional advice, delivered by a specialist dietitian, should include carbohydrate counting and healthy eating, taking into account individual cardiovascular risk, need for weight control, alcohol management. 2.3 Physical activity and exercise Recommendations for physical activity

2017 Association of British Clinical Diabetologists

100. WHO recommendations on child health

on symptom-based screening and have no contact with a TB case should receive 6 months of IPT (10 mg/kg/day) as part of a comprehensive package of HIV prevention and care (strong recommendation, moderate-quality evidence). Source 10. NON-COMMUNICABLE DISEASES PREVENTION Physical activity ¦ ¦ Children and young people aged 5–17 years old should accumulate at least 60 minutes of moderate- to vigorous-intensity physical activity daily. Physical activity of amounts greater than 60 minutes daily will provide (...) additional health benefits. Most of daily physical activity should be aerobic. Vigorous-intensity activities should be incorporated, including those that strengthen muscle and bone, at least three times per week. (Strong recommendation, high quality evidence.) Source NEW Sugar Intakes ¦ ¦ WHO recommends a reduced intake of free sugars throughout the lifecourse (strong recommendation). — In both adults and children, WHO recommends reducing the intake of free sugars to less than 10% of total energy intake

2017 World Health Organisation Guidelines

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