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41. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults: an AUA/SUFU Guideline

Number 187 titled Treatment of Overactive Bladder in Women (2009).1 That report searched PubMed, MEDLINE, EMBASE, and CINAHL for English-language studies published from January 1966 to October 2008 relevant to OAB. AUA conducted additional literature searches to capture treatments not covered in detail by the AHRQ report (e.g., intravesical onabotulinumtoxinA) and relevant articles published between October 2008 and December 2011. The review yielded an evidence base of 151 treatment articles after (...) of medicine. Section 2: Methodology The primary source of evidence for the first version of this guideline was the systematic review and data extraction conducted as part of the AHRQ Evidence Report/Technology Assessment Number 187 titled Treatment of Overactive Bladder in Women (2009). 1 That report, prepared by the Vanderbilt University Evidence-Based Practice Center (EPC), searched PubMed, MEDLINE, EMBASE and CINAHL for English- language studies published from January 1966 to October 2008 relevant

2019 American Urological Association

42. Sudden Hearing Loss Full Text available with Trip Pro

obtain, or refer to a clinician who can obtain, audiometry as soon as possible (within 14 days of symptom onset) to confirm the diagnosis of sudden sensorineural hearing loss. (KAS 6) Clinicians should evaluate patients with sudden sensorineural hearing loss for retrocochlear pathology by obtaining magnetic resonance imaging or auditory brainstem response. (KAS 10) Clinicians should offer, or refer to a clinician who can offer, intratympanic steroid therapy when patients have incomplete recovery from (...) for modifying factors is emphasized. KAS 3—The word “routine” is added to clarify that this statement addresses nontargeted head computerized tomography scan that is often ordered in the emergency room setting for patients presenting with sudden hearing loss. It does not refer to targeted scans, such as temporal bone computerized tomography scan, to assess for temporal bone pathology. KAS 4—The importance of audiometric confirmation of hearing status as soon as possible and within 14 days of symptom onset

2019 American Academy of Otolaryngology - Head and Neck Surgery

43. Screening and Management of Bleeding Disorders in Adolescents With Heavy Menstrual Bleeding

, even without anemia, are associated with fatigue and decreased cognition specifically affecting verbal learning and memory ( ). Adolescents with heavy bleeding may have impaired school attendance and performance, decreased participation in sports, and may present with symptoms of depressed mood or anxiety ( ). Evaluation and Diagnosis The evaluation of an adolescent with a bleeding disorder includes a thorough medical history and physical examination, as well as appropriate laboratory and imaging (...) identifies a clot or decidual cast. The therapeutic effect of dilation and curettage for the management of AUB is thought to be its facilitation of the removal of structurally fragile bleeding endometrium, allowing for restoration of normal hemostatic events with regeneration of the integrity of the endometrium and restoration of the normal proliferation response ( ). Concomitant hysteroscopy may be of value for those patients in whom intrauterine pathology is suspected or if a tissue sampling is desired

2019 American College of Obstetricians and Gynecologists

44. Incontinence after Prostate Treatment

treatment should be informed of management options for their incontinence, including surgical and non-surgical options. (Clinical Principle) 13. In patients with incontinence after prostate treatment, physicians should discuss risk, benefits, and expectations of different treatments using the shared decision-making model. (Clinical Principle) 14. Prior to surgical intervention for stress urinary incontinence, cystourethroscopy should be per formed to assess for urethral and bladder pathology that may (...) floor muscle group that is self-guided as a home exercise program only. The patient may have learned the program through patient education literature or with a single basic instruction session from an appropriate practitioner. Pelvic floor muscle training (PFMT) is defined as a training program specific to the pelvic floor muscle group that is practitioner guided. Typically, PMFT will consist of individualized pelvic floor muscle awareness training using verbal, tactile, and/or visual feedback along

2019 American Urological Association

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

presenting with a headache complaint underwent imaging, with up 75 to 5.5% of this imaged group receiving a significant pathologic diagnosis. 2 More recent data have demonstrated up 76 to 31% of headache patients require neuroimaging. 3 Given the potentially complex and often undifferentiated 77 clinical presentation of headache in the acute setting, emergency physicians must determine which patients need 78 neuroimaging in the ED and which can be appropriately referred for evaluation in the outpatient (...) ), or digital subtraction angiography (DSA). In 93 contrast to MRI, CT scans expose the patient to radiation, delivering a dose of approximately 2 mSV compared 94 with the exposure with one chest radiograph of 0.02 mSV. 95 This policy focuses on the ED evaluation and treatment of nontraumatic headaches with an acute onset that 96 is not consistent with an ongoing chronic disease process. Although there are multiple potential pathologic causes 97 of acute headache onset, a disproportionate amount

2019 American College of Emergency Physicians

46. National Early Warning Score

staff to request a medical review at specific trigger points (Mitchell et al., 2010) utilising a structured communication tool while following a definitive escalation plan. Adopting a National Early Warning Score (NEWS) is beneficial for standardising the assessment of acute illness severity, enabling a more timely response using a common language across acute hospitals nationally. 1.2 How Early Warning Scores work in practice Patient’s vital signs (blood pressure, pulse, respirations etc (...) the elements of this National Clinical Guideline. Consistent use of a NEWS ensures standardisation in the assessment of acute illness severity, enabling a more timely response using a common language across acute hospitals nationally. “This will ensure that severity of illness and the rate of clinical deterioration can be explicitly stated and understood throughout the entire Irish hospital service. This will facilitate the early detection and transfer of patients who are likely to deteriorate. The NEWS

2019 National Clinical Guidelines (Ireland)

47. Determination of Gestational Age by Ultrasound

for aneuploidy. A national algorithm for the assignment of gestational age may reduce practice variations across Canada for clinicians and researchers. Potential harms include the possible reassignment of dates when significant fetal pathology (such as fetal growth restriction or macrosomia) result in a discrepancy between ultrasound biometric and clinical gestational age. Such reassignment may lead to the omission of appropriate—or the performance of inappropriate—fetal interventions. Summary Statements 1 (...) of these contents may be reproduced in any form without prior written permission of the publisher. All people have the right and responsibility to make informed decisions about their care in partnership with their health care providers. In order to facilitate informed choice, patients should be provided with information and support that is evidence-based, culturally appropriate and tailored to their needs. This guideline was written using language that places women at the centre of care. That said, the SOGC

2019 Society of Obstetricians and Gynaecologists of Canada

48. Diagnosis, staging and treatment of patients with oesophageal or oesophagogastric junction cancer

social worker for psychological support. • Patients with oesophageal/OGJ cancer should have access to a Clinical Nurse Specialist (CNS) as a single point of contact to co-ordinate patient education and care requirements that impact on quality of life. • Post-treatment referral to a speech and language therapist should be considered for patients with oesophageal/OGJ cancer. Summary of Budget Impact Analysis Subgroup Cost of implementation Radiology €513,836 Pathology €0 Surgery & Gastroenterology (...) ) Pathology Dr Cian Muldoon Consultant Histopathologist, SJH Writing member Professor Elaine Kay Consultant Histopathologist, BH Writing member Dr Ciara Ryan Consultant Histopathologist, SJH Writing member Dr Stephen Finn Consultant Histopathologist, SJH Contributor (until February 2015) Surgery Mr Will Robb Consultant Surgeon, BH Contributor Mr Narayanasamy Ravi Consultant Surgeon, SJH Writing member Mr Raymond Kennedy Consultant Surgeon SJH Contributor (until February 2015) Dr Claire Donohue Surgical

2019 National Clinical Guidelines (Ireland)

49. Diagnosis, staging and treatment of patients with Gestational Trophoblastic Disease

benefit and discouragement of ineffective ones, and • Improvements in the consistency and standard of care. 1.2 Clinical and financial impact of GTD The diagnosis, staging, and treatment of patients with GTD requires multidisciplinary care in an acute hospital setting. The majority of patients will require diagnostic tests (radiology, pathology) and depending on the treatment plan may require surgery and chemotherapy. A recent population-based cost analysis (Luengo-Fernandez et al., 2013) illustrated (...) Diagnosis 2.2.1.1 The histological assessment of material obtained from the medical or surgical management of all failed pregnancies (if available) is recommended to exclude trophoblastic disease (Grade D). 2.2.2.1 Ultrasound examination is helpful in making pr e-evacuation diagnosis but the definitive diagnosis is made by histological examination of the products of conception (Grade C). 2.2.3.1 It is recommended that in all cases of suspected molar pregnancy, the preliminary pathology report should

2015 Health Service Executive (Ireland) - Clinical Guidelines

50. National Clinical Guideline for the Diagnosis, Staging and Treatment of Prostate Cancer

Consultant Urologist Chairperson – Guideline Development Group Dr. Barbara Dunne Consultant Histopathologist Chairperson – Pathology Guideline Subgroup Dr. Brian O’Neill Consultant Radiation Oncologist Chairperson – Radiation Oncology Guideline Subgroup Dr. Jerome Coffey Interim National Director – National Cancer Control ProgrammeTable of Contents Section 1: Background 7 1.1 The rationale for a National Clinical Guideline 8 1.2 Clinical and financial impact of pr ostate cancer 8 1.3 Objectives (...) Summary of clinical recommendations 17 2.2 Defining risk categories 21 2.3 Radiology and diagnosis 22 2.4 Pathology 31 2.5 Active surveillance 49 2.6 Surgery 57 2.7 Medical oncology 62 2.8 Radiation oncology 72 2.9 Palliative care 81 2.10 Recommendations for research 83 Section 3: Appendices 85 Appendix 1: Epidemiology of prostate cancer 85 Appendix 2: NCCP Guideline Development Group membership 89 Appendix 3: NCCP Guideline Steering Group membership 91 Appendix 4: Clinical questions in PICO format 92

2015 Health Service Executive (Ireland) - Clinical Guidelines

51. The fetus at risk for anemia- diagnosis and management

-based guidelines for the diagnosis and management of fetal anemia. METHODS: A systematic literature review was performed using MEDLINE, PubMed, EMBASE, and the Cochrane Library. The search was restricted to English-language articles published from 1966 through May 2014. Priority was given to articles report- ing original research, in particular randomized controlled trials, although review articles and commentaries were consulted. Abstracts of research presented at symposia and scienti?c conferences (...) of the contribution ofdonorbloodgivenaspartoftheinitial intrauterine transfusion. As an alterna- tive, if the posttransfusion hematocrit is knownorcanbeestimated,thetimingof the next transfusion can be calculated using the expected decline in fetal he- matocrit. Subsequent to a second trans- fusion, the intertransfusion interval should be individualized based on the underlying pathology, fetal condition, and posttransfusion fetal hematocrit rather than MCA-PSV thresholds. What is the appropriate timing

2015 Society for Maternal-Fetal Medicine

52. Nonimmune hydrops fetalis

Nonimmune hydrops fetalis Society for Maternal-Fetal Medicine (SMFM) Clinical Guideline #7: nonimmune hydrops fetalis Society for Maternal-Fetal Medicine (SMFM); Mary E. Norton, MD; Suneet P. Chauhan, MD; and Jodi S. Dashe, MD H ydrops fetalis is a Greek term that describes pathological ?uid (“?dur,”Greekforwater)accumulation in fetal soft tissues and serous cavities. The features are detected by ultrasound, and are de?ned as the presence of 2 abnormal ?uid collections in the fetus (...) , followed by structural fetal anomalies, complications of twinning, infection, and placental abnormalities. We sought toprovideevidence-basedguidelinesfortheevaluationandmanagementofnonimmune hydrops fetalis. METHODS: A systematic literature review was performed using MEDLINE, PubMed, EMBASE, and Cochrane Library. The search was restricted to English-language articles published from 1966 through June 2014. Priority was given to articles reporting original research, although review articles

2015 Society for Maternal-Fetal Medicine

53. Diagnosis, staging and treatment of patients with Lung Cancer

, HTA- Smoking cessation Chair Radiology Dr. Peter Beddy Consultant Radiologist, SJH Writing member Dr. John Bruzzi Consultant Radiologist, GUH Writing member Dr. John Murray Consultant Radiologist, MMUH/MPH Writing member Dr. Kevin O’Regan Consultant Radiologist, CUH Writing member Pathology Dr. Ciara Barrett Consultant Histopathologist, MMUH Writing member Dr. Louise Burke Consultant Histopathologist, CUH Writing member Dr. Aurélie Fabre Consultant Histopathologist, SVUH Writing member Dr. Siobhan (...) Pathology 41 2.5 Surgery 49 2.6 Medical Oncology 64 2.7 Radiation Oncology 84 2.8 Palliative Care 96 Section 3: Development of the National Clinical Guideline 99 3.1 Epidemiology 99 3.2 Rationale for this National Clinical Guideline 102 3.3 Clinical and financial impact of lung cancer 102 3.4 Aim and objectives 103 3.5 Scope of the National Clinical Guideline, target population & target audience 103 3.6 Governance and Conflicts of Interest 104 3.7 Sources of funding 105 3.8 Methodology and literature

2017 Health Service Executive (Ireland) - Clinical Guidelines

54. Dystocia (Primiparous women with lack of progress)

of start of the descending phase. • The NCG defines dystocia in the expulsive phase when it is deemed unlikely that the child will be born within 2 hours after start of the expulsive phase. 3. Clarification: Fetal surveillance It must be stressed that • This NCG does not apply to pathological conditions like suspected fetal asphyxia. • This NCG does not give indications for different methods of fetal surveillance. • This NCG describes a number of indications for “review of progress with an experienced (...) - tion. Danish: dystoci, fødsel, oxytocin, syntocinon. Norwegian: dystoci, fødsel, oxytocin, syntocinon. Swedish: dystoci, förlossning, oxytocin, syntocinon. The follow-up searches for the focused questions were performed by searching with individual search terms for each PICO question (see the search protocol for the follow-up search). General inclusion criteria Years of publication: 2004 through May 2014 Languages: English, Danish, Norwegian and Swedish. Document types: Guidelines, systematic

2015 Nordic Federation of Societies of Obstetrics and Gynecology

55. Diagnosis, staging and treatment of patients with oesophageal or oesophago-gastric junction cancer

worker for psychological support. • Patients with oesophageal/OGJ cancer should have access to a Clinical Nurse Specialist (CNS) as a single point of contact to co-ordinate patient education and care requirements that impact on quality of life. • Post-treatment referral to a speech and language therapist should be considered for patients with oesophageal/OGJ cancer. Summary of Budget Impact Analysis Subgroup Cost of implementation Radiology €513,836 Pathology €0 Surgery & Gastroenterology €395,200 (...) ) Pathology Dr Cian Muldoon Consultant Histopathologist, SJH Writing member Professor Elaine Kay Consultant Histopathologist, BH Writing member Dr Ciara Ryan Consultant Histopathologist, SJH Writing member Dr Stephen Finn Consultant Histopathologist, SJH Contributor (until February 2015) Surgery Mr Will Robb Consultant Surgeon, BH Contributor Mr Narayanasamy Ravi Consultant Surgeon, SJH Writing member Mr Raymond Kennedy Consultant Surgeon SJH Contributor (until February 2015) Dr Claire Donohue Surgical

2018 Health Service Executive (Ireland) - Clinical Guidelines

56. Diagnosis, staging and treatment of patients with lung cancer

, HTA- Smoking cessation Chair Radiology Dr. Peter Beddy Consultant Radiologist, SJH Writing member Dr. John Bruzzi Consultant Radiologist, GUH Writing member Dr. John Murray Consultant Radiologist, MMUH/MPH Writing member Dr. Kevin O’Regan Consultant Radiologist, CUH Writing member Pathology Dr. Ciara Barrett Consultant Histopathologist, MMUH Writing member Dr. Louise Burke Consultant Histopathologist, CUH Writing member Dr. Aurélie Fabre Consultant Histopathologist, SVUH Writing member Dr. Siobhan (...) Pathology 41 2.5 Surgery 49 2.6 Medical Oncology 64 2.7 Radiation Oncology 84 2.8 Palliative Care 96 Section 3: Development of the National Clinical Guideline 99 3.1 Epidemiology 99 3.2 Rationale for this National Clinical Guideline 102 3.3 Clinical and financial impact of lung cancer 102 3.4 Aim and objectives 103 3.5 Scope of the National Clinical Guideline, target population & target audience 103 3.6 Governance and Conflicts of Interest 104 3.7 Sources of funding 105 3.8 Methodology and literature

2017 National Clinical Guidelines (Ireland)

57. New Zealand Guideline for the Management of Gonorrhoea

Service, Compass Health, Wellington ? Collette Bromhead, BSc (Hons), PhD, Head of Department – Molecular Biology, Aotea Pathology Ltd, Wellington ? Sam Chan, MBBS, FRCPath, FRCPA, Clinical Microbiologist, Medlab Central, Palmerston North ? Edward Coughlan, MBChB, FAChSHM, Dip Comp Sci, Clinical Director, Christchurch Sexual Health, Christchurch ? Josh Freeman, MBChB, FRCPA, Clinical Microbiologist, LabPlus, Auckland DHB, Auckland ? Helen Heffernan, BSc (Hons), Senior Scientist, Antibiotic Reference (...) Laboratory, Institute of Environmental Science and Research Ltd, Porirua ? McKenzie Nicol, BSc, Head of Department – Microbiology, Aotea Pathology Ltd, Wellington ? Anne Robertson, MBChB (Edin), MSc, MRCOG, FRANZCOG, FAChSHM, Medical Head, Sexual Health Service, MidCentral Health, Palmerston North ? Christine Roke, MBChB, Dip Obstet, FAChSHM, National Medical Advisor, Family Planning, Auckland ? Kerry Sexton, MBChB, MPH, FNZCPHM, Public Health Physician, Health Intelligence Team, Institute

2014 New Zealand Sexual Health Society

58. Clinical Handover in Acute and Children’s Hospital Services

task interferes with the delivery of the clinical handover information. Read-back: Verbally repeating back important clinical information from one healthcare professional to another. Safety pause: A brief discussion, between and with healthcare professionals, relating to important patient safety issues within a department. The list of abbreviations is available in Appendix 1.7 | A National Clinical Guideline | Communication (Clinical Handover) in Acute and Children’s Hospital Services 1.1 Need (...) for all discharges, and Hess et al. (2010) reported ‘a significant reduction in cost’ when combining a written discharge report with a verbal telephone report. Others have reported cost benefits of improved communication systems and processes that support clinical handover. These include: ‘significantly lower costs’ per patient and length of stay following the introduction of a Patient Care Partnership Project (PCPP) to improve communication between physicians (Palmer et al. 2002); reduced costs

2015 National Clinical Guidelines (Ireland)

59. Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients

Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients LABORATORY MEDICINE PRACTICE GUIDELINES EDITED BY LORALIE J. LANGMAN AND PAUL J. JANNETTO Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients Co-Sponsored byLABORATORY MEDICINE PRACTICE GUIDELINES Using Clinical Laboratory Tests to Monitor Drug Therapy in Pain Management Patients Loralie J. Langman Committee Chair Department of Laboratory Medicine and Pathology Mayo Clinic (...) Rochester, MN Paul J. Jannetto Committee Vice Chair Department of Laboratory Medicine and Pathology Mayo Clinic Rochester, MN Nancy Bratanow Midwest Comprehensive Pain Care Wauwatosa, WI COMMITTEE MEMBERS EDITED BY LORALIE J. LANGMAN AND PAUL J. JANNETTO William A. Clark Department of Pathology Johns Hopkins University School of Medicine Baltimore, MD Robin J. Hamill-Ruth Department of Anesthesiology University of Virginia Health System Charlottesville, VA Catherine A. Hammett-Stabler Department

2018 American Academy of Pain Medicine

60. Acute Pain Medicine in the United States: A Status Report Full Text available with Trip Pro

limited Has potential to develop into a pathologic condition The panel reached consensus on a working definition of acute pain, which is highlighted in Box 2. The progression of acute pain to chronic pain, termed chronification, was recognized by the experts to be an important potential consequence but not one that is essential to the definition of acute pain, as chronification does not always occur, and further scientific investigation is needed in this area. Box 2 APMSIG Panel: Working Definition (...) of Acute Pain Acute pain is the physiologic response and experience to noxious stimuli that can become pathologic, is normally sudden in onset, time limited, and motivates behaviors to avoid actual or potential tissue injuries. APMSIG: Acute Pain Medicine Shared Interest Group. A satisfactory definition of APM as a discipline has been elusive due to various modes of current practice along with an explosion of knowledge in the clinical and basic science arenas. An earlier AAPM definition of pain

2015 American Academy of Pain Medicine

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