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61. The ACTTION–APS–AAPM Pain Taxonomy (AAAPT) Multidimensional Approach to Classifying Acute Pain Conditions Full Text available with Trip Pro

that can become pathologic, is normally sudden in onset, time limited, and motivates behaviors to avoid potential or actual tissue injury. AAPM APMSIG working definition: Acute pain Acute pain is the physiologic response to and experience of noxious stimuli that can become pathologic, is normally sudden in onset, time limited, and motivates behaviors to avoid potential or actual tissue injury. Table 2 AAPM acute pain SIG working definition of acute pain AAPM APMSIG working definition: Acute pain Acute (...) pain is the physiologic response to and experience of noxious stimuli that can become pathologic, is normally sudden in onset, time limited, and motivates behaviors to avoid potential or actual tissue injury. AAPM APMSIG working definition: Acute pain Acute pain is the physiologic response to and experience of noxious stimuli that can become pathologic, is normally sudden in onset, time limited, and motivates behaviors to avoid potential or actual tissue injury. Importance of an Acute Pain Ontology

2017 American Academy of Pain Medicine

62. Rational Urine Drug Monitoring in Patients Receiving Opioids for Chronic Pain: Consensus Recommendations Full Text available with Trip Pro

with punitive intent in lay language. Diversion is used in this consensus report to mean a transfer (e.g., giving, selling) of prescription drugs for unlawful distribution or use [ ]. Misuse is defined as taking medications in a manner other than prescribed, even when treating a medical condition [ , ]. Substance use disorders are a cluster of cognitive, behavioral, and physiological symptoms indicating continued use of a psychoactive substance (e.g., to get “high”) despite negative consequences and harm

2018 American Academy of Pain Medicine

63. Twin and triplet pregnancy

). For recommendations on chromosomal screening, see recommendations 1.4.3 to 1.4.8. [2011, amended 2019] [2011, amended 2019] 1.1.2 Estimate gestational age from the largest baby in a twin or triplet pregnancy to avoid the risk of estimating it from a baby with early growth pathology. [2011] [2011] Chorionicity and amnionicity Chorionicity and amnionicity 1.1.3 Determine chorionicity and amnionicity at the time of detecting a twin or triplet pregnancy by ultrasound using: the number of placental masses the presence (...) stimulation should not be performed in twin pregnancy to gain reassurance after a cardiotocography trace that is categorised as 'pathological' . [2019] [2019] Re Reviewing cardiotocogr viewing cardiotocograph aphy y 1.11.10 Carry out systematic assessments of both cardiotocographs at least hourly, and more frequently if there are concerns. [2019] [2019] 1.11.11 At each systematic assessment, document which cardiotocography trace belongs to which baby. [2019] [2019] 1.11.12 Be aware of the possibility

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

64. Guidance on the clinical management of depressive and bipolar disorders, specifically focusing on diagnosis and treatment strategies

a framework for understanding the complex pathology that underpins clinical mood disorders. Mood disorders diagnostic criteria Criteria for depressive disorders. Depressive disorders usually feature low mood and/or a loss of pleasure (anhedonia). These are often accompanied by somatic symptoms such as changes to weight, psychomotor disturbance, fatigue and sleep disturbances such as insomnia or hypersomnia, cognitive symptoms, such as diminished concentration and negative cognitions characterised (...) in number and/or severity to meet criteria for either.First published in Australian and New Zealand Journal of Psychiatry 2015, Vol. 49(12) 1-185. 10 d Cyclothymia and dysthymia can be confused with personality or temperament. It is often difficult to determine whether mood fluctuations are within normalcy for an individual or are pathological and warrant a diagnosis. e MDD no longer includes bereavement as an exclusion criterion in DSM-5. Bereavement is a severe life stressor and individuals who

2015 Royal Australian and New Zealand College of Psychiatrists

65. Management of Nasopharyngeal Carcinoma

. Aminuddin Mohd. Yusof Head of CPG Unit Health Technology Assessment Section Ministry of Health Malaysia Dr. Mohd. Khairi Mohd. Noor Family Medicine Specialist Klinik Kesihatan Sekinchan Dr. Noraida Khalid Pathologist (Anatomic Pathology) Hospital Sultanah Aminah Dr. Sha’ariyah Mohd. Mokhtar Otorhinolaryngologist Hospital Tengku Ampuan Rahimah Dr. Wong Yoke Fui Clinical Oncologist National Cancer Institute, Putrajaya Dr. Yogendren Letchumanasamy Nuclear Medicine Specialist National Cancer Institute (...) , Putrajaya Dr. Zakinah Yahaya Consultant Otorhinolaryngologist Hospital Kuala LumpurCPG Management of Nasopharyngeal Carcinoma 2016 v Dr. Alan Khoo Head of Molecular Pathology Unit, Cancer Research Centre Institute for Medical Research (representative from Nasopharyngeal Carcinoma Society of Malaysia) Dr. Fadzilah Hamzah Nuclear Medicine Specialist Hospital Pulau Pinang Dr. Junainah Sabirin Deputy Director Health Technology Assessment Section Ministry of Health Malaysia Dr. Lau Fen Nee Consultant

2016 Ministry of Health, Malaysia

66. Diagnosis, Staging and Treatment of Patients with Prostate Cancer

– Radiology & Diagnosis Guideline Sub- group Dr. Ray McDermott Consultant Medical Oncologist Chairperson – Medical Oncology Guideline Subgroup Mr. David Quinlan 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 (...) impact 15 1.14 Organisational responsibility 15 1.15 Glossary of terms and abbreviations 15 1.16 Accompanying documents 15 Section 2: National Clinical Guideline 17 2.1 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

2016 National Clinical Guidelines (Ireland)

67. Guidance addressing all aspects of the care of people with schizophrenia and related disorders. Includes correct diagnosis, symptom relief and recovery of social function

and their families. In terms of the global burden of disease and disability, schizophrenia ranks among the top 10 disorders worldwide (Mathers and Loncar, 2006). Clinical presentation and diagnosis. There is currently no validated biological marker of schizophrenia. The diagnosis is made by identifying the symptoms and signs of the disorder, which include delusional beliefs, hallucinations, disorganised thinking and speech, cognitive impairment, abnormal motor behaviour and negative symptoms. While neuroimaging (...) to the left dorsolateral prefrontal cortex to treat negative symptoms of schizophrenia (Freitas et al., 2009; Prikryl et al., 2007). Given that rTMS is generally well tolerated, a trial of rTMS is a low risk strategy with some possibility of benefit. Transcranial direct current stimulation. The use of transcranial direct current stimulation (tDCS) to treat schizophrenia is still in the research phase. There is preliminary evidence that tDCS may have benefits in treating auditory verbal hallucinations

2016 Royal Australian and New Zealand College of Psychiatrists

68. 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 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). 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). It is recommended that in all cases of suspected molar pregnancy, the preliminary pathology report should

2015 National Clinical Guidelines (Ireland)

69. Management of Stroke Rehabilitation

of stroke rehabilitation, from which Work Group members were recruited. The specialties and clinical areas of interest included: primary care, neurology, physical therapy, occupational therapy, rehabilitation psychology, neuropsychology, psychiatry, nursing, social work, physical and rehabilitation medicine, vocational rehabilitation, speech language pathology, vision therapy, clinical pharmacology, internal medicine, case management, medical management, public health, and evidence-based medicine (...) Impairment/Need Consultants/Referrals ? Cognition ? Driving ? Durable medical equipment recommendations ? Self-management skills, ADLs, IADLs ? Sexual function and intimacy ? Spasticity ? Vision/vision perception ? Occupational therapy ? Cognition ? Communication ? Swallowing and nutrition ? Speech-language pathology ? Community resources ? Emotion and behavior ? Family/caregiver support ? Financial resources ? Case management (social work and/or nursing) ? Return to work or school ? Vocational

2019 VA/DoD Clinical Practice Guidelines

71. Epididymo-orchitis

for urinary pathogens EXCLUDE TORSION Symptoms and signs persist • Check compliance with treatment • Check no unprotected sex • Ensure partner notification complete • Review diagnosis • Consider alternative aetiologies • Consider testicular USS • Consider urology referral Partner notification and management of sexual contacts If STI cause suspected: • Be clear about language: ‘partner’ implies relationship • All sexual contacts in the last 3 months should be notified • Contact/s should have a sexual (...) clinical care. Further guideline information – or phone a sexual health specialist. This Best Practice Guide has been produced by NZSHS. Every effort has been taken to ensure that the information in this guideline is correct at the time of publishing (September 2017). Partner Notification and Management of Sexual Contacts Partner notification – if due to suspected STI • Be clear about language: ‘partner’ implies relationship. • All sexual contact/s in the last 3 months should

2017 New Zealand Sexual Health Society

72. Tinnitus: assessment and management

) • management options (see section 1.5) • local and national support groups • other sources of information. Tinnitus: assessment and management (NG155) © NICE 2020. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 7 of 401.1.5 When providing information: • ensure it is available in appropriate formats such as verbal consultation, written information, leaflets and online in line with the NICE guideline on patient experience • take (...) (NG155) © NICE 2020. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 9 of 401.3.2 If questionnaires cannot be used (for example, because of language issues or cognitive impairment) consider using other measures such as visual analogue scales. 1.3.3 Consider using an age- or ability-appropriate measure (such as a visual analogue scale) for children and young people to assess how tinnitus affects them. For a short explanation

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

73. Management of Poisoning

with ingestions of propionic acids (ibuprofen), pyrazolones (phenylbutazone), acetic acids (diclofenac and indomethacin), and anthranilic acids (mefenamic acid and meclofenamate). (2) Seizures are eff ectively treated with benzodiazepines. • Renal toxicity: – Acute forms of renal insuffi ciency or failure and renal papillary necrosis are rare in NSAID overdose. – Most commonly, these pathologic processes occur in patients with decreased eff ective arterial volume (congestive heart failure, cirrhosis

2020 Ministry of Health, Singapore

74. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) Reporting Standards for Type B Aortic Dissections

for practical use and reporting that includes the aortic arch. Chronicity of aortic dissection is also de?ned along with nomenclature in patients with prior aortic repair and other aortic pathologic processes, such as intramural hematoma and penetrating atherosclerotic ulcer. Complicated vs uncomplicated dissections are clearly de?ned with a new high-risk grouping that will undoubtedly grow in reporting and controversy. Follow- up criteria are also discussed with nomenclature for false lumen status (...) in addition to measurement criteria and de?nitions of aortic remodeling. Overall, the document provides a facile framework of language that will allow more granular discussions and reporting of aortic dissection in the future. (Ann Thorac Surg 2020;-:---) 2020 by The Society of Thoracic Surgeons and the Society for Vascular Surgery Thisarticlehasbeencopublishedin The Annals of Thoracic Surgeryandthe Journal of Vascular Surgery. The Society of Thoracic Surgeons requests that this document be cited

2020 Society of Thoracic Surgeons

76. Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children Full Text available with Trip Pro

these guidelines are not intended to address the management of infection with or without SIRS when there is not associated acute organ dysfunction , we recognize that sepsis exists as a spectrum and some children without known acute organ dysfunction may still benefit from similar therapies as those with known organ dysfunction. Finally, acknowledging that neonatal sepsis , especially in premature babies, may have distinct pathology, biology, and therapeutic considerations, newborns less than 37 weeks (...) ) were also applied as appropriate. Only English language studies were included. No date restrictions were imposed on the searches, but we removed animal-only and opinion pieces from the results. The medical librarian searched a minimum of two major databases (e.g., Cochrane Library, PubMed/MEDLINE, or Embase) to identify relevant systematic reviews, clinical trials, and observational studies published through May 1, 2017. As this was the inaugural version of these guidelines for children, all

2020 Society of Critical Care Medicine

77. Clinical Practice Guideline on the Treatment of Pediatric Diaphyseal Femur Fractures

language to match current AAOS guideline language (see Grading the Recommendations). 3) Removed “inconclusive” recommendations due to lack of evidence (see Appendix XI) For a user-friendly version of this clinical practice guideline, please visit the AAOS OrthoGuidelines Web-Based App at: ii Disclaimer This Clinical Practice Guideline was developed by an AAOS physician volunteer Work Group based on a systematic review of the current scientific and clinical information (...) Language 9 Table 3. Incidence of Diaphyseal Femur Fractures Caused by Child Abuse 12 Table 4. Summary of Evidence 16 Table 5. Summary of Updated Findings for Titanium Elastic Nailing 21 Table 6. Flexible Intramedullary Nailing and Patients’ Weight 22 Table 7. Summary of Significant Outcomes with Level of Evidence 23 Table 8. Summary of Nonsignificant Outcomes with Level of Evidence 24 Table 9. Summary of High Quality Evidence 27 Table 10. Summary of Moderate Quality Evidence 28 Table 11. Summary of Low

2015 American Academy of Orthopaedic Surgeons

78. Surveillance of Patients After Curative Treatment of Colon and Rectal Cancer

“colorectal neoplasms, ” “colonic neoplasms, ” “rectal neoplasms,” “neoplasm recurrence, local,” “neo- plasms, second primary,” and “neoplasm metastasis.” Directed searches of the embedded references from the primary articles were also performed in selected circum- stances. a lthough not exclusionary, primary authors fo- cused on all english language manuscripts and studies of adults. Prospective, randomized, controlled trials (RCt s) and meta-analyses were given preference in developing these guidelines (...) , 10 although it is unclear whether pathologic, clinical, or American Joint Committee on Cancer stage is intended to be used for as- signing stage-specific surveillance plans for patients who have rectal cancer. t he national Comprehensive Cancer n etwork rec- ommends no surveillance other than colonoscopy for patients with stage i colon cancer 7 ; however, nCCn does recommend surveillance for stage i rectal cancer, includ- ing regular history and physical examination, Cea, colo- noscopies

2015 American Society of Colon and Rectal Surgeons

79. Evaluation and Management of Gallstone-Related Diseases in Non-Pregnant Adults

have CBD dilation in the absence of biliary pathology CBD: common bile duct; RUQ: Right upper quadrant 4 UMHS Gallstone Guideline, May 2014 Figure 1: Treatments for Gallstone-Related Diseases Note: These conditions are not mutually exclusive. For example, patients with cholecystitis can also have CBD stones or cholangitis. *For University of Michigan, consult ** Active and/or unstable medical conditions may include but are not limited to: ongoing (...) patients may have CBD dilation in the absence of biliary pathology ** Highly operator dependent and optimally determined by a physician to exclude false-positive cases 7 UMHS Gallstone Guideline, May 2014 Table 4: Risk Stratification for the Probability of Choledocholithiasis (Common Bile Duct Stones) Clinical Predictors Very Strong • CBD stone on radiological imaging • Clinical indication of ascending cholangitis • Total bilirubin > 4 mg/dL Strong • Dilated CBD on radiological imaging (see Table 1

2015 University of Michigan Health System

80. Treatment of Fecal Incontinence

in selected cir- cumstances. t he primary authors reviewed all english language manuscripts and studies in adults, systematic reviews, and meta-analyses. in selected instances where a full manuscript was not yet available, reports of confer- ence proceedings were reviewed. Recommendations were formulated by the primary authors and reviewed by the entire Clinical Practice Guidelines Committee. t he final grade of recommendation was performed by using the Grades of Recommendation, assessment, Development (...) , and e valuation (GRaDe) system 13 (t able 1) and approved by the entire Clinical Practice Guidelines Committee. EVALUATION AND RISK ASSESSMENT 1. A thorough disease history should be obtained to de- fine the etiology and specific risk factors for inconti- nence, characterize the duration and severity of pri- mary symptoms, and capture secondary problems and associated pathologies. Grade of Recommendation: Strong recommendation based on low- or very low- quality evidence, 1C. Continence depends

2015 American Society of Colon and Rectal Surgeons


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