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Speech Language Pathology

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1041. Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour

(i.e. cultural or religious beliefs and/or a desire for concealment in order to limit intervention by others (American Psychiatric Association [APA] ,2003). Sometimes the indirect expression is behavioural rather than verbal, such as storing medications, purchasing a gun, making a will, arranging for a funeral, settling financial affairs, giving belongings away, donating body to science, neglecting to care for self or relationships, sudden changes in religiosity – either greater or less than usual (...) a legal and ethical responsibility to try to prevent a suicide where possible (Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines T eam for Deliberate Self-harm, 2004). 21 Nursing Best Practice GuidelinePractice Box “Taking seriously” (RNAO Development Panel, 2008) 1.All verbal and non-verbal behaviours that may convey an expression of dying are taken seriously. 2.The client is assessed for suicide risk.* Here are some suggestions to ask your client if s/he

2009 Registered Nurses' Association of Ontario

1043. ASCIA Guidelines: Chronic Spontaneous Urticaria (CSU)

CSU in that lesions tend to last longer than 24 hours, are painful rather than pruritic and often bruise. The pathology shows leucocytoclastic vasculitis. This type of urticaria is more likely to be associated with systemic autoimmune conditions such as systemic lupus erythematosis (SLE) (Brown & Carter, 2007). Urticarial dermatitis (urticarial eczema) is a condition characterised by pruritic urticarial plaques caused by superficial dermal inflammation that persists for weeks and settles (...) availability in a number of languages, and due to an urticaria specific QoL assessment being more sensitive to changes in symptoms but no references were given. Further support for using both a severity score and a quality of life score come from Koti et al (2013) who found that there was only a moderate correlation between the quality of life scores determined from CU-Q2oL translated into Greek, and a generic QoL score as well as the UAS. Another score, the Urticaria Control Test (UCT) is used

2020 Australasian Society of Clinical Immunology and Allergy

1044. Everolimus for angiomyolipoma (AML)-associated Tuberous Sclerosis Complex

copies of this document are not controlled. As a controlled document, this document should not be saved onto local or network drives but should always be accessed from the intranet. Policy 0 0 england.specialisedcommissioning@nhs.net 0 0 0 NHS England will routinely commission this specialised treatment in accordance with the criteria described in this policy. n/a Specialised Commissioning Team, NHS England June 2016 #VALUE! #VALUE! n/a n/a n/aOFFICIAL 3 Contents 1 Plain Language Summary 4 2 (...) review date 12 12 Links to other Policies 12 13 References 12 OFFICIAL 4 1 Plain Language Summary Tuberous sclerosis complex (TSC) is a genetic condition, present from birth, which can lead to non-cancerous growths developing in a number of different organs of the body. The organs most commonly affected are the brain, eyes, heart, kidney, skin and lungs. It's estimated that around 1 in every 6,000 babies are born with the condition, however in many cases the diagnosis cannot be made until later

2016 Tuberous Sclerosis Association

1045. Stroke Assessment Across the Continuum of Care

, Ontario Debra MacGarvie, RD Clinical Dietitian, University Health Network – Toronto Western Hospital. Toronto, Ontario Margaret-Ann MacGruer, RN, MA Director of Resident Care, Linhaven Home for the Aged. St. Catharines, Ontario Rosemary Martino, MSc, MA, S-LP(C), CCC-SLP Research Associate, Speech-Language Pathologist, CIHR Doctoral Fellow, Lecturer, University Health Network – Toronto Western Hospital. Toronto, Ontario Cheryl Mayer, RN, BScN, MScN Clinical Nurse Specialist, London Health Sciences (...) Coordinator, Seniors Activation Maintenance (SAM) Program. Hamilton, Ontario Lynette Royeppen, RN Administrator, Mount Nemo Christian Nursing Home. Burlington, Ontario Sue Saulnier, RN, BNSc, MEd, GNC(c) Southeastern Ontario Regional Stroke Education Coordinator, Kingston General Hospital. Kingston, Ontario Karolin Skogsrud, M.SLP, S-LP(c) Speech Language Pathologist, Reg. CASLPO, London Health Sciences Centre. London, Ontario Lisa Sokoloff, MS, CCC-SLP Speech-Language Pathologist, Reg. CASLPO, Baycrest

2005 Registered Nurses' Association of Ontario

1046. Enhancing Healthy Adolescent Development

isolation. Victimization and bullying put youth at risk for anxiety, depression and somatic complaints. Bullying can be physical, verbal, indirect (e.g. being excluded or ignored by others), sexual (e.g. harassment), racial, religious, and/or electronic, i.e. cyberbul- lying (Craig & McCuaig-Edge, 2008). Aboriginal youth are exposed to a barrage of risk conditions that have a profound effect on their health. These factors are associated with their circumstances and environments as well as the structures

2002 Registered Nurses' Association of Ontario

1048. Peritoneal Dialysis in Adults and Children

to them. This guideline is an update of the PD module published on-line on the Renal Association website, www.renal.org in 2010. The English language literature was searched in December 2016 to identify relevant articles on PD published between 2008 and 2016 including: ? Medline search using ‘peritoneal dialysis’ combined with relevant terms from each of the sections - Equipment & Resources, Training & Catheter Insertion, Dialysis Clearance, Ultrafiltration & Overhydration, Infections, Peritonitis

2017 Renal Association

1051. Guidelines for the use of PET-CT in children

to assist in individual management by resolving clinical questions that are difficult to answer using anatomical imaging alone. The optimal use of PET-CT in children relies on tailoring the scan acquisition and the scan environment to the needs of the child, with proper attention to safety and appropriate risk management. As with any imaging modality, familiarity with the normal variation and appearances of pathological conditions experienced in childhood is important when interpreting scans which (...) coronary artery disease continues to be a major contributor to graft failure. PET-CT assessment of perfusion and glucose metabolism may be useful for cardiological risk assessment in patients with Duchenne’s or Becker’s muscular dystrophy undergoing spinal surgery.6 www.rcr.ac.uk Scan protocols in children Scan planning and preparation As soon as a request has been received and the indication for the scan is agreed, the procedure should be discussed with parents or carers verbally. A written

2014 Royal College of Radiologists

1052. Guidance on the use of CT colonography for suspected colorectal cancer

small or subtle polyps is greater. Colonic insufflation is generally avoided in patients with acute diverticulitis, particularly where luminal perforation is suspected. In some symptomatic cases, a CTC may not be appropriate; for instance, where patient fitness precludes any active treatment subsequently if a cancer is diagnosed. In such situations, a minimal preparation CT colon without colonic insufflation (MPCT) might be a more appropriate alternative since only identification of gross pathology (...) undergoing a CTC examination should be provided with appropriate verbal and written information. Patients must consent to the procedure, and while this is frequently verbal consent, an increasing number of centres are obtaining written consent both for the examination and use of patient data for retrospective audit. In the NHSBCSP, specialist screening practitioners (SSP) must be educated about CTC so they are able to initiate the consent process. In symptomatic practice, consent may be obtained

2014 Royal College of Radiologists

1053. Standards for the provision of an ultrasound service

and departments should have clear guidelines as to what should be included in any abdominal/pelvic ultrasound examination for vague and non-specific symptomology, for both male and female patients. Examinations may need to be extended as necessary depending on initial findings and information obtained from the patient and/or from other tests. Both transabdominal and endovaginal ultrasound approaches are likely to be required to fully evaluate suspected gynaecological pathology. A range of images should (...) or pathology recorded. 36 Contrast-enhanced ultrasound (CEUS) There is a small risk of life- threatening anaphylactoid reactions to CEUS, and resuscitation facilities with emergency equipment and personnel trained in its use should be available. 37 The rate is estimated at one in 10,000. 38 It is recommended to keep the patient under close medical supervision during, and for at least 30 minutes following, the administration of sulphur hexafluoride. 39,4014 www.rcr.ac.uk Standards for the provision

2014 Royal College of Radiologists

1054. Guidelines for Management of Strabismus in Childhood

(syn.squint), which is defined as a pathological misalignment of the visual axes. This is a broad subject and the reader is referred to comprehensive texts, for further information see bibliography (page 42). The guidelines are intended to give general principles of management. It is assumed throughout this document that professionals dealing with common and uncommon cases of strabismus will have had adequate training and experience to manage children with these conditions. This document represents (...) an afferent pupil defect, papilloedema, optic atrophy or other cranial nerve abnormality. The finding of any abnormal neurological signs should prompt referral to a paediatrician and for cranial 9 imaging to be considered. This would normally be Magnetic Resonance Imaging (MRI) unless computerised tomography (CT) was specifically thought to be beneficial. Possible Indications for Neuro-imaging Headaches Cranial nerve palsies Afferent pupil defect Optic nerve pathology Neurological abnormality Unexplained

2012 Royal College of Ophthalmologists

1055. Local Anaesthesia in Ophthalmic Surgery

anaesthesia was conducted. The search was confined to ophthalmic surgery in adults and on reports in the English language. Some references were obtained from committee members’ knowledge of the literature ? ? Following this, only studies taking place within the last 20 years (1990–2011) were prioritised for further review. Only landmark papers before 1990 were reviewed. ? ? Finally the following attributes were sought in all studies included in the review: The characteristics of the study population (...) and implantable cardioverter defbrillators Management of these complex devices should be directed at protecting the patient and preventing inappropriate functioning. The cardiology team should be consulted to identify the device and advise whether it needs to be disabled or re-programmed in the peri-operative period. 5.1.6.8 Abnormal ocular pathology Ophthalmic factors which might affect the operation or anaesthetic e.g. orbicularis spasm, proptosis, deep set eye, small palpebral fissure, long axial length

2012 Royal College of Ophthalmologists

1056. Management of Incidental Findings Detected During Research Imaging

specific organ imaging, especially cardiac CT 11 and colonography 12 (Table 2, overleaf). It is also not uncommon for completely unremarkable physiological features, normal variants, minor developmental anomalies and imaging technique artefacts to be misidentified as pathology by untrained observers, leading to unnecessary worry for the participant if they are informed. Examples are listed in the footnote to Table 1. In general, radiological expertise is required to recognise and interpret (...) these abnormalities appropriately, but for several reasons, the bulk of imaging research is conducted without any input from radiologists (and is likely to continue in this way). The effects of incidentally discovered pathology on the individual can be complex and far-reaching. 13–15 Some may require medical intervention and many need to be handled sensitively to avoid causing unnecessary alarm. 16,17 The personal financial implications, including loss of insurance, may be huge. Indeterminate incidental findings

2011 Royal College of Radiologists

1057. Diabetic Retinopathy Guidelines

or • Mixed DM may be tractional due to vitreoretinal pathology or non-tractional (intraretinal). In the classification systems described above various definitions of maculopathy have been given.(Level 1) 1.3 DEFINITIONS OF THE OCULAR COMPLICATIONS ASSOCIATED WITH DIABETIC RETINOPATHY The ocular complication of diabetes may be specific to progression of the ocular disease or, more commonly, may be non-specific recognised associations of diabetes in the eye. Table 1.2 Complications linked to Diabetic (...) of “osmotic” reversible cataract occurs in young diabetic patients, including infants, due to rapid changes in fluid electrolyte balance in severe uncontrolled diabetes. 11 1.3.2.4 Optic neuropathy Patients with diabetes may rarely experience optic neuropathy, which presents as swelling of the optic discs associated with gradual reduction in visual acuity. 1.3.2.5 Other ocular pathology in diabetes Ocular muscle palsies are not uncommon in association particularly with Type 2 diabetes. In addition

2012 Royal College of Ophthalmologists

1058. Abusive Head Trauma and the Eye in Infancy

and experimental models, 2. Clinical features and pathology. 3. Differential diagnosis and confounding conditions and 4.Guidance for the Ophthalmologist. 3 The guidance includes a standardised proforma for documenting retinal findings in Appendix 3. The guidance has primarily been developed for ophthalmologists but is an evidence based resource for any physician or surgeon involved in child protection. The document with its appendices is available on the websites of the Royal College of Ophthalmologists (...) of evidence and grades of recommendations 13 2.2.5. External peer review 15 2.2.6. Date for Review of Document 15 2.2.7. Facilitation and Funding 15 3. CLINICAL QUESTIONS AND EVIDENCE 16 3.1. Aetiological factors and experimental models. 16 3.1.1. Forces 16 3.1.2. Impact 17 3.1.3. Vigorous handling and play 19 3.1.4. Mechanisms 21 3.1.5. Hypoxia 27 3.1.6. Computational and biomechanical models of ocular injury in AHT ... 28 3.1.7. Animal models 30 3.2. Clinical features and pathology 31 3.2.1. Age

2013 Royal College of Ophthalmologists

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