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81. Clinical Practice Guideline on the Management of Rotator Cuff Injuries

cause of musculoskeletal disability in the United States. Chronic shoulder pain has been estimated to affect approximately 8% of all American adults, second only to chronic knee pain in our society’s burden of musculoskeletal disease. Rotator cuff pathology is the leading cause of shoulder-related disability seen by orthopaedic surgeons, and surgical volume is on the rise (Narvy 2016). One study, for example, notes a 141% increase in rotator cuff repairs from 1996 to 2006 in the United States (...) (Colvin, 2012). Societal costs of a medical condition include direct and indirect costs. Direct costs are those associated with diagnosis and treatment, while indirect costs include lost income due to inability to work or lower wages, missed workdays, and disability payments (Mather, 2013). Approximately 250,000 rotator cuff repairs ($13,771 per patient) are performed annually in the U.S. This calculates to a cost of $3,442,750,000 per annum. ETIOLOGY Rotator cuff tears have two main causes: injury

2020 American Academy of Orthopaedic Surgeons

82. Management of acute compartment syndrome

system, or transmitted, in any form, or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from METRC. If you wish to request permission please contact METRC by clicking here or AAOS by clicking here. Published 12/7/18 by the Major Extremity Trauma and Rehabilitation Consortium (METRC) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS) 9400 W Higgins Rosemont, IL First Edition Copyright 2018 by the Major Extremity (...) Trauma and Rehabilitation Consortium (METRC) and the American Academy of Orthopaedic Surgeons (AAOS) 3 To View All AAOS and AAOS-Endorsed Evidence-Based clinical practice guidelines and Appropriate Use Criteria in a User-Friendly Format, Please Visit the OrthoGuidelines Web-Based App at or by downloading to your smartphone or tablet via the Apple and Google Play stores! 4 Table of Contents Summary of recommendations 7 Biomarkers 7 Serum Biomarkers in Late/Missed ACS 7 Pressure

2018 American Academy of Orthopaedic Surgeons

83. Management of Major Depressive Disorder (2nd Ediiton)

REVIEWERS (in alphabetical order) Dr. Ang Jin Kiat Senior Lecturer & Psychiatrist Universiti Putra Malaysia, Selangor Professor Dr. Anne Buist Professor of Women’s Mental Health University of Melbourne, Austin Health Australia Dr. Cheah Yee Chuang Consultant Community & Rehabilitation Psychiatrist Hospital Bahagia Ulu Kinta, Perak Professor Dr. David J. Kupfer Professor Emeritus of Psychiatry University of Pittsburgh United States of America Professor Dr. Firdaus Mukhtar Head of Department & Clinical (...) lifespan. 9, level III WHO Global Health Estimates 2015 found that depressive disorders contribute to 7.5% of total Years Living with Disability (YLD) worldwide and this translates as the single largest contributor to global disability. According to this report, MDD contributes to 6.9% of total YLD in Malaysia. 10 To ensure full functional recovery and prevention of relapse, the targeted outcome for treatment of MDD is treatment to remission. Remission can be defined as a minimum of 80% reduction

2019 Ministry of Health, Malaysia

85. Diagnosis and Treatment of Low Back Pain

HRQOL Health related quality of life IAS Illness Attitude Scale IDD Internal disc disruption IDD Intervertebral Differential Dynamics IPQ-R Revised Illness Perception Questionnaire IDET Intradiscal electrothermal therapy IDETA Intradiscal electrothermal anuloplasty IV Intravenous K-ODI Korean Oswestry Disability Index K-SF-36 Korean Short Form-36 LBP Low back pain MDR Multidisciplinary rehabilitation MDT Mechanical diagnosis and therapy MMPI Minnesota Multiphasic Personality Inventory MPQ McGill (...) Treatment Section Section Chair: Christopher M. Bono, MD Authors: Paul Dougherty, DC Gazanfar Rahmathulla, MD, MBBS Christopher K. Taleghani, MD Terry Trammell, MD Randall P. Brewer, MD; Stakeholder Representative, American Academy of Pain Medicine (AAPM) Ravi Prasad, PhD; Stakeholder Representative, American Academy of Pain Medicine (AAPM) Contributor: John P. Birkedal, MD Physical Medicine & Rehabilitation Section Section Chair: Charles A. Reitman, MD Authors: R. Carter Cassidy, MD Dennis E. Enix, DC

2020 North American Spine Society

86. Treatment for Insomnia and Disrupted Sleep Behavior in Children and Adolescents with Autism Spectrum Disorder

and quality of life. 4 Poor sleep quality and insufficient 10 nighttime sleep can exacerbate core and associated ASD features, contributing to negative effects 11 on mood and emotional regulation, behavior, and cognitive functioning. Children and 12 adolescents with intellectual disabilities and severe symptoms associated with ASD are at 13 especially high risk for sleep problems. 5-7 Sleep disturbances are associated with communication 14 deficits and restrictive and repetitive behaviors in ASD. 8, 9 (...) such as intellectual disability, sensory integration deficits, 4 ritualistic or self-injurious behaviors, poor communication skills, and limited responsiveness to 5 social cues can interfere with sleep training and exacerbate or prolong sleep problems. 6 7 Children and adolescents with ASD and sleep disturbances often receive combined medication, 8 behavioral, and complementary and alternative medicine (CAM) treatments. Exogenous 9 melatonin is a synthetic form of endogenous melatonin, a hormone

2020 American Academy of Neurology

88. Clinical Practice Guideline on the Management of Osteoarthritis of the Hip

to the effects of disability, comorbid disease, and the expense of treatment. OA is the most frequent cause of disability among adults in the United States (US), and the burden is increasing both as the prevalence of OA increases and also as patient expectations for treatment rise. Twenty seven million adults (more than 10 percent) of the US adult population had clinical osteoarthritis (OA) in 2005, and in 2009 OA was the fourth most common cause of hospitalization (Murphy & Helmick, 2012). OA is the leading (...) must be published in or after 1990 for surgical treatment, rehabilitation, bracing, prevention and MRI Study must be published in or after 1990 for x-rays and non-operative treatment Study must be published in or after 1990 for all others non specified Study should have 10 or more patients per group (Work group may further define sample size) Study must have at least 90% OA Patients 20 Standard Criteria for all CPGs Article must be a full peer-reviewed published article report of a clinical study

2017 American Academy of Orthopaedic Surgeons

89. Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances

, hallux valgus, thus referral to a musculoskeletal specialist may be of benefit to evaluate and treat these disorders. Multidisciplinary treatment, including physical therapy, pain psychology, occupational therapy and vocational rehabilitation may be helpful in those persons with chronic disability and impaired function. Referral to a foot specialist is recommended for severe deformities and insensate (Charcot) foot. Patients with suspected CRPS should be referred to an interventional pain specialist (...) Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances 1 Quality Department Guidelines for Clinical Care Ambulatory Chronic Pain Management Guideline Team Team Leads Daniel W Berland, MD General Medicine / Anesthesiology Phillip E Rodgers, MD Family Medicine Team Members Carmen R Green, MD Anesthesiology R Van Harrison, PhD Medical Education Randy S Roth, PhD Physical Medicine & Rehabilitation Consultants Daniel J. Clauw, MD Rheumatology Jennifer A. Meddings

2017 University of Michigan Health System

90. Workplace health: long-term sickness absence and capability to work

. Recurring short- term sickness absence is defined as more than 1 episode of short-term sickness absence, each lasting less than 4 weeks. W Wellbeing ellbeing Wellbeing is the subjective state of being healthy, happy, contented, comfortable and satisfied with one's quality of life. V Vocational rehabilitation ocational rehabilitation Helps those who are ill, injured or who have a disability to access, maintain or return to employment or another useful occupation. It may involve liaison between healthcare (...) Overview 5 Who is it for? 5 Recommendations 6 1.1 Workplace culture and policies 6 1.2 Assessing and certifying fitness for work 8 1.3 Statement of fitness for work 9 1.4 Making workplace adjustments 10 1.5 Keeping in touch with people on sickness absence 11 1.6 Early intervention 12 1.7 Sustainable return to work and reducing recurrence of absence 13 1.8 People with a health condition or disability who are not currently employed 14 T erms used in this guideline 14 Recommendations for research 18 Key

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

91. SCAI Expert Consensus Statement Update on Best Practices for Transradial Angiography & Intervention Full Text available with Trip Pro

(14%) was referred to a hand surgeon or rehabilitation center. Whether such symptoms are clinically relevant or sufficient to overcome the safety benefits of transradial access is unclear. · A systematic review of 15 studies of transradial access with 3,616 patients demonstrated a low rate (0.49%) of hand dysfunction or nerve damage (0.16%). Pain was the most frequent (7.8%) risk following transradial access. • Ayyaz Ul Haq et al., Zwaan et al. Use of radial as a future conduit The suitability (...) . Catheter Cardiovasc Interv . 2014 ; 83 : E51 ‐ E60 . 14 Nuttall G , Burckhardt J , Hadley A , et al. Surgical and patient risk factors for severe arterial line complications in adults . Anesthesiology . 2016 ; 124 : 590 ‐ 597 . 15 van Leeuwen MAH , Hollander MR , van der Heijden DJ , et al. The ACRA anatomy study (assessment of disability after coronary procedures using radial access): a comprehensive anatomic and functional assessment of the vasculature of the hand and relation to outcome after

2020 Society for Cardiovascular Angiography and Interventions

92. Scleroderma Morphea

rare variant of the generalized type of LS is “disabling pansclerotic morphea.” Disabling pansclerotic morphea, predominantly occurring in childhood, and may lead to extensive involvement of the skin, fat tissue, fascia, muscle, and bone, with only limited tendency of fibrosis to regress. Disabling pansclerotic morphea often results in severe contractures and poorly healing, large ulcerations and skin necroses. Linear types of LS Linear localized scleroderma is the most common subtype of LS (...) in childhood. Linear LS is characterized by longitudinally arranged linear, band-like lesions that are predominantly located on the extremities. Evidence indicates that linear LS may follow the lines of Blaschko. 27 In mild disease the lesions may heal with residual hyperpigmentation. However, depending on the extent of the fibrotic process, linear LS may lead to severe growth retardation, muscle atrophy, flexion contractures, myositis and myalgia, arthritis and arthalgia, and psychologic disability. LS

2018 European Dermatology Forum

93. Heart Failure Full Text available with Trip Pro

a , b , c , d , , x John J. Atherton Affiliations Department of Cardiology, Royal Brisbane and Women’s Hospital, Brisbane, Australia Faculty of Medicine, University of Queensland, Brisbane, Australia Faculty of Science, Health, Education and Engineering, University of Sunshine Coast, Australia Faculty of Health, Queensland University of Technology, Brisbane, Australia Correspondence Corresponding author. , x Andrew Sindone Affiliations Heart Failure Unit and Department of Cardiac Rehabilitation (...) at least 38 million people worldwide [ x [4] Vos, T., Flaxman, A.D., Naghavi, M., Lozano, R., Michaud, C., Ezzati, M. et al. Years lived with disability (YLDs)for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet . 2012 ; 380 : 2163–2196 | | | | | ] [4] . The lifetime risk of developing heart failure for women and men at age 55 years is 29% and 33%, respectively [ x [5] Bleumink, G.S., Knetsch, A.M., Sturkenboom, M.C., Straus

2018 Cardiac Society of Australia and New Zealand

94. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Cognitive Difficulties

independent functioning. 7,20 Deficits identified on neuropsychological assessment may be amenable to specific rehabilitation strategies (e.g., compensatory cognitive strategies) as well as cognitive behavioural therapy (CBT) focused on education about the commonality of symptom presentation, facilitation of more effective coping strategies and integration of cognitive compensatory strategies. 20 This combination has demonstrated reductions in the presence of persistent symptoms. 4,7,21,22 There is good (...) -concussion questionnaire [e.g., Rivermead (Appendix ), PCSS (Appendix ) or SCAT5 (Appendix )] for the purpose of assessing and tracking symptoms. 9.2 B Since certain comorbidities can exacerbate cognitive symptoms (e.g., ADHD, learning disabilities, anxiety or mood disorders, pain, fatigue, sleep disturbance, neuroendocrine dysfunction, substance abuse, existing medications) patients should be provided with education highlighting that their cognitive symptoms may be intensified and prolonged

2018 Ontario Neurotrauma Foundation

95. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Vestibular (Balance/ Dizziness) & Vision Dysfunction

of post-traumatic peripheral vestibular dysfunction is benign paroxysmal positional vertigo (BPPV). 3,4 Patients experience episodes of vertigo, nystagmus and nausea with sudden changes in position, often including rolling over in bed or looking up. These attacks typically last less than 30 seconds but can be quite disabling and can occur multiple times per day. BPPV is caused by dislodged otoconia in the posterior semicircular canal (SCC). The Dizziness Handicap Inventory (Appendix ) can help (...) interventions can be considered. While historically, medications have been used to suppress vestibular symptoms, including nausea, current evidence does not support this approach. 9 A Cochrane review by Hillier and Hollohan (2007) identifies vestibular rehabilitation as an effective intervention for unilateral peripheral vestibular dysfunction 1 ; this has been supported by Gurley et al. 6 Weaker evidence also suggests vestibular rehabilitation may be helpful for central vestibular dysfunction. 10

2018 Ontario Neurotrauma Foundation

96. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Fatigue

that contributes to disability. 7 For instance, a state of chronic stress may be present following mTBI, which compromises the biological stress system and increases the likelihood for fatigue and stress-related disorders. 9 Fatigue following TBI has also been found to significantly impact well-being and quality of life, and is strongly associated with somatic symptoms and perceived situational stress. 8,9 Due to its prevalence and effects, it is recommended that all patients be assessed for fatigue through (...) medications. If the patient has been prescribed a medication that is associated with fatigue, alternatives that produce the same treatment effect without inducing fatigue should be considered. A list of medications commonly associated with fatigue can be found in Appendix . As persistent fatigue may cause other symptoms to worsen, early intervention is required in order to prevent interference with the patient’s ability to participate in rehabilitation therapies. 8,17 Patients should also be provided

2018 Ontario Neurotrauma Foundation

97. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Return-to-Activity / Work / School Considerations

program should be individually prescribed and should support the reintegration and rehabilitation of the person with the injury or disability back into the workplace. 33 In complex cases where the healthcare practitioner is having difficulty clearly defining a patient’s restrictions and limitations, or where questions arise regarding the suitability of the accommodated work being offered by the employer (or lack thereof), an interdisciplinary vocational evaluation may be necessary (...) accessibility/disability services that the student is still symptomatic and accommodations and support for reintegration will be required. After 2 weeks post-injury: The student should start attending school (non-physical activities) very gradually as tolerated and with accommodations, even if the student is still experiencing symptoms. A healthcare professional with experience in concussion/mTBI rehabilitation should provide guidance to the student and educators. Accessibility/disability services should

2018 Ontario Neurotrauma Foundation

98. The management of diabetes in adults and children with psychiatric disorders in inpatient settings

hours a week of Band 7 Diabetes Specialist Nurse time for an ‘In-Reach’ DSN service. 11.3.6 Western Sussex Hospitals NHS Foundation Trust working in partnership with Sussex Partnership NHS Foundation Trust (personal communication) This service provides diabetes advice and education to patients and staff on Inpatient Mental Health and Rehabilitation Units, including learning disability and dementia wards. Support includes telephone and email advice, site visits, formal and informal education (...) of best practice 17 9.3 Recommendations 18 9.3.1 Immediate 18 9.3.2 Longer term 18 10 Inpatients in acute hospital trusts 19 10.1 Epidemiology 19 10.2 Overview of models of care 20 10.2.1 DKA 21 10.2.2 Self-harm 21 10.2.3 Depression 21 10.2.4 Personality disorder 22 10.3 Examples of best practice 22 10.4 Recommendations 23 10.4.1 Immediate 23 10.4.2 Longer term 248 11 General Adult Mental Health Units including forensic and criminal justice, learning disability and substance misuse 25 11.1

2017 Association of British Clinical Diabetologists

100. Developing a Value Framework for Genetic Diagnosis: Part I A Systematic Review of Outcomes Hierarchies and Measurement Approaches

International Classification of Functioning, Disability and Health (ICF) 124,125 1 A patient-reported outcome (PRO) is “..the measurement of any aspect of a patient’s health status that comes directly from the patient”. 81 See KQ5 for a more detailed discussion. ACMG Value Review, March 16, 2012 Page 24 Structure Process Outcomes Figure 2. Donabedian model – Core dimensions of quality in medical care (1966) Setting in which care occurs and factors that influence or support process Qualified workforce

2019 American College of Medical Genetics and Genomics


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