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141. Evaluation and Management of Asthma in the Elderly

over the age of 65 years than at any other time in United States history, and their numbers increased 15.1% in the past decade (1). In2014,14%oftheU.S.populationwasolder than 65 years, and in other countries this number was considerably higher (2). The U.S. aging population is expected to increase rapidlyoverthenextdecade.Activeasthmais common in patients older than 65 years of age and can be severe and disabling, with marked ventilatory impairment (3–5) and 2064 AnnalsATS Volume 13 Number 11 (...) ., industry-funded research) were recused from writing, editing, and commenting on related portions of the manuscript. Results Update on the Epidemiology of AIE Asthma imposes a substantial health burden worldwide, affecting 300 million AMERICAN THORACIC SOCIETY DOCUMENTS American Thoracic Society Documents 2065 people and ranking 22nd in disability- adjustedlife-years(17).Inaddition,250,000 people worldwide die of asthma each year, due in part to limited access to treatment (17). Regions with high rates

2016 American Thoracic Society

142. Management of Hyperglycemia in Hospitalized Patients in Non-critical Care Setting

management among non-critically ill patients admitted to general medicine and surgery services. In such patients, hyperglycemia is associated with prolonged hospital stay, increased incidence of infections, and more disability after hospital discharge and death ( , – ). This manuscript contains the consensus recommendations for the management of hyperglycemia in hospitalized patients in non-critical care settings by The Endocrine Society and other organizations of health care professionals involved

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2012 The Endocrine Society

144. AAN Guideline on Intravenous Immunoglobulin in the Treatment of Neuromuscular Disorders

myositis ; IgM = immunoglobulin M ; INCAT = Inflammatory Neuropathy Cause and Treatment Score ; IVIg = IV immunoglobulin ; LEMS = Lambert-Eaton myasthenic syndrome ; MG = myasthenia gravis ; MMN = multifocal motor neuropathy ; MP = methylprednisolone ; MRC = Medical Research Council ; NDS = neurologic disability scale ; QMG = Quantitative Myasthenia Gravis score ; RCT = randomized controlled trial IV immunoglobulin (IVIg) is used to treat a range of immune-mediated neurologic diseases. The US Food (...) study examined 21 children with mild GBS able to walk 5 meters unassisted. Fourteen children received treatment of 1 g/kg over 2 days; the remaining patients received no treatment (no blinding or sham treatment was used). There was no difference between groups in the primary outcome measure of disability at the disease nadir. Some secondary measures favored the IVIg group (time to improvement p < 0.001, disability duration p < 0.05, disability at 4 weeks p < 0.25). In another study (Class III), 18

2012 American Association of Neuromuscular & Electrodiagnostic Medicine

146. A Call to Action: Women and Peripheral Artery Disease

and atypical exertional leg symptoms has been observed in both men and women. , For example, in the Women's Health and Aging Study (WHAS) of 933 disabled women ≥65 years of age, 328 (35%) had an ABI <0.90, which established the diagnosis of PAD. Of these 328 women with PAD, 63% had no exertional leg symptoms. Thus, asymptomatic PAD is common among older women. Although both men and women with PAD can be either asymptomatic or present with atypical leg symptoms, gender differences in the prevalence (...) . , , In prospective analyses, lower ABI values predict greater decline in walking-related disability among women. Among 847 women in the WHAS cohort, women with baseline ABI values <0.60 had a significantly higher incidence of disability for the outcomes of walking a quarter mile, walking velocity, and the number of city blocks walked during the past week than women with baseline ABI values of 0.90 to 1.50. Results of a recent longitudinal study in which PAD participants were followed for up to 4 years

2012 American Heart Association

147. Intravenous immunoglobulin in the treatment of neuromuscular disorders

myositis ; IgM = immunoglobulin M ; INCAT = Inflammatory Neuropathy Cause and Treatment Score ; IVIg = IV immunoglobulin ; LEMS = Lambert-Eaton myasthenic syndrome ; MG = myasthenia gravis ; MMN = multifocal motor neuropathy ; MP = methylprednisolone ; MRC = Medical Research Council ; NDS = neurologic disability scale ; QMG = Quantitative Myasthenia Gravis score ; RCT = randomized controlled trial IV immunoglobulin (IVIg) is used to treat a range of immune-mediated neurologic diseases. The US Food (...) study examined 21 children with mild GBS able to walk 5 meters unassisted. Fourteen children received treatment of 1 g/kg over 2 days; the remaining patients received no treatment (no blinding or sham treatment was used). There was no difference between groups in the primary outcome measure of disability at the disease nadir. Some secondary measures favored the IVIg group (time to improvement p < 0.001, disability duration p < 0.05, disability at 4 weeks p < 0.25). In another study (Class III), 18

2012 American Academy of Neurology

149. Autism spectrum disorder ? Speech therapist directed use of video monitoring

speech therapist directed use of video modeling* C (Comparison) O (Outcome) improve functional* and imaginative* play skills? *Definitions for terms marked with * may be found in the Supporting Information section. Target Population for the Recommendation (Inclusion / Exclusion Criteria for the recommendation) Inclusion: Pediatric patients, ages 2-9 years, that have been diagnosed with ASD, including pervasive developmental disability-not otherwise specified (PDD-NOS). Exclusion: Patients (...) with developmental disabilities other than autism, patients unable to attend to audio/visual scenes for less than 1 minute. Recommendation (See Dimensions for Judging the Strength of the Recommendation) It is recommended that speech-language pathologists working with children with autism spectrum disorder incorporate the use of video based modeling into treatment plans to target either functional or imaginative play* skills (Boudreau, 2010 [4b]; Paterson, 2007 [4b]; Hine, 2006 [4b]; Charlop-Christy, 2000 [4b

2012 Cincinnati Children's Hospital Medical Center

150. Music therapy ? pediatric inpatients

hospitalized children: oncology, neonatology, burn, cystic fibrosis, asthma, neurology, eating disorders, mental health, developmental disabilities, autism spectrum, undergoing surgery/rehab, pain management, palliative care, and bereavement. The current issues and trends in evidence-based pediatric medical music therapy research, as stated above, is not lack of quantity but lack of quality. The above systematic reviews illuminate that the field music therapy would benefit from strict adherence (...) as evidenced in the standardized mean difference -0.39 in Klassen et al., 2008 [1a] study. 4. Burden on patient to adhere to recommendation Low Unable to determine High Comments: Because music therapy is a powerful and non-invasive medium, unique outcomes are possible. In addition to its applications with hospital patients, music therapy is used successfully with persons of all ages and disabilities (AMTA, 2006). 5. Cost-effectiveness to healthcare system Cost-effective Inconclusive Not cost-effective

2012 Cincinnati Children's Hospital Medical Center

151. Reporting Standards for Carotid Artery Angioplasty and Stent Placement

of progressive neurologi- caldysfunction;oramajorsurgicalpro- cedure within the previous 30 days. These patients could be included if the disorder responsible for their ineligibil- ity resolved within 120 days of their qualifying cerebrovascular event. Neu- rological classification was performed 30and90daysaftertheprocedurewith strokes(anynewfocalneurologicaldef- icit lasting 24 hours) categorized as disabling(modifiedRankinscore3)or non-disabling.Ifsufficientfunctionalre- covery occurred within 90 days (...) eventrateof13%)to9%inthesurgical group, thus yielding an absolute risk reduction of 17%. Therefore, for every 100 patients undergoing surgery, 17 nonfatal strokes or deaths were pre- ventedovera2-yearperiod.However, this risk reduction was not equal for all patients. The benefit was twice as greatinpatientswithastenosisof90% to 99% as it was in those with a steno- sisof70%to79%.At8-yearfollow-up, the risk of an ipsilateral disabling stroke was 6.7%; of any ipsilateral stroke was 15.2%; of any stroke

2009 Society of Interventional Radiology

153. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: Executive Summary

Testing 2592 5.1.3. Platelet Function Testing 2592 5.2. Restenosis 2592 5.2.1. Exercise Testing 2592 5.2.2. Cardiac Rehabilitation 2592 6. Quality and Performance Considerations: Recommendations 2592 6.1. Quality and Performance 2592 6.2. Certification and Maintenance of Certification 2592 6.3. Operator and Institutional Competency and Volume 2592 References 2593 Appendix 1. Author Relationships With Industry and Other Entities (Relevant) 2605 Appendix 2. Reviewer Relationships With Industry and Other (...) , angioplasty, balloon angioplasty, clinical trial, coronary stenting, delayed angioplasty, meta-analysis, percutaneous transluminal coronary angioplasty, randomized controlled trial, percutaneous coronary intervention (PCI) and angina, angina reduction, antiplatelet therapy, bare-metal stents (BMS), cardiac rehabilitation, chronic stable angina, complication, coronary bifurcation lesion, coronary calcified lesion, coronary chronic total occlusion, coronary ostial lesions, coronary stent (BMS and drug

2011 American Heart Association

154. Treatment of Distal Radius Fractures

in peer review of this clinical practice guideline: American Academy of Family Physicians American Academy of Physical Medicine and Rehabilitation American Association for Hand Surgery American College of Occupational and Environmental Medicine American Society for Surgery of the Hand American Society of Plastic Surgeons Individuals who participated in the peer review of this document and gave their consent to be listed as reviewers of this document are: Blair C. Filler, MD M. Felix Freshwater, MD

2009 American Academy of Orthopaedic Surgeons

155. Evaluation of the child with microcephaly

, there is significant potential for rehabilitation. e9 The findings from these and other selected studies are summarized in appendix e-3. Conclusions. Microcephaly is commonly found in developmentally and cognitively impaired children. Children with microcephaly are at a higher risk for mental retardation and there is a correlation between the degree of microcephaly and the severity of cognitive impairment. Recommendation. Because children with microcephaly are at risk for developmental disability, physicians (...) with microcephaly to establish the diagnostic yields of these tests and inform the development of an evidence-based algorithmic approach to evaluation. The burden of neurodevelopmental disability and comorbid medical illness in children with microcephaly should be more thoroughly studied to guide the provision of preventative and rehabilitative services that might improve outcomes. DISCLOSURE Dr. Ashwal serves on the scientific advisory board of the Tuberous Sclerosis Association and the International Pediatric

2009 American Academy of Neurology

156. A review of the evidence for the use of telemedicine within stroke systems of care

for the use of telemedicine in general neurological assessment and primary prevention of stroke; notification and response of emergency medical services; acute stroke treatment, including the hyperacute and emergency department phases; hospital-based subacute stroke treatment and secondary prevention; and rehabilitation. The field of acute stroke care is evolving rapidly, and many states and communities are establishing designated stroke centers as a means to improve acute stroke care delivery (...) of stroke; notification and response of emergency medical services (EMS); acute stroke treatment, including the hyperacute and emergency department phases; hospital-based subacute stroke treatment and secondary prevention; and rehabilitation. Table 1. Applying Classification of Recommendations and Level of Evidence *Data available from clinical trials or registries about the usefulness/efficacy in different subpopulations such as gender, age, history of diabetes, history of prior myocardial infarction

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2009 American Academy of Neurology

157. Evaluation of distal symmetric polyneuropathy: role of autonomic testing, nerve biopsy, and skin biopsy

: Evaluation of distal symmetric polyneuropathy: Role of autonomic testing, nerve biopsy, and skin biopsy (an evidence-based review) Report of the American Academy of Neurology, American Association of Neuromuscular and Electrodiagnostic Medicine, and American Academy of Physical Medicine and Rehabilitation J. D. England , G. S. Gronseth , G. Franklin , G. T. Carter , L. J. Kinsella , J. A. Cohen , A. K. Asbury , K. Szigeti , J. R. Lupski , N. Latov , R. A. Lewis , P. A. Low , M. A. Fisher , D. N. Herrmann (...) (Level U). 3) Skin biopsy is a validated technique for determining intraepidermal nerve fiber density and may be considered for the diagnosis of DSP, particularly SFSN (Level C). There is a need for additional prospective studies to define more exact guidelines for the evaluation of polyneuropathy. AAN = American Academy of Neurology; AANEM = American Academy of Neuromuscular and Electrodiagnostic Medicine; AAPM&R = American Academy of Physical Medicine and Rehabilitation; ART = autonomic reflex

2009 American Academy of Neurology

158. American College of Chest Physicians Consensus Statement on the Management of Dyspnea in Patients With Advanced Lung or Heart Disease

carbon dioxide tension on breathlessness was found. There was, however, a signi? cant increase in breathlessness after nasal anesthesia ( P , .005). Swinburn et al 42 1991 RCT; Severely disabled hypoxemic patients with COPD; n 5 12; ILD patients; n 5 10 28% oxygen and air by Venturi face mask, each gas on two occasions The patients with COPD stated that air helped their breathing on 15 of 24 occasions and that oxygen helped on 22 of 24 occasions ( P , .05). In the patients with ILD, the values were 6 (...) dyspnea changed differently over time in the two groups in favor of NPPV 1 L TOT . Compared with LTOT alone, the addition of NPPV to LTOT in stable COPD patients with CVF improved dyspnea. Ries et al 53 2007 SR; Advanced COPD andor severe hypoxemia at rest or during exercise Pulmonary rehabilitation including supplemental oxygen therapy and NPPV Noninvasive ventilation may be helpful for selected patients with advanced COPD. Kolodziej et al 54 2007 SR; Severe, stable COPD NPPV Health-related quality

2010 American College of Chest Physicians

159. Assessment scales for disorders of consciousness: evidence-based recommendations for clinical practice and research

) Financial and technical support by the American Congress of Rehabilitation Med- icine Clinical Practice Committee and the National Institute on Disability and Reha- bilitation Research Model Systems Knowledge Translation Center. No party having a direct interest in the results of the research supporting this article has or will confer a ?nancial bene?t on the authors or on any organization with which the authors are associated. A practice parameter of the American Congress of Rehabilitation Medicine pro (...) of Rehabilitation Medicine BI-ISIG Brain Injury-Interdisciplinary Special Interest Group CI con?dence interval CLOCS Comprehensive Levels of Consciousness Scale CNC Coma/Near-Coma Scale CPC Clinical Practice Committee CRS-R Coma Recovery Scale-Revised DOC disorders of consciousness DOCS Disorders of Consciousness Scale DRS Disability Rating Scale FOUR Full Outline of UnResponsiveness Score GCS Glasgow Coma Scale GLS Glasgow-Liege Coma Scale IC internal consistency ICC intraclass correlation coef?cient INNS

2010 American Academy of Neurology

160. Optimizing the Management of Rotator Cuff Problems

to future publications that clarify existing evidence for determining balance of benefits versus potential harm. Patient preference should have a substantial influencing role. AAOS Clinical Practice Guidelines Unit xiii v1.1_033011 UPost-Operative Rehabilitation – Range of Motion Exercises 13. b. We cannot recommend for or against a specific time frame of shoulder immobilization without range of motion exercises after rotator cuff repair. Strength of Recommendation: Inconclusive Description: Evidence (...) for determining balance of benefits versus potential harm. Patient preference should have a substantial influencing role. UPost-Operative Rehabilitation – Active Resistance Exercises 13. c. We cannot recommend for or against a specific time interval prior to initiation of active resistance exercises after rotator cuff repair. Strength of Recommendation: Inconclusive Description: Evidence from a single low quality study or conflicting findings that do not allow a recommendation for or against the intervention

2010 American Academy of Orthopaedic Surgeons

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