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181. Sacroiliac - Interim Decision

Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants vs Nonsurgical Management for Sacroiliac Joint Dysfunction: 12-month Outcomes. Neurosurgery, 2015. 77(5): p. 674-90. 8. Rudolf, L., Sacroiliac joint arthrodesis-MIS technique with titanium implants: report of the first 50 patients and outcomes. The open orthopaedics journal, 2012. 6: p. 495. 9. Rudolf, L., MIS Fusion of the SI Joint: Does Prior Lumbar Spinal Fusion Affect Patient Outcomes? The Open Orthopaedics Journal, 2013. 7: p. 163 (...) years for some forms of low back pain. While there are a number of reasons why pain could originate from the (SI) joint, the following criteria has been adopted by Labor and Industries as an interim coverage policy for consideration of SI Joint Fusion. Our statutory Industrial Insurance Medical Advisory Committee is anticipated to convene in early 2019 to conduct an evidence-based review of this and other spine surgery procedures. Sacroiliac joint fusion is accomplished through fusing the iliac bone

2018 Washington State Department of Labor and Industries

182. Simplified guideline for prescribing medical cannabinoids in primary care

and patients for feedback, then refined again and finalized by the PGC. Recommendations Recommendations include limiting medical cannabinoid use in general, but also outline potential restricted use in a small subset of medical conditions for which there is some evidence (neuropathic pain, palliative and end-of-life pain, chemotherapy-induced nausea and vomiting, and spasticity due to multiple sclerosis or spinal cord injury). Other important considerations regarding prescribing are reviewed in detail (...) . ? The guideline suggests that clinicians could consider medical cannabinoids for refractory neuropathic pain and refractory pain in palliative care, chemotherapy-induced nausea and vomiting, and spasticity in multiple sclerosis and spinal cord injury after reasonable trials of standard therapies have failed. If considering medical cannabinoids and criteria are met, the guideline recommends nabilone or nabiximols be tried first. Harms are generally more common than benefits are, and it is important to discuss

2018 CPG Infobase

183. Desk guide for diagnosis and management of TB in children - Asia

is similar to that for HIV-uninfected children. CHECK WEIGHT, RECORD WEIGHT AND COMPARE TO PREVIOUS WEIGHTS Typical symptoms • Cough especially if persistent and not improving • Weight loss or failure to gain weight • Fever and/or night sweats • Fatigue, reduced playfulness, less active Especially if symptoms persist (>2-3 weeks) without improvement following other appropriate therapies (e.g. broad-spectrum antibiotics for cough; anti-malarial treat- ment for fever; or nutritional rehabilitation (...) is that if positive, it also provides information on whether the child might have MDR-TB or not. Therefore, it is strongly recommended to obtain suitable samples for Xpert testing in children for whom MDR-TB is suspected as this will deter- mine choice of appropriate treatment regimen for the child. For children with EPTB, (see page 16) Xpert provides a high positive yield from lymph node aspiration or cerebro-spinal fluid (CSF), but not from pleural, pericardial or perito - neal fluid. Again, a negative Xpert

2016 International Union Against TB and Lung Disease

184. Desk guide for diagnosis and management of TB in children - Africa

is similar to that for HIV-uninfected children. CHECK WEIGHT, RECORD WEIGHT AND COMPARE TO PREVIOUS WEIGHTS Typical symptoms • Cough especially if persistent and not improving • Weight loss or failure to gain weight • Fever and/or night sweats • Fatigue, reduced playfulness, less active Especially if symptoms persist (>2-3 weeks) without improvement following other appropriate therapies (e.g. broad-spectrum antibiotics for cough; anti-malarial treat- ment for fever; or nutritional rehabilitation (...) is that if positive, it also provides information on whether the child might have MDR-TB or not. Therefore, it is strongly recommended to obtain suitable samples for Xpert testing in children for whom MDR-TB is suspected as this will deter- mine choice of appropriate treatment regimen for the child. For children with EPTB, (see page 16) Xpert provides a high positive yield from lymph node aspiration or cerebro-spinal fluid (CSF), but not from pleural, pericardial or perito - neal fluid. Again, a negative Xpert

2016 International Union Against TB and Lung Disease

185. Neuro-urology

/stillbirths with/without pregnancy termination [40]. Lumbar and lumbosacral form are the most common (60%). Urethrovesical dysfunction in myelomeningocele is very high (90-97%). 50% of these children demonstrate DO. Low compliance is also frequent (alone/associated with can develop with time). Urethral behaviour varies from dyssynergia (50%), normal reflexes (25%) and denervation (25%) [41]. Lesions and diseases of the peripheral nervous system Lumbar spine Degenerative disease Disk prolapse Lumbar canal (...) urine Intermittency Urine flow stops and starts on one or more occasions during voiding Leak point pressure See below under storage phase Lower motor neuron lesion (LMNL) Lesion at or below the S1-S2 spinal cord level NLUTD LUTD secondary to confirmed pathology of the nervous supply Observation, specific Observation made during specific diagnostic procedure Overactivity, bladder See below under symptom syndrome (Table 3) Overactivity, detrusor See below under storage phase Rehabilitation, LUT Non

2015 European Association of Urology

186. Paediatric Urology

years old, frequent voiding, dysuria and suprapubic, abdominal or lumbar pain can be detected. 3H.3.3 Physical examination Physical examination includes a general examination of the throat, lymph nodes, abdomen (constipation, palpable and painful kidney, or palpable bladder), flank, the back (stigmata of spina bifida or sacral agenesis), genitalia (phimosis, labial adhesion, vulvitis, epididymo-orchitis), and temperature. 3H.3.4 Urine sampling, analysis and culture Urine sampling has to be performed

2015 European Association of Urology

187. Urological Infections

-10% in pregnant women, 15-50% in institutionalised elderly populations, and 23-89% in spinal cord injury patients [27]. ABU in younger men is uncommon, but when detected, a chronic bacterial prostatitis must be considered. The spectrum of bacteria in ABU is similar to species found in uncomplicated or complicated UTIs, depending on the presence or not of a risk factor (see Chapters 3A, C and D). 3B.4 Diagnostic evaluation ABU is defined by a mid-stream sample of urine (MSU) showing bacterial (...) is of no benefit [42]. Furthermore, before treatment is given the possible protective effect of spontaneously developed ABU (see 3.5.4.4.) should be taken into account. Therefore screening and treatment of ABU is not recommended in this patient group (LE: 1b; GR: A). 3B.5.4.4 Patients with dysfunctional and/or reconstructed lower urinary tracts Patients with lower urinary tract dysfunction (LUTD), e.g. neurogenic bladder patients secondary to multiple sclerosis and spinal cord injury patients, and patients

2015 European Association of Urology

190. Clinical guidance for responding to suffering in adults with cancer

thoracic pain. CT and MRI scans had identified a large left iliac bone mass and mid-thoracic spine mass with spinal cord compression. Graeme had a biopsy at the teaching hospital and the diagnosis was confirmed as a metastatic adenocarcinoma. Graeme was informed that the cancer was incurable and treatment was likely to include steroids, morphine, ra- diotherapy and chemotherapy with palliative intent. He became agitated and angry when potential loss of lower limb, bladder and bowel function

2014 Cancer Australia

192. Guide to the Assessment of Physical Activity: Clinical and Research Applications Full Text available with Trip Pro

, and and on behalf of the American Heart Association Physical Activity Committee of the Council on Lifestyle and Cardiometabolic Health and Cardiovascular, Exercise, Cardiac Rehabilitation and Prevention Committee of the Council on Clinical Cardiology, and Council on Cardiovascular and Stroke Nursing Originally published 14 Oct 2013 Circulation. 2013;128:2259–2279 You are viewing the most recent version of this article. Previous versions: Introduction Approximately 60 years ago, the foundational works of Jeremy (...) the quantitative history approach is its ability to obtain an estimate of one’s physical activity volume during periods in the past that may be relevant to one’s current health status. One example commonly used is the Bone Loading History Questionnaire, which is a recall of physical activities performed at various ages from childhood to the past year for determination of hip and spine weight-bearing and bone-loading activities. Physical Activity Diaries/Logs Diaries are often used to obtain a detailed hour

2013 American Heart Association

193. Exercise Standards for Testing and Training Full Text available with Trip Pro

Access article Exercise Standards for Testing and Training A Scientific Statement From the American Heart Association , MD, FAHA, Chair , MD, Co-Chair , MD, FAHA, Co-Chair , PhD, PT, FAHA , MD, FAHA , MD, MSPH, FAHA , PhD, ACNS, FAHA , MD , MD, FAHA , MD, PhD, FAHA , MD, MS, FAHA , PhD, PT , MD , and MD PhDon behalf of the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council on Nutrition, Physical Activity and Metabolism (...) , Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention Gerald F. Fletcher , Philip A. Ades , Paul Kligfield , Ross Arena , Gary J. Balady , Vera A. Bittner , Lola A. Coke , Jerome L. Fleg , Daniel E. Forman , Thomas C. Gerber , Martha Gulati , Kushal Madan , Jonathan Rhodes , Paul D. Thompson , and Mark A. Williams and on behalf of the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology, Council

2013 American Heart Association

194. Treatment and recommendations for homeless people with Chronic Non-Malignant Pain

problems, including psychological sequelae of trauma and cognitive impairment. These factors also make adherence to a treatment plan for chronic pain more difficult. Barriers to effective pain management for homeless people include poor understanding of pain management in the general medical community, mutual mistrust between homeless persons and medical providers, lack of access to appropriate pain specialty clinics and other opportunities for rehabilitation, and lack of clear treatment (...) if they have ever been treated for alcohol or drug use (e.g., “Ever been to detox, a rehab program, or an outpatient clinic for drug treatment?”) To explain your reasons for asking, you might add: “As a doctor, this history really helps me understand where you are coming from.” or “Information about your drug and alcohol use can really help me figure out what is the safest and most effective treatment for you.” If a substance use problem is suspected: Evasive responses to uncomfortable questions

2011 National Health Care for the Homeless Council

196. ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease (SIHD)

to: accuracy, angina, asymptomatic patients, cardiac magnetic resonance (CMR), cardiac rehabilitation, chest pain, chronic angina, chronic coronary occlusions, chronic ischemic heart disease (IHD), chronic total occlusion, connective tissue disease, coronary artery bypass graft (CABG) versus medical therapy, coronary artery disease (CAD) and exercise, coro- nary calcium scanning, cardiac/coronary computed tomogra- phy angiography (CCTA), CMR angiography, CMR imag- ing, coronary stenosis, death, depression (...) . 2002;106:3143–421. 24. Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206–52. 25. Balady GJ, Ades PA, Bittner VA, et al. Referral, Enrollment, and Delivery of Cardiac Rehabilitation/Secondary Prevention Programs at Clinical Centers and Beyond: A Presidential Advisory From the American Heart Association. Circulation. 2011;124:2951–60. 26. Mensah GA, Brown DW

2012 Society for Cardiovascular Angiography and Interventions

197. Evidence-Based Guideline: Neuromuscular Ultrasound for the Diagnosis of Carpal Tunnel Syndrome

Department of Neurology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA 2 Department of Medicine, Division of Neurology, Duke University, Durham, North Carolina, USA 3 Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA 4 Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA 5 Rehabilitation Medicine Department, National Institutes of Health, Bethesda, Maryland, USA 6 Mount Washington Pediatric Hospital, Baltimore, Maryland, USA 7 (...) Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA 8 Physical Medicine Associates, Arlington, Texas, USA 9 University of Michigan Health System, Ann Arbor, Michigan, USA 10 Neuromuscular Center, Cleveland Clinic, Cleveland, Ohio, USA 11 Knoxville Neurology Specialists, Knoxville, Tennessee, USA 12 Colorado Rehabilitation and Occupational Medicine, Aurora, Colorado, USA Accepted 12 March 2012 ABSTRACT: Introduction: The purpose of this study was to develop an evidence-based guideline

2012 American Association of Neuromuscular & Electrodiagnostic Medicine

198. Diagnosis and treatment of limb-girdle and distal dystrophies

patients with muscular dystrophy for the development of spinal deformities to prevent resultant complications and preserve function (Level B). Clinicians should refer muscular dystrophy patients with musculoskeletal spine deformities to an orthopedic spine surgeon for monitoring and surgical intervention if it is deemed necessary in order to maintain normal posture, assist mobility, maintain cardiopulmonary function, and optimize quality of life (Level B). Rehabilitative management and treatment (...) of Neurology (P.N., E.R.), Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA; the Department of Neurology (M.W.), University of Washington Medical Center, Seattle; the Department of Neurology (D.S.), Mayo Clinic, Rochester, MN; the Department of Neurology (W.D.), Massachusetts General Hospital/Harvard Medical School, Boston; St Luke's Rehabilitation Institute (G.C.), Spokane, WA; the Department of Neurology (M.W.), Penn State Hershey Medical Center, PA; the Department of Neurology

2014 American Academy of Neurology

199. Palliative and End-of-Life Care in Stroke

of Hospice and Palliative Medicine, American Geriatrics Society, Neurocritical Care Society, American Academy of Physical Medicine and Rehabilitation, and American Association of Neuroscience Nurses Robert G. Holloway, MD, MPH, Chair; Robert M. Arnold, MD; Claire J. Creutzfeldt, MD; Eldrin F. Lewis, MD, MPH; Barbara J. Lutz, PhD, RN, CRRN, FAHA, FAAN; Robert M. McCann, MD; Alejandro A. Rabinstein, MD, FAHA; Gustavo Saposnik, MD, MSc, FAHA, FRCPC; Kevin N. Sheth, MD, FAHA; Darin B. Zahuranec, MD, MS, FAHA (...) hemorrhage (SAH). 2,2a Approximately 50% of deaths occur in hospitals (including emergency departments and acute rehabilitation facilities), 35% occur in nursing homes, and 15% occur in the home or other places. 3 In addition, stroke is considered a leading cause of adult disability, because >20% of patients hospitalized for stroke are discharged to a skilled nursing facility and up to 30% of all patients remain permanently disabled. 4 The pallia- tive care and end-of-life needs of patients and families

2014 Congress of Neurological Surgeons

200. Dysphagia

to evaluate a patient’s oropharyngeal swallow and to examine the effectiveness of rehabilitation strategies [9,10]. The modified barium swallow focuses on the oral cavity, pharynx, and cervical esophagus to assess abnormalities of both the oral phase of swallowing (ie, difficulty propelling the bolus) and the pharyngeal phase (ie, laryngeal penetration, tracheal aspiration, cricopharyngeal dysfunction). Dynamic evaluation of swallowing function can assess bolus manipulation, tongue motion, hyoid (...) maneuvers are not typically performed or assessed in this examination. Biphasic Esophagram A biphasic fluoroscopic evaluation of the esophagus includes single- and double-contrast techniques, including full-column, mucosal relief, and double-contrast views of the esophagus [11]. Esophageal function and motility are evaluated at fluoroscopy. Double-contrast technique provides more mucosal detail compared with the single- contrast technique. However, patient cooperation and mobility are required. Single

2013 American College of Radiology

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