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101. Pediatric Post–Cardiac Arrest Care: A Scientific Statement From the American Heart Association

, American Heart Association, Inc. The immediate phase: the first 0 to 20 minutes after ROSC The early phase: the period after ROSC from 20 minutes up to 6 to 12 hours The intermediate phase: 12 to 72 hours The recovery phase: approximately 72 hours to day 7. Starts at different times for different patients; the timing may be influenced by factors such as cardiovascular function or use of TTM The rehabilitation phase: traditionally began with the application of care after discharge from the acute care (...) hospital, but rehabilitation services are now often initiated during the intermediate phase or the recovery phase Background This scientific statement describes the available peer-reviewed published evidence on the care of children resuscitated from cardiac arrest, including pediatric PCAC and prognostication, and provides a list of knowledge gaps. The purpose of this statement is to provide clinicians with recommendations to optimize pediatric PCAC, highlighting the knowledge gaps that should

2019 American Heart Association

102. The Utility and Practice of Electrodiagnostic Testing in the Pediatric Population: An AANEM Consensus Statement

, University of Florida College of Medicine, Gainesville, Florida 3 Department of Pediatrics, University of Ottawa and Children’s Hospital of Eastern Ontario, Ottawa, Ontario, Canada 4 Department of Pediatrics, Northwestern University Feinberg School of Medicine and Lurie Children’s Hospital, Chicago, Illinois 5 National Institute of Neurological Disorders and Stroke, Bethesda, Maryland 6 Functional and Applied Biomechanics Section, Rehabilitation Medicine, National Institutes of Health Clinical Center (...) , Bethesda, Maryland 7 Inova Neuroscience and Spine Institute, Inova Fairfax Hospital, Falls Church, Virginia 8 Centre de Référence Maladies Neuromusculaires, Service de Neurologie, Réanimation et RéeducationPédiatriques, Hôpital Raymond Poincaré, Garches, France Correspondence to: American Association of Neuromuscular &Electrodiagnostic Medicine (AANEM) 2621 Superior Drive NW Rochester, MN 55901 Email: This article is protected by copyright. All rights reserved.Pediatric EDX Statement

2019 American Association of Neuromuscular & Electrodiagnostic Medicine

103. Standardization of Spirometry Full Text available with Trip Pro

and recovery from exacerbations To monitor people for adverse effects of exposure to injurious agents To watch for adverse reactions to drugs with known pulmonary toxicity Disability/impairment evaluations To assess patients as part of a rehabilitation program To assess risks as part of an insurance evaluation To assess individuals for legal reasons Other Research and clinical trials Epidemiological surveys Derivation of reference equations Preemployment and lung health monitoring for at-risk occupations (...) position (knees raised) ( ). In most studies involving healthy subjects or patients with lung, heart, neuromuscular disease, or obesity, FEV 1 and FVC were higher in more erect positions, whereas for subjects with tetraplegic spinal cord injury, FVC and FEV 1 were higher in supine than while sitting ( ). Hygiene and Infection Control Section: The goal of infection control is to prevent the transmission of infection to patients and staff during pulmonary function testing ( , ). The number of documented

2019 American Thoracic Society

104. Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations Full Text available with Trip Pro

, postoperative nausea and vomiting, and pruritus does not support the routine use of spinal opioids. Summary and recommendations —Spinal opioids are not recommended for routine use Evidence level —Moderate Recommendation grade —Strong Epidurals Lumbar epidurals have been accepted as providing favorable analgesia postoperatively for lower limb surgery. However, there are potential side effects that delay recovery and these include hypotension, urinary retention, pruritus, and motor blockade. Also, serious (...) interventions in knee replacement surgery . Ann R Coll Surg Engl 2013a ; 95(6): 386 – 9 . , , , , Ibrahim M S , Twaij H , Giebaly D E , Nizam I , Haddad F S . Enhanced recovery in total hip replacement: a clinical review . Bone Joint J 2013b ; 95-B(12): 1587 – 94 . , , ; Sprowson et al. Sprowson A , McNamara I , Manktelow A . Enhanced recovery pathway in hip and knee arthroplasty: “fast track” rehabilitation 2013 ; 27(5): 296 – 302 . ), a systematic and evidence-based guideline has not been produced

2019 ERAS Society

106. Impact of Affordable Care Act on Trauma and Emergency General Surgery

— importantoutcome Holzmacher etal.,2017 Retrospectivecohortstudy,Trauma patients from Maryland,WashingtonDC, andVirginiaseenata single LevelItrauma center inWashington, DC Discharge home,% Washington DC89.8%,Virginia 87.5%,Maryland 93.2% Discharge to SAR, SNF, oracute rehabilitation, % Washington DC7.9%,Virginia 12.5%, Maryland6.8% Virginiavs.DC,p=0.75 Marylandvs. DC, p=0.68 Leeetal.,2014 Retrospectivepre-/post-MHRstudy,Trauma patients admitted totheICUfromasingleLevelI trauma centerinMassachusetts (...) Dispositionoutcomes,Propensitymatchedodds ratiowith discharge home as referent (not prepolicy/postpolicy) Homehealth servicesOR1.70(95%CI,1.08–2.68) SNF/Rehabilitation OR0.91 (95%CI,0.72–1.31) Other OR1.15 (95%CI,0.79–1.67) Santryetal., 2014 Retrospectivepre-/post-MHRstudy,Trauma patients froma single LevelI trauma center inMassachusetts Discharge Disposition,AdjustedOR for uninsured vs. insured patients (not prepolicy/postpolicy) HomewithservicesAOR0.64 (95%CI, 0.44–0.93) RehabilitationAOR0.08(95%CI,0.05–0.96

2019 Eastern Association for the Surgery of Trauma

107. Assessing Fitness to Drive

of Rehabilitation Medicinevi Assessing Fitness to Drive 2016 Acknowledgements Setting these standards involved extensive consultation across a wide range of stakeholders including regulators, employers and health professionals. The NTC and Austroads gratefully acknowledge all contributors including the members of the Maintenance Advisory Group and various working groups, and the project team and consultants. In particular, the contributions of various health professional organisations and individual health (...) conditions, progressive disorders and undifferentiated illness - the effects of prescription and over-the-counter drugs - the role of practical driver assessments and driver rehabilitation • the roles and responsibilities of drivers, licensing authorities and health professionals • what standards to apply (private or commercial) for particular driver classes • the application of conditional licences, and • the steps involved in assessing fitness to drive. Part B comprises a series of chapters relating

2016 Cardiac Society of Australia and New Zealand

108. Care Transitions

of all ages in different types of care – acute, long-term and home health care, mental health and addictions, rehabilitation and community services such as public health and community care access centres. Representatives from Accreditation Canada, Healthforce Ontario, Health Quality Ontario, Ontario Telemedicine Network and local health integration networks also participated in the focus groups. The participants of the focus groups described transitions as non-linear; and needing to involve (...) interprofessional care G that emphasizes ongoing communication among professionals and clients. Our reference list and appendices (including a glossary, a description of how the guideline was developed and details on our literature search) follow the main guideline. See Appendix A for a glossary of terms. See Appendices B and C for the guideline development process and process for systematic review G /search of the literature. Photo Credit: Toronto Rehab – University Health Network8 REGISTERED NURSES

2014 Registered Nurses' Association of Ontario

109. Promoting Safety: Alternative Approaches to the Use of Restraints

Geriatric Health Care System T oronto, Ontario Assistant Professor New Y ork University College of Nursing Hartford Institute for Geriatric Nursing New Y ork, NY, USA Athina Perivolaris RN, BScN, MN T eam Leader Advanced Practice Nurse Mental Health/Gerontology, Centre for Addiction and Mental Health T oronto, Ontario Nancy Boaro RN, BScN, MN, CNN(C), CRN(C) Advanced Practice Leader, Neuro Program T oronto Rehabilitation Institute T oronto, Ontario Lisa Casselman BSc, BSW, MSW, RSW Mental Health (...) Ottawa Mental Health Centre Professional Development, Crisis Prevention Instructor Ottawa, Ontario Kathy Culhane RN Nurse Educator Lady Dunn Health Centre Wawa, Ontario Michelle DaGloria RN, BScN Clinical Educator, Professional Practice Lead Medicine Guelph General Hospital Guelph, Ontario Sylvia Davidson MSc, DipGer, OT Reg.(Ont.) Advanced Practice Leader – Geriatrics T oronto Rehabilitation Institute – University Centre T oronto, Ontario Nicole Didyk MD, FRCP(C) Geriatrician St. Mary’s Hospital

2012 Registered Nurses' Association of Ontario

111. Prevention of Acute Nausea and Vomiting due to Antineoplastic Medication in Pediatric Cancer Patients

/dose given IV pre- therapy x 1 and then 16 mg/m 2 /day IV either divided q6h or divided into 2 doses given q4h) were given; however, the results were provided in aggregate. 22 These studies did not evaluate AINV control using common antiemetic backbones so comparison of the performance of the dexamethasone doses used in these studies is not possible. The fourth randomized controlled trial involved too few children to permit evaluation of the outcome in this subset of the study sample. 21 40 Version

2013 SickKids Supportive Care Guidelines

112. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

recommend a formal audiometric evaluation every 5 years regardless of the initial age at diagnosis, initial hearing threshold levels, karyotype and/or presence of a mid-frequency sensorineural hearing loss, to assure early and adequate technical and other rehabilitative measures (⨁⨁◯◯). R 6.2. We recommend aggressive treatment of middle-ear disease and otitis media (OM) with antibiotics and placement of myringotomy tubes as indicated (⨁⨁◯◯). R 6.3. We recommend screening for hypothyroidism at diagnosis (...) (⨁◯◯◯). R 6.9. We recommend a comprehensive ophthalmolo­gical examination between 12 and 18 months of age or at the time of diagnosis, if at an older age, with emphasis on early correction of refractive errors (⨁◯◯◯). R 6.10. We recommend clinical evaluation for scoliosis every 6 months during GH therapy or otherwise annually until growth is completed (⨁◯◯◯). R 6.11. We suggest treatment with GH be coordinated with orthopedic care if spine abnormalities are present at the start of therapy

2017 European Society of Endocrinology

113. Home mechanical ventilation for patients with Amyotrophic Lateral Sclerosis: A CTS Clinical Practice Guideline

for Rehabilitation, Fredericton, New Brunswick, Canada; h Meakins-Christie Laboratories, McGill University Health Centre, Montr eal, Qu ebec, Canada; i Division of Respirology, University of Ottawa and The Ottawa Hospital Research Institute, CANVent Respiratory Services, Ottawa, Ontario, Canada ABSTRACT Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disorder involving both upper and lower motor neurons that results in progressive weakness of skeletal muscles. Regardless of site of first onset, death (...) remains unclear. There has been concern that compensatory overuse of surviving muscle groups may worsen neural dysfunction and potentially accel- erate the loss of motor units. 93 In contrast, other studies have suggested that exercise may be safe and effective in slowing the decline in muscle strength. 94–96 Inspiratory muscle training has been investigated in other neurological diseases such as spinal cord injury 97 and Duchenne muscu- lar dystrophy, 98,99 but the results of these studies may

2019 Canadian Thoracic Society

115. Urinary Incontinence

: a scoping review. Neurourol Urodyn, 2013. 32: 944. 110. Prieto, J., et al. Catheter designs, techniques and strategies for intermittent catheterisation: What is the evidence for preventing symptomatic UTI and other complications? A Cochrane systematic review. Eur Urol Suppl, 2014. 13: e762. (14)60751-X/pdf 111. Hakansson, M.A. Reuse versus single-use catheters for intermittent catheterization: what is safe and preferred? Review of current status. Spinal Cord, 2014. 52: 511. 112. Hagen, S., et al (...) symptoms in women. J Urol, 2005. 174: 187. 120. Tomlinson, B.U., et al. Dietary caffeine, fluid intake and urinary incontinence in older rural women. Int Urogynecol J Pelvic Floor Dysfunct, 1999. 10: 22. 121. Townsend, M.K., et al. Caffeine intake and risk of urinary incontinence progression among women. Obstet Gynecol, 2012. 119: 950. 122. Jorgensen, S., et al. Heavy lifting at work and risk of genital prolapse and herniated lumbar disc in assistant nurses. Occup Med (Lond), 1994. 44: 47. 123. Nygaard

2019 European Association of Urology

116. Management of Stroke in Neonates and Children Full Text available with Trip Pro

, neonates with cardiac disease may have a higher recurrence risk, similar to older infants and children with cardiac disease. Rehabilitation An early intervention program based on best available evidence of interventions that work in older children, Goals Activity Motor Enrichment, was evaluated in infants in a single randomized trial with promising results showing improved motor outcomes of participants compared with standard care. Another study explored the effectiveness of baby constraint-induced (...) healthy children in the vast majority of cases. , Presenting signs and symptoms include localizing deficits referable to the posterior circulation in 70% to 100%: hemiparesis, ataxia, dysarthria, visual field deficits, and oculomotor deficits. Nonlocalizing symptoms occur in 60% to 70%, especially headache, vomiting, and altered mental status. Vertebral artery (VA) dissection is the most common underlying cause (25%–50%), especially in younger boys, and is frequently preceded by recent minor head

2019 American Heart Association

117. Heart Disease and Stroke Statistics Full Text available with Trip Pro

participation in cardiac rehabilitation after an acute MI. Between 2011 and 2015, compared with patients who did not participate in cardiac rehabilitation, those who declared such participation were less likely to be female (OR, 0.76; 95% CI, 0.65–0.90; P =0.002) or black (OR, 0.70; 95% CI, 0.53–0.93; P =0.014), were less well educated (high school versus college graduate: OR, 0.69; 95% CI, 0.59–0.81; P <0.001 and less than high school versus college graduate: OR, 0.47; 95% CI, 0.37–0.61; P <0.001

2019 American Heart Association

118. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

compression or spinal stenosis (central or foraminal) is seen on an advanced imaging study (MRI or CT) and correlates with the clinical findings* ? The pain has not responded to at least four (4) weeks of appropriate conservative management, unless there is evidence of radiculopathy, in which case ESI may be performed following two (2) weeks of conservative management. *Note: The initial epidural injection for a given episode of pain in the lumbar spine may be performed without confirmatory advanced (...) .; Abdi, S.; et al. . Efficacy of Epidural Injections in Managing Chronic Spinal Pain: A Best Evidence Synthesis. Pain physician. 2015;18(6):E939-1004. 11 Kreiner DS, Hwang, S. W., North American Spine, Society, et al. An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. Spine J. 2014;14(1):180-91. 12 Kreiner DS, Shaffer WO, Baisden JL, et al. An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal

2019 AIM Specialty Health

119. Extremity imaging

cervical spine and MRI shoulder for pain indications ? MRI lumbar spine and MRI hip for pain indications ? MRI or CT of multiple spine levels for pain or radicular indications ? MRI foot and MRI ankle for pain indications ? Bilateral exams, particularly comparison studies There are certain clinical scenarios where simultaneous ordering of multiple imaging studies is consistent with current literature and/or standards of medical practice. These include: ? Oncologic imaging – Considerations include (...) the type of malignancy and the point along the care continuum at which imaging is requested ? Conditions which span multiple anatomic regions – Examples include certain gastrointestinal indications or congenital spinal anomalies Repeated Imaging In general, repeated imaging of the same anatomic area should be limited to evaluation following an intervention, or when there is a change in clinical status such that imaging is required to determine next steps in management. At times, repeated imaging done

2019 AIM Specialty Health

120. Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline Full Text available with Trip Pro

thromboembolism (VTE), and death events were reported. These events were more frequent in transgender females. However, the quality of the evidence was low. The second review summarized the available evidence regarding the effect of sex steroids on bone health in transgender individuals and identified 13 studies. In transgender males, there was no statistically significant difference in the lumbar spine, femoral neck, or total hip BMD at 12 and 24 months compared with baseline values before initiating (...) masculinizing hormone therapy. In transgender females, there was a statistically significant increase in lumbar spine BMD at 12 months and 24 months compared with baseline values before initiation of feminizing hormone therapy. There was minimal information on fracture rates. The quality of evidence was also low. Introduction Throughout recorded history (in the absence of an endocrine disorder) some men and women have experienced confusion and anguish resulting from rigid, forced conformity to sexual

2017 Pediatric Endocrine Society


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