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341. Quality Improvement Guidelines for Endovascular Treatment of Traumatic Hemorrhage

Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2012 Introduction This quality improvement guideline outlines the place of interventional radiology (IR) in trauma management and indicates how imaging and IR can be used in the context of hemorrhage in the severely injured patient, and when IR is appropriate and when it is contraindicated. Vascular injury may also lead to occlusion, and this will be discussed where relevant. There is no intention (...) the pro- portion of patients treated by NOM, these techniques should be promoted, provided suitable IR skills exist to perform embolization, stent grafting, or balloon occlusion to quickly control bleeding. (Recommendation C, level 3 evidence. This is equivalent to the evidence for surgical management; see Appendix 2.) Options for IR Involvement IR should be considered in terms of the techniques avail- able and how they may be used in a variety of clinical scenarios. In the context of trauma, vascular

2012 Cardiovascular and Interventional Radiological Society of Europe

342. Diagnostic Criteria for Mild Cognitive Impairment in Parkinson?s Disease: Movement Disorder Society Task Force Guidelines

. Williams-Gray, MRCP, PhD 10 , Dag Aarsland, MD, PhD 11 , Jaime Kulisevsky, MD, PhD 12 , Maria C. Rodriguez-Oroz, MD, PhD 13 , David J. Burn, MD, FRCP 14 , Roger A. Barker, BSc, MBBS, MRCP, PhD 10 , and Murat Emre, MD 15 1 Division of Movement Disorders, Department of Neurology, University of Louisville, Louisville, Kentucky, USA; and Movement Disorders Program, Frazier Rehab Neuroscience Institute, Louisville, Kentucky, USA 2 Department of Neurological Sciences, Section of Parkinson Disease (...) (WTAR). These tests allow reasonably accurate estimates of verbal intelligence and are quite insensitive to cerebral deterioration in the absence of aphasia or marked dysarthria. Following the DSM-5 draft criteria for a mild neurocognitive disorder, 10 stronger evidence of cognitive decline comes from having previous test data on patients. Consequently, the task force advocates neuropsychological evaluation early in the course of PD to establish baseline cognitive abilities. 46 When such baseline

2012 European Academy of Neurology

343. 2012 ACCF/AHA/ACR/SCAI/SIR/STS/SVM/SVN Key Data Elements and Definitions for Peripheral Atherosclerotic Vascular Disease

if the patient has a documented history of TIA consisting of a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia without acute infarction. Note the following: ? Right retinal ? Right hemispheric ? Left retinal ? Left hemispheric ? Vertebrobasilar ? Unknown distribution Prior stroke Indicate whether the patient has a history of stroke, which is defined as an acute episode of neurological dysfunction caused by focal or global brain, spinal cord, or retinal (...) vascular injury as a result of hemorrhage or infarction. If present, record the type of stroke 26,27 : ? Ischemic ? Intracerebral hemorrhage ? Subarachnoid hemorrhage ? Unknown (Continued) Creager et al ACCF/AHA PAVD Data Standards 9 by guest on December 6, 2011 Downloaded from Table 1. Continued Element Name Definition If ischemic, list the most likely etiologies: ? Large-artery atherosclerosis of the extracranial vessels (eg, carotid) ? Large-artery atherosclerosis

2012 Society for Cardiovascular Angiography and Interventions

344. 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 (...) the patient. Typical functional and neurologic causes of oropharyngeal dysphagia include recent stroke, worsening dementia, myasthenia gravis, or amyotrophic lateral sclerosis. Many patients with oropharyngeal dysphagia can subjectively localize a sensation of blockage or discomfort in the throat. Patients with oropharyngeal dysphagia typically complain of food sticking in the throat or of a globus sensation with a lump in the throat. Other symptoms of oropharyngeal dysfunction include coughing or choking

2013 American College of Radiology

345. Evaluation and management of concussion in sports

, GA; and Department of Physical Medicine and Rehabilitation (R.Z.), Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Harvard Medical School, Cambridge. Jeffrey S. Kutcher From the Division of Pediatric Neurology (C.C.G.), Mattel Children's Hospital, David Geffen School of Medicine at UCLA, Los Angeles, CA; Department of Neurology (J.S.K.), University of Michigan Medical School, Ann Arbor; Departments of Pediatrics and Neurology (S.A.), Loma Linda University, Loma Linda, CA (...) ; Neurology and Neurophysiology Associates, PC (S.M.), Philadelphia, PA; Neurological Surgery (G.M.), UCSF Medical Center, San Francisco, CA; Department of Family Medicine (D.B.M.), Indiana University Center for Sports Medicine, Indianapolis; Department of Neurology (D.J.T.), Emory University School of Medicine, Atlanta, GA; and Department of Physical Medicine and Rehabilitation (R.Z.), Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Harvard Medical School, Cambridge. Stephen Ashwal

2013 American Academy of Neurology

346. Clinical Assessment Following Acute Cervical Spinal Cord Injury Full Text available with Trip Pro

in Turkey . Scand J Rehabil Med . 2000 ; 32 ( 2 ): 87 – 92 . 30. Mahoney F , Barthel DW Functional evaluation: the Barthel Index . Md State Med J . 1965 ; 14 : 61 – 65 . 31. Shah S , Vanclay F , Cooper B Improving the sensitivity of the Barthel Index for stroke rehabilitation . J Clin Epidemiol . 1989 ; 42 ( 8 ): 703 – 709 . 32. Anderson K , Aito S , Atkins M , et al. Functional recovery measures for spinal cord injury: an evidence-based review for clinical practice and research . J Spinal Cord Med (...) .They used item response theory methods to determine the value of the use of ASIA motor score/subscores to predict motor Functional Independence Measure (FIM) instrument scores among a database of 4338 SCI patients discharged from inpatient rehabilitation between 1994 and 2003. They concluded that functional impairment following SCI is more accurately described by the use of separate upper- and lower-extremity ASIA motor scores rather than a single, total ASIA motor score. Similarly, in 2006, Graves et

2013 Congress of Neurological Surgeons

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

validity (including criterion validity), and/or prognostic validity data on a second-generation DOC behavioral assessment scale; (2) examined a cohort, case con- trol, or case series sample made up of persons with DOC resulting from traumatic brain injury, stroke, and/or other non- traumatic brain injury etiology with most age greater than or equalto18years;and(3)assessedthesampleineitheranacute care or a rehabilitation setting. Articles were excluded if peer review was not conducted, original data (...) . Inmostcasesauthorsarepermittedtoposttheirversionofthe article(e.g. inWordorTexform)totheirpersonalwebsiteor institutionalrepository. Authorsrequiringfurtherinformation regardingElsevier’sarchivingandmanuscriptpoliciesare encouragedtovisit:'s personal copy SPECIAL ARTICLE A Practice Parameter of the American Congress of Rehabilitation Medicine Assessment Scales for Disorders of Consciousness: Evidence- Based Recommendations for Clinical Practice and Research Report of the American Congress of Rehabilitation

2010 American Academy of Neurology

348. Secondary Prevention For Patients With Coronary and Other Atherosclerotic Vascular Disease: 2011 Guideline Update

intervention; TIA, transient ischemic attack; INR, international normalized ratio; and ARB, angiotensin receptor blocker. *Presence of established CVD plus 1) multiple major risk factors (especially diabetes), 2) severe and poorly controlled risk factors (especially continued cigarette smoking), 3) multiple risk factors of the metabolic syndrome (especially high triglycerides200 mg/dL plus non–HDL-C130 mg/dL with low HDL-C40 mg/dL), and 4) patients with ACSs. †Non–HDL-Ctotal cholesterol minus HDL-C (...) guideline for management of patients with peripheral artery disease (175,176), the AHA effectiveness-based guidelines for cardiovascular disease prevention in women (46), and in the AHA/American Stroke Association guidelines for the prevention of stroke in patients with stroke or transient ischemic attack (123). Finally, the practitioner should exercise judgment in initi- ating the various recommendations if the patient has recently experienced an acute event. 2438 Smith Jr. et al. JACC Vol. 58, No. 23

2011 American College of Cardiology

349. Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline from the ACP, ACCP, ATS, and the ERS

nonanticholinergic respiratory medications com- pared with placebo plus any other nonanticholinergic re- spiratory medications) found a reduced risk for myocardial infarction with long-acting inhaler tiotropium compared with placebo (RR, 0.73 [CI, 0.53 to 1.00]) and no differ- ence in risk for stroke (23). Evidence to Use Combination Therapy in Patients With FEV 1 Between 50% and 80% Predicted One study of patients with FEV 1 between 50% and 80% predicted who were treated with the combination of a long-acting (...) of various inhaled therapies (an- ticholinergics, long-acting -agonists, and corticosteroids), pulmonary rehabilitation programs, and supplemental oxygen therapy. Methods: This guideline is based on a targeted literature update from March 2007 to December 2009 to evaluate the evidence and update the 2007 ACP clinical practice guideline on diagnosis and management of stable COPD. Recommendation 1: ACP, ACCP, ATS, and ERS recommend that spirometry should be obtained to diagnose airflow obstruction in pa

2011 American Thoracic Society

350. Reporting Standards for Carotid Artery Angioplasty and Stent Placement

Definition (49) Medical Coronary artery disease (angina, myocardial infarctionsix mo, congestive heart failure), hypertension (180/110 mm Hg), severe peripheral vascular disease, chronic obstructive pul-monary disease, age older than 70 years, severely obese Neurological Neurological deficit within 24 h, general cerebral ischemia, recent cerebrovascular accident (seven d), frequent transient ischemic attacks Angiographic Contralateral internal carotid artery occlusion, siphon stenosis, plaquethree cm (...) (30% to 99% symptomatic stenosis) have been re- ported(27,28).Theoverallrateofperi- operative stroke and death (1.1%) was 6.5%.Fivebaselinevariableswerepre- dictive of statistically significant in- creasedsurgicalrisk:hemisphericver- sus retinal transient ischemic attack as the qualifying event, left-sided proce- dure, contralateral carotid occlusion, ipsilateral ischemic lesion on CT scan, and irregular or ulcerated ipsilateral plaque.Theincidenceofperioperative wound complications was 9.3

2009 Society of Interventional Radiology

351. Reporting Standards for Angioplasty and Stent-assisted Angioplasty for Intracranial Atherosclerosis

- cranial stenosis,” “stroke,” “transient ischemic attacks,” “TIA,” or “cerebral stenosis,” were used in conjunction with procedural terms, including “in- tracranial stent,” “intracranial angio- plasty,” “intracranial stent-assisted angioplasty,” “thrombolysis,” “inter- vention,” “endovascular revascular- ization,” and “endovascular treat- ment.” English and non-English language articles published between January 1, 1997, and December 31, 2007, are in- cluded. To identify further published, unpublished (...) at qualifying event, no. (%) Type and dose of diuretic treatment at time of medical treatment failure, no. (%) Schumacher et al  S453 Volume 20 Number 7Seitherofthesescalesshouldhavebeen trained, tested, and certified in their use to assure their correct application (12–14). Patient Selection According to Under- lyingPathophysiologyofBrainIschemia SecondarytoIntracranialAtherosclerosis Transient ischemic attacks or isch- emic stroke secondary to intracranial cerebral atherosclerosis are caused by 4

2009 Society of Interventional Radiology

352. Evaluation of the child with microcephaly

a genetic disorder was suspected or diagnosed, with the most frequent findings being neuronal migrational disorders or callosal malformations. In the children with postnatal onset microcephaly, 100% showed abnormalities, with hydranencephaly and infarction being most common. The second study classified MRI abnormalities into 4 groups: congenital cytomegalovirus (CMV) infection (n = 6), cerebral malformations/myelination disorders (n = 16), unclassifiable pathologic findings (n = 8), and normal (n = 3 (...) but is estimated to be 1%. Children with severe microcephaly (head circumference <−3 SD) are more likely (∼80%) to have imaging abnormalities and more severe developmental impairments than those with milder microcephaly (−2 to −3 SD; ∼40%). Coexistent conditions include epilepsy (∼40%), cerebral palsy (∼20%), mental retardation (∼50%), and ophthalmologic disorders (∼20% to ∼50%). Recommendations: Neuroimaging may be considered useful in identifying structural causes in the evaluation of the child

2009 American Academy of Neurology

353. Botulinum neurotoxin for the treatment of movement disorders

York, NY; Wake Forest University School of Medicine (A. Brashear), Winston-Salem, NC; Department of Neurology (C.C.), Rush University Medical Center, Chicago, IL; Department of Neurology (R.D.), University of Kansas, Kansas City; The National Institute of Neurological Disorders and Stroke (M.H., B.K., C.L.L.), Bethesda, MD; Department of Neurology (J.J.), Baylor College of Medicine, Houston, TX; Toronto Western Hospital (J.M.M.), Ontario, Canada; Department of Neurology (M.N.), Klinikum Augsburg (...) and Stroke (M.H., B.K., C.L.L.), Bethesda, MD; Department of Neurology (J.J.), Baylor College of Medicine, Houston, TX; Toronto Western Hospital (J.M.M.), Ontario, Canada; Department of Neurology (M.N.), Klinikum Augsburg, Germany; and Stanford University (Y.S.), CA. A. Brashear From the Department of Neurology (D.M.S.), Mount Sinai Medical Center, New York; Department of Otolaryngology (A. Blitzer), St. Lukes-Roosevelt Medical Center, New York, NY; Wake Forest University School of Medicine (A. Brashear

2008 American Academy of Neurology

354. Clinical Guideline on the Treatment of Carpal Tunnel Syndrome

postoperatively after routine carpal tunnel surgery (Grade B, Level II). We make no recommendation for or against the use of postoperative rehabilitation. (Inconclusive, Level II). Recommendation 9 We suggest physicians use one or more of the following instruments when assessing patients’ responses to CTS treatment for research: • Boston Carpal Tunnel Questionnaire (disease-specific) • DASH – Disabilities of the arm, shoulder, and hand (region-specific; upper limb) • MHQ – Michigan Hand Outcomes Questionnaire (...) Center Drive 2130 Taubman Health Care Center Ann Arbor, MI 48109-0340 Plastic and Reconstructive Surgery Peter C Amadio, MD Mayo Clinic 200 1st St S W Rochester, MN 55902-3008 Orthopaedic Hand Surgeon Michael Andary, MD Michigan State University B401 W Fee Hall (PMR) East Lansing, MI 48824-1316 Physical Medicine and Rehabilitation Neurology Richard W. Barth, MD 2021 K St Ste 400 Washington, DC 20006-1003 AAOS Board of Councilors Orthopaedic Hand Surgeon Kent Maupin, MD 1111 Leffingwell NE Ste 200

2008 Congress of Neurological Surgeons

355. Alcoholic Liver Disease

that warrant questioning the diagnosis of hepatic encephalopathy or AWS. For example, seizures, focal neuro- logical defi cits, severe headache, and encephalopathy refractory to all measures should point towards an alternate cause for altered consciousness such as stroke, subdural hematoma, drug overdose, meningitis, and fungal infections of the central nerv- ous system. A drug screen is recommended and in selected patients imaging of the head and cerebral spinal fl uid studies may be required ( 53 (...) - ume) ( 7 ). Economic costs due to AUD (249 billion USD per year) are increasing. An estimated 88,000 people (~62,000 men and 26,000 women) die from alcohol-related causes annually, making alcohol the fourth leading preventable cause of death in the United States ( 8 ). Apart from ALD, accidents or violence are other com- mon causes of death among adult people abusing alcohol. In 2014, alcohol-impaired driving fatalities accounted for 9,967 deaths in the United States (31% of overall driving

2018 American College of Gastroenterology

356. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions

Recommendation B Clinicians should administer appropriate physical impair- ment assessments of body structure and function, at least at baseline and at discharge or 1 other follow-up point, for all patients with meniscus tears to support standardization for quality improve- ment in clinical care and research, including the modi?ed stroke test for effusion assessment, assessment of knee active range of motion, maximum voluntary isometric or isokinetic quadriceps strength test- ing, forced hyperextension (...) , maximum passive knee ?exion, McMurray’s maneuver, and palpation for joint-line tenderness. D Clinicians may administer the appropriate physical impair- ment assessments of body structure and function, at least at baseline and at discharge or 1 other follow-up point, for all patients with articular cartilage lesions to support standardization for quality improvement in clinical care and research, including the modi?ed stroke test for effusion assessment, assessment of knee active range of motion

2018 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

357. Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

of cases occur without any prior recognized heart disease; half occur without any prodromal symptoms. Despite robust systems of care for patients with trauma and rapidly evolving systems of care for patients with ST-segment–elevation myocardial infarction (STEMI) and stroke, the majority of communities do not achieve optimal survival after OHCA because of large discrepancies in resuscitation-related processes of care. As a result, survival to hospital discharge varies significantly both across (...) in neurocritical care specialty units by neurointensivists improves outcomes in patients with traumatic brain injury, , intracerebral hemorrhage, cerebrovascular accident, and subarachnoid hemorrhage. How this specialty could be integrated into the continuum of care delivery for survivors of OHCA represents in important area of future inquiry. Implementation and Operationalizing Operationalizing the comprehensive components of an optimal resuscitation system of care may face challenges at each level

2018 American Heart Association

358. Hoarseness (Dysphonia) Full Text available with Trip Pro

, Ninth Revision , the most commonly used by physicians were acute laryngitis, nonspecific dysphonia, benign vocal fold lesions (eg, cysts, polyps, nodules), and chronic laryngitis. The true point prevalence of dysphonia-related conditions is likely higher, as most patients with voice changes are not “treatment seeking,” particularly if the dysphonia is transient and related to an upper respiratory infection. An earlier study surveyed randomly selected non–treatment seeking adults in Iowa and Utah (...) are common among older adults and significantly affect their QOL. , Vocal fold atrophy with resulting dysphonia is common among older individuals and is frequently undiagnosed by primary care providers. , Neurologic conditions are also more common among older individuals (eg, Parkinson’s disease, stroke) and can cause voice changes. , - The differential diagnosis of pediatric patients is unique and depends on the age of the child. Premature infants are especially at risk for dysphonia. , Dysphonia

2018 American Academy of Otolaryngology - Head and Neck Surgery

359. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

, MD, PhD, FAHA , and MD MDOn behalf of the American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council Sharonne N. Hayes , Esther S.H. Kim , Jacqueline Saw , David Adlam , Cynthia Arslanian-Engoren , Katherine E. Economy , Santhi K. Ganesh , Rajiv Gulati , Mark E. Lindsay , Jennifer H. Mieres , Sahar Naderi , Svati Shah , David E. Thaler , Marysia S (...) . Tweet , and Malissa J. Wood and On behalf of the American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council Originally published 22 Feb 2018 Circulation. 2018;137:e523–e557 You are viewing the most recent version of this article. Previous versions: Abstract Spontaneous coronary artery dissection (SCAD) has emerged as an important cause of acute coronary

2018 American Heart Association

360. Classification of Cough as a Symptom in Adults and Management Algorithms

%) Multiple causes (67%) High risk of bias; no harms reported Irwin et al 19 / 2006 USA Prospective; no exclusions; > 8 wk; no validated tool 24 Mean, 8.6 7.4 y Unexplained (46%) Extrapulmonary (33%) PNDS PNDSþ GERD GERD GERDþ ACEI Intrapulmonary (21%) Asthma Asthmaþ GERD GERDþ PNDS Bronchiolitis Industrial bronchitis High risk of bias; no harms reported Lai et al 20 / 2013 China Prospective; Currentsmokers excluded;$8wk; Novalidatedtool 704 Median, 12 m Range, 2-696 m CVA (32.6%) UACS (18.6%) Multiple (...) causes (8%) NAEB (17.2%) AC (13.2%) GERD (4.6%) Unexplained (8.4%) Others (5.4%) High risk of bias; no harms reported Yuetal 21 /2011 China Prospective; currentsmokers excluded;$8wk; novalidatedtool 109 Median, 6 m Range, 2-480 m CVA (41.3%) UACS (24.8%) NAEB (6.4%) GERD (6.4%) Combined causes: UACSþ CVA UACSþ GERD GERDþ CVA GERDþ NAEB UACSþ CVAþ GERD Other (5.5%) Unexplained (2.7%) Highriskofbias; noharms reported Lee et al 22 / 2007 South Korea Prospective;no exclusions; $4wk;validated

2018 American College of Chest Physicians


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