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541. Benign paroxysmal positional vertigo

). People may modify their movements to limit symptoms. Vertigo occurs in transient episodes (typically lasting less than 1 minute), which are preceded by position change, with the person being asymptomatic between attacks. It is common for the person to overestimate the duration of an episode. Nausea and vomiting may occur. Light-headedness and imbalance are sometimes reported and can persist for longer than the vertigo episode. Hearing is not affected (although hearing impairment may coexist (...) recommended procedure document on positioning tests [ ], a consensus document on diagnostic criteria for BPPV [ ], and expert opinion in review articles [ ; ]. CKS advises caution for certain groups of people when considering the Dix-Hallpike manoeuvre because a US clinical practice guideline on BPPV [ ] and a British Society of Audiology recommended procedure document on positioning tests [ ] advise considering the risk of stroke or vascular injury in patients with significant vascular disease

2017 NICE Clinical Knowledge Summaries

542. Paediatric Urology

. Laparoscopic versus open orchiopexy in the management of peeping testis: a multi-institutional prospective randomized study. J Pediatr Urol, 2014. 10: 605. 91. Kirsch, A.J., et al. Surgical management of the nonpalpable testis: the Children’s Hospital of Philadelphia experience. J Urol, 1998. 159: 1340. 92. Fowler, R., et al. The role of testicular vascular anatomy in the salvage of high undescended testes. Aust N Z J Surg, 1959. 29: 92. 93. Koff, S.A., et al. Treatment of high undescended testes by low (...) torsion of the spermatic cord--does it guarantee prevention of recurrent torsion events? J Urol, 2006. 175: 171. 179. Figueroa, V., et al. Comparative analysis of detorsion alone versus detorsion and tunica albuginea decompression (fasciotomy) with tunica vaginalis flap coverage in the surgical management of prolonged testicular ischemia. J Urol, 2012. 188: 1417. 180. Akcora, B., et al. The protective effect of darbepoetin alfa on experimental testicular torsion and detorsion injury. Int J Urol, 2007

2019 European Association of Urology

543. Urological Trauma

: spleen, liver, and kidney. J Trauma, 1989. 29: 1664. 14. Monstrey, S.J., et al. Urological trauma and severe associated injuries. Br J Urol, 1987. 60: 393. 15. MacKenzie, E.J., et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med, 2006. 354: 366. 16. Caterson, E.J., et al. Boston bombings: a surgical view of lessons learned from combat casualty care and the applicability to Boston’s terrorist attack. J Craniofac Surg, 2013. 24: 1061. 17. Feliciano DV, M.E (...) , anatomic distribution, associated injuries, and outcomes. Urology, 2010. 76: 977. 35. Shariat, S.F., et al. Evidence-based validation of the predictive value of the American Association for the Surgery of Trauma kidney injury scale. J Trauma, 2007. 62: 933. 36. Santucci, R.A., et al. Validation of the American Association for the Surgery of Trauma organ injury severity scale for the kidney. J Trauma, 2001. 50: 195. 37. Malaeb, B., et al. Should blunt segmental vascular renal injuries be considered

2019 European Association of Urology

544. Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline (Full text)

studies at moderate risk of bias. In transgender males (female to male), sex steroid therapy was associated with a statistically significant increase in serum triglycerides and low-density lipoprotein cholesterol levels. High-density lipoprotein cholesterol levels decreased significantly across all follow-up time periods. In transgender females (male to female), serum triglycerides were significantly higher without any changes in other parameters. Few myocardial infarction, stroke, venous

2017 Pediatric Endocrine Society PubMed abstract

545. 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

2017 European Society of Endocrinology

546. Neuro-urology

of lower urinary tract symptoms (LUTS) in stroke patients: a cross-sectional, clinical survey. Neurourol Urodyn, 2008. 27: 763. 13. Marinkovic, S.P., et al. Voiding and sexual dysfunction after cerebrovascular accidents. J Urol, 2001. 165: 359. 14. Rotar, M., et al. Stroke patients who regain urinary continence in the first week after acute first-ever stroke have better prognosis than patients with persistent lower urinary tract dysfunction. Neurourol Urodyn, 2011. 30: 1315. 15. Lobo, A., et al (...) Sci, 2017. 381: 230. 24. Dolecek, T.A., et al. CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2005-2009. Neuro Oncol, 2012. 14 Suppl 5: v1. 25. Maurice-Williams, R.S. Micturition symptoms in frontal tumours. J Neurol Neurosurg Psychiatry, 1974. 37: 431. 26. Christensen, D., et al. Prevalence of cerebral palsy, co-occurring autism spectrum disorders, and motor functioning - Autism and Developmental Disabilities Monitoring Network, USA

2019 European Association of Urology

547. Male Sexual Dysfunction

and meta-analysis. J Clin Endocrinol Metab, 2010. 95: 2560. 153. Haddad, R.M., et al. Testosterone and cardiovascular risk in men: a systematic review and meta-analysis of randomized placebo-controlled trials. Mayo Clin Proc, 2007. 82: 29. 154. Vigen, R., et al. Association of testosterone therapy with mortality, myocardial infarction, and stroke in men with low testosterone levels. JAMA, 2013. 310: 1829. 155. Sohn, M., et al. Standard operating procedures for vascular surgery in erectile dysfunction (...) : reproducibility, evaluation criteria and the effect of sexual intercourse. J Urol, 1998. 159: 1921. 110. Hatzichristou, D.G., et al. Hemodynamic characterization of a functional erection. Arterial and corporeal veno-occlusive function in patients with a positive intracavernosal injection test. Eur Urol, 1999. 36: 60. 111. Sikka, S.C., et al. Standardization of vascular assessment of erectile dysfunction: standard operating procedures for duplex ultrasound. J Sex Med, 2013. 10: 120. 112. Pathak, R.A., et al

2019 European Association of Urology

548. Urinary Incontinence

-menopausal oestrogen deficiency. J Int Med Res, 2009. 37: 198. 288. Robinson, D., et al. Estrogens and the lower urinary tract. Neurourol Urodyn, 2011. 30: 754. 289. Mettler, L., et al. Long-term treatment of atrophic vaginitis with low-dose oestradiol vaginal tablets. Maturitas, 1991. 14: 23. 290. Weber, M.A., et al. Local Oestrogen for Pelvic Floor Disorders: A Systematic Review. PLoS One, 2015. 10: e0136265. 291. Castellani, D., et al. Low-Dose Intravaginal Estriol and Pelvic Floor Rehabilitation

2019 European Association of Urology

549. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease

), focused on outcomes of ASCVD (i.e., acute coronary syndromes, MI, stable or unstable angina, arterial revascularization, stroke, transient ischemic attack, or peripheral arterial disease of atherosclerotic origin), as well as heart failure and atrial fibrillation. The guideline presents recommendations to prevent CVD that are related to lifestyle factors (e.g., diet and exercise or physical activity), other factors affecting CVD risk (e.g., obesity, diabetes, blood cholesterol, high BP, smoking (...) 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease Arnett et al. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease Page 1 of 98 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Geriatrics Society, the American

2019 American Heart Association

550. Primary Prevention of Cardiovascular Disease

in adults (=18 years of age), focused on outcomes of ASCVD (i.e., acute coronary syndromes, MI, stable or unstable angina, arterial revascularization, stroke, transient ischemic attack, or peripheral arterial disease of atherosclerotic origin), as well as heart failure and atrial fibrillation. The guideline presents recommendations to prevent CVD that are related to lifestyle factors (e.g., diet and exercise or physical activity), other factors affecting CVD risk (e.g., obesity, diabetes, blood (...) of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Geriatrics Society, the American Society of Preventive Cardiology, and the Preventive Cardiovascular Nurses Association WRITING COMMITTEE MEMBERS Donna K. Arnett, PhD, MSPH, FAHA, Co-Chair Roger S. Blumenthal, MD, FACC, FAHA, Co-Chair Michelle A. Albert, MD, MPH, FAHA* Erin D. Michos, MD, MHS, FACC, FAHA* Andrew B. Buroker, Esq

2019 American College of Cardiology

551. The Association of Coloproctology of Great Britain and Ireland Consensus Guidelines in Surgery for Inflammatory Bowel Disease (Full text)

pouch surgery, reoperation and readmission , . Overall, high‐volume centres are also more likely to offer a variety of restorative options in well‐selected patients . Evidence from qualitative research on patient experience in centralized stroke and cancer services suggest that the disadvantage of travelling further was outweighed by the opportunity to receive best care , . In cancer care, patients were willing to travel 75 min longer to reduce their risk of complications by 1% and over 5 h longer

2018 Association of Coloproctology of Great Britain and Ireland PubMed abstract

553. Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes (Full text)

of the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Prev Cardiol . 2016 ; 23 : 657–667 We acknowledge that our scope neglects younger, less competitive, or older athletes who collectively represent a population in which a much larger number of CV events can occur. x 6 Maron, B.J., Estes, N.A. III, and Maron, M.S. Is it fair to screen only competitive athletes for sudden death risk, or is it time to level the playing field?. Am J Cardiol . 2018 ; 121 : 1008–1010 “Red flags (...) tachycardia, exercise-induced heart block, hypertrophic cardiomyopathy with sustained ventricular tachycardia or multiple risk factors, dilated cardiomyopathy unrelated to an athlete’s heart, left ventricular noncompaction with left ventricular dysfunction and or ventricular arrhythmia, Marfan syndrome with aortic dilatation, significant aortic dilatation, coronary artery aneurysm with ischemia, oral anticoagulation treatment in an athlete competing in sports with a high risk of injury causing bleeding

2018 Canadian Cardiovascular Society PubMed abstract

555. Cerebral palsy in under 25s: assessment and management

at the following approximate prevalences in children with cerebral palsy: white matter damage: 45% basal ganglia or deep grey matter damage: 13% congenital malformation: 10% focal infarcts: 7%. 1.2.2 When assessing the likely cause of cerebral palsy, recognise that white matter damage, including periventricular leukomalacia shown on neuroimaging: is more common in children born preterm than in those born at term may occur in children with any functional level or motor subtype, but is more common in spastic (...) of functional impairment than other causes. 1.2.5 Recognise that the clinical syndrome of neonatal encephalopathy can result from various pathological events, such as a hypoxic–ischaemic brain injury or sepsis, and if there has been more than 1 such event they may interact to damage the developing brain. 1.2.6 When assessing the likely cause of cerebral palsy, recognise that neonatal encephalopathy has been reported at the following approximate prevalences in Cerebral palsy in under 25s: assessment

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

556. Acute and Chronic Heart Failure (Full text)

Treatment for Ischemic Heart Failure STS structured telephone support TAPSE tricuspid annular plane systolic excursion TAVI transaortic valve implantation TDI tissue Doppler imaging TECOS Trial Evaluating Cardiovascular Outcomes with Sitagliptin TEHAF Telemonitoring in Patients with Heart Failure Tele-HF Telemonitoring to Improve Heart Failure Outcomes TIA transient ischaemic attack TIBC total iron-binding capacity t.i.d. ter in die (three times a day) TIM-HF Telemedical Interventional Monitoring (...) CCU coronary care unit CHA 2 DS 2 -VASc Congestive heart failure or left ventricular dysfunction, Hypertension, Age ≥75 (doubled), Diabetes, Stroke (doubled)-Vascular disease, Age 65–74, Sex category (female) CHARM-Alternative Candesartan in heart failure assessment of reduction in mortality and morbidity CHARM-Added Candesartan Cilexetil in Heart Failure Assessment of Reduction in Mortality and Morbidity CHARM-Preserved Candesartan Cilexetil in Heart Failure Assessment of Reduction in Mortality

2016 European Society of Cardiology PubMed abstract

557. Dyslipidaemias (Full text)

infarction STRENGTH Outcomes Study to Assess STatin Residual Risk Reduction with EpaNova in HiGh CV Risk PatienTs with Hypertriglyceridemia TIA transient ischaemic attack TC total cholesterol T2DM type 2 diabetes mellitus TG triglyceride TNT Treatment to new targets TRL triglyceride-rich lipoprotein ULN upper limit of normal UMPIRE Use of a Multidrug Pill In Reducing cardiovascular Events VA-HIT Veterans Affairs High-density lipoprotein Intervention Trial VLDL very low-density lipoprotein WHO World (...) = transient ischaemic attack. Table 4 Risk categories ACS = acute coronary syndrome; AMI = acute myocardial infarction; BP = blood pressure; CKD = chronic kidney disease; DM = diabetes mellitus; GFR = glomerular filtration rate; PAD = peripheral artery disease; SCORE = systematic coronary risk estimation; TIA = transient ischaemic attack. Box 6 Key messages Box 6 Key messages 2.2.1 Risk-based intervention strategies Table presents suggested intervention strategies as a function of total CV risk and low

2016 European Society of Cardiology PubMed abstract

558. Cancer treatments & cardiovascular toxicity 2016 (Position Paper) (Full text)

and clinical presentation 2783 2.5.2 Diagnostic and therapeutic management 2784 2.5.3 Key points 2784 2.6 Thromboembolic disease 2784 2.6.1 Pathophysiology and clinical presentation 2784 2.6.1.1 Arterial thrombosis 2784 2.6.1.2 Venous thrombosis and thromboembolism 2784 2.6.2 Diagnostic and therapeutic management 2785 2.7 Peripheral vascular disease and stroke 2785 2.7.1 Pathophysiology and clinical presentation 2785 2.7.1.1 Peripheral artery disease 2785 2.7.1.2 Stroke 2786 2.7.2 Diagnostic (...) and therapeutic management 2785 2.7 Peripheral vascular disease and stroke 2785 2.7.1 Pathophysiology and clinical presentation 2785 2.7.1.1 Peripheral artery disease 2785 2.7.1.2 Stroke 2786 2.7.2 Diagnostic and therapeutic management 2786 2.8 Pulmonary hypertension 2786 2.8.1 Pathophysiology and clinical presentation 2786 2.8.2 Diagnostic and therapeutic management 2786 2.9 Other cardiovascular complications of cancer treatment 2787 2.9.1 Pericardial disease 2787 2.9.2 Pleural effusion 2787 2.9.3 Autonomic

2016 European Society of Cardiology PubMed abstract

559. Lifestyle risk factors and the primary prevention of cancer

and lung function, decreased coughing and shortness of breath, and reduced risk of coronary heart disease and stroke. 43 WHO reports that people of all ages can still benefit from quitting, including those who have already developed smoking- related health problems. 43 The Australian National Tobacco Campaign encourages individuals to stop smoking and provides support through the Quitline. Cancer Australia recommendations for individuals Cancer Australia recommends not smoking and avoiding exposure

2015 Cancer Australia

560. Acute Pain Management: Scientific Evidence

— the International Association for the Study of Pain (IASP), the Royal College of Anaesthetists and its Faculty of Pain Medicine, the Australian Pain Society, the Australasian Faculty of Rehabilitation Medicine, the College of Anaesthesiologists of the Academies of Medicine of Malaysia and Singapore, the College of Intensive Care Medicine of Australia and New Zealand, the Faculty of Pain Medicine of the College of Anaesthetists of Ireland, the Hong Kong College of Anaesthesiologists, the Hong Kong Pain Society (...) pain management 280 8.1.3 Acute rehabilitation after surgery, “fast-track” surgery and enhanced recovery after surgery 281 8.1.4 Risks of acute postoperative neuropathic pain 282 8.1.5 Acute postamputation pain syndromes 283 8.1.6 Other postoperative pain syndromes 285 8.1.7 Day-stay or short-stay surgery 288 8.1.8 Cranial neurosurgery 294 8.1.9 Spinal surgery 297 8.2 Acute pain following spinal cord injury 298 8.2.1 Treatment of acute neuropathic pain after spinal cord injury 299 8.2.2 Treatment

2015 Clinical Practice Guidelines Portal

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