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81. Incontinence after Prostate Treatment

is managed satisfactorily with shields or lower density guards, while severe incontinence requires briefs or underwear with or without inserts to prevent accidents. From a cost perspective, briefs and underwear systems have been demonstrated to be more effective than pads. 92 Thus, the patient should be advised along these lines if they wish to continue wearing pads as their primary mechanism for urinary containment. In the individual patient, absorbent products alone may constitute a long-term (...) effective product based on their degree of incontinence. Occlusive Devices (Clamps). Occlusive devices may function as a stand-alone therapy for incontinence or as an adjunct to absorbent products. Combination therapy between the two types of devices, such as pads and clamps together, decreases the number of pads required during active periods with a resultant decrease in incontinence products expenditure. Patients must be instructed to release the clamp every two hours to allow for circulation

2019 American Urological Association

82. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

CEREBROVASCULAR DISEASES See malnutrition pathway dentify cause (medical conditions, intoxication from substances, use of drugs) and treat Review medications and withdraw as appropriate Assess history of vascular disease in the brain (stroke/transient ischaemic event) and prevent further events 6 PASS ultimodal exercise Provide cognitive stimulation ASSESS COGNITIVE CAPACITY 1 FAIL FAIL cognitive decline likely PASS ASSOCIATED CONDITIONS ASSESS & MANAGE i SOCIAL AND PHYSICAL ENVIRONMENTS ASSESS & MANAGE (...) with the surgical team and anaesthetist before any future surgeries or anaesthesia. Cerebrovascular disease. Vascular disease in the brain is closely associated with cognitive decline. If the patient has a history of stroke/mini-stroke/transient ischaemic event, then prevention of further events is the primary approach to stop further declines in cognition. ASSESS & MANAGE ASSOCIATED DISEASES Uncovering a reversible medical cause of cognitive decline involves a full diagnostic work-up. It may be necessary

2019 World Health Organisation Guidelines

83. Guidelines on Supraventricular Tachycardia (for the management of patients with) Full Text available with Trip Pro

-entrant tachycardia AVRT Atrioventricular re-entrant tachycardia BBB Bundle branch block b.p.m. Beats per minute CHA2DS2- VASc Cardiac failure, Hypertension, Age ≥75 (Doubled), Diabetes, Stroke (Doubled) – Vascular disease, Age 65–74 and Sex category (Female) CL Cycle length CMR Cardiac magnetic resonance CT Computed tomography CTI Cavotricuspid isthmus CV Conduction velocity CYP Cytochrome P450 DAD Delayed after-depolarization DC Direct current DCS Distal coronary sinus EA Enhanced automaticity EAD (...) JET Junctional ectopic tachycardia LA Left atrial/atrium LAL Left anterolateral LBBB Left bundle branch block LL Left lateral LP Left posterior LPL Left posterolateral LPS Left posteroseptal LV Left ventricle/ventricular MI Myocardial infarction MRAT Macro−re-entrant atrial tachycardia MS Mid-septal NT-proBNP N-terminal pro-B-type natriuretic peptide PJRT Permanent junctional reciprocating tachycardia p.o. Per os (by mouth) POTS Postural orthostatic tachycardia syndrome PPM Permanent pacemaker

2019 European Society of Cardiology

84. Diagnosis and Management of Acute Pulmonary Embolism Full Text available with Trip Pro

considerations 3.1 Epidemiology Venous thromboembolism (VTE), clinically presenting as DVT or PE, is globally the third most frequent acute cardiovascular syndrome behind myocardial infarction and stroke. In epidemiological studies, annual incidence rates for PE range from 39–115 per 100 000 population; for DVT, incidence rates range from 53–162 per 100 000 population. , Cross-sectional data show that the incidence of VTE is almost eight times higher in individuals aged ≥80 years than in the fifth decade (...) and heart failure increase the risk of PE. , Conversely, patients with VTE have an increased risk of subsequent myocardial infarction and stroke, or peripheral arterial embolization. 3.3 Pathophysiology and determinants of outcome Acute PE interferes with both circulation and gas exchange. Right ventricular (RV) failure due to acute pressure overload is considered the primary cause of death in severe PE. Pulmonary artery pressure (PAP) increases if >30–50% of the total cross-sectional area

2019 European Society of Cardiology

85. Management of Dyslipidaemias Full Text available with Trip Pro

TGs Triglycerides TIA Transient ischaemic attack TIMI Thrombolysis In Myocardial Infarction TNF Tumour necrosis factor TNT Treating to New Targets TRL Triglyceride-rich lipoprotein ULN Upper limit of normal VA-HIT Veterans Affairs High Density Lipoprotein Intervention Trial VITAL VITamin D and OmegA-3 Trial VLDL Very low-density lipoprotein WHO World Health Organization WOSCOPS West of Scotland Coronary Prevention Study 1 Preamble Guidelines summarize and evaluate available evidence with the aim (...) -lowering therapy in very- high-risk patients with acute coronary syndromes 47 Recommendations for lipid-lowering therapy in very-high-risk patients undergoing percutaneous coronary intervention 47 Recommendations for lipid-lowering therapy for prevention of atherosclerotic cardiovascular disease events in patients with prior ischaemic stroke 48 Recommendations for the treatment of dyslipidaemias in chronic heart failure or valvular heart diseases 49 Recommendations for lipid management in patients

2019 European Society of Cardiology

86. Guidelines on Diabetes, Pre-Diabetes and Cardiovascular Diseases developed in collaboration with the EASD Full Text available with Trip Pro

Microvascular Outcome Study With Linagliptin in Patients With Type 2 Diabetes Mellitus CAROLINA Cardiovascular Outcome Study of Linagliptin Versus Glimepiride in Patients With Type 2 Diabetes CCS Chronic coronary syndrome CE Cardiac event CHA 2 DS 2 -VASc Congestive heart failure, Hypertension, Age ≥75 years (Doubled), Diabetes mellitus, Stroke or transient ischaemic attack (Doubled), Vascular disease, Age 65–74 years, Sex category CHARISMA Clopidogrel for High Atherothrombotic Risk and Ischemic (...) is not recommended for CV risk stratification. 5.1 Diabetes, pre-diabetes, and cardiovascular risk The Emerging Risk Factor Collaboration, a meta-analysis of 102 prospective studies, showed that DM in general (data on DM type were unavailable) confers a two-fold excess risk of vascular outcomes (coronary heart disease, ischaemic stroke, and vascular deaths), independent of other risk factors ( Figure ). The excess relative risk of vascular events with DM was greater in women and at younger ages. Both relative

2019 European Society of Cardiology

87. Musculoskeletal Strains and Sprains - Guidelines for Prescribing NSAIDs

drugs (NSAIDs) should be considered first. CVD includes: Myocardial infarction, angina, heart failure Peripheral artery disease (eg. intermittent claudication) Atherosclerosis Cerebrovascular disease includes: Stroke or transient ischemic attack Risk factors include: Age >65 Family history of premature cardiovascular disease Uncontrolled hypertension NSAIDs may raise blood pressure to a small degree and should be monitored during therapy, even if patient has controlled hypertension Uncontrolled (...) with the differential assessment. Diabetes - expect longer healing times Stroke - could cause one-sided weakness Cancer - pain with no apparent cause could be a sign of worsening cancer control in a patient with a history of cancer Bleeding disorders - avoid NSAIDs in these patients History of DVT - significant leg or calf pain may be a sign of a DVT, especially in a patient who has had a prior DVT GI disorders - may choose to avoid NSAIDs in these patients Cardiovascular disorders - may choose to avoid NSAIDs

2017 medSask

88. Assessment and Management of Patients at Risk for Suicide

are eligible for care in the VA and DoD healthcare delivery systems 2 See the VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder. Available at: 3 See the VA/DoD Clinical Practice Guideline for the Management of Concussion-mild Traumatic Brain Injury. Available at: 4 See the VA/DoD Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute

2019 VA/DoD Clinical Practice Guidelines

89. Clinical Practice Guidelines on Falls Prevention among Older Adults living in the Community

and balance deficit such as vertigo/giddiness, arthritis, Parkinson’s disease and strokes can predispose older adults to falls. Sensory impairment including visual impairment and hearing loss also increases risk of falls, as do cognitive impairment and dementia. Polypharmacy and the use of certain medications have been associated with an increase in the risk of falls. Drugs that have been implicated include anti-hypertensives, hypnotics, tranquilisers/sedatives, anti-depressants and anti-arrhythmics. c (...) . It is therefore important when assessing home and environmental hazards to consider the personal risk factors of the person who is living in the home or environment.7 Intrinsic risk factors Extrinsic risk factors • Age 7, 9, 10 • Female 7, 9, 10 • Not married, including single and widowed 10 • Living alone 10 • Arthritis of knees 9-12 • Stroke 9 • Parkinson’s disease 9 • Hypertension 7, 10 • Diabetes 13 • Osteoporosis 12 • Chronic conditions 10 • Urinary incontinence 11, 12 • Cognitive impairment 11, 12, 14

2015 Ministry of Health, Singapore

90. Early Management of Head Injury in Adults

, alcohol consumption and/or drug misuse, age =65 years old, previous cranial surgery and history of pre-trauma epilepsy6 Early Management of Head Injury in Adults 4. DIFFERENTIAL DIAGNOSES The differential diagnoses of adult head injury include the following: • primary anoxic, inflammatory, infectious, toxic or metabolic encephalopathies, which are not complications of head trauma • neoplasm • brain infarction (ischaemic stroke) and intracranial haemorrhage (haemorrhagic stroke) without associated (...) guidelines to those involved in the early management of head injury in primary and secondary/tertiary care CLINICAL QUESTIONS Refer to Appendix 2 TARGET POPULATION Inclusion Criteria Adult patients presenting with head injury (18 years old and above) Exclusion Criteria The guidelines do not cover definitive management of head injury: • all surgeries pertaining to neurosurgery and post-operative care • rehabilitation • management of multisystem injuries TARGET GROUP/USERS This document is intended

2015 Ministry of Health, Malaysia

91. Management of Osteoporosis

vitamin D increase the risk of myocardial infarction, relative risk 1.27 (95% CI 1.01 -1.59). 40 (Level Ia) A prospective randomised interventional trial on calcium carbonate showed no excess cardiovascular risk. 42 Another prospective randomised trial with vitamin D 800 IU and calcium 1000 mg daily compared to placebo showed no difference between both groups in vascular mortality. 43 The results of these studies are not directly comparable, as different endpoints were used. (Level Ib) The risk (...) has also been shown to improve muscle strength, balance, and risk of falling (Grade B, Level IIa) as well as improve survival. 49,50 (Grade A, Level Ia) In a recent analysis of calcium with or without vitamin D supplementation, incorporating data from the Women’s Health Initiative study, the relative risk for myocardial infarction in women without baseline personal calcium supplementation, was 1.24 (1.07–1.45, p=0.004) and the composite of myocardial infarction or stroke 1.15 (1.03-1.27, p=0.009

2015 Ministry of Health, Malaysia

92. Guidance addressing all aspects of the care of people with schizophrenia and related disorders. Includes correct diagnosis, symptom relief and recovery of social function

, Australia 3 Northern Adelaide Local Health Network, Adelaide, SA, Australia 4 Department of Psychiatry, St Vincent’s Health and The University of Melbourne, Melbourne, VIC, Australia 5 Rehabilitation Services, Metro South Mental Health Service, Brisbane, QLD, Australia 6 Mental Health and Addiction Services, Northland District Health Board, Whangarei, New Zealand 7 Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, The University of Western Australia (UWA (...) and related psychoses, and policy makers. It does not override the responsibility of clinicians to make appropriate decisions, taking into account the unique circumstances of the person they are treating. The scope of this guideline is the schizophrenia spectrum which includes schizophrenia, schizoaffective disorder, schizotypal disorder, schizophreniform disorder and acute transient psychotic disorder with symptoms of schizophrenia. The spectrum notion is based on the presumption (and partial evidence

2016 Royal Australian and New Zealand College of Psychiatrists

93. ELVO Management - Post-Thrombectomy

are most likely to provide post-procedural care that is specific of the needs of patients after ELVO treatment. Stroke units should therefore be prioritized for ELVO post-procedural care disposition. (Class I, level of evidence B) 3. Sustaining ischemic penumbral tissue through hemodynamic support should be considered in patients with unsuccessful or partially successful recanalization. Induced hypertension and patient positioning are likely to be most helpful, although optimized protocols remain (...) . Significant complications can develop acutely or subacutely at the access site, with investigations and interventions that may be urgently or emergently needed. Appropriate and standardized monitoring strategies should be used to detect these complications in the post-procedural setting. (Class I, level of evidence C) 20. All patients admitted with acute stroke should have an initial assessment by multidisciplinary rehabilitation professionals (physical, occupational, and speech therapy) as soon

2017 Society of NeuroInterventional Surgery

94. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults

(the production of greater than 20 to 33% of total 24 hour urine output during the period of sleep, which is age-dependent with 20% for younger individuals and 33% for elderly individuals), 28 low nocturnal bladder capacity or both. In nocturnal polyuria, nocturnal voids are frequently normal or large volume as opposed to the small volume voids commonly observed in nocturia associated with OAB. Sleep disturbances, vascular and/or cardiac disease and other medical conditions are often associated with nocturnal (...) ., stroke, multiple sclerosis, spinal cord injury), mobility deficits, medically complicated/uncontrolled diabetes, fecal motility disorders (fecal incontinence/constipation), chronic pelvic pain, history of recurrent urinary tract infections (UTIs), gross hematuria, prior pelvic/vaginal surgeries (incontinence/prolapse surgeries), pelvic cancer (bladder, colon, cervix, uterus, prostate) and pelvic radiation. The female patient with significant prolapse (i.e., prolapse beyond the introitus) also may

2019 American Urological Association

95. Incontinence after Prostate Treatment: AUA/SUFU Guideline (2019)

. Absorbent Products – Liners, Guards, Briefs, Underwear. Most patients will start with absorbent pads and make adjustments in type based on the severity of leakage. 91 In general, milder incontinence is managed satisfactorily with shields or lower density guards, while severe incontinence requires briefs or underwear with or without inserts to prevent accidents. From a cost perspective, briefs and underwear systems have been demonstrated to be more effective than pads. 92 Thus, the patient should (...) than several pads or garments per day, financial considerations may influence the ability to change pads in a timely fashion. Therefore, it is important to ensure that the patient is utilizing the most effective product based on their degree of incontinence. Occlusive Devices (Clamps) . Occlusive devices may function as a stand-alone therapy for incontinence or as an adjunct to absorbent products. Combination therapy between the two types of devices, such as pads and clamps together, decreases

2019 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

97. Management of Glaucoma

(Second Edition) 35 ischaemia. Initially fibrovascular membrane covers the angle, causing secondary open angle glaucoma. This can progress to angle closure glaucoma. The common conditions associated with NVG are proliferative diabetic retinopathy, central retinal vein occlusion and other conditions such as ocular ischaemic syndrome and tumours. Management of NVG involves optimising treatment of the underlying disease and control of high IOP. The treatment for NVG includes: 15 • medical treatment (...) ) 8. REHABILITATION 29 9. REFERRAL 30 10. SPECIAL CONDITIONS 31 10.1 Ocular Hypertension 31 10.2 Primary Open Angle Glaucoma Suspect 33 10.3 Steroid-Induced Glaucoma 34 10.4 Neovascular Glaucoma 34 10.5 Intraocular Pressure Monitoring in 35 Post-Refractive Surgery Cases 11. IMPLEMENTING THE GUIDELINES 37 11.1 Facilitating and Limiting Factors 37 11.2 Potential Resource Implications 37 REFERENCES 39 Appendix 1 Example of Search Strategy 45 Appendix 2 Clinical Questions 46 Appendix 3 Van Herick Test

2017 Ministry of Health, Malaysia

98. Clinical Practice Guidelines on Hypertension

, the results from a 2011 meta-analysis of RCTs of BP targets in subjects with type 2 diabetes and impaired fasting glucose 91 suggest that most of the beneficial reduction in all-cause mortality in the intensive treatment group (systolic BP 220 mmHg or diastolic BP > 120 mmHg, before specific treatment begins. 121 The rate of BP reduction would depend on the specific comorbidities. 9.4.2 Lowering of the BP after transient ischemic attack and after acute phase of stroke D After the acute phase of stroke (...) , begin antihypertensive treatment in hypertensive patients if the systolic BP is more than 140 mmHg and diastolic BP is more than 90 mmHg. 122,123 Grade D, Level 4 KEY RECOMMENDATION KEY RECOMMENDATION 53 A Use any of the five major pharmacological classes of antihypertensive drugs for stroke prevention in patients after the acute phase of stroke, provided that the BP is effectively lowered. 21,75 Grade A, Level 1 ++ GPP The target BP level in patients after transient ischemic attack and after acute

2017 Ministry of Health, Singapore

99. Global Vascular Guidelines for patients with chronic limb-threatening ischemia Full Text available with Trip Pro

Global Vascular Guidelines for patients with chronic limb-threatening ischemia Global vascular guidelines on the management of chronic limb-threatening ischemia - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume 69, Issue 6, Supplement, Pages 3S–125S.e40 Global vascular guidelines on the management of chronic limb-threatening ischemia x Michael S. Conte Affiliations Division of Vascular (...) grade is 3 (chronic total occlusion of target artery origin). ---- | ---- Fig 5.7 Flow chart illustrating application of Global Limb Anatomic Staging System ( GLASS ) to stage infrainguinal disease pattern in chronic limb-threatening ischemia ( CLTI ). FP, Femoropopliteal; IP, infrapopliteal; PLAN, patient risk estimation, limb staging, anatomic pattern of disease; TAP, target arterial path; WIfI, Wound, Ischemia, and foot Infection. ---- | ---- Fig 6.1 Paradigm for evidence-based revascularization

2019 Society for Vascular Surgery

100. Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome

internation- ally accepted terminology, of the practice of orthopaedic physical therapists and hand rehabilitation • Provide information for payers and claims reviewers re- garding the practice of orthopaedic and hand therapy for common musculoskeletal conditions • Create a reference publication for clinicians, academic in- structors, clinical instructors, students, interns, residents, and fellows regarding the best current practice of ortho- paedic physical therapy and hand rehabilitation STATEMENT (...) below. Each team developed recommendations based on the strength of ev- idence, including how directly the studies addressed the ques- tion on hand pain and sensory deficits: CTS. In developing their recommendations, the authors considered the strengths and limitations of the body of evidence and the health benefits, side effects, and risks of tests and interventions. GUIDELINE REVIEW PROCESS AND VALIDATION Identified reviewers who are experts in management and rehabilitation reviewed this CPG

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.


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