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141. Weight management: lifestyle services for overweight or obese adults

lifestyle weight management services including programmes, courses, clubs or groups provided by the public, private and voluntary sector. The aim is to help people lose weight and become more physically active to reduce the risk of diseases associated with obesity. This includes coronary heart disease, stroke, type 2 diabetes and various cancers. NICE has also produced guidelines on: obesity identification and management and the local strategic approach to obesity. This guideline does not cover (...) and encourage them to be physically active. The aim is to help meet a range of public health goals. These include helping reduce the risk of the main diseases associated with obesity, for example: coronary heart disease, stroke, hypertension, osteoarthritis, type 2 diabetes and various cancers (endometrial, breast, kidney and colon). The focus is on lifestyle weight management programmes that: accept self-referrals or referrals from health or social care practitioners are provided by the public, private

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

142. Physical activity: exercise referral schemes

programmes to manage specific health conditions, or for rehabilitation after recovery from a specific condition (see box 1). These include stroke, cardiac and pulmonary rehabilitation programmes. They are outside the scope of this guideline. Benefits of physical activity Physical activity can play an important role in preventing and managing health conditions such as coronary heart disease, type 2 diabetes, stroke, mental health problems, musculoskeletal conditions and some cancers. It also has (...) -of-rights). Page 10 of 46Collating and sharing data on exercise referral schemes Recommendation 3 Recommendation 3 This recommendation has been withdrawn. Please see update information for more details. Box 1 The role of structured exercise programmes in the management of, and rehabilitation following, a health condition NICE recommends structured exercise programmes tailored to individual need to manage, and for rehabilitation after, certain health conditions, including: myocardial infarction (see NICE

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

143. Neuropathic pain in adults: pharmacological management in non-specialist settings

secondary to tumour antigens, or caused by direct invasion or compression of neural structures). Examples of conditions that can cause central neuropathic pain include stroke, spinal cord injury and multiple sclerosis. Neuropathic pain can be intermittent or constant, and spontaneous or provoked. Typical descriptions of the pain include terms such as shooting, stabbing, like an electric shock, burning, tingling, tight, numb, prickling, itching and a sensation of pins and needles. People may also (...) , and concurrent medications the importance of dosage titration and the titration process, providing the person with individualised information and advice coping strategies for pain and for possible adverse effects of treatment non-pharmacological treatments, for example, physical and psychological therapies (which may be offered through a rehabilitation service) and surgery (which may be offered through specialist services). For more information about involving people in decisions and supporting adherence

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

144. Atrial fibrillation: management

and over) with suspected or diagnosed atrial fibrillation. 1.1 Diagnosis and assessment 1.1.1 Perform manual pulse palpation to assess for the presence of an irregular pulse that may indicate underlying atrial fibrillation in people presenting with any of the following: breathlessness/dyspnoea palpitations syncope/dizziness chest discomfort stroke/transient ischaemic attack. [2006] [2006] 1.1.2 Perform an electrocardiogram (ECG) in all people, whether symptomatic or not, in whom atrial fibrillation (...) Apixaban aban 1.5.5 Apixaban is recommended as an option for preventing stroke and systemic embolism within its marketing authorisation, that is, in people with nonvalvular atrial fibrillation with 1 or more risk factors such as: prior stroke or transient ischaemic attack age 75 years or older hypertension diabetes mellitus symptomatic heart failure. [This recommendation is from Apixaban for preventing stroke and systemic embolism in people with nonvalvular atrial fibrillation (NICE technology

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

145. Improving outcomes for people with brain and other central nervous system tumours

Optic pathway glioma 94 Genetic predispositions 97 2 National Institute for Health and Clinical Excellence Improving Outcomes for People with Brain and Other CNS Tumours Contents8. Supportive care 100 Communication 101 Patient information 103 Psychological support services including neuropsychology and neuropsychiatry 107 Rehabilitation services 111 General palliative care 115 Social support and continuing care 119 9. Specialist palliative care 120 10. Information management 124 11. Research 129 (...) Appendices Appendix 1: Scope of the guidance 134 Appendix 2: List of low-grade glioma (LGG) and high-grade glioma (HGG) tumour classification 140 Appendix 3: Prognostic factors for survival in adult patients with cerebral low-grade glioma (EORTC criteria) 142 Appendix 4: Economic implications of the guidance 143 Appendix 5: How this guidance manual was produced 149 Appendix 6: People and organisations involved in the production of this guidance 152 Appendix 7: Glossary of terms 165 Appendix 8

2006 National Institute for Health and Clinical Excellence - Clinical Guidelines

146. Diagnosis and management of testosterone deficiency syndrome in men: clinical practice guideline

such as myocardial infarction, stroke and sudden cardiac death is lacking. The results of several large meta-analyses have generally not sup- ported a causal role between testosterone treat- ment and cardiovascular events. 21–24 These meta- analyses are limited by the quality of the included studies, the heterogeneity of the testos- terone levels in the populations assessed, and the use of different doses and routes of administra- tion of testosterone replacement products. Therefore, the task force made a weak (...) scheme adapted from the Oxford Centre for Evidence- Based Medicine’s levels of evidence. The 2012 guideline is fundamentally in agreement with the recommendations in our guideline, but it does not include more recent publications. Further- more, it was published at a time when highly controversial views on testosterone and cardio- vascular health had not yet received such height- ened attention and before the new concepts on testosterone and prostate carcinogenesis were widely publicized. Also

2015 CPG Infobase

147. Guidelines for the management of community-acquired pneumonia in adults

was at least segmental or present in more than one lobe and was not known to be previously present or due to other causes. 6 Like most studies, cases were excluded if pneumonia occurred distal to a known carcinoma or foreign body. For the purposes of these guidelines, CAP in hospital has been defined as: c Symptoms and signs consistent with an acute lower respiratory tract infection associated with new radiographic shadowing for which there is no other explanation (eg, not pulmonary oedema or infarction

2009 British Infection Association

148. Management of suspected viral encephalitis in children Full Text available with Trip Pro

Coccidioidomycosis Cryptococcosis Histoplasmosis North American blastomycosis Para/post-infectious causes Inflammatory Acute disseminated encephalomyelitis (ADEM) Acute haemorrhagic leukoencephalopathy (AHLE) Acute necrotising encephalitis (ANE) in children Bickerstaff's encephalitis Toxic/Metabolic Reye's syndrome Systemic infection Septic encephalopathy Shigellosis Non-infectious causes Vascular Vasculitis Systemic lupus erythematosis Behçet's disease Subarachnoid & subdural haemorrhage Ischaemic (...) cerebrovascular accidents Neoplastic Paraneoplastic encephalitis Primary brain tumour Metastases Metabolic encephalopathy Hepatic encephalopathy Renal encephalopathy Hypoglycaemia Toxins (alcohol, drugs) Hashimoto's disease Septic encephalopathy Mitochondrial diseases Other Antibody-mediated encephalitis: VGKC complex or NMDA receptor Drug reactions Encephalitis lethargica Haemophagocytic Lymphohistiocytosis (HLH) syndrome (usually children) Epilepsy Functional disorder In this table some of the important

2012 British Infection Association

149. Perinatal Cocaine Use: Care of the Mother

arrhythmias. 2) Sinus tachycardia and bradycardia. 3) Myocardial ischemia and infarction. 4) Seizures. 5) Stroke. 6) Lung damage, "crack lung" and asthma. 7) Sexually transmitted diseases. 8) Rhabdomyolysis (muscle breakdown that can lead to renal failure). 9) Psychosis. 10) Placental abruption. 11) Spontaneous abortion. 12) Death. FETAL / NEONATAL RISKS OF COCAINE EXPOSURE (See Substance Use Guideline 5B: Perinatal Cocaine Exposure, Care of the Newborn) Most women who abuse substances in pregnancy use (...) of other signs and symptoms related to norepinephrine release (Gold & Herkov, 1998). It is primarily the vasoconstriction in the placenta that puts the fetus in immediate danger with each cocaine use since this can produce ischemia and trigger abruption. The elevated sympathetic output can also lead to increased uterine tone and premature labour. Chronic use of cocaine can contribute to placental insufficiency and IUGR (Plessinger & Woods, 1998). It is thought that the vasoconstriction effects

1999 British Columbia Perinatal Health Program

150. Primary Prevention of ASCVD and T2DM in Patients at Metabolic Risk Full Text available with Trip Pro

Heart Attack (ALLHAT) trials. The recommendation for treatment with aspirin in this population has been eliminated due to a lack of sufficient evidence for its benefit. Subsequent data and a systematic review identified a relative risk (RR) reduction in nonfatal myocardial infarction (MI) but not in cardiovascular or all-cause mortality. The effects were modest and could be potentially outweighed by the risk of bleeding and other complications ( ). Dietary and exercise recommendations have been (...) Microsite Search Term Close search filter search input Article Navigation Close mobile search navigation Article Navigation September 2019 Article Contents Article Navigation Primary Prevention of ASCVD and T2DM in Patients at Metabolic Risk: An Endocrine Society Clinical Practice Guideline James L Rosenzweig Hebrew Rehabilitation Hospital, Boston, Massachusetts Correspondence: James L. Rosenzweig, MD, Hebrew Rehabilitation Hospital, 1200 Centre Street, Boston, Massachusetts 02131. E-mail: . Search

2019 The Endocrine Society

151. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS) Full Text available with Trip Pro

nutrition may have a role in the malnourished patient postoperatively Low Weak Smoking cessation Smoking should be stopped at least 4 weeks before surgery High Strong Alcohol dependency management Alcohol consumption (in alcohol abusers) should be avoided for at least 4 weeks before surgery Moderate Strong Anaemia management Anaemia should be identified, investigated and corrected preoperatively High Strong Pulmonary rehabilitation and prehabilitation Prehabilitation should be considered for patients (...) at least 4 weeks before surgery High Strong Alcohol dependency management Alcohol consumption (in alcohol abusers) should be avoided for at least 4 weeks before surgery Moderate Strong Anaemia management Anaemia should be identified, investigated and corrected preoperatively High Strong Pulmonary rehabilitation and prehabilitation Prehabilitation should be considered for patients with borderline lung function or exercise capacity Low Strong Admission Preoperative fasting and carbohydrate treatment

2020 ERAS Society

152. Perioperative

and stroke. In patients with three or more RCRI risk factors (e.g., diabetes mellitus, HF, CAD, renal insufficiency, cerebrovascular accident), it may be reasonable to begin beta blockers before surgery. (ACC/AHA 2014 guideline recommendation) In patients with a compelling long-term indication for betablocker therapy but no other RCRI risk factors, initiating beta blockers in the perioperative setting as an approach to reduce perioperative risk is of uncertain benefit. (ACC/AHA 2014 guideline (...) including 371,594 patients with anemia found that Return to Index Table Return to Table of Contents Institute for Clinical Systems Improvement 18 Perioperative Sixth Edition /January 2020 anemia was associated with increased mortality, acute kidney injury, infection and increased incidence of red cell transfusion in anemic patients undergoing noncardiac or cardiac surgeries. In cardiac surgery, anemia was associated with increased risk for stroke but not myocardial infarction

2020 Institute for Clinical Systems Improvement

153. Sudden Cardiac Arrest Survivorship: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

cardiac arrest may linger for months or years. Systematic recommendations stop short of addressing partnerships needed to care for patients and caregivers after medical stabilization. This document expands the cardiac arrest resuscitation system of care to include patients, caregivers, and rehabilitative healthcare partnerships, which are central to cardiac arrest survivorship. Footnotes The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may (...) of the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; Council on Quality of Care and Outcomes Research; and Stroke Council. Sudden cardiac arrest survivorship: a scientific statement from the American Heart Association. Circulation. 2020;141:e000–e000. doi: 10.1161/CIR.0000000000000747 The expert peer review of AHA-commissioned documents (eg, scientific statements, clinical practice guidelines

2020 American Heart Association

154. Treatment of Patients with Schizophrenia

and mortality among individuals with schizophrenia. About 4%-10% of persons with schizophrenia die by suicide, with rates that are highest among males in the early course of the disorder (Drake et al. 1985; Heilä et al. 2005; Hor and Taylor 2010; Inskip et al. 1998; Laursen et al. 2014; Nordentoft et al. 2011; Palmer et al. 2005; Popovic et al. 2014; Saha et al. 2007; Tanskanen et al. 2018). Additional causes of death also include other unnatural causes, such as accidents and traumatic injuries

2020 American Psychiatric Association

155. Clinical practice guideline for limb salvage or early amputation

or by downloading to your smartphone or tablet via the Apple and Google Play stores! View background material via the LSA CPG eAppendix Page4 Table of Contents SUMMARY OF RECOMMENDATIONS 6 BURDEN OF INJURY 6 PSYCHOSOCIAL FACTORS 7 REHABILITATION 7 NERVE INJURY 7 MASSIVE SOFT TISSUE AND MUSCLE DAMAGE 7 VASCULAR INJURY/LIMB ISCHEMIA 8 SMOKING 8 LOWER EXTREMITY INJURY SCORES 8 AMPUTATION/LIMB SALVAGE 9 GUIDELINE DEVELOPMENT GROUP ROSTER 10 Voting Members 10 Non-Voting Members 10 INTRODUCTION 11 METHODS 15 Best (...) the LSA CPG eAppendix VASCULAR INJURY/LIMB ISCHEMIA 32 SMOKING 34 LOWER EXTREMITY INJURY SCORES 36 AMPUTATION/LIMB SALVAGE 38 CONSENSUS STATEMENTS 40 Methodology 41 Orthotics/Prosthetics 42 Massive Muscle Damage 43 Comorbidities 45 APPENDICES 47 Appendix I – References for Included Literature 48 Appendix II - Guideline Development Group Disclosures 51 Non-Voting Oversight Chairs’ and Voting Members’ Disclosures 51 Appendix III – PICO Questions Used to Define Literature Search 53 Appendix IV

2020 American Academy of Orthopaedic Surgeons

157. Guidelines for the Management of Absolute Cardiovascular Disease Risk

time. While all care has been taken in preparing the content of this material, the National Vascular Disease Prevention Alliance and the funding body expressly disclaims and accepts no responsibility for any undesirable consequences arising from relying on the information or recommendations contained herein. Funding The National Stroke Foundation, on behalf of the National Vascular Disease Alliance, gratefully acknowledges the financial assistance provided by the Australian Government Department (...) of Health and Ageing. The Department did not have editorial rights in the development of the guidelines and this publication reflects the views of the authors and not necessarily the views of the Australian Government. Suggested citation National Vascular Disease Prevention Alliance. Guidelines for the management of absolute cardiovascular disease risk. 2012. ISBN: 978-0-9872830-1-6 © National Stroke Foundation 2012. Further information and resources are available from:

2012 Stroke Foundation - Australia

158. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

injection of glucocorticoids, citing the risk for rare but serious adverse effects (loss of vision, stroke, paralysis, and death). The best evidence supporting its use comes from trials that looked specifically at patients with radiculopathy due to disc herniation, where short term benefit has been demonstrated. Injections may be performed as part of a diagnostic workup of radicular pain, or as a therapeutic modality when noninvasive treatment strategies have failed. Injections may be performed via (...) for spinal infection ? Comorbid conditions associated with increased risk of bleeding due to coagulopathy or treatment with anticoagulants ? Back pain in the setting of trauma Additional contraindications include the following conditions: ? Cauda equina syndrome ? Conus medullaris syndrome ? Epidural hematoma ? Subarachnoid hemorrhage ? Epidural mass ? Spinal cord ischemia ? Spinal fracture which occurred less than 6 weeks prior to injection ? Demyelinating disease or other CNS processes which predispose

2019 AIM Specialty Health

159. AIM Clinical Appropriateness Guidelines for Arterial Ultrasound.

cerebrovascular attack (CVA) and transient ischemic attack (TIA) do not apply specifically to either anterior or posterior circulation ? For the purposes of this guideline, severity of vascular stenosis is defined as follows: ? Mild disease: 1.40) ? Duplex imaging is appropriate for patients with claudication who have normal, borderline, or inconclusive physiological testing (ABI> 0.90) ? Patients with resting ischemic pain ? Patients with evidence of atheroembolic disease of the lower extremities (ischemic (...) (more than would be expected for the procedure performed) at the vascular access site ? Patients with evidence of atheroembolic disease of the lower extremities (ischemic or discolored toes, livedo reticularis etc.) Miscellaneous indications for duplex imaging (any one of the following) ? Following limb trauma when there is suspicion of vascular injury ? For evaluation of suspected positional arterial obstructionDuplex Ultrasound Imaging of the Arteries of the Lower Extremities | Copyright © 2019

2019 AIM Specialty Health

160. Risk reduction and management of delirium

solely to alcohol and illicit substances use. It also excludes delirium in children. 1.2.2 Common comorbidities Common comorbidities which have been considered when reviewing the evidence for this guideline are: • critical illness • dementia • depression • frailty • head injury • learning disability • Parkinson’s disease • cerebrovascular disease. 1.2.3 Definitions The International Classification of Diseases, version 10 (ICD-10) defines delirium as, “An aetiologically nonspecific organic cerebral (...) retention, and pain - critical illness - surgery especially heart and hip operations - side effects of new medicines or medicines withdrawal. • Those most at risk are: - older people - older people on multiple medicines - people with dementia, Parkinson's disease, stroke or pre-existing cognitive impairment - people who are hearing or visually impaired. Ask family/carers to alert medical staff if they notice any change to their relative's normal behaviour. Ask the patient and family/carers to complete

2019 SIGN


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