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161. Age-Related Macular Degeneration

or progression of the disease. 35 6.3.2 Coronary and vascular disease People with AMD may be at increased risk of coronary heart disease (120, 125), stroke (126) and cardiovascular mortality (127, 128). However, findings have been inconsistent: and some studies have found no association between history of cardiovascular disease and AMD (118, 129). A systematic review (23) found a significant association when studies were pooled (OR 2.20; 95% CI 1.49 - 3.26), although what constituted cardiovascular disease (...) photography 5.3.2 Fundus Fluorescein angiography 5.3.3 Angiographic features of neovascular AMD 5.3.4 ICG angiography 5.3.5 Optical coherence tomography 5.3.6 Fundus autofluorescence 5.3.7 Structure and function 3 6. Risk factors 6.1 Ocular 6.1.1 Precursor lesions 6.1.2 Refractive status 6.1.3 Iris colour 6.1.4 Macular pigment 6.2 Lifestyle 6.2.1 Smoking habit 6.2.2 Alcohol intake 6.2.3 Diet and nutrition 6.2.4 Obesity 6.3. Medical 6.3.1 Hypertension 6.3.2 Coronary and vascular disease 6.3.3 Diabetes 6.4

2013 Royal College of Ophthalmologists

162. Management of Incidental Findings Detected During Research Imaging

Uterine mass Calcified pulmonary nodule Solid pancreas mass Absent kidney Calcified pleural plaques Undescended testis Pelvic kidney Lipoma Gall bladder mass Adrenal mass Bladder diverticulum Bilateral small kidneys Ureteric calculus Renal calculus Pneumothorax Bowel inflammation Degenerative spine changes Pulmonary embolism Emphysema Bone infarct Deep vein thrombosis Bronchiectasis Fatty liver Gastric mass Irregular nodular margin liver Renal cysts Oesophageal mass Air in the biliary tree

2011 Royal College of Radiologists

163. Retinal Vein Occlusion (RVO)

al (2014) found a higher overall increased mortality compared to controls for CRVO (5.9 deaths/100 person years compared to 4.3 deaths/100 person years (HR, 1.45:95% CI,1.19 – 1.76).21 However, when the data was adjusted for overall occurrence of cardiovascular disorders including hypertension, peripheral vascular disease, ischaemic heart disease, myocardial infarction, congestive cardiac failure, cerebrovascular disease and diabetes, the mortality rate was comparable to that in the control (...) vein occlusion (HRVO) 6 Macular Oedema (MO): 6 Retinal ischaemia and iris and retinal neovascularisation: 7 Ischaemic versus non-ischaemic RVO: 7 Section 2: Natural History of Retinal Vein Occlusions 7 Central Retinal Vein Occlusion 7 Branch Retinal Vein Occlusion 8 Bilateral involvement 8 Section 3: Epidemiology of Retinal Vein Occlusion 8 Section 4: Aetiology and risk factors of Retinal Vein Occlusions 9 Associations with retinal vein occlusions 9 Section 5: The relation of RVO to systematic vein

2015 Royal College of Ophthalmologists

164. Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death Full Text available with Trip Pro

in the electrical or mechanical properties of the heart) with multiple transient factors that participate in triggering the fatal event. In the next section we provide a brief overview of the paucity of risk-stratification schemes for SCD in normal subjects, in patients with ischaemic heart disease and in patients with channelopathies and cardiomyopathies. 3.3.1 Individuals without known heart disease Approximately 50% of cardiac arrests occur in individuals without a known heart disease, but most suffer from (...) infarction or relatives of patients with inherited disorders associated with SCD. The combination of echocardiography with exercise or pharmacological stress (commonly known as ‘stress echo’) is applicable to a selected group of patients who are suspected of having VA triggered by ischaemia and who are unable to exercise or have resting ECG abnormalities that limit the accuracy of the ECG for ischaemia detection. Advances in CMR have made it possible to evaluate both the structure and function

2015 European Society of Cardiology

165. Guidelines on Prevention, Diagnosis and Treatment of Infective Endocarditis Full Text available with Trip Pro

are strongly linked, microbleeds should not be considered as a minor criterion in the Duke classification. Cerebral MRI is, in the majority of cases, abnormal in IE patients with neurological symptoms. It has a higher sensitivity than CT in the diagnosis of the culprit lesion, in particular with regards to stroke, transient ischaemic attack and encephalopathy. MRI may also detect additional cerebral lesions that are not related to clinical symptoms. Cerebral MRI has no impact on the diagnosis of IE (...) vascular mapping with identification and characterization of peripheral vascular complications of IE and their follow-up. 5.3.3 Magnetic resonance imaging Given its higher sensitivity than CT, MRI increases the likelihood of detecting cerebral consequences of IE. Different studies including systematic cerebral MRI during acute IE have consistently reported frequent lesions, in 60–80% of patients. Regardless of neurological symptoms, most abnormalities are ischaemic lesions (in 50–80% of patients

2015 European Society of Cardiology

166. 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

2018 European Association of Urology

167. 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

2018 European Association of Urology

168. Neuro-urology

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. Prevalence (...) . 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, 2008. Dev

2018 European Association of Urology

169. 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

2018 European Association of Urology

170. ESC/EACTS Guidelines on Myocardial Revascularization Full Text available with Trip Pro

Society CEA Carotid endarterectomy CHA 2 DS 2 -VASc Cardiac Congestive heart failure, Hypertension, Age ≥75 [Doubled], Diabetes mellitus, prior Stroke or transient ischaemic attack or thromboembolism [Doubled] – Vascular disease, Age 65–74 and Sex category [Female] CHAMPION Cangrelor versus Standard Therapy to Achieve Optimal Management of Platelet Inhibition CI Confidence interval CIN Contrast-induced nephropathy CKD Chronic kidney disease CMR Cardiac magnetic resonance COMPASS Rivaroxaban (...) and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies SYNTAX Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery TAP T and protrusion TAVI Transcatheter aortic valve implantation TIA Transient ischaemic attack TIMI Thrombolysis in Myocardial Infarction TLR Target lesion revascularization TOTAL Trial of Routine Aspiration Thrombectomy with PCI versus PCI Alone in Patients with STEMI TRIGGER-PCI Testing platelet Reactivity In patients

2018 European Society of Cardiology

171. 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

2018 European Association of Urology

172. Spasticity in adults: management using botulinum toxin - 2nd edition

throughout their careers. As an independent charity representing over 34,000 fellows and members worldwide, the RCP advises and works with government, patients, allied healthcare professionals and the public to improve health and healthcare. Citation for this document: Royal College of Physicians, British Society of Rehabilitation Medicine, The Chartered Society of Physiotherapy, Association of Chartered Physiotherapists in Neurology and the Royal College of Occupational Therapists. Spasticity in adults (...) : management using botulinum toxin. National guidelines. London: RCP , 2018. Copyright All rights reserved. No part of this publication may be reproduced in any form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication) without the written permission of the copyright owner. Applications for the copyright owner’s written permission to reproduce any part of this publication should be addressed

2018 British Society of Rehabilitation Medicine

173. AAWC Pressure Ulcer Guidelines

2007) or severe chronic or terminal disease (Fowler et al.2008) b. Diabetes, with Hb A1c > 6.5 to document blood glucose control (Fowler et al.2008; Amer. Diabetes Assn. 2009) c. Cardiovascular disease or condition including cardiovascular accident (CVA) leading to altered sensation or ability to move (Fowler et al.2008; De Laat et al 2007; IHI 2007) d. Gastrointestinal, genitourinary, renal, endocrine or pulmonary disease or condition (IHI 2007) e. Peripheral vascular disease/condition: assess (...) 2008) 6. Conduct a pain assessment using an age-appropriate validated pain scale (Chang et al., 1998; Flock, 2003; Gardner et al., 2001; Heyneman et al., 2008) 7. Repeat above assessments regularly at same intervals as pressure ulcer risk assessment based on patient risk and institutional guidelines or on any change in patient condition. (Konishi et al 2008) G. DIAGNOSTIC TESTS 1. Use appropriate vascular laboratory consult as needed to assess tissue perfusion if limited vascular perfusion

2011 Association for the Advancement of Wound Care

174. Complex regional pain syndrome in adults. UK guidelines for diagnosis, referral and management in primary and secondary care 2018 (2nd edition)

management. It may also be appropriate instead to refer cases of confirmed CRPS to specialist rehabilitation or vocational rehabilitation services if: ? CRPS presents in the context of another existing disabling condition (eg stroke or severe multiple trauma) ? specialist facilities, equipment or adaptations are required or need review ? the patient needs specialist vocational rehabilitation or support to return to work (this service is sometimes also provided by pain management services) ? litigation (...) of the painful limb. 87 Management ED physicians should provide reassurance that enhanced symptoms are common after injury but usually resolve. Appropriate analgesia should be prescribed as per standard ED practice. The aim is to minimise pain and support physical rehabilitation. Where not contraindicated, advice should be given to touch/stroke the skin of the painful parts and to gently use the limb, even where this appears counterintuitive to the patient (see Appendix 5: Desensitisation). Patients

2018 British Society of Rehabilitation Medicine

175. Practice Guideline Update Systematic Review Summary: Disorders of Consciousness

Practice Guideline Update Systematic Review Summary: Disorders of Consciousness 1 Practice guideline update: Disorders of consciousness Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research Joseph T. Giacino, PhD 1 ; Douglas I. Katz, MD 2 ; Nicholas D. Schiff, MD 3 ; John Whyte, MD, PhD 4 (...) ; Eric J. Ashman, MD 5 ; Stephen Ashwal, MD 6 ; Richard Barbano, MD, PhD 7 ; Flora M. Hammond, MD 8 ; Steven Laureys, MD, PhD 9 ; Geoffrey S. F. Ling, MD 10 ; Risa Nakase- Richardson, PhD 11 ; Ronald T. Seel, PhD 12 ; Stuart Yablon, MD 13 ; Thomas S. D. Getchius 14 ; Gary S. Gronseth, MD 15 ; Melissa J. Armstrong, MD, MSc 16 1. Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Harvard Medical School; Department of Psychiatry, Massachusetts General Hospital

2018 American Academy of Neurology

176. Perioperative Pathways: Enhanced Recovery After Surgery

preparation with an alcohol-based agent unless contraindicated ( ). Chlorhexidine-alcohol is an appropriate choice. Skin antiseptics should be used in accordance with their manufacturer’s instructions. Scrub time (gentle, repeated back-and-forth strokes) for chlorhexidine-alcohol preparations should last for 2 minutes for moist sites (inguinal fold and vulva) and 30 seconds for dry sites (abdomen), and allowed to dry for 3 minutes ( ). However, if using povidone-iodine scrubs for abdominal preparation (...) , controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection. Dis Colon Rectum 2003;46:851–9. Anderson AD, McNaught CE, MacFie J, Tring I, Barker P, Mitchell CJ. Randomized clinical trial of multimodal optimization and standard perioperative surgical care. Br J Surg 2003;90:1497–504. Serclova Z, Dytrych P, Marvan J, Nova K, Hankeova Z, Ryska O, et al. Fast-track in open intestinal surgery

2018 American College of Obstetricians and Gynecologists

177. Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE) guideline for the prevention and management of cardiovascular disease in primary care

, Ont.; Department of Medicine and Libin Cardiovascular Institute (Lau), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Li Ka Shing Knowledge Institute (Leiter), St. Michael’s Hospital, University of Toronto, Toronto, Ont.; Heart and Stroke Foundation (Lindsay), Ottawa, Ont.; Ottawa Heart Institute (Liu), University of Ottawa, Ottawa, Ont.; Insitut de Cardiologie de Montreal (O’Meara), Universite de Montreal, Montreal, Que.; Division of Cardiology, Mazankowski Alberta Heart (...) , Calgary, Alta.; Li Ka Shing Knowledge Institute (Leiter), St. Michael’s Hospital, University of Toronto, Toronto, Ont.; Heart and Stroke Foundation (Lindsay), Ottawa, Ont.; Ottawa Heart Institute (Liu), University of Ottawa, Ottawa, Ont.; Insitut de Cardiologie de Montreal (O’Meara), Universite de Montreal, Montreal, Que.; Division of Cardiology, Mazankowski Alberta Heart Institute; University of Alberta, Faculty of Medicine and Dentistry (Pearson), Edmonton, Alta.; Departments of Medicine, Community

2018 CPG Infobase

178. The Role of Weight Management in the Treatment of Adult Obstructive Sleep Apnea Guideline

program and have no contraindications or active cardiovascular disease, we suggest an evaluation for potential antiobesity pharmacotherapy (conditional recommendation, very low certainty in the estimated effects). REMARKS. “Active cardiovascular disease” refers to a myocardial infarction or cerebrovascular accident within the past 6 months, uncontrolled hypertension, life- threatening arrhythmias, or decompensated congestive heart failure. Question 7: Should Bariatric Surgery Be Recommended (Rather (...) . The questions were then discussed, modi?ed, and approved by the fullguidelinepanel.Outcomesthatmightbe affected by each of the interventions were numericallyrated(from1to7)accordingto theirimportance.Theevidencewasassessed only for outcomes whose average rating fell into the “important” or “critical” categories. The primary outcomes evaluated were quality of life, mortality, weight loss, change in OSA severity, resolution of OSA, cardiovascular events or stroke, major and minor adverse events, daytime

2018 American Thoracic Society

179. Stable Coronary Artery Disease (2nd Edition)

PDE5 Phosphodiesterase Type 5 Inhibitor PET Positron Emission Tomography PTP Pre-test Probability PUFA Polyunsaturated Fatty Acid SCAD Stable Coronary Artery Disease SCD Sudden Cardiac Death SFA Saturated Fatty Acid SLE Systemic Lupus Erythematosus SPECT Single-Photon Emission Computed Tomography STEMI ST Elevation Myocardial Infarction TIA Transient Ischemic Attack TFA Trans Fatty Acid TMR Transmyocardial Revascularization UA Unstable Angina Rationale: Coronary Artery Disease (CAD) covers a wide (...) Tomography STEMI ST Elevation Myocardial Infarction TIA Transient Ischemic Attack TFA Trans Fatty Acid TMR Transmyocardial Revascularization UA Unstable Angina ABBREVIATIONS Rationale: Coronary Artery Disease (CAD) covers a wide spectrum from asymptomatic individuals to patients with stable CAD, Acute Coronary Syndromes (ACS) and Sudden Cardiac Death (SCD). This Clinical Practice Guidelines (CPG) on Stable CAD is directed at individuals: • with stable chest pain or other symptoms (e.g. dyspnea) which

2018 Ministry of Health, Malaysia

180. Are the ACC/AHA Guidelines on the Treatment of Blood Cholesterol a Game Changer? A Perspective From the Canadian Cardiovascular Society Dyslipidemia Panel

assessment, randomized trials of these approaches will need to be completed. Risk Assessment Is Important Much of the controversy of the new American guidelines relates to the development of the new pooled cohort equations for risk assessment. Although it is derived from several cohorts, including people of various ages, ethnicities, and geographic distribution and appropriately measures risk of hard cardiovascular end points including myocardial infarction and stroke, concern has been raised that it has (...) of vascular disease: meta-analysis of individual data from 27 randomised trials. Lancet . 2012 ; 380 : 581–590 | | | | | | 8 European Association for Cardiovascular Prevention and Rehabilitation, Reiner, Z., Catapano, A.L. et al. ESC/EAS guidelines for the management of dyslipidaemias: the task force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). Eur Heart J . 2011 ; 32 : 1769–1818 | | | | 9 Tobe, S.W., Stone, J.A., Brouwers

2014 Canadian Cardiovascular Society

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