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Tests for Initial Assessment and Follow-up | Laboratory Testing | HIV Infection | AIDSinfo

Oct 13th, 2018 - Several laboratory tests are important for initial evaluation of patients with HIV upon entry into care, and some tests should be performed before and after initiation or modification of antiretroviral therapy (ART) to assess the virologic and immunologic efficacy of ART and to monitor for laboratory abnormalities that may be associated with antiretroviral (ARV) drugs. Table 3 outlines the Pane...

American College of Radiology (ACR)

Oct 10th, 2018 - This practice parameter is intended to assist practitioners performing sonographic studies for detection and assessment of developmental dysplasia of the hip (DDH). Adherence to the following recommendations will maximize the probability of detecting most of the abnormalities that relate to acetabular morphology, position of the femoral head, and stability.

American Urological Association

Sep 30th, 2018 - The risks and disadvantages of circumcision are encountered early whereas the advantages and benefits are prospective. When circumcision is being discussed with parents and informed consent obtained, medical benefits and risks, and ethnic, cultural, religious and individual preferences should be considered.

AUA Position Statement on the Use of Vaginal Mesh for the Surgical Treatment of Stress Urina...
American Urological Association

Sep 30th, 2018 - The AUA strongly agrees with the FDA1 that a thorough informed consent should be conducted prior to synthetic sling surgery. The AUA also agrees that surgeons who wish to perform synthetic sling surgery should: Undergo rigorous training in the principles of pelvic anatomy and pelvic surgery.

Guidelines for Performing a Comprehensive Transthoracic Echocardiographic Examination in Adu...
Mitchell, C.

Sep 30th, 2018 - Since the first report of the use of ultrasound for cardiovascular diagnosis by Edler and Hertz1 in 1954, echocardiography has expanded exponentially over the ensuing decades. The history of echocardiography is one of continuous innovation.

Robotic Surgery (Urologic) Standard Operating Procedure (SOP)
American Urological Association

Sep 30th, 2018 - Computer assisted surgery using remote tele-presence manipulators is widely referred to as robot assisted or robotic surgery. Since the term is used extensively in the press as well as medical journals, the term “robotic surgery” will be used in this document.

The Utility of and Indications for Routine Pelvic Examination

Sep 23rd, 2018 - The pelvic examination has long been considered a fundamental component of the well-woman visit, and many women and gynecologic care providers view this visit as an opportunity to discuss sexual and reproductive health issues. Traditionally, a pelvic examination is performed for asymptomatic women as a screening tool for gynecologic cancer, infection, and asymptomatic pelvic inflammatory disea.

World Endoscopy Organization Consensus Statements on Post-Colonoscopy and Post-Imaging Color...
Rutter, M.

Sep 14th, 2018 - Colonoscopy examination does not always detect colorectal cancer (CRC)— some patients develop CRC after negative findings from an examination. When this occurs before the next recommended examination, it is called interval cancer.

Guidance for Non-HIV-Specialized Providers Caring for Persons with HIV Who Have been Displac...
Office of AIDS Research Advisory Council

Sep 13th, 2018 - The following information provides guidance to health care providers attending to the medical needs of adults and children with HIV who have been displaced from disaster areas and who have not yet secured HIV care in the areas where they have relocated.

2017 ACC/AHA Blood Pressure Treatment Guideline Recommendations and Cardiovascular Risk
Colantonio, L.

Sep 9th, 2018 - The 2017 American College of Cardiology/American Heart Association (ACC/AHA) blood pressure (BP) guideline provides updated recommendations for antihypertensive medication initiation and intensification.

Clinically Localized Prostate Cancer: ASCO Clinical Practice Guideline Endorsement of an American Urological Association/American Society for Radiation Oncology/Society of Urologic Oncology Guideline
Bekelmanm J., et al

Sep 4th, 2018 - Purpose In April 2017, the American Urological Association, American Society for Radiation Oncology, and Society of Urologic Oncology released a joint evidence-based practice guideline on clinically localized prostate cancer. The American Society of Clinical Oncology (ASCO) has a policy and set of procedures for endorsing clinical practice guidelines that have been developed by other profession...

Antimicrobial Prophylaxis for Adult Patients With Cancer-Related Immunosuppression: ASCO and IDSA Clinical Practice Guideline Update
Taplitz, R. et. al.

Sep 3rd, 2018 - Antibacterial and antifungal prophylaxis is recommended for patients who are at high risk of infection, including patients who are expected to have profound, protracted neutropenia, which is defined as < 100 neutrophils/µL for > 7 days or other risk factors. Herpes simplex virus–seropositive patients undergoing allogeneic hematopoietic stem-cell transplantation or leukemia induction therapy sho...

Screening for Urinary Incontinence in Women: A Recommendation From the Women's Preventive Se...
O'Reilly, N.,et al

Sep 3rd, 2018 - Recommendation on screening for urinary incontinence in women by the Women's Preventive Services Initiative (WPSI), a national coalition of women's health professional organizations and patient representatives. The WPSI's recommendations are intended to guide clinical practice and coverage of services for the Health Resources and Services Administration and other stakeholders.

An Update on Radial Artery Access and Best Practices for Transradial Coronary Angiography an...
Mason P.

Aug 31st, 2018 - Transradial artery access for percutaneous coronary intervention is associated with lower bleeding and vascular complications than transfemoral artery access, especially in patients with acute coronary syndromes. A growing body of evidence supports adoption of transradial artery access to improve acute coronary syndrome–related outcomes, to improve healthcare quality, and to reduce cost.

Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, ...
Devlin, J.

Aug 31st, 2018 - To update and expand the 2013 Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the ICU. Design: Thirty-two international experts, four methodologists, and four critical illness survivors met virtually at least monthly.

Perioperative Pathways: Enhanced Recovery After Surgery
Committee on Gynecologic Practice

Aug 31st, 2018 - Gynecologic surgery is very common: hysterectomy alone is one of the most frequently performed operating room procedures each year. It is well known that surgical stress induces a catabolic state that leads to increased cardiac demand, relative tissue hypoxia, increased insulin resistance, impaired coagulation profiles, and altered pulmonary and gastrointestinal function.

Psoriatic arthritis – new perspectives
Archives of Medical Science; Krakowski, P.

Aug 22nd, 2018 - Psoriatic arthritis (PsA) is a seronegative arthropathy with many clinical manifestations, and it may affect nearly a half of patients with psoriasis. PsA should be diagnosed as early as possible to slow down joint damage and progression of disability. To improve the diagnosis of PsA, physicians should look for peripheral inflammatory pain, axial inflammatory pain, dactylitis, and buttock and s...

HIV treatment in pregnancy
Bailey, H. et. al.

Jul 31st, 2018 - Almost 25 years since antiretroviral therapy (ART) was first shown to prevent mother-to-child transmission of HIV, 76% of pregnant women living with HIV (over 1 million women) receive ART annually. This number is the result of successes in universal ART scale-up in low-income and middle-income countries. Despite unprecedented ART-related benefits to maternal and child health, challenges remain ...

ASMBS updated position statement on bariatric surgery in class I obesity (BMI 30–35 kg/m2)

Jul 31st, 2018 - The American Society for Metabolic and Bariatric Surgery (ASMBS) issued a position statement on the role of bariatric surgery in class I obesity in 2012 [1]. That statement was developed in response to inquiries made to the ASMBS by society members, physicians, patients, hospitals, health insurance payers, policymakers, and the media regarding the safety and efficacy of bariatric surgery f...

Atrial Fibrillation: Screening With Electrocardiography
US Preventive Services Task Force

Jul 31st, 2018 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation with electrocardiography (ECG).