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Overview of clinical practice guidelines

OVERVIEW. The Institute of Medicine (IOM) defines clinical practice guidelines as "statements that include recommendations, intended to optimize patient care, that are informed by a systematic review of evidence and an assessment of the …

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COVID-19: Psychiatric illness

Health care workers — Psychiatric symptoms and disorders can occur in clinicians exposed to COVID-19 . As an example, cross-sectional studies used self-report instruments close to or during the peak of the pandemic …

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COVID-19: Occupational health issues for health care

SUMMARY AND RECOMMENDATIONS. Health care workers (HCWs) are at risk for acquiring coronavirus disease 2019 (COVID-19) by working in close proximity to patients and coworkers. Prior to the availability of the COVID-19 vaccine, reports found HCWs accounted for 3.8 to 19 percent of COVID-19 cases.

Category:  Coronavirus Go Health

Patient education: Depression (The Basics)

Patient education: When you have depression and another health problem (The Basics) The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment.

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Overview of occupational and environmental health

An overview of occupational and environmental health is found here. Occupational lung disease is discussed in detail separately, as are adult lead poisoning, arsenic toxicity, female reproductive toxicity, chemical and biological terrorism, and concerns related to obstructive sleep apnea and vehicle accidents among commercial vehicle drivers.

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Oral and systemic health

Oral and systemic health are closely related. Abnormalities in the oral cavity can affect systemic health and the growth and development of children. Likewise, systemic conditions or their treatments can affect the oral cavity or the feasibility of delivering dental care. The oral conditions that affect systemic health and the systemic

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NICHD definitions of FHR characteristics and patterns

National Institue of Child Health and Human Development Research Planning Workshop. Am J Obstet Gynecol 1997; 177:1385. Macones GA, Hankins GD, Spong CY, et al. The 2008 National Institute of Child Health and Human Development Workshop Report on Electronic Fetal Monitoring: Update on Definitions, Interpretation, and Research Guidelines.

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Vitamin D and extraskeletal health

OPTIMAL VITAMIN D FOR EXTRASKELETAL HEALTH. There are a large number of epidemiologic data indicating that the risks of cancer and infectious, autoimmune, and cardiovascular diseases are higher when 25-hydroxyvitamin D (25 [OH]D) levels are <20 ng/mL (50 nmol/L) and that risks decrease with higher 25 (OH)D concentrations.

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Basic principles of wound management

Spilsbury K, Cullum N, Dumville J, et al. Exploring patient perceptions of larval therapy as a potential treatment for venous leg ulceration. Health Expect 2008; 11:148. Steenvoorde P, Budding T, Oskam J. Determining pain levels in patients treated with maggot debridement therapy. J Wound Care 2005; 14:485. Ovington LG.

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Evaluation of health-related quality of life (HRQL) in

INTRODUCTION. Although difficult to define, quality of life has an inherent meaning to most people. It is comprised of broad concepts that affect global life satisfaction, including good health, adequate housing, employment, personal and family safety, interpersonal relationships, education, and leisure pursuits.

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Acute appendicitis in children: Management

Bratzler DW, Dellinger EP, Olsen KM, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm 2013; 70:195. Lee SL, Islam S, Cassidy LD, et al. Antibiotics and appendicitis in the pediatric population: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review.

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Malaria: Epidemiology, prevention, and control

Malaria is endemic throughout most of the tropics [ 1 ]. Eighty seven countries and territories have ongoing transmission. The World Health Organization (WHO) reported that 229 million cases and 409 thousand deaths from malaria occurred in 2019 [ 2 ]; this is a decrease from 239 million cases in 2010, whereas 435,000 deaths were recorded in 2016.

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Primary prevention of melanoma

INTRODUCTION. Melanoma is a worldwide public health concern [].At least two-thirds of melanoma in light-skinned populations worldwide may be attributed to ultraviolet (UV) radiation exposure from both natural and artificial sources [].Based upon this and other data implicating UV light as a risk factor for melanoma, reducing exposure to UV radiation from …

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Patient education: Eczema (atopic dermatitis) (Beyond the

In some cases, health care providers may recommend dilute bleach baths for people with eczema. These baths help to decrease the number of bacteria on the skin that can cause infections or worsen symptoms. To prepare a bleach bath, one-fourth to one-half cup of bleach is placed in a full bathtub (about 40 gallons) of water.

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Patient education: Cirrhosis (Beyond the Basics)

Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based.

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Patient Education

UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, …

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Prevention and treatment of glucocorticoid-induced

Glucocorticoid therapy is associated with an appreciable risk of bone loss, which is most pronounced in the first few months of use. In addition, glucocorticoids increase fracture risk, and fractures occur at higher bone mineral density (BMD) values than occur in postmenopausal osteoporosis. The increased risk of fracture has been reported with

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Patient education: Hepatitis C (Beyond the Basics)

Health care providers diagnose hepatitis C using two types of test. One type of test checks the blood for antibodies (proteins made by the immune system in response to the virus). If your health care provider orders this, you can get your blood drawn in a lab for testing; you can also buy an antibody test kit to take a small sample of your

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Patient education: Peptic ulcer disease (Beyond the Basics

Your health care provider can suggest another medication to help with your symptoms. You should take your ulcer medication as directed, even if your ulcer doesn’t cause bothersome symptoms. Some people can stop the medication after four to six weeks;

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Patient education: Vasectomy (Beyond the Basics)

health effects of vasectomy Sex drive — Having a vasectomy will not affect testosterone (male hormone) levels, sex drive, or the ability to have an erection. Risk of cancer — Although there have been some concerns regarding a link between vasectomy and prostate and testicular cancer, several large studies show that there is no increased

Category:  Cancer Go Health

Human trafficking: Identification and evaluation in the

Human trafficking: Identification and evaluation in the health care setting. Human trafficking, also referred to as modern slavery, is a crime that affects nearly every country in the world, regardless of level of economic development. As awareness of human trafficking has evolved, victims have been found and assisted in leaving exploitative

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Overweight and obesity in adults: Health consequences

The health hazards associated with obesity are reviewed here. The prevalence of and therapy for obesity and the evaluation of the overweight patient are discussed elsewhere. (See "Obesity in adults: Overview of management" and "Obesity in adults: Prevalence, screening, and evaluation".)

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Patient education: Pneumonia prevention in adults (Beyond

HEALTH MAINTENANCE. Living a healthy lifestyle including eating right, exercising, and maintaining a healthy weight can help prevent many health problems. Taking medicines as prescribed, particularly for chronic illnesses that increase the risk of pneumonia, can also help prevent health complications.

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Huntington disease: Management

Huntington disease (HD) is an inherited progressive neurodegenerative disorder characterized by choreiform movements, psychiatric problems, and dementia. It is caused by a trinucleotide (cytosine-adenine-guanine [CAG]) expansion in the huntingtin ( HTT) gene on chromosome 4p and inherited in an autosomal-dominant pattern.

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Epidemiology, transmission, and prevention of hepatitis B

The World Health Organization estimated that, in 2015, there were 257 million HBV carriers in the world and roughly 887,000 died that year from HBV-related liver disease . The implementation of effective vaccination programs in many countries has resulted in a significant decrease in the incidence of new hepatitis B infection.

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Physical activity and exercise in patients with congenital

However, increasingly, there is an understanding that promoting physical activity benefits the health and well-being of children and adults with CHD. The challenge for clinicians who care for these patients is to ensure safe participation in regular physical activity by tailoring recommendations to the individual's clinical status.

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Patient education: Hepatitis B (Beyond the Basics)

Other tests – There are many other tests that can reflect the health of the liver, but are not specific for hepatitis B. These include liver enzyme tests (alanine aminotransferase [ALT] and aspartate aminotransferase [AST]), bilirubin, alkaline phosphatase, albumin, prothrombin time, and platelet count.

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Patient education: Chronic obstructive pulmonary disease

Chronic obstructive pulmonary disease (often called "COPD") is a condition in which the airways in the lungs become inflamed and narrowed and the air sacs become damaged. Smoking cigarettes is the most common cause of COPD. As the lungs become more damaged over time, it becomes increasingly difficult to breathe.

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Preterm labor: Clinical findings, diagnostic evaluation

Deshpande SN, van Asselt AD, Tomini F, et al. Rapid fetal fibronectin testing to predict preterm birth in women with symptoms of premature labour: a systematic review and cost analysis. Health Technol Assess 2013; 17:1. Sanchez-Ramos L, Delke I, Zamora J, Kaunitz AM.

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Patient education: Acute pancreatitis (Beyond the Basics

Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based.

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Patient education: The nephrotic syndrome (Beyond the

Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based.

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