Practice Guidelines

Practice Guidelines summarize important clinical recommendations from major medical organizations and the federal government.

May 1, 2012 Issue
AAP Expands Recommendations on SIDS and Other Sleep-Related Deaths
Sudden infant death syndrome (SIDS) is a term attributed to any infant death that cannot be explained. Sudden unexpected infant death describes any sudden and unexpected death, whether explained or unexplained, that occurs during infancy. The American Academy of Pediatrics (AAP) first recommended that infants be placed for sleep in a non-prone position in 1992.

Apr 15, 2012 Issue
NICE Updates Guidelines on Management of Chronic Heart Failure
Heart failure is associated with poor prognosis and quality of life, as well as high health care costs. In 2010, the National Institute for Health and Clinical Excellence (NICE) updated its previous guideline on the management of chronic heart failure in adults. This update focuses on the role of signs and symptoms, serum natriuretic peptide levels, and echocardiography in the diagnosis of heart failure.

Apr 1, 2012 Issue
AAP Releases Clinical Report on the Impact of Social Media on Children, Adolescents, and Families
The number of children and adolescents using social media Web sites (e.g., Facebook) has significantly increased in the past five years. Research has shown that social media improves communication, social interaction, and technical abilities. Physicians are in a position to talk to families about the digital world and the social and health issues that children may experience. The American Academy of Pediatrics (AAP) also urges physicians to learn more about digital technology to improve their own understanding.

Mar 15, 2012 Issue
American College of Obstetricians and Gynecologists Updates Breast Cancer Screening Guidelines
Breast cancer–related death can be reduced through effective screening, which typically includes imaging, clinical examination, and self-examination or awareness. The American College of Obstetricians and Gynecologists recommends using all three techniques to screen for breast cancer.

Mar 1, 2012 Issue
AAP Reports on the Use of Antipyretics for Fever in Children
In this report, the American Academy of Pediatrics (AAP) reviews the effectiveness of antipyretics for the treatment of fever in children. Fever in children often leads to unscheduled physician visits, telephone calls from parents to physicians for consultation, and the treatment of fever with over-the-counter antipyretics.

Mar 1, 2012 Issue
ADA Releases Revisions to Recommendations for Standards of Medical Care in Diabetes
Caring for patients with diabetes mellitus requires addressing many issues beyond glycemic control. To help physicians provide optimal care for these patients, the American Diabetes Association (ADA) releases annual revisions to its clinical practice recommendations for standards of medical care. The recommendations include screening, diagnostic, and therapeutic actions that have been shown or are believed to have beneficial outcomes in patients with diabetes.

Feb 15, 2012 Issue
Guidelines for the Use of Long-Acting Reversible Contraceptives
The use of long-acting reversible contraceptives (LARCs) has increased from 1.3 to 5.5 percent over the past decade. There are three LARCs available in the United States: the etonogestrel single-rod implant and two types of intrauterine devices (IUDs; copper T380A and levonorgestrel intrauterine system [Mirena]). The American College of Obstetricians and Gynecologists has released a practice bulletin to guide physicians on the use of LARCs.

Feb 1, 2012 Issue
Respiratory Indications for Polysomnography in Children
Although assessment of sleep disorders in children relies on the history and physical examination, polysomnography (PSG) is sometimes used to aid in the diagnosis. The American Academy of Sleep Medicine has provided recommendations regarding the use of the test in children. This guideline focuses on the assessment and management of sleep-related respiratory conditions.

Feb 1, 2012 Issue
ACIP Releases 2012 Immunization Schedules
The Advisory Committee on Immunization Practices (ACIP) of the of the Centers for Disease Control and Prevention (CDC) introduces the 2012 immunization schedules for young children (birth through six years of age), older children and adolescents (seven through 18 years of age), and adults, as well as the catch-up immunization schedule for persons who have not received a recommended vaccination on time or at the appropriate intervals.

Jan 15, 2012 Issue
ACP Updates Guideline on Diagnosis and Management of Stable COPD
Chronic obstructive pulmonary disease (COPD) affects more than 5 percent of U.S adults and is the third leading cause of death. The American College of Physicians (ACP) recently updated its 2007 guideline on the diagnosis and management of stable COPD to include new recommendations on when to consider pharmacotherapy, how to select an agent for monotherapy, and the preferred treatment for patients with respiratory symptoms and a forced expiratory volume in one second (FEV1) between 60 and 80 percent of predicted.

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