GUIDELINES :
STANDARDS:
MEDICAL: PRACTICE:
National Guideline Clearinghouse (NGC)


National Guideline Clearinghouse (NGC)
<http://www.guideline.gov/>


The National Guideline Clearinghouse (NGC) is a public resource for
evidence-based clinical practice guidelines. NGC is an initiative of the
Agency for Healthcare Research and Quality (AHRQ), U.S. Department of
Health and Human Services. NGC was originally created by AHRQ in
partnership with the American Medical Association and the American
Association of Health Plans (now America's Health Insurance Plans [AHIP]).


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About NGC
<http://www.guideline.gov/about/about.aspx>


The National Guideline Clearinghouse (NGC) is a comprehensive database of
evidence-based clinical practice guidelines and related documents. NGC is
an initiative of the Agency for Healthcare Research and Quality (AHRQ),
U.S. Department of Health and Human Services. NGC was originally created
by AHRQ in partnership with the American Medical Association and the
American Association of Health Plans (now America's Health Insurance Plans
[AHIP]).

The NGC mission is to provide physicians, nurses, and other health
professionals, health care providers, health plans, integrated delivery
systems, purchasers and others an accessible mechanism for obtaining
objective, detailed information on clinical practice guidelines and to
further their dissemination, implementation and use.


Key components of NGC include:

Structured abstracts (summaries) about the guideline and its development
Links to full-text guidelines, where available, and/or ordering
information for print copies

Palm-based PDA Downloads of the Complete NGC Summary for all guidelines
represented in the database.

A Guideline Comparison utility that gives users the ability to generate
side-by-side comparisons for any combination of two or more guidelines

Unique guideline comparisons called Guideline Syntheses prepared by NGC
staff, compare guidelines covering similar topics, highlighting areas of
similarity and difference. NGC Guideline Syntheses often provide a
comparison of guidelines developed in different countries, providing
insight into commonalities and differences in international health
practices.

An electronic forum, NGC-L for exchanging information on clinical practice
guidelines, their development, implementation and use
An Annotated Bibliography database where users can search for citations
for publications and resources about guidelines, including guideline
development and methodology, structure, evaluation, and implementation
An Expert Commentary feature written/reviewed by the NGC/NQMC Editorial
Board.


Other user-friendly features include the following:

What's New enables users to see what guidelines have been added each week
and includes an index of all guidelines in NGC.

NGC Update Service is a weekly electronic mailing of new and updated
guidelines posted to the NGC Web site.

Detailed Search enables users to create very specific search queries based
on the various attributes found in the NGC Classification Scheme.

NGC Browse permits users to scan for guidelines available on the NGC site
by disease/condition, treatment/intervention, or developing organization.

PDA/Palm List provides users with information regarding the availability
of full-text guidelines and/or companion documents available through the
guideline developer, that can be downloaded for the handheld computer
(Personal Digital Assistant [PDA], Palm, etc.).


AHRQ Evidence Reports/Technical Assessments list provides users with links
to the Summaries and Full-Text Reports for evidence reports and technology
assessments produced under the Agency for Healthcare Research and Quality
(AHRQ) Evidence-based Practice Center (EPC) Program. Access the list of
EPC Reports, with links to summaries and/or full-text publications.
Glossary provides definitions of terms used in the standardized abstracts
(summaries).


NGC Browse - Disease/Condition Results
<http://www.guideline.gov/browse/browsemode.aspx?node=29298&type=1>


Diseases (MeSH Category) - List all 1926 guidelines


Animal Diseases - 4 guidelines

Bacterial Infections and Mycoses - 205 guidelines

Cardiovascular Diseases - 344 guidelines

Congenital, Hereditary, and Neonatal Diseases and Abnormalities - 89
guidelines

Digestive System Diseases - 238 guidelines

Disorders of Environmental Origin - 239 guidelines

Endocrine System Diseases - 152 guidelines

Eye Diseases - 63 guidelines

Female Urogenital Diseases and Pregnancy Complications - 288 guidelines

Hemic and Lymphatic Diseases - 77 guidelines

Immune System Diseases - 245 guidelines

Male Urogenital Diseases - 166 guidelines

Musculoskeletal Diseases - 140 guidelines

Neoplasms - 378 guidelines

Nervous System Diseases - 399 guidelines

Nutritional and Metabolic Diseases - 172 guidelines

Otorhinolaryngologic Diseases - 35 guidelines

Parasitic Diseases - 20 guidelines

Pathological Conditions, Signs and Symptoms - 545 guidelines

Respiratory Tract Diseases - 261 guidelines

Skin and Connective Tissue Diseases - 102 guidelines

Stomatognathic Diseases - 57 guidelines

Virus Diseases - 199 guidelines



NGC Browse - Disease/Condition Results
Mental Disorders - List all 174 guidelines
<http://www.guideline.gov/browse/browsemode.aspx?node=16967&type=1>


Content Sample:

(1) Crisis intervention. (2) Crisis intervention 2006 supplement.
Registered Nurses Association of Ontario - Professional Association. 2002
Aug (addendum released 2006 Mar). Original guideline: 55 pages;
Supplement: 6 pages. NGC:004950

Adherence to antiretroviral therapy among HIV-infected patients with
mental health disorders. New York State Department of Health - State/Local
Government Agency [U.S.]. 2006 Sep. 20 pages. NGC:005250

Care of children and adolescents with type 1 diabetes: a statement of
the American Diabetes Association. American Diabetes Association -
Professional Association. 2005 Jan. 27 pages. NGC:004193

Clinical policy: critical issues in the diagnosis and management of the
adult psychiatric patient in the emergency department. American College of
Emergency Physicians - Medical Specialty Society. 2006 Jan. 21 pages.
NGC:004750

Guideline for the evaluation and treatment of injured workers with
psychiatric conditions. Washington State Department of Labor and
Industries - State/Local Government Agency [U.S.]. 1995 Nov (revised
2004). 6 pages. NGC:003857

Guidelines for the prescribing of medication for mental health disorders
in people with HIV infection. Royal College of Psychiatrists - Medical
Specialty Society. 2004 Apr. 23 pages. NGC:004488

Long-term follow-up guidelines for survivors of childhood, adolescent,
and young adult cancers. Sections 1-2: any cancer experience. Children's
Oncology Group - Medical Specialty Society. 2003 Sep (revised 2006 Mar). 4
pages. NGC:005395

Mental health disorders among substance-using HIV-infected patients. New
York State Department of Health - State/Local Government Agency [U.S.].
2008 Mar. 19 pages. NGC:006358

Practice guideline for the assessment and treatment of patients with
suicidal behaviors. American Psychiatric Association - Medical Specialty
Society. 2003 Nov. 60 pages. NGC:003343

Practice guideline for the psychiatric evaluation of adults. American
Psychiatric Association - Medical Specialty Society. 1995 (revised 2006
Jun). 62 pages. NGC:004986




Sample Guideline



GUIDELINE TITLE
Spectrum of noninfectious health effects from molds.
<http://www.guideline.gov/summary/summary.aspx?doc_id=10394>


BIBLIOGRAPHIC SOURCE(S)
Committee on Environmental Health, American Academy of Pediatrics, Kim JJ,
Mazur LJ. Spectrum of noninfectious health effects from molds. Pediatrics
2006 Dec;118(6):2582-6. [25 references] PubMed
GUIDELINE STATUS
This is the current release of the guideline.

All clinical reports and policy statements from the American Academy of
Pediatrics automatically expire 5 years after publication unless
reaffirmed, revised, or retired at or before that time.

BRIEF SUMMARY CONTENT

RECOMMENDATIONS
EVIDENCE SUPPORTING THE RECOMMENDATIONS
IDENTIFYING INFORMATION AND AVAILABILITY
DISCLAIMER


RECOMMENDATIONS

MAJOR RECOMMENDATIONS

Because there are established health hazards, inquire about the presence
of mold as part of a "healthy home" inventory. Questions about a child's
environment are basic to a comprehensive pediatric health history
(American Academy of Pediatrics, 2003). Questions can be incorporated
during visits for health supervision or sick visits. Asking about a
child's environment should be routine for children with common illnesses,
such as allergic rhinitis/conjunctivitis and asthma, as well as for those
with less common illnesses, such as hypersensitivity pneumonitis.
Provide guidance to parents of all children about:

The adverse health effects of mold exposure, especially the causal
relationship between mold and allergic illness and respiratory symptoms;

and

Preventing and reducing mold exposure in the immediate indoor and outdoor
environments.

Educate families on mold remediation. Visible signs of mold growth (e.g.,
discolored patches or cottony or speckled growth on walls or furniture,
evidence of dampness or water damage or an earthy musty odor in a
particular area) suggest a damp environment and mold growth. In areas
where flooding has occurred, prompt cleaning (within 24 hours) of walls
and other flood-damaged items is necessary to prevent mold growth. Testing
the environment for specific molds is usually not necessary. In general,
individuals can perform mold cleanup for areas less than 10 ft (Centers
for Disease Control and Prevention, 1997).


<snip>


Read the entire guideline at the URL immediately above.



Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@...
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