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Clinical practice guidelines


PREVENTIVE

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Choosing Wisely Clinical recommendations to improve health care quality and reduce harm from ABIM Foundation

Summary screening and counseling recommendations senior adults UpToDate 2013


United States Life Tables updated using revised intercensal populations National Vital Statistics Reports

Actuarial Life Table US Social Security

CARDIAC - Stroke

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ASCVD Risk Estimator - 10 year and lifetime risks - ACC and AHA

ACC/AHA ASCVD Risk Calculator - Ahead Research Inc


Hypertension

Monitoring Your Blood Pressure at Home AHA - English PDF Chinese PDF Spanish PDF


NIH Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) 2003

ACEI equivalents


Heart failure (see Classification section)

New York Heart Association Functional Classification

Classification of Functional Capacity and Objective Assessment


AHA Prevention of Infective Endocarditis 2007 Guideline Wallet Card 2017 - Health Topic for pts


Atrial Fibrillation

Stroke Prevention in Atrial Fibrillation: A Systematic Review JAMA May 19, 2015

Antithrombotic treatment for stroke prevention in atrial fibrillation: The Asian agenda. Int J Cardiol. 2015 Mar 27

Oral anticoagulants for Asian patients with atrial fibrillation. Nat Rev Cardiol. 2014 May


CHADSVASC and HASBLED risk score calculator for atrial fibrillation



Anticoagulant and Antiplatelet Management for Spinal Procedures: A Prospective, Descriptive Study and Interpretation of Guidelines Modified SIS 2013—ASRA 2015 Antiplatelet & Anticoagulant (MSAAA) guideline From The Spine Intervention Society (SIS) and American Society of Regional Anesthesia and Pain Medicine (ASRA) Bradly S. Goodman, MD, et al Pain Medicine, Volume 18, Issue 7, July 2017, Pages 1218–1224  

ACC Am College of Cardiology Guidelines Adult Congenital Heart Disease (ACHD), Acute Coronary Syndromes, Arrhythmias, Chronic CAD/Stable Ischemic Heart Disease, Diagnostic Testing; ECG, ETT, General Cardiology: Prevention/Risk Factor Modification, Heart Failure, Imaging; Cardiac and Vascular, Invasive and Interventional Cardiology, Nonclinical Information, Pericardial Disease, Peripheral Vascular, Aortic, and Carotid Disease, Pulmonary Artery Hypertension, Quality of Care and Outcomes Assessment, Valvular Heart Disease

2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. Clinical Practice Guideline | December 2014
TEAM-A Evolution of Anticoagulation Management; an innovative educational collaboration among ten organizations committed to improving patient outcomes through clinician education to prevent strokes in patients with atrial fibrillation. Links to toolkits and continuing medical education (CME).


High Cholesterol/Hypercholesterolemia - NIH Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) 2002

Statin equivalents

Statin Choice Decision Aid Mayo Clinic


Is it a stroke? poster - Available In: English, Chinese - Simplified, Haitian Creole, Khmer, Portuguese, Russian, Spanish

Stroke Heroes Act FAST - Learn the Signs of Stroke Fact Sheet - Massachusetts Health Promotion Clearinghouse - English, Khmer, Chinese

DERMATOLOGY

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American Academy of Dermatology (AAD) Clinical Guidelines

Anatomical Prints - Dermatomes Nerve Poster

human dermatomes 2008


Primary Care Dermatology Society UK Diagnostic tables

Bug bites - Orkin pest contol

ENDOCRINE

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Diabetes - ADA 2021 Clinical Practice Recommendations - Practice guidelines resources

HbA1c to eAG (estimated average glucose) chart

Lantus Interactive Dosing Calculator


insulin syringe sizes

syringe and pen needle sizes


Obesity - NIH Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults 1998

GI

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H. pylori treatment ACG_first_line_H_pylori_regimens

INFECTIOUS DISEASE

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CMR - Disease Reporting Alameda County - list, forms TB, other conditions, DMV - (LOC, Alhzeimer, other impairment affecting driving)


Cover Your Cough - CDC - multiple translations


Guidelines for Empiric Antimicrobial Therapy - San Francisco

Recommendations for Empiric Antimicrobial Therapy in Adults at UCSFMC/SFGH/VASF. These guidelines are consensus recommendations from the Infectious Diseases groups at UCSF Medical Center, San Francisco General Hospital, and the Veterans Affairs Medical Center San Francisco

UCSF Benioff Children’s Hospital San Francisco: 2016 Empiric Antimicrobial Therapy Guidelines These guidelines were developed to inform initial selection of empiric antimicrobial therapy for children at UCSF Benioff Children's Hospital San Francisco and affilitated outpatient sites. The guidelines were developed by the Pediatric Antimicrobial Stewardship Program in collaboration with multiple clinical groups. They represent consensus based on evidence-based guidelines and local microbiology and susceptibility patterns.


Hepatitis

CDC Viral Hepatitis A-E

CDC Interpretation of Hepatitis B Serologic Test Results

Course of chronic HBV infection - four phases: immune tolerance, immune clearance (HBeAg-positive chronic hepatitis), inactive carrier, and reactivation (HBeAg-negative chronic hepatitis) - UpToDate


American Association for the Study of Liver Diseases (AASLD)


The Management of Chronic Hepatitis B in Asian Americans Tong MJ, et al. Dig Dis Sci. 2011 Nov. Abstract PubMed


Hep C screen - screen for hepatitis C virus (HCV) infection in adults aged 18 to 79 years. Hepatitis C Virus Infection in Adolescents and Adults: Screening 2020 US Preventive Services Task Force

  • 2013 out of date - screen persons at high risk for infection. and 1-time screening for adults born between 1945 and 1965.


STD - CDC STD Treatment Guidelines 2021


TB CDC Core Curriculum on TB : What the Clinician Should Know - SEVENTH EDITION 2021

TB radiology CDC guidelines for evaluating CXR

The Online TST/IGRA Interpreter - McGill University Health Center Montreal


CA Dept Public Health - TB Control Branch


Vaccine

Immunization Schedules - CDC

VIS Vaccine Information Sheets Shingles Vaccine includes other language translations

Td/TdaP including other languages age 7 years and older Note: A new VIS for Tdap (05/2013), incorporating updated recommendations for pregnant women, is now available (see: Tdap VIS). The existing Td/Tdap VIS (01/2012) should continue to be used for patients receiving Td, until an updated Td VIS is available. As of 11/1/2013 the other language translations are the 01/2012 version.

DTaP including other languages age up to 6 years; also give to pregnant moms for info related to pertusus so that family members get TdaP to prevent spread to newborns

Pertussis (Whooping Cough) CA Dept Public Health See Information For Health Professionals CDPH Quicksheet: Pertussis (PDF, New Window) CDPH document on clinical case definition, clinical symptoms, modes of transmission, and more.


Foreign vaccines CDC

MENTAL HEALTH

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Patient Health Questionnaire (PHQ) and GAD-7 Pfizer - PHQ, PHQ-9, GAD-7, PHQ15, PHQ-SADS, Brief PHQ, PHQ-4 PHQ9 - English, Cebuano, Filipino, Korean, Thai, Simplified Chinese, Traditional Chinese for Hong Kong/Taiwan GAD-7 - English, Chinese, Filipino, Korean, Simplifed Chinese, Thai, Traditional Chinese for Hong Kong/Taiwan

PHQ-9 in Multiple Languages Multicultural Mental Health Resource Centre - English, Chinese (traditional), Korean, Mandarin (Malaysia), Vietnamese

DEPRESSION POCKET GUIDE . • Primary care physicians can effectively detect and manage depression. • Routinely screen for depression using... PHQ-9... New York City Health

Management of Major Depressive Disorder (MDD) (2016) - PrimaryCare Pocket Guide - Depression - - VA/DoD Clinical Practice Guidelines


Mental Health Services in Alameda County for Women and Families low cost, sliding scale fees 2015-16

ACCESS PROGRAM - Acute Crisis Care and Evaluation for Systemwide Services


NEUROLOGY

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Stages of Alzheimer’s & Dementia: Durations & Scales Used to Measure Progression: GDS, FAST & CDR - Dementia Care Central

Functional Assessment Staging Test (FAST) - Medical Care Corporation

Nutrition

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OB

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http://www.medcalc.com/pregnancy.html

https://www.mdcalc.com/pregnancy-due-dates-calculator

ORTHOPEDICS

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American Academy of Orthopaedic Surgeons AAOS Clinical Practice Guidelines


Flevas DA, Syngouna S, Fandridis E, Tsiodras S, Mavrogenis AF. Infections of the hand: an overview. EFORT Open Rev. 2019 May 10;4(5):183-193. doi:10.1302/2058-5241.4.180082. PMID: 31191986; PMCID: PMC6540949.

RENAL

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National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI) - KDOQI Guidelines and Commentaries


2012 Update of the Diabetes and Chronic Kidney Disease


Table 4. Dose Adjustment for Insulin Compounds and Oral Medicines for Diabetes in CKD - p.865 GFR <60 avoid glyburide GFR <30 avoid acarbose, metformin

SCr 1.5 mg/dL in men, 1.4 mg/dL in women - avoid metformin

see Table 4 for others

Table 7. Dose Adjustment for Lipid Lowering Medicines in CKD - p. 871 dose adjustment for all except atorvastatin (unless transplant) and bile acid sequestrants


CKD - Staging_of_patients_who_meet_the_definition_of_CKD table - 2013 UpToDate

KDOQI Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification 2000

KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease

https://kdigo.org/wp-content/uploads/2017/02/KDIGO_2012_CKD_GL.pdf

page 8 (document page 21 of 163) - Guide to Frequency of Monitoring (number of times per year) by GFR and Albuminuria Category

Conversion of Urine Protein to Urine Albumin–Creatinine Ratio for Chronic Kidney Disease American College of Cardiology

ACR - PCR conversion Proteinuria The Renal Association

Urine test strip - What do the Parameters Mean? Mission® Urine Reagent Strips

RESPIRATORY

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Asthma - NIH Guidelines for the Diagnosis and Management of Asthma (EPR-3) 2007

Normal values for peak expiratory flow chart

Peak expiratory flow article


oxyhemoglobin dissociation curve from Anki Hemoglobin

Intro to Arterial Blood Gases, Part 1 UCSF


RAMP My Asthma Action Plans in EN, CN, VI

RHEUMATOLOGY

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American College of Rheumatology Clinical Practice Guidelines Rheumatoid Arthritis, Juvenile Idiopathic Arthritis, Glucocorticoid-Induced Osteoporosis, Osteoarthritis, Lupus Nephritis, Gout

ACR Releases Guidelines for Gout Management Oct 2012



Government Forms DMV, Immigration, Death certificate

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CA DMV

Guidelines for Physical Mental Conditions

Commercial Driver License (CDL) - Medical Examination Report DL 51

Noncommercial - Physician's Health Report DL 546A


US CIS Immigration Physical Exam

I-693 Report of Medical Examination and Vaccination Record Edition Date: 10/19/17.)

CDC Medical Examination of Immigrants and Refugees

State Dept DS-3026 Medical History and Physical Examination Worksheet Edition date: 09-2014 - filled by panel physicians outside of US; more detailed than I-963 form filled by civil surgeons in the US; could be used by civil surgeon as worksheet or documentation for medical record.

  • https://www.reginfo.gov/public/do/PRASearch - for most recent form, search Form Number = ds-3026, go to most recent 'Medical Examination for Immigrant or Refugee Applicant', click on number in last column 'No. of froms', then select ds-3026

Immigration Medicine Forms sample Alan Ayers


Death Certificate

Physicians Guide to Death Certification - CA-EDRS California Electronic Death Registration System

CDC Writing Cause-of-Death Statements



Advance Directives - POLST

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Advance Directives

PREPARE for your care - Easy to Read Advance Directive for all 50 states in English and Spanish. - IHA Institute for Healthcare Advancement


My PREPARE Advance Directive for California

Fill out on-line English or Spanish

Download - English Arabic Armenian Chinese Farsi Khmer Korean Russian Spanish Tagalog Vietnamese - "Please contact us if you would like to partner with us to have the California Advance Healthcare Directive translated into other languages. "


Physician Orders for Life-Sustaining Treatment (POLST)

California POLST form

Armenian Chinese (Traditional) Chinese (Simplified) Farsi Hmong Japanese Korean Pashto Russian Spanish Tagalog Vietnamese

Pain

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CDC Guideline for Prescribing Opioids for Chronic Pain

Opiate Equianalgesic Dosing Chart - UNC Health Care Guideline - University of North Carolina Hospitals

Adult Opioid Reference Guide - University of Iowa - Department of Family Medicine - FPInfo: Resources to support patient care


Oswestry Disability Index


Anticoagulant and Antiplatelet Management for Spinal Procedures: A Prospective, Descriptive Study and Interpretation of Guidelines - Bradly S. Goodman, MD, et al Pain Medicine, Volume 18, Issue 7, July 2017, Pages 1218–1224 - the Modified SIS 2013—ASRA 2015 Antiplatelet & Anticoagulant (MSAAA) guideline From The Spine Intervention Society (SIS) and American Society of Regional Anesthesia and Pain Medicine (ASRA)

PHARMACY

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High Risk Medications in the Elderly & Suggested Alternatives

Potentially Harmful Drugs in the Elderly: Beers List - Pharmacist's Letter Dec 2015

Medicare

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Medicare Prescription Drug Benefit Manual - Centers for Medicare & Medicaid Services

  • Chapter 6 – Part D Drugs and Formulary Requirements
    • Chapter 6 – Appendix B - Part D Drugs/Part D Supplementary Drugs (formerly Part D Drugs/Part D Excluded Drugs) - (Rev. 18, 01-15-16) - page 51/83
      • Excluded drugs: anorexia/weight loss/gain (except AIDS wasting/cachexia), cosmetic or hair growth (except psoriasis, acne, rosacea, vitiligo), cough & colds (except bronchodilators for asthma), ED, medical foods [Ensure], OTC (except insulin & glucose test strips/lancets with insulin use), vitamins including Vit D2/D3 (except prenatal, fluoride preps, Rx high dose niacin, Vit D analogs (calcitriol, etc) for SHPT in CKD 4/5/dialysis), OTC smoking cessation. see Appendix B for others.



EnvisionRx Plus 5-15-2013 or HealthSpring

Humana 2020-21

Aetna medicare 2019

Clear Spring Health PDP 2020

Medicare formulary 2021

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Blue Shield California medicare 2021

HealthNet 2021

Cigna 2021

Aetna 2021 - SilverScript

Anthem Blue Cross Drug List Selection

  • Part D Drug List - E4TC (7) senior secure HMO with senior rx plus - updated on June 1, 2021.
  • Part D Drug List - B3TC (3) PDP
  • Part D Drug List - B4TC (2) PPO
  • Part D Drug List - B5TC (8) PDP
  • Part D Drug List - E3TC (6P) PPO
  • Part D Drug List - E4TC (7) HMO
  • Part D Drug List - P3TO (10R) PDP
  • Part D Drug List - P4TO (10M) PDP
  • Part D Drug List - P4TO (10M) LAPRA PDP
  • Part D Drug List - E4TC (7) University of California PDP

Humana Medicare Drug List 2022

United Health Care 2021

Wellcare medicare 2021

Express Scripts 2021



FDA Pregnancy Categories and Teratogens University of Washington Medicine

Drugs in Pregnancy and Breastfeeding SafeFetus.com online database of worldwide medications (generic drugs & trade names) that provides brief information on the drugs: indication, fetal risk, breast feeding risk as well as its risk category according to the FDA

Drugs and Lactation Database (LactMed) database of drugs to which breastfeeding mothers may be exposed

Alcohol content in over the counter medicines


PDMP (CURES) California Prescription Drug Monitoring Program (Controlled Substance Utilization Review and Evaluation System)

Calif Medi-Cal formulary

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Medi-Cal contract list 2022 - click on 'Covered Products Lists' on left menu

Effective January 1, 2022, the Department of Health Care Services (DHCS) will transition all administrative services related to Medi-Cal Managed Care (Medi-Cal) pharmacy benefits billed on pharmacy claims from the existing fee-for-service fiscal intermediary (FI) under Medi-Cal or the member’s managed care plan to DHCS’ new pharmacy vendor/FI for Medi-Cal, Magellan Medicaid Administration, Inc. (Magellan). This affects Alameda Alliance for Health, Anthem Blue Cross Medi-Cal Managed Care, and other Medi-Cal programs in California.

Alameda Alliance for Health Medication Formulary

Anthem Blue Cross (Anthem) Medi-Cal Managed Care Pharmacy Information

Covered California forumulary

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Affordable Care Act as known as Obamacare

Prescription Drug Resources by Health Plan - Anthem Blue Cross of California (Select Drug Lists --> Individual - Insurance Marketplace AKA exchange), Blue Shield of California, Health Net plus others

Alameda County Behavioral Health

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2021 Medication & Pharmacy User Guide - Alameda County Behavioral Health

Drug Discount Programs

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Costco

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Costco Member Prescription Program (CMPP) is a prescription savings program for you and your family. It's for Members who have no prescription drug insurance or whose insurance does not cover all of their prescription medication....

Costco Member Prescription Program Preferred Drug List

Drug Directory


Target

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NOTE Target no longer has $4 discount program; CVS pharmacy has taken over at Target stores now

$4 generics

$4/30 days or $10/90days

Generic medication list

Walmart

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$4 Prescriptions

Program drug list

$4/30 days or $10/90days

Other

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Kmart
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Prescription Savings Club (PSC) annual $10 household enrollment fee


•Preferred generic drugs: starting at $5 for a 30-day supply and $10 for a 90-day supply

•Savings on non-preferred generics up to 65%

•Savings on brand name medications up to 20%


Drug Classification List

Alphabetical Drug List


Walgreen
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Prescription Club Program

Value-Priced Medication List 2-28-2014

Membership fee ($20 individual or $35 family per year). NO Medicare, Medicaid (Medi-Cal) or other government-funded programs.

average savings of 90-day supply of a value-priced generic at:

Tier 1 ($10) $35.68;

Tier 2 ($20) $38.56;

Tier 3 ($30) $79.13.

average savings of commonly prescribed quantities of covered:

(i) brand name drugs is $28.58 and

(ii) generics that are not value-priced is $18.97.

DME Durable Medical Equipment

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Hospital Bed - Medicare has become very stringent on each order and as a result are auditing every hospital bed billed. Currently, only 1 in 10 is being approved.

Medicare guidelines - Bellevue Health Care - 1 page summary

Medical Review Documentation Checklist - CGS medicare 3 page checklist


Radiology - IMAGING

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ACR (Am Coll Radio) - Appropriateness Criteria - select Basic Access...

MRI & CT indication guidelines - which is better MRI/CT; with or without contrast?

General Indicators for Ordering CT/ MRI Exams and CPT Codes Byran Radiology TX

Provider DIS Radiology Ordering Guide - Diagnostic Imaging Services - LA

IN Community Health Network exam ordering indications


MRI Contrast vs. No Contrast Reference Sheet - head/neck, spine, msk, body 6/14 - MRI Group, Lancaster, PA. - What to order

The Radiology Assistance Educational site of the Radiological Society of the Netherlands

LAB

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Quest Test Center search by name or condition; guides

LabCorp Test Menu

  • Quest lab Medicare Coverage and Coding Guide for California, Hawaii and Nevada.
    • These labs require appropriate ICD code for insurance coverage, otherwise, patient may be responsible to pay

ICD10

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ICD10Data.com - reference website that contains all of the official American ICD-10-CM (diagnosis) and ICD-10-PCS (procedure) medical billing codes. Use this site to search for any code, and to discover how the structure of the new coding set works.


FAMILY PLANNING

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Birth Control Contraceptive Technology 20 ed 2011 Contraceptive Technology 20th ed, 2011

"S:\Individual folders\PeterSam\ContraceptiveTech 20 ed 46233.pdf"


How effective are birth control methods? CDC

- Effectiveness of family planning methods chart - CDC

OTHER GUIDELINES

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National Guideline Clearinghouse

NIH Consensus Development Program


Other sites

Migrant Clinicians Network

Cigna Healthspring CPC

Translation

Bilingual - Trilingual Reference Resources Kaiser


Costs

Healthcare Blue Book.com free Fair Price™ search tool


Patient education

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MedlinePlus - National Library of Medicine - National Institutes of Health - MedlinePlus Brochure

Health Information Translations provides education resources in multiple languages for health care professionals and others to use in their communities. Resources are easy to read and culturally appropriate. The Ohio State University Wexner Medical Center, Mount Carmel Health System, OhioHealth and Nationwide Children’s Hospital