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Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Essencial Salud

A depressive episode is considered to be mild when the depressive symptoms have a limited impact on the person's daily life. Operationally, depression can be considered mild when the score on the Patient Health Questionnaire (PHQ-9) is less than 15 points. The efficacy of antidepressants is low in mild cases, most of the evidence has been generated in people with moderate or severe depression and, in general, the more severe the depressive symptoms, the more beneficial the pharmacological ...

NICE

NICE

Do not offer an antibiotic to prevent or treat pneumonia if the cause is likely to be SARS-CoV-2, another virus, or a fungal infection. Antibiotics do not work against viruses, and inappropriate use of antibiotics can reduce their availability. Additionally, inappropriate use can lead to Clostridioides difficile infection and antimicrobial resistance, particularly with broad-spectrum antibiotics. Evidence suggests that antibiotics such as azithromycin are no better than standard care for ...

NICE

NICE

Stroke negatively affects the quality of life of many people who survive it. Greater and faster access to treatment could improve clinical outcomes and therefore quality of life after stroke. AI-derived software used in conjunction with healthcare professionals' interpretation of brain CT scan images could guide and facilitate stroke decision-making, for example, decisions about thrombolysis and thrombectomy treatment. AI-derived software uses fixed (or static) algorithms in clinical practice, ...

NICE

NICE

Peripheral arterial disease consists of the accumulation of plaques in the arteries, restricting the blood that reaches the extremities, causing symptoms at rest or gangrene. It is characteristic in DM or chronic kidney disease. Lithotripsy is the procedure through which, through an angioplasty balloon with wave emission, the vessel is expanded by fracturing the calcium in the arterial wall. It can be used as an alternative to standard angioplasty, although sometimes the application of a stent ...

NICE

NICE

Difficulty swallowing (dysphagia) is caused by neurological impairment. It can occur due to several conditions. Dysphagia can lead to malnutrition, dehydration, aspiration pneumonia, and death. Current treatment includes: dietary modification (including liquids and thicker foods); in moderate or severe dysphagia, nasogastric tubes, percutaneous endoscopic gastrostomy tubes, or jejunostomy tubes may be used to provide nutritional support; rehabilitation through swallowing therapy; for some ...