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Aliskiren is not recommended as an antihypertensive renin inhibitor to prevent cardiovascular events.
Prescrire bilan. Towards better patient care: drugs to avoid
Prescrire International
A trial in diabetic patients showed that aliskiren was associated with an increase in cardiovascular events and renal failure. It is better to choose a thiazide diuretic or an angiotensin converting enzyme (ACE) inhibitor.
ver más ... 2019Don’t routinely prescribe antibiotics for bilateral lower leg redness and swelling.
Choosing Wisely Canada
Canadian Dermatology Association
Cellulitis is commonly misdiagnosed and may be incorrectly applied as a diagnosis in 1 in 3 cases. There are many causes of ‘pseudocellulitis’, including: stasis dermatitis, acute lipodermatosclerosis, lymphedema, eczematous dermatitis, contact dermatitis, gout and tinea pedis. The most common among these is stasis dermatitis which generally affects the bilateral lower legs. In the setting of bilateral lower leg skin changes, causes of ‘pseudocellulitis’ should be considered.
ver más ... 2019Antenatal care models with a minimum of eight contacts are recommended to reduce perinatal mortality and improve women’s experience of care.
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Recommended) Remarks • The GDG stresses that the four-visit focused ANC (FANC) model does not offer women adequate contact with health-care practitioners and is no longer recommended. With the FANC model, the first ANC visit occurs before 12 weeks of pregnancy, the second around 26 weeks, the third around 32 weeks, and the fourth between 36 and 38 weeks of gestation. Thereafter, women are advised to return to ANC at 41 weeks of gestation or sooner if they experience danger signs. Each ANC ...
ver más ... 2019Policy-makers should consider educational, regulatory, financial, and personal and professional support interventions to recruit and retain qualified health workers in rural and remote areas.
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Context-specific recommendation) Strong recommendations (abridged) on recruitment and staff retention from the above guideline include the following. –– Use targeted admission policies to enrol students with a rural background in education programmes for various health disciplines and/or establish a health-care professional school outside of major cities. –– Revise undergraduate and postgraduate curricula to include rural health topics and clinical rotations in rural areas so as to ...
ver más ... 2019Task shifting the distribution of recommended nutritional supplements and intermittent preventive treatment in pregnancy (IPTp) for malaria prevention to a broad range of cadres, including auxiliary ...
WHO recommendations
WHO recommendations on antenatal care for a positive pregnancy experience
(Recommended) • The GDG noted that, while task shifting has an important role to play in allowing flexibility in health-care delivery in low-resource settings, policy-makers need to work towards midwife-led care for all women. • Lay health workers need to be recognized and integrated into the system, and not be working alone, i.e. task shifting needs to occur within a team approach. • The mandate of all health workers involved in task shifting programmes needs to be clear. • In a ...
ver más ... 2019