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NICE

NICE

This therapy involves moving the rectum slightly away from the prostate by inserting a balloon or injecting a gel (spacer) between them. Evidence on the safety and effectiveness of biodegradable spacer insertion to reduce rectal toxicity during radiotherapy for prostate cancer is of limited quality. Therefore, this procedure should only be performed by physicians with training and experience in transperineal interventional procedures.

NICE

NICE

Attention deficit hyperactivity disorder (ADHD) is a heterogeneous disorder characterised by the core symptoms of hyperactivity, impulsivity and inattention, which are judged excessive for the person's age or level of overall development. Symptoms are usually evident in childhood and may persist into adulthood. Treatment for ADHD may be non-pharmacological, pharmacological or a combination of both. In this procedure, an external trigeminal nerve stimulation device is worn on the clothes and ...

NICE

NICE

Monitoring symptoms of Parkinson's disease is important to help clinicians make decisions about a person's care. But this can be difficult in current practice because symptoms can come and go and may be difficult to remember or describe. Review appointments may also be infrequent. Sometimes people with Parkinson's disease may struggle to accurately assess their symptoms, and how severe they think they are may differ from the view of their carer (care partner). More objective monitoring of ...

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

Generalitat de Catalunya

It is necessary to avoid increasing the dose of opioids without having analyzed and reviewed the individual benefits and risks. Healthcare professionals should exercise caution when prescribing opioids at any dose and escalation should be avoided when possible. There are studies in patients with NOCD that show that increasing the opioid dose above a morphine equivalent dose (MED) of 50 mg/day does not produce a substantial improvement in pain or function and, instead, patients may be exposed to ...

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

Generalitat de Catalunya

Attempted vaginal birth after cesarean section is a safe and appropriate option for most women with a previous segmental cesarean section and they should be offered this option and counseled accordingly. Exceptionally, an elective cesarean section will be recommended in cases with a high risk of uterine rupture and when there is a contraindication to vaginal delivery for another reason. Vaginal delivery after cesarean section is successful in more than 70% of cases and can reach 90% in patients ...