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NICE

NICE

Glaucoma is usually a chronic condition associated with raised intraocular pressure. It leads to progressive damage to the optic nerve. Trabeculectomy with an adjunctive biodegradable collagen matrix aims to modify wound healing and improve the drainage of aqueous humour to lower intraocular pressure. It reduces or avoids the use of antimetabolites and antifibrotic agents (mitomycin C, 5‑fluorouracil).

NICE

NICE

LiverMultiScan aims to identify a stage of NAFLD called non-alcoholic steatohepatitis (NASH). It is not clear how diagnosing NASH affects care decisions, partly because there are currently no medicines approved for treating NASH. MRE aims to identify how much liver scarring (fibrosis) there is. More evidence is needed, particularly on how LiverMultiScan or MRE test results would affect decisions about care. Also, more information is needed about whether MRI-based tests help people make ...

The Canadian Task Force for Preventive Health Care Guidelines

Public Health Agency of Canada

Fragility fractures result from a minor impact that would not damage normal bone. These occur due to a weakened bone structure or low bone mineral density (known as osteoporosis). Actual screening practice to prevent fragility fractures is often based solely on bone mineral density (BMD) testing, with the possible addition of risk assessment. Fracture risk assessment tools (eg, FRAX, CAROC) estimate the percent risk or risk category of a fracture over a 5- to 10-year period. BMD involves ...

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

Essencial salud

In adults, most acute pharyngotonsillitis is of viral origin. Antibiotic treatment is only indicated when the cause is group A beta-hemolytic streptococcus. The antibiotic choice is based on reducing the risk of generating resistance. Therefore, the first choice antibiotics are penicillins, especially phenoxymethylpenicillin, since GABHS is sensitive. Macrolides can generate resistance and should be reserved, together with cephalosporins, for cases of allergy or intolerance to penicillins. ...

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

Essencial Salud

Bronchiolitis is a very common lower respiratory viral infection in infants, especially in their first year of life. The use of B2 adrenergic bronchodilators, such as salbutamol, is common and widespread in our environment; non-use of bronchodilators avoids the adverse effects of this medication and unnecessary expense. The use of bronchodilators is associated with side effects in the form of tachycardia, tremors and irritability, which can be significant, but are difficult to assess in an ...