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NICE

NICE

Refractory ascites is a common complication of cirrhosis of the liver. Build-up of fluid causes difficulty in breathing, fatigue, nausea, poor appetite, acid reflux, abdominal pain and infection. The committee was informed that the procedure has the potential to increase the pre-existing risk of bacterial peritonitis in people with refractory ascites in cirrhosis. Evidence on the safety of long-term tunnelled peritoneal drainage catheter insertion for refractory ascites in cirrhosis is limited ...

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

Essencial Salud

Urinary tract infection is a pathology that can affect pediatric patients of any age. The clinical presentation depends on age: in children in the preverbal phase the symptoms are very nonspecific (fever, vomiting, lethargy, irritability). On the other hand, children over 2 years of age usually report dysuria, altered urination frequency, or abdominal or flank pain. It should be noted that the morbidity of urinary tract infection in pediatric age is variable: in the short term it depends on ...

U.S. Preventive Services Task Force A and B recommendations

U.S. Preventive Services

Depression is a leading cause of disability in the U.S. Children and adolescents with depression often have functional impairments in their performance at school or work, their interactions with their families and peers, their development, and are at increased risk. of suicides. The US Preventive Services Task Force concludes that there is insufficient evidence on screening for major depressive disorder and suicide in children aged 11 years and younger as evidence is lacking and the balance ...

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

Essencial Salud

Acute otitis media is one of the most common infections in children 1–4 and, in parallel, one of the most common causes of antibiotic therapy. It is a generally self-limiting infection, and most children and young people improve within 3 days without the need for antibiotics. Likewise, acute complications are rare regardless of whether they are treated with antibiotics or not. For all these reasons, it is considered that expectant management for 48-72 hours is the most appropriate in the ...

U.S. Preventive Services Task Force A and B recommendations

U.S. Preventive Services Task Force A and B recommendations

Anxiety disorder, a common mental health condition, comprises a group of related conditions characterized by excessive fear or worry that present as emotional and physical symptoms A systematic review was conducted to evaluate the benefits and harms of screening for anxiety disorders in children and adolescents. Between ages 8-18 the grade of evidence obtained was B.