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NICE

NICE

Lower urinary tract symptoms caused by benign prostatic hyperplasia commonly affect men aged over 50. Benign prostatic hyperplasia results from an increased number of stromal and epithelial cells. Symptoms include hesitancy during micturition, interrupted or decreased urine stream (volume and flow rate), nocturia, incomplete voiding and urinary retention. NICE's guideline on lower urinary tract symptoms in men describes current treatment options. Mild symptoms are usually managed ...

NICE

NICE

Menopause occurs with the final menstrual period and is usually diagnosed clinically after 12 months of amenorrhoea. It usually happens when someone is between 45 and 55, although around 1% of women have early (premature) menopause before 40. As oestrogen levels reduce, most people have some symptoms, which can affect quality of life. Most commonly, these are hot flushes and night sweats. Other symptoms are mood changes, memory and concentration loss, vaginal dryness, a lack of interest in ...

Choosing Wisely ® : Things we do for no reason

O'Malley et al.

Risk stratification with a validated score (such as GRACE or TIMI) can guide the appropriateness and timing of invasive coronary angiography (ICA). Guidelines recommend that high‐risk, stabilized patients receive an early invasive management strategy (defined as ICA within 24 h of admission). If ICA leads to a percutaneous coronary intervention (PCI) with stent placement, then dual‐antiplatelet therapy (DAPT) is indicated, typically with aspirin and an oral P2Y12 inhibitor, such as ...

NICE

NICE

Physical crises for people with complex rehabilitation needs after traumatic injury have B.1 evidence in the review. Specific programs and packages in amputation for people with complex rehabilitation needs after a traumatic injury in the review have a C.1 evidence.

Choosing Wisely ® : Things we do for no reason

Benjamin Kinnear et al.

Despite constant change in medical education, traditional practices such as “pimping” during teaching rounds have persevered and remain in widespread use. “Pimping” is often described as the practice of asking trainees questions in a manner that establishes and reinforces a dominant intellectual hierarchy and stresses the trainee. Pimping aims to induce shame, humiliation, or distress, and often involves asking difficult questions about recall of facts rather than clinical reasoning. As ...