Lipoedema is characterised by an abnormal, usually symmetrical, accumulation of fat in the legs, hips, buttocks, and occasionally arms. It is a different condition from obesity and from lymphoedema.
Treatment typically involves healthy lifestyle changes, conservative therapy and, in severe cases, surgery.
Evidence on the safety of liposuction for chronic lipoedema is inadequate but raises concerns of major adverse events such as fluid imbalance, fat embolism, deep vein thrombosis, and toxicity ...
The evidence included 3 case series (including 1 abstract reporting safety events) and 2 case reports. Most of the evidence considered was for patients with acute calculous cholecystitis who needed persistent external drainage and were unable to have biliary surgery. The procedure involves inserting a tube called a stent into or across the cystic duct to allow bile to flow through the tube, bypassing the blockage and preventing further obstruction. Treatments for acute calculous cholecystitis ...
The use of tiered approaches to support mental wellness at work reflects best practice and improves employee wellness.
Its aim is to promote a supportive and inclusive work environment, including training and support for managers and helping people who have or are at risk of mental health problems.
There is evidence that better mental well-being and job satisfaction are associated with higher performance and productivity in the workplace.
A series of recommendations are made such as:
1. Have clear guidance on how to identify individual children and young people and groups of people for targeted support based on their specific needs (see the section on identifying children and young people at risk of poor social, emotional and mental wellbeing).
2. Offer targeted individual or group support to children and young people who have been identified as needing additional social, emotional or mental health support. Use trained, ...
Type 1 Diabetes Mellitus:
Offer children and young people with type 1 diabetes and their families or carers a continuing programme of education from diagnosis about the importance of good oral hygiene and regular oral health reviews, for preventing periodontitis.
Offer real-time continuous glucose monitoring (rtCGM) to all children and young people with type 1 diabetes, alongside education to support children and young people and their families and carers to use it.
Offer intermittently scanned ...