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Less Is More Collection - JAMA Network

Less is More JAMA collection

It is recommended to stop prioritizing “discharge before noon” as a goal to improvehospital flow, and focus on patient‐specific discharge goals. Hospital systems should use a systems‐based approach, includingqueuing theory and mathematical modeling, to optimize patient flow. It is recommended, then, to design and perform thoughtful multicenter studies to evaluate theimpact of various interventions on hospital flow. Prioritizing “discharge before noon” is another example of a ...

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

USPSTF

Child maltreatment, including child abuse and neglect, can have profound effects on health, development, survival, and well-being throughout childhood and adulthood. Because of the recommended schedule of regular health assessments and relationships with families, primary care physicians are uniquely positioned to identify child maltreatment. Evaluation of possible physical abuse may include a complete medical and event history, a physical examination, and additional diagnostic studies (e.g., ...

NICE

NICE

The genetic variants associated with ovarian cancer are the following: variants in BRCA1, BRCA2, RAD51C, RAD51D, BRIP1, PALB2, MLH1, MSH2 and MSH6 genes. Most of the people who carry a pathogenic variant for ovarian cancer do not have a family history suggestive of a genetic risk. This means many people have not sought testing for high-risk ovarian cancer pathogenic variants. Current best estimates are that only 3% of people with a pathogenic variant know that they are carriers. This proportion ...

NICE

NICE

Non-melanoma skin cancer is the most common type of cancer. It affects the cells in the top layers of the skin. The most common types of non-melanoma skin cancer are basal cell carcinoma and squamous cell carcinoma. The main symptom is the appearance of lesions (lumps or discoloured patches) on the skin. The lesions are mostly found on skin that is regularly exposed to the sun. The procedure is done without the need for anaesthesia or inpatient admission. It uses a beta-emitter radioisotope, ...

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

GenCat

Acute uncomplicated cystitis is the most common form of urinary tract infection and manifests with voiding symptoms; acute onset dysuria, urinary urgency, polyaciuria, suprapubic pain or hematúria) It is important to carefully select the antibiotic to fight resistance. Clinical practice guidelines (European Association of Urology and Spanish Association of Urology) recommend single-dose treatment.