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Smarter medicine

La Sociedad Científica para el Cuidado Gerontológico

Measures that restrict freedom of movement are rarely a solution and often cause problems such as increased disturbance and serious complications, which can even, in the worst case, lead to the death of the affected person. Measures are often taken that limit freedom of movement in the face of risky and/or dangerous behavior. This case requires immediate attention and a specific assessment of the situation. Therefore, it is very important to develop a clear strategy to avoid and manage risky ...

Smarter medicine

Sociedad Suiza de Pediatría

Enteral rehydration (oral or by nasogastric tube) with oral rehydration solution is as effective as intravenous rehydration and is associated with fewer adverse effects. In many developed countries, the use of diluted apple juice and preferred fluids (such as breast milk) may be a suitable alternative to oral rehydration solution in children with mild dehydration. In addition, the installation of an intravenous line is often difficult in dehydrated children, which further delays their ...

Smarter medicine

La Sociedad Científica para el Cuidado Gerontológico

Nearly 65% ​​of older people who were previously able to move independently find it difficult to do so while hospitalized. Staying in bed or sitting in a chair during a hospital stay lead to loss of strength and are important factors in reduced walking ability in the elderly. The part of Marcher's capacity prolongs his stay in the hospital environment, increases the need for subsequent rehabilitation or may lead to admission to a medico-social establishment. Added to this is the increased ...

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

Sociedad Catalana de Medicina Familiar y Comunitaria

Acetylsalicylic acid or aspirin (ASA) is an established treatment for secondary prevention of cardiovascular disease. In contrast, its indication in primary prevention is controversial and is not recorded in the technical data sheet. The use of acetylsalicylic acid in patients at high, moderate or low cardiovascular risk generally has an unfavorable clinical balance, since it increases the risk of serious adverse events (gastrointestinal or intracranial bleeding) and does not reduce ...

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

Sociedad Catalana de Obstetricia y Ginecología

Premenstrual mastalgia presents as bilateral and diffuse pain. It is a clinical diagnosis that is based on the medical history and complete physical examination. In women with premenstrual mastalgia without other associated symptoms, routine breast ultrasound is not recommended, since it is a very common symptom that by itself is not related to malignancy and performing this test will not change its management or clinical course. The most recent clinical practice guidelines, based on the ...