Medical Guidelines presented by epgonline.org Concise, up to date and easy to browse medical guidelines. http://www.epgonline.org/guidelines.cfm MedicalGuidelinesEpgonlinehttp://feedburner.google.com Blood Pressure Monitoring http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/_s-_W-yK284/cpg_guideline_00039 http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cpg_guideline_00039 This guideline offers a definition of what is a blood pressure as well as describing its various phases. It also highlights the difficulties as well as methods and types of equipment used in measuring blood pressure in children. The appendix demonstrates tables of blood pressure measurements for boys and girls aged between 1 and 17 years in relation to 90th and 95th percentiles. Subject: Blood Pressure
Publisher: UCL

This guideline offers a definition of what is a blood pressure as well as describing its various phases. It also highlights the difficulties as well as methods and types of equipment used in measuring blood pressure in children. The appendix demonstrates tables of blood pressure measurements for boys and girls aged between 1 and 17 years in relation to 90th and 95th percentiles.
]]> Blood Pressure Wed, 01 Oct 2008 00:00:00 GMT http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cpg_guideline_00039 Blood glucose monitoring http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/r2SlmPhmuYU/cpg_guideline_00113 http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cpg_guideline_00113 When performing blood glucose monitoring, staff should be trained in both the theoretical & practical aspects, including the use of the glucose measuring device & instruction on calibration of quality control. Subject: Diabetes
Publisher: UCL: Institute of child health

When performing blood glucose monitoring, staff should be trained in both the theoretical & practical aspects, including the use of the glucose measuring device & instruction on calibration of quality control.
]]> Diabetes Wed, 01 Oct 2008 00:00:00 GMT http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cpg_guideline_00113 Diabetic ketoacidosis (DKA) http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/vii9G_zeOHg/cmg_guideline_00052 http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cmg_guideline_00052 These guidelines for the management of Diabetic Ketoacidosis have been prepared for the British Society of Paediatric Endocrinology and Diabetes by a working group of that Society co-ordinated by Dr. Julie A. Edge Subject: Diabetes
Publisher: UCL: Institute of child health

These guidelines for the management of Diabetic Ketoacidosis have been prepared for the British Society of Paediatric Endocrinology and Diabetes by a working group of that Society co-ordinated by Dr. Julie A. Edge
]]> Diabetes Wed, 01 Oct 2008 00:00:00 GMT http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cmg_guideline_00052 Epilepsy, drug treatment http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/sAa5hzDW1zg/cmg_guideline_00043 http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cmg_guideline_00043 Attempt to make both a seizure diagnosis and syndrome diagnosis, recognizing that the former may be uncertain and the latter may have to be the closest fit. Subject: Epilepsy
Publisher: UCL: Institute of child health

Attempt to make both a seizure diagnosis and syndrome diagnosis, recognizing that the former may be uncertain and the latter may have to be the closest fit.
]]> Epilepsy Wed, 01 Oct 2008 00:00:00 GMT http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cmg_guideline_00043 Headache http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/hYlL7Ardx-k/cmg_guideline_00045 http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cmg_guideline_00045 Headache is a common problem in children. Studies of prevalence of any type of headache have shown that up to 50% of 7-year olds and up to 80% of 15-year olds have experienced at least one headache. Subject: Headache
Publisher: UCL: Institute of child health

Headache is a common problem in children. Studies of prevalence of any type of headache have shown that up to 50% of 7-year olds and up to 80% of 15-year olds have experienced at least one headache.
]]> Headache Wed, 01 Oct 2008 00:00:00 GMT http://www.ich.ucl.ac.uk/clinical_information/clinical_guidelines/cmg_guideline_00045 Attention deficit hyperactivity disorder: Diagnosis and management of ADHD in children, young people and adults http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/tvG3uxkRcLs/CG72NiceGuidelinev3.pdf http://www.nice.org.uk/nicemedia/pdf/CG72NiceGuidelinev3.pdf This guideline makes recommendations for the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in children, young people and adults. The guideline does not cover the management of ADHD in children younger than 3 years. The term ‘children’ refers to those aged 11 years and younger; ‘young people’ refers to those between 12 and 18 years. However, these categories are flexible and clinicians should use their judgment about a child or young person’s developmental, as opposed to their chronological, age. Subject: ADHD
Publisher: NICE

This guideline makes recommendations for the diagnosis and management of attention deficit hyperactivity disorder (ADHD) in children, young people and adults. The guideline does not cover the management of ADHD in children younger than 3 years. The term ‘children’ refers to those aged 11 years and younger; ‘young people’ refers to those between 12 and 18 years. However, these categories are flexible and clinicians should use their judgment about a child or young person’s developmental, as opposed to their chronological, age.
]]> ADHD Mon, 01 Sep 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG72NiceGuidelinev3.pdf Early identification and management of chronic kidney disease in adults in primary and secondary care http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/7TnIfGksYf8/CG073NICEGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG073NICEGuideline.pdf Chronic kidney disease (CKD) describes abnormal kidney function and/or structure. It is common, frequently unrecognised and often exists together with other conditions (for example, cardiovascular disease and diabetes). When advanced, it also carries a higher risk of mortality. The risk of developing CKD increases with increasing age, and some conditions that coexist with CKD become more severe as kidney dysfunction advances. CKD can progress to established renal failure in a small but significant percentage of people. Subject: Chronic Kidney Disease
Publisher: NICE

Chronic kidney disease (CKD) describes abnormal kidney function and/or structure. It is common, frequently unrecognised and often exists together with other conditions (for example, cardiovascular disease and diabetes). When advanced, it also carries a higher risk of mortality. The risk of developing CKD increases with increasing age, and some conditions that coexist with CKD become more severe as kidney dysfunction advances. CKD can progress to established renal failure in a small but significant percentage of people.
]]> Chronic Kidney Disease Mon, 01 Sep 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG073NICEGuideline.pdf Oseltamivir, amantadine and zanamivir for the prophylaxis of influenza http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/RjVlpZV8RVI/TA158Guidance.pdf http://www.nice.org.uk/nicemedia/pdf/TA158Guidance.pdf NICE has said that its recommendations about oseltamivir and zanamivir should not reduce efforts to give vaccination (also called the flu jab) to people for whom it is recommended in national guidelines. Subject: Influenza
Publisher: NICE

NICE has said that its recommendations about oseltamivir and zanamivir should not reduce efforts to give vaccination (also called the flu jab) to people for whom it is recommended in national guidelines.
]]> Influenza Mon, 01 Sep 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/TA158Guidance.pdf Entecavir for the treatment of chronic hepatitis B http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/TrtmOWUXIoE/TA153Guidance.pdf http://www.nice.org.uk/nicemedia/pdf/TA153Guidance.pdf Entecavir, within its marketing authorisation, is recommended as an option for the treatment of people with chronic HBeAg-positive or HBeAg-negative hepatitis B in whom antiviral treatment is indicated Subject: Hepatitis
Publisher: NICE

Entecavir, within its marketing authorisation, is recommended as an option for the treatment of people with chronic HBeAg-positive or HBeAg-negative hepatitis B in whom antiviral treatment is indicated
]]> Hepatitis Mon, 01 Sep 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/TA153Guidance.pdf Telbivudine for the treatment of chronic hepatitis B http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Ao2hNnefgL0/TA154Guidance.pdf http://www.nice.org.uk/nicemedia/pdf/TA154Guidance.pdf The most common side effects associated with telbivudine include dizziness, headache, cough, diarrhoea, nausea, abdominal pain, rash, fatigue and increased levels of blood creatine phosphokinase, ALT and amylase. Uncommon side effects include malaise, arthralgia, myalgia, peripheral neuropathy and myopathy. For full details of side effects and contraindications, see the summary of product characteristics (SPC). Subject: Hepatitis
Publisher: NICE

The most common side effects associated with telbivudine include dizziness, headache, cough, diarrhoea, nausea, abdominal pain, rash, fatigue and increased levels of blood creatine phosphokinase, ALT and amylase. Uncommon side effects include malaise, arthralgia, myalgia, peripheral neuropathy and myopathy. For full details of side effects and contraindications, see the summary of product characteristics (SPC).
]]> Hepatitis Fri, 01 Aug 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/TA154Guidance.pdf Continuous subcutaneous insulin infusion for the treatment of diabetes http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/yVcg2M8GSeQ/TA151Guidance.pdf http://www.nice.org.uk/nicemedia/pdf/TA151Guidance.pdf The review and re-appraisal of the use of continuous subcutaneous insulin infusion for the treatment of diabetes mellitus has resulted in a change in the guidance. Specifically there has been a change to the recommendation on the use of continuous subcutaneous insulin infusion in children younger than 12years with type1 diabetes mellitus. Subject: Diabetes
Publisher: NICE

The review and re-appraisal of the use of continuous subcutaneous insulin infusion for the treatment of diabetes mellitus has resulted in a change in the guidance. Specifically there has been a change to the recommendation on the use of continuous subcutaneous insulin infusion in children younger than 12years with type1 diabetes mellitus.
]]> Diabetes Tue, 01 Jul 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/TA151Guidance.pdf Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/7aOIujyw80s/PediatricGuidelines.pdf http://aidsinfo.nih.gov/contentfiles/PediatricGuidelines.pdf These guidelines address issues specific to the use of antiretroviral therapy for HIV-infected infants,children, andpre-pubertal adolescents. The Working Group on Antiretroviral Therapy and Medical Management of HIV-Infected Children, a working group of the Office of AIDS Research AdvisoryCouncil, Subject: HIV/AIDS
Publisher: Aidsinfo

These guidelines address issues specific to the use of antiretroviral therapy for HIV-infected infants,children, andpre-pubertal adolescents. The Working Group on Antiretroviral Therapy and Medical Management of HIV-Infected Children, a working group of the Office of AIDS Research AdvisoryCouncil,
]]> HIV/AIDS Tue, 01 Jul 2008 00:00:00 GMT http://aidsinfo.nih.gov/contentfiles/PediatricGuidelines.pdf Management of common bile duct stones (CBDS) http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/BEL0ffNKZnY/cbds_08.pdf http://www.bsg.org.uk/pdf_word_docs/cbds_08.pdf Guidelines were commissioned by the British Society of Gastroenterology and have been endorsed by the Clinical Standards and Services Committee (CSSC) of the BSG, the BSG Endoscopy Committee, the ERCP stakeholder group, the Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland (AUGIS), Association of Laparoscopic Surgeons (ALS), and the Royal College of Radiologists (RCR). Contributions from all of these groups have been incorporated into the final version of the guideline document. Subject: Common bile duct
Publisher: BMJ

Guidelines were commissioned by the British Society of Gastroenterology and have been endorsed by the Clinical Standards and Services Committee (CSSC) of the BSG, the BSG Endoscopy Committee, the ERCP stakeholder group, the Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland (AUGIS), Association of Laparoscopic Surgeons (ALS), and the Royal College of Radiologists (RCR). Contributions from all of these groups have been incorporated into the final version of the guideline document.
]]> Common bile duct Tue, 01 Jul 2008 00:00:00 GMT http://www.bsg.org.uk/pdf_word_docs/cbds_08.pdf British HIV Association and Children's HIV Association guidelines for the management of HIV infection in pregnant women 2008 http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/awogKzCS5Ug/file1031055.pdf http://www.bhiva.org/files/file1031055.pdf The success of antenatal testing for HIV means that more clinicians than ever are involved in the care of women with HIV who are pregnant. Despite very few recent randomized controlled trials regarding the use of antiretroviral therapy (ART) in pregnancy or obstetric interventions, practice is changing. Subject: HIV/AIDS
Publisher: British HIV Association

The success of antenatal testing for HIV means that more clinicians than ever are involved in the care of women with HIV who are pregnant. Despite very few recent randomized controlled trials regarding the use of antiretroviral therapy (ART) in pregnancy or obstetric interventions, practice is changing.
]]> HIV/AIDS Tue, 01 Jul 2008 00:00:00 GMT http://www.bhiva.org/files/file1031055.pdf Induction of labour http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/wcFqKuz0gS0/inductionoflabourrcogrep.pdf http://www.nice.org.uk/nicemedia/pdf/inductionoflabourrcogrep.pdf The recommendations in Section 2 of this guideline which relate to induction of labour following prelabour rupture of membranes have been replaced by recommendations in Section 1.10 of the Intrapartum care guideline published in September 2007 which can be accessed below: This guidance has been updated and replaced by CG55 Intrapartum care Subject: Fertility / Pregnancy
Publisher: NICE

The recommendations in Section 2 of this guideline which relate to induction of labour following prelabour rupture of membranes have been replaced by recommendations in Section 1.10 of the Intrapartum care guideline published in September 2007 which can be accessed below: This guidance has been updated and replaced by CG55 Intrapartum care
]]> Fertility / Pregnancy Sun, 01 Jun 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/inductionoflabourrcogrep.pdf Adalimumab for the treatment of psoriasis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/AMY1vksrhGI/TA146Guidance.pdf http://www.nice.org.uk/nicemedia/pdf/TA146Guidance.pdf Adalimumab (Humira, Abbott Laboratories) is a recombinant human monoclonal antibody that binds specifically to tumour necrosis factor alpha (TNF-?), blocking interaction with its cell-surface receptors and thereby limiting the promotion of inflammatory pathways. Subject: Psoriasis
Publisher: NICE

Adalimumab (Humira, Abbott Laboratories) is a recombinant human monoclonal antibody that binds specifically to tumour necrosis factor alpha (TNF-?), blocking interaction with its cell-surface receptors and thereby limiting the promotion of inflammatory pathways.
]]> Psoriasis Sun, 01 Jun 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/TA146Guidance.pdf Practical clinical guidelines for assessing and managing menopausal symptoms after breast cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/YOOoY6D3lUs/mdn353 http://annonc.oxfordjournals.org/cgi/content/full/mdn353 Breast cancer is the most common cause of cancer and the second most common cause of cancer mortality in women, affecting up to one in eight women who survive up to the age of 85 years in developed countries (www.cancer.org). Subject: Cancer
Publisher: Oxford Journals

Breast cancer is the most common cause of cancer and the second most common cause of cancer mortality in women, affecting up to one in eight women who survive up to the age of 85 years in developed countries (www.cancer.org).
]]> Cancer Sun, 01 Jun 2008 00:00:00 GMT http://annonc.oxfordjournals.org/cgi/content/full/mdn353 Lipid modification http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/v8-NqKC6Q7w/CG67FullGuideline1.pdf http://www.nice.org.uk/nicemedia/pdf/CG67FullGuideline1.pdf This guideline covers: • Adults at higher risk of heart disease, stroke or peripheral arterial disease (cardiovascular disease). Risk of cardiovascular disease increases with age, as well as in people who smoke or who have high blood pressure or high cholesterol. People with heart disease in the family or men with a South Asian (for example, Indian, Pakistani or Bangladeshi) background are also at higher risk. • People who have already had a heart attack, stroke or 'mini-stroke' (transient ischaemic attack or TIA). • People who have angina or some other forms of cardiovascular disease. The guideline doesn't cover everyone who is at increased risk of cardiovascular disease. This guideline does not include people with diabetes, those with major genetic causes of high cholesterol (familial hypercholesterolaemia) or people with chronic kidney disease, who are also at higher risk. Subject: Heart Disease
Publisher: NICE

This guideline covers: • Adults at higher risk of heart disease, stroke or peripheral arterial disease (cardiovascular disease). Risk of cardiovascular disease increases with age, as well as in people who smoke or who have high blood pressure or high cholesterol. People with heart disease in the family or men with a South Asian (for example, Indian, Pakistani or Bangladeshi) background are also at higher risk. • People who have already had a heart attack, stroke or 'mini-stroke' (transient ischaemic attack or TIA). • People who have angina or some other forms of cardiovascular disease. The guideline doesn't cover everyone who is at increased risk of cardiovascular disease. This guideline does not include people with diabetes, those with major genetic causes of high cholesterol (familial hypercholesterolaemia) or people with chronic kidney disease, who are also at higher risk.
]]> Heart Disease Thu, 01 May 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG67FullGuideline1.pdf Type 2 diabetes: the management of type 2 diabetes (update) http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/nNNMfAahNMg/CG66diabetesfullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG66diabetesfullguideline.pdf The insulin insensitivity is usually evidenced by excess body weight or obesity, and exacerbated by overeating and inactivity. It is commonly associated with raised blood pressure, a disturbance of blood lipid levels, and a tendency to thrombosis. This combination is often recognised as the ‘metabolic syndrome’, and is associated with fatty liver and abdominal adiposity (increased waist circumference). Subject: Diabetes
Publisher: NICE

The insulin insensitivity is usually evidenced by excess body weight or obesity, and exacerbated by overeating and inactivity. It is commonly associated with raised blood pressure, a disturbance of blood lipid levels, and a tendency to thrombosis. This combination is often recognised as the ‘metabolic syndrome’, and is associated with fatty liver and abdominal adiposity (increased waist circumference).
]]> Diabetes Thu, 01 May 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG66diabetesfullguideline.pdf Care for the management of psoriasis and psoriatic arthritis: Section One http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Y4YQWlXhIZw/Psosection1.pdf http://www.aad.org/education/grants/_doc/Psosection1.pdf Psoriasis is a common, chronic, inflammatory, multisystem disease with predominantly skin and joint manifestations affecting approximately 2% of the population. In this first of 5 sections of the guidelines of care for psoriasis, we discuss the classification of psoriasis; associated comorbidities including autoimmune diseases, cardiovascular risk, psychiatric/psychologic issues, and cancer risk; along with assessment tools for skin disease and quality-of-life issues. Finally, we will discuss the safety and efficacy of the biologic treatments used to treat patients with psoriasis. ( J Am Acad Dermatol 2008;58:826-50.) Subject: Psoriasis
Publisher: American Academy of Dermatology Association

Psoriasis is a common, chronic, inflammatory, multisystem disease with predominantly skin and joint manifestations affecting approximately 2% of the population. In this first of 5 sections of the guidelines of care for psoriasis, we discuss the classification of psoriasis; associated comorbidities including autoimmune diseases, cardiovascular risk, psychiatric/psychologic issues, and cancer risk; along with assessment tools for skin disease and quality-of-life issues. Finally, we will discuss the safety and efficacy of the biologic treatments used to treat patients with psoriasis. ( J Am Acad Dermatol 2008;58:826-50.)
]]> Psoriasis Thu, 01 May 2008 00:00:00 GMT http://www.aad.org/education/grants/_doc/Psosection1.pdf Care for the management of psoriasis and psoriatic arthritis: Section Two http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/26bWXX44gQI/PsoPsAsection2.pdf http://www.aad.org/education/grants/_doc/PsoPsAsection2.pdf Psoriasis is a common, chronic, inflammatory, multisystem disease with predominantly skin and joint manifestations affecting approximately 2% of the population. In this second of 5 sections of the guidelines of care for psoriasis, we give an overview of psoriatic arthritis including its cardinal clinical features, pathogenesis, prognosis, classification, assessment tools used to evaluate psoriatic arthritis, and the approach to treatment. Although patients with mild to moderate psoriatic arthritis may be treated with nonsteroidal anti-inflammatory drugs and/or intra-articular steroid injections, the use of disease-modifying antirheumatic drugs, particularly methotrexate, along with the biologic agents, are considered the standard of care in patients with more significant psoriatic arthritis. We will discuss the use of disease-modifying antirheumatic drugs and the biologic therapies in the treatment of patients with moderate to severe psoriatic arthritis. ( J Am Acad Dermatol 2008;58:851-64.) Subject: Psoriasis
Publisher: American Academy of Dermatology Association

Psoriasis is a common, chronic, inflammatory, multisystem disease with predominantly skin and joint manifestations affecting approximately 2% of the population. In this second of 5 sections of the guidelines of care for psoriasis, we give an overview of psoriatic arthritis including its cardinal clinical features, pathogenesis, prognosis, classification, assessment tools used to evaluate psoriatic arthritis, and the approach to treatment. Although patients with mild to moderate psoriatic arthritis may be treated with nonsteroidal anti-inflammatory drugs and/or intra-articular steroid injections, the use of disease-modifying antirheumatic drugs, particularly methotrexate, along with the biologic agents, are considered the standard of care in patients with more significant psoriatic arthritis. We will discuss the use of disease-modifying antirheumatic drugs and the biologic therapies in the treatment of patients with moderate to severe psoriatic arthritis. ( J Am Acad Dermatol 2008;58:851-64.)
]]> Psoriasis Thu, 01 May 2008 00:00:00 GMT http://www.aad.org/education/grants/_doc/PsoPsAsection2.pdf British Guideline on the Management of Asthma http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Sshml5tmZqk/asthma_final2008.pdf http://www.brit-thoracic.org.uk/Portals/0/Clinical%20Information/Asthma/Guidelines/asthma_final2008.pdf In 1999 the British Thoracic Society (BTS) and the Scottish Intercollegiate Guidelines Network (SIGN) agreed to jointly produce a comprehensive new asthma guideline, both having previously published guidance on asthma. The original BTS guideline dated back to 1990 and the SIGN guidelines to 1996. Both organisations recognised the need to develop the new guideline using explicitly evidence based methodology. The joint process was further strengthened by collaboration with Asthma UK, the Royal College of Physicians of London, the Royal College of Paediatrics and Child Health, the General Practice Airways Group, and the British Association of Accident and Emergency Medicine (now the College of Emergency Medicine). The outcome of these efforts was the British Guideline on the Management of Asthma published in 2003.1 Subject: Asthma
Publisher: British Thoracic Society

In 1999 the British Thoracic Society (BTS) and the Scottish Intercollegiate Guidelines Network (SIGN) agreed to jointly produce a comprehensive new asthma guideline, both having previously published guidance on asthma. The original BTS guideline dated back to 1990 and the SIGN guidelines to 1996. Both organisations recognised the need to develop the new guideline using explicitly evidence based methodology. The joint process was further strengthened by collaboration with Asthma UK, the Royal College of Physicians of London, the Royal College of Paediatrics and Child Health, the General Practice Airways Group, and the British Association of Accident and Emergency Medicine (now the College of Emergency Medicine). The outcome of these efforts was the British Guideline on the Management of Asthma published in 2003.1
]]> Asthma Thu, 01 May 2008 00:00:00 GMT http://www.brit-thoracic.org.uk/Portals/0/Clinical%20Information/Asthma/Guidelines/asthma_final2008.pdf Guidelines on Chronic Pelvic Pain http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/4dvK4kUpljg/22%20Chronic%20Pelvic%20Pain.pdf http://www.uroweb.org/fileadmin/user_upload/Guidelines/22%20Chronic%20Pelvic%20Pain.pdf Pain can be defined as an unpleasant sensory and emotional experience associated with either real or potential tissue damage, or it can be described in terms of such damage (1). Pain is the most common symptom of any illness. In its management, firstly, the physician needs to discover and treat the cause of the pain; secondly, to treat the pain itself, whether or not the underlying cause is treatable; and thirdly to relieve the suffering caused by the pain. Subject: Pelvic Pain
Publisher: European Association of Urology

Pain can be defined as an unpleasant sensory and emotional experience associated with either real or potential tissue damage, or it can be described in terms of such damage (1). Pain is the most common symptom of any illness. In its management, firstly, the physician needs to discover and treat the cause of the pain; secondly, to treat the pain itself, whether or not the underlying cause is treatable; and thirdly to relieve the suffering caused by the pain.
]]> Pelvic Pain Thu, 01 May 2008 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/22%20Chronic%20Pelvic%20Pain.pdf Testicular Cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/jFuYeqbchts/09%20Testicular%20Cancer.pdf http://www.uroweb.org/fileadmin/user_upload/Guidelines/09%20Testicular%20Cancer.pdf Testicular cancer represents between 1% and 1.5% of male neoplasms and 5% of urological tumours in general, with 3-6 new cases occurring per 100,000 males/per year in Western society. An increase in the incidence of testicular cancer was detected during the 1970s and 1980s, particularly in Northern European countries, and there is a clear trend toward an increased testicular cancer incidence in the last 30 years in the majority of the industrialized countries in North America, Europe and Oceania, though surprising differences in incidence rates are seen between neighbouring countries. Data from the Surveillance Epidemiology and End Results Program during the years 1973 to 1998 show a continuing increased risk among Caucasian men in USA only for seminoma. Subject: Cancer
Publisher: European Association of Urology

Testicular cancer represents between 1% and 1.5% of male neoplasms and 5% of urological tumours in general, with 3-6 new cases occurring per 100,000 males/per year in Western society. An increase in the incidence of testicular cancer was detected during the 1970s and 1980s, particularly in Northern European countries, and there is a clear trend toward an increased testicular cancer incidence in the last 30 years in the majority of the industrialized countries in North America, Europe and Oceania, though surprising differences in incidence rates are seen between neighbouring countries. Data from the Surveillance Epidemiology and End Results Program during the years 1973 to 1998 show a continuing increased risk among Caucasian men in USA only for seminoma.
]]> Cancer Thu, 01 May 2008 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/09%20Testicular%20Cancer.pdf Neurogenic Lower Urinary Tract Dysfunction http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/1LlK4wJMLJ8/17%20Neurogenic.pdf http://www.uroweb.org/fileadmin/user_upload/Guidelines/17%20Neurogenic.pdf • Purpose The purpose of these clinical guidelines is to provide useful information for clinical practitioners on the incidence, definitions, diagnosis, therapy, and follow-up observation of the condition of neurogenic lower urinary tract dysfunction (NLUTD). These guidelines reflect the current opinion of the experts in this specific pathology and thus represent a state-of-the-art reference for all clinicians, as of the date of its presentation to the European Association of Urology. Subject: Urinary Tract
Publisher: European Association of Urology

• Purpose The purpose of these clinical guidelines is to provide useful information for clinical practitioners on the incidence, definitions, diagnosis, therapy, and follow-up observation of the condition of neurogenic lower urinary tract dysfunction (NLUTD). These guidelines reflect the current opinion of the experts in this specific pathology and thus represent a state-of-the-art reference for all clinicians, as of the date of its presentation to the European Association of Urology.
]]> Urinary Tract Thu, 01 May 2008 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/17%20Neurogenic.pdf Abatacept for the treatment of rheumatoid arthritis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/OixicsL2JJg/TA141guidance.pdf http://www.nice.org.uk/nicemedia/pdf/TA141guidance.pdf Abatacept is not recommended for people with moderate to severe active rheumatoid arthritis who have already tried drugs known as disease-modifying anti-rheumatic drugs (including a 'TNF inhibitor'drug), which didn't work or weren't suitable. Healthcare professionals should not stop prescribing abatacept for people who were already taking it when the guidance was issued. These patients should be able to carry on taking abatacept until they and their specialist decide that it is the right time to stop treatment. Subject: Arthritis
Publisher: NICE

Abatacept is not recommended for people with moderate to severe active rheumatoid arthritis who have already tried drugs known as disease-modifying anti-rheumatic drugs (including a 'TNF inhibitor'drug), which didn't work or weren't suitable. Healthcare professionals should not stop prescribing abatacept for people who were already taking it when the guidance was issued. These patients should be able to carry on taking abatacept until they and their specialist decide that it is the right time to stop treatment.
]]> Arthritis Tue, 01 Apr 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/TA141guidance.pdf Perioperative hypothermia (inadvertent) http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/H3h2vZlUxHw/CG65Guidance.pdf http://www.nice.org.uk/nicemedia/pdf/CG65Guidance.pdf This guidance covers the care and treatment of people who are having an operation in hospital, in the NHS in England and Wales, to reduce their risk of getting cold before, during or after their operation. Subject: Perioperative hypothermia
Publisher: NICE

This guidance covers the care and treatment of people who are having an operation in hospital, in the NHS in England and Wales, to reduce their risk of getting cold before, during or after their operation.
]]> Perioperative hypothermia Tue, 01 Apr 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG65Guidance.pdf Antenatal care http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/GRjzNmw8UJ0/CG062NICEguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG062NICEguideline.pdf The advice in the NICE guideline covers: • the routine care that all healthy women can expect to receive during their pregnancy. It does not specifically look at: • women who are pregnant with more than one baby, women with certain medical conditions or women who develop a health problem during their pregnancy. Subject: Antenatal Care
Publisher: NICE

The advice in the NICE guideline covers: • the routine care that all healthy women can expect to receive during their pregnancy. It does not specifically look at: • women who are pregnant with more than one baby, women with certain medical conditions or women who develop a health problem during their pregnancy.
]]> Antenatal Care Sat, 01 Mar 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG062NICEguideline.pdf Diabetes in pregnancy http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/oncNt6xdvLk/CG063Guidance.pdf http://www.nice.org.uk/nicemedia/pdf/CG063Guidance.pdf This guidance covers the care and treatment of pregnant women with diabetes in the NHS in England and Wales. It also covers the care of their newborn babies. It is written for women who have diabetes or develop it in pregnancy, but it may also be useful for their families or for anyone with an interest in the condition.. Subject: Diabetes
Publisher: NICE

This guidance covers the care and treatment of pregnant women with diabetes in the NHS in England and Wales. It also covers the care of their newborn babies. It is written for women who have diabetes or develop it in pregnancy, but it may also be useful for their families or for anyone with an interest in the condition..
]]> Diabetes Sat, 01 Mar 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG063Guidance.pdf Diabetes in pregnancy: management of diabetes and its complications from pre-conception to the postnatal period http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/ypNa4kVOQKw/CG63NICEGuidelineReissue.pdf http://www.nice.org.uk/nicemedia/pdf/CG63NICEGuidelineReissue.pdf This guidance covers the care and treatment of pregnant women with diabetes in the NHS in England and Wales. It also covers the care of their newborn babies. It is written for women who have diabetes or develop it in pregnancy, but it may also be useful for their families or for anyone with an interest in the condition. Subject: Diabetes
Publisher: NICE

This guidance covers the care and treatment of pregnant women with diabetes in the NHS in England and Wales. It also covers the care of their newborn babies. It is written for women who have diabetes or develop it in pregnancy, but it may also be useful for their families or for anyone with an interest in the condition.
]]> Diabetes Sat, 01 Mar 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG63NICEGuidelineReissue.pdf Prophylaxis against infective endocarditis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/w2ddY4NZoP4/CG64NICEguidance.pdf http://www.nice.org.uk/nicemedia/pdf/CG64NICEguidance.pdf The advice in this NICE guideline covers: Patients who are at risk of infective endocarditis, specifically: • adults and children with certain problems affecting the structure of the heart (such as a replacement heart valve or hypertrophic cardiomyopathy) • adults and children who have previously had infective endocarditis (whether or not they have an underlying cardiac problem) • people having any of these procedures: - any dental procedure - any obstetric or gynaecological procedure, or childbirth - any procedure on the bladder or urine system - any procedure on the gullet, stomach or intestines - any procedure on the airways, including ear, nose and throat procedures and bronchoscopy (a test used to diagnose some lung problems). It does not specifically look at: people at risk of infective endocarditis who do not have heart problems (such as intravenous drug users) people having procedures that aren't in the list above Subject: Infective endocarditis
Publisher: NICE

The advice in this NICE guideline covers: Patients who are at risk of infective endocarditis, specifically: • adults and children with certain problems affecting the structure of the heart (such as a replacement heart valve or hypertrophic cardiomyopathy) • adults and children who have previously had infective endocarditis (whether or not they have an underlying cardiac problem) • people having any of these procedures: - any dental procedure - any obstetric or gynaecological procedure, or childbirth - any procedure on the bladder or urine system - any procedure on the gullet, stomach or intestines - any procedure on the airways, including ear, nose and throat procedures and bronchoscopy (a test used to diagnose some lung problems). It does not specifically look at: people at risk of infective endocarditis who do not have heart problems (such as intravenous drug users) people having procedures that aren't in the list above
]]> Infective endocarditis Sat, 01 Mar 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG64NICEguidance.pdf Prostate Cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/1j7hJCgrcLQ/Prostate%20Cancer.pdf http://www.uroweb.org/fileadmin/user_upload/Guidelines/Prostate%20Cancer.pdf Cancer of the prostate (CaP) is now recognized as one of the principal medical problems facing the male population. In Europe, an estimated 2.6 million new cases of cancer are diagnosed each year. Prostate cancer constitutes about 11% of all male cancers in Europe, and accounts for 9% of all cancer deaths among men within the European Union (EU). In most countries, irrespective of whether prostate cancer is common or not in the country/region, a slight increase in prostate cancer mortality has been seen in most, but not all, countries since 1985. Subject: Cancer
Publisher: European Association of Urology

Cancer of the prostate (CaP) is now recognized as one of the principal medical problems facing the male population. In Europe, an estimated 2.6 million new cases of cancer are diagnosed each year. Prostate cancer constitutes about 11% of all male cancers in Europe, and accounts for 9% of all cancer deaths among men within the European Union (EU). In most countries, irrespective of whether prostate cancer is common or not in the country/region, a slight increase in prostate cancer mortality has been seen in most, but not all, countries since 1985.
]]> Cancer Sat, 01 Mar 2008 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/Prostate%20Cancer.pdf Urolithiasis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/P-A-D73bGKw/Urolithiasis.pdf http://www.uroweb.org/fileadmin/user_upload/Guidelines/Urolithiasis.pdf Patients with urolithiasis constitute an important part of everyday urological practice. The optimal clinical management of this disease requires knowledge of the diagnostic procedures, the rational treatment of acute stone colic, stone expulsive treatment and the modern principles of stone removal. It is also essential to have a basic understanding of the aetiological factors of stone formation and how to perform a metabolic risk evaluation in order to provide a sound basis for appropriate measures to prevent stone recurrence. Subject: Urolithiasis
Publisher: European Association of Urology

Patients with urolithiasis constitute an important part of everyday urological practice. The optimal clinical management of this disease requires knowledge of the diagnostic procedures, the rational treatment of acute stone colic, stone expulsive treatment and the modern principles of stone removal. It is also essential to have a basic understanding of the aetiological factors of stone formation and how to perform a metabolic risk evaluation in order to provide a sound basis for appropriate measures to prevent stone recurrence.
]]> Urolithiasis Sat, 01 Mar 2008 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/Urolithiasis.pdf Benign Prostatic Hyperplasia http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/oz5NnTI4PBw/BPH.pdf http://www.uroweb.org/fileadmin/user_upload/Guidelines/BPH.pdf Benign prostatic hyperplasia (BPH) is a condition intimately related to ageing. Although it is not lifethreatening, its clinical manifestation as lower urinary tract symptoms (LUTS) reduces the patient’s quality of life. Troublesome LUTS can occur in up to 30% of men older than 65 years. Subject: Benign Prostatic Hyperplasia
Publisher: European Association of Urology

Benign prostatic hyperplasia (BPH) is a condition intimately related to ageing. Although it is not lifethreatening, its clinical manifestation as lower urinary tract symptoms (LUTS) reduces the patient’s quality of life. Troublesome LUTS can occur in up to 30% of men older than 65 years.
]]> Benign Prostatic Hyperplasia Sat, 01 Mar 2008 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/BPH.pdf Investigation, treatment and monitoring of late-onset hypogonadism in males http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/zTyQU0tFxoQ/jandrol.108.006486v1 http://www.andrologyjournal.org/cgi/rapidpdf/jandrol.108.006486v1 Demographic data clearly demonstrate that the percent of population in the older age group is increasing. Androgen deficiency in the aging male has become a topic of increasing interest and debate throughout the world. Cross-sectional and longitudinal data indicate that testosterone falls progressively with age and that a significant percentage of men over the age of 60 years have serum testosterone levels that are below the lower limits of young adult (age 20-30 years) men. Subject: Hypogonadism
Publisher: Journal of Andrology

Demographic data clearly demonstrate that the percent of population in the older age group is increasing. Androgen deficiency in the aging male has become a topic of increasing interest and debate throughout the world. Cross-sectional and longitudinal data indicate that testosterone falls progressively with age and that a significant percentage of men over the age of 60 years have serum testosterone levels that are below the lower limits of young adult (age 20-30 years) men.
]]> Hypogonadism Sat, 01 Mar 2008 00:00:00 GMT http://www.andrologyjournal.org/cgi/rapidpdf/jandrol.108.006486v1 Irritable bowel syndrome http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Pqw4qfL6-W8/IBSFullGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/IBSFullGuideline.pdf The advice in the NICE guideline covers the care of adults with irritable bowel syndrome, including: • the support, treatment and advice people should be offered by their GP in diagnosing and helping to manage their irritable bowel syndrome • circumstances when people need to be referred to a specialist for further tests. It does not specifically look at: • irritable bowel syndrome in children and young people under 18 years • people with other gastrointestinal disorders such as non-ulcer dyspepsia (indigestion with no obvious cause) or coeliac disease. Subject: Irritable bowel syndrome
Publisher: NICE

The advice in the NICE guideline covers the care of adults with irritable bowel syndrome, including: • the support, treatment and advice people should be offered by their GP in diagnosing and helping to manage their irritable bowel syndrome • circumstances when people need to be referred to a specialist for further tests. It does not specifically look at: • irritable bowel syndrome in children and young people under 18 years • people with other gastrointestinal disorders such as non-ulcer dyspepsia (indigestion with no obvious cause) or coeliac disease.
]]> Irritable bowel syndrome Fri, 01 Feb 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/IBSFullGuideline.pdf Osteoarthritis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/7BnUd0scDtc/CG059FullGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG059FullGuideline.pdf The advice in the NICE guideline covers the treatment, advice and support that people who have osteoarthritis should be offered by their healthcare professional and when being referred to specialist care. This includes: • diagnosis • education • exercise and physiotherapy • medicines • alternative therapies • surgery. It does not specifically look at the care and management of related conditions (for example, rheumatoid arthritis and joint pain). Subject: Arthritis
Publisher: NICE

The advice in the NICE guideline covers the treatment, advice and support that people who have osteoarthritis should be offered by their healthcare professional and when being referred to specialist care. This includes: • diagnosis • education • exercise and physiotherapy • medicines • alternative therapies • surgery. It does not specifically look at the care and management of related conditions (for example, rheumatoid arthritis and joint pain).
]]> Arthritis Fri, 01 Feb 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG059FullGuideline.pdf Prostate cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/ALSvJc5voKQ/CG58FullGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG58FullGuideline.pdf This guideline covers the tests, treatment, care and support that men who have suspected or diagnosed prostate cancer should be offered. It does not specifically look at the care of men with rare cancers of the prostate (for example, small-cell carcinoma and rhabdomyosarcoma). Subject: Cancer
Publisher: NICE

This guideline covers the tests, treatment, care and support that men who have suspected or diagnosed prostate cancer should be offered. It does not specifically look at the care of men with rare cancers of the prostate (for example, small-cell carcinoma and rhabdomyosarcoma).
]]> Cancer Fri, 01 Feb 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG58FullGuideline.pdf Surgical management of OME http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/ZM0xfYc8QHE/CG60fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG60fullguideline.pdf The advice in the NICE guideline covers: • the surgical management of OME in children younger than 12 years • guidance for managing OME in children with Down's syndrome and in children with all types of cleft palate. It does not specifically look at the management of OME in: • children with other syndromes (for example, craniofacial dysmorphism or polysaccharide storage disease) • children with multiple complex needs Subject: Ear Infection
Publisher: NICE

The advice in the NICE guideline covers: • the surgical management of OME in children younger than 12 years • guidance for managing OME in children with Down's syndrome and in children with all types of cleft palate. It does not specifically look at the management of OME in: • children with other syndromes (for example, craniofacial dysmorphism or polysaccharide storage disease) • children with multiple complex needs
]]> Ear Infection Fri, 01 Feb 2008 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG60fullguideline.pdf Guidelines on The Management of Urinary and Male Genital Tract Infections http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/seafDsMHKsg/The%20Management%20of%20Male%20Urinary%20and%20Genital%20Tract%20Infections.pdf http://www.uroweb.org/fileadmin/user_upload/Guidelines/The%20Management%20of%20Male%20Urinary%20and%20Genital%20Tract%20Infections.pdf Urinary tract infections (UTIs) are among the most prevalent infectious diseases with a substantial financial burden on society. Unfortunately, in Europe, there are no good data concerning the prevalence of various types of UTIs and their impact on the quality of life of the affected population. Nor is there good data regarding the impact of UTIs on economics in general and that of the health care system especially. For a well-functioning public health system, such data are urgently needed. Data obtained from other countries and societies, e.g. the USA, can only be applied with caution to the European situation. Subject: Genital Tract Infections
Publisher: Patient UK

Urinary tract infections (UTIs) are among the most prevalent infectious diseases with a substantial financial burden on society. Unfortunately, in Europe, there are no good data concerning the prevalence of various types of UTIs and their impact on the quality of life of the affected population. Nor is there good data regarding the impact of UTIs on economics in general and that of the health care system especially. For a well-functioning public health system, such data are urgently needed. Data obtained from other countries and societies, e.g. the USA, can only be applied with caution to the European situation.
]]> Genital Tract Infections Tue, 01 Jan 2008 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/The%20Management%20of%20Male%20Urinary%20and%20Genital%20Tract%20Infections.pdf Atopic eczema in children http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/F39rYh4ExrQ/CG057FullGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG057FullGuideline.pdf Atopic eczema (often called atopic dermatitis) is one of a group of related, inherited conditions that also includes asthma and hay fever. It can make the skin dry, itchy, red, broken and sore. It sometimes makes the skin darker or lighter for a while. People of all ages can get atopic eczema, but it usually starts in early childhood. It usually improves with age, but some people will have the condition into adulthood. This guideline covers the management of atopic eczema in children from birth up to the age of 12 years, and provides guidance on diagnosis and assessment, management, and providing information and education for children and their parents and carers. Subject: Atopic Eczema
Publisher: NICE

Atopic eczema (often called atopic dermatitis) is one of a group of related, inherited conditions that also includes asthma and hay fever. It can make the skin dry, itchy, red, broken and sore. It sometimes makes the skin darker or lighter for a while. People of all ages can get atopic eczema, but it usually starts in early childhood. It usually improves with age, but some people will have the condition into adulthood. This guideline covers the management of atopic eczema in children from birth up to the age of 12 years, and provides guidance on diagnosis and assessment, management, and providing information and education for children and their parents and carers.
]]> Atopic Eczema Sat, 01 Dec 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG057FullGuideline.pdf CG57 Atopic eczema in children: full guideline http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/kBoW1ORxuhk/index.jsp http://www.nice.org.uk/guidance/index.jsp?action=download&o=38559 Atopic eczema (atopic dermatitis) is a chronic inflammatory itchy skin condition that develops in early childhood in the majority of cases. It is typically an episodic disease of exacerbation (flares, which may occur as frequently as two or three per month) and remissions, except for severe cases where it may be continuous.1 Certain patterns of atopic eczema are recognised. In infants, atopic eczema usually involves the face and extensor surfaces of the limbs and, while it may involve the trunk, the napkin area is usually spared. A few infants may exhibit a discoid pattern (circular patches). In older children flexural involvement predominates, as in adults.2 Diagnostic criteria are discussed in Chapter 3. As with other atopic conditions, such as asthma and allergic rhinitis (hay fever), atopic eczema often has a genetic component. In atopic eczema, inherited factors affect the development of the skin barrier, which can lead to exacerbation of the disease by a large number of trigger factors, including irritants and allergens. Many cases of atopic eczema clear or improve during childhood while others persist into adulthood, and some children who have atopic eczema `will go on to develop asthma and/or allergic rhinitis; this sequence of events is sometimes referred to as the ‘atopic march’. The epidemiology of atopic eczema is considered in Chapter 5, and the impact of the condition on children and their families/caregivers is considered in Sections 4.2 and 4.3. Subject: Eczema
Publisher: NICE

Atopic eczema (atopic dermatitis) is a chronic inflammatory itchy skin condition that develops in early childhood in the majority of cases. It is typically an episodic disease of exacerbation (flares, which may occur as frequently as two or three per month) and remissions, except for severe cases where it may be continuous.1 Certain patterns of atopic eczema are recognised. In infants, atopic eczema usually involves the face and extensor surfaces of the limbs and, while it may involve the trunk, the napkin area is usually spared. A few infants may exhibit a discoid pattern (circular patches). In older children flexural involvement predominates, as in adults.2 Diagnostic criteria are discussed in Chapter 3. As with other atopic conditions, such as asthma and allergic rhinitis (hay fever), atopic eczema often has a genetic component. In atopic eczema, inherited factors affect the development of the skin barrier, which can lead to exacerbation of the disease by a large number of trigger factors, including irritants and allergens. Many cases of atopic eczema clear or improve during childhood while others persist into adulthood, and some children who have atopic eczema `will go on to develop asthma and/or allergic rhinitis; this sequence of events is sometimes referred to as the ‘atopic march’. The epidemiology of atopic eczema is considered in Chapter 5, and the impact of the condition on children and their families/caregivers is considered in Sections 4.2 and 4.3.
]]> Eczema Sat, 01 Dec 2007 00:00:00 GMT http://www.nice.org.uk/guidance/index.jsp?action=download&o=38559 BSACI guidelines for the management of allergic and non-allergic rhinitis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/xYe5RKgGyuo/j.1365-2222.2007.02888.x http://www.blackwell-synergy.com/doi/pdf/10.1111/j.1365-2222.2007.02888.x?cookieSet=1 This guidance for the management of patients with allergic and non-allergic rhinitis has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both adult physicians and paediatricians practicing in allergy. Subject: Rhinitis
Publisher: Clinical and Experimental Allergy,

This guidance for the management of patients with allergic and non-allergic rhinitis has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both adult physicians and paediatricians practicing in allergy.
]]> Rhinitis Sat, 01 Dec 2007 00:00:00 GMT http://www.blackwell-synergy.com/doi/pdf/10.1111/j.1365-2222.2007.02888.x?cookieSet=1 Head injury http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/QnXgZ0QevzU/CG56guidance.pdf http://www.nice.org.uk/nicemedia/pdf/CG56guidance.pdf The advice in the NICE clinical guideline covers: • what should happen before someone with a head injury reaches hospital • who should go to hospital • the checks and tests that should be carried out and the action that should be taken once the test results are known • the care people should receive if they have been discharged from hospital within 48 hours • the symptoms that healthcare professionals should watch out for after a head injury • how information should be exchanged between different healthcare professionals • the information and advice that should be made available to people with head injuries and their family or carers. It does not specifically look at: • the investigations or types of surgery that may be needed. Subject: Head Injury
Publisher: NICE

The advice in the NICE clinical guideline covers: • what should happen before someone with a head injury reaches hospital • who should go to hospital • the checks and tests that should be carried out and the action that should be taken once the test results are known • the care people should receive if they have been discharged from hospital within 48 hours • the symptoms that healthcare professionals should watch out for after a head injury • how information should be exchanged between different healthcare professionals • the information and advice that should be made available to people with head injuries and their family or carers. It does not specifically look at: • the investigations or types of surgery that may be needed.
]]> Head Injury Thu, 01 Nov 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG56guidance.pdf Intrapartum care http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/0r012h-Hm3k/IntrapartumCareSeptember2007mainguideline.pdf http://www.nice.org.uk/nicemedia/pdf/IntrapartumCareSeptember2007mainguideline.pdf The advice in the NICE guideline covers: • healthy women who are giving birth at 37¯42 weeks (known as ‘term’). It does not specifically look at women • who are giving birth before 37 weeks • whose unborn baby is not growing properly • who have conditions such as pre-eclampsia (high blood pressure during pregnancy) or diabetes, or infections such as group B streptococcus, HIV or genital herpes virus • who are having more than one baby • who need a caesarean section Subject: Fertility / Pregnancy
Publisher: NICE

The advice in the NICE guideline covers: • healthy women who are giving birth at 37¯42 weeks (known as ‘term’). It does not specifically look at women • who are giving birth before 37 weeks • whose unborn baby is not growing properly • who have conditions such as pre-eclampsia (high blood pressure during pregnancy) or diabetes, or infections such as group B streptococcus, HIV or genital herpes virus • who are having more than one baby • who need a caesarean section
]]> Fertility / Pregnancy Sat, 01 Sep 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/IntrapartumCareSeptember2007mainguideline.pdf Drug misuse and dependence: UK guidelines on clinical management http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/m16A93Th-bQ/clinical_guidelines_2007.pdf http://www.nta.nhs.uk/publications/documents/clinical_guidelines_2007.pdf Drug Misuse and Dependence: UK Guidelines on Clinical Management ¯ hereafter referred to as the 2007 Clinical Guidelines ¯ is intended for all clinicians, especially those providing pharmacological interventions for drug misusers as a component of drug misuse treatment. Subject: Drug Misuse
Publisher: Department of Health

Drug Misuse and Dependence: UK Guidelines on Clinical Management ¯ hereafter referred to as the 2007 Clinical Guidelines ¯ is intended for all clinicians, especially those providing pharmacological interventions for drug misusers as a component of drug misuse treatment.
]]> Drug Misuse Sat, 01 Sep 2007 00:00:00 GMT http://www.nta.nhs.uk/publications/documents/clinical_guidelines_2007.pdf Chronic fatigue syndrome / Myalgic encephalomyelitis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/YujFbWB_Yg8/CG53FullGuidance.pdf http://www.nice.org.uk/nicemedia/pdf/CG53FullGuidance.pdf This guideline is about the care of people with chronic fatigue syndrome, which is also called myalgic encephalomyelitis (or encephalopathy), in the NHS in England and Wales. Throughout this booklet we refer to the condition as CFS/ME for short. The booklet explains guidance (advice) from NICE (the National Institute for Health and Clinical Excellence). It is written for people with CFS/ME, and parents or carers of people with the condition. It may also be useful for other family members or for anyone with an interest in CFS/ME. The guideline aims to help you understand the care and treatment options that should be available in the NHS. Subject: Chronic Fatigue
Publisher: NICE

This guideline is about the care of people with chronic fatigue syndrome, which is also called myalgic encephalomyelitis (or encephalopathy), in the NHS in England and Wales. Throughout this booklet we refer to the condition as CFS/ME for short. The booklet explains guidance (advice) from NICE (the National Institute for Health and Clinical Excellence). It is written for people with CFS/ME, and parents or carers of people with the condition. It may also be useful for other family members or for anyone with an interest in CFS/ME. The guideline aims to help you understand the care and treatment options that should be available in the NHS.
]]> Chronic Fatigue Wed, 01 Aug 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG53FullGuidance.pdf Urinary tract infection in children http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/j88YH4kD68s/CG54fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG54fullguideline.pdf This NICE guideline is about the care and treatment in the NHS in England and Wales of babies, children and young people who are younger than 16 years with a urinary tract infection (UTI). The advice in the NICE guideline covers the investigations and treatment that should be given to children younger than 16 years who have a UTI, and the information that should be offered to their families. It does not look at: • children who have already been diagnosed with any other kidney, bladder or urinary problems • children whose immune system is not working properly • children in intensive care units • long-term management of repeated UTIs in sexually active girls. Subject: Urinary Tract
Publisher: NICE

This NICE guideline is about the care and treatment in the NHS in England and Wales of babies, children and young people who are younger than 16 years with a urinary tract infection (UTI). The advice in the NICE guideline covers the investigations and treatment that should be given to children younger than 16 years who have a UTI, and the information that should be offered to their families. It does not look at: • children who have already been diagnosed with any other kidney, bladder or urinary problems • children whose immune system is not working properly • children in intensive care units • long-term management of repeated UTIs in sexually active girls.
]]> Urinary Tract Wed, 01 Aug 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG54fullguideline.pdf Expert Panel Report 3 (EPR3): Guidelines for the Diagnosis and Management of Asthma http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/IHATkt2H33Y/02_sec1_intro.pdf http://www.nhlbi.nih.gov/guidelines/asthma/02_sec1_intro.pdf Asthma is a chronic inflammatory disease of the airways. In the United States, asthma affects more than 22 million persons. It is one of the most common chronic diseases of childhood, affecting more than 6 million children (current asthma prevalence, National Health Interview. Survey (NHIS), National Center for Health Statistics, Centers for Disease Control and Prevention, 2005) (NHIS 2005). Subject: Asthma
Publisher: National Heart Lung and Blood Institute

Asthma is a chronic inflammatory disease of the airways. In the United States, asthma affects more than 22 million persons. It is one of the most common chronic diseases of childhood, affecting more than 6 million children (current asthma prevalence, National Health Interview. Survey (NHIS), National Center for Health Statistics, Centers for Disease Control and Prevention, 2005) (NHIS 2005).
]]> Asthma Wed, 01 Aug 2007 00:00:00 GMT http://www.nhlbi.nih.gov/guidelines/asthma/02_sec1_intro.pdf Acutely ill patients in hospital http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/6mFza_9PBwI/CG50FullGuidance.pdf http://www.nice.org.uk/nicemedia/pdf/CG50FullGuidance.pdf Sometimes, the health of a patient in hospital may get worse suddenly (this is called becoming acutely ill). There are certain times when this is more likely, for example following an emergency admission to hospital, after surgery and after leaving critical care. However, it can happen at any stage of an illness. It increases the patient's risk of needing to stay longer in hospital, not recovering fully or dying. Monitoring patients (checking them and their health) regularly while they are in hospital and taking action if they show signs of becoming worse can help avoid serious problems. The NICE clinical guideline describes how patients in acute hospitals should be monitored to help identify those whose health becomes worse and how they should be cared for if this happens. The advice in the guideline covers: • all adult patients in hospital, including patients in the emergency department being admitted to hospital and those being moved between departments. It does not specifically look at the care of: • children • patients in critical care areas, for example in an intensive care or high dependency unit • people who are having treatment for symptoms and pain in the final stages of a terminal illness. Subject: Hospital Related Illness
Publisher: NICE

Sometimes, the health of a patient in hospital may get worse suddenly (this is called becoming acutely ill). There are certain times when this is more likely, for example following an emergency admission to hospital, after surgery and after leaving critical care. However, it can happen at any stage of an illness. It increases the patient's risk of needing to stay longer in hospital, not recovering fully or dying. Monitoring patients (checking them and their health) regularly while they are in hospital and taking action if they show signs of becoming worse can help avoid serious problems. The NICE clinical guideline describes how patients in acute hospitals should be monitored to help identify those whose health becomes worse and how they should be cared for if this happens. The advice in the guideline covers: • all adult patients in hospital, including patients in the emergency department being admitted to hospital and those being moved between departments. It does not specifically look at the care of: • children • patients in critical care areas, for example in an intensive care or high dependency unit • people who are having treatment for symptoms and pain in the final stages of a terminal illness.
]]> Hospital Related Illness Sun, 01 Jul 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG50FullGuidance.pdf Drug misuse: opioid detoxification http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Lsd0Hr7h_f0/DrugMisuseOpioidDetoxFullGuidelinePublishedVersion.pdf http://www.nice.org.uk/nicemedia/pdf/DrugMisuseOpioidDetoxFullGuidelinePublishedVersion.pdf NICE has produced two guidelines on drug misuse ¯ ‘Drug misuse: psychosocial interventions’ (NICE clinical guideline 51) and ‘Drug misuse: opioid detoxification’ (NICE clinical guideline 52). They cover: • the support and treatment people can expect to be offered if they have a problem with or are dependent on opioids, stimulants or cannabis • how families and carers may be able to support a person with a drug problem and get help for themselves. NICE clinical guideline 52 makes recommendations for the treatment of people who are undergoing detoxification for opioid dependence arising from the misuse of illicit drugs. NICE has produced a joint quick reference guide and ‘Understanding NICE guidance’ that cover both guidelines, as well as tools to help organisations implement this guidance ¯ these have been integrated with tools for other NICE guidance on drug misuse. Subject: Drug Misuse
Publisher: NICE

NICE has produced two guidelines on drug misuse ¯ ‘Drug misuse: psychosocial interventions’ (NICE clinical guideline 51) and ‘Drug misuse: opioid detoxification’ (NICE clinical guideline 52). They cover: • the support and treatment people can expect to be offered if they have a problem with or are dependent on opioids, stimulants or cannabis • how families and carers may be able to support a person with a drug problem and get help for themselves. NICE clinical guideline 52 makes recommendations for the treatment of people who are undergoing detoxification for opioid dependence arising from the misuse of illicit drugs. NICE has produced a joint quick reference guide and ‘Understanding NICE guidance’ that cover both guidelines, as well as tools to help organisations implement this guidance ¯ these have been integrated with tools for other NICE guidance on drug misuse.
]]> Drug Misuse Sun, 01 Jul 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/DrugMisuseOpioidDetoxFullGuidelinePublishedVersion.pdf Drug misuse: psychosocial interventions http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/ArwoprX-Xw4/CG051NICEguideline2.pdf http://www.nice.org.uk/nicemedia/pdf/CG051NICEguideline2.pdf NICE has produced two guidelines on drug misuse ¯ ‘Drug misuse: psychosocial interventions’ (NICE clinical guideline 51) and ‘Drug misuse: opioid detoxification’ (NICE clinical guideline 52). They cover: • the support and treatment people can expect to be offered if they have a problem with or are dependent on opioids, stimulants or cannabis • how families and carers may be able to support a person with a drug problem and get help for themselves. NICE clinical guideline 51 makes recommendations for the use of psychosocial interventions in the treatment of people who misuse opioids, stimulants and cannabis in the healthcare and criminal justice systems. NICE has produced a joint quick reference guide and ‘Understanding NICE guidance’ that cover both guidelines, as well as tools to help organisations implement this guidance ¯ these have been integrated with tools for other NICE guidance on drug misuse. Subject: Drug Misuse
Publisher: NICE

NICE has produced two guidelines on drug misuse ¯ ‘Drug misuse: psychosocial interventions’ (NICE clinical guideline 51) and ‘Drug misuse: opioid detoxification’ (NICE clinical guideline 52). They cover: • the support and treatment people can expect to be offered if they have a problem with or are dependent on opioids, stimulants or cannabis • how families and carers may be able to support a person with a drug problem and get help for themselves. NICE clinical guideline 51 makes recommendations for the use of psychosocial interventions in the treatment of people who misuse opioids, stimulants and cannabis in the healthcare and criminal justice systems. NICE has produced a joint quick reference guide and ‘Understanding NICE guidance’ that cover both guidelines, as well as tools to help organisations implement this guidance ¯ these have been integrated with tools for other NICE guidance on drug misuse.
]]> Drug Misuse Sun, 01 Jul 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG051NICEguideline2.pdf Faecal incontinence http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/vfZ7rNp1FjM/CG49FullGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG49FullGuideline.pdf This guidance is about the care and treatment of people with faecal incontinence (bowel control problems) in the NHS in England and Wales. It explains guidance (advice) from NICE (the National Institute for Health and Clinical Excellence). It is written for people with faecal incontinence but it may also be useful for their families or carers or for anyone with an interest in the condition. The booklet aims to help you understand the care and treatment options that should be available in the NHS. It does not describe faecal incontinence or the tests or treatments for it in detail. Subject: Incontinence
Publisher: NICE

This guidance is about the care and treatment of people with faecal incontinence (bowel control problems) in the NHS in England and Wales. It explains guidance (advice) from NICE (the National Institute for Health and Clinical Excellence). It is written for people with faecal incontinence but it may also be useful for their families or carers or for anyone with an interest in the condition. The booklet aims to help you understand the care and treatment options that should be available in the NHS. It does not describe faecal incontinence or the tests or treatments for it in detail.
]]> Incontinence Fri, 01 Jun 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG49FullGuideline.pdf Osteoporosis in inflammatory bowel disease and coeliac disease http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/eaumui96f8I/ost_coe_ibd.pdf http://www.bsg.org.uk/pdf_word_docs/ost_coe_ibd.pdf Osteoporosis is a major public health problem because of its potentially severe consequences for both the patient and the health care system if it leads to fracture. It has been estimated that one in two women and one in five men older than 50 years will develop an osteoporotic fracture during the course of their remaining lifetime in the United States and that in the United Kingdom (UK) osteoporosis causes more than 200,000 fractures per year. Subject: Osteoporosis
Publisher: British Society of Gastroenterology

Osteoporosis is a major public health problem because of its potentially severe consequences for both the patient and the health care system if it leads to fracture. It has been estimated that one in two women and one in five men older than 50 years will develop an osteoporotic fracture during the course of their remaining lifetime in the United States and that in the United Kingdom (UK) osteoporosis causes more than 200,000 fractures per year.
]]> Osteoporosis Fri, 01 Jun 2007 00:00:00 GMT http://www.bsg.org.uk/pdf_word_docs/ost_coe_ibd.pdf Dementia http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/OYzptXuX6Ac/CG42Dementiafinal.pdf http://www.nice.org.uk/nicemedia/pdf/CG42Dementiafinal.pdf This guideline makes specific recommendations on Alzheimer's disease, dementia with Lewy bodies (DLB), frontotemporal dementia, vascular dementia and mixed dementias, as well as recommendations that apply to all types of dementia. Dementia in Parkinson's disease shares a number of similarities with DLB. Although the evidence base for dementia in Parkinson's disease was not examined specifically in the context of this guideline, the recommendations for DLB may be useful when considering treatments for dementia in Parkinson's disease. NICE has also produced a clinical guideline on Parkinson's disease (available from www.nice.org.uk/CG035). The dementia guideline incorporates recommendations from NICE's technology appraisal of donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer's disease. Subject: Alzheimer's
Publisher: NICE

This guideline makes specific recommendations on Alzheimer's disease, dementia with Lewy bodies (DLB), frontotemporal dementia, vascular dementia and mixed dementias, as well as recommendations that apply to all types of dementia. Dementia in Parkinson's disease shares a number of similarities with DLB. Although the evidence base for dementia in Parkinson's disease was not examined specifically in the context of this guideline, the recommendations for DLB may be useful when considering treatments for dementia in Parkinson's disease. NICE has also produced a clinical guideline on Parkinson's disease (available from www.nice.org.uk/CG035). The dementia guideline incorporates recommendations from NICE's technology appraisal of donepezil, galantamine, rivastigmine and memantine for the treatment of Alzheimer's disease.
]]> Alzheimer's Tue, 01 May 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG42Dementiafinal.pdf Feverish illness in children http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/OvckoOTbdz8/CG47Guidance.pdf http://www.nice.org.uk/nicemedia/pdf/CG47Guidance.pdf This advice in this guideline covers the care and treatment of children aged under 5 years with fever in the NHS in England and Wales. Subject: Fever
Publisher: NICE

This advice in this guideline covers the care and treatment of children aged under 5 years with fever in the NHS in England and Wales.
]]> Fever Tue, 01 May 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG47Guidance.pdf MI: secondary prevention http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/llfixzorcpw/CG48FullGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG48FullGuideline.pdf This guideline contains recommendations on secondary prevention for patients in primary and secondary care after an MI. It replaces the existing NICE guideline 'Prophylaxis for patients who have experienced a myocardial infarction' (NICE inherited guideline A, April 2001). Subject: Myocardial infarction
Publisher: NICE

This guideline contains recommendations on secondary prevention for patients in primary and secondary care after an MI. It replaces the existing NICE guideline 'Prophylaxis for patients who have experienced a myocardial infarction' (NICE inherited guideline A, April 2001).
]]> Myocardial infarction Tue, 01 May 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG48FullGuideline.pdf Parkinson's disease http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/WqOwkiOTHk4/cg035fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg035fullguideline.pdf The NICE clinical guideline on Parkinson's disease covers: • the diagnosis of Parkinson's disease and checking the diagnosis regularly • the way people with Parkinson's disease should receive information • the medicines that can be used • other ways of helping with symptoms • how to care for people whose mental health is affected • the care people with Parkinson's disease should receive at the end of their life Subject: Parkinson's disease
Publisher: NICE

The NICE clinical guideline on Parkinson's disease covers: • the diagnosis of Parkinson's disease and checking the diagnosis regularly • the way people with Parkinson's disease should receive information • the medicines that can be used • other ways of helping with symptoms • how to care for people whose mental health is affected • the care people with Parkinson's disease should receive at the end of their life
]]> Parkinson's disease Tue, 01 May 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg035fullguideline.pdf Drug Misuse and Dependence: UK Guidelines http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/JMXDpZMoF34/ http://www.patient.co.uk/showdoc/40002387/ The rates of drug misuse and its associated morbidity and mortality in the UK are among the highest in the western world. Drug-related deaths due to overdose in the UK are among the highest in Europe. Subject: Drug Misuse
Publisher: Patient UK

The rates of drug misuse and its associated morbidity and mortality in the UK are among the highest in the western world. Drug-related deaths due to overdose in the UK are among the highest in Europe.
]]> Drug Misuse Tue, 01 May 2007 00:00:00 GMT http://www.patient.co.uk/showdoc/40002387/ British Society for Rheumatology and British Health Professionals in Rheumatology Guideline for the Management of Gout http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/-ZhjQJNzr4I/kem056av1 http://rheumatology.oxfordjournals.org/cgi/content/full/kem056av1 Gout is a common disease both in primary care and hospital practice. Although drug therapy for gout has become a paradigm for the effective management and prevention of an acute and potentially chronic rheumatic disease, many of the recommendations for treatment are based on expert consensus rather than research evidence and audits of practice suggest that treatment is very variable. Subject: Rheumatology
Publisher: Oxford Journals

Gout is a common disease both in primary care and hospital practice. Although drug therapy for gout has become a paradigm for the effective management and prevention of an acute and potentially chronic rheumatic disease, many of the recommendations for treatment are based on expert consensus rather than research evidence and audits of practice suggest that treatment is very variable.
]]> Rheumatology Tue, 01 May 2007 00:00:00 GMT http://rheumatology.oxfordjournals.org/cgi/content/full/kem056av1 Anxiety http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/tepeIFzY3oE/CG022NICEguidelineamendedword.doc http://www.nice.org.uk/nicemedia/media/doc/CG022NICEguidelineamendedword.doc The NICE anxiety clinical guideline covers the care of adults who have panic disorder (with or without agoraphobia) or generalised anxiety disorder. The recommendations address: • diagnosis • medication • psychological treatments • self-care The guideline does not cover the care of people with other anxiety disorders such as post-traumatic stress disorder or obsessive compulsive disorder, which will be addressed in separate guidelines. The guideline does not cover the care of people who have both anxiety and depression. NICE has also issued a guideline on depression. Amendment of recommendations concerning venlafaxine: April 2007 On 31 May 2006 the MHRA issued revised prescribing advice for venlafaxine. This amendment brings the guideline into line with the new advice but does not cover other areas where new evidence may be available. NICE expects to make a decision on a full update later in 2007. Subject: Anxiety
Publisher: NICE

The NICE anxiety clinical guideline covers the care of adults who have panic disorder (with or without agoraphobia) or generalised anxiety disorder. The recommendations address: • diagnosis • medication • psychological treatments • self-care The guideline does not cover the care of people with other anxiety disorders such as post-traumatic stress disorder or obsessive compulsive disorder, which will be addressed in separate guidelines. The guideline does not cover the care of people who have both anxiety and depression. NICE has also issued a guideline on depression. Amendment of recommendations concerning venlafaxine: April 2007 On 31 May 2006 the MHRA issued revised prescribing advice for venlafaxine. This amendment brings the guideline into line with the new advice but does not cover other areas where new evidence may be available. NICE expects to make a decision on a full update later in 2007.
]]> Anxiety Sun, 01 Apr 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/media/doc/CG022NICEguidelineamendedword.doc Venous thromboembolism (surgical) http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/xzv7G76FQf4/VTEFullGuide.pdf http://www.nice.org.uk/nicemedia/pdf/VTEFullGuide.pdf The advice in this NICE guideline covers adults who are at risk of developing a blood clot because they are having an operation that requires an overnight stay in hospital. These operations include: • hip or knee surgery • abdominal surgery • gynaecological surgery (but not caesarean section) • surgery on the brain, spine, heart, lungs, kidneys or bladder • surgery on the arteries or veins. It does not specifically look at preventing blood clots in: • children or young people under 18 years old • adults who are at risk of developing blood clots for reasons other than having an operation Subject: Thrombosis
Publisher: NICE

The advice in this NICE guideline covers adults who are at risk of developing a blood clot because they are having an operation that requires an overnight stay in hospital. These operations include: • hip or knee surgery • abdominal surgery • gynaecological surgery (but not caesarean section) • surgery on the brain, spine, heart, lungs, kidneys or bladder • surgery on the arteries or veins. It does not specifically look at preventing blood clots in: • children or young people under 18 years old • adults who are at risk of developing blood clots for reasons other than having an operation
]]> Thrombosis Sun, 01 Apr 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/VTEFullGuide.pdf Care for acne vulgaris management http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/-rwQp7E92YE/summary.aspx http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10797&nbr=5625&string= A work group of recognized experts was convened to determine the audience for the guidelines, define the scope of the guidelines, and identify nine clinical questions to structure the primary issues in diagnosis and management. An evidence-based model was used and some evidence was obtained by a vendor using a search of MEDLINE and EMBASE databases spanning the years 1970 through 2006. Only English-language publications were reviewed. Subject: Acne
Publisher: National Guideline Clearing House

A work group of recognized experts was convened to determine the audience for the guidelines, define the scope of the guidelines, and identify nine clinical questions to structure the primary issues in diagnosis and management. An evidence-based model was used and some evidence was obtained by a vendor using a search of MEDLINE and EMBASE databases spanning the years 1970 through 2006. Only English-language publications were reviewed.
]]> Acne Sun, 01 Apr 2007 00:00:00 GMT http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10797&nbr=5625&string= Antenatal and postnatal mental health http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Pmc1r8y7Yxw/CG45fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG45fullguideline.pdf The advice in the NICE clinical guideline on mental health problems during pregnancy and after giving birth covers: • recognising mental health problems during pregnancy and in the first year after giving birth • the care and treatment (including drugs and psychological treatments) of women who develop a mental health problem during pregnancy or in the first year after giving birth, and women who have a higher chance of developing a problem at this time • the care and treatment (including drugs and psychological treatments) of women who already had a mental health problem before becoming pregnant • how families and carers may be able to support women with mental health problems and get support for themselves. It does not specifically look at: • the care of women with ‘baby blues’ in the first few days after giving birth (this is covered in the NICE guideline on postnatal care) • the treatment of physical health problems during pregnancy and in the first year after giving birth • the treatment of mental health problems at any time other than when planning a pregnancy, during pregnancy and in the first year after giving birth. Subject: Postnatal health
Publisher: NICE

The advice in the NICE clinical guideline on mental health problems during pregnancy and after giving birth covers: • recognising mental health problems during pregnancy and in the first year after giving birth • the care and treatment (including drugs and psychological treatments) of women who develop a mental health problem during pregnancy or in the first year after giving birth, and women who have a higher chance of developing a problem at this time • the care and treatment (including drugs and psychological treatments) of women who already had a mental health problem before becoming pregnant • how families and carers may be able to support women with mental health problems and get support for themselves. It does not specifically look at: • the care of women with ‘baby blues’ in the first few days after giving birth (this is covered in the NICE guideline on postnatal care) • the treatment of physical health problems during pregnancy and in the first year after giving birth • the treatment of mental health problems at any time other than when planning a pregnancy, during pregnancy and in the first year after giving birth.
]]> Postnatal health Thu, 01 Feb 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG45fullguideline.pdf Guidelines for the clinical management of Lynch syndrome (hereditary non-polyposis cancer) http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/kDvi_jCdaKM/353 http://jmg.bmj.com/cgi/content/full/44/6/353 Lynch syndrome (hereditary non-polyposis colorectal cancer) is characterised by the development of colorectal cancer, endometrial cancer and various other cancers, and is caused by a mutation in one of the mismatch repair genes: MLH1, MSH2, MSH6 or PMS2. The discovery of these genes, 15 years ago, has led to the identification of large numbers of affected families. In April 2006, a workshop was organised by a group of European experts in hereditary gastrointestinal cancer (the Mallorca-group), aiming to establish guidelines for the clinical management of Lynch syndrome. Subject: Cancer
Publisher: JMG: Journal of Medical Genetics

Lynch syndrome (hereditary non-polyposis colorectal cancer) is characterised by the development of colorectal cancer, endometrial cancer and various other cancers, and is caused by a mutation in one of the mismatch repair genes: MLH1, MSH2, MSH6 or PMS2. The discovery of these genes, 15 years ago, has led to the identification of large numbers of affected families. In April 2006, a workshop was organised by a group of European experts in hereditary gastrointestinal cancer (the Mallorca-group), aiming to establish guidelines for the clinical management of Lynch syndrome.
]]> Cancer Thu, 01 Feb 2007 00:00:00 GMT http://jmg.bmj.com/cgi/content/full/44/6/353 Heavy menstrual bleeding http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/zaq-Ta1WrxY/CG44FullGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG44FullGuideline.pdf Heavy menstrual bleeding (HMB) is defined as excessive menstrual blood loss which interferes with a woman's physical, social, emotional and/or material quality of life. It can occur alone or in combination with other symptoms. HMB is not associated with significant mortality and may be considered unimportant by some healthcare professionals. Many women with HMB consult healthcare professionals in primary care and HMB is a common reason for referral to a specialist. In the early 1990s, it was estimated that at least 60% of women presenting with HMB went on to have a hysterectomy. This was often the only treatment offered. Hysterectomy is a major operation and is associated with significant complications in a minority of cases. Since the 1990s the number of hysterectomies has been decreasing rapidly. This guideline makes recommendations on a range of treatment options for HMB. It aims to help healthcare professionals provide the right treatments for individual women. Healthcare professionals should be aware that it is the woman herself who determines whether a treatment is successful for her Subject: Women's Health
Publisher: NICE

Heavy menstrual bleeding (HMB) is defined as excessive menstrual blood loss which interferes with a woman's physical, social, emotional and/or material quality of life. It can occur alone or in combination with other symptoms. HMB is not associated with significant mortality and may be considered unimportant by some healthcare professionals. Many women with HMB consult healthcare professionals in primary care and HMB is a common reason for referral to a specialist. In the early 1990s, it was estimated that at least 60% of women presenting with HMB went on to have a hysterectomy. This was often the only treatment offered. Hysterectomy is a major operation and is associated with significant complications in a minority of cases. Since the 1990s the number of hysterectomies has been decreasing rapidly. This guideline makes recommendations on a range of treatment options for HMB. It aims to help healthcare professionals provide the right treatments for individual women. Healthcare professionals should be aware that it is the woman herself who determines whether a treatment is successful for her
]]> Women's Health Mon, 01 Jan 2007 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG44FullGuideline.pdf UK malaria treatment guidelines http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/qjZA9yvS58g/malariatreatmentBIS07.pdf http://www.britishinfectionsociety.org/documents/malariatreatmentBIS07.pdf Malaria remains one of the most common imported infections in the United Kingdom (UK). Between 1500 and 2000 malaria cases are reported each year in the UK, although informal reviews of reporting suggest that this may represent about half of all cases that occur (personal communication; P. Chiodini: Malaria Reference Laboratory). Subject: Malaria
Publisher: British Infection Society

Malaria remains one of the most common imported infections in the United Kingdom (UK). Between 1500 and 2000 malaria cases are reported each year in the UK, although informal reviews of reporting suggest that this may represent about half of all cases that occur (personal communication; P. Chiodini: Malaria Reference Laboratory).
]]> Malaria Mon, 01 Jan 2007 00:00:00 GMT http://www.britishinfectionsociety.org/documents/malariatreatmentBIS07.pdf Ulcerative Colitis Management Reviewed http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Pkn5g4W3tw4/565758 http://www.medscape.com/viewarticle/565758 November 13, 2007 ¯ Various recommendations for screening, diagnosing, and treating ulcerative colitis are reviewed from a primary care perspective in the November 1 issue of the American Family Physician. Subject: Ulcerative Colitis Management
Publisher: Medscape Today

November 13, 2007 ¯ Various recommendations for screening, diagnosing, and treating ulcerative colitis are reviewed from a primary care perspective in the November 1 issue of the American Family Physician.
]]> Ulcerative Colitis Management Mon, 01 Jan 2007 00:00:00 GMT http://www.medscape.com/viewarticle/565758 Obesity http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/DZqFJ87yHMc/CG43NICEGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG43NICEGuideline.pdf The NICE clinical guideline on the prevention, identification, assessment and management of overweight and obesity in adults and children covers: how staff in GP surgeries and hospitals should assess whether people are overweight or obese what staff in GP surgeries and hospitals should do to help people lose weight care for people whose weight puts their health at risk. how people can make sure they and their children stay at a healthy weight how health professionals, local authorities and communities, childcare providers, schools and employers should make it easier for people to improve their diet and become more active. Subject: Obesity
Publisher: NICE

The NICE clinical guideline on the prevention, identification, assessment and management of overweight and obesity in adults and children covers: how staff in GP surgeries and hospitals should assess whether people are overweight or obese what staff in GP surgeries and hospitals should do to help people lose weight care for people whose weight puts their health at risk. how people can make sure they and their children stay at a healthy weight how health professionals, local authorities and communities, childcare providers, schools and employers should make it easier for people to improve their diet and become more active.
]]> Obesity Fri, 01 Dec 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG43NICEGuideline.pdf Familial breast cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/AvXGz9L42aY/CG41fullguidance.pdf http://www.nice.org.uk/nicemedia/pdf/CG41fullguidance.pdf The NICE clinical guideline on familial breast cancer covers the care of adult women who may be at increased risk of developing breast cancer because of a family history of breast or other cancers. It does not specifically look at: women who have already been diagnosed with breast cancer or men, but the recommendations may be relevant to some men because, although rarer than in women, men may get breast cancer and this may run in families. This guideline is an update of advice on familial breast cancer that NICE produced in 2004. The advice on magnetic resonance imaging (MRI) for breast cancer screening has changed, but all the other advice is the same. Subject: Cancer
Publisher: NICE

The NICE clinical guideline on familial breast cancer covers the care of adult women who may be at increased risk of developing breast cancer because of a family history of breast or other cancers. It does not specifically look at: women who have already been diagnosed with breast cancer or men, but the recommendations may be relevant to some men because, although rarer than in women, men may get breast cancer and this may run in families. This guideline is an update of advice on familial breast cancer that NICE produced in 2004. The advice on magnetic resonance imaging (MRI) for breast cancer screening has changed, but all the other advice is the same.
]]> Cancer Sun, 01 Oct 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG41fullguidance.pdf Urinary incontinence http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/IFLY2pD4K0g/CG40fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG40fullguideline.pdf This NICE guideline covers the care of women with urinary incontinence. It gives advice on treatments for several types of urinary incontinence and related conditions, including stress incontinence, overactive bladder syndrome, which may involve urge incontinence, stress and urge incontinence occurring together. It does not look at urinary incontinence caused specifically by diseases of the nervous system, urinary incontinence in men or in children, and faecal incontinence. Subject: Incontinence
Publisher: NICE

This NICE guideline covers the care of women with urinary incontinence. It gives advice on treatments for several types of urinary incontinence and related conditions, including stress incontinence, overactive bladder syndrome, which may involve urge incontinence, stress and urge incontinence occurring together. It does not look at urinary incontinence caused specifically by diseases of the nervous system, urinary incontinence in men or in children, and faecal incontinence.
]]> Incontinence Sun, 01 Oct 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG40fullguideline.pdf EFNS guidelines on management of narcolepsy. http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/3cAgZkK36sc/summary.aspx http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10469&nbr=5492 EFNS guidelines on management of narcolepsy. Subject: Narcolepsy
Publisher: National Guideline Clearing House

EFNS guidelines on management of narcolepsy.
]]> Narcolepsy Sun, 01 Oct 2006 00:00:00 GMT http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=10469&nbr=5492 Anaemia management in chronic kidney disease http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/KAB0Cl1PW0A/Anaemia_Management_full_guideline.pdf http://www.nice.org.uk/nicemedia/pdf/Anaemia_Management_full_guideline.pdf The NICE clinical guideline on treating anaemia in people with chronic kidney disease covers: • detecting and diagnosing anaemia of chronic kidney disease managing anaemia of chronic kidney disease, and other health problems or treatments that may affect it. It does not specifically look at: • anaemia in people with chronic kidney disease, where the anaemia may be caused by other problems. Subject: Chronic Kidney Disease
Publisher: NICE

The NICE clinical guideline on treating anaemia in people with chronic kidney disease covers: • detecting and diagnosing anaemia of chronic kidney disease managing anaemia of chronic kidney disease, and other health problems or treatments that may affect it. It does not specifically look at: • anaemia in people with chronic kidney disease, where the anaemia may be caused by other problems.
]]> Chronic Kidney Disease Fri, 01 Sep 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/Anaemia_Management_full_guideline.pdf Psoriasis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/9BEz97ScGCc/psoriasis_guideline_(Final_update)_280906.pdf http://www.bad.org.uk/healthcare/guidelines/psoriasis_guideline_(Final_update)_280906.pdf This guidance for the management of patients with psoriasis is based on a document first produced as a multi-author BAD document in 1996. Since this time the BAD has been developing full evidence based guidelines in many areas that overlap with psoriasis. In addition to azathioprine and biologicals, full guidelines are being prepared for PUVA, acitretin, ciclosporin and methotrexate therapy. In the interim, it was felt sensible to update the existing document so this can still be useful without being out of date or misleading. Subject: Psoriasis
Publisher: Psoriasis guidelines 2006

This guidance for the management of patients with psoriasis is based on a document first produced as a multi-author BAD document in 1996. Since this time the BAD has been developing full evidence based guidelines in many areas that overlap with psoriasis. In addition to azathioprine and biologicals, full guidelines are being prepared for PUVA, acitretin, ciclosporin and methotrexate therapy. In the interim, it was felt sensible to update the existing document so this can still be useful without being out of date or misleading.
]]> Psoriasis Fri, 01 Sep 2006 00:00:00 GMT http://www.bad.org.uk/healthcare/guidelines/psoriasis_guideline_(Final_update)_280906.pdf Neuromuscular Stimulation in the Treatment of Muscle Atrophy http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/KbBQYqt-JNo/neuromuscular_stim.html http://www.healthlink.com/provider/medpolicy/policies/guidelines/DME/neuromuscular_stim.html This guideline addresses neuromuscular stimulation (also known as neuromuscular electrical stimulation or NMES) used in the treatment of disuse atrophy when the nerve supply to the muscle is intact. Subject: Muscle Atrophy
Publisher: Healthlink

This guideline addresses neuromuscular stimulation (also known as neuromuscular electrical stimulation or NMES) used in the treatment of disuse atrophy when the nerve supply to the muscle is intact.
]]> Muscle Atrophy Fri, 01 Sep 2006 00:00:00 GMT http://www.healthlink.com/provider/medpolicy/policies/guidelines/DME/neuromuscular_stim.html Clinical Guidelines for the Management of Disorders of Sex Development in Childhood http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/8qWjQkTg_9k/clinical.pdf http://www.dsdguidelines.org/files/clinical.pdf The purpose of these guidelines is to assist health care professionals in the provision of diagnosis, treatment, education, and support to children born with disorders of sex development (DSDs) and to their families. While debates about the best way to care for patients with DSDs continue,1-7 this handbook offers individuals and institutions a model aimed at minimizing the potential for harm to patients and their families. It is therefore also designed to reduce the potential for liability and to improve patient follow-up. Subject: Sex Development
Publisher: Consortium On The Management of Disorders of Sex Development

The purpose of these guidelines is to assist health care professionals in the provision of diagnosis, treatment, education, and support to children born with disorders of sex development (DSDs) and to their families. While debates about the best way to care for patients with DSDs continue,1-7 this handbook offers individuals and institutions a model aimed at minimizing the potential for harm to patients and their families. It is therefore also designed to reduce the potential for liability and to improve patient follow-up.
]]> Sex Development Tue, 01 Aug 2006 00:00:00 GMT http://www.dsdguidelines.org/files/clinical.pdf Bipolar disorder http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/OAkhczAWW3I/CG38fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG38fullguideline.pdf The NICE clinical guideline on bipolar disorder covers: • what treatment people with bipolar disorder can expect to be offered, including medication and psychological therapies • advice on self-help • the services that may help people with bipolar disorder, including psychiatric or specialist mental health services • how families and carers may be able to support people with bipolar disorder, and get support for themselves. This guidance has replaced TA66 Bipolar disorder - new drugs Subject: Bipolar Disorder
Publisher: NICE

The NICE clinical guideline on bipolar disorder covers: • what treatment people with bipolar disorder can expect to be offered, including medication and psychological therapies • advice on self-help • the services that may help people with bipolar disorder, including psychiatric or specialist mental health services • how families and carers may be able to support people with bipolar disorder, and get support for themselves. This guidance has replaced TA66 Bipolar disorder - new drugs
]]> Bipolar Disorder Sat, 01 Jul 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG38fullguideline.pdf Postnatal care http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/iau_Rj3LMUg/CG037fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG037fullguideline.pdf The NICE clinical guideline on postnatal care covers the core care that every healthy woman and healthy baby should be offered during the first 6-8 weeks after the birth. Although for most women and babies the postnatal period is uncomplicated, care during this period needs to address any deviation from expected recovery after birth. This guideline gives advice on when additional care may be needed. Subject: Fertility / Pregnancy
Publisher: NICE

The NICE clinical guideline on postnatal care covers the core care that every healthy woman and healthy baby should be offered during the first 6-8 weeks after the birth. Although for most women and babies the postnatal period is uncomplicated, care during this period needs to address any deviation from expected recovery after birth. This guideline gives advice on when additional care may be needed.
]]> Fertility / Pregnancy Sat, 01 Jul 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG037fullguideline.pdf Obstetrical Providers http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/u9bMloY8fks/obguide_06.pdf http://www.rmf.harvard.edu/files/documents/obguide_06.pdf The crico/rmf Clinical Guidelines for Obstetrical Providers are intended to provide guidance for clinicians and to support the safest maternal and fetal outcomes for patients receiving care in CRICO-insured medical institutions.1 The recommendations for practice included in this document were arrived at through careful consideration of the available evidence and should be considered as thoughtful, expert advice. These Guidelines offer a framework for provision of obstetrical care, rather than an inflexible set of mandates. Clinicians involved in obstetrical care must use their professional knowledge and judgment when applying the recommendations to the management of individual patients. These Guidelines are subject to revision at regular intervals as changes in clinical practice evolve. Subject: Fertility / Pregnancy
Publisher: CRICO/RMF

The crico/rmf Clinical Guidelines for Obstetrical Providers are intended to provide guidance for clinicians and to support the safest maternal and fetal outcomes for patients receiving care in CRICO-insured medical institutions.1 The recommendations for practice included in this document were arrived at through careful consideration of the available evidence and should be considered as thoughtful, expert advice. These Guidelines offer a framework for provision of obstetrical care, rather than an inflexible set of mandates. Clinicians involved in obstetrical care must use their professional knowledge and judgment when applying the recommendations to the management of individual patients. These Guidelines are subject to revision at regular intervals as changes in clinical practice evolve.
]]> Fertility / Pregnancy Sat, 01 Jul 2006 00:00:00 GMT http://www.rmf.harvard.edu/files/documents/obguide_06.pdf Atrial fibrillation http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/8-2s4DQYCgQ/cg036fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg036fullguideline.pdf The NICE clinical guideline on atrial fibrillation covers: the tests that should be used to diagnose atrial fibrillation (AF) the treatment people can expect to be offered depending on the type of AF -they have, including AF that: • comes on suddenly (acute-onset AF) • lasts longer than a week or doesn’t stop without treatment (persistent AF) • is more longstanding (permanent AF) • comes and goes (paroxysmal AF) the treatment people can expect if they have AF then have a stroke. It doesn’t specifically look at the treatment of AF for people who are under 18 years of age, or whose AF is caused by heart disease that they were born with. Subject: Atrial Fibrillation
Publisher: NICE

The NICE clinical guideline on atrial fibrillation covers: the tests that should be used to diagnose atrial fibrillation (AF) the treatment people can expect to be offered depending on the type of AF -they have, including AF that: • comes on suddenly (acute-onset AF) • lasts longer than a week or doesn’t stop without treatment (persistent AF) • is more longstanding (permanent AF) • comes and goes (paroxysmal AF) the treatment people can expect if they have AF then have a stroke. It doesn’t specifically look at the treatment of AF for people who are under 18 years of age, or whose AF is caused by heart disease that they were born with.
]]> Atrial Fibrillation Thu, 01 Jun 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg036fullguideline.pdf Clinical HIV/AIDS Care Guidelines for Resource-poor Settings http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/9L_FzRugz0A/MSF%20Guidelines%202006%2030%20June%20MSF.pdf http://telemedicine.itg.be/telemedicine/Uploads/MSF%20Guidelines%202006%2030%20June%20MSF.pdf More than 40 million people are HIV-positive and will develop AIDS in the next decade. 90 % of those people are living in resource-poor countries. In some settings in Africa and Asia where MSF is working, AIDS is a public health problem of prime importance. It affects profoundly the functioning of health structures and the social and economic organisation of communities. Subject: HIV/AIDS
Publisher: Telemedicine

More than 40 million people are HIV-positive and will develop AIDS in the next decade. 90 % of those people are living in resource-poor countries. In some settings in Africa and Asia where MSF is working, AIDS is a public health problem of prime importance. It affects profoundly the functioning of health structures and the social and economic organisation of communities.
]]> HIV/AIDS Sat, 01 Apr 2006 00:00:00 GMT http://telemedicine.itg.be/telemedicine/Uploads/MSF%20Guidelines%202006%2030%20June%20MSF.pdf Tuberculosis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/k79UioXtBzM/CG033FullGuideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG033FullGuideline.pdf The NICE tuberculosis clinical guideline covers: • diagnosing and treating active and latent TB in adults and children • preventing the spread of TB, for example by offering tests to people at high risk, and by vaccination. The guideline does not explain TB or its treatments in detail. The printed version of the quick reference guide has an error on page 21. BCG vaccination for a neonate should be offered if there is a family history of TB in the past 5 years (and not 6 years, as specified in the printed quick reference guide). The version on the website has been corrected. Subject: Tuberculosis
Publisher: NICE

The NICE tuberculosis clinical guideline covers: • diagnosing and treating active and latent TB in adults and children • preventing the spread of TB, for example by offering tests to people at high risk, and by vaccination. The guideline does not explain TB or its treatments in detail. The printed version of the quick reference guide has an error on page 21. BCG vaccination for a neonate should be offered if there is a family history of TB in the past 5 years (and not 6 years, as specified in the printed quick reference guide). The version on the website has been corrected.
]]> Tuberculosis Wed, 01 Mar 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG033FullGuideline.pdf Chronic kidney disease in adults:UK guidelines for identification, management and referral http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/wsYz_07qh88/CKDprintedfullguide.pdf http://www.renal.org/CKDguide/full/CKDprintedfullguide.pdf Established renal failure (ERF) is relatively rare, but treatment with dialysis or transplantation is very expensive. The number of patients receiving renal replacement therapy (RRT) in the UK is rising rapidly and is unlikely to reach steady state for another 25 years,1 costing over 2% of the total NHS budget. These figures make any improvement in the cost-effective treatment of early kidney disease highly desirable. Subject: Chronic Kidney Disease
Publisher: UK CKD

Established renal failure (ERF) is relatively rare, but treatment with dialysis or transplantation is very expensive. The number of patients receiving renal replacement therapy (RRT) in the UK is rising rapidly and is unlikely to reach steady state for another 25 years,1 costing over 2% of the total NHS budget. These figures make any improvement in the cost-effective treatment of early kidney disease highly desirable.
]]> Chronic Kidney Disease Wed, 01 Mar 2006 00:00:00 GMT http://www.renal.org/CKDguide/full/CKDprintedfullguide.pdf Urinary Incontinence http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Dqtzcv4V6RE/16%20Urinary%20Incontinence.pdf http://www.uroweb.org/fileadmin/user_upload/Guidelines/16%20Urinary%20Incontinence.pdf The condition of urinary incontinence is far more prevalent in women than men with a significant progress in incidence with the increase of age. Subject: Incontinence
Publisher: European Association of Urology

The condition of urinary incontinence is far more prevalent in women than men with a significant progress in incidence with the increase of age.
]]> Incontinence Wed, 01 Mar 2006 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/16%20Urinary%20Incontinence.pdf Nutrition support in adults http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/zoIeuE2jqlc/cg032fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg032fullguideline.pdf The NICE clinical guideline on nutrition support in adults covers the care of patients with malnutrition or at risk of malnutrition, whether they are in hospital or at home. It doesn't cover malnutrition or its treatments in detail. Subject: Nutrition support
Publisher: NICE

The NICE clinical guideline on nutrition support in adults covers the care of patients with malnutrition or at risk of malnutrition, whether they are in hospital or at home. It doesn't cover malnutrition or its treatments in detail.
]]> Nutrition support Wed, 01 Feb 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg032fullguideline.pdf Management of atopic eczema http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/YPG49LeiZ_o/PCDSBAD-Eczema.pdf http://www.bad.org.uk/healthcare/guidelines/PCDSBAD-Eczema.pdf Atopic eczema is likely if the following criteria are fulfilled (although other conditions may need to be excluded): ¯ must have an itchy skin condition plus three or more of the following:• past involvement of the skin creases, such as the bends of the elbows or behind the knees •personal or immediate family history of asthma or hay fever •tendency towards a generally dry skin •flexural eczema (visible or from history) •onset under the age of 2 years Subject: Eczema
Publisher: SKIN

Atopic eczema is likely if the following criteria are fulfilled (although other conditions may need to be excluded): ¯ must have an itchy skin condition plus three or more of the following:• past involvement of the skin creases, such as the bends of the elbows or behind the knees •personal or immediate family history of asthma or hay fever •tendency towards a generally dry skin •flexural eczema (visible or from history) •onset under the age of 2 years
]]> Eczema Wed, 01 Feb 2006 00:00:00 GMT http://www.bad.org.uk/healthcare/guidelines/PCDSBAD-Eczema.pdf Obsessive-compulsive disorder http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/MdZA6PcJK_I/cg031fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg031fullguideline.pdf The NICE clinical guideline on obsessive-compulsive disorder (OCD) and body dismorphic disorder (BDD) covers: • the care people with OCD or BDD can expect to receive from their GP or other healthcare professional • what treatments may be offered, including psychological therapies and medication • the services that may help with OCD or BDD, including specialist mental health services • how families and carers may be able to support people with OCD and BDD, and how they can get support for themselves Subject: Obsessive-compulsive disorder
Publisher: NICE

The NICE clinical guideline on obsessive-compulsive disorder (OCD) and body dismorphic disorder (BDD) covers: • the care people with OCD or BDD can expect to receive from their GP or other healthcare professional • what treatments may be offered, including psychological therapies and medication • the services that may help with OCD or BDD, including specialist mental health services • how families and carers may be able to support people with OCD and BDD, and how they can get support for themselves
]]> Obsessive-compulsive disorder Sun, 01 Jan 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg031fullguideline.pdf Schizophrenia http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/z2fRu966HBI/cg001fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg001fullguideline.pdf The NICE clinical guideline on schizophrenia covers psychological treatments, treatment with medicines, and how best to organise mental health services in order to help people with schizophrenia. The guideline concentrates on services for adults of working age with schizophrenia. It doesn’t look at schizophrenia in childhood or schizophrenia that starts in later life (starting over 60 years of age).And it doesn’t look at the special problems of people with schizophrenia who also have learning difficulties, or hearing or sight problems, or at the additional problems of people with schizophrenia who also have problems with alcohol or drug misuse, or who are homeless. Subject: Schizophrenia
Publisher: NICE

The NICE clinical guideline on schizophrenia covers psychological treatments, treatment with medicines, and how best to organise mental health services in order to help people with schizophrenia. The guideline concentrates on services for adults of working age with schizophrenia. It doesn’t look at schizophrenia in childhood or schizophrenia that starts in later life (starting over 60 years of age).And it doesn’t look at the special problems of people with schizophrenia who also have learning difficulties, or hearing or sight problems, or at the additional problems of people with schizophrenia who also have problems with alcohol or drug misuse, or who are homeless.
]]> Schizophrenia Sun, 01 Jan 2006 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg001fullguideline.pdf Warts: centre for disease control and prevention http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/MyXw2OS9-vI/genital-warts.htm http://www.cdc.gov/STD/treatment/2006/genital-warts.htm Genital warts are usually flat, papular, or pedunculated growths on the genital mucosa. Diagnosis of genital warts is made by visual inspection and may be confirmed by biopsy, although biopsy is needed only under certain circumstances (e.g., if the diagnosis is uncertain; the lesions do not respond to standard therapy; the disease worsens during therapy; the patient is immunocompromised; or warts are pigmented, indurated, fixed, bleeding, or ulcerated). No data support the use of HPV nucleic acid tests in the routine diagnosis or management of visible genital warts. Subject: Warts
Publisher: treatment guidelines 2006

Genital warts are usually flat, papular, or pedunculated growths on the genital mucosa. Diagnosis of genital warts is made by visual inspection and may be confirmed by biopsy, although biopsy is needed only under certain circumstances (e.g., if the diagnosis is uncertain; the lesions do not respond to standard therapy; the disease worsens during therapy; the patient is immunocompromised; or warts are pigmented, indurated, fixed, bleeding, or ulcerated). No data support the use of HPV nucleic acid tests in the routine diagnosis or management of visible genital warts.
]]> Warts Sun, 01 Jan 2006 00:00:00 GMT http://www.cdc.gov/STD/treatment/2006/genital-warts.htm endometriosis management guidelines http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/XrOSJKiiqy8/EndometriosisManagementGuidelines http://www.thewomens.org.au/EndometriosisManagementGuidelines Endometriosis is a common gynaecological condition in about 10% of women and its pathogenesis is unknown. The most popular theory is that after retrograde menstruation the endometrial tissue sticks to and infiltrates the peritoneum and pelvic organs. Subject: Endometriosis
Publisher: The Royal Women's Hospital

Endometriosis is a common gynaecological condition in about 10% of women and its pathogenesis is unknown. The most popular theory is that after retrograde menstruation the endometrial tissue sticks to and infiltrates the peritoneum and pelvic organs.
]]> Endometriosis Sun, 01 Jan 2006 00:00:00 GMT http://www.thewomens.org.au/EndometriosisManagementGuidelines Guidelines for the Treatment of Malaria http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/ukZ8iA0XqMI/TreatmentGuidelines2006.pdf http://www.who.int/malaria/docs/TreatmentGuidelines2006.pdf Malaria is an important cause of death and illness in children and adults in tropical countries. Mortality, currently estimated at over a million people per year, has risen in recent years, probably due to increasing exsistance to antimalarial medicines. Malaria control requires an integrated approach comprising prevention including vector control and treatment with effective antimalarials. The affordable and widely available ntimalarial chloroquine that was in the past a mainstay of malaria control is now ineffective in most falciparum malaria endemic areas, and resistance to sulfadoxine¯pyrimethamine is increasing rapidly. Subject: Malaria
Publisher: WHO

Malaria is an important cause of death and illness in children and adults in tropical countries. Mortality, currently estimated at over a million people per year, has risen in recent years, probably due to increasing exsistance to antimalarial medicines. Malaria control requires an integrated approach comprising prevention including vector control and treatment with effective antimalarials. The affordable and widely available ntimalarial chloroquine that was in the past a mainstay of malaria control is now ineffective in most falciparum malaria endemic areas, and resistance to sulfadoxine¯pyrimethamine is increasing rapidly.
]]> Malaria Sun, 01 Jan 2006 00:00:00 GMT http://www.who.int/malaria/docs/TreatmentGuidelines2006.pdf UK Guidelines for the Use of Thyroid Function Tests http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/LuQRLmla8lw/TFT_guideline_final_version_July_2006.pdf http://www.british-thyroid-association.org/TFT_guideline_final_version_July_2006.pdf It is hoped that the document will provide guidance for primary care physicians, specialist physicians, endocrinologists, and clinical biochemists. The accompanying patient information sets have been especially designed to explain thyroid function testing and to summarise the main recommendations in the guidelines in everyday language. The purpose of the guidelines is to encourage a greater understanding of thyroid function testing amongst all stakeholders with a view to the widespread adoption of harmonised good practice in the diagnosis and management of patients with thyroid disorders. The guidelines are also intended to provide a basis for local and national audit and each section offers recommendations that are suitable for the audit process. Subject: Thyroid Function Tests
Publisher: British Thyriod Foundation

It is hoped that the document will provide guidance for primary care physicians, specialist physicians, endocrinologists, and clinical biochemists. The accompanying patient information sets have been especially designed to explain thyroid function testing and to summarise the main recommendations in the guidelines in everyday language. The purpose of the guidelines is to encourage a greater understanding of thyroid function testing amongst all stakeholders with a view to the widespread adoption of harmonised good practice in the diagnosis and management of patients with thyroid disorders. The guidelines are also intended to provide a basis for local and national audit and each section offers recommendations that are suitable for the audit process.
]]> Thyroid Function Tests Sun, 01 Jan 2006 00:00:00 GMT http://www.british-thyroid-association.org/TFT_guideline_final_version_July_2006.pdf Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/cxH2fvKz7Rk/577 http://stroke.ahajournals.org/cgi/content/full/37/2/577 The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on the prevention of ischemic stroke among survivors of ischemic stroke or transient ischemic attack. Subject: Heart Conditions
Publisher: American Heart association

The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on the prevention of ischemic stroke among survivors of ischemic stroke or transient ischemic attack.
]]> Heart Conditions Sun, 01 Jan 2006 00:00:00 GMT http://stroke.ahajournals.org/cgi/content/full/37/2/577 AHA/ACC Guidelines for Secondary Prevention for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2006 Update http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/2NyMDdn3Luk/2363 http://circ.ahajournals.org/cgi/content/full/113/19/2363 Since the 2001 update of the American Heart Association (AHA)/American College of Cardiology (ACC) consensus statement on secondary prevention,1 important evidence from clinical trials has emerged that further supports and broadens the merits of aggressive risk-reduction therapies for patients with established coronary and other atherosclerotic vascular disease, including peripheral arterial disease, atherosclerotic aortic disease, and carotid artery disease. Subject: Heart Conditions
Publisher: American heart association

Since the 2001 update of the American Heart Association (AHA)/American College of Cardiology (ACC) consensus statement on secondary prevention,1 important evidence from clinical trials has emerged that further supports and broadens the merits of aggressive risk-reduction therapies for patients with established coronary and other atherosclerotic vascular disease, including peripheral arterial disease, atherosclerotic aortic disease, and carotid artery disease.
]]> Heart Conditions Sun, 01 Jan 2006 00:00:00 GMT http://circ.ahajournals.org/cgi/content/full/113/19/2363 Long-acting reversible contraception http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/JKrj_Vs6gSo/CG030fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG030fullguideline.pdf The NICE clinical guideline on long-acting reversible contraception (LARC) offers the best-practice advice for all women of reproductive age who may wish to regulate their fertility by using LARC methods. It covers specific issues for the use of these methods during the menarche and before the menopause, and by particular groups, including women who have HIV, learning disabilities or physical disabilities, or are younger than 16 years Subject: Women's Health
Publisher: NICE

The NICE clinical guideline on long-acting reversible contraception (LARC) offers the best-practice advice for all women of reproductive age who may wish to regulate their fertility by using LARC methods. It covers specific issues for the use of these methods during the menarche and before the menopause, and by particular groups, including women who have HIV, learning disabilities or physical disabilities, or are younger than 16 years
]]> Women's Health Sat, 01 Oct 2005 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG030fullguideline.pdf Depression in children and young people http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/bKvelZsfb4k/cg028fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg028fullguideline.pdf The NICE clinical guideline on depression in children and young people covers: • the care children and young people with depression can expect to get from their doctor, nurse or counsellor • the information they can expect to be given • what they can expect from treatment • the kinds of services that can help young people and children with depression, including your family doctor (general practitioner or GP), health staff at your school, and specialists in clinics or hospitals Subject: Depression
Publisher: NICE

The NICE clinical guideline on depression in children and young people covers: • the care children and young people with depression can expect to get from their doctor, nurse or counsellor • the information they can expect to be given • what they can expect from treatment • the kinds of services that can help young people and children with depression, including your family doctor (general practitioner or GP), health staff at your school, and specialists in clinics or hospitals
]]> Depression Thu, 01 Sep 2005 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg028fullguideline.pdf Pressure ulcer management http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/5og5I06xvBM/CG029fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG029fullguideline.pdf This guideline makes evidence-based recommendations on the management of pressure ulcers in primary and secondary care. The quick reference guide for healthcare professionals and the information for patients, carers and the public cover both the recommendations on pressure ulcer treatment from the full guideline on pressure ulcer management and the recommendations on pressure ulcer prevention from NICE Clinical Guideline 7. Subject: Pressure ulcer management
Publisher: NICE

This guideline makes evidence-based recommendations on the management of pressure ulcers in primary and secondary care. The quick reference guide for healthcare professionals and the information for patients, carers and the public cover both the recommendations on pressure ulcer treatment from the full guideline on pressure ulcer management and the recommendations on pressure ulcer prevention from NICE Clinical Guideline 7.
]]> Pressure ulcer management Thu, 01 Sep 2005 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG029fullguideline.pdf Guidelines for the management of iron deficiency anaemia http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/896jOiKyCpc/iron_def.pdf http://www.bsg.org.uk/pdf_word_docs/iron_def.pdf Iron deficiency anaemia (IDA) has a prevalence of 2¯5% among adult men and post-menopausal women in the developed world and is a common cause of referral to gastroenterologists (4¯13% of referrals). While menstrual blood loss is the commonest cause of IDA in pre-menopausal women, blood loss from the gastrointestinal (GI) tract is the commonest cause in adult men and post-menopausal women. Subject: Anaemia
Publisher: British Society of Gastroenterology

Iron deficiency anaemia (IDA) has a prevalence of 2¯5% among adult men and post-menopausal women in the developed world and is a common cause of referral to gastroenterologists (4¯13% of referrals). While menstrual blood loss is the commonest cause of IDA in pre-menopausal women, blood loss from the gastrointestinal (GI) tract is the commonest cause in adult men and post-menopausal women.
]]> Anaemia Fri, 01 Jul 2005 00:00:00 GMT http://www.bsg.org.uk/pdf_word_docs/iron_def.pdf Hypertension http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/xbO9CtMf9rE/HypertensionGuide.pdf http://www.nice.org.uk/nicemedia/pdf/HypertensionGuide.pdf The NICE clinical guideline on hypertension covers: • how doctors should find out whether someone has high blood pressure • how doctors should assess someone's risk of developing problems with their heart or blood vessels, such as a heart attack or stroke (also called 'cardiovascular disease') • how lifestyle factors such as smoking, diet and exercise can affect blood pressure • the use of medicines to lower blood pressure • how high blood pressure should be monitored These recommendations apply to primary care, that is, treatment by a GP or practice nurse. They do not apply to hospital care. This guideline does not look at screening for hypertension (routine checking of blood pressure in healthy people to detect early disease), hypertension during pregnancy or the specialist management of secondary hypertension (where the high blood pressure is happening because of another medical problem). This guideline is an update of advice on high blood pressure that NICE produced in 2004. The advice on medicines for high blood pressure has changed, but all the other advice is the same. Subject: Hypertension
Publisher: NICE

The NICE clinical guideline on hypertension covers: • how doctors should find out whether someone has high blood pressure • how doctors should assess someone's risk of developing problems with their heart or blood vessels, such as a heart attack or stroke (also called 'cardiovascular disease') • how lifestyle factors such as smoking, diet and exercise can affect blood pressure • the use of medicines to lower blood pressure • how high blood pressure should be monitored These recommendations apply to primary care, that is, treatment by a GP or practice nurse. They do not apply to hospital care. This guideline does not look at screening for hypertension (routine checking of blood pressure in healthy people to detect early disease), hypertension during pregnancy or the specialist management of secondary hypertension (where the high blood pressure is happening because of another medical problem). This guideline is an update of advice on high blood pressure that NICE produced in 2004. The advice on medicines for high blood pressure has changed, but all the other advice is the same.
]]> Hypertension Wed, 01 Jun 2005 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/HypertensionGuide.pdf Referral for suspected cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/spLorRhVLcs/cg027niceguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg027niceguideline.pdf The NICE clinical guideline on referral for suspected cancer will help general practitioners (GPs) make decisions about when to refer people to specialists when they present with symptoms that could be caused by cancer. This guideline is not about treating cancer. Subject: Cancer
Publisher: NICE

The NICE clinical guideline on referral for suspected cancer will help general practitioners (GPs) make decisions about when to refer people to specialists when they present with symptoms that could be caused by cancer. This guideline is not about treating cancer.
]]> Cancer Wed, 01 Jun 2005 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg027niceguideline.pdf Hypertension guidelines. http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/_3sE-8s1-Ss/summary.aspx http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=9531&nbr=5081 Hypertension guidelines. Subject: Hypertension
Publisher: National Guideline clearing house

Hypertension guidelines.
]]> Hypertension Wed, 01 Jun 2005 00:00:00 GMT http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=9531&nbr=5081 ADHD Clinical Practice Guidelines http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/ZSqpLSoy86Y/detail.cfm http://www.dbpeds.org/articles/detail.cfm?TextID=21 The guidelines represent the work of a select group of individuals chosen by the Committee on Quality Improvement of the American Academy of Pediatrics and consisting of representatives from the fields of neurology, psychology, child psychiatry, development, education, family practice and epidemiology, and included both academic and practicing pediatricians. Subject: ADHD
Publisher: American Academy of Pediatrics

The guidelines represent the work of a select group of individuals chosen by the Committee on Quality Improvement of the American Academy of Pediatrics and consisting of representatives from the fields of neurology, psychology, child psychiatry, development, education, family practice and epidemiology, and included both academic and practicing pediatricians.
]]> ADHD Sun, 01 May 2005 00:00:00 GMT http://www.dbpeds.org/articles/detail.cfm?TextID=21 Post-traumatic stress disorder (PTSD) http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/bjXz59FA5VE/CG026NICEguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG026NICEguideline.pdf The NICE clinical guideline on post-traumatic stress disorder (PTSD) covers: • the care people with PTSD can expect to receive from their GP or other healthcare professional • the information they can expect to receive about their condition and its treatment • what treatment they can expect, which may include psychological therapies and drug treatment • the services that may help them with PTSD, including specialist mental health services Subject: Post-traumatic stress disorder (PTSD)
Publisher: NICE

The NICE clinical guideline on post-traumatic stress disorder (PTSD) covers: • the care people with PTSD can expect to receive from their GP or other healthcare professional • the information they can expect to receive about their condition and its treatment • what treatment they can expect, which may include psychological therapies and drug treatment • the services that may help them with PTSD, including specialist mental health services
]]> Post-traumatic stress disorder (PTSD) Tue, 01 Mar 2005 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG026NICEguideline.pdf Lung cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Apf1-OmXyNM/cg024fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg024fullguideline.pdf The NICE lung cancer clinical guideline covers the full range of care that should be available from the NHS to adults who have lung cancer, or whose doctors think they may have lung cancer. They include how the diagnosis should be made and the treatments that should be offered at different times. The guideline does not look at: • mesothelioma (a type of cancer affecting the lining of the lung) • cancer that starts in a different part of the body and then spreads to the lungs • children This guidance replaces and incorporates TA26 Lung cancer - docetaxel, paclitaxel, gemcitabine and vinorelbine. Subject: Cancer
Publisher: NICE

The NICE lung cancer clinical guideline covers the full range of care that should be available from the NHS to adults who have lung cancer, or whose doctors think they may have lung cancer. They include how the diagnosis should be made and the treatments that should be offered at different times. The guideline does not look at: • mesothelioma (a type of cancer affecting the lining of the lung) • cancer that starts in a different part of the body and then spreads to the lungs • children This guidance replaces and incorporates TA26 Lung cancer - docetaxel, paclitaxel, gemcitabine and vinorelbine.
]]> Cancer Tue, 01 Feb 2005 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg024fullguideline.pdf Violence http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/ZK_8inx4zMQ/cg025fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg025fullguideline.pdf The NICE clinical guideline on managing disturbed/violent behaviour covers how people in the NHS should try to prevent violent situations from happening, and what they should do if someone becomes violent. Subject: Violent Behaviour
Publisher: NICE

The NICE clinical guideline on managing disturbed/violent behaviour covers how people in the NHS should try to prevent violent situations from happening, and what they should do if someone becomes violent.
]]> Violent Behaviour Tue, 01 Feb 2005 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg025fullguideline.pdf Anti-TNF-{alpha} therapy in psoriatic arthritis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/9aC0ngDFhW4/ http://rheumatology.oxfordjournals.org/cgi/content/full/44/3/390/ Psoriatic arthritis (PsA) is a chronic inflammatory arthropathy with a prevalence between 0.1 and 1% and an equal sex distribution [1]. Psoriasis affects 1¯3% of the population, with approximately a third of patients developing PsA [2]. The course of PsA is variable and unpredictable ranging from a mild non-destructive disease to a severe debilitating erosive arthropathy. Erosive and deforming arthritis occurs in 40¯60% of PsA patients (followed at hospital clinics), and is progressive from within the first year of diagnosis Subject: Arthritis
Publisher: Oxford journals

Psoriatic arthritis (PsA) is a chronic inflammatory arthropathy with a prevalence between 0.1 and 1% and an equal sex distribution [1]. Psoriasis affects 1¯3% of the population, with approximately a third of patients developing PsA [2]. The course of PsA is variable and unpredictable ranging from a mild non-destructive disease to a severe debilitating erosive arthropathy. Erosive and deforming arthritis occurs in 40¯60% of PsA patients (followed at hospital clinics), and is progressive from within the first year of diagnosis
]]> Arthritis Tue, 01 Feb 2005 00:00:00 GMT http://rheumatology.oxfordjournals.org/cgi/content/full/44/3/390/ BSR guidelines on standards of care for persons with rheumatoid arthritis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/YPtKcuuf8VQ/ http://rheumatology.oxfordjournals.org/cgi/content/full/44/4/553/ The aim is to develop nationally accepted measures for the delivery of care for persons with rheumatoid arthritis. These should usually be recorded as part of the normal clinical care of the patient. Specific situations in which patients may require closer than average monitoring are also discussed. The aim is to obtain the best quality of care within the resources available. The need for multidisciplinary team care is also addressed. Subject: Arthritis
Publisher: Oxford Journals

The aim is to develop nationally accepted measures for the delivery of care for persons with rheumatoid arthritis. These should usually be recorded as part of the normal clinical care of the patient. Specific situations in which patients may require closer than average monitoring are also discussed. The aim is to obtain the best quality of care within the resources available. The need for multidisciplinary team care is also addressed.
]]> Arthritis Tue, 01 Feb 2005 00:00:00 GMT http://rheumatology.oxfordjournals.org/cgi/content/full/44/4/553/ BHIVA treatment guidelines for TB/HIV infection http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/iQ-XCy_yT9Y/file1001577.pdf http://www.bhiva.org/files/file1001577.pdf These guidelines have been drawn up to help physicians manage adults with HIV/TB co-infection. We recommend that co-infected patients are managed by a multi-disciplinary team which includes physicians who have expertise in the treatment of both tuberculosis and HIV Subject: HIV/AIDS
Publisher: BHIVA

These guidelines have been drawn up to help physicians manage adults with HIV/TB co-infection. We recommend that co-infected patients are managed by a multi-disciplinary team which includes physicians who have expertise in the treatment of both tuberculosis and HIV
]]> HIV/AIDS Tue, 01 Feb 2005 00:00:00 GMT http://www.bhiva.org/files/file1001577.pdf Breast cancer screening assessment http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/B3JvsN-Byq0/nhsbsp49se.pdf http://www.cancerscreening.nhs.uk/breastscreen/publications/nhsbsp49se.pdf The aim of assessment is to obtain a definitive diagnosis of all potential screen-detected abnormalities in a timely way. Women with no significant breast problems should be reassured as quickly as possible, and women with cancer should be diagnosed without delay. This is best achieved by the ‘triple approach’ using, where indicated, imaging (usually mammography and ultrasound), clinical examination and needle sampling for cytology or histology. Subject: Cancer
Publisher: NHS

The aim of assessment is to obtain a definitive diagnosis of all potential screen-detected abnormalities in a timely way. Women with no significant breast problems should be reassured as quickly as possible, and women with cancer should be diagnosed without delay. This is best achieved by the ‘triple approach’ using, where indicated, imaging (usually mammography and ultrasound), clinical examination and needle sampling for cytology or histology.
]]> Cancer Sat, 01 Jan 2005 00:00:00 GMT http://www.cancerscreening.nhs.uk/breastscreen/publications/nhsbsp49se.pdf Depression http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/wl39D41EzSY/CG23fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG23fullguideline.pdf The NICE clinical guideline on depression covers: • the care people with depression can expect to receive from their GP or other healthcare professionals, whether they receive treatment in or out of hospital • the information they can expect to receive about their problem and its treatment • what they can expect from treatment, including psychological therapies, drug treatment and electroconvulsive therapy • the kind of services that help people with depression, including your GP, specialist mental health services and hospital care The guideline looks at depression in people aged 18 years and older, and covers mild to severe depression. It does not specifically look at: • depression in children • dysthymia • postnatal depression • seasonal affective disorder • people with depression who have a separate physical or mental illness Subject: Depression
Publisher: NICE

The NICE clinical guideline on depression covers: • the care people with depression can expect to receive from their GP or other healthcare professionals, whether they receive treatment in or out of hospital • the information they can expect to receive about their problem and its treatment • what they can expect from treatment, including psychological therapies, drug treatment and electroconvulsive therapy • the kind of services that help people with depression, including your GP, specialist mental health services and hospital care The guideline looks at depression in people aged 18 years and older, and covers mild to severe depression. It does not specifically look at: • depression in children • dysthymia • postnatal depression • seasonal affective disorder • people with depression who have a separate physical or mental illness
]]> Depression Wed, 01 Dec 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG23fullguideline.pdf Falls http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/kfOHu84f35U/CG021fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG021fullguideline.pdf The NICE clinical guideline on falls covers older people who live in the community, either at home, in a retirement complex, or in a residential or nursing home. In this guideline, an older person is defined as someone who is aged 65 or older. The NICE guideline doesn’t cover older people who are bed bound or who are in hospital for reasons other than treatment after a fall. Also, it does not look at the prevention and treatment of osteoporosis, which will be covered in another NICE guideline. Subject: Falls
Publisher: NICE

The NICE clinical guideline on falls covers older people who live in the community, either at home, in a retirement complex, or in a residential or nursing home. In this guideline, an older person is defined as someone who is aged 65 or older. The NICE guideline doesn’t cover older people who are bed bound or who are in hospital for reasons other than treatment after a fall. Also, it does not look at the prevention and treatment of osteoporosis, which will be covered in another NICE guideline.
]]> Falls Mon, 01 Nov 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG021fullguideline.pdf Self-harm http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/sUtx_m4ZqZ4/CG016NICEguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG016NICEguideline.pdf The NICE clinical guideline on self-harm covers: • the care people who harm themselves can expect to receive from healthcare professionals in hospital and out of hospital • the information they can expect to receive • what they can expect from treatment • what kinds of services best help people who harm themselves The guideline does not attempt to explain self-harm or describe the treatment in detail. Subject: Self-harm
Publisher: NICE

The NICE clinical guideline on self-harm covers: • the care people who harm themselves can expect to receive from healthcare professionals in hospital and out of hospital • the information they can expect to receive • what they can expect from treatment • what kinds of services best help people who harm themselves The guideline does not attempt to explain self-harm or describe the treatment in detail.
]]> Self-harm Mon, 01 Nov 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG016NICEguideline.pdf Dental recall http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/2uGyPx7tRwo/cg019niceguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg019niceguideline.pdf The NICE dental recall clinical guideline helps clinicians assign recall intervals between oral health reviews that are appropriate to the needs of individual patients. The recommendations apply to patients of all ages (both dentate and edentulous) receiving primary care from NHS dental staff in England and Wales. The guideline takes into account the potential of the patient and the dental team to improve or maintain the patient’s quality of life and to reduce morbidity associated with oral and dental disease. The recommendations take account of the impact of dental checks on: patients’ well-being, general health and preventive habits; caries incidence and avoiding restorations; periodontal health and avoiding tooth loss; and avoiding pain and anxiety. This guideline does not cover: • recall intervals for scale and polish treatments • the prescription and timing of dental radiographs • intervals between examinations that are not routine dental recalls; that is, intervals between examinations relating to ongoing courses of treatment • emergency dental interventions or intervals between episodes of specialist care Subject: Dental
Publisher: NICE

The NICE dental recall clinical guideline helps clinicians assign recall intervals between oral health reviews that are appropriate to the needs of individual patients. The recommendations apply to patients of all ages (both dentate and edentulous) receiving primary care from NHS dental staff in England and Wales. The guideline takes into account the potential of the patient and the dental team to improve or maintain the patient’s quality of life and to reduce morbidity associated with oral and dental disease. The recommendations take account of the impact of dental checks on: patients’ well-being, general health and preventive habits; caries incidence and avoiding restorations; periodontal health and avoiding tooth loss; and avoiding pain and anxiety. This guideline does not cover: • recall intervals for scale and polish treatments • the prescription and timing of dental radiographs • intervals between examinations that are not routine dental recalls; that is, intervals between examinations relating to ongoing courses of treatment • emergency dental interventions or intervals between episodes of specialist care
]]> Dental Fri, 01 Oct 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg019niceguideline.pdf Epilepsy http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Dfv4WX2h5vQ/CG020fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG020fullguideline.pdf The NICE epilepsy clinical guideline covers the diagnosis, treatment and management of epilepsy in children, young people, adults and older people. The guideline makes recommendations for treatment and care provided by GPs and by specialists. It also makes recommendations about when someone should be referred to a specialist centre (a clinic or unit with particular experience and expertise in investigations or treatment of epilepsy that is difficult to diagnose or treat ¯ sometimes called a tertiary centre). Special considerations concerning the care of women with epilepsy and people with learning disabilities are covered Subject: Epilepsy
Publisher: NICE

The NICE epilepsy clinical guideline covers the diagnosis, treatment and management of epilepsy in children, young people, adults and older people. The guideline makes recommendations for treatment and care provided by GPs and by specialists. It also makes recommendations about when someone should be referred to a specialist centre (a clinic or unit with particular experience and expertise in investigations or treatment of epilepsy that is difficult to diagnose or treat ¯ sometimes called a tertiary centre). Special considerations concerning the care of women with epilepsy and people with learning disabilities are covered
]]> Epilepsy Fri, 01 Oct 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG020fullguideline.pdf Type 1 diabetes http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/l3Lf0nv8D50/CG015_fullguideline_adults_main_section.pdf http://www.nice.org.uk/nicemedia/pdf/CG015_fullguideline_adults_main_section.pdf The NICE clinical guideline on type 1 diabetes covers the NHS care that should be available to adults with type 1 diabetes. It includes recommendations on how the diagnosis should be made and the options that should be offered at different times. The guideline also makes recommendations about the diagnosis of type 1 diabetes in children and young people and about the care that should be available for them. It also covers the transition to adult care. Subject: Diabetes
Publisher: NICE

The NICE clinical guideline on type 1 diabetes covers the NHS care that should be available to adults with type 1 diabetes. It includes recommendations on how the diagnosis should be made and the options that should be offered at different times. The guideline also makes recommendations about the diagnosis of type 1 diabetes in children and young people and about the care that should be available for them. It also covers the transition to adult care.
]]> Diabetes Wed, 01 Sep 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG015_fullguideline_adults_main_section.pdf Dyspepsia http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/RXZX-uc8MZs/CG017fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG017fullguideline.pdf The NICE dyspepsia guideline covers how pharmacists and GPs can help people with dyspepsia to manage their symptoms: the role of lifestyle advice; which treatments to offer; when further diagnostic tests may be appropriate; and how to manage symptoms in the long term. These recommendations apply to primary care, that is, treatment by a GP, pharmacist or practice nurse. They do not apply to hospital care. This guideline does not address rare but serious causes of indigestion that require hospital care. This guidance replaces TA6 Dyspepsia - proton pump inhibitors. Subject: Dyspepsia
Publisher: NICE

The NICE dyspepsia guideline covers how pharmacists and GPs can help people with dyspepsia to manage their symptoms: the role of lifestyle advice; which treatments to offer; when further diagnostic tests may be appropriate; and how to manage symptoms in the long term. These recommendations apply to primary care, that is, treatment by a GP, pharmacist or practice nurse. They do not apply to hospital care. This guideline does not address rare but serious causes of indigestion that require hospital care. This guidance replaces TA6 Dyspepsia - proton pump inhibitors.
]]> Dyspepsia Sun, 01 Aug 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG017fullguideline.pdf Eating disorders http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/6UmAk_WaHRQ/cg009niceguidance.pdf http://www.nice.org.uk/nicemedia/pdf/cg009niceguidance.pdf The NICE eating disorders clinical guideline covers physical and psychological treatments, treatment with medicines, and what kinds of services best help people with eating disorders. The guideline looks at eating disorders for children aged 8 years through to adults. It covers anorexia nervosa, bulimia nervosa, and related eating disorders, in particular, binge eating disorder. It does not look at obesity, or how to diagnose or treat an eating problem that has been caused by another physical or mental disorder. Subject: Eating disorders
Publisher: NICE

The NICE eating disorders clinical guideline covers physical and psychological treatments, treatment with medicines, and what kinds of services best help people with eating disorders. The guideline looks at eating disorders for children aged 8 years through to adults. It covers anorexia nervosa, bulimia nervosa, and related eating disorders, in particular, binge eating disorder. It does not look at obesity, or how to diagnose or treat an eating problem that has been caused by another physical or mental disorder.
]]> Eating disorders Sun, 01 Aug 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg009niceguidance.pdf Management of open angle glaucoma and ocular hypertension http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/MFcuPj3G8Xo/glaucoma2004.pdf http://www.rcophth.ac.uk/docs/publications/published-guidelines/glaucoma2004.pdf Glaucoma causes significant visual disability in the UK, accounting for 15% of registrable blindness. This figure probably underestimates the morbidity since many patients who are eligible for registration do not appear in the statistics. Subject: Hypertension
Publisher: The Royal College of Ophalmologists

Glaucoma causes significant visual disability in the UK, accounting for 15% of registrable blindness. This figure probably underestimates the morbidity since many patients who are eligible for registration do not appear in the statistics.
]]> Hypertension Thu, 01 Jul 2004 00:00:00 GMT http://www.rcophth.ac.uk/docs/publications/published-guidelines/glaucoma2004.pdf Clinical practice guidelines: For the prevention, diagnosis and management of Lung cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/qZQPVySaB-Q/cp97.pdf http://www.nhmrc.gov.au/publications/synopses/_files/cp97.pdf The Guidelines for the prevention, diagnosis and management of lung cancer provide an evidence-based document produced by a multi-disciplinary working party to facilitate sound decision-making. The Guidelines are guidelines; they are not rules and are not prescriptive in any sense. Subject: Cancer
Publisher: National Health and Medical Research Council

The Guidelines for the prevention, diagnosis and management of lung cancer provide an evidence-based document produced by a multi-disciplinary working party to facilitate sound decision-making. The Guidelines are guidelines; they are not rules and are not prescriptive in any sense.
]]> Cancer Thu, 01 Jul 2004 00:00:00 GMT http://www.nhmrc.gov.au/publications/synopses/_files/cp97.pdf Type 2 diabetes - foot care http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/n0x40kgLy0E/CG10fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG10fullguideline.pdf The NICE clinical guideline on type 2 diabetes ¯ footcare makes recommendations about: • educating people with type 2 diabetes and carers about foot problems • what is meant by being ‘at risk’ of foot problems and how people at risk are identified • prevention of foot problems • detection of foot problems • care for people with type 2 diabetes who have foot problems The NICE guideline does not cover the care of people with foot problems who do not have type2 diabetes, nor does it cover surgical procedures such as amputation or rehabilitation after amputation Subject: Diabetes
Publisher: NICE

The NICE clinical guideline on type 2 diabetes ¯ footcare makes recommendations about: • educating people with type 2 diabetes and carers about foot problems • what is meant by being ‘at risk’ of foot problems and how people at risk are identified • prevention of foot problems • detection of foot problems • care for people with type 2 diabetes who have foot problems The NICE guideline does not cover the care of people with foot problems who do not have type2 diabetes, nor does it cover surgical procedures such as amputation or rehabilitation after amputation
]]> Diabetes Tue, 01 Jun 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG10fullguideline.pdf Caesarean section http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/EhEpr4RNwFE/CG013fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG013fullguideline.pdf The NICE caesarean section clinical guideline covers: • the information women can expect to receive from their doctor or midwife about caesarean section • the most common reasons why they might need to have a caesarean section • the benefits and risks of having a baby by a caesarean section compared with a vaginal birth • what can be done to reduce the chances that women will need a caesarean section • routine tests and treatments you should be offered women who have a caesarean section • the care they can expect to receive before, during and after a caesarean section The recommendations do not cover: • the risks and benefits of caesarean section when it is used to deal with specific medical conditions that arise during pregnancy such as high blood pressure that happens for the first time during pregnancy (pre-eclampsia) • what will happen if the mother or baby has a rare or complex condition such as a severe heart condition • extra care that may be needed if the mother or baby develops specific medical conditions in the course of the pregnancy or labour Subject: Caesarean section
Publisher: NICE

The NICE caesarean section clinical guideline covers: • the information women can expect to receive from their doctor or midwife about caesarean section • the most common reasons why they might need to have a caesarean section • the benefits and risks of having a baby by a caesarean section compared with a vaginal birth • what can be done to reduce the chances that women will need a caesarean section • routine tests and treatments you should be offered women who have a caesarean section • the care they can expect to receive before, during and after a caesarean section The recommendations do not cover: • the risks and benefits of caesarean section when it is used to deal with specific medical conditions that arise during pregnancy such as high blood pressure that happens for the first time during pregnancy (pre-eclampsia) • what will happen if the mother or baby has a rare or complex condition such as a severe heart condition • extra care that may be needed if the mother or baby develops specific medical conditions in the course of the pregnancy or labour
]]> Caesarean section Thu, 01 Apr 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG013fullguideline.pdf Clinical practice guidelines for the management of women with epithelial ovarian cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/EVqlPXJVmtY/cp98.pdf http://www.nhmrc.gov.au/publications/synopses/_files/cp98.pdf "The ovary is small, homely, and innocuous at first glance, but its tumours of gigantic proportion and exotic appearance continually widen the eye of the most jaded gynecologist as they exert fascinating effects upon his patient. Such an organ deserves respect", wrote Kraus in his 1967 textbook of pathology. Subject: Cancer
Publisher: National Health and medical research council

"The ovary is small, homely, and innocuous at first glance, but its tumours of gigantic proportion and exotic appearance continually widen the eye of the most jaded gynecologist as they exert fascinating effects upon his patient. Such an organ deserves respect", wrote Kraus in his 1967 textbook of pathology.
]]> Cancer Mon, 01 Mar 2004 00:00:00 GMT http://www.nhmrc.gov.au/publications/synopses/_files/cp98.pdf Chronic obstructive pulmonary disease http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/eDD_G_wLkJM/CG012_niceguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG012_niceguideline.pdf The NICE clinical guideline on chronic obstructive pulmonary disease (COPD) covers the full range of care that should be available from the NHS to adults with COPD. They include how the diagnosis should be made and the treatments that should be offered at different times. Subject: pulmonary disease
Publisher: NICE

The NICE clinical guideline on chronic obstructive pulmonary disease (COPD) covers the full range of care that should be available from the NHS to adults with COPD. They include how the diagnosis should be made and the treatments that should be offered at different times.
]]> pulmonary disease Sun, 01 Feb 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG012_niceguideline.pdf Fertility http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/nBlxSnoO52g/CG011fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/CG011fullguideline.pdf The NICE clinical guideline on fertility covers: • the best forms of treatment for people who have problems getting pregnant • ways of treating people who have a known condition or reason for their fertility problems • ways of treating people when no reason for their fertility problems can be found The recommendations here do not cover: • how fertility problems can be prevented in the first place • how a pregnancy is managed following fertility treatment • investigation and treatment of underlying conditions which may reduce fertility, such as endometriosis or sexual dysfunction, other than in relation to treatment for fertility problems • the use of pre-implantation genetic diagnosis, in which cells from an embryo are tested for inherited disorders before being transferred to the woman’s womb Subject: Fertility / Pregnancy
Publisher: NICE

The NICE clinical guideline on fertility covers: • the best forms of treatment for people who have problems getting pregnant • ways of treating people who have a known condition or reason for their fertility problems • ways of treating people when no reason for their fertility problems can be found The recommendations here do not cover: • how fertility problems can be prevented in the first place • how a pregnancy is managed following fertility treatment • investigation and treatment of underlying conditions which may reduce fertility, such as endometriosis or sexual dysfunction, other than in relation to treatment for fertility problems • the use of pre-implantation genetic diagnosis, in which cells from an embryo are tested for inherited disorders before being transferred to the woman’s womb
]]> Fertility / Pregnancy Sun, 01 Feb 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/CG011fullguideline.pdf Multiple sclerosis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/ggqEKETBvmo/cg008guidance.pdf http://www.nice.org.uk/nicemedia/pdf/cg008guidance.pdf The NICE clinical guideline on multiple sclerosis covers the full range of care that should be available from the NHS to adults of all ages with MS. They include how the diagnosis should be made, how people should be told they have MS and the treatments that should be offered. Treatments for MS may involve medicines but also include physiotherapy, rehabilitation, and psychological and emotional support. Subject: Multiple sclerosis
Publisher: NICE

The NICE clinical guideline on multiple sclerosis covers the full range of care that should be available from the NHS to adults of all ages with MS. They include how the diagnosis should be made, how people should be told they have MS and the treatments that should be offered. Treatments for MS may involve medicines but also include physiotherapy, rehabilitation, and psychological and emotional support.
]]> Multiple sclerosis Sun, 01 Feb 2004 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg008guidance.pdf Fertility assessment and treatment for people with fertility problems http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/BnGMjGU5lj4/Fertility_full.pdf http://www.rcog.org.uk/resources/Public/pdf/Fertility_full.pdf Clinical guidelines have been defined as ‘systematically developed statements that assist clinicians and patients in making decisions about appropriate treatment for specific conditions’. Subject: Fertility / Pregnancy
Publisher: Royal College of Obstetricians and Gynaecologists,

Clinical guidelines have been defined as ‘systematically developed statements that assist clinicians and patients in making decisions about appropriate treatment for specific conditions’.
]]> Fertility / Pregnancy Sun, 01 Feb 2004 00:00:00 GMT http://www.rcog.org.uk/resources/Public/pdf/Fertility_full.pdf Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society, 2004-BHS IV http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/VVOuLbzimfM/BHS_IV_Guidelines.pdf http://www.bhsoc.org/pdfs/BHS_IV_Guidelines.pdf These guidelines update previous reports by working parties of the British Hypertension Society (BHS) in 1989,1 19932 and 1999.3 Updating these guidelines is appropriate because, since 1999, there has been much new evidence in key areas that has allowed us to reinforce and extend previous recommendations. Subject: Hypertension
Publisher: British Hypertension Society Guidelines

These guidelines update previous reports by working parties of the British Hypertension Society (BHS) in 1989,1 19932 and 1999.3 Updating these guidelines is appropriate because, since 1999, there has been much new evidence in key areas that has allowed us to reinforce and extend previous recommendations.
]]> Hypertension Sun, 01 Feb 2004 00:00:00 GMT http://www.bhsoc.org/pdfs/BHS_IV_Guidelines.pdf Multiple sclerosis. National clinical guideline for diagnosis and management in primary and secondary care. http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/QCOa-G5sjRk/summary.aspx http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=5063&nbr=3547 Multiple sclerosis. National clinical guideline for diagnosis and management in primary and secondary care. Subject: Multiple sclerosis
Publisher: National Guideline Clearing House

Multiple sclerosis. National clinical guideline for diagnosis and management in primary and secondary care.
]]> Multiple sclerosis Thu, 01 Jan 2004 00:00:00 GMT http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=5063&nbr=3547 Pressure relieving devices http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/mbYq1_zBp60/cg007fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/cg007fullguideline.pdf The NICE clinical guideline on pressure relieving devices makes recommendations about how the risk of developing a pressure ulcer can be assessed and how pressure ulcers can be prevented by using devices designed to reduce pressure. Subject: Pressure relieving devices
Publisher: NICE

The NICE clinical guideline on pressure relieving devices makes recommendations about how the risk of developing a pressure ulcer can be assessed and how pressure ulcers can be prevented by using devices designed to reduce pressure.
]]> Pressure relieving devices Mon, 01 Dec 2003 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/cg007fullguideline.pdf Preoperative tests http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/HaQq4q6dEc4/Preop_Fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/Preop_Fullguideline.pdf The NICE clinical guideline on preoperative tests covers tests that are often carried out when someone is due to have a planned (elective) surgical operation and that are carried out before the operation by doctors or nurses in hospitals, preoperative assessment clinics or, in some cases, in the GP’s surgery or health centres. The NICE guideline makes recommendations on the circumstances in which the tests should be done, not done, or considered ¯ for example, whether a certain test is recommended may depend on the patient’s age or how serious the planned operation is. Subject: Preoperative tests
Publisher: NICE

The NICE clinical guideline on preoperative tests covers tests that are often carried out when someone is due to have a planned (elective) surgical operation and that are carried out before the operation by doctors or nurses in hospitals, preoperative assessment clinics or, in some cases, in the GP’s surgery or health centres. The NICE guideline makes recommendations on the circumstances in which the tests should be done, not done, or considered ¯ for example, whether a certain test is recommended may depend on the patient’s age or how serious the planned operation is.
]]> Preoperative tests Fri, 01 Aug 2003 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/Preop_Fullguideline.pdf Chronic heart failure http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/BeVlEYUEVhc/Full_HF_Guideline.pdf http://www.nice.org.uk/nicemedia/pdf/Full_HF_Guideline.pdf The NICE chronic heart failure guideline makes recommendations about: • the care provided by GPs and hospital healthcare professionals who have direct contact with patients with heart failure • all the key areas of managing heart failure including diagnosis, drug and non-drug treatments and the management of depression and anxiety The recommendations do not cover: • emergency treatment of heart failure • screening for heart failure • management of heart failure caused by lung disease • care after heart transplantation Subject: Heart Conditions
Publisher: NICE

The NICE chronic heart failure guideline makes recommendations about: • the care provided by GPs and hospital healthcare professionals who have direct contact with patients with heart failure • all the key areas of managing heart failure including diagnosis, drug and non-drug treatments and the management of depression and anxiety The recommendations do not cover: • emergency treatment of heart failure • screening for heart failure • management of heart failure caused by lung disease • care after heart transplantation
]]> Heart Conditions Tue, 01 Jul 2003 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/Full_HF_Guideline.pdf Infection control http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/-qGBjUZFBBo/Infection_control_fullguideline.pdf http://www.nice.org.uk/nicemedia/pdf/Infection_control_fullguideline.pdf The NICE clinical guideline on infection control provides a set of measures to avoid infection that should be followed by anyone giving or receiving care at home, at a health centre or clinic, or elsewhere in the community. They cover: • ways of avoiding infection, including handwashing, using gloves and aprons, using sharps safely, and educating patients and their carers about infection • ways of avoiding and controlling infection for people who need a urinary catheter, enteral feeding or a central venous catheter Subject: Infection
Publisher: NICE

The NICE clinical guideline on infection control provides a set of measures to avoid infection that should be followed by anyone giving or receiving care at home, at a health centre or clinic, or elsewhere in the community. They cover: • ways of avoiding infection, including handwashing, using gloves and aprons, using sharps safely, and educating patients and their carers about infection • ways of avoiding and controlling infection for people who need a urinary catheter, enteral feeding or a central venous catheter
]]> Infection Sun, 01 Jun 2003 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/Infection_control_fullguideline.pdf The Management of Hyponatraemia in Adults http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/r7tPI2MczdU/hyponatraemia_mainreport.pdf http://www.crestni.org.uk/publications/hyponatraemia_mainreport.pdf The process includes a comprehensive history, examination and laboratory investigations to determine the cause and guide therapy. The history should focus on medicines, vomiting, diarrhoea and associated disease states. The examination should focus on volume status including orthostatic assessment of pulse and blood pressure, jugular venous pressure and oedema. Subject: Hyponatraemia
Publisher: CREST

The process includes a comprehensive history, examination and laboratory investigations to determine the cause and guide therapy. The history should focus on medicines, vomiting, diarrhoea and associated disease states. The examination should focus on volume status including orthostatic assessment of pulse and blood pressure, jugular venous pressure and oedema.
]]> Hyponatraemia Sun, 01 Jun 2003 00:00:00 GMT http://www.crestni.org.uk/publications/hyponatraemia_mainreport.pdf pain management http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/cXkmFCYZ_Zs/pain.pdf http://www.uroweb.org/fileadmin/user_upload/Guidelines/pain.pdf Pain is the most common symptom of any illness; the physician’s therapeutic task is twofold: to discover and treat the cause of pain and to treat the pain itself, whether or not the underlying cause is treatable, to provide relief and reduce the suffering caused by pain. Subject: Pain Management
Publisher: European Association of Urology

Pain is the most common symptom of any illness; the physician’s therapeutic task is twofold: to discover and treat the cause of pain and to treat the pain itself, whether or not the underlying cause is treatable, to provide relief and reduce the suffering caused by pain.
]]> Pain Management Sat, 01 Feb 2003 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/pain.pdf Advice on the safe introduction and continued use of isotretinoin in acne http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/tyQBHBGIVyU/acne.asp http://www.bad.org.uk/healthcare/guidelines/acne.asp Since its introduction into clinical trials in the mid 1970's and its widespread use since the early 1980's, isotretinoin has proved a very effective therapy for severe and persistent acne. Initially only used for severe cystic acne, its use has been gradually extended for those with significant but milder disease that has been persistent despite the use of conventional topical and oral therapies. Subject: Acne
Publisher: British Association of Dermatologists

Since its introduction into clinical trials in the mid 1970's and its widespread use since the early 1980's, isotretinoin has proved a very effective therapy for severe and persistent acne. Initially only used for severe cystic acne, its use has been gradually extended for those with significant but milder disease that has been persistent despite the use of conventional topical and oral therapies.
]]> Acne Wed, 01 Jan 2003 00:00:00 GMT http://www.bad.org.uk/healthcare/guidelines/acne.asp New Guidelines for the Management of Migraine in Primary Care http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/WV9mrhF7ZfE/446557 http://www.medscape.com/viewarticle/446557 Despite repeated initiatives over the past decade, migraine remains under-recognised, under-diagnosed and under-treated in everyday clinical practice. The Migraine in Primary Care Advisors (MIPCA) group has produced new guidelines for migraine management to attempt to rectify this situation. MIPCA is a group of physicians, nurses, pharmacists and other healthcare professionals dedicated to the improvement of headache management in primary care, who have also worked closely with the Migraine Action Association (the UK patients' group) in the development of these guidelines. Subject: Migraine
Publisher: Medscape Today

Despite repeated initiatives over the past decade, migraine remains under-recognised, under-diagnosed and under-treated in everyday clinical practice. The Migraine in Primary Care Advisors (MIPCA) group has produced new guidelines for migraine management to attempt to rectify this situation. MIPCA is a group of physicians, nurses, pharmacists and other healthcare professionals dedicated to the improvement of headache management in primary care, who have also worked closely with the Migraine Action Association (the UK patients' group) in the development of these guidelines.
]]> Migraine Wed, 01 Jan 2003 00:00:00 GMT http://www.medscape.com/viewarticle/446557 Clinical guidelines and procedures for the use of methadone in the maintenance treatment of opioid dependence http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/TipLYaN5euY/methadone_cguide.pdf http://www.health.gov.au/internet/wcms/Publishing.nsf/Content/health-pubhlth-publicat-drugpubs.htm/$FILE/methadone_cguide.pdf Methadone was first used as a treatment for heroin dependence in Vancouver in 1959 and was subsequently introduced into Australia for the same purpose in 1969. Methadone Maintenance Treatment (MMT) was endorsed by State, Territory and Commonwealth Governments as an appropriate and useful treatment for heroin dependence at the launch of the National Campaign Against Drug Abuse in 1985. Since that time there has been substantial growth in the number of individuals receiving methadone treatment in most jurisdictions of Australia. Subject: Opioid dependency
Publisher: Australian Government

Methadone was first used as a treatment for heroin dependence in Vancouver in 1959 and was subsequently introduced into Australia for the same purpose in 1969. Methadone Maintenance Treatment (MMT) was endorsed by State, Territory and Commonwealth Governments as an appropriate and useful treatment for heroin dependence at the launch of the National Campaign Against Drug Abuse in 1985. Since that time there has been substantial growth in the number of individuals receiving methadone treatment in most jurisdictions of Australia.
]]> Opioid dependency Wed, 01 Jan 2003 00:00:00 GMT http://www.health.gov.au/internet/wcms/Publishing.nsf/Content/health-pubhlth-publicat-drugpubs.htm/$FILE/methadone_cguide.pdf Guidelines on the diagnosis and management of narcolepsy in adults and children http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/MjkHnGntI0I/Guidelines.pdf http://www.sleeping.org.uk/news/documents/Guidelines.pdf Narcolepsy is a chronic neurological disorder, characterised by excessive daytime sleepiness, usually accompanied by cataplexy (attacks of weakness on emotional arousal). These symptoms are often associated with the intrusion into wakefulness of other elements of rapid eye movement sleep, such as sleep paralysis and hypnagogic hallucinations. Subject: Narcolepsy
Publisher: sleeping.org

Narcolepsy is a chronic neurological disorder, characterised by excessive daytime sleepiness, usually accompanied by cataplexy (attacks of weakness on emotional arousal). These symptoms are often associated with the intrusion into wakefulness of other elements of rapid eye movement sleep, such as sleep paralysis and hypnagogic hallucinations.
]]> Narcolepsy Sun, 01 Dec 2002 00:00:00 GMT http://www.sleeping.org.uk/news/documents/Guidelines.pdf Type 2 diabetes - management of blood pressure and blood lipids http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/vC9JlB6o-sE/NICE_INHERITEd_Hv8.pdf http://www.nice.org.uk/nicemedia/pdf/NICE_INHERITEd_Hv8.pdf The NICE clinical guideline on type 2 diabetes ¯ management of blood pressure and blood lipids covers the management of blood pressure and blood lipid levels of people with type 2 diabetes and looks at their role in limiting or preventing complications of the condition. Subject: Diabetes
Publisher: NICE

The NICE clinical guideline on type 2 diabetes ¯ management of blood pressure and blood lipids covers the management of blood pressure and blood lipid levels of people with type 2 diabetes and looks at their role in limiting or preventing complications of the condition.
]]> Diabetes Tue, 01 Oct 2002 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/NICE_INHERITEd_Hv8.pdf Type 2 diabetes - blood glucose http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/dWsJRzBjgYI/NICE_full_blood_glucose.pdf http://www.nice.org.uk/nicemedia/pdf/NICE_full_blood_glucose.pdf The NICE clinical guideline on type 2 diabetes ¯ blood glucose covers the management of blood glucose levels and looks at its role in limiting or preventing complications of the condition. Subject: Diabetes
Publisher: NICE

The NICE clinical guideline on type 2 diabetes ¯ blood glucose covers the management of blood glucose levels and looks at its role in limiting or preventing complications of the condition.
]]> Diabetes Sun, 01 Sep 2002 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/NICE_full_blood_glucose.pdf Screening and surveillance of asymptomatic colorectal cancer in patients with inflammatory bowel disease http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Kn-WH8e-PQc/ccs4.pdf http://www.bsg.org.uk/pdf_word_docs/ccs4.pdf The following guidelines should bring uniformity to the process and be of help to both surgeons and physicians. The colorectal cancer risk in patients with colonic Crohn’s disease is similar to that in UC7 8 and thus the guidelines for UC should be equally applicable to such patients with Crohn’s disease. Subject: Inflammatory bowel disease
Publisher: Journal of Gastroenterology & Hepatology

The following guidelines should bring uniformity to the process and be of help to both surgeons and physicians. The colorectal cancer risk in patients with colonic Crohn’s disease is similar to that in UC7 8 and thus the guidelines for UC should be equally applicable to such patients with Crohn’s disease.
]]> Inflammatory bowel disease Thu, 01 Aug 2002 00:00:00 GMT http://www.bsg.org.uk/pdf_word_docs/ccs4.pdf Guidelines for the management of oesophageal and gastric cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/N50ik7cnYlk/ogcancer.pdf http://www.bsg.org.uk/pdf_word_docs/ogcancer.pdf These guidelines have developed as a joint project between the Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland, the British Society of Gastroenterology, and the British Association of Surgical Oncology. They have been produced as part of the wider initiative of the British Society of Gastroenterology to provide guidance for clinicians in several areas of clinical practice related to the broad field of gastroenterology Subject: Cancer
Publisher: An International Journal of Gastroenterology & Hepatology

These guidelines have developed as a joint project between the Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland, the British Society of Gastroenterology, and the British Association of Surgical Oncology. They have been produced as part of the wider initiative of the British Society of Gastroenterology to provide guidance for clinicians in several areas of clinical practice related to the broad field of gastroenterology
]]> Cancer Mon, 01 Apr 2002 00:00:00 GMT http://www.bsg.org.uk/pdf_word_docs/ogcancer.pdf Type 2 diabetes - renal disease http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/beAPGA_5N-k/diabetesrenalfullreport.pdf http://www.nice.org.uk/nicemedia/pdf/diabetesrenalfullreport.pdf The NICE clinical guideline on type 2 diabetes ¯ renal disease covers the prevention and management of renal (kidney) disease. Subject: Diabetes
Publisher: NICE

The NICE clinical guideline on type 2 diabetes ¯ renal disease covers the prevention and management of renal (kidney) disease.
]]> Diabetes Fri, 01 Mar 2002 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/diabetesrenalfullreport.pdf Type 2 diabetes - retinopathy http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/3DIhYdm2_dM/diabetesretinopathyfullreport.pdf http://www.nice.org.uk/nicemedia/pdf/diabetesretinopathyfullreport.pdf The NICE clinical guideline on type 2 diabetes ¯ retinopathy covers the screening for and early management of retinopathy (eye problems). The guideline gives recommendations to health professionals on regular screening and monitoring of people with type 2 diabetes. Subject: Diabetes
Publisher: NICE

The NICE clinical guideline on type 2 diabetes ¯ retinopathy covers the screening for and early management of retinopathy (eye problems). The guideline gives recommendations to health professionals on regular screening and monitoring of people with type 2 diabetes.
]]> Diabetes Fri, 01 Mar 2002 00:00:00 GMT http://www.nice.org.uk/nicemedia/pdf/diabetesretinopathyfullreport.pdf Clinical Practice Guidelines for Chronic Kidney Disease in Adults: Part II. Glomerular Filtration Rate, Proteinuria, and Other Markers http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Y0DBaN11RPg/1091.html http://www.aafp.org/afp/20040915/1091.html The Kidney Disease Outcome Quality Initiative of the National Kidney Foundation published clinical practice guidelines on chronic kidney disease in February 2002. Of the 15 guidelines, the first six are of greatest relevance to family physicians. Part II of this two-part review covers guidelines 4, 5, and 6. Subject: Chronic Kidney Disease
Publisher: AAFP

The Kidney Disease Outcome Quality Initiative of the National Kidney Foundation published clinical practice guidelines on chronic kidney disease in February 2002. Of the 15 guidelines, the first six are of greatest relevance to family physicians. Part II of this two-part review covers guidelines 4, 5, and 6.
]]> Chronic Kidney Disease Tue, 01 Jan 2002 00:00:00 GMT http://www.aafp.org/afp/20040915/1091.html Guidelines for care of contact dermatitis http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/GEGnIQctSO8/Contact_Dermatitis.pdf http://www.bad.org.uk/healthcare/guidelines/Contact_Dermatitis.pdf These guidelines for the management of contact dermatitis have been prepared for dermatologists on behalf of the British Association of Dermatologists. They present evidence-based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, including details of relevant epidemiological aspects, diagnosis and investigation. Subject: Dermatitis
Publisher: British Journal of Dermatology

These guidelines for the management of contact dermatitis have been prepared for dermatologists on behalf of the British Association of Dermatologists. They present evidence-based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, including details of relevant epidemiological aspects, diagnosis and investigation.
]]> Dermatitis Sat, 01 Sep 2001 00:00:00 GMT http://www.bad.org.uk/healthcare/guidelines/Contact_Dermatitis.pdf Clinical practice guidelines: breast cancer Management of early http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/V_lBwH7BNnw/cp74.pdf http://www.nhmrc.gov.au/publications/synopses/_files/cp74.pdf These guidelines refer to breast cancer in the early stages, as it commonly presents. Early breast cancer has been defined as tumours of not more than five centimetres diameter, with either impalpable or palpable but not fixed lymph nodes and with no evidence of distant metastases. This corresponds to tumours that are T1-2, N0-1, M0 as currently defined by the International Union Against Cancer (UICC).1 Please refer to Appendix C for further details. Subject: Cancer
Publisher: National breast cancer centre

These guidelines refer to breast cancer in the early stages, as it commonly presents. Early breast cancer has been defined as tumours of not more than five centimetres diameter, with either impalpable or palpable but not fixed lymph nodes and with no evidence of distant metastases. This corresponds to tumours that are T1-2, N0-1, M0 as currently defined by the International Union Against Cancer (UICC).1 Please refer to Appendix C for further details.
]]> Cancer Wed, 01 Aug 2001 00:00:00 GMT http://www.nhmrc.gov.au/publications/synopses/_files/cp74.pdf Prostate cancer http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/O45TMpyjXWg/2001_PROSTATE_CANCER.PDF http://www.uroweb.org/fileadmin/user_upload/Guidelines/2001_PROSTATE_CANCER.PDF Cancer of the prostate (CaP) is now recognized as one of the principal medical problems facing the male population. In the European Union, an estimated 85,000 new cases of CaP are diagnosed each year, accounting for 9% of all cancer deaths among men. However, the discrepancy between clinical incidence and pathological prevalence remains an unresolved issue. By the time of diagnosis only 50% of tumours are clinically localized, and half of these are found to be extracapsular at pathological staging. Subject: Cancer
Publisher: European Association of Urology

Cancer of the prostate (CaP) is now recognized as one of the principal medical problems facing the male population. In the European Union, an estimated 85,000 new cases of CaP are diagnosed each year, accounting for 9% of all cancer deaths among men. However, the discrepancy between clinical incidence and pathological prevalence remains an unresolved issue. By the time of diagnosis only 50% of tumours are clinically localized, and half of these are found to be extracapsular at pathological staging.
]]> Cancer Tue, 01 May 2001 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/2001_PROSTATE_CANCER.PDF Infertility http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/rxAiixH1NUE/2001_INFERTILITY.PDF http://www.uroweb.org/fileadmin/user_upload/Guidelines/2001_INFERTILITY.PDF The following guidelines are aimed at providing a consensus view on special topics in urological andrology, which seem to the EAU Infertility Group to be key points in the daily work of urologists dealing with infertility. These topics reflect our literature review and rating, debates of the pros and cons, and final recommendations of our expert group, with special focus on the different national views and clinical practice in European countries. Subject: Infertility
Publisher: European Association of Urology

The following guidelines are aimed at providing a consensus view on special topics in urological andrology, which seem to the EAU Infertility Group to be key points in the daily work of urologists dealing with infertility. These topics reflect our literature review and rating, debates of the pros and cons, and final recommendations of our expert group, with special focus on the different national views and clinical practice in European countries.
]]> Infertility Sun, 01 Apr 2001 00:00:00 GMT http://www.uroweb.org/fileadmin/user_upload/Guidelines/2001_INFERTILITY.PDF Clinical guidelines for prevention and treatment http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/-blAxH6H7bc/wp_osteo_update.htm http://www.rcplondon.ac.uk/pubs/wp/wp_osteo_update.htm Osteoporosis is defined as a progressive systemic skeletal disease characterised by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture. In the UK, the disorder results in over 200,000 fractures each year, causing severe pain and disability to individual patients at an annual cost to the National Health Service of over £940 million. More than one-third of adult women will sustain one or more osteoporotic fractures in their lifetime. Lifetime risk among men is less, but still substantial. Subject: Osteoporosis
Publisher: Royal College of Physicians

Osteoporosis is defined as a progressive systemic skeletal disease characterised by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture. In the UK, the disorder results in over 200,000 fractures each year, causing severe pain and disability to individual patients at an annual cost to the National Health Service of over £940 million. More than one-third of adult women will sustain one or more osteoporotic fractures in their lifetime. Lifetime risk among men is less, but still substantial.
]]> Osteoporosis Mon, 01 Jan 2001 00:00:00 GMT http://www.rcplondon.ac.uk/pubs/wp/wp_osteo_update.htm Guidelines of growth Hormone therapy http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/X33fm4QhOXc/growth_hormone.pdf http://www.crestni.org.uk/publications/growth_hormone.pdf The purpose of this document is to provide regional guidance on the indications for treatment with somatropin, recombinant human growth hormone (rhGH), and to promote good practice in the provision of growth hormone therapy for both adults and children. Subject: Hormone therapy
Publisher: CREST

The purpose of this document is to provide regional guidance on the indications for treatment with somatropin, recombinant human growth hormone (rhGH), and to promote good practice in the provision of growth hormone therapy for both adults and children.
]]> Hormone therapy Thu, 01 Jun 2000 00:00:00 GMT http://www.crestni.org.uk/publications/growth_hormone.pdf The management of cutaneous warts http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/znPwRlw7MtY/cw.asp http://www.bad.org.uk/healthcare/guidelines/cw.asp These guidelines for the management of cutaneous warts have been prepared for dermatologists on behalf of the British Association of Dermatologists. They present evidence-based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, and a brief overview of epidemiological aspects, diagnosis and investigation. Subject: Warts
Publisher: British Association of Dermatologists

These guidelines for the management of cutaneous warts have been prepared for dermatologists on behalf of the British Association of Dermatologists. They present evidence-based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, and a brief overview of epidemiological aspects, diagnosis and investigation.
]]> Warts Sat, 01 Jan 2000 00:00:00 GMT http://www.bad.org.uk/healthcare/guidelines/cw.asp Evidence-Based Guidelines in the Primary Care Setting: Neuroimaging in Patients with Nonacute Headache http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/lDyK81MPwZo/gl0088.pdf http://www.aan.com/professionals/practice/pdfs/gl0088.pdf Headache is a common disorder with many potential causes. The primary headache disorders, which include migraine, cluster, and tension-type headaches, account for the majority of headaches, while secondary headaches, which are those with underlying pathology (e.g., tumor, aneurysm, or giant cell arteritis) are far less common. Most patients presenting with headache in the primary care setting do not have serious underlying conditions. Subject: Headache
Publisher: CCHS Digital Library

Headache is a common disorder with many potential causes. The primary headache disorders, which include migraine, cluster, and tension-type headaches, account for the majority of headaches, while secondary headaches, which are those with underlying pathology (e.g., tumor, aneurysm, or giant cell arteritis) are far less common. Most patients presenting with headache in the primary care setting do not have serious underlying conditions.
]]> Headache Sat, 01 Jan 2000 00:00:00 GMT http://www.aan.com/professionals/practice/pdfs/gl0088.pdf Clinical Practice For Management Of Menopause http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/_pPKsPKdGpI/menopausia.pdf http://intranet.alemana.cl/lac_intraclinica/Mbe/GPC/Guidelines/Endocrinologia/menopausia.pdf The American Association of Clinical Endocrinologists (AACE) believes that menopause is a state of hormone deficiency that should be treated. Our mission is to ensure that women receive appropriate guidance and medical management during their menopausal years. The purpose of these guidelines is to provide a reference source for the evaluation and treatment of the menopausal state. Subject: Women's Health
Publisher: AACE

The American Association of Clinical Endocrinologists (AACE) believes that menopause is a state of hormone deficiency that should be treated. Our mission is to ensure that women receive appropriate guidance and medical management during their menopausal years. The purpose of these guidelines is to provide a reference source for the evaluation and treatment of the menopausal state.
]]> Women's Health Wed, 01 Dec 1999 00:00:00 GMT http://intranet.alemana.cl/lac_intraclinica/Mbe/GPC/Guidelines/Endocrinologia/menopausia.pdf Assessment and Management of Leg Ulceration http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/SyRI0fnV8Xw/wound-management-leg-ulceration.pdf http://www.crestni.org.uk/wound-management-leg-ulceration.pdf The guidelines are designed to give a structure to the assessment and management of patients with leg ulceration. They will help the practitioner in the classification of the ulcer and the formulation and implementation of an appropriate care pathway. Subject: Leg Ulceration
Publisher: CREST

The guidelines are designed to give a structure to the assessment and management of patients with leg ulceration. They will help the practitioner in the classification of the ulcer and the formulation and implementation of an appropriate care pathway.
]]> Leg Ulceration Thu, 01 Oct 1998 00:00:00 GMT http://www.crestni.org.uk/wound-management-leg-ulceration.pdf Clinical Guidelines in the identification, evaluation and treatment of overweight and obesity in adults. http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/Ol-2I423uLY/obesity.pdf http://www.ncbi.nlm.nih.gov/books/bookres.fcgi/obesity/obesity.pdf An estimated 97 million adults in the United States are overweight or obese, a condition that substantially raises their risk of morbidity from hypertension, type 2 diabetes, stroke, gallbladder disease, osteoarthritis, sleep apnea and respiratory problems, and endometrial, breast, prostate, and colon cancers Subject: Obesity
Publisher: National Institute of Health

An estimated 97 million adults in the United States are overweight or obese, a condition that substantially raises their risk of morbidity from hypertension, type 2 diabetes, stroke, gallbladder disease, osteoarthritis, sleep apnea and respiratory problems, and endometrial, breast, prostate, and colon cancers
]]> Obesity Tue, 01 Sep 1998 00:00:00 GMT http://www.ncbi.nlm.nih.gov/books/bookres.fcgi/obesity/obesity.pdf Guidelines for the diagnosis and management of migraine in clinical practice http://feedproxy.google.com/~r/MedicalGuidelinesEpgonline/~3/N_AddyWyrD8/1273.pdf http://www.cmaj.ca/cgi/reprint/156/9/1273.pdf Population-based studies have consistently shown that about 5% of men and 15%¯17% of women suffer migraine attacks. Over 80% of these people suffer some degree of headache-related disability. In the United States the estimated annual cost, including costs of direct medical care and lost productivity, exceeds $17 billion. Subject: Migraine
Publisher: Canadian Medical Association

Population-based studies have consistently shown that about 5% of men and 15%¯17% of women suffer migraine attacks. Over 80% of these people suffer some degree of headache-related disability. In the United States the estimated annual cost, including costs of direct medical care and lost productivity, exceeds $17 billion.
]]> Migraine Wed, 01 Jan 1997 00:00:00 GMT http://www.cmaj.ca/cgi/reprint/156/9/1273.pdf