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Uk guidelines answers (516)

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Q: 

How much time a day should you spend exercising according to uk goverment guidelines?

A: The uk Government guidelines state that you should exercise five times a week or more for 30 minutes per session....


Q: 

guidelines for looking after people at the end of life

A: The Liverpool Care Pathway is a set of guidelines for looking after people when they are dying. There is information on this page on What a care pathway isThe Liverpool Care Pathway (LCP)NICE guidelinesWhat it all means for you and your family What a care pathway isCare pathways are plans of how someone should be cared for when they have a particular medical condition or set of symptoms. Doctors, nurses and other health professionals record the care that they give in the care pathway document. So their notes are all together, in the same place, and everyone involved knows what is going on. Care pathways Are focused on the patient and their familyAre based on evidenceSet standards for how things should be doneInvolve the patient and their...
Q: 

Are their any recent guidelines discussing investigation and treatment of erectile dysfunction?

A: The NLH Q&A Service have answered a closely related question in 2005 [1].  This discusses the role of testosterone and the need to test for it in erectile dysfunction.  The only uk guideline we know about was published in 1999 [2].  We have also located a number of overseas guidelines, published more recently [3]. You may be interested in a number of other sources of treatment advice. Clinical evidence has a chapter on erectile dysfunction [4] and Bandolier has a section dedicated to it [5].  The Bandolier section includes a recent paper on testosterone treatment [6], which has the following ‘Clinical bottom line’: “There is limited evidence that testosterone can help men with erectile dysfunction....
Q: 

Are there exercise guidelines for cancer patients?

A: There aren''t any guidelines based on solid evidence yet, but several studies have shown that exercise is safe and perfectly possible for many people with cancer. When you think about how different we all are and how many different types of cancer and treatments there are, it is difficult to write guidelines to cover everyone. If you are over your treatment and wanting to get back to as normal a life as you can, there are very good reasons for exercising. Regular exercise can reduce stress and give you more energy. One research study found that women who had had breast cancer were less likely to be anxious or depressed if they exercised for half an hour four times each week. The sooner the women started their exercise after their cancer...
Q: 

Are they any guidelines or evidence about starting diabetics on aspirin?

A: We answered a similar question in March 2005 [1] which forms the basis of our answer (see reference section for the URL).  However, since then some documents have been updated and new documents produced. Clinical Evidence, in their chapter “Prevention of cardiovascular events in diabetes” states: “We found insufficient evidence to define precisely which people with diabetes should be treated with aspirin. The risk of cardiovascular disease is low before 30 years of age; most white adults with diabetes aged over 30 years are at increased risk of cardiovascular disease. Widely accepted contraindications to aspirin treatment include aspirin allergy, bleeding tendency, anticoagulant treatment, recent gastrointestinal bleeding, and clinically active liver disease”...
Q: 

Medical suspension of uk...HGV Licence?

A: After you have had the operation and feel well enough in yourself you need to contact the DVLA and they will decide whether or not to reissue/unsuspend your licence, you may have to go for a medical or they may request your medical notes. 2 years ago my brother was unwell, they didn''t know what it was and was told to contact DVLA, they suspended his licence for a year, 6 months later after tests and scans they said nothing was wrong with him - he had to get letter from doctor for DVLA but had to wait 10 months before he could reapply for licence. you get your licence back after you pass the medical. and enjoy the time you have. It sounds as though you have had an angiograph,this is when they stick the dyno rod up yer artery to see what is doin in there.An angiogram is normally when they...


Q: 

What is the evidence of benefit of Vaniqa (eflornithine) cream for facial hirsutism? Are there any guidelines for prescribing on NHS?

A: The uk Medicines Information published a review in November 2005 [1].  The full-text is available via the URL in the reference section.  However, the summary is: “Eflornithine cream (Vaniqa®) is licensed in the uk for the treatment of facial hirsutism in women. It irreversibly inhibits an enzyme (ornithine decarboxylase) involved in controlling hair growth and proliferation. Treatment does not remove hairs but slows down hair growth such that users require less frequent hair removal by other methods. Unpublished clinical trial data indicate that eflornithine improves symptoms of hirsutism, reduces darkening of facial skin and reduces associated psychological discomfort. Once treatment stops, hair re-grows to...
Q: 

First Aid guidelines Project: Problem drinking

A: I researched your site and found it to be very interesting.  Would there be a way for me to participate in the Graduate Diploma in Young People"s Mental Health possibly also?  Or possibly a Graduate Certificate? I am willing to help out in the study and I have been searching for a possible school to continue my education. Derek Additionally, my wife and I have considered moving from the US.  Would that be a possibility?  I have extensive experience in Inpatient treatment and currently am the Director of one here in the states....


Q: 

Why does the JBS2 guidelines recommend aspirin for certain patients once the blood pressure is reduced to at least 150/90, and preferably to below the optimum target?

A: The question has been answered by the NLH specialist library for cardiovascular diseases.   JBS2 [1] does not explicitly state the evidence behind its recommendation that blood pressure be reduced to d.wood@imperial.ac.uk.  The following points may also be of interest.    Context The only evidence that JBS2 refers to in the context of this question is the HOT (Hypertension Optimal Treatment) study [2]:   "The HOT study assessed the effect of blood pressure lowering to one of three targets on cardiovascular outcome. The effect of aspirin in this cohort of hypertensive people was also examined. Aspirin reduced major cardiovascular events by 15% and all myocardial infarctions by 36%.  There was no beneficial effect on stroke...
Q: 

Are there any guidelines for the use of oxygen in the acute situation in primary care?

A: We did not find any generic guidance on the use of oxygen in primary care, but found the following guidelines / reviews which refer to the use of oxygen therapy in the acute, pre-hospital situation in relation to specific clinical conditions / scenarios.  All can be accessed in full by following the links in the reference section.  1. Cardiopulmonary Resuscitation Guidance for clinical practice and training in Primary Care.  Resuscitation Council (uk), 2001. Oxygen: Current resuscitation guidelines emphasise the use of oxygen, and this should be available whenever possible. Oxygen cylinders should be appropriately maintained and national safety standards followed. Each practice should have
 
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