Don’t perform surveillance colonoscopy for colon polyps after a valid exam, with intervals that vary from those indicated by the responsible gastroenterologist or after histologic evaluation of the polyp.
The need for a surveillance colonoscopy should be based on the results of the first endoscopic assessment and is indicated by evidence based guidelines, which evaluate the relative risk of developing new adenomas or carcinomas. The appropriate interval needs to be...
Prescribe fecal occult blood test (FOBT) only for screening of colorectal cancer.
FOBT is a screening test that should only to be used for asymptomatic patients that are in the risky area outlined by the relevant national or regional programs. It’s not a diagnostic test and as such should not be performed for patients that show signs and symptoms...
Do not teach or have patients with acute or chronic respiratory diseases practice diaphragmatic breathing.
There are very limited evidences regarding the benefit of diaphragmatic breathing administered in order to improve the distribution of ventilation by reducing energy consumption, decrease dyspnea and increase exercise capacity. On the other hand, it has been shown...
Do not use specific exercises of selective strengthening of the vastus medialis obliquus (VMO) in patellofemoral pain syndrome.
Many studies have shown that it is not possible to selectively activate the vastus medialis obliquus (VMO) with respect to vastus medialis longus or even to vastus lateralis. At the same time, no correlation between vastus medialis symptoms and its level of strength...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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