Don’t replace regularly the mechanical ventilator circuits to reduce the risk of VAP (Ventilator Associated Pneumonia)
Routine replacement of the mechanical ventilator circuits is not recommended. These should only be replaced if they are visibly dirty (with plenty of moisture and / or secretions). VAPs produce increased morbidity and mortality and rise the costs for hospitalized...
Thyroid nodules patients should not be treated with L-thyroxine except in selected cases.
The growth of thyroid nodules, the appearance of other nodules and the increase in thyroid volume can be partially prevented by treatment with levo-thyroxine for TSH-suppressive purposes. However, a clinically significant volume reduction is achieved only with...
Use of free testosterone testing is not recommended for hypogonadism or hyperandrogenism diagnosis.
Testosterone is the body’s most important androgen. The measure of its concentration is indicated in numerous clinical conditions in both males and females. However, there are analytical problems such as to make the interpretation and use of the free quota...
Do not prescribe the dosage of FT3 (free triiodothyronine) for the initial evaluation of the functional state of the thyroid and in the periodic control of hypothyroidism in therapy.
Hormonal dosages are useful biochemical confirmation of thyroid dysfunction in the presence of manifest signs and symptoms and indispensable reference for subsequent checks during therapy. However, it is quite common for people who have only nonspecific disorders...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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