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Don’t replace regularly the mechanical ventilator circuits to reduce the risk of VAP (Ventilator Associated Pneumonia)

Don’t replace regularly the mechanical ventilator circuits to reduce the risk of VAP (Ventilator Associated Pneumonia)

by cristiano | Oct 17, 2018

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...
Don’t clamp the umbilical cord before 1 minute in neonates that do not need immediate resuscitation manouvres.

Don’t clamp the umbilical cord before 1 minute in neonates that do not need immediate resuscitation manouvres.

by cristiano | Oct 17, 2018

In term and preterm neonates that don’t need immediate resuscitation manouvres the umbilical cord should be clamped after 1 minute from birth or when it stops pulsating. Delayed cord clamping increases birth weight and haemoglobin levels in neonates. Iron deposits are...
Use of free testosterone testing is not recommended for hypogonadism or hyperandrogenism diagnosis.

Use of free testosterone testing is not recommended for hypogonadism or hyperandrogenism diagnosis.

by cristiano | Oct 17, 2018

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 neglect to offer radiotherapy delivered with hypofractionated schedules when the scientific evidence is already available.

Do not neglect to offer radiotherapy delivered with hypofractionated schedules when the scientific evidence is already available.

by cristiano | Oct 17, 2018

Several clinical studies reported that moderately hypofractionated radiation therapy (reducing the total number of fractions with daily fraction >2Gy) may be as effective as conventional fractionation in selected subgroups of patients affected by early stage breast...
Do not neglect to offer radiotherapy delivered with hypofractionated schedules when the scientific evidence is already available.

Do not recommend the use of “special” techniques or radiation therapy machines without having previously obtained the recommendation by a radiation oncologist.

by cristiano | Oct 17, 2018

Actually, the high level of technologies widely used by the radiation oncologist’ community represents a very important opportunity and benefit for oncological patients because it permits to achieve interesting results in selected subgroups. These results are robust...
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