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A number of new drugs have been licensed for Crohn's disease within the last decadei. In draft guidance published for consultation, NICE, the healthcare guidance body, has made recommendations on the role of new and established treatments for the management of Crohn's disease in adults and children. Glucocorticosteroids can be offered to induce remission in people with Crohn's disease and azathioprine or mercaptopurine can be offered as maintenance treatment.
National Institute for Health and Clinical Excellence - Lun, 7 Maggio 2012
http://www.nice.org.uk
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The procedure, called transcatheter aortic valve implantation (TAVI) involves replacing the narrowed aortic valve with an artificial one, which is inserted into the patient's heart through a catheter. This is an alternative to open-heart surgery (surgical aortic valve replacement, SAVR) in which the aortic valve is replaced by opening up the chest.
National Institute for Health and Clinical Excellence - Mar, 3 Aprile 2012
http://www.nice.org.uk
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NICE has published a new draft quality standard for antenatal care. Antenatal care covers all pregnant women (up to 41 weeks of pregnancy) across all settings that routinely provide NHS antenatal care, including primary, community and hospital-based care. The new draft quality standard includes ensuring pregnant women are cared for by a small group of healthcare professionals throughout their pregnancy. It also states that pregnant women with a body mass index of 30 kg/m2 or more at the booking appointment are offered personalised advice from an appropriately trained professional on healthy eating and how to be physically active. All pregnant women should also be offered fetal screening such as Down's syndrome testing and the fetal anomaly ultrasound, in accordance with current UK National Screening Committee programmes. Pregnant women should also be offered balanced and consistent information about breastfeeding which they understand and have the opportunity to discuss.
National Institute for Health and Clinical Excellence - Mar, 27 Marzo 2012
http://www.nice.org.uk
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NICE has confirmed its initial draft and final draft positive recommendation of prolonged release exenatide in triple therapy regimens (in combination with metformin and a sulphonylurea, or metformin and a thiazolidinedionei) as a treatment option for people with type 2 diabetes, when control of blood glucose remains or becomes inadequate (HbA1cii of 7.5% or above, or other higher level agreed with the individual), and the person has particular body mass index (BMI) values.
National Institute for Health and Clinical Excellence - Lun, 27 Febbraio 2012
http://www.nice.org.uk
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NICE has published draft guidance today (Tuesday 14 February), which proposes to advise the NHS that lapatinib or trastuzumab with aromatase inhibitors should not be prescribed for a particular type and stage of breast cancer. This is because the extent to which they can improve overall survival compared to existing treatments is uncertain and so they do not appear to represent value for money for the NHS.
National Institute for Health and Clinical Excellence - Mar, 14 Febbraio 2012
http://www.nice.org.uk
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Guidance on four new generation cardiac computed tomography (CT) scanners supports their use for people with suspected or known coronary artery disease (CAD) in whom imaging is difficult with earlier generation CT scanners.
National Institute for Health and Clinical Excellence - Mar, 14 Febbraio 2012
http://www.nice.org.uk
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The guide is the latest in its series of good practice guides to support commissioners in designing high quality, evidence-based services to improve outcomes for patients and to help the NHS make better use of its resources. The guide draws on the recent NICE clinical guideline on the identification of and pathways to care for common mental health disordersi, as well as other relevant NICE guidance and quality standards.
National Institute for Health and Clinical Excellence - Mer, 2 Novembre 2011
http://www.nice.org.uk
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The guideline covers the role of intensive insulin therapy in managing hyperglycaemia within the first 48 hours in people admitted to hospital for acute coronary syndromes.
National Institute for Health and Clinical Excellence - Mer, 2 Novembre 2011
http://www.nice.org.uk
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A new guideline from NICE on antenatal care for twin and triplet pregnancies says women with a multiple pregnancy should receive specialist care from an experienced multidisciplinary team to avoid higher than necessary rates of assisted birth and caesarean section, and ensure they receive appropriate neonatal risk assessment before birth. These women also need more monitoring and more frequent antenatal visits due to the higher risks which can be associated with multiple pregnancies.
National Institute for Health and Clinical Excellence - Mar, 4 Ottobre 2011
http://www.nice.org.uk
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The new generation cardiac CT scanners have advanced technical features which can overcome these difficulties. These include the ability to acquire images much faster than earlier generation CT scanners, better image quality and reduced radiation doses.
National Institute for Health and Clinical Excellence - Lun, 12 Settembre 2011
http://www.nice.org.uk