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Depression Health topics A to Z CKS NICE

WEBDepression is characterised by the absence of a positive affect (a loss of interest and enjoyment in ordinary things and experiences), low mood, and a range of associated emotional, cognitive, physical, and behavioural symptoms. The severity of depression is defined by the National Institute for Health and Care Excellence (NICE) as: 'Less

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URL: https://cks.nice.org.uk/topics/depression/

Healthcare-associated infections Health topics A to Z

WEBAround 300,000 people a year in England acquire a healthcare-associated infection as a result of NHS care. The most common types are respiratory infections (including pneumonia and infections of the lower respiratory tract; 22.8%), urinary tract infections (17.2%) and surgical site infections (15.7%). Contact with non-intact skin or mucous

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Assessment Diagnosis Depression CKS NICE

WEBA 21-item, self-administered scale that uses DSM-5 criteria. Each question is rated from 0 to 3 — the maximum score is 63. Scores of 14–19, 20–28, and 29–63 can be interpreted as mild, moderate, and severe depression respectively. It is available to purchase from www.pearsonassessments.com.

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CVD risk assessment and management Health topics A to Z

WEBCVD risk assessment and management: Summary. Cardiovascular disease (CVD) is an umbrella term that describes a range of conditions that affect the heart, the blood vessels, or both. It is caused by blood clots (thrombosis), or atherosclerosis. CVD is a significant cause of mortality and morbidity, accounting for almost a quarter of all deaths

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Health topics A to Z CKS NICE

WEBCarbon monoxide poisoning. Carbuncles, boils and staphylococcal carriage. Cardiac arrest - out of hospital care. Carpal tunnel syndrome. Cataracts. Cellulitis - acute. Central nervous system and brain cancers - recognition and referral. Cerebral palsy. …

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Vitamin D deficiency in adults Health topics A to Z

WEBVitamin D is a fat-soluble vitamin that regulates calcium and phosphate homeostasis and is therefore vital for musculoskeletal health. Vitamin D circulates in the blood as both vitamin D 3 (colecalciferol) and vitamin D 2 (ergocalciferol).. In the UK, 80–90% of vitamin D is derived from skin exposure to ultraviolet B radiation from sunlight, with the remaining …

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Scenario: Management Management Shingles CKS NICE

WEBThe person has shingles in the ophthalmic distribution of the trigeminal nerve, especially those with: Hutchinson's sign — a rash on the tip, side, or root of the nose, representing the dermatome of the nasociliary nerve, which is a prognostic factor for subsequent eye inflammation and permanent corneal denervation. Visual symptoms.

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Definition Background information Depression CKS NICE

WEBDepression is characterised by the absence of a positive affect (a loss of interest and enjoyment in ordinary things and experiences), low mood, and a range of associated emotional, cognitive, physical, and behavioural symptoms [NICE, 2022b].. It is defined in the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual …

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Complications and prognosis Background information

WEBHypertension increases the risk of a number of conditions, including: Heart failure. Coronary artery disease. Stroke. Chronic kidney disease. Peripheral arterial disease. Vascular dementia. Hypertension is one of the biggest risk factors for cardiovascular disease and related disability. At least half of all heart attacks and strokes are

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Scenario: Management Management Osteoporosis

WEBA combination of exercise types, for example balance, flexibility, stretching, endurance, and progressive strengthening exercises. Eat a balanced diet as this may improve bone health. Stop smoking if applicable, as it is a risk factor for fragility fracture. For more information, see the CKS topic on Smoking cessation.

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Generalized anxiety disorder Health topics A to Z CKS NICE

WEBAnxiety disorders are the most common psychiatric disorders — it is estimated that GAD occurs in 4–7.9% of patients in primary care settings. However GAD is under-diagnosed, as fewer than half of people with GAD seek treatment, and fewer than one-third of people with GAD receive adequate treatment. It is most common in people aged between

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Scenario: Assessment Management Osteoporosis

WEBThe recommendations on assessment of people with risk factors for osteoporosis are based on expert opinion in the National Institute for Health and Care Excellence (NICE) guideline Osteoporosis: assessing the risk of fragility fracture [NICE, 2017a], the National Osteoporosis Guideline Group (NOGG) guideline Clinical guideline for the prevention …

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Carbon monoxide poisoning Health topics A to Z CKS NICE

WEBCarbon monoxide is a colourless, odourless, tasteless gas produced by incomplete combustion of organic material. Exposure to carbon monoxide causes tissue hypoxia, as it binds to haemoglobin with about 240 times the affinity of oxygen and forms carboxyhaemoglobin. Once bound, carbon monoxide takes several hours to dissociate …

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Prevalence Background information Hypertension CKS NICE

WEBGlobally, the World Health Organization (WHO) estimates that 1.28 billion adults have hypertension. In 2019 the global age-standardized prevalence of hypertension in adults aged 30–79 years was 32% in women and 34% in men. Prevalence increases with advancing age, rising to over 60% in people aged over 60 years.

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Scenario: CVD risk assessment Management

WEBPrioritise people for a full formal risk assessment if their estimated 10-year risk of CVD is 10% or more. People aged over 40 years should have their estimate of CVD risk reviewed on an ongoing basis. In England all people aged 40–74 years are offered an NHS Health Check every 5 years, which includes an assessment of CVD risk.

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Causes and risk factors Background information

WEBLast revised in August 2023. Obesity results from an imbalance between energy intake and energy expenditure. This can be influenced by: Lifestyle factors, such as: Food and drink consumption — a diet high in sugar and fat has been implicated as a risk factor for obesity. Eating outside the home is becoming increasingly popular, and surveys

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Women's health Specialities CKS NICE

WEBAmenorrhoea. Antenatal care - uncomplicated pregnancy. Bacterial vaginosis. Breast cancer - managing FH. Breast pain - cyclical. Breast screening. Breastfeeding problems. Candida - female genital. Cervical cancer and HPV.

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Scenario: Pre-conception advice for all women

WEBAdvise women that achieving a healthy weight (BMI 18.5–24.9 kg/m 2) before becoming pregnant reduces the risk of pregnancy complications. Advise the woman of the potential health risks of being obese (BMI of 30 kg/m 2 or more) including: Reduced fertility. Increased risk of miscarriage. Gestational diabetes.

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