The view that vaginal birth is preferable in the absence of medical indications for CS is evidence of the weight given to medical utility, a concept encompassing calculations of risk and benefit as well as concerns for optimising the use of resources.
"Early indications are that there is evidence of some fault at all the schools but it's too early to say how that will physically impact in terms of the length of closure for each of the individual 17 schools," Burns said.
In the opinion of the attending surgeon, there is a contraindication to intramedullary nailing; The fracture is open; There is a contra-indication to anaesthesia; There is evidence that the patient would be unable to adhere to trial procedures or complete questionnaires The fracture extends into the ankle joint (ie, intra-articular fracture).
Clinicians frequently face a dilemma when deciding on statin initiation as primary prevention, particularly in those without diabetes and those with apparently mildly elevated cardiovascular disease risk factors when the indication is less clear and evidence less strong.
Denying injured children TXA due to the lack of pediatric trauma trial evidence in this indication is likely shortsighted and unnecessary given the ample clinical evidence in other pediatric settings, the excellent safety record of the drug, and the clear mortality benefit seen in adult trauma.
Many donor management protocols usually include steroids, but this indication is based on poor quality evidence and is subject to considerable debate in the literature [ 4– 9].
Chemotherapy can be proposed, in symptomatic oligodendroglial tumours, preferentially in clinical trials, since its role in this indication is uncertain (option, level of evidence: D).
Its indication is for treatment-experienced adults with evidence of NNRTI drug resistance.
They recognized that there is evidence for short-term efficacy of testosterone in selected populations, such as surgically menopausal women, but advised against the generalized use of testosterone by women, because the indications are inadequate and evidence of safety in long-term studies is lacking (Wierman et al 2006).
The indication is recovery.
