"[This is] the doctrine that we cannot accept the command of an authority, however exalted, as the ultimate basis of ethics. For whenever we are faced with a command by an authority, it is our responsibility to judge whether this command is moral or immoral. The authority may have power to enforce its commands, and we may be powerless to resist. But unless we are physically prevented from choosing the responsibility remains ours. It is our decision whether to obey a command, whether to accept authority. "


New NICE guidance on managing bed-wetting in children and on prevention of osteoporosis in adults

Feb. 9, 2011

This is a very brief blog entry to signpost a couple of recent National Institute for Health and Clinical Excellence (NICE) guidelines on the management of bed-wetting in children & young people (up to age 19), and on the prevention of osteoporosis in adults.  These are both subjects that I'm sometimes asked about, and high quality, up-to-date, evidence-based advice is well worthwhile. 

If you're really interested in bed-wetting, you can read or download the full 473 page "Nocturnal enuresis: The management of bedwetting in children and young people" guideline.  Happily there is also a 20 page "Quick reference guide" written for health professionals, and also another 20 page booklet "Bedwetting in children and young people" written for parents, carers & young people themselves. 

Osteoporosis prevention is covered in two guidelines - the 94 page amended "Alendronate, etidronate, risedronate, raloxifene and strontium ranelate for the primary prevention of osteoporotic fragility fractures in postmenopausal women" with a 4 page, health professional "Quick reference guide" and a 6 page "Patient/general public guide".  There's also a 99 page "Alendronate, etidronate, risedronate, raloxifene, strontium ranelate and teriparatide for the secondary prevention of osteoporotic fragility fractures in postmenopausal women (amended)" with a 4 page professional "Quick reference guide" and a 6 page "Patient/general public guide" for postmenopausal women who have already suffered an osteoporotic fracture.