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Breast cancer is the collective term for all the cancers that originate in breast tissue. Most of these begin in the glandular tissue, though the most common of all breast cancers starts in the ducts. Breakthrough Breast Cancer is a UK…
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Dehydration in frail, elderly, nursing-home residents is a common problem usually leading to hospital admission for rehydration with intravenous fluids. Such admissions increase pressure on secondary care and may cause distress to the…
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Revalidation is almost upon us. Relicensing should, subject to legislation, finally start this autumn, followed by recertification as part as a 5-year rolling programme. The impact this will have on consultants' continuing professional…
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Gout is a very common disease, particularly in older men. It manifests as swollen painful joints resulting from intra-articular deposition of monosodium urate crystals. Initial treatment is with high doses of non-steroidal anti-inflammatory…
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Good communication skills are essential, particularly in the care of older people. Interactions between doctors and patients or patients' relatives will increase since the arrival of lasting power of attorney, implemented with the Mental…
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The skin of the legs can be affected by several disorders such as venous ulcers and forms of eczema, as well as purpura, cancers, and infections. Since the legs are usually covered by clothing, patients might not know about the condition…
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Falls are a major cause of disability, are the leading cause of mortality resulting from injury, and have a huge impact on health-care costs. 33€“50% of people older than 65 years fall each year. Thousands of those fall at home, and more…
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The myelodysplastic syndromes are a group of disorders predominantly affecting elderly people, leading to ineffective haematopoiesis, and they have the potential to develop into leukaemia. Classification and prognostic systems help to…
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The reciprocal link between depression and poor physical health has long been recognised. Exercise is a useful intervention, and its direct benefits may be enhanced by the increased social engagement elicited. A healthy diet is probably…
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Specialist stroke rehabilitation aims to promote independence and reintegration into the community. Early supported discharge of stroke patients with mild-to-moderate disability by a coordinated multidisciplinary team not only improves…
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