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Temporary transvenous pacing (TTVP) is an emergency procedure frequently performed in the elderly. An apparent decline in its use, which appears to be multifactorial, has led to its role in a district general hospital (DGH) to be…
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The evidence for early supported discharge services is compelling, but progress towards widespread implementation is patchy even though the early rehabilitation of stroke patients at home has been a national priority since 2007. This…
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A comprehensive report of GM's first annual conference The older patient: bridging the gap between primary and secondary care.
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Substance misuse in older people has received very little attention from clinicians and policy makers. Due to the ageing population and changing trends in substance misuse, we can no longer consider this clinical issue as a rare phenomenon.…
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There has been considerable controversy over several years regarding the use of cholinesterase inhibitors and memantine for the treatment of Alzheimer's disease. In a recently published technology appraisal, NICE has reversed previous…
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Interstitial lung disease (ILD) is a general term for a number of diseases characterised by progressive pulmonary fibrosis or €œscarring€ of the lungs. The term fibrosis implies formation of abnormal connective tissue within the lung…
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Gout is a common presentation in the elderly population; therefore, physicians need to be skilled at its diagnosis and treatment. This paper addresses the diagnosis and treatment of gout, with a particular focus on challenges in the…
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A caring role is performed by one in every eight adults in the UK at any one time€“ and on average lasts for four years, with 40% of carers providing care for less than one year and 25% for more than 10 years. The peak age range at which…
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Cancer is a common problem, but an individual GP may only see about seven to eight new cases of cancer per annum (although they will see many more patients with symptoms that are associated with cancer but are actually due to a…
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The NICE guidance Chronic heart failure: management of chronic heart failure in adults in primary and secondary care was published last year and replaces the 2003 version. New and updated recommendations are included on diagnosis,…
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