International journal of clinical practice
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Int. J. Clin. Pract. · Dec 2018
Portal vein thrombosis in patients with liver cirrhosis and its impact on early and long-term outcomes after liver transplantation.
Portal vein thrombosis (PVT) is a common complication amongst patients with liver cirrhosis. The PVT risk factors and its impact on post liver transplant outcome has not been well defined, yet. This study aimed to investigate PVT prevalence, its risk factors and influence on early and long-term outcomes after liver transplantation. ⋯ Portal vein thrombosis prevalence is high in pretransplant period. NASH related cirrhosis and diabetes mellitus might be risk factors for PVT. More intense screening of these patients for PVT is warranted.
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Int. J. Clin. Pract. · Dec 2018
An evaluation of variation in pathology investigations and associated factors for adult patients presenting to emergency departments with chest pain: An observational study.
To determine variation in pathology test ordering practices and identify associated factors for adult patients presenting to emergency departments (ED) with chest pain and subsequently admitted with ischaemic heart disease. ⋯ Pathology investigations for patients presenting with chest pain varied significantly across EDs suggesting opportunities to improve standardisation of test ordering practices.
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Int. J. Clin. Pract. · Dec 2018
Withdrawn:Screening for thyroid disease in patients with type 2 diabetes mellitus: an evaluation of current practice. H Heald, T Palit, M Livingston, C Duff, A Fryer.
The above article from International Journal of Clinical Practice, published online on 7th December 2018 in Wiley Online Library (http://wileyonlinelibrary.com) has been withdrawn by agreement between the authors, the journal Editor in Chief, Leslie Citrome, and the publisher, John Wiley and Sons Ltd. The withdrawal has been agreed due to overlap of the data with an original article by the same authors which is currently in preparation.
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Int. J. Clin. Pract. · Dec 2018
'Leave Well Enough Alone': A New Mantra for Management of Diabetes in the Elderly.
A multitude of epidemiological cross-sectional and case-control studies have now indicated that overly-stringent or 'tight' glycaemic control in the elderly is at best of no benefit to the patient and at worst a reckless endeavour. Rodiguez-Poncelas et al. recently demonstrated that this issue remains unresolved by presenting data in the International Journal of Clinical Practice on this somewhat under-acknowledged aspect of diabetes care.1 Perhaps now is the time for physicians to take note and implement a mantra of 'leave well enough alone' in the case of the diabetic elderly. This article is protected by copyright. All rights reserved.
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Int. J. Clin. Pract. · Dec 2018
Assessment and management of cognitive problems in people with multiple sclerosis: A National Survey of Clinical Practice.
People diagnosed with multiple sclerosis often have cognitive problems. However, it is unclear how cognitive impairment is currently assessed and managed in the UK. ⋯ Clinical pathways for assessing and managing cognitive problems vary and are dependent on the individual expertise of health professionals, available resources, and access to specialist services. Although healthcare professionals highlight the importance of assessment and management, cognitive rehabilitation programmes are not routinely offered in the UK.