Clin Med
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There is a broad consensus that international trade in goods is beneficial, providing of course that it is fair. Yet not all things that are traded are goods. Some can more appropriately be considered as 'bads'. ⋯ However, there are other things that are legitimately traded where restrictions may be needed, such as alcohol. Global trade is simply a means to an end. The ultimate goal must include better health for all.
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Myocardial infarction (MI) and stroke are the first and third leading causes of death in the U. S. A. accounting for more than 1 in 3 deaths per annum. ⋯ Human umbilical cord blood (hUCB) appears to be a logical candidate as a source of cells. hUCB is readily available, and presents little ethical challenges. Stem cells derived from hUCB are multipotent and immunologically naive. Here is a critical literature review of the beneficial effects of hUCB cell therapy in preclinical trials.
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Elderly patients represent a large number of admissions to hospital, accounting for a disproportionate number of hospital bed days. Discharge planning can improve the safety and appropriateness of discharge from hospital, and can have a positive impact on length of stay and efficiency. Despite this, discharge planning is often neglected. This review, both evidence and experience based, is provided to aid with the safe discharge of elderly patients back into the community.
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Case Reports Comparative Study
Discrepancies between histology and serology for the diagnosis of coeliac disease in a district general hospital: is this an unrecognised problem in other hospitals?
The objective of this study was to assess the increasing number of patients with positive biopsies yet negative serology at Medway Hospital, Kent, through a retrospective data collection. All coeliac serology undertaken between 2003-5 (n=3056) with coeliac positive duodenal biopsy results (n=26) were compared. ⋯ This study shows that a small but significant number of cases of coeliac disease will be missed by relying on serology alone. As the diagnosis and management of disease shifts further towards general physicians and primary care, it is important that the limitations of serological testing are recognised.