Irish journal of medical science
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For people with type 2 diabetes to enjoy improved longevity and quality of life, care needs to be organised in a systematic way. ⋯ Structured care in general practice improves intermediate outcomes for people with type 2 diabetes. Further improvements need to be made to reach international targets.
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The role of Low molecular weight heparins (LMWH) in day case/short-stay surgery is unknown. ⋯ This study demonstrates a heterogeneous pattern of administration of LMWH. In the absence of published validated protocols, the authors suggest a consensus day case protocol.
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BACKGROUND All neonates have free open access to the Baby Clinic at the maternity hospitals in Dublin for assessment of neonatal health issues. Through observation, however there is an increase in number of neonates attending the hospital outside the Baby Clinic hours. ⋯ A large number of neonatal attendances did not require acute assessment out of hours and were managed by reassurance and maternal education. A centralized phone-in-triage system was suggested to relieve the strain on the acute neonatal service.
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Anal ulceration is uncommon. Patients are typically referred because of severe anal pain, bleeding, discharge, and ulceration. It is important to exclude anal carcinoma, and to consider more unusual causes. ⋯ Knowledge of the association between nicorandil and anal ulceration is essential in order to appropriately diagnose and manage this condition.