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The inflammatory profile of exacerbations in patients with severe refractory eosinophilic asthma receiving mepolizumab (the MEX study): a prospective observational study

Chronic pain: Guidelines make me feel like my relief is money wasted


By Chris Bridgeford
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In the real world those in charge of budgets don’t use compassion to balance the books, writes Chris Bridgeford
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There was great consternation and fear among the 1.09 million chronic pain sufferers in Scotland recently when NICE (National Institute for Clinical Excellence) released their new guidelines for dealing with chronic pain.
Chronic pain is classed as pain which lasts longer than three months. Headlines of various newspapers and magazines screamed that chronic pain sufferers were no longer to be given any painkillers but were being told to exercise and self-manage their pain instead. ....

United Kingdom , Scottish Intercollegiate Guidelines Network , Scottish Parliament , National Institute For Clinical Excellence , Chris Bridgeford , National Institute , Clinical Excellence , Affa Sair , Scottish Government , ஒன்றுபட்டது கிஂக்டம் , ஸ்காட்டிஷ் இண்டெற்கொள்ளேகியதே வழிகாட்டுதல்கள் வலைப்பின்னல் , ஸ்காட்டிஷ் பாராளுமன்றம் , தேசிய நிறுவனம் க்கு மருத்துவ சிறப்பானது , கிறிஸ் பிரிட்ஜ்ஃபோர்ட் , தேசிய நிறுவனம் , மருத்துவ சிறப்பானது , ஆஅ ஐயா , ஸ்காட்டிஷ் அரசு ,

Managing type 2 diabetes in the elderly and frail: why greater understanding of complexities is needed


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The five-item FRAIL score (a questionnaire comprising five components: Fatigue, Resistance (difficulty walking up stairs), Ambulation, Illness, and Loss of weight)
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Managing frailty in the context of type 2 diabetes
Effective management of type 2 diabetes in older adults requires healthcare professionals to appreciate the increasing complexity of the illness and that care may need to operate over four decades (60–90 years and older) and respond to the changing circumstances of an individual’s health status.
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Managing type 2 diabetes in high-functioning older people with an anticipated long-life expectancy is often similar to those for younger people. However, these approaches are inappropriate and potentially unsafe if applied to functionally impaired or frail individuals. ....

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