The cost-effectiveness of universal newborn screening for bilateral permanent congenital hearing impairment: systematic review. (49/144)

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Endoscopic ultrasound criteria to predict the need for intervention in pancreatic necrosis. (50/144)

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Factors influencing follow-up to newborn hearing screening for infants who are hard of hearing. (51/144)

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Effectiveness of brief interventions as part of the screening, brief intervention and referral to treatment (SBIRT) model for reducing the non-medical use of psychoactive substances: a systematic review protocol. (52/144)

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Missed opportunities in the referral of high-risk infants to early intervention. (53/144)

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Prevention and management of graft thrombosis in pancreatic transplant. (54/144)

Pancreatic transplant effectively cures type 1 diabetes mellitus and maintains consistent long-term euglycemia. However, technical failure, and in particular graft thrombosis, accounts for the vast majority of transplants lost in the early postoperative period. The pancreas' inherently low microvascular flow state makes it vulnerable to vascular complications, as does the hypercoagulable blood of diabetic patients. Ultimately, the phenomenon is most definitely multifactorial. Prevention, as opposed to treatment, is key and should focus on reducing these multiple risk factors. This will involve tactical donor selection, optimal surgical technique and some form of anticoagulation. Close monitoring and early intervention will be crucial when treating thrombosis once preventative methods have failed. This may be achieved by further anticoagulation, graft salvage, or pancreatectomy with retransplant. This article will explore the multiple factors contributing to graft thrombus formation and the ways in which they may be addressed to firstly prevent, or more likely, reduce thrombosis. Secondly, we will consider the management strategies which can be implemented once thrombosis has occurred.  (+info)

Pulmonary tuberculosis and delay in anti-tuberculous treatment are important risk factors for chronic obstructive pulmonary disease. (55/144)

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Short-term neurodevelopmental outcomes in neonates with congenital heart disease: the era of newer surgical strategies. (56/144)

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