For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Using the right tests in the right people to improve diagnosis rate of coeliac disease
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GASTROENTEROLOGY
Using the right tests in the right people to improve diagnosis rate of coeliac disease
Wednesday 19 August 2020, 12:30 AM
The HLA-DQ2.5 pair of alleles creates a receptor protein that binds wheat gluten very tightly, causing the T-cell to release a lot of signalling molecules, resulting in inflammation
Gastroenterologist Alan Fraser reviews issues surrounding the diagnosis of coeliac disease, as well as positive and negative aspects of the gluten-free diet
Key points, To improve the diagnosis rate of coeliac disease, there should be liberal use of tissue transglutaminase antibody testing in high-risk groups; human l, Pract Green w Pale Yellow
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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