To thereby enhance our understanding of the primary care requirements of elderly people in this setting.

The anonymised records of an older patient cohort (n = 427, age > 55 years) that presented to a General Practice over a 12-month period were retrospectively analysed to determine the nature of the clinical encounters, subsequent referral patterns

and drugs prescribed.

There were 3,448 discrete clinical encounters (mean = 8.0 per patient), predominantly for respiratory conditions, leading to 401 issued scripts and to 216 patients being referred for secondary care. Women were DAPT clinical trial referred more often than men. There was a notable need for specialised dietary advice and drug prescribing was often complex.

This study provides evidence of primary care needs in an economically deprived area of an Irish city highlighting the complexity of associated prescribing and secondary care referrals in this setting.”
“Large bowel obstruction is a

selleck rare and difficult diagnosis in pregnancy. Common causes are caecal and sigmoid volvulus and less common pseudo-obstruction. An infrequent cause of large bowel obstruction from an adhesive band in pregnancy causing diagnostic difficulty is reported.

Report of an unusual cause of large bowel obstruction in pregnancy.

Diagnostic colonoscopy confirmed large bowel obstruction at the level of sigmoid. Laparotomy revealed this to be from a single band adhesion originating from the site of previous appendicectomy. Division of the band resolved the obstruction.

A high index of suspicion is necessary for the diagnosis of large bowel obstruction in pregnancy especially in women with previous

history of abdominal or pelvic surgery. Colonoscopy is helpful avoiding radiation to foetus and mother. Prompt surgical intervention reduces risks and maximises chances for a favourable outcome for both mother and child.”
“1-Butyl-3-methylimidazolium chloride ([BMIM]Cl) was used as a solvent for cellulose, the rheological behavior of the cellulose/ [BMIM]Cl solution was studied, and the fibers were spun with a dry-jet-wet-spinning process. In addition, the structure and properties BAY 73-4506 research buy of the prepared cellulose fibers were investigated and compared with those of lyocell fibers. The results showed that the cellulose/ [BMIM]Cl solution was a typical shear-thinning fluid, and the temperature had little influence on the apparent viscosity of the solution when the shear rate was higher than 100 s(-1). In addition, the prepared fibers had a cellulose II crystal structure just like that of lyocell fibers, and the orientation and crystallinity of the fibers increased with the draw ratio increasing, so the mechanical properties of the fibers improved. Fibers with a tenacity of 4.28cN/dtex and a modulus of 56.8 cN/dtex were prepared.