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3 6 These virtual MDT clinics typically meet to consider complex cases requiring antiretroviral decision making due to resistance, toxicity or the use of newer/off-label antiretroviral agents including those that require virtual clinic discussion as a condition of commissioning.
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The management strategies described were individualised management plans, activity diaries and ongoing clinic discussions: "With most patients you can find a pattern to say look the child tends to go a bit hypo maybe two hours after the activity, so we need to make sure that we give them a good carbohydrate meal, we cut down the insulin or work out a strategy that works" (P02, Consultant).
Women attending clinic for discussion of prophylactic mastectomy may also be eligible to participate in the study.
Arrangement of site visit to the involved outpatient clinic and discussion with the frontline staff in addition to observation can help cross validate the accuracy of the data.
This retrospective study has demonstrated the diversity of referrals to our multidisciplinary virtual clinic for discussion of complex case management for children and adolescents living with HIV from a wide geographical region.
Potential participants are identified from those attending outpatient breast clinics for discussion of breast cancer diagnosis and treatment options.
The MenSS website content and design was developed based on evidence from the sexual health research literature and theories of behaviour change, qualitative interviews with men in sexual health clinics, and discussions with clinical and academic experts in sexual health and digital technologies.
While in Afghanistan, Fair hosted sports clinics and discussions to highlight the valuable skills athletes learn through sports such as teamwork, leadership and determination.
Other data were collected through simulated patient visits to health clinics, group discussions with intervention pupils, observation of training sessions, internal monitoring and evaluation, and annual surveys of implementers [ 12, 16].
All of the study participants had a confirmed STI diagnosis based on clinic records and discussion with attending physicians.
Where cause of death was not documented on the electronic record, it was elucidated by review of patient notes, review of clinic letters and/or discussion with General Practitioners.
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