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Mar 2026
accessmedicine.mhmedical.com accessmedicine.mhmedical.com

Varicose Veins

1
1. Arshadbhat 30 Mar 2026
  
  in Public
  
  Endovenous ablation is contraindicated or relatively unsuitable when venous anatomy precludes catheter-based treatment, specifically: aneurysmal dilation of the GSV close to the saphenofemoral junction, subcutaneous location of truncal veins above the saphenous fascia and close to the skin, and significant tortuosity of the GSV or SSV. [1] In these scenarios, high ligation and stripping is recommended as the preferred alternative (grade 1 strong recommendation
  
  Thrombotic Risk Stratification Both surgical and endovenous approaches carry VTE risk, but surgery has substantially higher rates. Thrombotic complications after isolated endovenous ablation are uncommon (<1% for DVT and PE), whereas patients undergoing open procedures such as high ligation and stripping with phlebectomy may experience VTE rates as high as 6.25%. [2] Concomitant phlebectomy of tributaries has been identified as an independent risk factor for VTE development. [2] For high-risk patients undergoing endovenous ablation, pharmacological thromboprophylaxis is suggested (grade 2 weak recommendation). [2] Risk stratification using tools like the Caprini score may identify patients at elevated risk, with those scoring ≥7 potentially benefiting from chemoprophylaxis.
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Thrombotic Risk Stratification Both surgical and endovenous approaches carry VTE risk, but surgery has substantially higher rates. Thrombotic complications after isolated endovenous ablation are uncommon (<1% for DVT and PE), whereas patients undergoing open procedures such as high ligation and stripping with phlebectomy may experience VTE rates as high as 6.25%. [2] Concomitant phlebectomy of tributaries has been identified as an independent risk factor for VTE development. [2] For high-risk patients undergoing endovenous ablation, pharmacological thromboprophylaxis is suggested (grade 2 weak recommendation). [2] Risk stratification using tools like the Caprini score may identify patients at elevated risk, with those scoring ≥7 potentially benefiting from chemoprophylaxis.

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Arshadbhat

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accessmedicine.mhmedical.com/content.aspx
Apr 2024
theconversation.com theconversation.com

Learning to read is a journey: a study identifies where South African kids go off track

1
1. PelserM 13 Apr 2024
  
  in Public
  
  We need to understand what prevents basic reading skills from being acquired in grade 1 and 2 classrooms. A systemic programme to improve what teachers are taught at university is needed. In classrooms, diagnostic assessment of early grade reading skills can also help to detect where children are falling behind.
  
  My application won't fix this but it's a tool - it's for the teacher and learner but again it won't assist if there aren't deeper incentives to inspire and create a better system - WICKED PROBLEM
  
  wicked problem grade 1 foundation phase
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grade 1

foundation phase

wicked problem

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PelserM

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theconversation.com/learning-to-read-is-a-journey-a-study-identifies-where-south-african-kids-go-off-track-206242