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Clinical

HIV transmission, prevention, treatment and care: part two

Between 2022 and 2023, the number of people tested in all sexual health services rose compared to testing levels seen in 2019. Compared to 2019, there was a decline in the number of heterosexual and...

An overview of diabetes-related foot ulcers

DFU has been defined by the International Working Group on Diabetic Foot as a break of the skin of the foot that includes the epidermis and part of the dermis in a person with diabetes (Bus et al,...

GLP-1 receptor agonists and their role in managing type 2 diabetes

The World Health Organization (2024) defines diabetes as a chronic, metabolic disease characterised by elevated levels of blood glucose (or blood sugar), which over time can lead to serious damage to...

Managing Bowen's disease in primary care settings

Bowen's disease is a rare condition thought to affect approximately 15 per 100,000 people in the UK each year (GP Notebook 2020). Although the condition can affect both males and females,...

Flu season takeaways – what nurses need to know this winter

Since the flu pandemic of 2009 (with exception of the two pandemic years), our ‘flu seasons tended to have followed a low and late pattern. By this I mean influenza starts circulating around January...

Type 2 diabetes post pandemic: enabling your patients to regain control

‘…a chronic, metabolic disease characterised by elevated levels of blood glucose (or blood sugar), which leads over time to serious damage to the heart, blood vessels, eyes, kidneys and nerves.’ .

Venous eczema: an update for nurses working in primary care

Chronic venous disease develops because of an interplay between genetics and environmental factors that increases venous pressure, leading to substantial changes in the whole structure and functioning...

Diagnosing and managing psoriasis in primary care

There are several types of psoriasis, some more common than others. Chronic plaque psoriasis is the commonest type accounting for more than 80% of cases (Yoo, 2023) and can occur as large plaque,...

Starting a new school with asthma – what to advise

GPNs are more than alert than most health professionals to the rise in number of exacerbations of asthma as children start school or go back to school each September..

Sciatica in primary care – a case discussion

The sciatic nerve is defined as a collection of two nerves, the common fibular and tibial nerves, originating from the L4-S3 of the sacral plexus, leaving via the greater sciatic foramen and traveling...

Management of vitamin B12 deficiency in primary care

According to World Health Organization (WHO 2023), vitamin deficiencies are a major global health concern. Although iron, vitamin A, and iodine deficiencies are the most common worldwide, vitamin B12...

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