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Clinical

Tick-borne diseases: an update for general practice

The method of spread for tick-borne infections may vary depending on the tick species and habitat. Ticks can feed on a number of different mammals, birds, reptiles and amphibians, with most preferring...

Pneumococcal disease and vaccination: recent changes to the schedule

Pneumococcal disease is a bacterial infection caused by Streptococcus pneumoniae. It is an encapsulated organism, which increases its virulence, and more than 90 different capsular types (serotypes)...

Medicines adherence in respiratory disease

If adherence means compliance with recommended or prescribed therapy, non-adherence just means that the prescription, treatment or advice is not followed (Horne, 2005). Non-adherence can involve...

Understanding vitamin B12 and folate deficiency

Vitamin B12 is vital for health and is essential for a number of physiological functions in the body, including the formation of healthy red blood cells, DNA synthesis and the healthy function of the...

Guidelines for malaria prevention in travellers: what is new?

In 2018, a total of 1683 cases of imported malaria were reported in the UK. This included six malaria deaths, all from P. falciparum acquired in Africa. The majority of UK malaria cases were reported...

Preventing back-to-school asthma attacks

Given the predictability of worsening asthma control and the increased risk of asthma attacks in the back-to-school period, successful interventions could substantially reduce the overall asthma...

Caring for people with asthma in primary care

According to Asthma UK (2019a), there are 4.3 million adults and 1.1 million children currently receiving treatment for asthma. Asthma is the most common lung disease in the UK (British Lung...

Rabies: an update for nurses in general practice

Rabies lyssavirus (genus Lyssavirus) is shed in the saliva of an infected animal. The virus is transmitted from animal to animal, or from animal to human via a wound such as a bite or scratch, or...

The role of primary care in preventing male suicide

The ONS (2019) report states that there were 6507 suicides in the UK and 352 in Ireland in 2018, and that the UK male suicide rate of 17.2 deaths per 100 000 represents a significant increase from the...

Understanding bariatric surgery to support patients in primary care

Many factors are attributed to weight gain such as: excessive food intake; sedentary lifestyle; sleep patterns; socio-economic deprivation; medications such as steroids and insulin; depression;...

Non-tuberculous mycobacterial lung disease in general practice

There are over 170 different NTM species. This number continues to rise as improvements in diagnostic technology occur, for example the use of mycobacterial whole genome sequencing (where the full or...

Recognition and assessment of dementia in primary care

Dementia is an umbrella term that is used to describe a group of symptoms that are characterised by behavioural changes and loss of cognitive and social functioning. It is caused by progressive...

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