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Inhaled therapy for asthma

For severe or difficult asthma, a relatively new treatment exists for initiation by specialist care only. Monoclonal antibody (MAB) injections are given by intramuscular injection once a month to...

Bronchiolitis: treatment and management in an urgent out of hours care setting

Bronchiolitis is an acute inflammation of the bronchioles that predominately affects children under the age of two years, but most common in the first 12 months of life. Respiratory syncytial virus...

Common questions on emergency and postcoital contraception

A systemic review of safety data (Jatlaoui et al, 2015) for adverse events relating to use of EC in healthy women concludes that such events are rare..

Pre-diabetes and cardiovascular risk: detonating the time bomb

Worldwide, there are more than 400 million people with pre-diabetes, and it has been estimated that more than 470 million people will have prediabetes by 2030 (Middelbeek and Abrahamson, 2014).

Monitoring respiratory rate in adults

Health professionals use several terms to describe irregular respiratory rates, including:.

Measles: An overview for practice nurses

The disease is most likely to occur in late winter or spring. Spread occurs via respiratory droplets, which can remain active and contagious, either airborne or on surfaces, for up to 2 hours (Chen,...

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...

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