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Clinical

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...

Exercise and pregnancy: information for practice nurses

The Department of Health (2011b) published the Start Active, Stay Active strategy, which mirrors the WHO (2010) global recommendations for physical activity. Recommendations state that adults should...

Assessment of frailty in Alzheimer's: a literature review

While age-related cognitive dysfunction has long been the subject of studies, such as the Geriatric Giants study (Isaacs, 1965), definitions have not considered cognitive frailty to be consistent with...

Urinary incontinence and pelvic organ prolapse in primary care

There may be considerable variation across CCGs and in primary and secondary care with regards to formulary restrictions. Dependent on formulary rules, some practices may restrict the number of drugs...

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