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Latest Updates

Evidence is emerging of risks with long-term use of PPIs, and the list is long!


So, there is lots to consider at that next medication review. To complicate matters, rebound acid is common on discontinuing PPIs. Step down therapy may be needed. But what do we do if...
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Neutropenic sepsis: NICE guidance

 
In 2012, NICE produced guidance on neutropenic sepsis. This is the easiest guidance in the world for GPs – there are just two sentences that are important to us!

1....
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Managing stress

Karl Albrecht described stress as falling into one of four main categories: time stress, anticipatory stress, situational stress and encounter stress. In our article, we consider each in turn...
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Miscarriage: frequently asked questions

A very large observational study published in the BJOG looked at nine established risk factors for miscarriage in pregnancies included in the Danish National Birth cohort from 1996 to 2002. It...
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Is this bipolar?

Several recent studies have shown that around 10% of adults taking antidepressants for ‘depression’ actually have features of bipolar disorder. The Mood Disorder Questionnaire is a simple screening...

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Should lesbian and bisexual women have a smear?

 
YES!
 
In 2009, the NHS Cervical Cancer Screening Programme found that:
 
  • 30%...
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