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RCGP council – virtual – 20/6/20

This council was held online and was shorter than usual. Please note that there is no point in repeating what someone else has said; it was a shorter meeting than usual so this was especially important. This is just a record of what I said . 1) motion from North East London Faculty in support […]

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Inside Health – death certification

https://www.bma.org.uk/advice-and-support/covid-19/practical-guidance/covid-19-death-certification-and-cremation Click to access chief-medical-officer-in-scotland-letter-about-death-certification-during-covid-19-pandemic-march-2020.pdf https://www.gov.scot/publications/death-certification-during-an-influenza-pandemic-chief-medical-officer-guidance/ Click to access COVID-19-act-excess-death-provisions-info-and-guidance-31-march.pdf https://www.themdu.com/guidance-and-advice/latest-updates-and-advice/certifying-deaths-during-covid-19-outbreak Click to access revised-guidance-for-registered-medical-practitioners-on-the-notification-of-deaths-regulations.pdf Click to access Mr-Nigel-Parsley-letter-18-March-2020.pdf

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Inside Health – coronavirus – 14/4/20

Covid-19 studies https://www.recoverytrial.net https://www.phctrials.ox.ac.uk/principle-trial https://www.remapcap.org/ Belgian study on aerodynamics preprint http://www.urbanphysics.net/COVID19_Aero_Paper.pdf Q+A http://www.urbanphysics.net/Questions_and_Answers.pdf studies of note on transmission and implications for distancing https://jamanetwork.com/journals/jama/fullarticle/2763852 https://wwwnc.cdc.gov/eid/article/26/7/20-0885_article https://www.nejm.org/doi/10.1056/NEJMc2004973 original paper on distancing – 6 foot in 1970! https://www.osha.gov/Publications/influenza_pandemic.html#maintain_operations

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Inside Health – 7/4/20

Conjunctivitis small study finding corona in some lacrimal fluid https://www.medrxiv.org/content/10.1101/2020.02.11.20021956v1 and https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2764083 WHO analysis of people with corona and conjunctival symptoms Click to access who-china-joint-mission-on-covid-19-final-report.pdf larger study not finding corona in eye fluid https://onlinelibrary.wiley.com/doi/10.1002/jmv.25725 Asthma British Thoracic Society advice file:///Users/user/Downloads/BTS%20Advice%20for%20Healthcare%20Professionals%20treating%20patients%20with%20asthma%20(6).pdf Government methodology https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19 European definition of ‘severe asthma’ (table 3) Click to access 343.full.pdf Asthma […]

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Inside Health 17/3/20

NSAIDs and covid19 NHS advice https://www.nhs.uk/conditions/coronavirus-covid-19/self-isolation-advice/ French announcement https://forum.facmedicine.com/threads/anti-inflammatories-may-aggravate-covid-19-french-health-minister-warns.47919/ and https://dgs-urgent.sante.gouv.fr/dgsurgent/inter/detailsMessageBuilder.do?id=30500&cmd=visualiserMessage Irish advice https://www.hse.ie/eng/services/news/media/pressrel/advice-about-anti-inflammatory-medication-and-covid-19.html ACE inhibitors and covid19 Lancet letter Click to access PIIS2213-2600(20)30116-8.pdf Science Media Centre reaction expert reaction to questions about high blood pressure, diabetes, and ACE inhibitor drugs, and risk of COVID-19 infection European Society of Cardiology https://www.escardio.org/Councils/Council-on-Hypertension-(CHT)/News/position-statement-of-the-esc-council-on-hypertension-on-ace-inhibitors-and-ang Scotland – no 111 […]

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Covid-19 Inside Health 10/3/20

Incubation time NHS Inform info as of today Letter from CMO to Scottish GPs Volunteers SoS announcement Kings Fund report NHS volunteer info Masks Respirators and here economic evaluation in normal surgical practice – lots of questions systematic review 2017 BMJ narrative review 2015 other means; social distancing and here and a review from Australia

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Meeting Scottish Parliament 5/3/20 on gender issues

reviews https://pediatrics.aappublications.org/content/141/4/e20173742.long https://www.sciencedirect.com/science/article/abs/pii/S2213858717300992https://www.dovepress.com/the-effect-of-cross-sex-hormonal-treatment-on-gender-dysphoria-individ-peer-reviewed-article-NDT desistion https://jaacap.org/article/S0890-8567(08)60142-2/fulltext https://www.docdroid.net/hY664Sc/steensma2013.pdf https://pdfs.semanticscholar.org/5d46/ec82d6bb6f65e78f5140b6edb04efb7b5cdd.pdf?_ga=2.207012119.584406451.1582916682-1862992690.1582916682 uncertainties https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841333/ Tavistock data (appendix 7) Click to access board-papers-2015-06.pdf

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RCGP council meeting 21/2/20

council members can now access papers online! ** major advance *** – thank John Cosgrove for raising and driving this. topics for today that I spoke on – there is no point in repeating other peoples’ points, and we can only report what I said. have been elected to trustee board, thankyou. Will do my […]

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Inside Health 18/2/20- healthcare staff and contagious disease

Edinburgh 1969-78 hepatitis B  https://www.jstor.org/stable/4452769?seq=1 Prejudice against people with certain diseases, historically minimal risk to HPC re HIV Ebola impact on staff , deaths in healthcare staff due to Ebola , impact on communities, stigma, SARS impact , retrospective , analysis of outbreak in Toronto, impact on staff , post outbreak effects, Coronavirus Lancet stats, […]

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Inside Health 4/2/20

potentially unnecessary vaginal examinations – study JAMA commentary 2013 systematic review Annals Internal Medicine 2014 PLCO study showing bimanual exams don’t help screen for ovarian cancer

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