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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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Inside Health – sepsis 25/2/20

Lancet letter on sepsis https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32483-3/fulltext NEWs and GPs https://emj.bmj.com/content/early/2020/01/09/emermed-2019-209069.full media BJGP open https://bjgpopen.org/content/bjgpoa/early/2020/01/21/bjgpopen20X101005.full.pdf no association with 1 hour antibotics and survival  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4597314/ 2019 – systematic review – equivocal  https://www.ncbi.nlm.nih.gov/pubmed/31855885 death rates in children https://www.gov.uk/government/publications/health-profile-for-england/chapter-2-major-causes-of-death-and-how-they-have-changed hospitals to be fined https://www.bmj.com/content/364/bmj.l1124.long antibiotic resistance https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/843129/English_Surveillance_Programme_for_Antimicrobial_Utilisation_and_Resistance_2019.pdf popups on ‘fever’ http://www.pulsetoday.co.uk/clinical/clinical-specialties/infectious-diseases/are-gps-suffering-from-sepsis-fatigue/20035534.article concerns about overdiagnosis https://www.ncbi.nlm.nih.gov/pubmed/26346055

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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 11/2/20

heart disease in women – press release 2016 paper that went with press release other papers of note https://www.bmj.com/content/350/bmj.g7873 https://heart.bmj.com/content/103/1/10 https://www.hindawi.com/journals/cdtp/2019/9546931/ https://www.ahajournals.org/doi/10.1161/JAHA.119.012307 https://link.springer.com/article/10.1007%2Fs11886-014-0557-5 https://www.nejm.org/doi/full/10.1056/nejm199107253250402 https://www.heartandlung.org/article/S0147-9563(11)00270-6/fulltext https://www.leeds.ac.uk/news/article/3905/heart_attacks_in_women_more_likely_to_be_missed https://academic.oup.com/cardiovascres/article/115/14/e158/5614321 https://www.ahajournals.org/doi/10.1161/JAHA.119.012307

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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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RCGP Council 23/11/09

I had to leave early in the afternoon but left notes which were read at appropriate times. C10 priorities read  Deliver practical solutions to sustain and equip GPs to provide the best possible patient care and shape the future of general practice Develop the College into a dynamic and inclusive membership community Promote the contribution […]

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