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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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#valueGP

This project is part of the work Sam Finnikin and I are doing as part of our fellowship in Evidence and Values at the RCGP.  Essentially:  General practice has seen so many re-disorganisations, contracts, changes and pressures…as well as added workload, and many of us are struggling to love/ do the job we love well. General […]

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blood pressure and head lice – Inside Health 29/10/19

lovely combination Blood pressure pills at night reproducibility crisis  review article  and old Cochrane review  new study – Hygia project  and trial registration (spot difference) old study and BP levels with diurnal meds – taking (similar bp results, didn’t address morbidity) MAPEC study HEAD LICE Nice guidance  resistance   wet combing   

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Withdrawal/discontinuation effects of antidepressants – Inside Health 22/10/19

a history of antidepressant withdrawal 1950s – class of drug called tricyclics started to be used for depression reports of withdrawal side effects in medical literature in 1960s and 70s suggesting slow withdrawals https://journals.sagepub.com/doi/10.1177/070674376601101S27 another class of drugs called MAOIs – again not commonly used nowadays for depression, available in 1950s onwards, lots of interactions […]

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Inside Health 15/10/19 the confusion of Zantac

these are just notes, sorry! recall affects brand only, prescription only, zantac preparations (i.e. The four products affected are Zantac 150mg/10ml Syrup, Zantac 50mg/2ml Injection, Zantac 150mg Tablets and Zantac 300mg Tablets)  and not the over the counter version of  zantac or other generics of raniditine.  Issues with this contaminant since summer 2018 – issues with […]

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Inside Health over several programmes – Carl H and I on OTC rx

NHSE document on prescription restrictions Headlice http://www.bad.org.uk/for-the-public/patient-information-leaflets/head-lice/?showmore=1&returnlink=http%3A%2F%2Fwww.bad.org.uk%2Ffor-the-public%2Fpatient-information-leaflets#.XZR045NKjfY https://www.bmj.com/content/331/7513/384 verucca /warts https://www.ncbi.nlm.nih.gov/pubmed/11686980 out of the chemicals dimeticone best https://www.ncbi.nlm.nih.gov/pubmed/31510998 NSAID gel https://www.cochrane.org/CD007402/SYMPT_topical-non-steroidal-anti-inflammatory-drugs-acute-musculoskeletal-pain-adults Cold sores A Systematic Review on the Efficacy of Topical Acyclovir, Penciclovir, and Docosanol for the Treatment of Herpes Simplex Labialis https://cks.nice.org.uk/herpes-simplex-oral    

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