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London Journal of Primary Care

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https://www.readbyqxmd.com/read/27226811/combining-art-and-science-in-healthcare
#1
Paul Thomas
No abstract text is available yet for this article.
March 3, 2016: London Journal of Primary Care
https://www.readbyqxmd.com/read/26900404/what-is-healthcare-for
#2
Peter Toon
No abstract text is available yet for this article.
November 2, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26807155/wally-neuzil-a-special-woman-and-a-therapist
#3
Francesco Carelli
No abstract text is available yet for this article.
November 2, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26807154/promoting-healthy-behaviours-do-we-need-to-practice-what-we-preach
#4
Alison E While
The UK faces a public health challenge arising from unhealthy behaviours. Some health care workers engage in the same unhealthy behaviours as the general population. This paper explores the issues arising from some primary care staff adopting unhealthy behaviours upon healthcare organisations, professional practice and patient perceptions in terms of the promotion of health in the primary care setting.
November 2, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26807153/holistic-general-practice-a-student-s-perspective
#5
Olivia Martin
This patient was a lady in her 50s who had previously been diagnosed with anxiety, depression and rectal cancer. She had undergone neo-adjuvant chemotherapy designed to shrink the tumour before it was removed surgically. However, the cancer responded better than expected to the chemotherapy, and the oncologists could no longer find evidence of active cancer within the patient. The oncologist had recently been speaking with the patient about whether or not she should continue with the surgery they had originally planned...
November 2, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26807152/a-network-of-activists-for-community-oriented-integrated-care
#6
Paul Thomas, David Morris
No abstract text is available yet for this article.
November 2, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26681981/atypical-leg-symptoms-does-routine-measurement-of-the-ankle-brachial-pressure-index-abpi-in-primary-care-benefit-patients
#7
Christine Oesterling, Amun Kalia, Thomas Chetcuti, Steven Walker
Background : Managing patients with atypical leg symptoms in primary care can be problematic. Determining the ankle brachial pressure index (ABPI) may be readily performed to help diagnose peripheral arterial disease, but is often omitted where signs and symptoms are unclear. Question : Does routine measurement of ABPI in patients with atypical leg symptoms aid management increase satisfaction and safely reduce hospital referral? Methodology : Patients with atypical leg symptoms but no skin changes or neurological symptoms underwent clinical review and Doppler ABPI measurement (suspicious finding ≤ 1...
September 3, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26681980/primary-care-a-fading-jewel-in-the-nhs-crown
#8
Azeem Majeed
When Jeremy Hunt, the Secretary for State for Health in England, presented his 'New Deal for General Practice' in June 2015, he described general practice as the jewel in the crown of the NHS. Many general practitioners (GPs) though will not be reassured by his statement. Despite Jeremy Hunt's words of support, the future for GPs, their teams and their patients looks very uncertain. It is hard to see how planned levels of funding for the NHS in England can sustain a readily accessible, high-quality primary care service...
September 3, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26550039/steroid-induced-hyperglycaemia-in-primary-care
#9
Edouard Mills, Senan Devendra
No abstract text is available yet for this article.
September 3, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26550038/singling-out-the-double-effect-some-further-comment
#10
Andrew Papanikitas, John Spicer
We comment on a paper published in the same issue of the London Journal of Primary Care. We applaud Bow's engagement with the ethical issues in a previous LJPC paper but argue that further work is needed to establish the everyday moral concerns of health care workers in primary care. We also suggest that the ethical distinction between advice and medication and devices may be artificial if both have an effect on a patient.
September 3, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26550037/singling-out-the-double-effect-sexual-health-advice-and-contraception-are-ethically-distinct
#11
Steven Bow
This article is a response to an article previously published in LJPC, which employed the doctrine of double effect to explain the Gillick judgement and exculpate health care workers who provide contraceptives and sexual health advice to under-16s. In this analysis, the two acts: provision of contraceptives and provision of sexual health advice are examined separately against the four criteria of the doctrine of double effect. In conclusion, whilst sexual health advice provision fits into the doctrine reasonably well, in the case of contraceptive provision, the validity of the doctrine of double effect is more doubtful...
September 3, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26550036/community-oriented-integrated-care-and-health-promotion-views-from-the-street
#12
Paul Thomas, Tony Burch, Ewan Ferlie, Rachel Jenkins, Fiona Wright, Amrit Sachar, Baljeet Ruprah-Shah
On the 1st and 2nd May 2015, participants at the RCGP London City Health Conference debated practical ways to achieve integrated care at community level. In five connected workshops, participants reviewed current work and identified ways to overcome some of the problems that had become apparent. In this paper, we summarise the conclusions of each workshop, and provide an overall comment. There are layers of complexity in community-oriented integrated care that are not apparent at first sight. The difficult thing is not persuading people that it matters, but finding ways to do it that are practical and sustainable...
September 3, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26550035/editorial
#13
Paul Thomas
No abstract text is available yet for this article.
September 3, 2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26217409/there-was%C3%A2-a-goat-impressions-of-learning-from-a-young-visitor-to-a-recent-marc-chagall-exhibition-in-milan
#14
Francesco And Matteo Carelli
No abstract text is available yet for this article.
2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26217408/metamorphosis
#15
Molly Rhodes
No abstract text is available yet for this article.
2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26217407/infertility-in-a-young-woman-with-type-2-diabetes
#16
Romana Szaboova, Senan Devendra
KEY MESSAGES: Ovulatory dysfunction is the most common female cause of infertility in the UK.Polycystic ovarian syndrome is associated with oligo-ovulation and Type 2 diabetes.Good glycaemic control is essential before getting pregnant to prevent congenital malformations and miscarriages in young women with Type 2 diabetes.Metformin is safe in the first trimester and reduces the rate of miscarriages and gestational diabetes.Labetalol, methyldopa and hydralazine are deemed safer in pregnancy...
2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26217406/integrated-care-in-wales-a-summary-position
#17
Malcolm Lewis
No abstract text is available yet for this article.
2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26217405/integrated-care-a-scottish-perspective
#18
David Bruce, Bob Parry
The Public Bodies (Joint Working) (Scotland) Act 2014 puts in place the framework for the Integration of health and social care in Scotland. Newly formed health and social care partnerships (HSCP), which will serve as the joint responsibility of NHS boards and local authorities, will work in partnership with the third sector, users, carers and other key stakeholders, including the independent sector. This paper details the underpinning features of the legislation which aims to put 'personal' outcomes at the centre, in order for everyone to be able to live longer and healthier lives at home or in a homely setting...
2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26217404/integrated-care-in-the-uk-variations-on-a-theme
#19
John Spicer
This short review compares the experiences of Scotland and Wales in developing integrated care with those of England, and to some extent Northern Ireland. It is a companion piece to two other articles published in this issue from Scotland and Wales.
2015: London Journal of Primary Care
https://www.readbyqxmd.com/read/26217403/figures-stripped-to-bones-just-signs-and-symbols-solitude-discomfort-incommunicability
#20
Francesco Carelli
No abstract text is available yet for this article.
2015: London Journal of Primary Care
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