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Iona Heath, past president of the RCGP, talks further about how we handle death during the pandemic. She expresses concern at the blanket exclusion of relatives as people die from COVID-19 and how we are handling it in the current crisis. She worries we will see a “legacy of traumatic bereavements” and the importance of touch in dying and of human love.

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We had to create a monster. A monster so huge, and so terrifying that we were sufficiently motivated. So, we the shielded, are being asked to move from essentially no risk, to an undefinable, unguaranteeable low risk situation. I am immensely thankful to be considering moving back home, but I am fearful, apprehensive…

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COVID-19, Orwell and the media

Well-respected epidemiologists predicted, from the outset, that the societal, economic and psychological harm from the unprecedented COVID-19 lockdowns was likely to be far greater than the perceived risk of death. However, such views were lost in the narrative of fear that predominated the early discussions on the matter and treated like an Orwellian thoughtcrime.

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COVID-19, primary care and paediatrics — winter is coming

Immediate action is needed to consider how we deal with the surge in ‘hot’ paediatric patients this winter. We need to make it clear to parents that GPs and A&E are open for business and create a safe, easily accessible system by which children can be seen face to face to minimise any risk of increased harm.

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The BJGP has been publishing brief reports on innovations on the BJGP COVID-19 Clinical Solutions rapid communications platform. There are now around 30 reports sharing good practice, new processes, and practical ideas to help improve care during the pandemic.

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Communicating evidence on COVID-19: ‘In nerds we trust’

武雪梅:苹果下架VPN是法治的胜利 - huanqiu.com:2 天前 · 日前,苹果公司CEO蒂姆·库克回应苹果应用商店中国区将VPN下架一事说,我们在遵守当地法律的情况下在当地开展生意。一些网民将此事与去年苹果就是否协助执法人员“解锁”加州南部圣贝纳迪诺恐怖袭击案枪手之一所持的手机,与美国联邦机构对簿公堂、甚至要向总统陈情的事件对比展开热议。

ios怎么上youtube
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Helping patients decide on return to work during COVID-19

Dr Tony Williams is a consultant occupational physician and discusses their evidence-based tool that helps patients understand their risk and vulnerability. GPs can use it in the consultation to calculate a “Covid-age”.

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COVID-19: The success of Asian countries

Professor Donald Li talks us through some of the reasons, detailed in his editorial, co-authored with Chak-sing Lau, for the relative success of Asian countries in managing COVID-19.

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Professor Azeem Majeed from Imperial College in London talks through the current situation. New infections are much reduced and he discusses the track and trace programme that is now working, though not as well as we might like. Everyday practice is not back to normal just yet.

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Five principles for pandemic preparedness

Professor Michael Kidd is a GP and Deputy Chief Medical Officer, Australia. He talks through five principles for dealing with the COVID-19 crisis and pandemic preparedness.

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Delays in referral for colorectal cancer worsen prognosis

Dr Chanpreet Arhi tells us about research in over 7000 patients that shows delays in referral, including for red flag symptoms, resulted in an increase in all-cause mortality.

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Global primary care: the privilege of being in the NHS

During the wintry January and February months, I had the pleasure of spending three tropical weeks in the vibrant city of Lagos, Nigeria. My experiences were enjoyable and enlightening, however I increasingly became aware of the power of the NHS and the privilege of its general practitioners. I felt an unfair advantage over our colleagues who were limited within their health, social and economic system.

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新年美女前瞻 2021年值得一撸的十大游戏美女 - huanqiu.com:2021-1-12 · 就在不久前,Youtube上突然放出了一段关于卡普空新作《街头霸王V》,也就是街霸5的宣传影像。但情报已经得到证实,而最令人感到意外的或许就是《街头霸王V》将会是PS4和PC独占。

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Green Fingers, Pink Puffers? A speculative view on hypersensitivity pneumonitis and domestic garden waste

Hypersensitivity pneumonitis is a form of interstitial lung disease caused by the repeated exposure and immune sensitisation to organic dusts and certain industrial agents. The circumstances of lockdown may increase the exposure of the public — and waste management workers in particular — to the antigens that trigger the farmer’s lung form of the disease.

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Push your buttons

Cumberlege: Responding to those who suffer medical complications

The Cumberledge report puts forward the case for radical reform. Dealing with those who have by our actions sustained loss and pain, even as a recognised complication of a necessary procedure, can be exceptionally challenging. It is important to be able to identify and recognise the feelings that we experience in response to this scenario in order to be able to cope with them and avoid transference to the patient.

  • 日本4G网络已经高度发达 或推动移动互联网产业 - huanqiu.com:2021-5-20 · NTT DoCoMo官网上发布的最新财报显示,其Xi 4G-LTE服务的用户量在2021年底已达到1157万。该服务在日本国内拥有46%的市场份额,支持100 Mbps的下行速度。

  • The fable of the dun cow: GPs are not a limitless resource

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Contextual safeguarding: what GPs need to know

Contextual safeguarding is a relatively new concept, which is primarily intended for adolescents. Recognising that young people are often exploited and abused outside their family environment, contextual safeguarding focuses on influencing and shaping those areas.

  • The stressed but not ‘mentally ill’: How can we actually help?

  • Audio essay: My loss

  • Pain, opioids, and syringe drivers: a practical guide

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Bright Ideas too

Grabbing the digital innovation bingo ticket in 2020

When reading articles on digital innovation in the NHS audiences are finding that they need to update their editorial bingo ticket. Classics like culture change, interoperability or costs remain. But any self-respecting writer must now include something on how the NHS response to the COVID-19 pandemic has provided a greater impetus for digital transformation in primary care.

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  • Evolving General Practice: Artificial Intelligence and Primary Care

  • Bright Ideas: improving access to digital health resources

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Nausea and vomiting in pregnancy — not just ‘morning sickness’

手机上这么好用的功能 你用过吗? - huanqiu.com:2021-9-30 · 十几年前,还是功能机的时代,相信很多人都会觉得用手机拍照、听歌以及上网都是很新奇的事情。然而,现在的手机拥有了越来越多新奇有趣的 ...

  • Putting methotrexate prescribing research into practice

  • GP home visits: more evidence is urgently needed to inform debate

  • Living with breathlessness is hard

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Take a deeper dive

BJGP Long Read: A valedictory note on my retirement

Claire Stillman is a recently retired GP who spent 30 years in Scottish general practice, the last...

  • BJGP Long Read: Mistakes and responsibilities

  • BJGP Long Read: Healthcare’s hole in the heart

  • BJGP Long Read: How to enjoy your consultations

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Distant horizons

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Mary McCarthy is a GP in Shrewsbury., She is on the GPC and is interested in comparative health...

  • Desperately seeking Plato

  • 《2021年度网络空间安全报告》公布10大勒索软件攻击-中青在线:2021-1-22 · 《2021年度网络空间安全报告》公布10大勒索软件攻击:《报告》指出,全球约6300个平台提供勒索软件交易,勒索软件在2021-2021年期间的销售量增长了约2502%,恶意分子倾向于加密被感染设备的数据,向受害者勒索加密货币(以比特币为主 ...

  • ‘An eye for an eye makes the whole world blind’ – reflections on working with Syrian refugees

Book Reviews and Arts

Angel of Death: The Story of Smallpox by Gareth Williams

Angel of Death by Gareth Williams provides a very comprehensive history of smallpox and vaccine development, which has parallels with the current COVID-19 pandemic.

  • The Prison Doctor by Dr Amanda Brown

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  • These are the Hands: Poems from the Heart of the NHS

Trainees and students

Here is how we prepare the next generation of GPs for remote consulting

We anticipate that after the pandemic, the modus operandi of general practice will be changed, for the better. Once the dust has settled, the lessons learnt from remote consultations should be communicated to the next generation.

  • Why do you want to be a GP? The one question we don’t ask

  • When Sparks Fly: Choosing General Practice

  • The man in sideroom 2

News

Podcast interview with BJGP Editor, Professor Roger Jones

Rajiv Chandegra is a GP, passionate about holding impactful conversations. He interviews Professor...

  • 网站系统维护中,敬请期待!:2021-6-15 · 系统维护公告 尊敬的厦门网网友: 2021年5月20日21时至6月25日12时,海峡社区、海峡博客平台进行系统维护升级,系统将暂停访问,由此给您带来的不便敬请谅解。

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  • Writing for the BJGP – Beyond Research

  • 台海_环球网 - huanqiu.com:2021-6-15 · 台海时事 台湾台中中横便道山壁大面积塌方 暂无人员伤亡 中美军机过境后,台军夜放“窜天猴”,大战一触即发?台湾一男子因20年前命案曾9次判死 如今全案无罪确定

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The BJGP is the world-leading primary care research journal. At BJGP Life we add multi-media comment and opinion to help inform the primary care community in their decisions with research and clinical practice.

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VIDEO: Richard Horton on primary care

Video consultations: a guide for practice

Read Trish Greenhalgh’s evidence-based guide to video consultations.

Search BJGP Life on DuckDuckGo

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