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AKT answer relating to medication review 与药物审查有关的 AKT 答案
Pub Date : 2023-11-29 DOI: 10.1177/17557380231212293i
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引用次数: 0
AKT answer relating to treatment of penile problems 与治疗阴茎问题有关的 AKT 答案
Pub Date : 2023-11-29 DOI: 10.1177/17557380231212293g
Answer D. Miconazole
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引用次数: 0
AKT question relating to causes of male infertility 与男性不育原因有关的 AKT 问题
Pub Date : 2023-11-29 DOI: 10.1177/17557380231212293j
Yasser Abdel Kerim
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引用次数: 0
Allergic rhinitis 过敏性鼻炎
Pub Date : 2023-11-11 DOI: 10.1177/17557380231212643
Dr Sandarva Giri
Allergic rhinitis (AR) is a major public health issue worldwide and one of the top-10 reasons for primary care attendance. AR affects between 10 and 25% of people worldwide, including 10–15% of children and 26% of adults in the United Kingdom. Sneezing, nasal itching, rhinorrhoea, nasal congestion, ocular symptoms (irritation and lacrimation), non-productive cough, Eustachian tube dysfunction and chronic sinusitis are all symptoms of AR. AR can be characterised as seasonal (hay fever), perennial, intermittent, persistent, or occupational, depending on the allergens and the pattern and frequency of symptoms. Asthma and conjunctivitis are significantly associated with AR. A clinical history and physical examination are the most important processes in diagnosis. Skin tests can be used to confirm the diagnosis of AR. Patients with AR may experience changes in their everyday activities, emotions, and sleep habits, to the detriment of quality of life. Early detection and treatment can ameliorate the unpleasant effects of AR. Management includes medication, avoidance of exposure to environmental allergens and when appropriate, measures to help with associated asthma and sinusitis. Psychological interventions can also help in the management of AR.
过敏性鼻炎(AR)是世界范围内的一个主要公共卫生问题,也是初级保健就诊的十大原因之一。AR影响全世界10%至25%的人,其中包括英国10%至15%的儿童和26%的成年人。打喷嚏、鼻痒、鼻流、鼻塞、眼部症状(刺激和流泪)、非生产性咳嗽、耳咽管功能障碍和慢性鼻窦炎都是AR的症状。AR的特征可以是季节性(花粉热)、多年性、间歇性、持续性或职业性,这取决于过敏原和症状的模式和频率。哮喘和结膜炎与AR有显著相关性。临床病史和体格检查是诊断AR最重要的过程。皮肤试验可用于确认AR的诊断。AR患者可能会经历日常活动、情绪和睡眠习惯的改变,从而损害生活质量。早期发现和治疗可以改善过敏性鼻炎的不良影响。治疗包括药物治疗,避免接触环境过敏原,并在适当时采取措施帮助治疗相关的哮喘和鼻窦炎。心理干预也有助于AR的管理。
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引用次数: 0
Sexual health in people with learning or intellectual disabilities 有学习或智力障碍的人的性健康
Pub Date : 2023-11-09 DOI: 10.1177/17557380231213541
Emily Woodhead, Owen Hibberd
People with a learning disability (LD) or intellectual disability (ID) may be just as likely to be sexually active as their peers, but are less likely to receive appropriate sexual health education. Unfortunately, this is one of the factors contributing to the higher risk of sexually transmitted infections (STIs), pregnancy and sexual abuse amongst people with an LD/ID. A GP can help to advocate for and support patients with an LD/ID to make informed and safe decisions related to their sexuality. This article, based upon a clinical case scenario, highlights the sexual health education needs of people with an LD/ID, as well as issues around STIs, contraception and safeguarding.
有学习障碍(LD)或智力障碍(ID)的人可能和他们的同龄人一样性活跃,但接受适当的性健康教育的可能性较小。不幸的是,这是导致LD/ID人群中性传播感染(sti)、怀孕和性虐待风险较高的因素之一。全科医生可以帮助倡导和支持LD/ID患者做出与性有关的知情和安全的决定。本文以一个临床案例为基础,强调了无性取向者/无性取向者的性健康教育需求,以及性传播感染、避孕和保护等问题。
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引用次数: 0
Emergency contraception 紧急避孕法
Pub Date : 2023-11-07 DOI: 10.1177/17557380231213245
Aqsa Rana
Emergency contraception is an intervention aimed to prevent an unplanned or unintended pregnancy after unprotected sexual intercourse or where inadequate contraception has been used. It is only recommended for occasional use, and patients should be advised regarding regular and preferably long-term contraception if suitable. The request for emergency contraception is a frequent presentation in general practice. Around 40% of pregnancies worldwide are estimated to be unplanned, and a significant proportion of unplanned pregnancies result in termination, leading to avoidable distress. Therefore, it is paramount that healthcare professionals understand the available methods of emergency contraception. This article will cover the available methods, looking at their indications, use, efficacy, risks, and benefits.
紧急避孕是一种干预措施,旨在防止在无保护的性交后或在使用不适当的避孕措施后发生计划外或意外怀孕。仅建议偶尔使用,如果合适,应建议患者定期和最好长期避孕。在一般实践中,要求紧急避孕是一个常见的问题。据估计,全世界约有40%的怀孕是计划外的,很大一部分计划外怀孕导致终止妊娠,导致本可避免的痛苦。因此,医疗保健专业人员了解可用的紧急避孕方法至关重要。本文将介绍可用的方法,看看它们的适应症、使用、功效、风险和益处。
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引用次数: 0
The role of the health visitor 保健视察员的作用
Pub Date : 2023-11-06 DOI: 10.1177/17557380231212817
Dr Lucy Shimwell, Dr Tim White, Jacqueline Green
The role of the health visitor has evolved over time, but their work remains vital to ensuring the health and wellbeing of families with infants and pre-school children. Every child in the United Kingdom should have a health visitor from as early as the antenatal period and have several planned contacts during the first five years of their lives. It is therefore imperative that GPs have a sound understanding of the role and responsibilities of health visitors and how they can work together most effectively. This article will outline the origins of health visiting, the role of health visitors today, and provide an example of how a strong partnership between health visitors and GPs is essential in primary care.
随着时间的推移,保健视察员的作用不断演变,但他们的工作对于确保有婴儿和学龄前儿童的家庭的健康和福祉仍然至关重要。在联合王国,每个儿童早在出生前就应该有一名健康访问者,并在他们生命的头五年中计划进行几次接触。因此,全科医生必须充分了解保健访视者的作用和责任,以及他们如何才能最有效地合作。本文将概述卫生访问的起源,今天卫生访问的作用,并提供一个例子,说明卫生访问和全科医生之间的强有力的伙伴关系在初级保健中是必不可少的。
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引用次数: 0
Diabetic kidney disease 糖尿病肾病
Pub Date : 2023-11-02 DOI: 10.1177/17557380231206786
Dr Apurva Mishra, Dr Wendy Watson
Diabetes is the leading cause of chronic kidney disease and end stage renal disease (ESRD) globally. Diabetic kidney disease, previously known as diabetic nephropathy, is a general term used for deterioration of kidney function in patients with diabetes. It is important to diagnose and manage diabetic kidney disease early, so as to reduce the incidence of ESRD and the cardiovascular complications of diabetes. This article looks at the epidemiology, presentation and management of diabetic kidney disease.
糖尿病是全球慢性肾脏疾病和终末期肾脏疾病(ESRD)的主要原因。糖尿病肾病,以前称为糖尿病肾病,是糖尿病患者肾功能恶化的总称。糖尿病肾病的早期诊断和治疗对于降低ESRD的发生率和糖尿病心血管并发症具有重要意义。本文着眼于糖尿病肾病的流行病学、表现和治疗。
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引用次数: 0
AKT question relating to cancer risk in older women 与老年女性患癌症风险相关的AKT问题
Pub Date : 2023-10-31 DOI: 10.1177/17557380231204712
Anish Kotecha
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引用次数: 0
AKT answer relating to cancer risk in older women 与老年女性患癌症风险相关的AKT答案
Pub Date : 2023-10-31 DOI: 10.1177/17557380231204712a
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引用次数: 0
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