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IPCA

International Primary Care Association

The annual winter tempest to hit the NHS is blowing. The Times and Independent newspapers recently carried stories that the service is £2 billion in the red and this is even before the winter pressures have commenced.

Abstract

Vitamin D deficiency causes health problems in children and adolescents in the UK. Impacts on bone mass in particular in children and adolescents are significant and the costs of treating sequelae in adulthood high. Many guidelines exist to tackle the problem, but compliance with these by patients (and doctors!) is not perfect. For improvements to be made at a population level we suggest that a universal approach to vitamin D needs to be taken, together with specific targeting of key at risk groups such as children and adolescents. Educating at risk mothers and children now will improve the health awareness of the adult population in years to come.

Abstract

By definition, a woman having a healthy uncomplicated pregnancy, who has a normal balanced diet, does not need dietary supplements. The justification for routine population supplementation therefore depends upon the incidence of deficiency in that particular population, and the balance between the benefits of supplementation for those who have a deficient diet and the harms that can occur from excessive consumption of individual nutrients in those who are already replete. General guidelines for the detection of individual deficiency are outlined, together with suggested nutritional supplements to correct them.

Abstract

Sexual dysfunctions affect both men and women and include Delayed Ejaculation, Male Erectile Disorder, Female Orgasmic Disorder, Female Sexual Interest-Arousal Disorder, Genito-Pelvic Pain Disorder/Penetration Disorder, Male Hypoactive Sexual Desire Disorder, Premature Ejaculation and Substance-Medication Induced Sexual Dysfunction. Untreated sexual dysfunctions may cause significant distress and interpersonal difficulty in some individuals or couples. The diagnosis of sexual dysfunctions includes a thorough medical history and evaluation, followed by the appropriate medical, psychological and psychosocial treatment interventions.

Abstract

Herbal supplements are in widespread use in all medical specialties. Evidence that supports their efficacy and safety is often lacking and the GP, physician or specialist nurse are left with very little objective advice to give patients. In this article, an update is given on a range of supplements used in musculoskeletal medicine with the specific purpose of informing health care providers and allowing them to offer the best advice on their use.

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