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IPCA

International Primary Care Association
 
 
 

Clinical Focus Primary Care

Editor Admin

Editor Admin

We are well into 2016. So much happening in healthcare.

 

The government managed to extract defeat from the jaws of victory as the junior doctors reinstated their February strike. Perhaps the claim from the employers that 15 of the 16 issues had been agreed prior to the most recent talks was an economy of the truth. It did not augur well that the Prime Minister, in a Radio 4 interview, indicated that ultimately the government will not allow a veto over the contract, implying it could be imposed. Indeed, imposition it will be. Around the world government confrontation with medical professionals has usually ended with a climb down by the former. I think history will repeat in this instance.  

Abstract

Teenage pregnancy is frequently encountered by general practitioners who are often the teenager’s first encounter with the health services. Despite falling rates and intense government initiatives over the past decade to address high rates of teenage pregnancy, the United Kingdom continues to have one of the highest teenage birth rates in Western Europe. Teenagers have unique social and medical issues in pregnancy which require careful management from their general practitioners to help optomise pregnancy outcomes and reduce recurrence of repeat pregnancy.

Abstract

Alcohol is a leading cause of physical, psychological and social harm. In this review, we explain the current categorisation of alcohol use disorders in the context of these harms. We then discuss the rationale and recommended methods for screening for these disorders in primary care, and the principles of treatment.

Abstract

Acute kidney injury (AKI) is common and serious. While it is usually cared for in hospital, it is no less important in primary care. AKI typically arises first in the community and is often not completely resolved at hospital discharge. Primary care has a role both in prevention and follow up of AKI. Surveillance for new chronic kidney disease (CKD) is recommended in guidelines. In this article we compare the diagnostic criteria for AKI and CKD, what a diagnosis means in primary care, and the role of primary care in monitoring for CKD after AKI.

Abstract

Cerebral Palsy (CP) describes a group of permanent disorders of movement and posture, attributed to non-progressive disturbances that occurred in the developing fetal or infant brain. It is commonest cause of physical impairment in children. With recent advances in medical and surgical care, many children with previously fatal problems are now surviving to adulthood. Many of these conditions until recently have been unfamiliar to those working predominately in adult practice. Transition is defined as a “purposeful, planned process that addresses the medical, psychosocial, educational/vocational needs of adolescents and young adults with chronic physical and medical conditions as they move from child centered to adult oriented health care systems”.

 
 

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