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Complications of psoriasis: clinicopathology, screening, and management
Complications of psoriasis: clinicopathology, screening, and management
IntroductionPatients with psoriasis, especially those with severe disease, are at increased risk of arthritis, cardiovascu...
Equity for the 'missing middle’: closing the gap between primary and secondary care services for patients with complex mental health needs
Equity for the 'missing middle’: closing the gap between primary and secondary care services for patients with complex mental health needs
Patients and GPs are all too familiar with the difficulty of accessing timely and effective NHS support for complex mental...
Reflux disease
Reflux disease
Thank you for recommending British Journal of General Practice.NOTE: We only request your email address so that the pers...
Books: The Shooting Party
Books: The Shooting Party
Anton Chekhov (Trans. Ronald Wilks) Penguin Classics, 2004, PB, 240pp, £9.78, 978-0140448986There’s much to be said for sh...
Telling tales: storytelling and disbelief in clinical encounters
Telling tales: storytelling and disbelief in clinical encounters
Some clinical encounters can stir up strong feelings in us as clinicians; one such situation is when we do not believe wha...
Books: Unheard: The Medical Practice of Silencing
Books: Unheard: The Medical Practice of Silencing
Rageshri Dhairyawan Trapeze, 2024, HB, 304pp, £20.24, 978-1398718692Medical silencing is when clinicians ignore or dismiss...
Matching depression management to severity prognosis in primary care: remaining questions
Matching depression management to severity prognosis in primary care: remaining questions
All letters are subject to editing and may be shortened. General letters can be sent to bjgpdisc@rcgp.org.uk (please inclu...
Social prescribing of Alcoholics Anonymous in general practice
Social prescribing of Alcoholics Anonymous in general practice
Alcohol-attributable deaths rose by 27.4% during the COVID pandemic, from 11.8 per 100 000 in 2019 to 14.0 per 100 000 in ...
Population health management of fuel poverty
Population health management of fuel poverty
Fuel poverty is a wider determinant of health1,2 and of legitimate interest of Integrated Care Systems (ICSs). A total of ...
Why the spaces in which we deliver care matter: implications and recommendations for general practice
Why the spaces in which we deliver care matter: implications and recommendations for general practice
IntroductionThe physical spaces in which primary healthcare is delivered matter and have the potential to profoundly affec...
Distinguishing emotional distress from mental disorder in primary care: a qualitative exploration of the Four-Dimensional Symptom Questionnaire
Distinguishing emotional distress from mental disorder in primary care: a qualitative exploration of the Four-Dimensional Symptom Questionnaire
Background Primary care clinicians see people experiencing the full range of mental health problems. Determining when symp...
Risk of Parkinson’s disease in people aged >=50 years with new-onset anxiety: a retrospective cohort study in UK primary care
Risk of Parkinson’s disease in people aged >=50 years with new-onset anxiety: a retrospective cohort study in UK primary care
Background A history of anxiety is more common in people with Parkinson’s disease (PD). The prospective risk of PD in thos...
What helps and what hinders antidepressant discontinuation? Qualitative analysis of patients’ experiences and expectations
What helps and what hinders antidepressant discontinuation? Qualitative analysis of patients’ experiences and expectations
Background Many patients with depressive disorders use antidepressants longer than clinically indicated. Long-term use of ...
Live and learn
Live and learn
One Sunday morning I could not get out of bed. I was not hungover. Over the next few hours, I sweated through the bedsheet...
A tale of two doctors: casualties of an inverse education law?
A tale of two doctors: casualties of an inverse education law?
Mabel is struggling. She doesn’t know the UK well and has just moved from the city to a tiny bedsit in a run-down county t...
Books: Follow the Money: How Much Does Britain Cost?
Books: Follow the Money: How Much Does Britain Cost?
Paul Johnson Abacus, 2024, PB, 320pp, £10.31, 978-0349144665The daily news and our own experiences seem to signal that the...
The noblest path to wise general practice
The noblest path to wise general practice
Read the articles in this month’s Life and Times and try reflecting on them. Go on. I dare you. How are you — and how is w...
Asthma deaths in children in the UK: the last straw!
Asthma deaths in children in the UK: the last straw!
The tragic death from asthma of a 10-year-old boy, William Gray, is a clear signal once again that doctors, nurses, and ot...
Assessment and treatment of reflux-like symptoms in the community
Assessment and treatment of reflux-like symptoms in the community
Many thanks for this article, which brings the importance of lifestyle medicine into focus.1 This is such an important top...
Primary care provision for young people with ADHD: a multi-perspective qualitative study
Primary care provision for young people with ADHD: a multi-perspective qualitative study
Background Attention deficit hyperactivity disorder (ADHD) is a highly prevalent neurodevelopmental disorder. UK guidance ...
Improving care for fathers with perinatal depression in the community
Improving care for fathers with perinatal depression in the community
The perinatal period (from conception to 1 year after birth) is one of biological, psychological, and social transition, r...
Primary care’s preparedness for extreme weather events
Primary care’s preparedness for extreme weather events
The climate crisis is no longer a distant threat:1 it has arrived, significantly impacting the health and wellbeing of ind...
Cum Scientia Caritas?
Cum Scientia Caritas?
All letters are subject to editing and may be shortened. General letters can be sent to bjgpdisc@rcgp.org.uk (please inclu...
'Is there a doctor on board?’ The development of a bespoke 'Good Samaritan’ course for GP trainees
'Is there a doctor on board?’ The development of a bespoke 'Good Samaritan’ course for GP trainees
‘Is there a doctor on board?’A sentence that puts trepidation in the hearts of many doctors, yet most of us would step up ...
Poems:Reflection On My Practice
Poems:Reflection On My Practice
Thank you for recommending British Journal of General Practice.NOTE: We only request your email address so that the pers...
The 'burden’ of eye conditions
The 'burden’ of eye conditions
Thank you for recommending British Journal of General Practice.NOTE: We only request your email address so that the pers...
Shift the paradigm to shift the weight: obesity care in the community
Shift the paradigm to shift the weight: obesity care in the community
IntroductionObesity is a chronic relapsing condition characterised by abnormal or excessive accumulation of adipose tissue...
Yonder: Repeat antibiotics, co-located drug services, autism diagnosis, and medical student lockdown motivation
Yonder: Repeat antibiotics, co-located drug services, autism diagnosis, and medical student lockdown motivation
Yonder: a diverse selection of primary care relevant research stories from beyond the mainstream biomedical literatureDuty...
Adverse respiratory outcomes among patients with resolved asthma: matched retrospective cohort study
Adverse respiratory outcomes among patients with resolved asthma: matched retrospective cohort study
Background Patients with asthma may have symptom remission leading to a primary care code of resolved asthma. Little is kn...
Supporting teenagers with period pain in general practice: clinical review
Supporting teenagers with period pain in general practice: clinical review
IntroductionPeriod pain (dysmenorrhoea) affects approximately 70–90% of teenagers who menstruate; one-third report marked ...
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