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Blogs

Please Sir, may I have some...Evusheld

Dr Philippa Davies
2nd June 2022

Pat is one of our many solid organ transplant patients whose life depends on ongoing immunosuppression. An unfortunate side effect of this treatment can be failure to generate antibodies after vaccination, data shows...


Podcasts

S3 E14: The "Sorry, I'm Not Sorry" Song; bye bye Boris; prescribing for anxiety, bariatric surgery to reduce cancer, RSV vaccine

8th July 2022

<p>Welcome to another Hot Topics podcast from NB Medical with Dr Neal Tucker leading you through the latest news and research in general practice.&nbsp; Of course, we must touch on the demise of Boris Johnson and how he might still be in power if he'd just learned a thing or two from general practice. </p><p>Meanwhile, in research, we look at prescribing trends in anxiety disorders, whether bariatric surgery can reduce cancer risk in overweight people, and two papers on covid vaccination against Omicron, first on efficacy in kids, second on the relative merits of vaccination vs natural immunity,&nbsp; plus could a new vaccine for RSV be just around the corner?</p><p>And with hot weather finally coming to the UK,&nbsp; time to remind ourselves about the symptoms and signs of <a href="https://www.nbmedical.com/kiss/kiss-heat-related-illness" target="_blank" rel="noopener">heat-related illness in our KISS from NB</a>. </p><p><b>References</b>:</p><p><a href="https://bjgp.org/content/72/720/e511" target="_blank" rel="noopener">BJGP Trends in anxiety medications</a> </p><p><a href="https://jamanetwork.com/journals/jama/article-abstract/2793220" target="_blank" rel="noopener">JAMA Bariatric surgery and cancer risk</a></p><p><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2205011?query=featured_home" target="_blank" rel="noopener">NEJM Covid vaccine in kids</a></p><p><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2116154" target="_blank" rel="noopener">NEJM Covid vaccination vs natural protection vs hybrid immunity</a></p><p><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2203965" target="_blank" rel="noopener">NEJM RSV vaccine study</a></p><p></p>

S3 E8: The end of covid; accuracy of lateral flow tests; new DVT algorithm; remember Zika?

25th February 2022

<p>In the latest Hot Topics podcast with Dr Neal Tucker, we reflect on the government removing covid measures and how this affects general practice.&nbsp; </p><p>In research, we have a look at a timely BMJ paper on the accuracy of lateral flow tests? As we prepare to stop testing, does the data provide us with some reassurance? We also have a look at a new way of assessing the risk of DVT and whether it can safely identify low-risk patients and reduce referral rates. And remember Zika? A new paper in the NEJM highlights to risks for children exposed to zika in utero.</p><p><b>References</b></p><p><a href="https://www.bmj.com/content/376/bmj-2021-066871" target="_blank" rel="noopener">BMJ Accuracy of Covid LFTs</a></p><p><a href="https://www.bmj.com/content/376/bmj-2021-067378" target="_blank" rel="noopener">BMJ Diagnosing DVT</p><p></a><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2101195" target="_blank" rel="noopener">NEJM Zika infant mortality</a></p>

S3 E7 - Covid blues song; racism, nationalisation, incentivisation; new covid drugs; does continuity help?

4th February 2022

<p>After not being out the house for 13 days due to him and the kids having covid, Neal Tucker uses the Hot Topics podcast for a bit of escapism.</p><p>Apart from singing the blues, in this podcast we discuss the latest medical news including reports of racism in the NHS, government calls for nationalisation of general practice and the negative effects of pandemic priorities on routine care from the National Diabetes Audit.</p><p>Meanwhile in the journals we look at two papers demonstrating the effectiveness of new acute covid treatments on non-hospitalised patients but ask the question: is it worth it? And two papers showing how continuity may be more effective than any medication in improving patient outcomes. Too good to be true? </p><p>Let us know what you think on email hottopics@nbmedical.com, twitter @gphottopics or <a href="https://www.gphorizon.com/" target="_blank" rel="noopener">GP Horizon</a>.</p><p><b>References</b></p><p><a href="https://www.pulsetoday.co.uk/news/workforce/nine-in-10-doctors-concerned-about-racism-in-medicine-finds-bma-survey/" target="_blank" rel="noopener">Racism in the NHS BMA survey report</p><p></a><a href="https://www.bmj.com/content/376/bmj.o267" target="_blank" rel="noopener">Government plans to nationalise general practice</p><p></a><a href="https://www.pulsetoday.co.uk/news/clinical-areas/diabetes/substantial-fall-in-diabetic-health-checks-as-gps-reprioritised-during-pandemic/" target="_blank" rel="noopener">National Diabetes Audit report</p><p></a><a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2116846" target="_blank" rel="noopener">Remdesivir in non-hospitalised covid patients</p><p></a><a href="https://jamanetwork.com/journals/jama/fullarticle/2788256" target="_blank" rel="noopener">Casirivimab and Imdevimab in asymptomatic covid patients</a></p><p><a href="https://bjgp.org/content/72/715/71" target="_blank" rel="noopener">What are GPs for, when the chips are down?</p><p></a><a href="https://bjgp.org/content/72/715/77" target="_blank" rel="noopener">The invisible GP</a></p><p><a href="https://bjgp.org/content/72/715/80" target="_blank" rel="noopener">A call to charity</a></p><p><a href="https://bjgp.org/content/72/715/e84" target="_blank" rel="noopener">Continuity of care in Norway</p><p></a><a href="https://bjgp.org/content/72/715/e91" target="_blank" rel="noopener">Continuity of care on dementia outcomes</p><p></a></p><p></p>


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