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Taking the initiative in asthma care: the 2019 Global Initiative for Asthma guidelines

The latest GINA guidelines offer a major shift in the initial prescribing for people with asthma, which may appear controversial but is supported by evidence. But will it change UK practice?
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Global Initiative for Asthma: Asthma management and prevention, 2019

The 2019 GINA strategy report represents the most important change in asthma management in 30 years. GINA no longer recommends treatment with short-acting beta2-agonists (SABA) alone in the light of mounting evidence that SABA-only does not protect patients from severe exacerbations and that regular or frequent use of SABAs increases the risk of exacerbations. GINA now recommends that all adults and adolescents with asthma should receive either symptom-drive or daily low dose inhaled corticosteroid (ICS)-containing controller treatment to reduce the risk of serious asthma attacks.
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• Avoidance better than oral immunotherapy for peanut allergy
• PCDS opens doors to all members of primary care team
• Award-winning programme cuts demand for healthcare
• People with diabetes ‘overwhelmed’ by their condition
• Simple clinical features can help personalise type 2 diabetes treatment
• More nurses joining Register than leaving
• Survey reveals highs and lows of general practice nursing
• e-learning tools aim to improve HCPs’ prevention skills
• NICE encourages use of greener inhalers
• Group work ‘helps people help themselves’

Iron deficiency anaemia: Diagnosis and management

Iron deficiency is the most common cause of anaemia and can arise from dietary deficiency, malabsorption as a result of an underlying condition, chronic blood loss – especially from the uterus or gastrointestinal tract – or increased requirement, for example, during pregnancy. Diagnosis should be confirmed by undertaking appropriate investigations, before initiating iron supplementation. The aim of treatment is to restore haemoglobin levels and red cell indices to normal, and to replenish iron stores

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• Managing the vaccine fridge
• Taking the initiative in asthma care: the 2019 Global Initiative for Asthma guidelines
• Practice in pictures:Eczema
• Annual reviews in long term conditions
• Inducible Laryngeal Obstruction: not all that wheezes is asthma
• Travel health update
• Global Initiative for Asthma: Asthma management and prevention, 2019

17 Apr 2019

Social media: blurred lines between personal and professional behaviour Group consultations: the why and the how The need for awareness of all contraception options Non-alcoholic fatty liver disease: hiding in plain sight Urinary incontinence and pelvic organ prolapse in women Learning disabilities and the role of the practice nurse Travel health update

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13 Mar 2019

Improving diagnosis of dementia – the role of the practice nurse Food allergies – what is the best evidence and approach? Hypertension – draft guidance Chronic wounds Travel health update Medication errors Prescribing in renal impairment

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15 Feb 2019

Top ten threats to global health Combined Hormonal Contraception Choosing sodium glucose cotransporter 2 inhibitors: examining the evidence Travel health update Getting patients to stop smoking: do the drugs work? Haematology for the practice nurse COPD guidelines – plus ca change or vive la difference?

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24 Jan 2019

Blackouts: an evidence-based approach Travel health update Advanced practice: where are we now and where are we going Psoriasis Mucolytics in general practice Prescribing for lower urinary tract infections

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