The British journal of general practice : the journal of the Royal College of General Practitioners
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Understanding the general public's view about Domestic Violence and Abuse (DVA) is vital, as it would help with the development of targeted interventions and effective public policies to tackle this rising problem in society. ⋯ Community-dwelling adults acknowledge the impacts of abuse, but many fail to recognise specific instances or events in their daily lives contributing to DVA. Raising public awareness, particularly in children through the school curriculum, highlighting existing support services and introducing the routine use of short screening tools for DVA in health and social care settings can increase awareness, early identification and signpost to effective interventions. Sustained, multi-level community-facing interventions are recommended to reduce the stigma and fears associated with DVA.
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Type 2 diabetes causes poor health outcomes if management is ineffective. Day-to-day self-management of type 2 diabetes is associated with diabetes distress, anxiety, and depression. This is also true for family members and informal (unpaid) carers, albeit the knowledge base about their lived experience is under-developed. ⋯ The research gave voice to this group of carers, many of whom experienced stress in their roles. They reduced stress about lifestyle change through a variety of strategies that have implications for effective management of diabetes within dyads and future health outcomes.
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Death is inevitable. When, however, is bound by uncertainty in frailty. A purely proactive approach to dying - exemplified by the DNACPR (do not attempt cardiopulmonary resuscitation) form - is unrealistic. What does a good death look like - and who decides? ⋯ You only get one chance to die well. Thoughtful and empathetic decision-making in a reactive and complex environment is crucial to supporting patients, loved ones, and clinicians. A one-size-fits-all proactive 'death conveyor belt' is unrealistic.
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Since autumn 2022, 6.5% of the newly assigned medical students in Hessia, Germany (Universities of Marburg, Frankfurt, and Gießen) receive admission to medical studies under the condition to pursue their future careers in the field of general practice in a rural area. Students are bound by contract to work in general practice for at least 10 years and will receive special extracurricular training during their studies at the university. Nationally, this system is without comparison. ⋯ We have mainly found similarities on the three main factors in all interviewed groups, yet different perspectives result in varying prioritisations.
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Mounting evidence for poorer seroconversion and accelerating vaccine waning in clinical risk groups (CRGs) suggests that, even if vaccinated, monoclonals and antivirals may still be required. However, the efficacy of said alternatives are highly time sensitive. As such, a clinical workflow that unlocks access to these treatments in both a timely and antimicrobially-responsible manner is essential. In-practice point-of-care testing (POCT) may offer a solution to this dual challenge. ⋯ This work highlights the value of POCT for vulnerable patients.