The British journal of general practice : the journal of the Royal College of General Practitioners
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Shingles (herpes zoster), caused by reactivation of the varicella-zoster virus, is usually diagnosed and managed in primary care. The lifetime risk of shingles in the general population is approximately 30%, and it can have a detrimental effect on quality of life. There has been little qualitative research about patient experience and understanding of shingles. ⋯ Primary care practitioners should be aware of the broad spectrum of patient knowledge, and the potential for better understanding to promote early attendance and treatment to reduce the impact of shingles.
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Routine primary care data may be a valuable resource for preconception health research and to inform the provision of preconception care. ⋯ The findings demonstrated that routinely collected UK primary care data could be used to identify patients' preconception care needs. Linking primary care data with health outcomes collected in other datasets is underutilised, but could help to quantify how optimising preconception health and care could reduce adverse outcomes for mothers and children.
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Meta Analysis
Effectiveness of safety netting approaches for acutely ill children: a network meta-analysis.
Safety-netting advice (SNA) can help in the management of acutely ill children. ⋯ Paper SNA (with oral SNA) may reduce antibiotic use and return visits. Video, oral, and online SNA may improve parental knowledge, whereas video SNA and web-based modules may increase parental satisfaction.