40 research outputs found
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Recurrent anencephalic stillbirths: A rare case presentation.
Anencephaly is one of the three major lethal fetal anomalies. Termination of pregnancy is offered for all prenatally diagnosed cases, but some parents choose to continue with pregnancy with full obstetric intervention. I describe the case of a woman who had two pregnancies with anencephalic stillbirths in the third trimester. There is a paucity of well-defined standards of care and management for pregnancies that are carried to the third trimester with this malformation. This case raises important practical questions: Management strategies of recurrent pregnancies with anencephaly, best supportive care during, and after birth and counseling the expectant parents
Patient Experiences of Terminal Illness Toward the End of Life: A Reflective Narrative Report
The care of patients, towards their end of life, in the community is complex and challenging. We prefer to see them in their home environment, with their spouse or next of kin present, often accompanied by a junior colleague for help and support
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The Importance of Community and Patient Involvement in the Design of Physical Activity Programs.
Strategies and interventions to improve healthcare professionals' well-being and reduce burnout
Lessons Learned From Producing Guidance Articles and Rapid Massive Open Online Courses During the Covid-19 Pandemic in Primary Care.
Diagnosis and management of monkeypox in primary care.
The monkeypox virus outbreak continues to evolve worldwide. While most people recover without treatment, primary care clinicians may be the first point of contact for those affected. Prompt assessment, diagnosis, isolation, treatment and prophylaxis will reduce the risk of community transmission. The current public health advice is to test suspected cases and monitor close contacts. If individuals test positive for the monkeypox virus, self-isolation at home is recommended for most people with mild symptoms. If patients report severe symptoms, referral and admission to hospital will be needed, where further interventions such as antivirals may be administered. The infection can spread through close contact; therefore, healthcare professionals must take precautions, such as using appropriate personal protective equipment for possible or probable cases