The British journal of general practice : the journal of the Royal College of General Practitioners
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Over the past 30 years, fetal movement counts have been recommended to women in the second half of pregnancy as a way of monitoring fetal wellbeing and providing an early warning of fetal distress. However, guidance from the National Institute of Clinical Excellence (NICE) recommends abandoning this. ⋯ The activity of monitoring movements has been favoured by the majority of women. The new NICE guidance is useful to clarify professional understanding of the limitation of counting fetal movements, but women who notice decreased movements will still need referral for human factors.
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Seven participants with long-standing aphasia following cerebrovascular accident were serially recruited to a case series study where language therapy was delivered at home and monitored via the Internet. All participants improved in word finding, and four improved in general communication.
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Public sector housing is often allocated on the basis of the 'vulnerability' of applicants. As part of assessing vulnerability, housing departments request assessments from applicants' general practitioners (GPs). GP assessments submitted over 3 years to a local authority housing department were analysed. The nature of the patient group and format of the GP report discriminate against accurate reporting and hence fair assignment of housing.
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Multicenter Study
Management of acute asthma exacerbations by general practitioners: a cross-sectional observational survey.
General practitioners (GPs) have a central place in the management of asthma, particularly in the context of acute exacerbations. ⋯ Risk factors for near fatal asthma identified in previous studies were not predictive of a severe exacerbation in general practice, with the exception of short duration of exacerbation before consultation. This suggests that new methods to predict risk in the outpatient settings should be developed.