What are the benefits of an early diagnosis?

NJ Sharvill - Bmj, 2012 - bmj.com
Can someone tell me why an early diagnosis is so important in dementia? 1 We already
screen for and treat vascular risk factors, and mild cognitive impairment is extremely common. …

Discharge summary information, More than DVT warnings needed

NJ Sharvill - 2023 - bjgp.org
My out of hours duty shift today echoed this article. Whilst recognising that usually it should
be the family and perhaps the family doctor to get involved proactively perhaps we should …

Child health training. Why does the College not act?

NJ Sharvill - 2023 - bjgp.org
What I cannot understand is why our College does not derecognise training schemes that
don't provide comprehensive general practice training that provides not only child health (for …

Should flu have at least one respiratory symptom?

NJ Sharvill - BMJ, 2009 - bmj.com
The algorithms for A/H1N1 flu currently used by the UK population do not seem to need any
respiratory symptoms. 1 Although information on various symptoms in proved A/H1N1 flu is …

Daily contact with a nurse may be more important than high tech telecare

NJ Sharvill - BMJ: British Medical Journal (Online), 2012 - search.proquest.com
In this new world of locality driven commissioning it is interesting that central NHS policy is
to drive telehealth forward even if it's not wanted at a local level. Competing interests: NJS's …

Further points to consider after primary percutaneous coronary intervention

NJ Sharvill - BMJ: British Medical Journal (Online), 2018 - search.proquest.com
Dalal and colleagues summarise the management of patients who have had primary
percutaneous coronary intervention for myocardial infarction. 1 But they don't mention …

Ear wax

NJ Sharvill - 2024 - bjgp.org
Ear wax. What happens in other countries? In Canada people are advised they can use a
warm shower after softening. 1 In Europe personal ear bulb syringe kits are available. Where I …

Disclosure of medical information

NJ Sharvill - The Journal of the Royal College of General …, 1987 - ncbi.nlm.nih.gov
Sir, I would like to draw your attention to an area of medicine seldom used and rarely taught,
a knowledge of which I have found extremely useful in my year as a trainee general …

Vitamin D–what dose?

NJ Sharvill - 2023 - bjgp.org
NHS advice advises it for the whole adult population and has done for many years and they
also advice a dose not to exceed 4000IU per day (10 times the dose in this article). 1 Over …

GP paediatric training. I repeat why does the College not act to compel paediatric training

NJ Sharvill - 2024 - bjgp.org
The debate about who is best served to provide primary care for children continues; one thing
not really needing debate though is that those doing so need to be trained and to keep up …