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Clinical

Improving inhaler technique and adherence in children

‘MDIs are considered more challenging to use than most other devices … Spacer devices are therefore helpful tools that … minimise coordination difficulties, reduce oropharyngeal deposition and...

Asthma and self-management: Improving support for teenagers

The prevalence and level of morbidity in this age group is higher than the rates in younger children (Couriel, 2003). This is thought to be due to poor symptom control, which frequently reflects poor...

Epilepsy: recognition and management of seizures in children and young people

‘Epilepsy describes a tendency to have seizures, where a sudden surge in brain activity manifests as abnormal behaviour patterns….There are many different seizure types and so appropriate...

Recognising and managing an acute asthma attack

‘Formal diagnosis of asthma is difficult and must reflect the chronic nature of the disease…There is no one test that confirms a diagnosis of asthma. GPs use a combination of clinical history and...

Anaphylaxis: Triggers and symptoms

In a large European study, Grabenhenrich et al (2016) showed that food was a frequent trigger or cause in cases of anaphylaxis (66%). Certainly, Järvinen et al (2008) found that food-related allergies...

Psoriasis: Management and self-care

The aetiology of psoriasis is not fully understood; however, genetic and environmental factors are significant in its development (World Health Organization, 2016). In healthy individuals, skin...

Seizures: Management in children

Epilepsy is not a single condition but a group of many varied ‘epilepsies’. Having epilepsy simply means a tendency to have seizures and having a single seizure does not mean that someone has epilepsy...

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