Focus

Travel advice and vaccination

Christopher Harrison, Clare Bayram, Helena Britt, Joan Henderson

Medical tourism

Peter Leggat

Heat illnesses

Jeffrey Sankoff

Marine envenomations

Ingrid Berling, Geoffrey Isbister

Advising travellers about management of travellers’ diarrhoea

Karin Leder

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Up front

Editorial: Medicine and the environment

Glenn Duns

Letters to the editor

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Clinical

Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults

Tania Winzenberg, Dawn Aitken, Rachelle Buchbinder, Graeme Jones

Diverse presentations of acral melanoma

Jonathan Raymond Stretch, Robyn PM Saw, Annette H Chakera, Rebecca L Read

Investigation and management of an ovarian mass

Melissa Yeoh

Ketoacidosis in a patient with type 2 diabetes – Flatbush diabetes

Donald A Howarth

Dirt-like hyperpigmented plaques on the face

Ricardo Ruiz-Villaverde, Pablo Fernandez-Crehuet

Nail and oral cavity pigmentation

Adrián Imbernón-Moya, Alejandro Lobato-Berezo, Marcela Martínez-Pérez, Miguel Ángel Gallego-Valdés, Lidia Maroñas-Jiménez, Javier Ortiz-De Frutos

A challenging case of chronic diarrhoea

Ahmad Al-Hindawi, Vinesh Appadurai, Gemma Ingham, Mostafa Seleem

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Research

Hepatitis C polymerase chain reaction testing by GPs

Samuel Bailey, Benjamin Scalley, Marisa Gilles

General practice service use and satisfaction among female survivors of childhood sexual abuse

Danielle Mazza, Deborah Loxton, Jan Coles, Adeline Lee, Angela Taft

Utilisation of co-testing (human papillo-mavirus DNA testing and cervical cytology) after treatment of CIN:

Aime Munro, Jim Codde, James Semmens, Yee Leung, Katrina Spilsbury, Vincent Williams, Nerida Steel, Paul Cohen, Heidi Pavicic, Vicki Westoby, Peter O’Leary

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Professional

A is for aphorisms

Jane Smith

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Viewpoint

Internet support for point-of-care testing in primary care

Andrew St John, Rosy Tirimacco, Tony Badrick, Limei Siew, Paul Simpson, Penelope Cowley, Shahid Ullah, Philip Tideman

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Back pages

Clinical Challenge