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Family Practice

Nicole Geovana Dias, Diogo Costa, Joaquim Soares, Eleni Hatzidimitriadou, Elisabeth Ioannidi-Kapolou, Jutta Lindert, Örjan Sundin, Olga Toth, Henrique Barros, Silvia Fraga
Background: Social support may buffer the negative effects of violence on physical and mental health. Family medicine providers play an essential role in identifying the available social support and intervening in intimate partner violence (IPV). Objective: This study aimed at assessing the association between social support and the IPV victimization among adults from six European countries. Methods: This is a cross-sectional multi-centre study that included individuals from Athens (Greece), Budapest (Hungary), London (UK), Östersund (Sweden), Porto (Portugal) and Stuttgart (Germany)...
May 21, 2018: Family Practice
Sabine C Käyser, Bianca W M Schalk, Wim J C de Grauw, Tjard R Schermer, Reinier P Akkermans, Jacques W M Lenders, Jaap Deinum, Marion C J Biermans
Background: Individualized antihypertensive treatment based on specific biomarkers such as renin may lead to more effective blood pressure control in patients with newly diagnosed essential hypertension. Recent studies suggested that the plasma aldosterone-to-renin ratio (ARR) may also be a candidate predictor for this purpose. Objective: To assess whether the ARR is associated with the blood pressure response to antihypertensive treatment in patients with newly diagnosed hypertension...
May 19, 2018: Family Practice
Amanda Howe, Michael Kidd
No abstract text is available yet for this article.
May 19, 2018: Family Practice
Karen J Blumenthal, Alyna T Chien, Sara J Singer
Background: There remains a need to improve patient safety in primary care settings. Studies have demonstrated that creating high-performing teams can improve patient safety and encourage a safety culture within hospital settings, but little is known about this relationship in primary care. Objective: To examine how team dynamics relate to perceptions of safety culture in primary care and whether care coordination plays an intermediating role. Research Design: This is a cross-sectional survey study with 63% response (n = 1082)...
May 18, 2018: Family Practice
E H Bergene, H Nordeng, T B Rø, A Steinsbekk
Background: Children commonly refuse to take antibiotics, which may induce parents to request new antibiotic prescriptions with different pharmaceutical characteristics. Objectives: To investigate prescription changes for children 0-12 years receiving oral liquid or solid antibiotic formulations and to explore the relationships between prescription changes and characteristics related to the child, prescriber and antibiotic. Methods: A population-based registry study based on data from the Norwegian Prescription Database (NorPD) from 2004 to 2016...
May 9, 2018: Family Practice
William C W Wong, Ying-Ru Lo, Sunfang Jiang, Minghui Peng, Shanzhu Zhu, Michael R Kidd, Xia-Chun Wang, Po-Lin Chan, Jason J Ong
Objective: The study aimed to decentralize hepatitis testing and management services to primary care in China. Methods: A nationwide representative provider survey amongst community health centres (CHCs) using randomized stratified sampling methods was conducted between September and December 2015. One hundred and eighty CHCs and frontline primary care practitioners from 20 cities across three administrative regions of Western, Central and Eastern China were invited to participate...
May 8, 2018: Family Practice
Jaime E Sidani, Ariel Shensa, Jonathan Yabes, Carl Fertman, Brian A Primack
Background: Waterpipe tobacco smoking (WTS or 'hookah') is common among adolescents and college students in the USA. However, there has not yet been a large-scale, nationally representative study independently examining WTS among young adults who are not in college. Objective: This study sought to examine associations between attitudes, normative beliefs, certain socio-demographic factors and current WTS among young adults not in college and compare them to young adults in college...
May 8, 2018: Family Practice
Masoud Behzadifar, Meysam Behzadifar, Sanaz Heidarvand, Hasan Abolghasem Gorji, Aidin Aryankhesal, Sharare Taheri Moghadam, Roghayeh Mohammadibakhsh, Nicola Luigi Bragazzi
Background: A good level of health requires the establishment of primary health care. Family physician policy (FPP) is probably one of such initiatives, which enables societies attaining the universal health coverage. Objective: The present study is the first systematic review and meta-synthesis that seeks to provide a more comprehensive understanding of the challenges for FPP in Iran. Method: Several international scholarly databases (namely, ISI/Web of Sciences, PubMed/MEDLINE via Ovid, Embase, PsycINFO, Scopus and CINAHL via EBSCO), as well as three Iranian databases [MagIran, Irandoc and Scientific Information Database (SID) databases], were mined from January 2006 to December 2017...
May 7, 2018: Family Practice
Max Zubatsky, Todd M Edwards, Hideki Wakabayashi, Gabriel Ivbijaro
No abstract text is available yet for this article.
May 7, 2018: Family Practice
James Tollitt, Emma Flanagan, Sheila McCorkindale, Sam Glynn-Atkins, Lauren Emmett, Denise Darby, James Ritchie, Brandon Bennett, Smeeta Sinha, Dimitrios Poulikakos
Purpose: Acute kidney injury (AKI) detected in primary care is associated with increased morbidity and mortality. AKI electronic alerts (e-alerts) and educational programmes have recently been implemented but their contribution to improve AKI care is unknown. This project aimed to improve response to AKI detected in primary care and used a factorial design to evaluate the impact of the UK National Health Service (NHS) AKI e-alert and AKI educational outreach sessions on time to response to primary care AKI stages 2 and 3 between April and August 2016...
April 28, 2018: Family Practice
Robert J Fortuna, Ashley Holub, Margaret A Turk, Jon Meccarello, Philip W Davidson
Aim: Health conditions in children with cerebral palsy (CP) are well described, yet health is less defined with advancing age. We examined health conditions, functional status and health care utilization in adults with CP across age groups. Methods: We collected cross-sectional data on health conditions, functional status and utilization from the medical records of adults with CP across a large university-affiliated primary care network using the Rochester Health Status Survey IV (RHSS-IV), a 58-item validated survey...
April 27, 2018: Family Practice
Jenny van den Broek, Kees van Boven, Hans Bor, Annemarie A Uijen
Background: The reason why patients contact a care provider, the reason for encounter (RFE), reflects patients' personal needs and expectations regarding medical care. RFEs can be symptoms or complaints, but can also be requests for diagnostic or therapeutic interventions. Objectives: Over the past 30 years, we aim to analyse the frequency with which patients consult a GP to request an intervention, and to analyse the impact of these requests on the subsequent diagnostic process...
April 26, 2018: Family Practice
Emily Ankus, Sarah J Price, Obioha C Ukoumunne, William Hamilton, Sarah E R Bailey
Background: A platelet count >400 × 109/l (i.e. thrombocytosis) is a recently discovered risk marker of cancer. The risk of undiagnosed cancer in patients with thrombocytosis is 11.6% for men and 6.2% for women, well above the 3% risk threshold set by National Institute for Health and Care Excellence (NICE) for cancer investigation. Patients with a platelet count at the upper end of the normal range (325-400 × 109/l) could be at increased risk of undiagnosed malignancy. Objective: To quantify the risk of an undiagnosed cancer in patients with a platelet count at the upper end of the normal range...
April 12, 2018: Family Practice
Priyanka Bose, Carolyn Tarrant, Amit K Mistri, Andrew Wilson
Background: Most patients with transient ischaemic attack (TIA) present to their GP. Early identification and treatment reduces the risk of subsequent stroke and consequent disability and mortality. Objective: To explore GPs' views on the diagnosis and immediate management of suspected TIA, and the potential utility of a diagnostic tool. Methods: This is a qualitative interview study based in Leicestershire, UK. A purposive sample of 10 GPs participated in 30-minute semi-structured telephone interviews...
April 12, 2018: Family Practice
Zoe Paskins, Tom Sanders, Peter R Croft, Julie Green, Robert McKinley, Andrew B Hassell
Background: Symptoms form a major component of patient agendas, with the need for an explanation of symptoms being a prominent reason for consultation. Objectives: To estimate the prevalence of different symptoms pre-consultation, to investigate whether intention to mention a symptom in the consultation varied between patients and across symptoms, and to determine how patients' intended agendas for mentioning symptoms compared with what was discussed. Method: We videorecorded consultations of an unselected sample of people aged 45 and over consulting their GP in seven different practices in UK primary care...
April 7, 2018: Family Practice
(no author information available yet)
No abstract text is available yet for this article.
April 7, 2018: Family Practice
Ludovic Casanova, Virginie Ringa, Sophia Chatelard, Sylvain Paquet, Isabelle Pendola-Luchel, Henri Panjo, Camille Bideau, Eric Deflesselle, Raphaëlle Delpech, Géraldine Bloy, Laurent Rigal
No abstract text is available yet for this article.
April 6, 2018: Family Practice
Natalie Armstrong, Deborah Swinglehurst
No abstract text is available yet for this article.
April 6, 2018: Family Practice
Leif I Solberg, William L Miller
No abstract text is available yet for this article.
April 5, 2018: Family Practice
Joseph M Cerimele, John C Fortney, Jeffrey M Pyne, Geoffrey M Curran
Objective: To understand primary care patients' and clinicians' experiences with diagnosis and treatment of patients with bipolar disorder in primary care. Methods: We conducted a qualitative study using thematic content analysis of individual interviews with nine primary care clinicians and six patients from Federally Qualified Health Centers to understand their experiences with the diagnosis and treatment of bipolar disorder. Results: Themes of bipolar disorder detection, referral to specialty mental health care and medication treatment emerged from individual interviews with primary care patients and clinicians...
April 5, 2018: Family Practice
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