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Scandinavian Journal of Primary Health Care

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https://www.readbyqxmd.com/read/28812403/text-messaging-sms-as-a-tool-to-facilitate-weight-loss-and-prevent-metabolic-deterioration-in-clinically-healthy-overweight-and-obese-subjects-a-randomised-controlled-trial
#1
Vija Silina, Mesfin K Tessma, Silva Senkane, Gita Krievina, Guntis Bahs
OBJECTIVE: To examine whether SMS text messaging facilitates a reduction of weight and waist circumference (WC) and favourable changes in lipid profile and insulin levels in clinically healthy overweight and obese subjects. DESIGN: A randomised controlled trial. SETTING AND INTERVENTION: Primary care health centre in Riga, Latvia. Text messaging once in two weeks. SUBJECTS: A total of 123 overweight and obese men and women aged 30-45 years with no cardiovascular diseases (CVDs) or diabetes...
August 16, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28812400/new-benzodiazepine-and-z-hypnotic-users-and-disability-pension-an-eight-year-nationwide-observational-follow-up-study
#2
Ingunn F Tvete, Trine Bjørner, Tor Skomedal
OBJECTIVE: To compare how newly initiated treatment with benzodiazepines, Z-hypnotics or both associates with the reception of disability pension among 40,661 individuals of a working age. DESIGN: Prescription register study. SETTING: Norwegian nationwide prescriptions socio-economic and disability status data. METHODS: Cox regression analyses. SUBJECTS: New benzodiazepine or Z-hypnotic users. MAIN OUTCOME MEASURE: Time to receive disability pension given benzodiazepine or Z-hypnotic use or both...
August 16, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28793815/elderly-users-of-fall-risk-increasing-drug-perceptions-of-fall-risk-and-the-relation-to-their-drug-use-a-qualitative-study
#3
Hege Therese Bell, Aslak Steinsbekk, Anne Gerd Granas
OBJECTIVE: The aim of the study was to explore how home-dwelling elderly who use fall-risk-increasing drugs (FRIDs) perceive their fall risk and how they relate this to their drug use. DESIGN, SETTING AND SUBJECTS: A qualitative study with 14 home-dwelling elderly FRID users between 65 and 97 years in Central Norway participating in semi-structured individual interviews. The data were analyzed thematically by using systematic text condensation. RESULTS: The main finding was that the informants did not necessarily perceive the use of FRIDs to be a prominent risk factor for falls...
August 10, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28784027/reliability-of-pulse-palpation-in-the-detection-of-atrial-fibrillation-in-an-elderly-population
#4
Jussi Jaakkola, Tuija Vasankari, Raine Virtanen, K E Juhani Airaksinen
PURPOSE: Atrial fibrillation (AF) may first present as an ischemic stroke. Pulse palpation is a potential screening method for asymptomatic AF. We aimed to assess the reliability of pulse palpation by the elderly in detecting AF. MATERIALS AND METHODS: After brief information and training session conducted by a nurse, 173 subjects aged ≥75 years were instructed to palpate their pulse regularly for a month. After this, their ability to distinguish sinus rhythm (SR), SR with premature ventricular contractions (PVC) and AF by pulse palpation was assessed using an anatomic human arm model programmable with various rhythms...
August 7, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28784018/changes-in-disability-self-rated-health-comorbidities-and-psychological-wellbeing-in-community-dwelling-75-95-year-old-cohorts-over-two-decades-in-helsinki
#5
Helena Karppinen, Kaisu H Pitkälä, Hannu Kautiainen, Reijo S Tilvis, Jaakko Valvanne, Käthe Yoder, Timo E Strandberg
OBJECTIVE: To explore changes in self-reported disabilities, health, comorbidities and psychological wellbeing (PWB) in aged cohorts over two decades. DESIGN, SETTING AND SUBJECTS: Cross-sectional cohort studies with postal surveys were conducted among community-dwelling people aged 75, 80, 85, 90 and 95 years in 1989 (n = 660), 1999 (n = 2598) and 2009 (n = 1637) in Helsinki, Finland. MAIN OUTCOME MEASURES: Self-reported items on disability, self-rated health (SRH), diagnoses and PWB were compared between cohorts of the same age...
August 7, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28776457/-validation-of-ultrasound-examinations-performed-by-general-practitioners
#6
Karsten Lindgaard, Lars Riisgaard
OBJECTIVE: The aim of this study was to evaluate the diagnostic agreement when a general practitioner and subsequently a specialist (radiologist/gynecologist) performed point-of-care ultrasound examinations for certain abdominal and gynecological conditions of low to moderate complexity. DESIGN: A prospective study of inter-rater reliability and agreement. SETTING: Patients were recruited and initially scanned in general practice. The validation examinations were conducted in a hospital setting...
August 4, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28776437/warfarin-monitoring-in-nursing-homes-assessed-by-case-histories-do-recommendations-and-electronic-alerts-affect-judgements
#7
Reyes Serrano Teruel, Geir Thue, Svein Ivar Fylkesnes, Sverre Sandberg, Ann Helen Kristoffersen
PURPOSE: Older adults treated with warfarin are prone to complications, and high-quality monitoring is essential. The aim of this case history based study was to assess the quality of warfarin monitoring in a routine situation, and in a situation with an antibiotic-warfarin interaction, before and after receiving an electronic alert. MATERIALS AND METHODS: In April 2014, a national web-based survey with two case histories was distributed among Norwegian nursing home physicians and general practitioners working part-time in nursing homes...
August 4, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28768444/a-swedish-version-of-the-consultation-and-relational-empathy-care-measure
#8
K Crosta Ahlforn, E Bojner Horwitz, W Osika
OBJECTIVE: A validated measure to gather patient feedback on physicians' empathy is not available in Swedish. The objective for this study was to examine the psychometric characteristics of a Swedish version of the Consultation and Relational Empathy (CARE) measure (widely used in English). DESIGN, SETTING AND PATIENTS: The CARE measure was translated into Swedish and tested on 554 unselected patients visiting physicians in two primary care clinics in northwestern Stockholm, Sweden...
August 3, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28768442/differences-in-medical-services-in-nordic-general-practice-a-comparative-survey-from-the-qualicopc-study
#9
Torunn Bjerve Eide, Jørund Straand, Cecilia Björkelund, Elise Kosunen, Ofeigur Thorgeirsson, Peter Vedsted, Elin Olaug Rosvold
OBJECTIVE: We aim to describe medical services provided by Nordic general practitioners (GPs), and to explore possible differences between the countries. DESIGN AND SETTING: We did a comparative analysis of selected data from the Nordic part of the study Quality and Costs of Primary Care in Europe. SUBJECTS: 875 Nordic GPs (198 Norwegian, 80 Icelandic, 97 Swedish, 212 Danish and 288 Finnish) answered identical questionnaires regarding their practices...
August 3, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28613128/successful-task-delegation-in-general-practice-a-way-to-maintain-primary-health-care-in-the-future
#10
Helle Riisgaard, Jørgen Nexøe
No abstract text is available yet for this article.
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28613127/differences-in-medical-services-in-nordic-general-practice-a-comparative-survey-from-the-qualicopc-study
#11
Torunn Bjerve Eide, Jørund Straand, Cecilia Björkelund, Elise Kosunen, Ofeigur Thorgeirsson, Peter Vedsted, Elin Olaug Rosvold
OBJECTIVE: We aim to describe medical services provided by Nordic general practitioners (GPs), and to explore possible differences between the countries. DESIGN AND SETTING: We did a comparative analysis of selected data from the Nordic part of the study Quality and Costs of Primary Care in Europe (QUALICOPC). SUBJECTS: A total of 875 Nordic GPs (198 Norwegian, 80 Icelandic, 97 Swedish, 212 Danish and 288 Finnish) answered identical questionnaires regarding their practices...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28598752/association-between-continuity-of-care-in-swedish-primary-care-and-emergency-services-utilisation-a-population-based-cross-sectional-study
#12
Hannes Kohnke, Andrzej Zielinski
OBJECTIVE: The primary objective of this study was to determine the association between longitudinal continuity of care (CoC) in Swedish primary care (PC) and emergency services (ES) utilisation. STUDY DESIGN: A cross-sectional analysis of longitudinal population data. SETTING: PC centres, out-of-hours PC facilities and emergency departments (EDs) in Blekinge County in southern Sweden. SUBJECTS: People of all ages who lived in Blekinge County and who had made two or more visits per year to a general practitioner (GP) during office hours from 1 January 2012 to 31 December 2014...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28593825/point-of-care-ultrasonography-in-norwegian-out-of-hours-primary-health-care
#13
Kjetil Myhr, Hogne Sandvik, Tone Morken, Steinar Hunskaar
OBJECTIVE: The objective of this study is to determine the extent of ultrasound availability in Norwegian casualty clinics and estimate the prevalence of its use. DESIGN: A retrospective study based on a national casualty clinic registry and data from reimbursement claims. SETTING: Out-of-hours primary health care in Norway. SUBJECTS: All Norwegian casualty clinics in 2016 and reimbursement claims from 2008 to 2015. MAIN OUTCOME MEASURES: Percent of casualty clinics with ultrasound, types of ultrasound devices and probes, reasons for/against ultrasound access, characteristics of clinics with/without ultrasound, frequency of five ultrasound indications and characteristics of the physicians using/not using ultrasound...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28593802/the-effect-on-the-patient-flow-in-a-local-health-care-after-implementing-reverse-triage-in-a-primary-care-emergency-department-a-longitudinal-follow-up-study
#14
Timo Kauppila, Katri Seppänen, Juho Mattila, Johanna Kaartinen
OBJECTIVE: Reverse triage means that patients who are not considered to be in need of medical services are not placed on the doctor's list in an emergency department (ED) but are sent, after face-to-face evaluation by a triage nurse, to a more appropriate health care unit. It is not known how an abrupt application of such reverse triage in a combined primary care ED alters the demand for doctors' services in collaborative parts of the health care system. DESIGN: An observational study...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28587558/patient-trajectories-in-a-norwegian-unit-of-municipal-emergency-beds
#15
Heidi Nilsen, Steinar Hunskaar, Sabine Ruths
OBJECTIVE: The Coordination reform was implemented in Norway from 2012, aiming at seamless patient trajectories. All municipalities are required to establish emergency care beds (MEBs) to avoid unnecessary hospital admissions. We aimed to examine occupancy rate, patient characteristics, diagnoses and discharge level of municipal care in a small MEB unit. DESIGN: Cross-sectional, observational study. SETTING: A two-bed emergency care unit. SUBJECTS: All patients admitted to the unit during one year...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28587508/threats-or-violence-from-patients-was-associated-with-turnover-intention-among-foreign-born-gps-a-comparison-of-four-workplace-factors-associated-with-attitudes-of-wanting-to-quit-one-s-job-as-a-gp
#16
Mari Eneroth, Marie Gustafsson Sendén, Karin Schenck Gustafsson, Maja Wall, Ann Fridner
OBJECTIVE: General practitioners (GPs) are crucial in medical healthcare, but there is currently a shortage of GPs in Sweden and elsewhere. Recruitment of GPs from abroad is essential, but foreign-born physicians face difficulties at work that may be related to turnover intention, i.e. wanting to quit one's job. The study aims to explore the reasons to why foreign-born GPs may intend to quit their job. DESIGN: Survey data were used to compare four work-related factors that can be associated with turnover intentions; patient-related stress, threats or violence from patients, control of work pace, and empowering leadership, among native-born and foreign-born GPs...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28585886/clinical-indications-for-antibiotic-use-in-danish-general-practice-results-from-a-nationwide-electronic-prescription-database
#17
Rune Aabenhus, Malene Plejdrup Hansen, Volkert Siersma, Lars Bjerrum
OBJECTIVE: To assess the availability and applicability of clinical indications from electronic prescriptions on antibiotic use in Danish general practice. DESIGN: Retrospective cohort register-based study including the Danish National Prescription Register. SETTING: Population-based study of routine electronic antibiotic prescriptions from Danish general practice. SUBJECTS: All 975,626 patients who redeemed an antibiotic prescription at outpatient pharmacies during the 1-year study period (July 2012 to June 2013)...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28585884/conveying-hope-in-consultations-with-patients-with-life-threatening-diseases-the-balance-between-supporting-and-challenging-the-patient
#18
Anne Werner, Sissel Steihaug
OBJECTIVE: There is limited knowledge about the communication of hope and denial in consultations with patients with life-threatening diseases on a practical level. In this study, we explored a real-life medical consultation between a doctor and a patient with incurable cancer, focusing on conveying hope. DESIGN AND METHODS: We found one consultation especially suited for illustrating how a physician can convey and reinforce hope without attaching it to curative treatment...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28585881/factors-related-to-poor-asthma-control-in-latvian-asthma-patients-between-2013-and-2015
#19
Dins Smits, Girts Brigis, Jana Pavare, Baiba Maurina, Noël Christopher Barengo
OBJECTIVES: To investigate whether beliefs about asthma medication, cognitive and emotional factors are related to poor asthma control in a sample of Latvian asthma patients in 2015. DESIGN: Cross-sectional, self-administered survey. SUBJECTS: Three hundred and fifty two asthma patients (mean age 57.5 years) attending outpatient pulmonologist consultations in Riga, Latvia during September 2013 to December 2015. The sample size was calculated to detect a prevalence of poor asthma control of 50% with a margin of error of 5% and a power of 95%...
June 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28585868/long-term-effects-of-internet-delivered-cognitive-behavioral-therapy-for-depression-in-primary-care-the-prim-net-controlled-trial
#20
Maria C M Eriksson, Marie Kivi, Dominique Hange, Eva-Lisa Petersson, Nashmil Ariai, Per Häggblad, Hans Ågren, Fredrik Spak, Ulf Lindblad, Boo Johansson, Cecilia Björkelund
OBJECTIVE: Internet-delivered cognitive behavioral therapy (ICBT) is recommended as an efficient treatment alternative for depression in primary care. However, only few previous studies have been conducted at primary care centers (PCCs). We evaluated long-term effects of ICBT treatment for depression compared to treatment as usual (TAU) in primary care settings. DESIGN: Randomized controlled trial. SETTING: Patients were enrolled at16 PCCs in south-west Sweden...
June 2017: Scandinavian Journal of Primary Health Care
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