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Journal of Primary Health Care

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https://www.readbyqxmd.com/read/30068476/cochrane-corner-patients-with-osteoarthritis-need-reassurance-that-exercise-will-improve-their-condition
#1
Vanessa Jordan
No abstract text is available yet for this article.
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068475/unmet-health-care-need
#2
Phil Bagshaw, Ben Hudson
No abstract text is available yet for this article.
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068474/incidental-hip-fracture-in-an-outpatient-clinic-the-importance-of-patient-centred-assessment
#3
Lloyd David Hughes, Gavin Love
Although many patients presenting with hip fractures have classic symptoms, other patients may present atypically with referred knee pain and reasonably unremarkable clinical examination following initial presentation. Older patients commonly have comorbid conditions such as arthritis, stroke and dementia that can complicate history and examination, making the diagnosis of subtle fractures difficult. Multimorbidity represents an important diagnostic challenge to both primary and secondary care. This case study discusses a 90-year-old lady who was found to have an old right neck of femur fracture after attendance at an geriatric outpatient clinic for a discussion about anticoagulation, after GP referral...
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068473/phthiriasis-palpebrarum-an-uncommon-cause-of-ocular-irritation
#4
Lucy M Lu
No abstract text is available yet for this article.
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068472/hyponatremia-associated-with-long-term-medication-use-in-the-elderly-an-analysis-in-general-practice
#5
Ignazio Grattagliano, Tecla Mastronuzzi, Gaetano D'Ambrosio
INTRODUCTION The aim of this study is to determine the prevalence of hyponatremia, its association with long-term medication use and underlying chronic conditions, the rate of hospitalisation and death within 3 months from its discovery and its management in community-dwelling older people. METHODS One year of data for ~5635 patients aged >65 years was extracted from the databases of 19 general practitioners (GPs); 2569 (45.6%) were checked for hyponatremia. RESULTS Hyponatremia occurred in 205 (8.0%) of 2569 checked individuals: 78...
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068471/mild-traumatic-brain-injury-in-new-zealand-factors-influencing-post-concussion-symptom-recovery-time-in-a-specialised-concussion-service
#6
Rachel H J Forrest, Janis D Henry, Penelope J McGarry, Robert N Marshall
INTRODUCTION By 2020, traumatic brain injuries (TBIs) are predicted to become the third largest cause of disease burden globally; 90% of these being mild traumatic brain injury (mTBI). Some patients will develop post-concussion syndrome. AIM To determine whether the time between sustaining a mTBI and the initial assessment by a specialised concussion service, along with the post-concussion symptoms reported at the assessment, affected recovery time. METHODS A retrospective medical record review of clients who had completed the Rivermead Post-Concussion Questionnaire (RPQ) at their initial assessment and were discharged from a large metropolitan concussion service in New Zealand was undertaken over a 6-month period in 2014 (n = 107)...
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068470/a-taboo-topic-how-general-practitioners-talk-about-overweight-and-obesity-in-new-zealand
#7
Lesley Gray, Maria Stubbe, Lindsay Macdonald, Rachel Tester, Jo Hilder, Anthony C Dowell
INTRODUCTION Obesity is overtaking tobacco smoking in New Zealand as the leading potentially modifiable risk to health. International obesity guidelines recommend that health professionals opportunistically encourage weight management with their patients. However, research shows consistently low rates of weight management discussion, suggesting that health professionals may not be realising their full potential to address obesity. AIM To identify communication strategies used by General Practitioners (GPs) to open the topic of weight and weight management in routine consultations...
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068469/from-diagnosis-to-long-term-management-the-experiences-of-older-new-zealanders-with-obstructive-sleep-apnoea
#8
Rosemary Gibson, Angela Campbell, Shelley Mather, Alister Neill
INTRODUCTION In New Zealand (NZ), access to public sleep services is limited to people deemed with the highest need. The prevalence of obstructive sleep apnoea (OSA) increases with age, but the symptoms and the treatment pathway is expected to differ for older compared to younger patients. This study explored the experience of older people regarding diagnosis and treatment services for OSA in order to inform considerations required in primary health and sleep services. METHODS Patients who were initiated on Continuous Positive Airway Pressure (CPAP) therapy at the age of 65 years or older were invited to one of three 1...
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068468/partner-notification-and-retesting-for-chlamydia-trachomatis-and-neisseria-gonorrhoeae-a-case-note-review-in-new-zealand-primary-care
#9
Sally B Rose, Susan M Garrett, Jane Kennedy, Kim Lund, Deborah Hutchings, Caroline Boyle, Susan R H Pullon
INTRODUCTION Bacterial sexually transmitted infections (STIs) contribute to a significant burden of ill-health despite being easy to diagnose and treat. STI management guidelines provide clinicians with evidence-based guidance on best-practice case management. AIM To determine the extent of adherence to STI management guidelines for partner notification, follow up and testing for reinfection following diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae. METHODS Retrospective review of electronic patient records for individuals diagnosed with chlamydia or gonorrhoea in eight primary care clinics in Wellington, New Zealand...
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068467/evaluating-a-model-of-delivering-specialist-palliative-care-services-in-rural-new-zealand
#10
Amanda Landers, Danielle Dawson, Fiona Doolan-Noble
INTRODUCTION Various methods of delivering specialist palliative care to rural areas have been discussed in the literature, but published evaluations of these models are sparse. This study surveyed the stakeholders of a rural specialist palliative care service (SPCS) to help identify potential gaps and inform planning regarding the future vision. METHODS A survey was sent to all relevant stakeholders across the West Coast of New Zealand, including staff in primary care, aged residential care and the hospital...
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068466/characteristics-of-a-stratified-random-sample-of-new-zealand-general-practices
#11
Sharon Leitch, Susan M Dovey, Ari Samaranayaka, David M Reith, Katharine A Wallis, Kyle S Eggleton, Andrew W McMenamin, Wayne K Cunningham, Martyn I Williamson, Steven Lillis, Murray W Tilyard
INTRODUCTION Practice size and location may affect the quality and safety of health care. Little is known about contemporary New Zealand general practice characteristics in terms of staffing, ownership and services. AIM To describe and compare the characteristics of small, medium and large general practices in rural and urban New Zealand. METHODS Seventy-two general practices were randomly selected from the 2014 Primary Health Organisation database and invited to participate in a records review study. Forty-five recruited practices located throughout New Zealand provided data on staff, health-care services and practice ownership...
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068465/female-genital-mutilation-an-update-for-primary-health-care-professionals
#12
Nikhilesh Todkari
Female genital mutilation (FGM) has historically been seen as a health concern limited to women living in other parts of the world. However, with the rising number of migrants, refugees and asylum seekers, countries like New Zealand, Australia and Europe have seen a surge in the number of women and girls affected by FGM seeking medical care. This topic is increasingly becoming relevant to primary health-care providers in this country and therefore a good understanding of this practice is important.
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068464/doctor-self-disclosure-in-the-consultation
#13
Brett Mann
Doctors' self-disclosures to patients are an important dynamic in consultations. These can be categorised as unavoidable, inadvertent or deliberate. It is important in facilitating therapeutic outcomes to reflect on the types of messages unavoidably communicated by the doctor's appearance, speech and practice and consulting room environments, and to recognise self-disclosures caused by disruptive doctor transferences, so these transferences can be processed and minimised. Deliberate choices by doctors to disclose personal information and experiences are common...
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068463/rural-generalism-the-new-zealand-way-address-for-the-eric-elder-medal-rnzcgp-conference-july-2017
#14
Garry Nixon
No abstract text is available yet for this article.
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068462/guest-editorial-surprisingly-mundane-how-do-we-remain-vigilant
#15
Samantha Murton
No abstract text is available yet for this article.
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068461/from-the-editor-the-transformative-power-of-tin
#16
Susan Dovey
No abstract text is available yet for this article.
June 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068459/cochrane-corner-phoning-patients-in-primary-care-to-remind-them-that-their-vaccinations-are-due-is-definitely-worthwhile
#17
Vanessa Jordan
No abstract text is available yet for this article.
March 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068458/potion-or-poison-kombucha
#18
Nataly Martini
No abstract text is available yet for this article.
March 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068457/the-assessment-of-acute-chest-pain-in-new-zealand-rural-hospitals-utilising-point-of-care-troponin
#19
Rory Miller, Garry Nixon
No abstract text is available yet for this article.
March 2018: Journal of Primary Health Care
https://www.readbyqxmd.com/read/30068456/trajectories-in-health-recovery-in-the-12-months-following-a-mild-traumatic-brain-injury-in-children-findings-from-the-bionic-study
#20
Kelly M Jones, Suzanne Barker-Collo, Priya Parmar, Nicola Starkey, Alice Theadom, Shanthi Ameratunga, Valery L Feigin
INTRODUCTION There is growing consensus that adverse child outcomes may be evident in the early recovery phase following mild traumatic brain injury (TBI). However, controversy remains around the nature of children's longer-term recovery. AIM To examine child cognitive, behavioural and quality-of-life outcomes over 12 months following mild injury, and to identify prognostic factors associated with outcomes. METHODS A prospective sample of 222 children (aged 2-15 years at injury) with mild TBI was assessed using a cognitive testing battery and parent-report questionnaires at ≤ 14 days, 1, 6 and/or 12-months post-injury...
March 2018: Journal of Primary Health Care
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