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https://www.readbyqxmd.com/read/28546588/the-perceived-acceptability-of-the-deppa-patient-assessment-tool-a-questionnaire-survey-of-denplan-excel-patients
#1
J T Newton, K Asimakopoulou
Aim To establish the perceived acceptability of the use of the Denplan/Previser Patient Assessment tool (DEPPA) by patients. The secondary aim was to examine dental practitioners' views about the effects of a DEPPA consultation on patients' future oral health behaviours.Method Two questionnaire surveys: 365 patients attending general dental practice, who had been assessed using the DEPPA software; 12 dental practitioners who had completed a DEPPA assessment on the patients. Participants (both patients and GDPs) completed the Treatment Evaluation Inventory (TEI) to ascertain their views of the DEPPA assessment...
May 26, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28545402/regional-variations-of-perceived-problems-in-ambulatory-care-from-the-perspective-of-general-practitioners-and-their-patients-an-exploratory-focus-group-study-in-urban-and-rural-regions-of-northern-germany
#2
H Hansen, N J Pohontsch, L Bole, I Schäfer, M Scherer
BACKGROUND: Patients from rural and urban regions should have equitable access to health care. In Germany, the physician-patient-ratio and the supply of medical services vary greatly between urban and rural areas. The aim of our study was to explore the regional variations of the perceived health care problems in ambulatory care from the perspective of affected professionals and laypersons i.e. general practitioners and their patients. METHODS: We conducted 27 focus groups with general practitioners (n = 65) and patients (n = 145) from urban areas, environs and rural areas in northern Germany...
May 25, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28545194/knowledge-attitudes-and-preventive-practice-towards-breast-cancer-among-general-practitioner-health-professionals-in-morocco
#3
Naima Abda, Adil Najdi, Samira El Fakir, Nabil Tachfouti, Mohamed Berraho, Youssef Chami Khazraji, Loubna Abousselham, Latifa Belakhel, Rachid Bekkali, Chakib Nejjari
Background: Breast cancer is the most common cancer of women in Morocco and its diagnosis is usually made at advanced stages. The aim of this study was to describe the knowledge, practices and attitudes of general practitioners regarding early detection of breast cancer. Methods: A cross-sectional study was carried out during July 2011 on a sample of 140 general practitioners employed in basic health care facilities. Results: The majority (85.7%) of general practitioners were aware of the existence of a ministerial circular which aimed to generalize breast cancer screening...
April 1, 2017: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/28544642/evaluation-of-a-targeted-prescriber-education-intervention-on-emergency-department-discharge-oxycodone-prescribing
#4
Síne R Donaldson, Andrew M Harding, Simone E Taylor, Hassan Vally, Shaun L Greene
OBJECTIVES: The objective of this study was to evaluate the impact of an educational intervention on ED discharge opioid analgesic (OA) prescribing. METHODS: A brief, one-on-one, educational intervention was delivered to ED OA prescribers by an ED clinical champion. The percentage of patients receiving (i) written advice regarding appropriate oxycodone use, (ii) written or verbal advice regarding appropriate post-discharge follow up and (iii) written general practitioner notification that oxycodone had been prescribed were determined pre- and post-intervention, through review of electronic patient records and structured patient telephone interviews conducted 3-7 days after ED attendance...
May 24, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28544302/predictors-of-delay-to-cystoscopy-and-adequacy-of-investigations-in-patients-with-haematuria
#5
Brian Ngo, Nathan Papa, Marlon Perera, Damien Bolton, Shomik Sengupta
OBJECTIVE: To identify factors that impact on the timeliness and adequacy of haematuria evaluation. PATIENTS AND METHODS: We undertook a retrospective cohort study identifying patients who underwent cystoscopy for investigation of haematuria at our institution between 1 January 2015 and 31 December 2015. Data on patient demographics, smoking status, anticoagulation, type of haematuria and referring clinician were collected. Exclusion criteria included patient age <18 years, known history of bladder/urinary tract/renal cancer, cystoscopy for indications other than haematuria and unknown date of urology consultation...
May 2017: BJU International
https://www.readbyqxmd.com/read/28544265/lasting-improvement-of-medication-overuse-headache-after-brief-intervention-a-long-term-follow-up-in-primary-care
#6
E S Kristoffersen, J Straand, M B Russell, C Lundqvist
BACKGROUND AND PURPOSE: Withdrawal therapy improves the headache situation for many patients with medication-overuse headache (MOH), but relapses are common. The objective was to assess the long-term effectiveness of a general practitioner conducted brief intervention (BI) for MOH. METHODS: Sixty MOH patients initially participating in a blinded cluster-randomized controlled trial evaluating BI versus business as usual (BAU) were followed up for 16 months. Follow-up was open after 6 months...
May 23, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28544053/sickness-sin-and-discrimination-some-contemporary-challenges-for-uk-mental-health-nursing-practice-with-lesbian-gay-and-bisexual-lgb-people-and-communities
#7
Sarah Carr, Alfonso Pezzella
Curing 'homosexuality' or same-sex attraction has been a recurrent trope in Western psychiatry and mental health services for over a century. Despite the progress made in the UK with equality legislation, improvements in general social attitudes and the slowly increasing confidence of lesbian, gay and bisexual (LGB) individuals and communities (Carr, 2005), it appears to pose challenges for practice in the UK even today. This was recently highlighted in 2014 when the Department of Health requested the publication of a consensus statement from major UK mental health professional bodies outlining concern about and opposition to 'conversion' or 'reparative' therapy being offered to LGB people by practitioners (often working within a religious frame of reference) claiming to be able to 'cure' same-sex attraction (UK Council for Psychotherapy, 2014)...
May 25, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28543969/the-public-s-perception-of-the-role-of-community-pharmacists-in-wales
#8
Joanne Kember, Karen Hodson, Delyth H James
OBJECTIVE: To investigate the general public's perceptions of the community pharmacist's (CP) role in Wales by exploring understanding, awareness of services provided and potential interventions for promoting the role of CPs. METHODS: Qualitative methodology using focus group (FG) discussions exploring opinions, facilitated by a moderator (pharmacist) and an assistant. Topics discussed included the following: what a CP does; reasons for visiting; from whom they seek advice on medicines or lifestyle issues; use of traditional and newer services and promotion of services...
May 24, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28543620/squamous-cell-carcinoma-in-the-afro-caribbean-community-an-11-year-retrospective-study
#9
Nadège Cordel, Lucie Bonnecarrère, Benoit Tressières
BACKGROUND: Squamous cell carcinoma (SCC) is considered the most frequent skin cancer in black people. Its incidence is not known in the Afro-Caribbean population. OBJECTIVE: To assess the incidence of SCC in Guadeloupe, the largest island of the Lesser Antilles (405 000 inhabitants, mostly black people of African and European descent). The second objective was to characterize clinical and histological patterns of SCC occurring in the Afro-Caribbean community. METHODS: This retrospective study was conducted over an 11-year period (2000-2010)...
May 22, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/28543227/implant-dentistry-in-australia-the-present-and-future-a-survey-of-australian-dentists-and-specialists
#10
Y N Guo, J E Dudley, R M Logan, L C Richards
BACKGROUND: In recent years, implant dentistry has become a routine part of many general dental practices in Australia. However, there has been little information regarding its extent and scope. This investigation aimed to address this issue by surveying Australian general dental practitioners (GDPs) and relevant specialists regarding their practice of implant dentistry. METHODS: Anonymous electronic surveys were designed online using SurveyMonkey(™) and delivered to the following professional bodies: all seven State/Territory branches of the Australian Dental Association, the Australian and New Zealand Academy of Periodontists, the Australian and New Zealand Academy of Oral and Maxillofacial Surgeons, and prosthodontist members of the Australian Prosthodontic Society...
May 25, 2017: Australian Dental Journal
https://www.readbyqxmd.com/read/28542061/the-impact-of-community-input-in-community-health-needs-assessments
#11
Thomas K Bias, Christiaan G Abildso, Emily Vasile, Jessica Coffman
OBJECTIVE: To determine the impact of community participation on nonprofit hospital priorities as outlined in a Community Health Needs Assessment. DESIGN: Using 3 completed Community Health Needs Assessments, we compare key stakeholder survey responses with community survey responses and determine their contribution to the finalized priorities. SETTING: Three communities in West Virginia served by nonprofit hospitals (1 metropolitan statistical area, 1 micropolitan statistical area, and 1 rural community)...
July 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28541785/long-term-follow-up-consultation-after-childhood-cancer-in-the-rh%C3%A3-ne-alpes-region-of-france-feedback-from-adult-survivors-and-their-general-practitioners
#12
Claire Berger, Léonie Casagranda, Cécile Faure-Conter, Claire Freycon, Florentina Isfan, Aurélie Robles, Béatrice Trombert-Paviot, Isabelle Guichard, Isabelle Durieu, Pascal Cathebras
PURPOSE: We evaluated the satisfaction of adult survivors of childhood cancers and their general practitioners (GP) after a long-term consultation. METHODS: The first Long-term Follow-up Study in Oncology (SALTO1) is a prospective cohort study of survivors of childhood cancers (except leukemia) diagnosed between 1987 and 1992 in the Rhône-Alpes and Auvergne regions of France. Of the 481 patients eligible for the study, 150 participated in a long-term consultation with a pediatric oncologist and an internist, after which survivors and their GPs received long-term plans and recommendations based on consultation findings...
May 25, 2017: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/28541730/results-of-a-metabolic-health-clinic-at-a-hostel-for-homeless-men
#13
Olav Nielssen, Alan Chudleigh, Mia Chen, Matthew Large, Tania Markovic, Lucy Cooper
OBJECTIVES: People who are homeless have high mortality and morbidity, including from metabolic disorder. The aim of this study was to report on the characteristics and progress of the metabolic health of people attending a metabolic clinic at a homeless men's shelter. METHODS: Homeless men attending the clinic were assessed by measuring their weight, height, body mass index (BMI), waist circumference, blood pressure, blood lipids, fasting blood glucose and, if indicated, HbA1c...
June 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28541459/is-the-linkage-of-census-and-health-data-justified-views-from-a-public-panel-of-the-scottish-health-and-ethnicity-linkage-study
#14
Anne Douglas, Hester J T Ward, Raj Bhopal, Theresa Kirkpatrick, Arma Sayed-Rafiq, Laurence Gruer
Background: Using routine health data for research aimed at improving health requires the public's awareness and trust. The Scottish Health and Ethnicity Linkage study explores variations in health between ethnic groups. We aimed to establish a public panel to obtain their views on its methods, findings and dissemination, including use of routine health data without individual opt-in consent. Methods: Adult applicants were sought via a range of sources, aiming for a balance of age, gender and ethnicity...
May 25, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28541449/barriers-to-alcohol-screening-among-hypertensive-patients-and-the-role-of-stigma-lessons-for-the-implementation-of-screening-and-brief-interventions-in-european-primary-care-settings
#15
Franz Hanschmidt, Jakob Manthey, Ludwig Kraus, Emanuele Scafato, Antoni Gual, Carsten Grimm, Jürgen Rehm
Aims: 1. To quantify barriers to alcohol screening among hypertensive patients reported by primary healthcare professionals. 2. To examine whether education and screening frequency measures are associated with stigma-related barriers. Methods: A web survey was conducted among 3081 primary healthcare professionals from France, Germany, Italy, Spain and the UK. Participants were asked about perceived barriers to alcohol screening as free-text response. The replies were independently categorized by two raters...
May 25, 2017: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
https://www.readbyqxmd.com/read/28541101/examining-the-links-between-hydration-nutrition-and-mouth-health
#16
Katie Humphreys, Devika Vadher, Yasmin Allen, Nikki Patel, Sam Shah
Hydration, nutrition and mouth health have historically been overlooked and considered in isolation when, in reality, they are interlinked and interdependent. Not only do these health factors greatly influence each other, but also they have a significant effect on general health and wellbeing. By viewing each of these areas in isolation, health professionals risk missing opportunities to maximise patients' health and quality of life. Collaboration between health professions will also maximise benefits to patients...
May 25, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28540672/communication-on-safety-of-medicines-in-europe-current-practices-and-general-practitioners-awareness-and-preferences
#17
Sieta T de Vries, Maartje J M van der Sar, Amelia Cupelli, Ilaria Baldelli, Anna Marie Coleman, Dolores Montero, Ivana Šipić, Adriana Andrić, Annika Wennberg, Jane Ahlqvist-Rastad, Petra Denig, Peter G M Mol
INTRODUCTION: National competent authorities (NCAs) for medicines coordinate communication relating to the safety of medicines in Europe. The effectiveness of current communication practices has been questioned, particularly with regard to reaching general practitioners (GPs). OBJECTIVE: The aim of this study was to assess current European NCA safety communication practices and to investigate European GPs' awareness of and preferences for safety communications on medicines...
May 24, 2017: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/28540139/prevalence-of-high-risk-cardiovascular-patients-with-therapy-resistant-hypercholesterolemia
#18
Karel Kostev, Klaus G Parhofer, Franz-Werner Dippel
INTRODUCTION: Hypercholesterolemia is a causal risk factor for cardiovascular diseases, which is recommended to be treated at least in high-risk patients. Yet, currently there is a lack of epidemiological data on the number of high-risk patients in Germany who do not respond adequately to high-dose statin monotherapy or statin therapy in combination with other lipid-lowering agents. METHODS: Of a total of over 2.6 million patient records from general practitioners in the IMS Disease Analyzer database, all high-risk cardiovascular patients with hypercholesterolemia who did not reach target low-density lipoprotein-cholesterol (LDL-C) levels despite at least 12 months of maximum lipid-lowering therapy and optimal medication supply (medication possession rate≥80%) were selected over a defined period...
June 2017: Cardiovascular Endocrinology
https://www.readbyqxmd.com/read/28540109/whistle-abrasion-a-case-report
#19
T Pereira, S Shetty, M Chande, P Kamath
Abrasion is the physical wearing of a tooth surface which can involve the presence of a foreign object repeatedly being in contact with the tooth. A 40-year-old male patient reported to our dental clinic with a 2-3 mm uneven gap between his upper and lower front teeth on occlusion. A detailed history revealed that he was a physical education teacher, and the habitual placement of the whistle for the last 15 years caused an indentation on the whistle which coincided with the abraded teeth. Conditions such as abrasion may need active restorations...
November 2016: Annals of Medical and Health Sciences Research
https://www.readbyqxmd.com/read/28539977/human-immunodeficiency-virus-and-type-2-diabetes
#20
P Avari, S Devendra
The prevalence of diabetes is higher amongst individuals infected with HIV. The major contributor to hyperglycaemia is thought to be iatrogenic, with protease inhibitors being most commonly associated to insulin resistance. This article is to update general practitioners on the diagnosis and management of diabetes in HIV-infected patients. Specific considerations are highlighted including interactions of particular diabetic drugs with antiretroviral therapy (ART). We articulate why the use of Hemoglobin A1c (HbA1c) testing is not recommended as a diagnostic tool...
May 2017: London Journal of Primary Care
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