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The consult guys

Marie-Josée Fleury, Guy Grenier, Catherine Vallée, Denise Aubé, Lambert Farand, Jean-Marie Bamvita, Geneviève Cyr
BACKGROUND: This study evaluates implementation of the Quebec Mental Health (MH) Reform (2005-2015) which aimed to improve accessibility, quality and continuity of care by developing primary care and optimizing integrated service networks. Implementation of MH primary care teams, clinical strategies for consolidating primary care, integration strategies to improve collaboration between primary care and specialized services, and facilitators and barriers related to these measures were examined...
October 18, 2016: BMC Health Services Research
Geno J Merli, Howard H Weitz
No abstract text is available yet for this article.
October 18, 2016: Annals of Internal Medicine
R Hamish McAllister-Williams, Kate Bones, Guy M Goodwin, John Harrison, Cornelius Katona, Jill Rasmussen, Sarah Strong, Allan H Young
BACKGROUND: Cognitive dysfunction occurs in depression and can persist into remission. It impacts on patient functioning but remains largely unrecognised, unmonitored and untreated. We explored understanding of cognitive dysfunction in depression among UK clinicians. METHODS: A multi-step consultation process. Step 1: a multi-stakeholder steering committee identified key themes of burden, detection and management of cognitive dysfunction in depression, and developed statements on each to explore understanding and degree of agreement among clinicians...
September 28, 2016: Journal of Affective Disorders
Byeongsang Oh, Thomas Eade, Andrew Kneebone, Nick Pavlakis, Stephen Clarke, Guy Eslick, Jo River, Michael Back
OBJECTIVE: To explore the factors associated with utilisation of an acupuncture service in a tertiary oncology setting in an Australian public hospital. METHOD: Cancer patients attending oncology clinics at a university teaching hospital were invited to participate in the evaluation of acupuncture services from June 2014 to May 2015. Patients had a prior diagnosis of cancer (albeit at different stages) and were planning to receive, or were already receiving, systemic and/or radiation cancer treatment...
September 22, 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Jane S Hocking, Meredith Temple-Smith, Mieke van Driel, Matthew Law, Rebecca Guy, Liliana Bulfone, Anna Wood, Nicola Low, Basil Donovan, Christopher K Fairley, John Kaldor, Jane Gunn
BACKGROUND: Financial incentives and audit plus feedback on performance are two strategies commonly used by governments to motivate general practitioners (GP) to undertake specific healthcare activities. However, in recent years, governments have reduced or removed incentive payments without evidence of the potential impact on GP behaviour and patient outcomes. This trial (known as ACCEPt-able) aims to determine whether preventive care activities in general practice are sustained when financial incentives and/or external audit plus feedback on preventive care activities are removed...
2016: Implementation Science: IS
Denton Callander, Phillip Read, Garrett Prestage, Victor Minichiello, Eric P F Chow, David A Lewis, Anna McNulty, Hammad Ali, Margaret Hellard, Rebecca Guy, Basil Donovan
OBJECTIVES: Although sex work is frequently characterised as a practice with high risk for HIV and other STIs, little is known about the epidemiology of these infections among men who sell sex in Australia. This study reports the prevalence of chlamydia, gonorrhoea, infectious syphilis and HIV among men who have sex with men attending Australian publicly funded sexual health clinics and compares prevalence between sex workers and non-sex workers. METHODS: From 2011 to 2014, de-identified patient data were extracted from 40 sexual health clinics in four Australian jurisdictions...
September 2, 2016: Sexually Transmitted Infections
B Méry, A Vallard, S Espenel, N Badie, M Thiermant, V Lambert, V Soulier, S Piqueres, K Del Santo, M Ben Mrad, G Wang, P Diao, J Langrand-Escure, R Rivoirard, J-B Guy, A Guillot, A-F Chanelière, R Gonthier, E Achour, P Fournel, N Magné
INTRODUCTION: The aim of this study was to appreciate the place and role of geriatric assessment in elderly patients with prostate cancer. MATERIALS AND METHODS: We performed a retrospective analysis of prostate cancer patients who underwent geriatric assessment during the therapeutic management from 2008 to 2014. Patient, tumor, treatment characteristics and their associated toxicity as well as the parameters of geriatric assessment were studied. The occurrence of geriatric assessment within the 3 months preceding a therapeutic decision was reviewed...
September 2016: Progrès en Urologie
Geno J Merli, Howard H Weitz
No abstract text is available yet for this article.
August 16, 2016: Annals of Internal Medicine
Jiten Jaipuria, Manav Suryavanshi, Tridib K Sen
OBJECTIVES: To assess the reliability of the Guy's Stone Score, the Seoul National University Renal Stone Complexity (S-ReSC) score and the S.T.O.N.E. scores in percutaneous nephrolithotomy (PCNL), and assess their utility in discriminating outcomes [stone free rate (SFR), complications, need for multiple PCNL sessions, and auxiliary procedures] valid across parameters of experience of surgeon, independence from surgical approach, and variations in institution-specific instrumentation...
July 22, 2016: BJU International
Geno J Merli, Howard H Weitz
No abstract text is available yet for this article.
July 19, 2016: Annals of Internal Medicine
Rosalind Foster, Hammad Ali, Margaret Crowley, Roisin Dyer, Kim Grant, Joanne Lenton, Christine Little, Vickie Knight, Phillip Read, Basil Donovan, Anna McNulty, Rebecca Guy
BACKGROUND: Timely treatment of Chlamydia trachomatis infection reduces complications and onward transmission. We assessed client, process, and clinic factors associated with treatment delays at sexual health clinics in New South Wales, Australia. METHODS: A retrospective review of 450 consecutive clients with positive chlamydia results (not treated at the time of the consultation) was undertaken at 6 clinics (1 urban, 3 regional, and 2 remote) from October 2013...
August 2016: Sexually Transmitted Diseases
Karine Ligier, Olivier Dejardin, Ludivine Launay, Emmanuel Benoit, Emmanuel Babin, Simona Bara, Bénédicte Lapôtre-Ledoux, Guy Launoy, Anne-Valérie Guizard
BACKGROUND: In the context of early detection of head and neck cancers (HNC), the aim of this study was to describe how people sought medical consultation during the year prior to diagnosis and the impact on the stage of the cancer. METHODS: Patients over 20 years old with a diagnosis of HNC in 2010 were included from four French cancer registries. The medical data were matched with data regarding uptake of healthcare issued from French National Health Insurance General Regime...
2016: BMC Cancer
Rita Bauer, Jörn Conell, Tasha Glenn, Martin Alda, Raffaella Ardau, Bernhard T Baune, Michael Berk, Yuly Bersudsky, Amy Bilderbeck, Alberto Bocchetta, Letizia Bossini, Angela M Paredes Castro, Eric Yw Cheung, Caterina Chillotti, Sabine Choppin, Maria Del Zompo, Rodrigo Dias, Seetal Dodd, Anne Duffy, Bruno Etain, Andrea Fagiolini, Miryam Fernández Hernandez, Julie Garnham, John Geddes, Jonas Gildebro, Ana Gonzalez-Pinto, Guy M Goodwin, Paul Grof, Hirohiko Harima, Stefanie Hassel, Chantal Henry, Diego Hidalgo-Mazzei, Vaisnvy Kapur, Girish Kunigiri, Beny Lafer, Erik R Larsen, Ute Lewitzka, Rasmus W Licht, Anne Hvenegaard Lund, Blazej Misiak, Scott Monteith, Rodrigo Munoz, Takako Nakanotani, René E Nielsen, Claire O'Donovan, Yasushi Okamura, Yamima Osher, Patryk Piotrowski, Andreas Reif, Philipp Ritter, Janusz K Rybakowski, Kemal Sagduyu, Brett Sawchuk, Elon Schwartz, Ângela M Scippa, Claire Slaney, Ahmad H Sulaiman, Kirsi Suominen, Aleksandra Suwalska, Peter Tam, Yoshitaka Tatebayashi, Leonardo Tondo, Eduard Vieta, Maj Vinberg, Biju Viswanath, Julia Volkert, Mark Zetin, Peter C Whybrow, Michael Bauer
There is considerable international interest in online education of patients with bipolar disorder, yet little understanding of how patients use the Internet and other sources to seek information. 1171 patients with a diagnosis of bipolar disorder in 17 countries completed a paper-based, anonymous survey. 81% of the patients used the Internet, a percentage similar to the general public. Older age, less education, and challenges in country telecommunications infrastructure and demographics decreased the odds of using the Internet...
August 30, 2016: Psychiatry Research
D Jorge, C Strady, B Guy, G Deslée, F Lebargy, S Dury
INTRODUCTION: Toxocariasis is a parasitosis which complicates the accidental infestation of the humans by larvae of a roundworms belonging of the genus Toxocara. In adults, the discovery is often incidental during a hypereosinophilia check-up. Clinical signs are not specific and depend on affected organs. CASE REPORT: We report the case of a 53-year-old-woman who has consulted for a recent cough, after spontaneous resolution of abdominal pain. The laboratory examination isolated an hypereosinophilia and the liver sonography showed two hypoechogenic nodules...
August 2016: Revue de Pneumologie Clinique
Alexandra R Teagle, Duncan C Gilbert, John R Jones, Guy J Burkill, Fiona McKinna, Sabina Dizdarevic
OBJECTIVES: The incidence of anal cancer is increasing in Western countries. Fluorine-18 fluorodeoxyglucose (F-FDG) PET-computed tomography (CT) is used in the assessment of anal cancer, but its routine use is not established. The aim of this study was to assess the value of F-FDG-PET-CT in staging and post-treatment assessment in anal cancer and to determine its impact on management. METHODS: This was a retrospective analysis of patients with anal cancer treated at the Sussex Cancer Centre who underwent PET-CT between November 2004 and September 2014...
October 2016: Nuclear Medicine Communications
Geno J Merli, Howard H Weitz
No abstract text is available yet for this article.
June 21, 2016: Annals of Internal Medicine
(no author information available yet)
No abstract text is available yet for this article.
June 21, 2016: Annals of Internal Medicine
Alexander Tuan Falk, Cyrus Chargari, Jean-Michel Hannoun-Lévi, Caroline Adrados, Julie Antomarchi, Jean-Baptiste Guy, Renaud Mazeron, Christine Haie-Meder, Nicolas Magné
Fertility is a major part of the global care of patients treated for cancer. A new discipline known as oncofertility has emerged in some countries. Although the relationship between chemotherapy and external radiotherapy and fertility has been studied and reported, there is only scarce data available on brachytherapy. This systematic review aims to report available knowledge on the impact of brachytherapy on fertility. Specific consultations should be considered before brachytherapy to inform patients about their fertility preservation options...
June 2016: Human Fertility: Journal of the British Fertility Society
Lieke J A Hassink-Franke, Mijnke M M Janssen, Guy Oehlen, Patricia A M van Deurzen, Jan K Buitelaar, Michel Wensing, Peter L B J Lucassen
BACKGROUND: Most general practitioners (GPs) do not feel comfortable with diagnosing and treating children with attention deficit hyperactivity disorder (ADHD). This is problematic since ADHD is a prevalent disorder and an active role of GPs is desired. In the Netherlands a collaborative ADHD programme was established, comprising of shortened diagnostic assessment in specialized mental healthcare followed by psycho-education in mental healthcare and pharmacological treatment by pre-trained GPs...
September 2016: European Journal of General Practice
David Guy, Gabriella Ghanem, Andrew Loblaw, Roger Buckley, Beverly Persaud, Patrick Cheung, Hans Chung, Cyril Danjoux, Gerard Morton, Jeff Noakes, Les Spevack, David Hajek, Stanley Flax
INTRODUCTION: We aimed to report on data from the multidisciplinary diagnostic assessment program (DAP) at the Gale and Graham Wright Prostate Centre (GGWPC) at North York General Hospital (NYGH). We assessed referral, diagnosis, and treatment decisions for newly diagnosed prostate cancer (PCa) patients as seen over time, risk stratification, and clinic type to establish a deeper understanding of current decision-making trends. METHODS: From June 2007 to April 2012, 1277 patients who were diagnosed with PCa at the GGWPC were included in this study...
March 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
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