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Family medicine

Pranita Mishra, Jacqueline C Kiang, Richard W Grant
Importance: Widespread adoption of electronic health records (EHRs) in medical care has resulted in increased physician documentation workload and decreased interaction with patients. Despite the increasing use of medical scribes for EHR documentation assistance, few methodologically rigorous studies have examined the use of medical scribes in primary care. Objective: To evaluate the association of use of medical scribes with primary care physician (PCP) workflow and patient experience...
September 17, 2018: JAMA Internal Medicine
Roziya Buribekova, Irina Shukurbekova, Surayo Ilnazarova, Nekruz Jamshevov, Guldarbogh Sadonshoeva, Saleem Sayani, Aliya Aminmuhammad, Farin Amersi, Sheemain Asaria, Mansoor Saleh, Zohray Talib
PURPOSE: To promote a systems-based approach for the early detection and downstaging of breast cancer at presentation in the remote mountainous region of Gorno Badakhshan Autonomous Oblast (GBAO), Tajikistan, by introducing breast cancer awareness into the community and training health care professionals in clinical breast evaluation (CBE). METHODS: Through a public-private partnership between the Ministry of Health, the Aga Khan Health Services, Tajikistan, and the Aga Khan Health Board, we organized breast cancer screening in the community and trained family medicine doctors (FMDs) and family medicine nurses (FMNs) in CBE...
September 2018: Journal of Global Oncology
Jeffrey F Scherrer
No abstract text is available yet for this article.
September 18, 2018: Family Practice
Kevin Pan, Alan I Blankley, Peter J Hughes
Background: In the USA, opioid overdose accounted for more than 60% of drug overdose deaths in 2015. Of these deaths, 40% were due to use of prescription opioids. Objectives: The aims of the study were to (i) study family medicine physician opioid-prescribing rate and duration of prescription, (ii) study the distribution of prescription by medication potency, (iii) study opioid-prescribing trends in health care shortage areas and (iv) study the association between extreme high prescribing rates and medical board discipline...
September 19, 2018: Family Practice
Zichao Liu, Yanjie Wang, Xiangrong Tong, Yuan Su, Lijiang Yang, Debin Wang, Yuqi Zhao
Leeches (family Hirudinidae) are classic model invertebrates used in diverse clinical treatments, such as reconstructive microsurgery, hypertension, and gangrene treatment. The blood-feeding habit is essential for these therapies, yet the molecular mechanisms underlying the process are poorly understood. In the present study, the transcriptome of Poecilobdella javanica from five time points (days 0, 1, 10, 20, and 30 separately) of blood feeding was sequenced with short paired-end reads. After stringent quality control, ∼380 million high-quality reads were assembled using SOAPdenovo-Trans with optimal parameters into a non-redundant set of 48 784 transcripts (≥100 base pairs), representing about 38 Mb of unique transcriptome sequence...
September 21, 2018: Molecular omics
Bo-Ren Cheng, Hsiao-Ting Chang, Ming-Hwai Lin, Tzeng-Ji Chen, Li-Fang Chou, Shinn-Jang Hwang
INTRODUCTION: In a world with increasing urbanization, rural-urban disparities in health care utilization have been a long-term concern. However, the details regarding the practice patterns of family physicians in Taiwan have not received sufficient attention thus far. METHODS: The National Health Insurance Research Database of Taiwan offered 0.2% of the total ambulatory visit records for Taiwan in 2013. Records from community clinics of family medicine were collected, with the clinics categorized as rural, suburban, or urban area clinics according to their locations...
September 20, 2018: International Journal of Health Planning and Management
Arielle E Sommer, Blair P Golden, Jonna Peterson, Claire A Knoten, Lyndsey O'Hara, Kevin J O'Leary
BACKGROUND: Patients' comprehension of their medical conditions is fundamental to patient-centered care. Hospitalizations present opportunities to educate patients but also challenges to patient comprehension given the complexity and rapid pace of clinical care. We conducted a systematic review of the literature to characterize the current state of inpatients' knowledge of their hospitalization, assess the methods used to determine patient comprehension, and appraise the effects of interventions on improving knowledge...
September 20, 2018: Journal of General Internal Medicine
Nurul Arneida Husin, Sadequr Rahman, Rohini Karunakaran, Subhash Janardhan Bhore
Durian (Durio zibethinus L.; Family Bombacaceae) is an iconic tropical fruit plant cultivated in Malaysia and the Southeast Asian countries. In Malaysia, durian is recognised as the King of fruits and well known as a rich source of volatile sulphur compounds that make it unique. Fruit pulp of this fruit is an excellent source of nutrients as it contains proteins, dietary fat, fibers, and carbohydrates. Durian leaf and root decoctions are known to have a febrifuge and anti-malarial properties. The understanding of this plant's molecular biology will help breeders to develop a strategy for its further improvements...
2018: Bioinformation
Andrew A White, William M Sage, Paulina H Osinska, Monica J Salgaonkar, Thomas H Gallagher
BACKGROUND: Unprecedented numbers of physicians are practicing past age 65. Unlike other safety-conscious industries, such as aviation, medicine lacks robust systems to ensure late-career physician (LCP) competence while promoting career longevity. OBJECTIVE: To describe the attitudes of key stakeholders about the oversight of LCPs and principles that might shape policy development. DESIGN: Thematic content analysis of interviews and focus groups...
September 20, 2018: BMJ Quality & Safety
Domenico D'Amario, Aoife Gowran, Francesco Canonico, Elisa Castiglioni, Davide Rovina, Rosaria Santoro, Pietro Spinelli, Rachele Adorisio, Antonio Amodeo, Gianluca Lorenzo Perrucci, Josip A Borovac, Giulio Pompilio, Filippo Crea
Duchenne's muscular dystrophy is an X-linked neuromuscular disease that manifests as muscle atrophy and cardiomyopathy in young boys. However, a considerable percentage of carrier females are often diagnosed with cardiomyopathy at an advanced stage. Existing therapy is not disease-specific and has limited effect, thus many patients and symptomatic carrier females prematurely die due to heart failure. Early detection is one of the major challenges that muscular dystrophy patients, carrier females, family members and, research and medical teams face in the complex course of dystrophic cardiomyopathy management...
September 19, 2018: Journal of Clinical Medicine
Ling-Yu Ding, Ming Chu, Yun-Shen Jiao, Qi Hao, Peng Xiao, Huan-Huan Li, Qi Guo, Yue-Dan Wang
Cancer/testis antigen TFDP3 belongs to the transcription factor DP(TFDP) family. It can bind to E2F family molecules to form a heterodimeric transcription factor E2F/TFDP complex. The complex is an important regulatory activator of cell cycle, involved in the regulation of cell proliferation, differentiation, apoptosis and other important physiological activities. In addition, TFDP3 has also been found to be a tumor-associated antigen that only expresses in malignant tumor tissue and normal testicular tissue; Thus, it is closely related to tumor occurrence and development...
2018: PloS One
Gillian Bartlett, Brenda Macgibbon, Analia Rubinowicz, Cecilia Nease, Martin Dawes, Robyn Tamblyn
Objective: To determine the proportion of family medicine patients unwilling to allow their eHealth data to be used for research purposes, and evaluate how patient characteristics and the relevance of research impact that decision. Design: Cross-sectional questionnaire. Setting: Acute care respiratory clinic or an outpatient family medicine clinic in Montreal, Quebec. Participants: Four hundred seventy-four waiting room patients recruited via convenience sampling. Main Outcome Measures: A self-administered questionnaire collected data on age, gender, employment status, education, mother tongue and perceived health status...
2018: Frontiers in Public Health
Mohammed Abadi Alsaleem
Background: Dysmenorrhoea is a common health problem among females in their reproductive years. Available information on dysmenorrhoea in university student in abah, Saudi Arabia is limited. The objective of the study was to assess the prevalence of dysmenorrhea and associated menstrual symptoms and their self-management techniques among female university students of King Khalid University (KKU). Methods: This cross-sectional study was conducted at College of health science in KKU, Saudi Arabia...
July 2018: Journal of Family Medicine and Primary Care
Shabir Moosa, Wim Peersman, Anselme Derese, Michael Kidd, Luisa M Pettigrew, Amanda Howe, Viviana Martinez-Bianchi, Jan De Maeseneer
No abstract text is available yet for this article.
2018: BMJ Global Health
Sachita Shrestha, Archana Shrestha, Rajendra P Koju, James P LoGerfo, Biraj Man Karmacharya, Nona Sotoodehnia, Annette L Fitzpatrick
Objective: Hypertension is a significant and rising burden in Nepal. The disease remains undetected and inadequately managed. However, no studies have been conducted to understand the inhibiting and facilitating factors to hypertension treatment among newly diagnosed cases. This qualitative study aimed to explore barriers and facilitators to treatment among patients with newly diagnosed hypertension aged ≥18 years in Dhulikhel, Nepal. Methods: We conducted seven focus group discussions with 35 patients with newly diagnosed hypertension identified through community surveillance of the Dhulikhel Heart Study, an observational cohort of Dhulikhel Hospital, Kathmandu University...
2018: Heart Asia
Carolina Gustafson, Mark Lazenby
The objective of this review was to detail the experiences of Muslim oncology patients receiving palliative and end-of-life care and identify where gaps in the providing of culturally aware care occur. We also sought to examine ways in which providers could be better educated on the needs of Muslim patients at the end-of-life and identify barriers Muslims faced when being treated with hospice and palliative care models developed for non-Muslim populations. We conducted a search in April 2018 in the National Library of Medicine and CINAHL databases using the search terms "palliative care," "Muslim," and "cancer...
September 20, 2018: Journal of Palliative Care
John W Cook, Melissa Dillmon, Stephanie L Graff, Rebecca D Pentz, Ranjana Srivastava, Julia L Close
Throughout the arc of a career in medicine, physicians are universally faced with the difficult decision of when to provide care for a colleague and when to refer to another physician. Gauging the magnitude of your relationship, both professionally and personally, and then weighing how to add the roles of physician and patient to your preexisting relationship is complex. We review and discuss care of family and colleagues, address ethical boundaries both firm and flexible, and explore the emotional weight of those relationships...
May 23, 2018: American Society of Clinical Oncology Educational Book
Mina S Sedrak, Deanna J Attai, Kevin George, Matthew S Katz, Merry Jennifer Markham
The widespread adoption and diffusion of social media provides oncology professionals with a unique and unprecedented opportunity to engage with the public. However, there remains a paucity of literature examining how clinicians and researchers can effectively use social media to complement modern oncology practice and research. In this review, we dissect the benefits and risks of professional social media use in oncology and offer several best practices for clinicians and researchers to achieve effective engagement...
May 23, 2018: American Society of Clinical Oncology Educational Book
Takenobu Katagiri, Sho Tsukamoto, Yutaka Nakachi, Mai Kuratani
Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disease that is characterized by the formation of heterotopic bone tissues in soft tissues, such as skeletal muscle, ligament, and tendon. It is difficult to remove such heterotopic bones via internal medicine or invasive procedures. The identification of activin A receptor, type I (ACVR1)/ALK2 gene mutations associated with FOP has allowed the genetic diagnosis of FOP. The ACVR1/ALK2 gene encodes the ALK2 protein, which is a transmembrane kinase receptor in the transforming growth factor-β family...
September 2018: Endocrinology and Metabolism
Jihène Ben Thabet, Manel Mâalej, Hana Khemakhem, Sourour Yaich, Wafa Abbes, Sana Omri, Lobna Zouari, Nasreddine Zouari, Jamel Dammak, Nada Charfi, Mohamed Maâlej
Under-diagnosed and under-treated, depression has a pejorative prognosis. The general practitioners (GP) represent the most often consulted healthcare professionals by depressed patients. The aim was to describe how the Tunisian GPs manage the depressed patients and to note the difficulties they encounter in order to suggest corrective measures. A survey was conducted among 140 GPs in Sfax Governorate. The percentage of the GPs whose responses conformed to the scientific data in at least 67% of the items was 31...
September 19, 2018: Community Mental Health Journal
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