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General Practise

Lewis Agius, Angus Wickham, Cameron Walker, Joshua Knudsen
BACKGROUND: Percutaneous Achilles tenotomy (PAT) is performed during the final phase of casting with Ponseti method. Several settings have been proposed as venues for this procedure, however it is increasingly being performed in theatre under a general anaesthetic (GA). General anaesthesia, however, is expensive and not without risks. The purpose of the present study was to compare results of outpatient releases to theatre releases, and assess current practising trends among orthopaedic surgeons...
May 18, 2018: New Zealand Medical Journal
Claire Kimberly, Robert McGinley
Although engaging in extramarital relationships with permission from spouses has been practised for generations, relatively little is known about those who participate and how they have changed over the years. This study expands on existing research by comparing the demographics and sexual practices of those in swinging and non-swinging communities from the 1980s to those in 2016. Data from the 1980s were collected through membership forms submitted to a swinger organisation and a national dataset conducted in the USA (i...
May 15, 2018: Culture, Health & Sexuality
Nadiah Zainal, Harissa Husainy Hasbullah
Management of hepatocellular carcinoma (HCC) generally follows EASL-EORTC clinical practise guideline. We report a case of a 50-year-old man who had multinodular HCC with lung metastases, whose management had deviated from the standard guideline but still survive 5 years after initial diagnosis.
April 2018: Journal of Gastrointestinal Oncology
Pinky N Manana, Lazarus Kuonza, Alfred Musekiwa, Hendrik Koornhof, Ananta Nanoo, Nazir Ismail
INTRODUCTION: Health Care Workers (HCWs) are among the highest risk groups for contracting tuberculosis (TB), which is ranked the third most common occupational health disease in South Africa. Little is known about the true extent of the burden of TB among South African HCWs and current surveillance approaches are inadequate. The study aimed to determine the feasibility of using postal and web-based surveys accessed through registries of registered professionals to estimate the prevalence of TB among HCWs in South Africa...
2018: PloS One
J O'Callaghan, B T Griffin, J M Morris, Margaret Bermingham
BACKGROUND: In Europe, changes to pharmacovigilance legislation, which include additional monitoring of medicines, aim to optimise adverse drug reaction (ADR) reporting systems. The legislation also makes provisions related to the traceability of biological medicines. OBJECTIVE: The objective of this study was to assess (i) knowledge and general experience of ADR reporting, (ii) knowledge, behaviours, and attitudes related to the pharmacovigilance of biologicals, and (iii) awareness of additional monitoring among healthcare professionals (HCPs) in Ireland...
May 2, 2018: BioDrugs: Clinical Immunotherapeutics, Biopharmaceuticals and Gene Therapy
Kassy Raymond Sylvestre Allou, Hinde Iraqi, Yahia Cherrah, Samir Ahid
OBJECTIVES: Do the state of affairs of the perception of free drug samples by a group of prescribers of drugs in the Morocco. METHODS: This was a cross-sectional study of 381 physicians practising in different sectors (public, private) using a self-administered anonymous questionnaire, conducted between December 2016 and March 2017. The questionnaire focused on assessing the general knowledge of prescriber on free drug sample, medical visit of medical representative of pharmaceutical laboratory, drug prescribing and free drug sample use...
April 13, 2018: Thérapie
G Cito, M E Coccia, R Picone, A Cocci, L Criscuoli, S Dabizzi, G Nesi, S Serni, M Carini, A Natali
Azoospermia can be diagnosed in about 10%-15% of the infertile male population. To overcome the problem of failure to produce spermatozoa in the ejaculate in patients with nonobstructive azoospermia (NOA), testicular sperm extraction (TESE) may be performed to find the focal area of spermatogenesis. A 47-year-old man with NOA presented for treatment of secondary couple infertility. The patient underwent a first TESE 7 years earlier with cryopreservation, and an intracytoplasmic sperm injection-embryo transfer ended in a term pregnancy...
April 23, 2018: Andrologia
Kelly Sarmiento, Zoe Donnell, Rosanne Hoffman, Bethany Tennant
OBJECTIVE: Explore healthcare providers' experiences managing mTBI and better understand their use of mTBI assessment tools and guidelines. Cross-sectional Methods: A random sample of 1,760 healthcare providers responded to the web-based DocStyles survey between June 18 and 30, 2014. The sample included family/general practitioners, internists, pediatricians, and nurse practitioners who reported seeing pediatric patients. We examined their experiences with mTBI to identify opportunities to increase preparedness and improve management of mTBI...
April 23, 2018: Brain Injury: [BI]
Elizabeth Grier, Dara Abells, Ian Casson, Meg Gemmill, Jessica Ladouceur, Amanda Lepp, Ullanda Niel, Samantha Sacks, Kyle Sue
OBJECTIVE: To delineate the factors inherent in caring for patients with intellectual and developmental disabilities (IDD) that lead to complexity and to provide perspectives and techniques mapped to the phases of the clinical encounter. SOURCES OF INFORMATION: The authors of the physical health section of the 2018 Canadian consensus guidelines on the primary care of adults with IDD consisted of family physicians, all of whom practise comprehensive family medicine with additional clinical experience in care of adults with IDD...
April 2018: Canadian Family Physician Médecin de Famille Canadien
George Zaharias
OBJECTIVE: To raise awareness of narrative-based medicine (NBM) as a valuable approach to the consultation, which, if practised more widely by GPs, would convey considerable benefits to both patient and doctor. SOURCES OF INFORMATION: Principally, this article draws on the perspectives of 2 of NBM's key proponents, John Launer and Rita Charon, and which are complemented by the perspectives of several other authors. MAIN MESSAGE: This article examines NBM in relation to patient-centred care and the particular skills that are required to practise NBM...
April 2018: Canadian Family Physician Médecin de Famille Canadien
Emily Unwin, Henry W W Potts, Jane Dacre, Andrew Elder, Katherine Woolf
BACKGROUND: There is much discussion about the sex differences that exist in medical education. Research from the United Kingdom (UK) and United States has found female doctors earn less, and are less likely to be senior authors on academic papers, but female doctors are also less likely to be sanctioned, and have been found to perform better academically and clinically. It is also known that international medical graduates tend to perform more poorly academically compared to home-trained graduates in the UK, US, and Canada...
April 6, 2018: BMC Medical Education
Elisabeth Assing Hvidt, Jette Ammentorp, Jens Søndergaard, Connie Timmermann, Dorte Gilså Hansen, Niels Christian Hvidt
OBJECTIVE: Our objective was to describe the development and evaluation of a course programme in existential communication targeting general practitioners (GPs). DESIGN: The UK Medical Research Council's (MRC) framework for complex intervention research was used as a guide for course development and evaluation and was furthermore used to structure this paper. The development phase included: identification of existing evidence, description of the theoretical framework of the course, designing the intervention and deciding for types of evaluation...
April 6, 2018: Scandinavian Journal of Primary Health Care
Lewis W Paton, Paul A Tiffin, Daniel Smith, Jon S Dowell, Lazaro M Mwandigha
BACKGROUND: Misconduct during medical school predicts subsequent fitness to practise (FtP) events in doctors, but relatively little is known about which factors are associated with such issues during undergraduate education. This study exploits the newly created UK medical education database (UKMED), with the aim of identifying predictors of conduct or health-related issues that could potentially impair FtP. The findings would have implications for policies related to both the selection and support of medical students...
April 5, 2018: BMC Medical Education
Hélène Font, Jean-Luc Roelandt, Hélène Behal, Pierre-Alexis Geoffroy, Baptiste Pignon, Ali Amad, Nicolas Simioni, Guillaume Vaiva, Pierre Thomas, Alain Duhamel, Imane Benradia, Benjamin Rolland
PURPOSE: No lifetime utilization of mental health treatment (NUMT) is an indicator of the treatment gap among people in need of treatment. Until now, the overall prevalence and predictors of NUMT have never been explored in France. METHODS: In a 39,617-respondent survey, participants were assessed for NUMT, i.e., no lifetime psychotherapy, psychopharmacotherapy, or psychiatric hospitalization. Mental disorders were investigated using the Mini International Neuropsychiatric Interview (MINI 5...
April 4, 2018: Social Psychiatry and Psychiatric Epidemiology
S G H Sapp, B Murray, E R Hoover, G T Green, M J Yabsley
Baylisascaris procyonis, the raccoon roundworm, is a zoonotic ascarid of importance to human and animal health. Wildlife rehabilitators who care for raccoons may be at an increased risk for exposure to the parasite, especially if proper precautions are not taken. In a wider effort to evaluate awareness regarding B. procyonis in the wildlife rehabilitation community, an online survey (38-39 questions) including questions about B. procyonis knowledge and attitudes was developed and administered to wildlife rehabilitators...
March 30, 2018: Zoonoses and Public Health
Annie Zhuo, Maurizio Labbate, Jacqueline M Norris, Gwendolyn L Gilbert, Michael P Ward, Beata V Bajorek, Chris Degeling, Samantha J Rowbotham, Angus Dawson, Ky-Anh Nguyen, Grant A Hill-Cawthorne, Tania C Sorrell, Merran Govendir, Alison M Kesson, Jonathan R Iredell, Dale Dominey-Howes
OBJECTIVES: To explore and compare the knowledge, attitudes and experiences of doctors, dentists and veterinarians (as prescribers) in relation to antibiotic use and antibiotic resistance (AbR), and to consider the implications of these for policy-making that support a One Health approach. DESIGN: A cross-sectional survey conducted online. SETTING: Doctors, dentists and veterinarians practising in primary, secondary or tertiary care in Australia...
March 30, 2018: BMJ Open
Maha El Tantawi, Balgis Gaffar, Arheiam Arheiam, Wafaa AbdelAziz, Ola B Al-Batayneh, Mansur F Alhoti, Sadeq Al-Maweri, Mai A Dama, Mounir Zaghez, Khalid Saddiq Hassan, Mona Al-Sane, Maha AbdelSalam, Wael Sabbah, Arwa I Owais, Fatma Abdelgawad, Thiyezen Abdullah Aldhelai, Omar Abd El Sadek El Meligy, Jehan AlHumaid, Fahad Al-Harbi
OBJECTIVES: This study assessed dentists' intention in eight Arab countries to report suspected exposure to violence among patients and factors associated with this intention based on the theory of planned behaviour. METHODS: A cross-sectional study was conducted in 2016 including a convenience sample of dentists practising in public, private and academic sectors in Algeria, Egypt, Jordan, Kuwait, Libya, Palestine, Saudi Arabia and Yemen. Respondents answered a self-administered questionnaire collecting information about personal and professional background and perceived ability to identify victims of violence...
March 30, 2018: BMJ Open
Boris Cheval, Stéphane Cullati, Jesper Pihl-Thingvad, Denis Mongin, Martina Von Arx, Pierre Chopard, Delphine S Courvoisier
INTRODUCTION: Healthcare professionals are particularly at risk of developing numerous physical and psychological health problems. The experiences of emotional burden associated with providing healthcare, notably care-related regret, have been associated with these health problems, but only using cross-sectional data so far. Evidence of a causal impact of regret has not been assessed. The Impact of CAre-related Regret Upon Sleep (ICARUS) study is the first prospective and international cohort study established to examine how newly practising healthcare professionals adapt to their challenging job by assessing the impact of care-related regret on sleep and job quitting...
March 27, 2018: BMJ Open
Matt Strickland, Indraneel Datta
The topic of unemployment and underemployment of Canadian general surgeons is being discussed more frequently despite relatively little evidence on the magnitude or impact of the problem. Using existing and new sources of health human resource data, a more accurate understanding of the situation can be attained. Although outright surgeon unemployment is rare, there is a population of dissatisfied new graduates who feel cornered into underemployment or locums. The number of practising general surgeons has outpaced population growth in recent years...
April 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Fabian Frank, Martina Jablotschkin, Tobias Arthen, Andreas Riedel, Thomas Fangmeier, Lars P Hölzel, Ludger Tebartz van Elst
BACKGROUND: Adults with autism spectrum disorders (ASD) experience challenges in participating in the labour market and struggle to achieve and maintain appropriate professional positions, possibly due to impairments of communication and social interaction. Studies have shown high rates of unemployment as well as evidence of inadequate employment. As knowledge on the participation in the German labour market is scarce, the aim of our study was to examine employment status, type of occupation and inadequate employment in a sample of clinically mostly late-diagnosed and most likely not intellectually disabled adults with ASD in Germany...
March 27, 2018: BMC Psychiatry
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