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https://www.readbyqxmd.com/read/29220703/referral-to-specialist-physiotherapists-in-the-management-of-whiplash-associated-disorders-perspectives-of-healthcare-practitioners
#1
Aila Nica Bandong, Andrew Leaver, Martin Mackey, Michele Sterling, Joan Kelly, Carrie Ritchie, Trudy Rebbeck
BACKGROUND: Guidelines for whiplash associated disorders (WAD) recommend early referral to specialists (e.g. specialist physiotherapists) of people who are not recovering. This recommendation is a key component of a proposed clinical pathway of care for WAD. OBJECTIVE: To explore healthcare practitioners' opinions about referral to specialist physiotherapists of people with WAD at high risk of non-recovery. DESIGN: Qualitative descriptive study...
November 22, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29220480/-working-away-in-that-grey-area%C3%A2-a-qualitative-exploration-of-the-challenges-general-practitioners-experience-when-managing-behavioural-and-psychological-symptoms-of-dementia
#2
Aisling A Jennings, Tony Foley, Sheena McHugh, John P Browne, Colin P Bradley
Background: general practitioners (GPs) have identified the management of behavioural and psychological symptoms of dementia (BPSD) as a particularly challenging aspect of dementia care. However, there is a paucity of research on why GPs find BPSD challenging and how this influences the care they offer to their patients with dementia. Objectives: to establish the challenges GPs experience when managing BPSD; to explore how these challenges influence GPs' management decisions; and to identify strategies for overcoming these challenges...
December 6, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29220365/a-novel-methodology-for-strengthening-human-rights-based-monitoring-in-public-health-family-planning-indicators-as-an-illustrative-example
#3
Sofia Gruskin, Laura Ferguson, Shubha Kumar, Alexandra Nicholson, Moazzam Ali, Rajat Khosla
OBJECTIVE: The last few years have seen a rise in the number of global and national initiatives that seek to incorporate human rights into public health practice. Nonetheless, a lack of clarity persists regarding the most appropriate indicators to monitor rights concerns in these efforts. The objective of this work was to develop a systematic methodology for use in determining the extent to which indicators commonly used in public health capture human rights concerns, using contraceptive services and programmes as a case study...
2017: PloS One
https://www.readbyqxmd.com/read/29218467/antibiotic-prescription-and-clinical-management-of-common-infections-among-general-practitioners-in-latvia-lithuania-and-sweden-a-pilot-survey-with-a-simple-protocol
#4
Uga Dumpis, Annika Hahlin, Sonata Varvuolyte, Stephan Stenmark, Sarmīte Veide, Rolanda Valinteliene, Asta Jurkeviciene, Johan Struwe
Comparative information on diagnosis-related antibiotic prescribing patterns are scarce from primary care within and between countries. To describe and compare antibiotic prescription and routine management of infections in primary care in Latvia (LV), Lithuania (LT) and two study sites in Sweden (SE), a cross-sectional observational study on patients who consulted due to sypmtoms compatible with infection was undetraken. Infection and treatment was detected and recorded by physicians only. Data was collected from altogether 8786 consecutive patients with infections in the three countries...
December 7, 2017: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29218466/acute-herpes-zoster-and-post-herpetic-neuralgia-in-primary-care-a-study-of-diagnosis-treatment-and-cost
#5
Brendan Crosbie, Sinead Lucey, Lesley Tilson, Lisa Domegan, Jennifer Kieran
Acute herpes zoster and its complication post herpetic neuralgia represent a significant challenge to primary care physicians in their care of an ageing population of patients. This was a cross-sectional observational study by means of a quantitative survey of 1,000 general practitioners registered in Ireland exploring the frequency of diagnosis, methods of treatment and cost of AHZ and PHN in primary care. We recorded an 18% response rate (n = 184) with an 83% completion rate (n = 152/184). 80% of cases of AHZ occurred in patients aged 50 years or more with 81% of study participants encountering cases at a rate of 1-3 patients per month...
December 7, 2017: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29218417/intensive-dietary-intervention-promoting-the-mediterranean-diet-in-people-with-high-cardiometabolic-risk-a-non-randomized-study
#6
M Grimaldi, O Ciano, M Manzo, M Rispoli, M Guglielmi, A Limardi, P Calatola, M Lucibello, S Pardo, B Capaldo, G Riccardi
AIMS: Mediterranean diet (MD) is acknowledged to exert a number of beneficial health effects. We assessed the efficacy and the durability of a 3-month intensive dietary intervention aimed at implementing the MD on body weight and cardiometabolic risk factors in subjects at high risk. METHODS: One hundred and sixteen subjects participated in the study (71 assigned to the intensive intervention and 45 to the conventional intervention). The intensive intervention consisted of 12 weekly group educational meetings and a free-of-charge supply of meals prepared according to the MD model...
December 7, 2017: Acta Diabetologica
https://www.readbyqxmd.com/read/29217612/mycobacterium-tuberculosis-of-the-elbow-joint
#7
Quintin Liao, James George Shepherd, Sulman Hasnie
Mycobacterium tuberculosis(TB) affecting the elbow joint is rarely reported in the developed world. We present the case of an 85-year-old Caucasian female who complained of a chronically discharging and painful wound across her left elbow during her admission for an ischaemic stroke. This was initially deemed to be either a bursitis or local manifestation of amyloid by her general practitioner and dermatologist respectively prior to admission. She was commenced on flucloxacillin by the medical team for presumed cellulitis with minimal response...
December 6, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29216841/medical-overuse-and-quaternary-prevention-in-primary-care-a-qualitative-study-with-general-practitioners
#8
Kathrin Alber, Thomas Kuehlein, Angela Schedlbauer, Susann Schaffer
BACKGROUND: Medical overuse is a topic of growing interest in health care systems and especially in primary care. It comprises both over investigation and overtreatment. Quaternary prevention strategies aim at protecting patients from unnecessary or harmful medicine. The objective of this study was to gain a deeper understanding of relevant aspects of medical overuse in primary care from the perspective of German general practitioners (GPs). We focused on the scope, consequences and drivers of medical overuse and strategies to reduce it (=quaternary prevention)...
December 8, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/29216837/the-role-of-gender-in-the-active-attitude-toward-treatment-and-health-among-older-patients-in-primary-health-care-self-assessed-health-status-and-sociodemographic-factors-as-moderators
#9
Joanna Chylińska, Magdalena Łazarewicz, Marta Rzadkiewicz, Mirosława Adamus, Mariusz Jaworski, Gørill Haugan, Monica Lillefjel, Geir A Espnes, Dorota Włodarczyk
BACKGROUND: Active attitude toward treatment and health (ATH) leads to improved cooperation and better health outcomes in patients. Supporting it in the population of older adults is a growing need in primary care. Recognising the role of gender, health and other sociodemographic factors can help to distinguish patients who need the most assistance in activation from general practitioners (GPs). The objective of the study was to investigate gender differences in ATH as well as the moderating role of self-assessed health (SAH) and selected sociodemographic factors (age, education, financial status, marital status)...
December 8, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29212828/detecting-anxiety-in-individuals-with-parkinson-disease-a-systematic-review
#10
Bria Mele, Jayna Holroyd-Leduc, Eric E Smith, Tamara Pringsheim, Zahinoor Ismail, Zahra Goodarzi
OBJECTIVE: To examine diagnostic accuracy of anxiety detection tools compared with a gold standard in outpatient settings among adults with Parkinson disease (PD). METHODS: A systematic review was conducted. MEDLINE, EMABASE, PsycINFO, and Cochrane Database of Systematic Reviews were searched to April 7, 2017. Prevalence of anxiety and diagnostic accuracy measures including sensitivity, specificity, and likelihood ratios were gathered. Pooled prevalence of anxiety was calculated using Mantel-Haenszel-weighted DerSimonian and Laird models...
December 6, 2017: Neurology
https://www.readbyqxmd.com/read/29212497/adverse-events-recording-in-electronic-health-record-systems-in-primary-care
#11
Sabine E M de Hoon, Karin Hek, Liset van Dijk, Robert A Verheij
BACKGROUND: Adequate record keeping of medication adverse events in electronic health records systems is important for patient safety. Events that remain unrecorded cannot be communicated from one health professional to another. In the absence of a gold standard, we investigate the variation between Dutch general practices in the extent to which they record medication adverse events. METHODS: Data were derived from electronic health records (EHR) of Dutch general practices participating in NIVEL Primary Care Database (NIVEL-PCD) in 2014, including 308 general practices with a total practice population of 1,256,049 listed patients...
December 6, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29212489/health-care-utilization-of-patients-with-chronic-back-pain-before-and-after-rehabilitation
#12
Magdalena Görge, Jeanette Ziehm, Erik Farin
BACKGROUND: Patients with chronic back pain show an increased use of health-care services leading to high direct costs. Multidisciplinary rehabilitation reduces pain intensity, depression, disability and work inability. The study aims to investigate whether health-care utilization in patients with chronic back pain is lower after rehabilitation than before rehabilitation and if, in addition to sociodemographic, medical and psychological characteristics, changes in these characteristics immediately after rehabilitation can predict health-care utilization...
December 6, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29212108/-the-aut-idem-rule-and-the-importance-of-patient-individual-selection-of-inhalers-for-the-therapy-of-airway-diseases-in-practices-of-pneumologists-and-general-practitioners-assessment-and-implementation-by-pneumologists-and-general-practitioners
#13
T Hering, J Andres, C Mohrlang, M Redeker, E Schwarz
Drug therapy of obstructive airway diseases mainly relies on inhaled medication. The success of this therapy depends primarily on the selection of the appropriate inhaler considering patient's choice and the correct application. The aut-idem-rule, an active exclusion of the optional substitution by the pharmacist, allows prescribing physicians to ensure the delivery of a particular inhaler, which was selected for that patient, who was trained to use specifically that inhaler. This survey shows that pneumologists and, to a greater extent general practitioners, do not consistently make use of this option, although they unanimously agree on the importance of targeted inhaler selection...
December 6, 2017: Pneumologie
https://www.readbyqxmd.com/read/29212101/invitation-letters-increase-participation-in-colorectal-cancer-screening-results-from-an-observational-study
#14
Tianzuo Zhan, Thomas Hielscher, Asmé Bilge, Thomas Giese, Christoph Schäfer, Jürgen F Riemann, Matthias P Ebert, Sebastian Belle
Background and Aim Participation rates in the German colorectal cancer screening program are low. Starting in 2013, a large health insurance plan in Bavaria, Germany, is sending an additional invitation letter to insured individuals when they turn 50 or 55 years and become eligible for participation in the program. The letter provides detailed information on colorectal cancer screening. We assessed the impact of the invitation letter on utilization rates. Methods Insurance claims data of a total of 48 343 individuals who had turned 50 or 55 years between 2012 to 2014 were reviewed for utilization rates of screening colonoscopy and fecal blood tests...
December 2017: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/29211770/socioeconomic-differences-in-children-s-television-viewing-trajectory-a-population-based-prospective-cohort-study
#15
Junwen Yang-Huang, Amy van Grieken, Henriëtte A Moll, Vincent W V Jaddoe, Anne I Wijtzes, Hein Raat
We aimed to evaluate the association between family socioeconomic status and repeatedly measured child television viewing time from early childhood to the school period. We analyzed data on 3,561 Dutch children from the Generation R Study, a population-based study in the Netherlands. Parent-reported television viewing time for children aged 2, 3, 4, 6 and 9 years were collected by questionnaires sent from April 2004 until January 2015. Odds ratios of watching television ≥1 hour/day at each age were calculated for children of mothers with low, mid-low, mid-high and high (reference group) education and children from low, middle and high (reference group) income households...
2017: PloS One
https://www.readbyqxmd.com/read/29210535/assessment-care-and-management-of-patients-with-red-eye
#16
Susan Watkinson, Ramesh Seewoodhary
Red eye is a common ocular presentation in primary care, and there are several challenges that healthcare practitioners may encounter when caring for such patients. The main ocular conditions that can give rise to red eye are: primary acute angle closure glaucoma, acute iritis, dry eye, blepharitis and conjunctivitis. Red eye can be classified as sight-threatening or non-sight-threatening. Many patients presenting with painless red eye and normal vision usually recover well. However, when red eye is associated with pain, photophobia, watering and blurred vision, it is potentially sight-threatening and must be addressed urgently...
December 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29210134/socio-economic-status-and-physicians-treatment-decisions
#17
Kurt R Brekke, Tor Helge Holmås, Karin Monstad, Odd Rune Straume
This paper studies the relationship between patients' socio-economic status and general practitioners' (GPs') service provision by exploiting administrative patient-level data with information on consultation length, medical tests, and fee payments for each visit in Norway over a 5-year period (2008-2012). To reduce patient heterogeneity, we limit the sample to a given condition, diabetes type II, that is treated almost exclusively in primary care. We estimate GP fixed-effect models and control for a wide set of patient characteristics...
December 6, 2017: Health Economics
https://www.readbyqxmd.com/read/29209788/-reform-of-emergency-physician-training-in-austria-finally-up-to-date
#18
REVIEW
H Trimmel, M Baubin, J Kreutziger, G Frank, G Prause
During the last 20 years Austrian prehospital emergency medical services (EMS) have significantly improved. The structure and organization of Austrian EMS comply with European standards but training requirements for prehospital EMS physicians are insufficient when compared with other countries. Although some EMS systems follow the German or Swiss postgraduate training concepts, the legal requirements in Austria defining the scope of mandatory training for physicians in the prehospital setting are only minimal...
December 5, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/29209471/general-practitioners-perceptions-on-clinical-management-and-training-needs-regarding-the-healthcare-of-community-dwelling-people-with-intellectual-disability-a-preliminary-survey-in-singapore
#19
Sreedharan Geetha Sajith, Yen-Li Goh, Joshua Marcus Wee
Background: Studies worldwide indicate that people with intellectual disability have high risks of physical and mental morbidities, and poor quality of health care. This study was aimed at determining general practitioners' perceptions on barriers in clinical assessment and training needs with regard to the healthcare of community-dwelling people with intellectual disability. Methods: A survey questionnaire was developed specifically for the study through focus group discussions and a literature review...
November 2017: Korean Journal of Family Medicine
https://www.readbyqxmd.com/read/29208789/general-dental-practitioners-as-potential-responders-to-disaster-scenario-in-a-highly-disaster-prone-area-an-explorative-study
#20
Gururaghavendran Rajesh, Almas Binnal, Mithun Bh Pai, Vijayendranath Nayak, Ramya Shenoy, Ashwini Rao
AIM: The aim of this study is to obtain insights pertaining to disaster management among Indian general dental practitioners (GDPs). MATERIALS AND METHODS: All GDPs in Mangaluru city, Karnataka, India, were included in the present study. Their willingness to participate in disaster management and their objective knowledge, attitude, behavior, and perceived effectiveness related to disaster management were assessed by a structured, pretested, self-administered questionnaire...
December 1, 2017: Journal of Contemporary Dental Practice
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