The transition of general practice into an academic discipline: tracing the origins through the first four professors in general practice/family medicine
Scand J Prim Health Care. 2024 Apr 16:1-10. doi: 10.1080/02813432.2024.2335537. Online ahead of print.ABSTRACTBeing the 'mother' of most clinical specialties, general practice is as old as medicine itself. However, as a recognized academic discipline within medical schools, general practice has a relatively short life span. A decisive step forward was taken in 1956 when the University of Edinburgh established its Department of General Practice, and appointed the world's inaugural professor in the field in 1963. During the 1960s, the pioneering move in Edinburgh was followed by universities in the Netherlands (University of...
Source: Primary Care - April 16, 2024 Category: Primary Care Authors: J ørund Straand Niek de Wit Source Type: research

Factors influencing antibiotic prescribing for respiratory tract infections in primary care - a comparison of physicians with different antibiotic prescribing rates
CONCLUSION: Point-of-care testing and its interpretation differed between the prescriber groups. Focus on interpreting point-of-care test results could be a way forward in antibiotic stewardship.PMID:38625913 | DOI:10.1080/02813432.2024.2332757 (Source: Primary Care)
Source: Primary Care - April 16, 2024 Category: Primary Care Authors: Olof Cronberg Mia Tyrstrup Kim Ekblom Katarina Hedin Source Type: research

Development of a person-centred care approach for persons with chronic multimorbidity in general practice by means of participatory action research
CONCLUSIONS: A person-centred chronic care approach targeting patients with multimorbidity in general practice was developed and piloted in co-creation with stakeholders. More consultation time facilitated better understanding of persons' situations, their functioning, priorities and dilemma's, and positively impacted work satisfaction of care providers. Challenges need to be tackled before widespread implementation. Future evaluation on the quadruple aims is recommended.PMID:38627610 | DOI:10.1186/s12875-024-02364-x (Source: Primary Care)
Source: Primary Care - April 16, 2024 Category: Primary Care Authors: Mieke Jl Bogerd Pauline Slottje Jettie Bont Hein Pj Van Hout Source Type: research

Asking the generalist - evaluation of a General Practice rounding and consult service
CONCLUSIONS: A GP-RS is doable in a tertiary care hospital. Studies of GP co-management model with closer follow ups would be needed to objectively improve patient care and reduce the overall number of consults.TRIAL REGISTRATION: Not applicable.PMID:38627632 | DOI:10.1186/s12875-024-02353-0 (Source: Primary Care)
Source: Primary Care - April 16, 2024 Category: Primary Care Authors: Katharina Schmalstieg-Bahr Sophia MacDonald Nadine Pohontsch Sebastian Debus Martin Scherer Source Type: research

Impact of Ramadan fasting on lipid profile, uric acid, and HbA1c in CKD: A systematic review and meta-analysis
This study aims to conduct a comprehensive evaluation of studies related to the effect of fasting in the holy month of Ramadan on lipid profile, uric acid, and HbA1c in CKD patients. Studies were systematically searched and collected from three databases (PubMed, Scopus, and Web of Science). After screening, the quality and risk of bias assessment of the selected articles were evaluated. Study heterogeneity was assessed using the Cochrane test and I² statistic. In case of any heterogeneity random effects model with the inverse-variance method was applied. All analyses were performed using STATA software version 16. Four o...
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Ali Ashkbari Hossein-Ali Nikbakht Saeid Amirkhanlou Ghazaleh Elahi Marjan Salahi Sareh Ebrahimi Saeed Golfiroozi Seyed Ahmad Hosseini Mousa Ghelichi-Ghojogh Source Type: research

A multimodal approach using fundus images and text meta-data in a machine learning classifier with embeddings to predict years with self-reported diabetes - An exploratory analysis
CONCLUSIONS: The machine learning model had acceptable accuracy and F1 score, and correctly classified more than half of the patients according to diabetes duration. Using large foundational models to extract image and text embeddings seems a feasible and efficient approach to predict years living with self-reported diabetes.PMID:38616442 | DOI:10.1016/j.pcd.2024.04.002 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Rodrigo M Carrillo-Larco Gusseppe Bravo-Rocca Manuel Castillo-Cara Xiaolin Xu Antonio Bernabe-Ortiz Source Type: research

Co-designing a Health Journey Mapping resource for culturally safe health care with and for First Nations people
Conclusion The new HJM tools and resources effectively map diverse journeys and assist recognition and application of strengths-based, holistic and culturally safe approaches to health care.PMID:38621019 | DOI:10.1071/PY23172 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Alyssa Cormick Amy Graham Tahlee Stevenson Kelli Owen Kim O'Donnell Janet Kelly Source Type: research

Perceptions of general practitioners towards managing dental presentations in Australia: a qualitative study
Conclusions This study identified factors that influenced GPs' management of patients with dental conditions. To address these issues, it is imperative to develop interventions addressing patients' knowledge around oral health, as well as providing improved access to dental care for these patients.PMID:38621020 | DOI:10.1071/PY23217 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Ruby Biezen Angel Leong Leanne Teoh Source Type: research

Psychotic Symptoms Following Ayahuasca Use in a Ceremonial Setting
Prim Care Companion CNS Disord. 2024 Apr 11;26(2):23cr03675. doi: 10.4088/PCC.23cr03675.NO ABSTRACTPMID:38621221 | DOI:10.4088/PCC.23cr03675 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Alfonso Mart ínez Torres Eduardo Prades Mar ín Patricia S ánchez Díez Jorge G ómez-Arnau Ramírez Source Type: research

Sudden Reduction in Caffeine Intake Increases Serum Lithium Concentration to Supratherapeutic Level: A Case Report
Prim Care Companion CNS Disord. 2024 Apr 11;26(2):23cr03642. doi: 10.4088/PCC.23cr03642.NO ABSTRACTPMID:38621222 | DOI:10.4088/PCC.23cr03642 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Jeffrey J Song Jorgen C Eyabi Poonam D Awatramani Brian G Mitchell Sudhanshu Y Nene Source Type: research

Kleine-Levin Syndrome in a Closed Psychiatric Ward: A Case of Misdiagnosis
Prim Care Companion CNS Disord. 2024 Apr 9;26(2):23cr03633. doi: 10.4088/PCC.23cr03633.NO ABSTRACTPMID:38621225 | DOI:10.4088/PCC.23cr03633 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Mohannad Owiwi Daniel Argo Source Type: research

A movement for movement: an exploratory study of primary healthcare professionals' perspectives on implementing the Royal College of General Practitioners' active practice charter initiative
CONCLUSION: This is the first evaluation of any nationwide UK-based initiative engaging GP practices in promoting PA. Acknowledging the limitations in response rate, although support exists for the RCGP APC, the evaluation highlights challenges to its implementation. Nonetheless, the wide reach of the RCGP, combined with the cited staff and patient benefits, demonstrates the significant potential of the APC initiative. Given the need to address physical inactivity nationally, further development the APC offers a possible solution, with further research required to overcome the challenges to implementation.PMID:38622556 | D...
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Callum J Leese Robert H Mann Hussain Al-Zubaidi Emma J Cockcroft Source Type: research

Impact of Ramadan fasting on lipid profile, uric acid, and HbA1c in CKD: A systematic review and meta-analysis
This study aims to conduct a comprehensive evaluation of studies related to the effect of fasting in the holy month of Ramadan on lipid profile, uric acid, and HbA1c in CKD patients. Studies were systematically searched and collected from three databases (PubMed, Scopus, and Web of Science). After screening, the quality and risk of bias assessment of the selected articles were evaluated. Study heterogeneity was assessed using the Cochrane test and I² statistic. In case of any heterogeneity random effects model with the inverse-variance method was applied. All analyses were performed using STATA software version 16. Four o...
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Ali Ashkbari Hossein-Ali Nikbakht Saeid Amirkhanlou Ghazaleh Elahi Marjan Salahi Sareh Ebrahimi Saeed Golfiroozi Seyed Ahmad Hosseini Mousa Ghelichi-Ghojogh Source Type: research

A multimodal approach using fundus images and text meta-data in a machine learning classifier with embeddings to predict years with self-reported diabetes - An exploratory analysis
CONCLUSIONS: The machine learning model had acceptable accuracy and F1 score, and correctly classified more than half of the patients according to diabetes duration. Using large foundational models to extract image and text embeddings seems a feasible and efficient approach to predict years living with self-reported diabetes.PMID:38616442 | DOI:10.1016/j.pcd.2024.04.002 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Rodrigo M Carrillo-Larco Gusseppe Bravo-Rocca Manuel Castillo-Cara Xiaolin Xu Antonio Bernabe-Ortiz Source Type: research

Evaluating the impact of a teaching course for GP speciality trainees
CONCLUSIONS: Teaching skill courses alone are insufficient to address the ongoing challenges of enhancing the teaching role of GPSTs. Further work is now needed to explore multi-level interventions to promote the role of GPSTs as near-peer teachers to harness the mutual benefits to all involved.PMID:38615344 | DOI:10.1080/14739879.2024.2336211 (Source: Primary Care)
Source: Primary Care - April 14, 2024 Category: Primary Care Authors: Harish Thampy Source Type: research