Hardnekkige aanhoudende lichamelijke klachten in de huisartsenpraktijk
CONCLUSION: Almost every GP experiences problems in the care for patients with persevering PPS. Mental health care professionals can support the GP better, by optimizing options for consultation and referral.PMID:38650528 (Source: Tijdschrift voor Psychiatrie)
Source: Tijdschrift voor Psychiatrie - April 23, 2024 Category: Psychiatry Authors: S Rutten M Hulscher R E Boeschoten I Keuning J F van Eck van der Sluijs M Rikkers C den Boer J Maarseveen T Olde Hartman L M Tak Source Type: research

Hardnekkige aanhoudende lichamelijke klachten in de huisartsenpraktijk
CONCLUSION: Almost every GP experiences problems in the care for patients with persevering PPS. Mental health care professionals can support the GP better, by optimizing options for consultation and referral.PMID:38650528 (Source: Tijdschrift voor Psychiatrie)
Source: Tijdschrift voor Psychiatrie - April 23, 2024 Category: Psychiatry Authors: S Rutten M Hulscher R E Boeschoten I Keuning J F van Eck van der Sluijs M Rikkers C den Boer J Maarseveen T Olde Hartman L M Tak Source Type: research

Hardnekkige aanhoudende lichamelijke klachten in de huisartsenpraktijk
CONCLUSION: Almost every GP experiences problems in the care for patients with persevering PPS. Mental health care professionals can support the GP better, by optimizing options for consultation and referral.PMID:38650528 (Source: Tijdschrift voor Psychiatrie)
Source: Tijdschrift voor Psychiatrie - April 23, 2024 Category: Psychiatry Authors: S Rutten M Hulscher R E Boeschoten I Keuning J F van Eck van der Sluijs M Rikkers C den Boer J Maarseveen T Olde Hartman L M Tak Source Type: research

Association between onychomycosis and ulcerative complications in patients with diabetes: a longitudinal cohort study in Dutch general practice
Conclusions Onychomycosis significantly increased the risk of ulcer development in patients with DM in primary care, independently of other risk factors. In addition, onychomycosis increased the risk of surgeries and infectious complications. These results underscore the importance of giving sufficient attention to onychomycosis in primary care and corresponding guidelines. Early identification of onychomycosis during screening and routine care provides a good opportunity for timely recognition of increased ulcer risk. (Source: BMJ Open)
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Watjer, R. M., Heckmans, K. M., Eekhof, J. A., Gummi, L., Quint, K. D., Numans, M. E., Bonten, T. N. Tags: Open access, Diabetes and Endocrinology Source Type: research

Improving mental health in chronic care in general practice: study protocol for a cluster-randomised controlled trial of the Healthy Mind intervention
Mental health issues are common among patients with chronic physical conditions, affecting approximately one in five patients. Poor mental health is associated with worse disease outcomes and increased mortali... (Source: Trials)
Source: Trials - April 23, 2024 Category: General Medicine Authors: Anne S øjbjerg, Anna Mygind, Stinne Eika Rasmussen, Bo Christensen, Anette Fischer Pedersen, Helle Terkildsen Maindal, Viola Burau and Kaj Sparle Christensen Tags: Study protocol Source Type: research

Early outcomes of referrals to the English National Health Service Digital Weight Management Programme
CONCLUSIONS: The NHS Digital Weight Management Programme is effective at achieving clinically meaningful weight loss. The outcomes compare favorably to web-based weight management interventions tested in randomized trials and those delivered as face-to-face interventions, and results suggest that the approach may, with increased participation, bring population-level benefits.PMID:38644161 | DOI:10.1002/oby.24024 (Source: Obesity)
Source: Obesity - April 21, 2024 Category: Eating Disorders & Weight Management Authors: Katharine Taylor Tejal Indulkar Bethany Thompson Christine Pinkard Emma Barron Tom Frost Priyantha Jayawardane Neil Davies Chirag Bakhai Nita Gandhi Forouhi Paul Aveyard Susan Jebb Jonathan Valabhji Source Type: research

An investigation of internal scatter during computed tomography using an anthropomorphic phantom
ConclusionsA non-statistical significance for Computed Tomography examinations with and without Lead Shielding in confirmation with the AAPM positional statement. (Source: Health and Technology)
Source: Health and Technology - April 19, 2024 Category: Information Technology Source Type: research

Community antibiotic prescribing in patients with COVID-19 across three pandemic waves: a population-based study in Scotland, UK
Conclusion Community antibiotic prescriptions in COVID-19 episodes were uncommon in this population and likelihood was associated with patient factors. The reduction over pandemic waves may represent increased knowledge regarding COVID-19 treatment and/or evolving symptomatology. (Source: BMJ Open)
Source: BMJ Open - April 19, 2024 Category: General Medicine Authors: Ciaccio, L., Donnan, P. T., Parcell, B. J., Marwick, C. A. Tags: Open access, Infectious diseases, COVID-19 Source Type: research

Are children living with obesity more likely to experience musculoskeletal symptoms during childhood? A linked longitudinal cohort study using primary care records
Conclusions Girls living with obesity at the start or end of primary school are more likely to attend their GP for a musculoskeletal consultation. Routine linkage of NCMP data to EHRs provides useful insights into childhood health conditions related to excess weight in early childhood. Recognition of obesity as a contributing factor for musculoskeletal symptoms may inform clinical management, particularly in girls. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Firman, N., Homer, K., Harper, G., Robson, J., Dezateux, C. Tags: Press releases Original research Source Type: research

Burden of antimicrobial prescribing in primary care attributable to sore throat: a retrospective cohort study of patient record data
CONCLUSIONS: Frequency of antibiotic prescribing for sore throat is high and broad, despite Australian Therapeutic guideline recommendations. Multiple, sustained interventions to reduce prescribing, including availability of effective S. pyogenes vaccines that could reduce the incidence of streptococcal pharyngitis, could obviate the need to prescribe antibiotics and support ongoing efforts to promote antimicrobial stewardship.PMID:38632513 | PMC:PMC11022400 | DOI:10.1186/s12875-024-02371-y (Source: Primary Care)
Source: Primary Care - April 17, 2024 Category: Primary Care Authors: Kylie S Carville Niamh Meagher Yara-Natalie Abo Jo-Anne Manski-Nankervis James Fielding Andrew Steer Jodie McVernon David J Price Source Type: research

Patient and relative experiences of the ReSPECT process in the community: an interview-based study
CONCLUSIONS: When ReSPECT conversations involved an open discussion of patients' preferences, clear information about the ReSPECT process, and empathetic explanations of treatment recommendations, working with a healthcare professional to co-develop a record of treatment preferences and recommendations could be an empowering experience, providing patients and relatives with peace of mind.PMID:38632508 | PMC:PMC11022317 | DOI:10.1186/s12875-024-02283-x (Source: Primary Care)
Source: Primary Care - April 17, 2024 Category: Primary Care Authors: Karin Eli Jenny Harlock Caroline J Huxley Celia Bernstein Claire Mann Rachel Spencer Frances Griffiths Anne-Marie Slowther 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

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

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