Gestational Restless Leg Syndrome: In the Spotlight
Prim Care Companion CNS Disord. 2023 Jan 19;25(1):22br03235. doi: 10.4088/PCC.22br03235.NO ABSTRACTPMID:36705974 | DOI:10.4088/PCC.22br03235 (Source: Primary Care)
Source: Primary Care - January 27, 2023 Category: Primary Care Authors: Ahmed Naguy Bibi Alamiri Source Type: research

Computer Vision Syndrome in Lebanese Male Adolescents: Correlates With Mental Health and Mediating Effect of Stress
Conclusions: The findings of this study indicate the importance of recognizing CVS in adolescents and raising awareness of time spent daily using computers and other electronic devices.PMID:36705975 | DOI:10.4088/PCC.21m03180 (Source: Primary Care)
Source: Primary Care - January 27, 2023 Category: Primary Care Authors: Georges Merhy Marwan Akel Nelly Kheir Souheil Hallit Sahar Obeid Source Type: research

Management of Neuropsychiatric Disturbances in Huntington's Disease: A Literature Review and Case Report
Prim Care Companion CNS Disord. 2023 Jan 26;25(1):22cr03265. doi: 10.4088/PCC.22cr03265.NO ABSTRACTPMID:36705976 | DOI:10.4088/PCC.22cr03265 (Source: Primary Care)
Source: Primary Care - January 27, 2023 Category: Primary Care Authors: Joshua A Jay Vivek Kumar Eric Garrels Patrick Bikhanian Yarden Segal Bibiana Susaimanickam Source Type: research

Acute Psychosis Precipitated by Lacosamide
Prim Care Companion CNS Disord. 2023 Jan 26;25(1):22cr03302. doi: 10.4088/PCC.22cr03302.NO ABSTRACTPMID:36705977 | DOI:10.4088/PCC.22cr03302 (Source: Primary Care)
Source: Primary Care - January 27, 2023 Category: Primary Care Authors: Shixie Jiang Christine Whitehead Gregory A Sullivan Source Type: research

A 2023 Update on Managing Insomnia in Primary Care: Insights From an Expert Consensus Group
Conclusions: Insomnia is highly prevalent but underdiagnosed and undertreated. It is increasingly recognized as a distinct disorder, not merely a symptom arising secondary to another medical or psychiatric illness. The subtypes of sleep disturbance-reports of difficulty falling or staying asleep, insufficient sleep duration, early waking-and the presence of next-day impairment and common comorbid conditions require a targeted, individualized approach to therapy. Challenges exist in treating insomnia with commonly used on- and off-label drugs, including low-dose antidepressants, benzodiazepines, and benzodiazepine receptor ...
Source: Primary Care - January 27, 2023 Category: Primary Care Authors: Russell P Rosenberg Ruth Benca Paul Doghramji Thomas Roth Source Type: research

Sexual Abuse and Its Impact on Suicidal Ideation and Attempts and Psychiatric Illness in Children and Adolescents With Posttraumatic Stress Disorder
Conclusions: Sexual abuse is associated with PTSD and higher risk of comorbid psychiatric illnesses, including MDD, SUD, and suicidal behavior. In-depth research on the relationship between child and adolescent sexual abuse and chronic suicidality is warranted.PMID:36705981 | DOI:10.4088/PCC.22m03239 (Source: Primary Care)
Source: Primary Care - January 27, 2023 Category: Primary Care Authors: Pranita Mainali Fatima Motiwala Chintan Trivedi Ramu Vadukapuram Zeeshan Mansuri Shailesh Jain Source Type: research

Using general practitioners with an extended role in spinal practice for the initial assessment of patients referred to spinal surgeons: preliminary experience and challenges
Prim Health Care Res Dev. 2023 Jan 26;24:e9. doi: 10.1017/S1463423622000494.ABSTRACTAIM: To describe experience using general practitioners (GPs), with an extended role (GPwER) in spinal medicine, to expedite assessment, triage, and management of patients referred from primary care for specialist spinal surgical opinion.BACKGROUND: Low back and neck pain are common conditions in primary care. Indiscriminate or inappropriate referral to a spinal surgeon contributes to long waiting times. Previous attempts at triaging patients who really require a surgical opinion have used practice nurses, physiotherapists, clinical algorit...
Source: Primary Care - January 26, 2023 Category: Primary Care Authors: Ian R Whittle Derek Yull Josh Yee Gus Czechowicz Peter Murphy Eleanor Clausen Y H Yau Source Type: research

Using general practitioners with an extended role in spinal practice for the initial assessment of patients referred to spinal surgeons: preliminary experience and challenges
Prim Health Care Res Dev. 2023 Jan 26;24:e9. doi: 10.1017/S1463423622000494.ABSTRACTAIM: To describe experience using general practitioners (GPs), with an extended role (GPwER) in spinal medicine, to expedite assessment, triage, and management of patients referred from primary care for specialist spinal surgical opinion.BACKGROUND: Low back and neck pain are common conditions in primary care. Indiscriminate or inappropriate referral to a spinal surgeon contributes to long waiting times. Previous attempts at triaging patients who really require a surgical opinion have used practice nurses, physiotherapists, clinical algorit...
Source: Primary Care - January 26, 2023 Category: Primary Care Authors: Ian R Whittle Derek Yull Josh Yee Gus Czechowicz Peter Murphy Eleanor Clausen Y H Yau Source Type: research

The reviewers' Bermuda triangle
Educ Prim Care. 2023 Jan 24:1. doi: 10.1080/14739879.2023.2164992. Online ahead of print.NO ABSTRACTPMID:36694409 | DOI:10.1080/14739879.2023.2164992 (Source: Primary Care)
Source: Primary Care - January 25, 2023 Category: Primary Care Authors: Simon Gay Source Type: research

Effects of a digital diabetes prevention program on cardiovascular risk among individuals with prediabetes
CONCLUSIONS: Our findings suggest that a digitally adapted DPP may promote the prevention of cardiometabolic disease among overweight/obese individuals with prediabetes. However, given the lack of maintenance of effect on ASCVD risk at 12 months, there may also be a need for additional interventions to sustain the effect detected at 4 months.PMID:36697280 | DOI:10.1016/j.pcd.2023.01.007 (Source: Primary Care)
Source: Primary Care - January 25, 2023 Category: Primary Care Authors: Tzeyu L Michaud Fabio A Almeida Gwenndolyn C Porter Carol A Kittel Robert J Schwab Fabiana A Brito Kathryn E Wilson Jeffrey A Katula Cynthia Castro Sweet Paul A Estabrooks Emily V Dressler Source Type: research

Implementation strategies to increase smoking cessation treatment provision in primary care: a systematic review of observational studies
CONCLUSIONS: Some implementation strategy categories increased the rate of smoking status recording and cessation advice provision in primary care. We found some evidence for interventions utilizing financial strategies having a beneficial impact on cessation. Identified barriers to effectiveness should be reduced. More pragmatic approaches are recommended, such as hybrid effectiveness-implementation designs and utilising Multiphase Optimization Strategy methodology.PROTOCOL REGISTRATION: PROSPERO:CRD42021246683.PMID:36698052 | PMC:PMC9875430 | DOI:10.1186/s12875-023-01981-2 (Source: Primary Care)
Source: Primary Care - January 25, 2023 Category: Primary Care Authors: Bernadett E Tildy Ann McNeill Parvati R Perman-Howe Leonie S Brose Source Type: research

Evaluation of physicians' knowledge of deprescribing, deprescribing tools and assessment of factors affecting deprescribing process
CONCLUSION: The physicians had good knowledge of the term "deprescribing" and the steps to deprescribing. Specific measures to target the barriers faced by the physicians in deprescribing medications and policies to implement physicians use of existing guidelines to facilitate their deprescribing decisions are essential.PMID:36698057 | PMC:PMC9875427 | DOI:10.1186/s12875-023-01990-1 (Source: Primary Care)
Source: Primary Care - January 25, 2023 Category: Primary Care Authors: Wuraola Akande-Sholabi Comfort O Ajilore Temitope Ilori Source Type: research

Patients' perspectives on a patient-oriented electronic decision support tool to reduce overuse of proton pump inhibitors (arriba-PPI): a qualitative study in primary care
CONCLUSION: Application of the arriba-PPI tool can support the decision process but can also hinder the consultation process if the tool is not properly embedded in the consultation. GPs using the arriba-PPI tool to support the shared decision-making process should consider the patients' and their own expectations on the benefit of the visual representation of the tool.PMID:36698061 | PMC:PMC9875449 | DOI:10.1186/s12875-023-01991-0 (Source: Primary Care)
Source: Primary Care - January 25, 2023 Category: Primary Care Authors: Alexandra Schmidt Bettina B ücker Michaela Maas Susanne L öscher Annette Becker Annika Viniol Julia Heisig Stefan Wilm Anne Barzel Source Type: research

Primary care physician beliefs and practices regarding blood pressure measurement: results from BP-CHECK qualitative interviews
CONCLUSIONS: Our findings suggest that both additional physician education and training and investments in equipment and system-level processes are needed to increase the acceptance and utilization of out of office BP measurement for identification and treatment of hypertension. These changes are needed to improve ensure everyone in the U.S receive optimal care for hypertension.TRIAL REGISTRATION: ClinicalTrials.gov NCT03130257 . Initial registration date: 4/21/2017.PMID:36698062 | PMC:PMC9874175 | DOI:10.1186/s12875-022-01950-1 (Source: Primary Care)
Source: Primary Care - January 25, 2023 Category: Primary Care Authors: Clarissa Hsu Laurel Hansell Kelly Ehrlich Sean Munson Melissa Anderson Karen L Margolis Jennifer B McClure Yoshio N Hall Matthew Thompson Dwayne Joseph Beverly B Green Source Type: research

Between empathy and anger: healthcare workers' perspectives on patient disengagement from antiretroviral treatment in Khayelitsha, South Africa - a qualitative study
CONCLUSION: Lifelong engagement with HIV care is influenced by many factors including disclosure, family support, and HCW interactions. Findings from this study show that HCWs had contradictory feelings towards disengaged patients, experiencing both empathy and anger. Understanding this could contribute to the development of more nuanced interventions to support staff and encourage true person-centred care, to improve patient outcomes.PMID:36698083 | DOI:10.1186/s12875-022-01957-8 (Source: Primary Care)
Source: Primary Care - January 25, 2023 Category: Primary Care Authors: Tsephiso Nhemachena Carmen Sp äth Kirsten D Arendse Keitumetse Lebelo Nompumelelo Zokufa Tali Cassidy Katherine Whitehouse Claire M Keene Alison Swartz Source Type: research