Knowledge and appropriateness of care of family physicians and physiotherapists in the management of shoulder pain: a survey study in the province of Quebec, Canada
CONCLUSIONS: Most FPs and PTs were able to make adequate diagnoses and select appropriate treatments for shoulder pain, but practices opposed to evidence-based recommendations were chosen by several respondents. Further training of FPs and PTs may be needed to optimize primary care management of different shoulder disorders.PMID:36797670 | DOI:10.1186/s12875-023-01999-6 (Source: Primary Care)
Source: Primary Care - February 16, 2023 Category: Primary Care Authors: V éronique Lowry Patrick Lavigne Diana Zidarov Kadija Perreault Jean-S ébastien Roy Fran çois Desmeules Source Type: research
The association between renal impairment and polypharmacy among older Palestinian patients: a multi-center cross-sectional study
CONCLUSION: This study demonstrates a relationship between polypharmacy and renal impairment. Some people with renal impairment receive drugs that those with kidney illness should avoid or use with caution. It is important to prescribe only necessary medication, choose non-nephrotoxic alternatives, and frequently monitor renal function.PMID:36797685 | DOI:10.1186/s12875-023-02005-9 (Source: Primary Care)
Source: Primary Care - February 16, 2023 Category: Primary Care Authors: Shayma Naghnaghia Zaher Nazzal Layan Abu Alya Rowa' Al-Ramahi Zakaria Hamdan Esra'a Samara Source Type: research
Determining the key performance indicators of human resource management of military hospital managers; a TOPSIS study
CONCLUSIONS: The importance of human resource management and organizational performance is due to their influence on each other. As a result, human resource management should pay special attention to the professional and personal development of human resources, as this has an impact on the performance of the organization in the long run. In light of the sensitive nature of human resource management and its crucial role in achieving any organization's strategic goals, selecting appropriate indicators is essential. The Department of Military Health requires indicators unique to the military sector to assess the human resourc...
Source: Primary Care - February 15, 2023 Category: Primary Care Authors: Sadegh Fanaei Armin Zareiyan Saeid Shahraki Abasat Mirzaei Source Type: research
The effectiveness of atrial fibrillation special clinic on oral anticoagulant use for high risk atrial fibrillation patients managed in the community
CONCLUSION: AFSC is effective in enhancing OAC use and maintaining optimal modifiable CVD risk factor control among high risk AF patients managed in primary care setting, and therefore may reduce AF-associated morbidity and mortality in the long run.PMID:36788489 | PMC:PMC9926793 | DOI:10.1186/s12875-023-02004-w (Source: Primary Care)
Source: Primary Care - February 15, 2023 Category: Primary Care Authors: Ka Man Lau To Fung Leung Yim Chu Li Catherine Xiao Rui Chen Source Type: research
Analysis of deprescription strategies of proton pump inhibitors in primary care: a narrative review
CONCLUSION: We can conclude that the two factors related to the most successful strategies were a) the clarity and simplicity of the de-escalation protocols, in which patients were instructed on the measures to follow in the event of the reappearance of symptoms, and b) the training of the physicians responsible for deprescribing. Long-term conclusions cannot be drawn about the effectiveness of these protocols, given that the studies are limited in time. Other barriers to generalizing the results are the small sample size and the absence of control groups.PMID:36788753 | DOI:10.1017/S1463423623000026 (Source: Primary Care)
Source: Primary Care - February 15, 2023 Category: Primary Care Authors: Miguel Del-Pino Emilio J Sanz Source Type: research
Determining the key performance indicators of human resource management of military hospital managers; a TOPSIS study
CONCLUSIONS: The importance of human resource management and organizational performance is due to their influence on each other. As a result, human resource management should pay special attention to the professional and personal development of human resources, as this has an impact on the performance of the organization in the long run. In light of the sensitive nature of human resource management and its crucial role in achieving any organization's strategic goals, selecting appropriate indicators is essential. The Department of Military Health requires indicators unique to the military sector to assess the human resourc...
Source: Primary Care - February 15, 2023 Category: Primary Care Authors: Sadegh Fanaei Armin Zareiyan Saeid Shahraki Abasat Mirzaei Source Type: research
The effectiveness of atrial fibrillation special clinic on oral anticoagulant use for high risk atrial fibrillation patients managed in the community
CONCLUSION: AFSC is effective in enhancing OAC use and maintaining optimal modifiable CVD risk factor control among high risk AF patients managed in primary care setting, and therefore may reduce AF-associated morbidity and mortality in the long run.PMID:36788489 | PMC:PMC9926793 | DOI:10.1186/s12875-023-02004-w (Source: Primary Care)
Source: Primary Care - February 15, 2023 Category: Primary Care Authors: Ka Man Lau To Fung Leung Yim Chu Li Catherine Xiao Rui Chen Source Type: research
Analysis of deprescription strategies of proton pump inhibitors in primary care: a narrative review
CONCLUSION: We can conclude that the two factors related to the most successful strategies were a) the clarity and simplicity of the de-escalation protocols, in which patients were instructed on the measures to follow in the event of the reappearance of symptoms, and b) the training of the physicians responsible for deprescribing. Long-term conclusions cannot be drawn about the effectiveness of these protocols, given that the studies are limited in time. Other barriers to generalizing the results are the small sample size and the absence of control groups.PMID:36788753 | DOI:10.1017/S1463423623000026 (Source: Primary Care)
Source: Primary Care - February 15, 2023 Category: Primary Care Authors: Miguel Del-Pino Emilio J Sanz Source Type: research
Access to General Practitioners during the second year of the COVID-19 pandemic in Portugal: a nationwide survey of doctors
CONCLUSIONS: Most GPs reported compliance with standards for waiting times for most in-person consultations and remote contacts, but they do so at the expense of work overload. A persistent excess of regular and unpaid working hours by GPs needs confirmation. If unpaid overtime is necessary to meet the regular demands of work, then workload and specific allocated tasks warrant review. Future research should focus on younger GPs, as they seem vulnerable to restricted accessibility. GPs' preferences for more in-person care than was feasible during the pandemic must be considered when planning for the post-pandemic reconfigur...
Source: Primary Care - February 14, 2023 Category: Primary Care Authors: M ónica Granja Sofia Correia Lu ís Alves Source Type: research
Understanding weight management experiences from patient perspectives: qualitative exploration in general practice
CONCLUSION: Whilst primary care is positioned as suitable for delivering obesity healthcare, this study found that participants do not perceive general practice to be equipped to deliver this care. Instead, participants argued for a specialist obesity centre capable of meeting all their obesity healthcare needs. Further, wider issues including on-line commodification of health and neo-liberal capitalism - factors that exploit people with a stigmatised health issue - can cause further harm to the participant. A radical modernisation of education, information, and resources from regulated, qualified and 'trusted' healthcare ...
Source: Primary Care - February 14, 2023 Category: Primary Care Authors: Kimberley Norman Lisette Burrows Lynne Chepulis Rawiri Keenan Ross Lawrenson Source Type: research
Poor quality of sleep in Mexican patients with type 2 diabetes and its association with lack of glycemic control
CONCLUSIONS: The prevalence of lack of glycemic control in the study population is high. Poor sleep quality significantly doubles the risk of lack of glycemic control, even in the presence of other risk factors.PMID:36781364 | DOI:10.1016/j.pcd.2023.01.011 (Source: Primary Care)
Source: Primary Care - February 13, 2023 Category: Primary Care Authors: Irene Su árez-Torres Fabio Garc ía-García Jaime Morales-Romero Montserrat Melgarejo-Guti érrez Ver ónica Patricia Demeneghi-Marini Rosa Isela Luna-Ceballos Cirenia Hern ández-Trejo Diana Aurora Carmona-Cort és Source Type: research
Sleep and probiotics in diabetes management
Prim Care Diabetes. 2023 Feb 11:S1751-9918(23)00029-3. doi: 10.1016/j.pcd.2023.01.013. Online ahead of print.ABSTRACTIn this manuscript, we call attention to the importance of investigating affordable strategies to improve the management of diabetes. Studies indicate that imbalances in the gut microbiota may lead to the development and progression of this disease. At the same time, poor sleep and sleep disorders, which are very prevalent in individuals with diabetes, can be related to a worse prognosis for the disease and can be impacted by changes in the intestinal microbiome. A suggested treatment that may be effective i...
Source: Primary Care - February 13, 2023 Category: Primary Care Authors: B árbara Virginia Vitti-Ruela Vin ícius Dokkedal-Silva Aparecida Emiko Hirata Sergio Tufik Monica L Andersen Source Type: research
Poor quality of sleep in Mexican patients with type 2 diabetes and its association with lack of glycemic control
CONCLUSIONS: The prevalence of lack of glycemic control in the study population is high. Poor sleep quality significantly doubles the risk of lack of glycemic control, even in the presence of other risk factors.PMID:36781364 | DOI:10.1016/j.pcd.2023.01.011 (Source: Primary Care)
Source: Primary Care - February 13, 2023 Category: Primary Care Authors: Irene Su árez-Torres Fabio Garc ía-García Jaime Morales-Romero Montserrat Melgarejo-Guti érrez Ver ónica Patricia Demeneghi-Marini Rosa Isela Luna-Ceballos Cirenia Hern ández-Trejo Diana Aurora Carmona-Cort és Source Type: research
Sleep and probiotics in diabetes management
Prim Care Diabetes. 2023 Feb 11:S1751-9918(23)00029-3. doi: 10.1016/j.pcd.2023.01.013. Online ahead of print.ABSTRACTIn this manuscript, we call attention to the importance of investigating affordable strategies to improve the management of diabetes. Studies indicate that imbalances in the gut microbiota may lead to the development and progression of this disease. At the same time, poor sleep and sleep disorders, which are very prevalent in individuals with diabetes, can be related to a worse prognosis for the disease and can be impacted by changes in the intestinal microbiome. A suggested treatment that may be effective i...
Source: Primary Care - February 13, 2023 Category: Primary Care Authors: B árbara Virginia Vitti-Ruela Vin ícius Dokkedal-Silva Aparecida Emiko Hirata Sergio Tufik Monica L Andersen Source Type: research
Impact of the COVID-19 pandemic on Australian community health service staff's occupational and personal lives: a longitudinal study
CONCLUSIONS: The COVID-19 pandemic has had a considerable impact on the work and personal lives of community health service staff. Staff would benefit from continued and targeted initiatives that address their wellbeing and concerns.PMID:36775283 | DOI:10.1071/PY22111 (Source: Primary Care)
Source: Primary Care - February 12, 2023 Category: Primary Care Authors: Sara Holton Karen Wynter Anna Peeters Alexandra Georgalas Ann Yeomanson Bodil Rasmussen Source Type: research
