The challenge of heart failure diagnosis and management in primary care in elderly population: Mere illusion or concrete opportunity?
The diagnostic criteria for heart failure (HF) established by the European Society of Cardiology [1] include the presence of symptoms and signs of HF combined with objective echocardiographic evidence of cardiac dysfunction at rest. (Source: International Journal of Cardiology)
Source: International Journal of Cardiology - November 16, 2018 Category: Cardiology Authors: Andrea Di Lenarda, Kira Stellato, Donatella Radini Tags: Editorial Source Type: research

Primary care networks and team effectiveness: the case of a large-scale quality improvement disparity reduction program.
Authors: Spitzer-Shohat S, Goldfracht M, Key C, Hoshen M, Balicer RD, Shadmi E Abstract Documentation of primary care teams' involvement in disparity reduction efforts exists, yet little is known about how teams interact or perceive their effectiveness. We investigated how the social network and structural ties among primary-care-clinic team members relate to their perceived team effectiveness (TE), in a large-scale disparity reduction intervention in Israel's largest insurer and provider of services. A mixed-method design of Social Network Analysis and qualitative data collection was employed. 108 interviews with ...
Source: Journal of Interprofessional Care - November 15, 2018 Category: Health Management Tags: J Interprof Care Source Type: research

Development and evaluation of a primary care interprofessional education intervention to support people with dementia.
Authors: Jennings A, McLoughlin K, Boyle S, Thackeray K, Quinn A, O'Sullivan T, Foley T Abstract International policy documents emphasize the need to develop interprofessional education (IPE) to support collaborative dementia care in the community. The aim of this short report is to describe the development and pilot evaluation of an interprofessional dementia education workshop for primary care healthcare professionals. A three-hour workshop was iteratively developed through consultation with an expert reference group and people with dementia. The workshop was piloted with three separate primary care teams. A tota...
Source: Journal of Interprofessional Care - November 15, 2018 Category: Health Management Tags: J Interprof Care Source Type: research

Primary care physicians' experience with zoster vaccine live (ZVL) and awareness and attitudes regarding the new recombinant zoster vaccine (RZV).
CONCLUSIONS: Physicians report not recommending ZVL to certain ACIP-recommended groups, but report recommending it to some groups for which the vaccine should be avoided. Implementation of recommendations for RZV will need to consider financial barriers and the complex patchwork of office-based and pharmacy delivery ZVL has encountered. PMID: 30420121 [PubMed - in process] (Source: Vaccine)
Source: Vaccine - November 15, 2018 Category: Allergy & Immunology Authors: Hurley LP, Allison MA, Dooling KL, O'Leary ST, Crane LA, Brtnikova M, Beaty BL, Allen JA, Guo A, Lindley MC, Kempe A Tags: Vaccine Source Type: research

Assessing Brief Intervention for Unhealthy Alcohol Use: A Comparison of Electronic Health Record Documentation and Patient Self-Report.
CONCLUSIONS: Discrepancies between EHR documentation and patient-reported BI raise concerns about performance measure validity. Patient-reported receipt of BI could be an alternative or complementary measure of BI. PMID: 30422782 [PubMed - in process] (Source: Journal of Studies on Alcohol and Drugs)
Source: Journal of Studies on Alcohol and Drugs - November 15, 2018 Category: Addiction Tags: J Stud Alcohol Drugs Source Type: research

The demographic and clinical profiles of women presenting with vaginal discharge syndrome at primary care facilities in South Africa: Associations with age and implications for management.
CONCLUSIONS: Although older women with VDS were less likely than younger women to have STIs, a significant proportion of them did have an infection with STI pathogens. Age alone was not a good criterion for discriminating between women with and without infection with STI pathogens. Other ways of improving the VDS algorithm performance are needed, as is better integration of HIV and STI prevention and treatment. PMID: 30421718 [PubMed - in process] (Source: South African Medical Journal)
Source: South African Medical Journal - November 15, 2018 Category: African Health Tags: S Afr Med J Source Type: research

Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study
(Source: BMJ)
Source: BMJ - November 15, 2018 Category: General Medicine Source Type: research

Practice Expenses Associated with Comprehensive Primary Care Capabilities
To help the Centers for Medicare& Medicaid Services (CMS) reimburse primary care practices for investing in " comprehensive primary care " capabilities, the authors developed and piloted a method for estimating related practice expenses. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 15, 2018 Category: Health Management Authors: Mark W. Friedberg; Grant R. Martsolf; Andrada Tomoaia-Cotisel; Peter Mendel; Ryan K. McBain; Laura Raaen; Ryan Kandrack; Nabeel Shariq Qureshi; Jason Michel Etchegaray; Brian Briscombe; Peter S. Hussey Source Type: research

Risk factors for self-harm in people with epilepsy
ConclusionPeople with epilepsy have elevated self-harm risk, especially in the first year following diagnosis. Clinicians should adequately monitor these individuals and be especially vigilant to self-harm risk in people with epilepsy and comorbid mental illness, frequent healthcare service contact, those taking multiple AEDs and during treatment augmentation. (Source: Journal of Neurology)
Source: Journal of Neurology - November 14, 2018 Category: Neurology Source Type: research

Clinical Inertia in Type 2 Diabetes Patients in Primary Health Care Clinics in Central Bosnia.
CONCLUSIONS For better regulation of glycemia and reduction of clinical inertia with type 2 diabetes patients, more specialized training is needed for selected physicians. Strengthening of primary healthcare and encouraging doctors to perform procedures can contribute to better outcomes of treatment, lower clinical inertia, and better education of patients. PMID: 30421728 [PubMed - in process] (Source: Medical Science Monitor)
Source: Medical Science Monitor - November 14, 2018 Category: Research Tags: Med Sci Monit Source Type: research

Improving Patient-centered Care: How Clinical Staff Overcome Barriers to Patient Engagement at the VHA
Conclusions: Participants understood the patient centered approach, despite experiencing a lack of resources and training and could push through solutions to patient engagement barriers while working within the limits of their settings. (Source: Medical Care)
Source: Medical Care - November 14, 2018 Category: Health Management Tags: Original Articles Source Type: research

[Being diagnosed with COPD: A qualitative study of real life experience].
CONCLUSION: The announcement of the disease did not always appear to have been of good quality. Ideally, the diagnosis of COPD should be conveyed to people after its identification in a dedicated consultation, combined with better information and a proposal for psychological support. PMID: 30415820 [PubMed - as supplied by publisher] (Source: Revue des Maladies Respiratoires)
Source: Revue des Maladies Respiratoires - November 14, 2018 Category: Respiratory Medicine Tags: Rev Mal Respir Source Type: research

Recent Advances in Pediatric Concussion and Mild Traumatic Brain Injury
Concussions after a head injury among children continues to be a substantial public health concern. An increasing number of concussions are being managed initially by primary care physicians. The diagnosis of concussion remains a clinical diagnosis despite the availability of ancillary tests such as computerized neuropsychological testing, advanced imaging, and blood biomarkers. Clinically, overlooking other injuries and comorbidities may lead to prolonged recovery for the patient. Addressing concussions in a multidisciplinary approach may help in reducing recovery time for patients. Retirement from sport in the pediatric ...
Source: Pediatric Clinics of North America - November 14, 2018 Category: Pediatrics Authors: Andrea Ana Almeida, Matthew Thomas Lorincz, Andrew Nobuhide Hashikawa Source Type: research

The Changing Role of Emergency Medicine
The role of the Emergency Department (ED) for both children and adults has changed considerably over the last several decades, with visits to the ED increasing by one-third in the decade between 1997 and 2007.1 Beyond the critically important role of tending to children perceived to be in urgent need of health care, the pediatric ED is now used as an extension of the “safety net” for individuals without a primary care provider, including but not limited to low-income persons, an after-hours extension of private pediatricians’ offices, a rapid diagnostic center, and a streamlined entryway for admissions. (...
Source: Pediatric Clinics of North America - November 14, 2018 Category: Pediatrics Authors: Bonita F. Stanton Tags: Foreword Source Type: research

Prevalence and characteristics of patients being at risk of deteriorating and dying in primary care
Understanding the prevalence and characteristics of primary care outpatients being at risk of deteriorating and dying may allow general practitioners (GPs) to identify them, and initiate end-of-life discussions. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - November 14, 2018 Category: Palliative Care Authors: Jun Hamano, Ai Oishi, Yoshiyuki Kizawa Source Type: research

Varied presentations and outcomes of Charcot neuroarthropathy in patients with diabetes mellitus
AbstractCharcot neuroarthropathy (CN) of the foot is uncommon and CN of atypical sites like wrist is sparingly described. CN is grossly under-diagnosed or misdiagnosed by primary care physicians. CN may present in acute phase with classical signs of inflammation or with deformities in chronic phase. The present study describes varied presentations, diagnostic dilemmas, and outcomes of CN in patients with diabetes. Data from the electronic repository of patients with diabetes and foot complications was obtained. The repository has a pre-designed structured format for information pertaining to the patients ’ anthropome...
Source: International Journal of Diabetes in Developing Countries - November 14, 2018 Category: Endocrinology Source Type: research

The Mediterranean Diet: Lost in Translation
AbstractPurpose of ReviewDespite substantive evidence documenting the efficacy of the Mediterranean diet to reduce cardiovascular events, underutilization is common. An overview of the data set supporting the role of the Mediterranean diet as confirmed in both observational and interventional trials should stimulate greater clinician interest in the diet. Additionally, the availability of patient-friendly tools that enable prompt and easy adoption of the Mediterranean diet, that are able to be used by clinicians who claim no special expertise in diet knowledge, should simplify the path to successful dietary change.Recent F...
Source: Current Hypertension Reports - November 14, 2018 Category: Primary Care Source Type: research

Deprescribing for older adults in Australia: factors influencing GPs
Robyn Gillespie, Judy Mullan, Lindsey Harrison (Source: Australian Journal of Primary Health)
Source: Australian Journal of Primary Health - November 14, 2018 Category: Primary Care Authors: Robyn Gillespie Judy Mullan Lindsey Harrison Source Type: research

Identifying palliative care needs in residential care
Thilini Liyanage, Geoffrey Mitchell, Hugh Senior (Source: Australian Journal of Primary Health)
Source: Australian Journal of Primary Health - November 14, 2018 Category: Primary Care Authors: Thilini Liyanage Geoffrey Mitchell Hugh Senior Source Type: research

Validity of ambulatory blood pressure monitoring in daily primary healthcare practice in France
Conclusion ABPM is feasible in daily primary healthcare practice in the studied condition, that is to say relying on trained employees. GPs should be careful when prescribing ABPM to patients aged 65 years and older, to those with BMI over 30 or to manual workers. (Source: Blood Pressure Monitoring)
Source: Blood Pressure Monitoring - November 13, 2018 Category: Cardiology Tags: Clinical Study Source Type: research

A Step Towards Equitable Access: Understanding the Use of Fertility Services by Immigrant Women in Toronto.
CONCLUSION: Immigrant women addressed their fertility needs even when they had fewer resources and less social stability than did non-immigrant women. However, they experienced a delay in receiving specialized care for infertility. Immigrant women also appeared less comfortable disclosing personal information in a health care setting. PMID: 30414803 [PubMed - as supplied by publisher] (Source: Journal of Obstetrics and Gynaecology Canada : JOGC)
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - November 13, 2018 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Substance use screening and brief intervention: Evaluation of patient and implementation differences between primary care and emergency department settings
ConclusionsThis evaluation found important differences in patient characteristics and screening and implementation results between primary care and emergency settings. Health care organizations and administrators implementing screening and brief intervention should attend to setting differences that could affect implementation and clinical care. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 13, 2018 Category: General Medicine Authors: Megan A. O'Grady, Sandeep Kapoor, Nancy Kwon, Jeanne Morley, Mark Auerbach, Charles J. Neighbors, Joseph Conigliaro, Jon Morgenstern Tags: ORIGINAL PAPER Source Type: research

The effect of a care program and social support on anxiety level in mothers of late preterm infants in Sistan and Baluchestan, Iran.
Abstract Late and moderate preterm (LAMP) neonates are at risk of developing severe complications that can lead to anxiety in mothers. The aim of this study was to determine the effectiveness of a care program on the anxiety level of mothers with LAMP babies and to determine the effectiveness of the care program on the level of anxiety of new mothers in the presence of social support. This quasi-experimental study was conducted on 80 mothers whose late preterm infants were admitted to neonatal intensive care unit at Ali-ibn Abi Talib Hospital, Zahedan. Data were gathered between July 10 and October 13, 2016. The i...
Source: Women and Health - November 13, 2018 Category: Primary Care Authors: Moudi Z, Molashahi B, Ansari H, Imani M Tags: Women Health Source Type: research

The Association Between Continuity of Primary Care and Preventive Cancer Screening in Women With Intellectual Disability
American Journal on Intellectual and Developmental Disabilities,Volume 123, Issue 6, Page 499-513, November 2018. (Source: American Journal on Intellectual and Developmental Disabilities)
Source: American Journal on Intellectual and Developmental Disabilities - November 13, 2018 Category: Disability Authors: Natasha Plourde Hilary K. Brown Simone Vigod Virginie Cobigo Source Type: research

The Indonesian general practitioners ’ perspectives on formal postgraduate training in primary care
To be recognized as a primary care physician (PCP), an Indonesian general practitioner (GP) has to follow a formal postgraduate training in primary care. However, 4 years since the regulation was published, th... (Source: Asia Pacific Family Medicine)
Source: Asia Pacific Family Medicine - November 13, 2018 Category: Primary Care Authors: Fitriana Murriya Ekawati, Mora Claramita, Wahyudi Istiono, Hari Kusnanto and Adi Heru Sutomo Tags: Research Source Type: research

Unhealthy Alcohol Use in Primary Care —The Elephant in the Examination Room
Unhealthy alcohol use is a serious public health challenge that requires full attention. In its recommendation statement, supported by an evidence report and systematic review, the US Preventive Services Task Force (USPSTF) “recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use (B recommendation).” One in 8 adults in the United States reports unhealthy alcohol use. Unhealthy alcohol use includes &ldquo...
Source: JAMA Internal Medicine - November 13, 2018 Category: Internal Medicine Source Type: research

The Role of Time Use Behaviors in the Risk of Obesity among Low-Income Mothers
Childrearing responsibilities create additional demands on women's time and effort, especially in low-income families. We explore whether childrearing demands and differences in time use increase the risk of overweight and obesity for women in different income brackets. (Source: Womens Health Issues)
Source: Womens Health Issues - November 13, 2018 Category: Primary Care Authors: Margaret Gough, Adam M. Lippert, Molly A. Martin Tags: Original Article Source Type: research

Perceptions of Pregnancy and Contraceptive Use: An In-Depth Study of Women in Los Angeles Methadone Clinics
In 2016, 2.1 million people in the United States were estimated to have an opioid use disorder. Although the disorder can be safely and effectively treated with prescription methadone, and treatment is potentially long term and may span women's peak childbearing ages. Little is known about women's reproductive health needs while on methadone. (Source: Womens Health Issues)
Source: Womens Health Issues - November 13, 2018 Category: Primary Care Authors: Marta Bornstein, Jessica D. Gipson, Roselle Bleck, Aparna Sridhar, Agatha Berger Tags: Original article Source Type: research

Obesity and Disparities in Human Papillomavirus Vaccination for U.S. Adolescent Girls and Young Women
The objective of this study was to determine if adolescent girls and young women with obesity are less likely to receive HPV vaccination compared with individuals with normal weight. (Source: Womens Health Issues)
Source: Womens Health Issues - November 13, 2018 Category: Primary Care Authors: John A. Harris, Alison A. Garrett, Aletha Y. Akers Tags: Original article Source Type: research

Factors Impacting Perceived Access to Early Prenatal Care among Pregnant Veterans Enrolled in the Department of Veterans Affairs
Despite the relatively recent Department of Veterans Affairs (VA) policy advances in providing care for veterans and their infants during the perinatal period, little information exists regarding access to prenatal care for women veterans. Currently, VA medical centers do not provide onsite pregnancy care for veterans, but pay for care from community obstetricians through the Veterans Choice Program (VCP) and related non-VA care programs. The VCP is subcontracted to two large contractors, Health Net and TriWest, to assist the VA in administering the VCP. (Source: Womens Health Issues)
Source: Womens Health Issues - November 13, 2018 Category: Primary Care Authors: Kristin M. Mattocks, Rebecca Baldor, Bevanne Bean-Mayberry, Michael Cucciare, Megan R. Gerber, Karen M. Goldstein, Kimberly D. Hammer, Elizabeth E. Hill, Aimee Kroll-Desrosiers, Allan V. Prochazka, Anne G. Sadler, Lori Bastian Tags: Original Article Source Type: research

Improving quality in cardiometabolic medicine real-world evidence
Real-world evidence — defined broadly as evidence obtained from observational studies that focus on the real-world performance of health-related technology, devices, medications, and interventions—plays an important role in clinical decision making. The proliferation of electronic medical records databases has resu lted in a marked increase in the publication of real-world studies. However, real-world studies have many limitations and the results must be interpreted carefully. The research community should develop methods to standardise reporting and assessment of real-world studies and to foster discussions o ...
Source: Primary Care Diabetes - November 13, 2018 Category: Primary Care Authors: Briana Coles, Freya Tyrer, Kamlesh Khunti Tags: Letter to the Editor Source Type: research

Alcohol Use Screening and Behavioral Counseling With Adolescents in Primary Care
The US Preventive Services Task Force (USPSTF) provides objective and rigorous reviews of the scientific evidence across areas, and their recommendations serve as a guide for health care systems and primary care clinicians in determining which screenings and interventions to provide to patients. Their latest recommendation statement and evidence report and systematic review published in this week ’s issue ofJAMAfind that the state of the evidence is insufficient regarding the benefits and harms of screening and behavioral counseling to adolescents regarding unhealthy alcohol use. Despite 5 intervening years, this rat...
Source: JAMA Pediatrics - November 13, 2018 Category: Pediatrics Source Type: research

Primary care physicians ’ attitudes to the adoption of electronic medical records: a systematic review and evidence synthesis using the clinical adoption framework
Recent decades have seen rapid growth in the implementation of Electronic Medical Records (EMRs) in healthcare settings in both developed regions as well as low and middle income countries. Yet despite substan... (Source: BMC Medical Informatics and Decision Making)
Source: BMC Medical Informatics and Decision Making - November 13, 2018 Category: Information Technology Authors: Amy O ’Donnell, Eileen Kaner, Caroline Shaw and Catherine Haighton Tags: Research article Source Type: research

Screening for Unhealthy Alcohol Use
In this issue ofJAMA, the US Preventive Services Task Force (USPSTF) presents a recommendation statement and an accompanying evidence review on screening and behavioral counseling interventions for unhealthy alcohol use. “Unhealthy alcohol use” refers to a spectrum from use of alcohol that increases the risk for health consequences (ie, risky or hazardous drinking) to the diagnosis of alcohol use disorder (AUD). In this update of its 2013 recommendation, the USPSTF “recommends screening for unhealthy alcohol u se in primary care settings in adults 18 years or older, including pregnant women, and providing...
Source: JAMA - November 13, 2018 Category: General Medicine Source Type: research

USPSTF Recommendation: Screening and Interventions for Unhealthy Alcohol Use
This 2018 Recommendation Statement from the US Preventive Services Task Force recommends screening for unhealthy alcohol use in primary care settings in adults, including pregnant women, and providing brief behavioral counseling to reduce unhealthy alcohol use (B recommendation) and concludes that evidence is insufficient to assess balance of benefits and harms of screening and counseling for alcohol use in primary care settings in adolescents (I statement). (Source: JAMA)
Source: JAMA - November 13, 2018 Category: General Medicine Source Type: research

The Association Between Continuity of Primary Care and Preventive Cancer Screening in Women With Intellectual Disability
American Journal on Intellectual and Developmental Disabilities,Volume 123, Issue 6, Page 499-513, November 2018. (Source: American Journal on Intellectual and Developmental Disabilities)
Source: American Journal on Intellectual and Developmental Disabilities - November 13, 2018 Category: Disability Authors: Natasha Plourde Hilary K. Brown Simone Vigod Virginie Cobigo Source Type: research

Screening and Counseling Interventions to Reduce Unhealthy Alcohol Use in Adults 18 Years and Older
This editorial offers thoughts about the 2018 update of the 2013 recommendation statement regarding screening and behavioral counseling for unhealthy alcohol use in adults and adolescents and the updated evidence report and systematic review issued by the US Preventive Services Task Force (USPSTF) and published in this week ’s issue ofJAMA. The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use (B ...
Source: JAMA Psychiatry - November 13, 2018 Category: Psychiatry Source Type: research

Continuation rates of alpha-blockers mono-therapy in adult men, prescribed by urologists or general practitioners: a pharmacy-based study
AbstractPurposeα-Blockers are commonly used for the treatment of male lower urinary tract symptoms (LUTS). The Dutch GP guideline on male LUTS contains an advice to discontinue treatment after 3–6 months of successful treatment. The guideline for urologists does not support this advice. It is unclear if these differences lead to other patterns of (dis)continuation of α-blockers. We aim to study continuation rates of α-blockers, prescribed by a urologist or a general practitioner (GP), and to predict discontinuation after 1 year.MethodsWe conducted a retrospective inception cohort study on ...
Source: World Journal of Urology - November 13, 2018 Category: Urology & Nephrology Source Type: research

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The Awhi Ora model is a social program, co-designed by the Tāmaki community and the Auckland District Health Board with primary care and nongovernment organizations (NGOs) partners. The program serves people who experience distress from underlying social and physical challenges and who find it difficult to perform daily tasks or reach their goals. The only eligibility requirement is experiencing some level of distress from these personal challenges. To focus on well-being, the program addresses what matters most to the person and tries to remove barriers to access, such as cost or language. Patients can self-introduce to ...
Source: The Commonwealth Fund: Publications - November 12, 2018 Category: International Medicine & Public Health Source Type: research

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This program’s principal goal is to promote self-management among people with all stages of medically diagnosed chronic obstructive pulmonary disease (COPD), which is verified by post-bronchodilator pulmonary function testing. Once the COPD diagnosis is verified, patients decide whether they want to be included in the program. Coaches, together with program pulmonologists, make the final decision on eligibility after patient assessment. Patients can register online or are referred to the program by their general practitioner (GP) or a pulmonologist. Patients are often connected to this program through the Swiss Lung ...
Source: The Commonwealth Fund: Publications - November 12, 2018 Category: International Medicine & Public Health Source Type: research

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Acute Care for Elders (ACE) program uses an interprofessional, team-based approach to provide elder-friendly emergency and acute care services integrated with ambulatory, home, community-based, and transitional care programs. Targeting high-need, high-cost patients, the program promotes direct, early attention to patient needs to reduce the risk of functional and cognitive decline and future acute care use. ACE’s highly developed inpatient program focuses on supporting frail older adults with an acute illness that requires hospitalization, specifically targeting those with three or more of the following: a recent dec...
Source: The Commonwealth Fund: Publications - November 12, 2018 Category: International Medicine & Public Health Source Type: research

Referral of patients with temporomandibular joint dysfunction from Primary Care
Conclusiones: Por su elevada prevalencia, el SDTM constituye un foco interesante de acción a la hora de optimizar los tratamientos y minimizar el gasto dentro de las entidades maxilofac iales. Este trabajo pone de manifiesto la situación actual y alerta sobre la necesidad de elaborar protocolos de derivación en consenso con Atención Primaria.ABSTRACT Introduction: Temporomandibular joint syndrome (TMJS) includes a wide range of signs and symptoms that vary from mild pain in masticatory muscles to inability to open and close the mouth, and even irreversible joint derangement. Management is contro...
Source: Revista Espanola de Cirugia Oral y Maxilofacial - November 12, 2018 Category: ENT & OMF Source Type: research

Ontario doctors angry over government's proposal for primary care.
PMID: 30420396 [PubMed - in process] (Source: cmaj)
Source: cmaj - November 12, 2018 Category: General Medicine Authors: Owens B Tags: CMAJ Source Type: research

Factors associated with participation and completion of a survey-based study
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 888-895, October 2018. Purpose The Healthy Work Place (HWP) study investigated methods to improve clinicians ’ dissatisfaction and burnout. The purpose of this paper is to identify factors that influenced study enrollment and completion and assess effects of initial clinic site enrollment rates on clinician outcomes, including satisfaction, burnout, stress and intent to leave practice. Design/methodolo gy/approach In total, 144 primary care clinicians (general internists, family physicians, nurse practitioners and physician assistants) at...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Diagnosis of somatoform disorders in primary care: diagnostic agreement, predictors, and comaprisons with depression and anxiety
To investigate (a) the diagnostic agreement between diagnoses of somatoform disorders, depressive and anxiety disorders obtained from a structured clinical interview and diagnoses reported from primary care ph... (Source: BMC Psychiatry)
Source: BMC Psychiatry - November 12, 2018 Category: Psychiatry Authors: Katharina Piontek, Meike C. Shedden-Mora, Maria Gladigau, Amina Kuby and Bernd L öwe Tags: Research article Source Type: research

Acute back pain and cauda equina
Acute low back pain is a very common presentation in primary care. In the vast majority of patients, it is benign and will run an indolent course. There are multiple causes, of which most are structural. Back pain can be isolated as well as present with sciatica, which is usually unilateral. Provided there are no signs or symptoms that might suggest a more sinister cause, further investigation is rarely helpful, and patients will improve with time and simple analgesia. Education is important to alter abnormal health beliefs, and a multidisciplinary and biopsychosocial approach is ideal. (Source: Medicine)
Source: Medicine - November 12, 2018 Category: Internal Medicine Authors: Oliver Seyfried Tags: Medicine and other specialties Source Type: research

Changes to country-specific hepatitis A travel vaccination recommendation for UK travellers in 2017 —responding to a vaccine shortage in the national context
A routine review of hepatitis A travel vaccination recommendations was brought forward in June 2017 due to hepatitis A vaccine shortages and a concurrent outbreak in men who have sex with men (MSM). There were three objectives: first, to document the review process for changing the recommendations for the UK travellers in June 2017. Second, to study the impact of these changes on prescribing in general practice in 2017 compared with the previous 5 years. Third, to study any changes in hepatitis A notifications in June –October 2017 compared with the previous 5 years. (Source: Public Health)
Source: Public Health - November 12, 2018 Category: International Medicine & Public Health Authors: J. Petersen, J. Freedman, L. Ford, M. Gawthrop, H. Simons, M. Edelstein, J. Plunkett, K. Balogun, S. Mandal, D. Patel Tags: Themed Paper – Original Research Source Type: research

A Clinical Prescription for Heart Health in Midlife Women
Heart disease remains the leading cause of death in women in Europe and the United States with the incidence increasing during midlife. [1] While one in thirty-one women will die from breast cancer, one in approximately two to three women will die from heart disease or stroke. [1,2], While most women are aware about traditional cardiovascular disease (CVD) risk factors, such as hypertension, dyslipidemia and diabetes, they are often unaware of sex specific risk factors that occur in midlife. [3] Clinical risk factors can vary depending on the individual personal family history and can change as a woman ages. (Source: Maturitas)
Source: Maturitas - November 12, 2018 Category: Primary Care Authors: Chrisandra Shufelt, Erika Dutra, Tina Torbati, Tina Ramineni Source Type: research

The health economics burden of sarcopenia: a systematic review
Sarcopenia, defined as a loss of muscle mass and function, is increasingly considered to be a major public health problem in the older population and in a range of clinical settings [1,2]. Indeed, the health consequences of sarcopenia include death, falls, new or prolonged hospitalizations, fractures, loss of mobility and physical function, a reduced quality of life [3 –6]. Interestingly, most of these outcomes have potential direct or indirect costs, both for the patient and the society. If a lot of studies assessing the clinical outcomes of sarcopenia have been published, far less studies assessing the costs of sar...
Source: Maturitas - November 12, 2018 Category: Primary Care Authors: Olivier Bruy ère, Charlotte Beaudart, Olivier Ethgen, Jean-Yves Reginster, Médéa Locquet Source Type: research

Immunomodulatory effects of probiotics: Can they be used to treat allergies and autoimmune diseases?
Regular ingestion of probiotic bacteria, has been used for tapping into the health benefits exerted by microbiota of the gastrointestinal tract (GIT) within a healthy subject. Use of probiotics in the form of fermented milk dates back to ancient times and in Middle Eastern traditions, with claims that Abraham ’s longevity was due to the consumption of fermented milk [1,2]. The physiological changes of the GIT and alterations in the gut microbiome associated with age, along with changes in life style and dietary behaviors, leads to changes to the immune system [3]. (Source: Maturitas)
Source: Maturitas - November 12, 2018 Category: Primary Care Authors: Narges Dargahi, Joshua Johnson, Osaana Donkor, Todor Vasiljevic, Vasso Apostolopoulos Source Type: research