Home blood pressure measurement self-reporting in real-life practices using the Hy-Result app: self-monitoring and digital pathway
CONCLUSIONS: Our real-life study shows that 90% of the HBPM reports include the required minimum number of BP readings to allow the calculation of a reliable average among whom 40% have uncontrolled BP levels. The self-management Hy-Result web app demonstrates significant potential for inclusion in the patient care process and reinforces the patient's engagement to independently monitor and self-reported their BP. When the mean BP is not within the recommended range, the users were automatically prompted by text messages to seek medical advice by the software. Further research should determine the extent to which users adh...
Source: Primary Care - May 1, 2024 Category: Primary Care Authors: Nicolas Postel-Vinay Nicole Gebara Roland Asmar Dominique Stephan Aurelien Lorthioir Laurence Amar Source Type: research

Development of palliative care clinical practice guidelines and referral care pathways for primary care practitioners in Pakistan
Despite a large burden of life-limitingillness, there exists a dearth of services of palliative care in Pakistan. International guidelines have questionable applicability in Pakistan due to the socioeconomic d... (Source: BMC Palliative Care)
Source: BMC Palliative Care - May 1, 2024 Category: Palliative Care Authors: Syeda Amrah Hashmi, Russell Seth Martins, Annum Ishtiaq, Nashia Ali Rizvi, Mohsin Ali Mustafa, Alina Pervez, Ayra Siddiqui, Syeda Fatima Shariq, Sarah Nadeem, Adil H. Haider and Muhammad Atif Waqar Tags: Research Source Type: research

Mixed-methods evaluation of an enhanced asthma biologics clinical pathway in the West Midlands UK
npj Primary Care Respiratory Medicine, Published online: 01 May 2024; doi:10.1038/s41533-024-00365-yMixed-methods evaluation of an enhanced asthma biologics clinical pathway in the West Midlands UK (Source: npj Primary Care Respiratory Medicine)
Source: npj Primary Care Respiratory Medicine - May 1, 2024 Category: Primary Care Authors: Sarah Damery Janet Jones Elfatih Idris Angela Cooper Holly Minshall Chris Clowes Kate Jolly Source Type: research

Attitudes towards seeking psychological help among community dwelling older adults enrolled in primary care in Chile
Depression and anxiety are common mental disorders among older adults, but they are frequently underdiagnosed. Attitudes towards seeking professional mental health care is one of the barriers to access to trea... (Source: BMC Geriatrics)
Source: BMC Geriatrics - May 1, 2024 Category: Geriatrics Authors: Ximena Moreno and Francisco Moreno Tags: Research Source Type: research

Implementation of a primary-tertiary shared care model to improve the detection of familial hypercholesterolaemia (FH): a mixed methods pre-post implementation study protocol
This study aims to implement a primary-tertiary shared care model to improve detection rates for FH. The primary objective is to evaluate the implementation of a shared care model and support package for genetic testing of FH. This protocol describes the design and methods used to evaluate the implementation of the shared care model and support package to improve the detection of FH. Methods and analysis This mixed methods pre-post implementation study design will be used to evaluate increased detection rates for FH in the tertiary and primary care setting. The primary-tertiary shared care model will be implemented at NSW...
Source: BMJ Open - May 1, 2024 Category: General Medicine Authors: Birkenhead, K., Sullivan, D., Trumble, C., Spinks, C., Srinivasan, S., Partington, A., Elias, L., Hespe, C. M., Fleming, G., Li, S., Calder, M., Robertson, E., Trent, R., Sarkies, M. N. Tags: Open access, Genetics and genomics Source Type: research

Predictive values of relative fat mass and body mass index on cardiovascular health in community-dwelling older adults: Results from the Longevity Check-up (Lookup) 7+
Cardiovascular disease (CVD) is the leading cause of death and non-communicable diseases worldwide [1,2]. Cardiovascular risk factors (CRFs) such as excess body weight, high blood pressure (BP), diabetes, high low-density lipoprotein cholesterol, and active smoking are responsible for more than half of new CVD diagnoses and one fifth of 10-year mortality [3]. Assessing and managing cardiovascular risk is particularly relevant in older adults, as advancing age itself is a predisposing factor for CVD [4]. (Source: Maturitas)
Source: Maturitas - May 1, 2024 Category: Primary Care Authors: Stefano Cacciatore, Riccardo Calvani, Emanuele Marzetti, Helio Jos é Coelho-Júnior, Anna Picca, Alberto Emanuele Fratta, Ilaria Esposito, Matteo Tosato, Francesco Landi Tags: Original article Source Type: research

QI Project introducing A Reflective-Education Model Optimizing Palliative Care Delivery: A Multidisciplinary and Primary Care Integration Model
Background: A QI project in the palliative framework at USTH involving 3 domains of palliative care service provisions has reformulated the available services in the institution. Aligning with the globalization of UHC 11223, it aimed to set deliverables as efficient and effective as it can possibly be through process-remodeling, in a projected period of timeline and timeframe. Detailed improvement upscaling approach , catered to existing protocols that were identified to be needing efficiency and effectiveness, inclusive of the following: (Source: Parkinsonism and Related Disorders)
Source: Parkinsonism and Related Disorders - May 1, 2024 Category: Neurology Authors: M. Bacorro, M. Bautista, M. Mejia, W. Bacorro, M. Valencia, M. Maranion, J. Diaz, A. Fernando, M. Pasicolan Source Type: research

Neurology
PRIMARY CARE: CLINICS IN OFFICE PRACTICE (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 30, 2024 Category: Primary Care Authors: Kara J. Wyant, Melissa A. Elafros Source Type: research

Copyright
ELSEVIER (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 30, 2024 Category: Primary Care Source Type: research

Contributors
JOEL J. HEIDELBAUGH, MD, FAAFP, FACG (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 30, 2024 Category: Primary Care Source Type: research

Contents
Joel J. Heidelbaugh (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 30, 2024 Category: Primary Care Source Type: research

Forthcoming Issues
Endocrinology (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - April 30, 2024 Category: Primary Care Source Type: research

A Delayed Diagnosis of Bilateral Pediatric Trigger Thumbs: A Case Report and Literature Review
We describe the case of a 6-year-old female who presented with tender nodules and fixed flexion of her thumbs, diagnosed as bilateral pediatric trigger thumb. Though present since infancy, her condition was not diagnosed in prior clinical visits. Pediatric trigger digit is a clinical diagnosis, often missed if the digit's range of motion is not assessed routinely. Given the duration, pain, and severity of her condition, conservative management was deferred, and she was referred for surgery. An approach to clinical management is discussed. (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - April 30, 2024 Category: Pediatrics Authors: Aneeb Mohideen, Lindsay Taylor Ber, Hafsa Hussain, Zachary M. Gohsman Tags: Primary Care Case Report Source Type: research

The Diagnosis, Treatment, and Prevention of Recurrent Urinary Tract Infection
CONCLUSION: rUTI poses a challenge for the treating physician. The measures to be taken must be considered on an individual basis. Vulnerable groups, such as older patients, need special attention.PMID:38686602 | DOI:10.3238/arztebl.m2024.0068 (Source: Deutsches Arzteblatt International)
Source: Deutsches Arzteblatt International - April 30, 2024 Category: General Medicine Authors: Guido Schmiemann Jennifer Kranz Falitsa Mandraka S ören Schubert Florian Wagenlehner Ildik ó Gágyor Source Type: research

Management of Deep Vein Thrombosis: An Update Based on the Revised AWMF S2k Guideline
Hamostaseologie. 2024 Apr;44(2):97-110. doi: 10.1055/a-2178-6574. Epub 2024 Apr 30.ABSTRACTDeep vein thrombosis (DVT) and pulmonary embolism (PE) are the most common manifestations of venous thromboembolism (VTE). Most DVTs affect the lower-extremity veins. Since the symptoms of DVT are non-specific, a prompt and standardised diagnostic work-up is essential to minimise the risk of PE in the acute phase and to prevent thrombosis progression, post-thrombotic syndrome and VTE recurrence in the long-term. Only recently, the AWMF S2k guidelines on Diagnostics and Therapy of Venous Thrombosis and Pulmonary Embolism have been rev...
Source: Hamostaseologie - April 30, 2024 Category: Hematology Authors: Birgit Linnemann Jan Beyer-Westendorf Christine Espinola-Klein Katja S M ühlberg Oliver J M üller Robert Klamroth Source Type: research