Support for primary care prescribing for adult ADHD in England: national survey
CONCLUSION: Elements supporting appropriate shared care prescribing of ADHD medication via primary care are not universally available in England. Co-ordinated approaches are needed to address these gaps.PMID:38621804 | DOI:10.3399/BJGP.2023.0595 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Anna Price Kieran Becker John Ward Obioha Ukoumunne Rebecca Gudka Anita Salimi Faraz Mughal G J Melendez-Torres Jane Smith Tamsin Newlove-Delgado Source Type: research

Weight Management with Orlistat in Type 2 Diabetes - An Electronic Healthcare Records Study
CONCLUSIONS: Orlistat was significantly associated with weight loss in T2DM/prediabetes when taken for at least 12 weeks. However, orlistat is infrequently prescribed and often taken for <12 weeks. Orlistat may be a useful adjunct to lifestyle modifications in T2DM/prediabetes however barriers to continuing orlistat means it may not be effective for everyone in managing weight loss.PMID:38621802 | DOI:10.3399/BJGP.2023.0684 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Shraboni Ghosal Neil Heron Kayleigh Mason James Bailey Kelvin Jordan Source Type: research

Continuity and breaches in GP care and their associations with mortality for patients with chronic disease: an observational study using Norwegian registry data
CONCLUSION: Higher disease-related and overall RGP UPC are both associated with lower mortality. However, changing RGP did not significantly affect mortality, indicating a compensatory benefit of informational and management continuity in a patient list system.PMID:38621803 | DOI:10.3399/BJGP.2023.0211 (Source: The British Journal of General Practice)
Source: The British Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Sahar Pahlavanyali Øystein Hetlevik Valborg Baste Jesper Blinkenberg Steinar Hunskaar Source Type: research

Perceptions of general practitioners towards managing dental presentations in Australia: a qualitative study
Conclusions This study identified factors that influenced GPs' management of patients with dental conditions. To address these issues, it is imperative to develop interventions addressing patients' knowledge around oral health, as well as providing improved access to dental care for these patients.PMID:38621020 | DOI:10.1071/PY23217 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Ruby Biezen Angel Leong Leanne Teoh Source Type: research

Psychotic Symptoms Following Ayahuasca Use in a Ceremonial Setting
Prim Care Companion CNS Disord. 2024 Apr 11;26(2):23cr03675. doi: 10.4088/PCC.23cr03675.NO ABSTRACTPMID:38621221 | DOI:10.4088/PCC.23cr03675 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Alfonso Mart ínez Torres Eduardo Prades Mar ín Patricia S ánchez Díez Jorge G ómez-Arnau Ramírez Source Type: research

Sudden Reduction in Caffeine Intake Increases Serum Lithium Concentration to Supratherapeutic Level: A Case Report
Prim Care Companion CNS Disord. 2024 Apr 11;26(2):23cr03642. doi: 10.4088/PCC.23cr03642.NO ABSTRACTPMID:38621222 | DOI:10.4088/PCC.23cr03642 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Jeffrey J Song Jorgen C Eyabi Poonam D Awatramani Brian G Mitchell Sudhanshu Y Nene Source Type: research

Kleine-Levin Syndrome in a Closed Psychiatric Ward: A Case of Misdiagnosis
Prim Care Companion CNS Disord. 2024 Apr 9;26(2):23cr03633. doi: 10.4088/PCC.23cr03633.NO ABSTRACTPMID:38621225 | DOI:10.4088/PCC.23cr03633 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Mohannad Owiwi Daniel Argo Source Type: research

A movement for movement: an exploratory study of primary healthcare professionals' perspectives on implementing the Royal College of General Practitioners' active practice charter initiative
CONCLUSION: This is the first evaluation of any nationwide UK-based initiative engaging GP practices in promoting PA. Acknowledging the limitations in response rate, although support exists for the RCGP APC, the evaluation highlights challenges to its implementation. Nonetheless, the wide reach of the RCGP, combined with the cited staff and patient benefits, demonstrates the significant potential of the APC initiative. Given the need to address physical inactivity nationally, further development the APC offers a possible solution, with further research required to overcome the challenges to implementation.PMID:38622556 | D...
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Callum J Leese Robert H Mann Hussain Al-Zubaidi Emma J Cockcroft Source Type: research

Co-designing a Health Journey Mapping resource for culturally safe health care with and for First Nations people
Conclusion The new HJM tools and resources effectively map diverse journeys and assist recognition and application of strengths-based, holistic and culturally safe approaches to health care.PMID:38621019 | DOI:10.1071/PY23172 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Alyssa Cormick Amy Graham Tahlee Stevenson Kelli Owen Kim O'Donnell Janet Kelly Source Type: research

Impact of Ramadan fasting on lipid profile, uric acid, and HbA1c in CKD: A systematic review and meta-analysis
This study aims to conduct a comprehensive evaluation of studies related to the effect of fasting in the holy month of Ramadan on lipid profile, uric acid, and HbA1c in CKD patients. Studies were systematically searched and collected from three databases (PubMed, Scopus, and Web of Science). After screening, the quality and risk of bias assessment of the selected articles were evaluated. Study heterogeneity was assessed using the Cochrane test and I² statistic. In case of any heterogeneity random effects model with the inverse-variance method was applied. All analyses were performed using STATA software version 16. Four o...
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Ali Ashkbari Hossein-Ali Nikbakht Saeid Amirkhanlou Ghazaleh Elahi Marjan Salahi Sareh Ebrahimi Saeed Golfiroozi Seyed Ahmad Hosseini Mousa Ghelichi-Ghojogh Source Type: research

A multimodal approach using fundus images and text meta-data in a machine learning classifier with embeddings to predict years with self-reported diabetes - An exploratory analysis
CONCLUSIONS: The machine learning model had acceptable accuracy and F1 score, and correctly classified more than half of the patients according to diabetes duration. Using large foundational models to extract image and text embeddings seems a feasible and efficient approach to predict years living with self-reported diabetes.PMID:38616442 | DOI:10.1016/j.pcd.2024.04.002 (Source: Primary Care)
Source: Primary Care - April 15, 2024 Category: Primary Care Authors: Rodrigo M Carrillo-Larco Gusseppe Bravo-Rocca Manuel Castillo-Cara Xiaolin Xu Antonio Bernabe-Ortiz Source Type: research

Effectiveness of tailored talks between a cancer screening specialist and general practitioners to improve the uptake of colorectal cancer screening in Ancona (Italy) during the pandemic period
CONCLUSION: Persons cared for by GPs who received a tailored talk with a cancer screening specialist avoided a drop in CRC screening adherence, which characterised all other Italian screening programmes during the COVID-19 emergency. If future randomised trials confirm the impact of tailored talks, they may be incorporated into existing strategies to improve population CRC screening uptake.PMID:38618885 | DOI:10.1080/13814788.2024.2340672 (Source: European Journal of General Practice)
Source: European Journal of General Practice - April 15, 2024 Category: Primary Care Authors: Cecilia Acuti Martellucci Giusi Giacomini Maria Elena Flacco Lamberto Manzoli Margherita Morettini Mos è Martellucci Sara Rosati Silvia Bizzarri Matthew Palmer Lidia Pascucci Marco Uncini Francesca Pasqualini Source Type: research

Efficacy of an aloe vera, chamomile, and thyme cosmetic cream for the prophylaxis and treatment of mild dermatitis induced by radiation therapy in breast cancer patients (the Alantel study)
CONCLUSIONS: The higher efficacy of Alantel® compared to the control cream in reducing the incidence of RD in women with breast cancer has been demonstrated.PMID:38616815 | PMC:PMC11010796 | DOI:10.1016/j.conctc.2024.101288 (Source: Clinical Genitourinary Cancer)
Source: Clinical Genitourinary Cancer - April 15, 2024 Category: Cancer & Oncology Authors: E Villegas-Becerril C Jimenez-Garcia L A Perula-de Torres M Espinosa-Calvo C M Bueno-Serrano F Romero-Ruperto F Gines-Santiago M C Moreno-Manzanaro J J Mu ñoz-Gavilan G Montes-Redondo M A Quesada-Roman M C Linares-Ramirez J M Parras-Rejano N Mu ñoz-Alca Source Type: research

Efficacy of an aloe vera, chamomile, and thyme cosmetic cream for the prophylaxis and treatment of mild dermatitis induced by radiation therapy in breast cancer patients (the Alantel study)
CONCLUSIONS: The higher efficacy of Alantel® compared to the control cream in reducing the incidence of RD in women with breast cancer has been demonstrated.PMID:38616815 | PMC:PMC11010796 | DOI:10.1016/j.conctc.2024.101288 (Source: Clinical Breast Cancer)
Source: Clinical Breast Cancer - April 15, 2024 Category: Cancer & Oncology Authors: E Villegas-Becerril C Jimenez-Garcia L A Perula-de Torres M Espinosa-Calvo C M Bueno-Serrano F Romero-Ruperto F Gines-Santiago M C Moreno-Manzanaro J J Mu ñoz-Gavilan G Montes-Redondo M A Quesada-Roman M C Linares-Ramirez J M Parras-Rejano N Mu ñoz-Alca Source Type: research

Safety and adverse events during primary care paramedic interfacility transfer of stable STEMI patients
CONCLUSIONS: We found PCP-interfacility transport of initially stable STEMI patients was safe and associated with a moderate proportion of adverse events, the majority of which did not require an advanced care intervention. These findings may help decision-making to avoid delays transferring stable patients to PCI-capable centers.PMID:38619868 | DOI:10.1080/10903127.2024.2342569 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 15, 2024 Category: Endocrinology Authors: Michael Feldman Fahad Bahaidarah Mahbod Rahimi Sara Howaidi Linda Turner P Richard Verbeek Warren Cantor Sheldon Cheskes Ian Drennan Kristen Gilmartin Source Type: research