The long-term impact of vaginal surgical mesh devices on pain clinic and psychological service referrals, anti-inflammatory testing and pelvic scans in UK primary care: A cohort study with the Clinical Practice Research Datalink
CONCLUSIONS: Our results suggest a higher burden of morbidity in women with SUI/POP mesh surgery, and that these women may require ongoing follow-up in the primary care setting.PMID:38646667 | DOI:10.1111/1471-0528.17828 (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - April 22, 2024 Category: OBGYN Authors: Emily McFadden Carl Heneghan Source Type: research

Primary Health Care Interventions for Potentially Preventable Ear, Nose, and Throat Conditions in Rural and Remote Areas: A Systematic Review
Conclusions: The study findings may inform future programs and policy development to address detection and management of ENT conditions in rural and remote primary care settings, and supports the need for further research on innovative models of care targeting potentially preventable hospitalizations through primary and secondary level prevention.PMID:38646793 | DOI:10.1177/01455613241245198 (Source: Ear, Nose and Throat Journal)
Source: Ear, Nose and Throat Journal - April 22, 2024 Category: ENT & OMF Authors: Susan O'Neill Stephen Begg Nerida Hyett Evelien Spelten Source Type: research

Sociodemographic factors linked to food allergy diagnosis among high-risk children with atopic dermatitis
CONCLUSION: Labeling at-risk young children with food allergy without thorough objective testing can impact their nutrition and quality of life. Barriers to equitable evaluation of food allergy diagnosis should be further investigated and addressed.PMID:38648973 | DOI:10.1016/j.anai.2024.04.016 (Source: Annals of Allergy, Asthma and Immunology)
Source: Annals of Allergy, Asthma and Immunology - April 22, 2024 Category: Allergy & Immunology Authors: Ellen Daily Stephen Sven Wang Manali Shah Anandu Dileep Shannon Manz Niki Mirhosseini Mahboobeh Mahdavinia Source Type: research

Understanding suboptimal insulin use in type 1 and 2 diabetes: a cross-sectional survey of healthcare providers who treat people with diabetes
The purpose of this study was to understand the healthcare provider (HCP) perspective on the extent of suboptimal insulin dosing in people with diabetes (PwD), as well as specific challenges and solutions to i... (Source: BMC Family Practice)
Source: BMC Family Practice - April 22, 2024 Category: Primary Care Authors: Rachel S. Newson, Erik Spaepen, Birong Liao, Julie Bower, Indranil Bhattacharya, Esther Artime and William Polonsky Tags: Research Source Type: research

The relationship between relational continuity and family physician follow-up after an antidepressant prescription in older adults: a retrospective cohort study
Side effects can occur within hours to days of starting antidepressant medications, whereas full therapeutic benefit for mood typically takes up to four weeks. This mismatch between time to harm and lag to ben... (Source: BMC Family Practice)
Source: BMC Family Practice - April 22, 2024 Category: Primary Care Authors: David Rudoler, Natasha Lane, Agnes Grudniewicz, Vicki Ling, David Snadden and Therese A Stukel Tags: Research Source Type: research

Trends in decision-making by primary care physicians regarding common infectious complaints
. (Source: Infectious Diseases)
Source: Infectious Diseases - April 22, 2024 Category: Infectious Diseases Authors: Anat Reiner-BenaimShimon Amara Department of Epidemiology, Biostatistics and Community Health Sciences, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be ’er-Sheva, Israelb Department of Family Medicine, Faculty Source Type: research

Pulse pressure is associated with decline in physical function in older adults
Frailty syndrome in older individuals is characterized by weight loss, weakness, slowness, low levels of physical activity, and exhaustion [1], and it is associated with disability [2] and mortality [3,4]. Handgrip strength and walking speed are frequently assessed to measure the physical function of older individuals, particularly those who have high blood pressure (BP) and are experiencing progressive vascular aging, which is a common chronic condition. [5]. Carotid-femoral or brachial-ankle pulse wave velocity is commonly used to evaluate arterial stiffness and vascular aging. (Source: Maturitas)
Source: Maturitas - April 22, 2024 Category: Primary Care Authors: Shao-Yuan Chuang, Wen-Ling Liu, Hao-Min Cheng, Ren-Hua Chung, Chia-Hung Lai, Shu-Chun Chuang, I-Chien Wu, Hsing-Yi Chang, Chao Agnes Hsiung, Wei J. Chen, Chih-Cheng Hsu Tags: Original article Source Type: research

Factors associated with development of retinopathy in patients with type 2 diabetes mellitus at onset and within three years after diagnosis
. (Source: Scandinavian Journal of Primary Health Care)
Source: Scandinavian Journal of Primary Health Care - April 22, 2024 Category: Primary Care Authors: Kajsa AnderssonAnders HallingBj örn Agvalla Capio Husläkarna Vallda, Kungsbacka, Region Halland, Halmstad, Swedenb Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Swedenc Department of Research a Source Type: research

Making it “EASI” for pediatricians to determine when toddler tantrums are “more than the terrible twos”: Proof-of-concept for primary care screening with the Multidimensional Assessment Profiles–Early Assessment Screener for Irritability (MAPS-EASI).
Conclusions: MAPS-EASI proved to be feasible and acceptable in pediatric primary care. Further tailoring will be needed as the MAPS-EASI processes are scaled out to new contexts and populations. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research

Possible unintended consequences of pediatric clinician strategies for communicating about social-emotional and developmental concerns in diverse young children.
Discussion: Prioritizing the clinician–caregiver relationship is consistent with best practice and family-centered care. Yet, the dearth of standardized decision support may undermine clinician confidence and impede timely conversations about social-emotional concerns. An evidence-based approach with developmentally based culturally informed quantitative tools and standardized decision supports could help ensure equitable management and decision making about young children’s social and emotional well-being and development. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research

A vision for implementing equitable early mental health and resilience support in pediatric primary care: A transdiagnostic, developmental approach.
This article lays the conceptual foundations for the articles in this Special Section on Mental Health, Earlier in Pediatric Primary Care, which all apply a translational mindset to proposed strategies and solutions to overcome the barriers that have limited the potential of pediatric primary care for improving the MH and wellbeing of all children. Results: Valid, pragmatic, transdiagnostic, developmentally-based screening measures to identify children at heightened risk are needed. Risk screening for MH problems should assess and empirically weight socioecological risk and protective factors, as well as the child’s own ...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research

Addressing mental health, earlier in pediatric primary care: Introduction to the special section.
Families, Systems, & Health, Vol 42(1), Mar 2024, 1-5; doi:10.1037/fsh0000887Leading national health organizations have declared pediatric mental health an urgent public health issue. Pediatric primary care is an ideal setting to improve mental health in young children; however, various existing barriers limit the effective identification of social–emotional risk among toddlers. This special section of Families, Systems, & Health includes four articles that identify multilevel barriers and facilitators to population-level early childhood mental health screening, identification, and referral and describe implementation st...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research

A Scoping Review of Dementia Interventions in Home-Based Primary Care
Home-based primary care (HBPC) provides interdisciplinary, longitudinal, comprehensive care at home to homebound older adults. The prevalence of dementia among HBPC recipients is approximately 50%. To date, little research has been performed to determine whether dementia-specific interventions have been conducted in HBPC or their efficacy. We performed a scoping review to assess the landscape of dementia interventions in HBPC. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 22, 2024 Category: Health Management Authors: Jeffrey D. Weiner, Bruce Leff, Christine S. Ritchie Tags: Review Article Source Type: research

The association between depressive symptoms and executive function in type 1 diabetes population: A scoping review
The purpose of this study was to explore the existing literature on the relationship between depressive symptoms and executive function in patients with type 1 diabetes (T1DM) across the lifespan. (Source: Primary Care Diabetes)
Source: Primary Care Diabetes - April 22, 2024 Category: Primary Care Authors: Chawisa Dandamrongrak, Kaitlyn Rechenberg, Jumpee Granger, Ayesha Johnson, Kailei Yan, Jennifer Kue Source Type: research

Programme theories to describe how different general practitioner service models work in different contexts in or alongside emergency departments (GP-ED): realist evaluation
Conclusion GP-ED services are complex . Our programme theories inform recommendations on how services could be modified in particular contexts to address local demand, or whether alternative healthcare services should be considered. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - April 22, 2024 Category: Emergency Medicine Authors: Cooper, A., Edwards, M., Davies, F., Price, D., Anderson, P., Carson-Stevens, A., Cooke, M., Dale, J., Donaldson, L., Evans, B. A., Harrington, B., Hepburn, J., Hibbert, P., Hughes, T. C., Porter, A., Siriwardena, A. N., Watkins, A., Snooks, H., Edwards, Tags: Open access Original research Source Type: research