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Total 10324 results found since Jan 2013.

Diagnostic windows in non-neoplastic diseases: a systematic review
CONCLUSION: Evidence of changing healthcare use before diagnosis exists for many non-neoplastic conditions, establishing that early diagnosis is possible, in principle. In particular, some conditions may be detectable many years earlier than they are currently diagnosed. Further research is required to accurately estimate diagnostic windows and to determine how much earlier diagnosis may be possible, and how this might be achieved.PMID:37308303 | PMC:PMC10285689 | DOI:10.3399/BJGP.2023.0044
Source: The British Journal of General Practice - June 12, 2023 Category: Primary Care Authors: Emma Whitfield Becky White Spiros Denaxas Georgios Lyratzopoulos Source Type: research

Effectiveness of empathy in general practice: a systematic review.
CONCLUSION: Although only a small number of studies could be used in this search, the general outcome seems to be that empathy in the patient-physician communication in general practice is of unquestionable importance. PMID: 23336477 [PubMed - in process]
Source: The British Journal of General Practice - January 1, 2013 Category: Primary Care Authors: Derksen F, Bensing J, Lagro-Janssen A Tags: Br J Gen Pract Source Type: research

Why FOAM? Facts, Fallacies and Foibles
Still not convinced that you should be involved in FOAM? In this talk I explore the facts, fallacies and foibles of ‘Free Open Access Med(ical edu)cation’ and hope to convince you that FOAM cannot be ignored and that you have a moral imperative to get involved. I recorded the video for the first Slovenian emergency medicine trainees’ conference (@SolaUrgence on Twitter), being held at  the University Clinical Centre in Maribor, 6th and 7th December 2013. http://www.youtube.com/watch?v=eWBnq-Mgvvs Here are the slides: Here is the audio only version: References and Links Journal articles Berger E. W...
Source: Life in the Fast Lane - December 4, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Education Emergency Medicine Featured FOAM FOAMed Health Intensive Care Social Media Video audio critical care Free Open Access Meducation lecture notes medical education Twitter Source Type: blogs

EBM, CME and the EMR
Physician organisationsi recognise that searching quality knowledge resources at the point of care is important for continuing medical education (CME).1 However, those physicians inclined to occasionally search for an answer to a clinical question do not have systems such as a CME module to integrate the key tasks of searching for clinical information in their electronic medical record (EMR) and reporting CME outcomes for credit. In regard to the task of searching for information, we acknowledge that some clinical questions remain difficult to answer, while other search tasks have become simpler (table 1). Among barriers t...
Source: Evidence-Based Medicine - January 22, 2014 Category: Internal Medicine Authors: Grad, R. M., Pluye, P., Shulha, M., Tang, D. L., Tu, K., Goodman, K., Meuser, J. Tags: Health informatics, Medical careers, Medical education, General practice / family medicine, Diabetes, Medical humanities Perspective Source Type: research

Accuracy of one or two simple questions to identify alcohol-use disorder in primary care: a meta-analysis.
CONCLUSION: Two brief questions can be used as an initial screen for alcohol problems but only when combined with a second-step screen. A brief alcohol intervention should be considered in those individuals who answer positively on both steps. PMID: 24982493 [PubMed - in process]
Source: The British Journal of General Practice - July 1, 2014 Category: Primary Care Authors: Mitchell AJ, Bird V, Rizzo M, Hussain S, Meader N Tags: Br J Gen Pract Source Type: research

Application of geographical information system (GIS) technology in the control of Buruli ulcer in Ghana
Conclusions: There is clustering of BU in areas where the river was most contaminated. The identified hot spots for BU should be targeted for interventions by policy makers to ensure effective control of BU in Ghana.
Source: BMC Public Health - Latest articles - July 16, 2014 Category: Consumer Health News Authors: Ernest KenuVincent GanuBenedict Calys-TagoeGerald YiranMargaret LarteyRichard Adanu Source Type: research

Should traumatic wounds be closed within eight hours?.
Abstract BACKGROUND It has been common practice in general medicine to refrain from primary closure of traumatic wounds that are more than six to eight hours old. It was thought that the primary closure of wounds later than this substantially increases the risk of infection. This time limit has its origin in old animal studies, and it is only in more recent decades that clinical studies have been conducted on unselected patients in general practice. The purpose of this article was to examine the scientific basis for this time limit.METHOD A search was made in PubMed for clinical studies conducted on unselected pat...
Source: Tidsskrift for den Norske Laegeforening - September 1, 2014 Category: Journals (General) Authors: Steen K Tags: Tidsskr Nor Laegeforen Source Type: research

Heart Rate Variability and Swimming
Conclusions The feasibility and possibilities of HRV within this particular field of application are well documented within the existing literature. Future studies, focusing on translational approaches that transfer current evidence in general practice (i.e. training of athletes) are needed.
Source: Sports Medicine - October 1, 2014 Category: Sports Medicine Source Type: research

Addressing the evidence to practice gap for complex interventions in primary care: a systematic review of reviews protocol
Introduction Getting the results of research implemented into routine healthcare is often a challenge. The disconnect between the development and implementation of evidence into practice is called the ‘second translational gap’ and is particularly apparent in primary care. To address this gap, we plan to identify, summarise and synthesise currently available evidence by undertaking a systematic review of reviews to: (1) explore barriers and facilitators of implementation of research evidence or complex interventions, and (2) assess the effectiveness of strategies in facilitating implementation of complex interv...
Source: BMJ Open - June 23, 2014 Category: Journals (General) Authors: Lau, R., Stevenson, F., Ong, B. N., Dziedzic, K., Eldridge, S., Everitt, H., Kennedy, A., Kontopantelis, E., Little, P., Qureshi, N., Rogers, A., Treweek, S., Peacock, R., Murray, E. Tags: Open access, Evidence based practice, General practice / Family practice, Health services research Protocol Source Type: research

A scoping review to understand the effectiveness of linking schemes from healthcare providers to community resources to improve the health and well‐being of people with long‐term conditions
Abstract The prevalence of people living with long‐term conditions is increasing, accompanied by an increased expectation that patients will become more involved in self‐management. Long‐term conditions are associated with increased social isolation and poor physical and mental health. But there remains a gap in health provision between providing medical treatment and effectively addressing psychosocial well‐being. One potential way of addressing this gap is by utilising social interventions which link patients from health services to community‐based sources of support. However, the mechanisms involved in the del...
Source: Health and Social Care in the Community - December 15, 2014 Category: Health Management Authors: Rahena Mossabir, Rebecca Morris, Anne Kennedy, Christian Blickem, Anne Rogers Tags: Review Source Type: research

Early diagnostic suggestions improve accuracy of GPs: a randomised controlled trial using computer-simulated patients.
CONCLUSION: Reminding GPs of diagnoses to consider before they start testing hypotheses can improve diagnostic accuracy irrespective of case difficulty, without lengthening information search. PMID: 25548316 [PubMed - in process]
Source: The British Journal of General Practice - January 1, 2015 Category: Primary Care Authors: Kostopoulou O, Rosen A, Round T, Wright E, Douiri A, Delaney B Tags: Br J Gen Pract Source Type: research

Systematic review of rehabilitation programmes initiated within 90 days of a transient ischaemic attack or 'minor' stroke: a protocol
Discussion This review will be of value to clinicians and healthcare professionals working in TIA and stroke services as well as to general practitioners/family physicians who care for these patients in the community and to researchers involved in designing and evaluating rehabilitation interventions. Trial registration number CRD42015016450.
Source: BMJ Open - June 18, 2015 Category: Journals (General) Authors: Heron, N., Kee, F., Donnelly, M., Cupples, M. E. Tags: Open access, Cardiovascular medicine, General practice / Family practice, Neurology, Rehabilitation medicine, Sports and exercise medicine Protocol Source Type: research