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Management: Family Practices

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Total 250 results found since Jan 2013.

Clinical and Demographic Characteristics Associated With Suboptimal Primary Stroke and Transient Ischemic Attack Prevention Clinical Sciences
Conclusions—Knowing the patient characteristics predictive of missed opportunities for stroke prevention may help primary care identify and appropriately manage these patients. Improving the management of these groups may reduce their risk and potentially prevent large number of future strokes and TIAs in the population.
Source: Stroke - February 26, 2018 Category: Neurology Authors: Grace M. Turner, Melanie Calvert, Max G. Feltham, Ronan Ryan, Samuel Finnikin, Tom Marshall Tags: Epidemiology, Primary Prevention, Hypertension, Ischemic Stroke, Transient Ischemic Attack (TIA) Original Contributions Source Type: research

Review article: Managing medical emergencies in rural Australia: A systematic review of the training needs.
Abstract The aim of the study was to determine the training needs of doctors managing emergencies in rural and remote Australia. A systematic review of Australian articles was performed using MEDLINE (OVID) and INFORMIT online databases from 1990 to 2016. The search terms included 'Rural Health', 'Emergency Medicine', 'Emergency Medical Services', 'Education, Medical, Continuing' and 'Family Practice'. Only peer-reviewed articles, available in full-text that focussed on the training needs of rural doctors were reviewed. Data was extracted using pre-defined fields such as date of data collection, number of particip...
Source: Rural Remote Health - February 22, 2018 Category: Rural Health Authors: Pandit T, Ray R, Sabesan S Tags: Emerg Med Australas Source Type: research

A conceptual model of treatment burden and patient capacity in stroke
Treatment burden is the workload of healthcare experienced by those with long-term conditions and the impact that this has on well-being. Treatment burden can negatively impact on quality of life and adherence...
Source: BMC Family Practice - January 9, 2018 Category: Primary Care Authors: Katie I. Gallacher, Carl R. May, Peter Langhorne and Frances S. Mair Tags: Research article Source Type: research

Like an extended family: Relationships that emerge when older caregivers use written messages to communicate in an ICT-based healthcare service.
Authors: Solli H, Bjørk IT, Hvalvik S, Hellesø R Abstract OBJECTIVE: To explore the relationships that emerge amongst caregivers of persons with dementia and stroke when caregivers use written messages as their communication tool in a closed information and communication technology (ICT)-based support group. METHODS: An explorative design with a qualitative approach was used that applied systematic text condensation (STC) to analyse 173 written messages extracted from a web forum. RESULTS: Empathetic, empowering and familiar relationships emerged amongst peers of older caregivers when the caregivers used ...
Source: Informatics for Health and Social Care - October 18, 2017 Category: Information Technology Tags: Inform Health Soc Care Source Type: research

Cervical artery dissection related to chiropractic manipulation: One institution's experience.
CONCLUSION: In this case series, 12 patients with newly diagnosed cervical artery dissection(s) had recent chiropractic neck manipulation. Patients who are considering chiropractic cervical manipulation should be informed of the potential risk and be advised to seek immediate medical attention should they develop symptoms. PMID: 28863201 [PubMed - in process]
Source: The Journal of Family Practice - September 1, 2017 Category: Practice Management Authors: Kennell KA, Daghfal MM, Patel SG, DeSanto JR, Waterman GS, Bertino RE Tags: J Fam Pract Source Type: research

Active 46-year-old man with right-sided visual loss and no family history of stroke · Dx?
Abstract A 46-year-old man presented to the emergency department with sudden-onset right-sided visual loss. He had a history of asthma, but no family history of hypercoagulability, deep vein thrombosis, or stroke. The patient had an active lifestyle that included scuba diving, mountain biking, and hockey (coaching and playing). The physical examination revealed a right homonymous upper quadrantanopia. The neurologic examination was within normal limits, except for the visual deficit and unequal pupil size. A computerized tomography scan of the patient's head did not reveal any lesions. PMID: 28783770 [PubMed - in process]
Source: The Journal of Family Practice - August 1, 2017 Category: Practice Management Authors: Ajayi T, Yang HS, Bhatia A Tags: J Fam Pract Source Type: research

PURLs: Which combined OC to prescribe with CV safety in mind?
Abstract With various formulations available, which combined OC should you recommend to minimize not only the risk of PE, but also the risk of stroke and MI? PMID: 28700760 [PubMed - in process]
Source: The Journal of Family Practice - July 1, 2017 Category: Practice Management Authors: Lam Y, Coe C, Mounsey A Tags: J Fam Pract Source Type: research

Stroke: Secondary prevention of ischemic events.
Abstract A multifactorial approach is key to effective secondary stroke prevention. Here's how to individualize your plan for your at-risk patients. PMID: 28700757 [PubMed - in process]
Source: The Journal of Family Practice - July 1, 2017 Category: Practice Management Authors: Morris JG, Carter EL, Martin SA Tags: J Fam Pract Source Type: research

Luteolin: How To Reduce Breast Cancer Risk
More than 100 women die of breast cancer in the U.S. every day. It's the second leading cause of cancer deaths in American women. But in my opinion, many of those women really die of a tragic medical error. Let me explain… Millions of women in the U.S. have taken Big Pharma's hormone replacement therapy (HRT). Their doctors prescribe it to try to relieve the symptoms of menopause. Like hot flashes, night sweats, mood swings and weight gain. But what the drug companies try to pass off as hormones are actually synthetic concoctions. They are fake versions of the estrogen and progesterone that your body makes n...
Source: Al Sears, MD Natural Remedies - June 23, 2017 Category: Complementary Medicine Authors: Al Sears Tags: Anti-Aging Source Type: news

Stroke: A road map for subacute management.
Abstract Time is of the essence when a patient has signs and symptoms suggestive of a stroke or TIA. What should your initial approach and diagnostic work-up be? PMID: 28574519 [PubMed - in process]
Source: The Journal of Family Practice - June 1, 2017 Category: Practice Management Authors: Morris JG, Carter EL, Martin SA Tags: J Fam Pract Source Type: research

How do stroke survivors and their carers use practitioners ’ advice on secondary prevention medications? Qualitative study of an online forum
ConclusionsSide effects of secondary prevention medications and statins in particular, cause anxiety and resentment in some patients, and their concerns are not always addressed by practitioners. Practitioners could consider more proactive strategies to manage such side effects. Forum feedback was appropriate and supportive of the practitioners ’ advice received. Our findings from peer-to-peer online conversations confirm and widen previous research.
Source: Family Practice - April 10, 2017 Category: Primary Care Source Type: research

Hot Topics in Primary Care: Cardiovascular Safety of Medications for Type 2 Diabetes Mellitus.
Abstract Besides vascular events, which include myocardial infarction and stroke, patients with diabetes are at a high risk for developing heart failure and heart failure-related death, with a 15% increase in the risk of heart failure for every 1% increase in glycated hemoglobin (HbA1c) above 7.5%. PMID: 28375403 [PubMed - in process]
Source: The Journal of Family Practice - April 1, 2017 Category: Practice Management Authors: Butler J Tags: J Fam Pract Source Type: research

Statin prescribing for people with severe mental illnesses: a staggered cohort study of 'real-world impacts
Conclusions We found that statin prescribing to people with SMI in UK primary care was effective for lipid modification but not CVD events. The latter finding may reflect insufficient power to detect a smaller effect size than that observed in randomised controlled trials of statins in people without SMI.
Source: BMJ Open - March 6, 2017 Category: Journals (General) Authors: Blackburn, R., Osborn, D., Walters, K., Falcaro, M., Nazareth, I., Petersen, I. Tags: Open access, Cardiovascular medicine, Epidemiology, General practice / Family practice, Mental health Research Source Type: research

Patients ’ anticipated actions following transient ischaemic attack symptoms: a qualitative vignette-based study
Transient Ischaemic Attack (TIA) requires urgent investigation and management. Urgent management reduces the risk of subsequent stroke markedly, but non-presentation or delays in patient presentation to health...
Source: BMC Family Practice - February 3, 2017 Category: Primary Care Authors: Parker Magin, Terry Joyce, Christopher Levi and Daniel Lasserson Source Type: research

Patients ’ and physicians’ perceptions and attitudes about oral anticoagulation and atrial fibrillation: a qualitative systematic review
Oral anticoagulant therapy reduces the risk of stroke in patients with atrial fibrillation, but many patients are still not prescribed this therapy. The causes of underuse of vitamin K antagonists oral anticoa...
Source: BMC Family Practice - January 13, 2017 Category: Primary Care Authors: Gemma Mas Dalmau, Elisenda Sant Arderiu, Mar ía Belén Enfedaque Montes, Ivan Solà, Sandra Pequeño Saco and Pablo Alonso Coello Source Type: research