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Management: Family Practices

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Total 250 results found since Jan 2013.

Clinical Inquiry: What is the best imaging method for patients with a presumed acute stroke?
Abstract It depends on whether the stroke is schemic or hemorrhagic. For early detection of ischemic stroke, magnetic resonance imaging (MRI) using diffusion-weighted imaging (DWI) is highly sensitive and specific, whereas computed tomography (CT) is less sensitive but about as specific. PMID: 24475467 [PubMed - in process]
Source: The Journal of Family Practice - January 1, 2014 Category: Practice Management Authors: Sadeghi R, Neher J, St Anna L Tags: J Fam Pract Source Type: research

Clinical Inquiry: Do oral contraceptives carry a significant risk of stroke for women with migraines?
Abstract Perhaps. Estrogen-containing oral contraceptives may raise the risk of ischemic stroke in women with migraine, particularly migraine with aura. PMID: 24288713 [PubMed - in process]
Source: The Journal of Family Practice - November 1, 2013 Category: Practice Management Authors: McClester M, Mounsey A, Mackler L Tags: J Fam Pract Source Type: research

The inter-contact interval: a new measure to define frequent attenders in primary care
Background: Frequent attenders receive much attention in primary care research. Defining frequent attendance is crucial for an adequate view on this group of demanding patients. We aimed to develop a purely contact-based definition of "frequent attendance" and to apply it to real patients. Methods: From electronic records of 123 general practices in Germany, patients' inter-contact intervals (ICI) between two consecutive doctor-patient-contacts were calculated in this retrospective observational study. ICI less than 7 days were labelled "frequent attendance", patients with 60% or more of such intervals "frequent attenders ...
Source: BMC Family Practice - October 23, 2013 Category: Primary Care Authors: Johannes HauswaldtWolfgang HimmelEva Hummers-Pradier Source Type: research

An evidence-based shared decision making programme on the prevention of myocardial infarction in type 2 diabetes: protocol of a randomised-controlled trial
In this study the efficacy of the programme is evaluated in the setting of a diabetes clinic. Methods: A single blinded randomised-controlled trial is conducted to compare the shared decision making programme with a control-intervention. The intervention consists of an evidence-based patient decision aid on the prevention of myocardial infarction and a corresponding counselling module provided by diabetes educators. Similar in duration and structure, the control-intervention targets nutrition, sports, and stress coping. A total of 154 patients between 40 and 69 years of age with type 2 diabetes and no previous diagnosis of...
Source: BMC Family Practice - October 19, 2013 Category: Primary Care Authors: Susanne BuhseTabitha HellerJürgen KasperIngrid MühlhauserUlrich MüllerThomas LehmannMatthias Lenz Source Type: research

Clinical Inquiry: Elevated troponin but no CVD: What's the prognosis?
Abstract Patients with elevated troponin levels and chronic renal disease, pulmonary hypertension, pulmonary embolism, chronic obstructive pulmonary disease, sepsis, or acute ischemic stroke have a 2- to 5-fold increased risk of death, even in the absence of known cardiovascular disease. PMID: 24143353 [PubMed - in process]
Source: The Journal of Family Practice - October 1, 2013 Category: Practice Management Authors: Mantzouris T, Gauer R, Mackler L Tags: J Fam Pract Source Type: research

Home blood pressure monitoring in hypertensive stroke patients: a prospective cohort study following a randomized controlled trial
Conclusion. Around half of hypertensive stroke patients offered a blood pressure monitor but no support continued to use it after 6 and 18 months. Monitoring in the first month was common in those who were not anxious or disabled.
Source: Family Practice - July 24, 2013 Category: Primary Care Authors: Ovaisi, S., Oakeshott, P., Kerry, S., Crabtree, A. E., Kyei, G., Kerry, S. M. Tags: Original Article Source Type: research

Screening for atrial fibrillation with baseline and intermittent ECG recording in an out-of-hospital population
Conclusions: Intermittent handheld ECG recording over a four week period had a detection rate of 3.8% newly diagnosed AF, in a population of 928 out-of-hospital patients having at least one additional risk factor for stroke. Intermittent handheld ECG registration is a feasible method to detect AF in patients with an increased risk of stroke in whom oral anticoagulation (OAC) treatment is indicated.
Source: BMC Cardiovascular Disorders - June 10, 2013 Category: Cardiology Authors: Tijn HendrikxRolf HörnstenMårten RosenqvistHerbert Sandström Source Type: research

Survival of stroke patients after introduction of the 'Dutch Transmural Protocol TIA/CVA'
Conclusion: No major changes in survival and secondary outcomes were apparent after introduction of the LTA. Although, there was a small improvement in secondary prevention, this study shows that optimal treatment after introduction of the LTA has not yet been achieved.
Source: BMC Family Practice - June 4, 2013 Category: Primary Care Authors: Leonie de WeerdFeikje GroenhofBoudewijn KollenKlaas van der Meer Source Type: research

How reliable are stroke patients' reports of their numbers of general practice consultations over 12 months?
Conclusions. Patients modestly under-reported the number of consultations they had with a GP. Obtaining patient records from practices required more effort than obtaining information from patient questionnaires at the same time as assessing main trial outcomes. If patient self-reports of health care usage are used in economic evaluations in primary care, researchers should consider validating a sample against electronic records.
Source: Family Practice - January 23, 2013 Category: Primary Care Authors: Chishti, T., Harris, T., Conroy, R., Oakeshott, P., Tulloch, J., Coster, D., Kerry, S. R., Kerry, S. M. Tags: Original Article Source Type: research

Vascular Outcomes in Patients With Screen-Detected or Clinically Diagnosed Type 2 Diabetes: Diabscreen Study Follow-up.
CONCLUSIONS Opportunistic targeted screening for type 2 diabetes detected patients with higher CVD morbidity at baseline when compared with clinical diagnosis but showed similar CVD mortality and major CVD morbidity after 7.7 years. Opportunistic targeted screening and guided care appears to improve vascular outcomes in type 2 diabetes in primary care. PMID: 23319502 [PubMed - in process]
Source: Annals of Family Medicine - January 1, 2013 Category: Primary Care Authors: Klein Woolthuis EP, de Grauw WJ, van Keeken SM, Akkermans RP, van de Lisdonk EH, Metsemakers JF, van Weel C Tags: Ann Fam Med Source Type: research