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Specialty: Primary Care

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Total 1044 results found since Jan 2013.

Assessment of Knowledge Regarding Risks and Benefits of the Use of Non-Vitamin K Antagonist Oral Anticoagulants
CONCLUSIONS: There is an opportunity to improve NOAC-related knowledge in patients with atrial fibrillation. When developing educational interventions, patient characteristics associated with poor knowledge should be considered. Based on our results, these are patients who are older, more medically complex, are on apixaban, and have been on NOAC therapy for a shorter duration.PMID:36000450 | DOI:10.1177/21501319221118806
Source: Primary Care - August 24, 2022 Category: Primary Care Authors: Jose Raul Valery Ahmad Marar George Pujalte Cynthia Ward Yousif M Abdelmoneim Patrick J Fitzgerald Edson Mwakyanjala Dana M Harris Loren Murray Michael G Heckman Launia J White Fernando Stancampiano Source Type: research

Psychological and social health outcomes of physical activity around menopause: A scoping review of research
Menopause is generally defined as the permanent cessation of menstruation and is usually categorized into premenopausal, perimenopausal and postmenopausal stages, defined on the basis of endocrine status and regularity of menstrual bleeding pattern [1]. Physiological research has shown that endocrine changes related to menopause involve a higher risk of several forms of cardiovascular disease, such as heart attack, stroke and atherosclerosis, as well as osteoporosis [2].
Source: Maturitas - August 3, 2022 Category: Primary Care Authors: Maria Hybholt Tags: Review article Source Type: research

Menopausal hormone therapy with conjugated equine estrogen is associated with a higher risk of hemorrhagic stroke than therapy with estradiol: a retrospective population-based cohort study
Estrogen therapy is prescribed for women without a uterus. For women with intact uteri, progestogens should be added to protect against endometrial hyperplasia. Different estrogen profiles may cause different side effects and beneficial clinical outcomes [1]. Different forms of estrogen also have different serum E2 concentrations; a previous study demonstrated that 1  mg E2 was equivalent to 0.4 mg CEE [1]. Progestin includes medroxyprogesterone acetate (MPA) and norethindrone acetate (NE). In Taiwan, the most common MHT for patients with an intact uterus are CEE (0.625 mg) or E2 (2 mg) combined with 5 mg MPA or 1 mg NE [2,3].
Source: Maturitas - August 1, 2022 Category: Primary Care Authors: Wei-Chuan Chang, Jen-Hung Wang, Dah-Ching Ding Tags: Original article Source Type: research

Nearly All Cancer Survivors Return to Primary Care
Conclusion: These findings underscore the urgent need for smooth handoffs from oncology back to primary care.
Source: Journal of the American Board of Family Medicine - July 27, 2022 Category: Primary Care Authors: Pinheiro, L. C., Rajan, M., Safford, M. M., Nanus, D. M., Kern, L. M. Tags: Brief Reports Source Type: research

High Rate of Undiagnosed Major Risk Factors in Ischemic Stroke High Rate of Undiagnosed Major Risk Factors in Ischemic Stroke
Almost two thirds of patients with acute ischemic stroke have at least one undiagnosed major risk factor, new research shows.Medscape Medical News
Source: Medscape FamilyMedicine Headlines - June 30, 2022 Category: Primary Care Tags: Neurology & Neurosurgery News Source Type: news

Acute Stroke Diagnosis
Am Fam Physician. 2022 Jun 1;105(6):616-624.ABSTRACTStroke accounts for significant morbidity and mortality and is the fifth leading cause of death in the United States, with direct and indirect costs of more than $100 billion annually. Expedient recognition of acute neurologic deficits with appropriate history, physical examination, and glucose testing will help diagnose stroke and rule out mimicking presentations. The National Institutes of Health Stroke Scale should be used to determine stroke severity and to monitor for evolving changes in clinical presentation. Initial neuroimaging is used to differentiate between isc...
Source: American Family Physician - June 15, 2022 Category: Primary Care Authors: Edwin Y Choi Gilberto A Nieves Darrell Edward Jones Source Type: research

Ketogenic therapy for Parkinson's disease: A systematic review and synthesis without meta-analysis of animal and human trials
Parkinson's disease (PD) is a neurodegenerative disorder manifesting a progressive loss of dopaminergic neurons in the substantia nigra pars compacta (SNc) and the subsequent development of dystrophic striatal projections to the putamen [1]. Approximately 1.6  % of Americans over the age of 65 have a PD diagnosis [2], similar to the rate of stroke or the prevalence of migraine. A pathological hallmark of the disease is the presence of Lewy bodies, intracellular protein aggregates with a high composition of α-synuclein [3].
Source: Maturitas - June 9, 2022 Category: Primary Care Authors: Maria G. Grammatikopoulou, Georgios Tousinas, Chrysanthi Balodimou, Dimitrios A. Anastasilakis, Konstantinos Gkiouras, Efthimios Dardiotis, Athanasios E. Evangeliou, Dimitrios P. Bogdanos, Dimitrios G. Goulis Tags: Original article Source Type: research

Risk of thrombotic events and other complications in anticoagulant users infected with SARS-CoV-2: an observational cohort study in primary health care in SIDIAP (Catalonia, Spain)
CONCLUSIONS: OAC users in our study had more comorbidities and were older than non-users, well known risks for hospitalization being confirmed with our results. We also found in our study that OAC exposure was not associated to an increased risk in the mortality rate, and it was associated with higher risks of hospital admission and thromboembolic events, although we cannot assess the effect of the interventions applied during hospital admission on the outcomes studied, as our database is a PHC database.TRIAL REGISTRATION: EUPAS register: EUPAS37205 .PMID:35676639 | PMC:PMC9174624 | DOI:10.1186/s12875-022-01752-5
Source: Primary Care - June 8, 2022 Category: Primary Care Authors: Maria Giner-Soriano Ainhoa Gomez-Lumbreras Cristina Vedia Dan Ouchi Rosa Morros Source Type: research

Male Caregivers' Stories: How They Successfully Adjust to Partners With Stroke
Men transitioning from noncaregiver to caregiver for their partner (wife or long-term friend) with stroke may find that role unsettling. Male caregivers' success stories in caring for these partners through authors' reflections from their experience are shared. These men's stories focused on achievements: (1) gaining confidence through functional improvement; (2) nurturing success through mutually positive attitude; and (3) resuming “normal” roles. Providers can learn from these accounts, sharing these success stories with other caregivers so that they can successfully adapt to new roles in caring for women partners with stroke.
Source: Family and Community Health - June 5, 2022 Category: Primary Care Tags: Original Articles Source Type: research

Two-year outcomes of UK patients newly diagnosed with atrial fibrillation: findings from the prospective observational cohort study GARFIELD-AF
CONCLUSION: The data support a benefit of anticoagulation in reducing stroke and death, without an increased risk of a major bleed in patients with new-onset AF. Anticoagulation treatment in patients at high risk of stroke who are not receiving anticoagulation may further improve outcomes.PMID:35577587 | DOI:10.3399/BJGP.2021.0548
Source: The British Journal of General Practice - May 16, 2022 Category: Primary Care Authors: Patricia N Apenteng Saverio Virdone Fd Richard Hobbs A John Camm Keith Aa Fox Karen S Pieper Gloria Kayani David Fitzmaurice GARFIELD UK investigators* Source Type: research

Clinical and prognostic profile evolution of patients discharged from hospital due to heart failure in the first two decades of the 21st century. The INCA-Ex Registry
CONCLUSIONS: In the last 20 years, admissions for heart failure, patient age, and comorbidity have increased. Predictive variables for mortality and/or readmission were age, diabetes, previous cardiovascular disease, neoplasms, COPD, kidney failure, and anemia; however, mortality at one year remained constant.PMID:35576889 | DOI:10.1016/j.aprim.2022.102357
Source: Atencion Primaria - May 16, 2022 Category: Primary Care Authors: Daniel Fern ández-Bergés Reyes Gonz ález-Fernández Francisco Javier F élix-Redondo Jos é Arevalo Lorido Lorena Yeguas Rosa Miriam Hern ández-González Alessia Rubini Miguel Gal án Montejano Mar ía Carmen Gamero Luis Lozano Mera Source Type: research

Two-year outcomes of UK patients newly diagnosed with atrial fibrillation: findings from the prospective observational cohort study GARFIELD-AF
CONCLUSION: The data support a benefit of anticoagulation in reducing stroke and death, without an increased risk of a major bleed in patients with new-onset AF. Anticoagulation treatment in patients at high risk of stroke who are not receiving anticoagulation may further improve outcomes.PMID:35577587 | DOI:10.3399/BJGP.2021.0548
Source: The British Journal of General Practice - May 16, 2022 Category: Primary Care Authors: Patricia N Apenteng Saverio Virdone Fd Richard Hobbs A John Camm Keith Aa Fox Karen S Pieper Gloria Kayani David Fitzmaurice GARFIELD UK investigators* Source Type: research