Lamotrigine and lithium in primary care psychiatric consultation: adoption and adverse effects
Conclusions(i) In a Collaborative Care program of psychiatric consultation, recommendations for lamotrigine and lithium were very frequent. (ii) Adoption of these recommendations is variable, warranting further investigation. (iii) Like higher doses, low doses of lithium induced hypothyroidism (rapidly) —but not weight gain. (Source: Family Practice)
Source: Family Practice - December 26, 2020 Category: Primary Care Source Type: research
Extent of contraception methods practised by unmet need couples after counselling: a cross-sectional follow-up study in Puducherry, South India
ConclusionsThis study emphasizes the need for follow-up counselling for guiding contraceptive use and recorded that majority of the unmet need couples started practicing contraception methods during the follow-ups. Besides, change in desired contraception methods was observed. (Source: Family Practice)
Source: Family Practice - December 22, 2020 Category: Primary Care Source Type: research
Quantifying the impact of pre-existing conditions on the stage of oesophagogastric cancer at diagnosis: a primary care cohort study using electronic medical records
ConclusionsIn men, multimorbidity is associated with a reduced chance of advanced-stage oesophagogastric cancer, to levels seen collectively for women. (Source: Family Practice)
Source: Family Practice - December 21, 2020 Category: Primary Care Source Type: research
Diagnosis and management of male urinary tract infections: a need for new guidelines. Study from a French general practice electronic database
ConclusionsMale UTIs are rare in general practice and have different presentations. The definition of male UTIs needs to be specified by prospective studies. Diagnostic evidence of male cystitis may reduce the duration of antibiotic therapy and spare critical antibiotics. (Source: Family Practice)
Source: Family Practice - December 19, 2020 Category: Primary Care Source Type: research
Knowledge, opinions and attitudes of primary care physicians about generic drugs: a cross-sectional study
ConclusionThis study shows that the knowledge of PCPs about GDs is generally inadequate, which reflects negatively on their opinions and attitudes regarding the use of GDs. Educational activities can help establish awareness that GDs can be used without doubt of their effectiveness, quality and safety. (Source: Family Practice)
Source: Family Practice - December 19, 2020 Category: Primary Care Source Type: research
Reliability and validity of the Spanish (Spain) version of the consultation and relational empathy measure in primary care
ConclusionThe results support the reliability and validity of the Sp-CARE measure as a patient-rated empathy measure in the primary care setting. (Source: Family Practice)
Source: Family Practice - December 19, 2020 Category: Primary Care Source Type: research
Discussing weight loss opportunistically and effectively in family practice: a qualitative study of clinical interactions using conversation analysis in UK family practice
ConclusionsWhen making a brief opportunistic intervention to support weight loss, clinicians can follow these five steps to create a smooth and efficient intervention. Knowing this may allay clinicians ’ fears about these consultations being awkward and improve adherence to guidelines. (Source: Family Practice)
Source: Family Practice - December 19, 2020 Category: Primary Care Source Type: research
Phenotyping the shoulder patient based on ultrasound-detected pathologies: a cross-sectional study in general practice
ConclusionIn a general practice population, we uncovered four different phenotypes of shoulder patients on the basis of ultrasound detected pathology. These phenotypes can be used designing tailored treatment trials in patients with shoulder complaints. (Source: Family Practice)
Source: Family Practice - December 12, 2020 Category: Primary Care Source Type: research
Parental consumption of ultra-processed, high-fat products has no association with childhood overweight/obesity: an epidemiological study among 10 –12-years-old children in Greece
ConclusionDespite the fact that parents ’ specific dietary habits seem not to affect their children’s weight status, public health programs should consider parental nutrition education and mobilization as a preventive measure for childhood overweight/obesity. (Source: Family Practice)
Source: Family Practice - December 3, 2020 Category: Primary Care Source Type: research
Attitudes of medical students to general practice: a multinational cross-sectional survey
ConclusionStrategies to convince undecided students to opt for a career as a GP should include a positive representation of a GP ’s work and early and repeated experience of working in a general practice during medical school. (Source: Family Practice)
Source: Family Practice - November 30, 2020 Category: Primary Care Source Type: research
Witnessing interparental violence in childhood and symptoms of depression in adulthood: data from the 2017 French Health Barometer
ConclusionAssociations shown between a history of exposure to IPV and three mental health indicators in adulthood underline the need to study the lifelong impact of IPV. (Source: Family Practice)
Source: Family Practice - November 30, 2020 Category: Primary Care Source Type: research
Hepatomegaly and short stature in a 14-year-old with type 1 diabetes mellitus: case report
ConclusionsThis case provides an illustrative example of Mauriac syndrome in a child who did not experience delayed onset of puberty and continued to have regular menses unlike what has been previously described. Furthermore, this case highlights the important consideration for significant dyslipidemia in patients with Mauriac syndrome and discusses the challenges of controlling insulin-dependent diabetes in the adolescent population. (Source: Family Practice)
Source: Family Practice - November 20, 2020 Category: Primary Care Source Type: research
Impact of guidelines on antibiotic prescribing approach in primary care —a 10-year study
ConclusionThe research showed improvement in physicians ’ knowledge in choosing the right antibiotic based on the analysis of answers but indicated the necessity for improving communication skills and empowering physicians not to prescribe antibiotics ‘just in case’ because of diagnostic uncertainty or patient demand. Further qualitative research i s needed to understand physicians’ prescribing behaviour and decision-making processes in order to develop interventions that will effectively improve the use of antibiotics. (Source: Family Practice)
Source: Family Practice - November 20, 2020 Category: Primary Care Source Type: research
Scientific publications in internal medicine and family medicine: a comparative cross-sectional study in Swiss university hospitals
ConclusionsWe found no association between the bibliometric indices and the medical specialty. Further studies are needed to explore other important indicators of academic output, such as those more specifically assessing its quality and scientific importance. (Source: Family Practice)
Source: Family Practice - November 13, 2020 Category: Primary Care Source Type: research
Quality improvement in chronic care by self-audit, benchmarking and networking in general practices in South Tyrol, Italy: results from an interventional study
ConclusionPerformance was relatively low at baseline and improved considerably, mainly in the first study period. The intervention investigated in this study can serve as a model for future quality programmes. A customized electronic health record for the implementation of this intervention as well as standardized and consistent documentation by GPs is a prerequisite. Use of a limited set of quality indicators (QIs) and regular QI modification is probably advisable to increase the benefits. Long-term prospective studies should investigate the impact of QI-based interventions on end-result outcomes. (Source: Family Practice)
Source: Family Practice - November 13, 2020 Category: Primary Care Source Type: research
