Corrigendum to A Real-World Precision Medicine Program Including the KidneyIntelX Test Effectively Changes Management Decisions and Outcomes for Patients With Early-Stage Diabetic Kidney Disease
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241253928. doi: 10.1177/21501319241253928.NO ABSTRACTPMID:38700044 | DOI:10.1177/21501319241253928 (Source: Primary Care)
Source: Primary Care - May 3, 2024 Category: Primary Care Source Type: research

Burn Wound Healing Abilities of a Uronic Acid Containing Exopolysaccharide Produced by the Marine Bacterium Halomonas malpeensis YU-PRIM-29( T)
In this study, a bacterial EPS (EPS-H29) from the marine bacterium Halomonas malpeensis YU-PRIM-29 T was used to treat the burn wound in vivo. The biochemical and structural characterizations of EPS-H29 were carried out using standard methods. In addition, FE-SEM, conformational, rheological, and HP-GPC analyses were carried out. In vitro biocompatibility of EPS-H29 was studied in human dermal fibroblasts (HDFs) and keratinocytes (HaCaT). Scratch assay was used to study the wound healing in vitro. For in vivo evaluation, burn wound (second-degree) was created on Wistar albino rats and treated with EPS-H29 along with approp...
Source: Primary Care - May 3, 2024 Category: Primary Care Authors: Athmika Nagaraj Yuvarajan Subramaniyan Suprith Surya Punchappady Devasya Rekha Source Type: research

Supporting best practice in the management of chronic diseases in primary health care settings: a scoping review of training programs for Indigenous Health Workers and Practitioners
Conclusions Multifaceted training programs for Aboriginal health workers are well received and may improve workforce capability.PMID:38701239 | DOI:10.1071/PY23124 (Source: Primary Care)
Source: Primary Care - May 3, 2024 Category: Primary Care Authors: Odette Pearson Shwikar Othman Kate Colmer Sana Ishaque Gloria Mejia Sarah Crossing David Jesudason Gary Wittert Paul Zimmet Sophia Zoungas Natalie Wischer Kim Morey Jane Giles Sara Jones Alex Brown Saravana Kumar Source Type: research

Effect of Virtual Versus In Person Interpreting on Diabetes Outcomes in Non-English Language Preference Patients: A Pilot Study
CONCLUSIONS: Quality medical interpretation contributes to optimal health outcomes in NELP patients with diabetes. Our study suggests that both in person and virtual interpreters can be effective in providing care for NELP patients, especially for chronic disease management in the context of a primary care relationship. It also highlights the importance of pursuing additional qualitative and mixed method studies to better understand the benefits of various interpreter formats across different visit types.PMID:38695439 | DOI:10.1177/21501319241240347 (Source: Primary Care)
Source: Primary Care - May 2, 2024 Category: Primary Care Authors: Marvin So Hailie Jadoo Jennifer Stong Kristen C Klemenhagen Ann M Philbrick Kathryn Freeman Source Type: research

Team-Based Approach to Successful Annual Wellness Visits
CONCLUSIONS: The lessons learned from this project can be applied to other health systems that want to provide more patients with AWVs while improving operational efficiency. The keys are to have a clear vision of a successful outcome, engage all stakeholders, and iterate quickly to find what works best for the organization.PMID:38695452 | DOI:10.1177/21501319241249400 (Source: Primary Care)
Source: Primary Care - May 2, 2024 Category: Primary Care Authors: Rachael C Passmore Asif Iqbal Taylor L Rader Kelly Ashley Allie J Canoy Illies Kathleen A Madden Jennifer L Walter Eric D Crockett Robert J Stroebel Source Type: research

Physicians' intentions to use digital tools - a comparative survey, before and after the COVID-19 pandemic, in Southern Sweden
CONCLUSION: The slow adoption of patient-related digital tools in Swedish primary health care does not seem to be explained by a low intention to use them among physicians. Future research on implementation of digital tools should include a focus on contextual factors such as organizational, technical and cultural barriers.PMID:38696226 | DOI:10.1080/02813432.2024.2346133 (Source: Primary Care)
Source: Primary Care - May 2, 2024 Category: Primary Care Authors: Sofia Olofsson Fredric Karlsson Miriam Pikkemaat Bj örn Ekman Mattias R ööst Hans Thulesius Veronica Milos Nymberg Source Type: research

General practice nurse perceptions of barriers and facilitators to implementation of best-practice dementia care recommendations-a qualitative interview study
CONCLUSION: This study identified several factors that need addressing to support general practice nurses to integrate best-practice dementia care recommendations into daily clinical practice. The development of interventions needs to include strategies to mitigate potential barriers and enhance facilitators that they perceive impact on their delivery of best-practice care for people living with dementia and their carer(s). The knowledge gained in this study could be used to develop multi-faceted interventions informed by theoretical implementation change models to enable the general practice nurse to operationalise best-p...
Source: Primary Care - May 2, 2024 Category: Primary Care Authors: Caroline Gibson Dianne Goeman Dimity Pond Mark Yates Alison Hutchinson Source Type: research

Self-initiated lifestyle changes during a fasting-mimicking diet programme in patients with type 2 diabetes: a mixed-methods study
CONCLUSIONS: Using an FMD for five consecutive days per month did not affect diet quality in between FMD periods in quantitative analysis, but increased the number of hours per week spent on physical activity. Qualitative analysis revealed self-initiated improvements in both diet quality and physical activity in individual participants using an FMD. Healthcare professionals could use an FMD programme as a 'teachable moment' to stimulate additional lifestyle changes.TRIAL REGISTRATION: ClinicalTrials.gov; NCT03811587. Registered 22 January 2019.PMID:38698355 | DOI:10.1186/s12875-024-02405-5 (Source: Primary Care)
Source: Primary Care - May 2, 2024 Category: Primary Care Authors: Elske L van den Burg Marjolein P Schoonakker Bregje Korpershoek Lara E Sommeling Carlijn A Sturm Hildo J Lamb Hanno Pijl Mattijs E Numans Marieke A Adriaanse Petra G van Peet Source Type: research

Effect of Virtual Versus In Person Interpreting on Diabetes Outcomes in Non-English Language Preference Patients: A Pilot Study
CONCLUSIONS: Quality medical interpretation contributes to optimal health outcomes in NELP patients with diabetes. Our study suggests that both in person and virtual interpreters can be effective in providing care for NELP patients, especially for chronic disease management in the context of a primary care relationship. It also highlights the importance of pursuing additional qualitative and mixed method studies to better understand the benefits of various interpreter formats across different visit types.PMID:38695439 | DOI:10.1177/21501319241240347 (Source: Primary Care)
Source: Primary Care - May 2, 2024 Category: Primary Care Authors: Marvin So Hailie Jadoo Jennifer Stong Kristen C Klemenhagen Ann M Philbrick Kathryn Freeman Source Type: research

Team-Based Approach to Successful Annual Wellness Visits
CONCLUSIONS: The lessons learned from this project can be applied to other health systems that want to provide more patients with AWVs while improving operational efficiency. The keys are to have a clear vision of a successful outcome, engage all stakeholders, and iterate quickly to find what works best for the organization.PMID:38695452 | DOI:10.1177/21501319241249400 (Source: Primary Care)
Source: Primary Care - May 2, 2024 Category: Primary Care Authors: Rachael C Passmore Asif Iqbal Taylor L Rader Kelly Ashley Allie J Canoy Illies Kathleen A Madden Jennifer L Walter Eric D Crockett Robert J Stroebel Source Type: research

Physicians' intentions to use digital tools - a comparative survey, before and after the COVID-19 pandemic, in Southern Sweden
CONCLUSION: The slow adoption of patient-related digital tools in Swedish primary health care does not seem to be explained by a low intention to use them among physicians. Future research on implementation of digital tools should include a focus on contextual factors such as organizational, technical and cultural barriers.PMID:38696226 | DOI:10.1080/02813432.2024.2346133 (Source: Primary Care)
Source: Primary Care - May 2, 2024 Category: Primary Care Authors: Sofia Olofsson Fredric Karlsson Miriam Pikkemaat Bj örn Ekman Mattias R ööst Hans Thulesius Veronica Milos Nymberg Source Type: research

Home blood pressure measurement self-reporting in real-life practices using the Hy-Result app: self-monitoring and digital pathway
CONCLUSIONS: Our real-life study shows that 90% of the HBPM reports include the required minimum number of BP readings to allow the calculation of a reliable average among whom 40% have uncontrolled BP levels. The self-management Hy-Result web app demonstrates significant potential for inclusion in the patient care process and reinforces the patient's engagement to independently monitor and self-reported their BP. When the mean BP is not within the recommended range, the users were automatically prompted by text messages to seek medical advice by the software. Further research should determine the extent to which users adh...
Source: Primary Care - May 1, 2024 Category: Primary Care Authors: Nicolas Postel-Vinay Nicole Gebara Roland Asmar Dominique Stephan Aurelien Lorthioir Laurence Amar Source Type: research

Approach to the Diagnosis and Treatment of Headache
Prim Care. 2024 Jun;51(2):179-193. doi: 10.1016/j.pop.2024.02.007. Epub 2024 Mar 27.ABSTRACTHeadache is consistently one of the most common complaints reported by patients in the medical setting worldwide. Headache can be a symptom of another condition or illness, secondary to the disruption of homeostasis, or can be a primary disorder with inherent variability and patterns. Headache disorders, whether primary or secondary, can cause significant disability and loss of quality of life for those affected. As such, it is important for primary care providers to feel confident evaluating and treating patients with headache, esp...
Source: Primary Care - May 1, 2024 Category: Primary Care Authors: Jennifer R Evan Source Type: research

Dizziness in Primary Care
This article focuses on high yield information to support primary clinicians in the efficient and effective evaluation and management of dizziness. Key points are as follows: do not anchor on the type of dizziness symptom, do use symptom timing and prior medical history to inform diagnostics probabilities, do evaluate for hallmark examination findings of vestibular disorders, and seek out opportunities to deliver evidence-based interventions particularly the canalith repositioning maneuver and gaze stabilization exercises.PMID:38692770 | DOI:10.1016/j.pop.2023.12.001 (Source: Primary Care)
Source: Primary Care - May 1, 2024 Category: Primary Care Authors: Kevin A Kerber Source Type: research

Approach to Patients with Seizures and Epilepsy: A Guide for Primary Care Physicians
Prim Care. 2024 Jun;51(2):211-232. doi: 10.1016/j.pop.2024.02.008. Epub 2024 Mar 28.ABSTRACTSeizures and epilepsy are common neurologic conditions that are frequently encountered in the outpatient primary care setting. An accurate diagnosis relies on a thorough clinical history and evaluation. Understanding seizure semiology and classification is crucial in conducting the initial assessment. Knowledge of common seizure triggers and provoking factors can further guide diagnostic testing and initial management. The pharmacodynamic characteristics and side effect profiles of anti-seizure medications are important consideratio...
Source: Primary Care - May 1, 2024 Category: Primary Care Authors: Doris Z Deng Khalil S Husari Source Type: research