the eye in primary care

Attitudes, barriers and facilitators for health promotion in the elderly in primary care doc

Ngày tải lên : 22/03/2014, 14:20

... Discussion Main findings Among the participating GPs, definitions of health promotion interventions in the elderly widely varied The opinion regarding the effectiveness of health promotion in the elderly ... group interviews in Geneva, the interview guide was translated into French As an introduction to the discussion, we asked questions concerning the opinion of the GPs about health promotion in the ... promotion programmes for the elderly This contains the accessibility in a regional sense as well as regarding the content of the programme Providing information over the internet for instance, may not...

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Occupational therapy interventions and physical activity interventions to promote the mental wellbeing of older people in primary care and residential care pdf

Ngày tải lên : 05/03/2014, 18:20

... and around the home • keeping safe in the community • keeping safe in the home Personal circumstances • dealing with finance • social relationships and maintaining friendships • dining as an activity ... activities are intended as starting points; they should be tailored to meet the needs of the participants, as opposed to the activities dictating the group The organisation of themes within the manual ... Fieldwork findings Fieldwork aimed to test the relevance, usefulness and the feasibility of implementing the recommendations and the findings were considered by PHIAC in developing the final recommendations...

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The management of harmful drinking and alcohol dependence in primary care potx

Ngày tải lên : 08/03/2014, 14:20

... SYMPTOM-TRIGGERED DOSING Although there are studies of the efficacy of symptom-triggered dosing and/or loading dosing in inpatients, there is no evidence regarding the use of these methods in primary care. 92,108-110 ... the individual counselling and therapy for the family treatment options including medication to relieve the physical effects of stopping drinking and to help to reduce the incidence of drinking ... any changes or statements that the drinker makes towards stopping or reducing the drinking, and to nothing to enable or reward drinking The treating team lays down the groundwork for rapid availability...

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báo cáo hóa học: " Validation of the Clinical COPD Questionnaire (CCQ) in primary care" docx

Ngày tải lên : 18/06/2014, 19:20

... enough for the monitoring of individual patients in ordinary health care [2] Limitations To evaluate the stability of the CCQ, it was tested in the target context under realistic primary care conditions, ... for use in COPD [12,13] The SF-36 was included in the study as a means of characterising the study population As instructed by the developers, SF-36 was always administered first [10,11] The SF-36 ... according to their professional expertise The only restrictions made to the ratings were that the patients' individual scores on the QoL questionnaires were blinded for the patient and the GP...

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báo cáo khoa học: "Feedback GAP: study protocol for a clusterrandomized trial of goal setting and action plans to increase the effectiveness of audit and feedback interventions in primary care" pdf

Ngày tải lên : 10/08/2014, 10:23

... for the effects of clustering as well as adjusting for multiple covariates, including the variables used in the minimization (baseline values for BP, LDL, the composite process score, and the ... of the clinics are involved in other quality improvement interventions Thus, these clinics may be more innovative and may also be achieving a higher level of evidence-based care than most other ... participating to date in EMRALD Funding for the study includes: The development and testing of the intervention and the qualitative aspect of the project is supported by a Canadian Institutes...

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cáo khoa học: " Barriers and facilitators to the dissemination of DECISION+, a continuing medical education program for optimizing decisions about antibiotics for acute respiratory infections in primary care: A study protocol" potx

Ngày tải lên : 10/08/2014, 10:23

... studying changes in the behaviour of health professionals [22] According to the Theory of Planned Behaviour, intention is the immediate determinant of behaviour It is driven by the will of the individual ... pilot study in Québec, Canada, in 2007 and 2008 [10] We will begin by contacting the person in charge of the CME activities in each FMG (the contact person) to plan a meeting during which the researchers ... consequently increases patients’ participation in the decisionmaking process In spite of the growing interest in SDM, few health professionals practice it, and only a few studies on implementing SDM in...

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cáo khoa học: " Feasibility of a randomised trial of a continuing medical education program in shared decisionmaking on the use of antibiotics for acute respiratory infections in primary care: the DECISION+ pilot trial" ppsx

Ngày tải lên : 10/08/2014, 10:23

... outdated [15] The main difficulty in recruitment appeared during the initial contact by the principal investigator with the medical director of the FMG Twelve FMGs (57%) declined the invitation ... combining patients’ and their physicians’ perspectives could enlighten the relational process occurring in the encounter [12-14] These findings suggest the need for a better understanding of the ... concerning the evaluation of an intervention targeting the improvement of the SDM process among family physicians and their patients regarding the use of antibiotics for treating ARIs in primary care...

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báo cáo khoa học: "Randomised controlled trial of tailored interventions to improve the management of anxiety and depressive disorders in primary care" pdf

Ngày tải lên : 10/08/2014, 11:20

... improvement interventions selected for use in the intervention group We evaluate the experiences of GPs in the intervention group, the GP Page of visitors and the experts with the tailoring process, the ... from the contacts between the GP and the interviewer Data about the experiences of participants in the tailoring process, the implemented changes in practice, and their ideas about influencing ... optimise the tailoring process All contacts between the experts, the GP visitor, and the GP are reported Training GPs in both conditions received one day of training by experts in (a) the early...

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Báo cáo y học: "Utilisation of podiatry services in Australia under the Medicare Enhanced Primary Care program, 2004-2008" pps

Ngày tải lên : 10/08/2014, 21:24

... arthritis or other musculoskeletal condition), or have complex care needs (defined as requiring ongoing care from their general practitioner [GP] and at least two other health care providers) The EPC ... responding to the initiative Therefore, the aim of this study was to evaluate the utilisation of podiatry services under the EPC program between 2004 and 2008, by extracting data from the Medicare ... is striking when viewed in the context of the size of the podiatry labour force The most recent labour force statistics estimate that in 2003, there were 1,820 practicing podiatrists in Australia...

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Báo cáo y học: "Improving the delivery of care for patients with diabetes through understanding optimised team work and organisation in primary care" ppt

Ngày tải lên : 11/08/2014, 05:21

... managed by the integrated activities of clinical and non-clinical members of the primary care team There are National Institute for Health and Clinical Effectiveness (NICE) guidelines defining standards ... health care organizations in primary and secondary care [31-33] Aim The aim of this study is to improve the quality of care for patients with diabetes cared for in primary care by identifying individual, ... relating to individual staff's perceptions of the clinical care of their patients with type diabetes, team functioning, and practice organisation Choosing theories The theoretical frameworks included...

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báo cáo khoa học: " Using a summary measure for multiple quality indicators in primary care: the Summary QUality InDex (SQUID)" ppt

Ngày tải lên : 11/08/2014, 05:22

... for studying ways to improve care for diabetes patients in the primary care setting During the A-TRIP project, making the patient-level SQUIDs available to the clinicians responsible for the patients' ... the study, thus reducing the values of the overall practice-level SQUIDs When the SQUID algorithm and preliminary findings were presented to clinicians participating in site visits or attending ... track them over time Because the denominator (referred to as 'E' in the algorithm) used in calculating the SQUID reflects the total number of relevant indicators for a given patient, a rather intuitive...

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báo cáo khoa học: " Improving the delivery of care for patients with diabetes through understanding optimised team work and organisation in primary care" ppt

Ngày tải lên : 11/08/2014, 16:20

... managed by the integrated activities of clinical and non-clinical members of the primary care team There are National Institute for Health and Clinical Effectiveness (NICE) guidelines defining standards ... health care organizations in primary and secondary care [31-33] Aim The aim of this study is to improve the quality of care for patients with diabetes cared for in primary care by identifying individual, ... relating to individual staff's perceptions of the clinical care of their patients with type diabetes, team functioning, and practice organisation Choosing theories The theoretical frameworks included...

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báo cáo khoa học: " Delivering the WISE (Whole Systems Informing Self-Management Engagement) training package in primary care: learning from formative evaluation" ppsx

Ngày tải lên : 11/08/2014, 16:20

... package The aims of the training are outlined in Table The content of the training package was developed by TB, CCG, LG, AK, and JP, and the preliminary format for the training sessions in the exploratory ... going.’ Patient: ‘They stop?’ Clinician: ‘They stop doing what they because they’re frightened of getting breathless, and then the less they the more breathless they become when they something ... refining the training package to better ensure the WISE approach can be adopted in practice, two key issues emerged: one related to implementing the training, and the other to the use of the...

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Báo cáo y học: " Assessing medically unexplained symptoms: evaluation of a shortened version of the SOMS for use in primary care" doc

Ngày tải lên : 11/08/2014, 16:22

... were included in the final version The McNemar test or binomial distribution was used to compare the "prevalence" of symptoms at self-report and after clinical validation The cut-off point for the ... turned to unexplained As reported for false-positives, the clinical interview setting also seemed to interfere in the opposite way, leading some participants to enhance their complaints This problem ... symptoms, since they need a thorough investigation involving their doctors in order to decide the nature of symptoms This group of somatizers blurs the distinction between MUS and medically explained...

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Báo cáo y học: " Depression in Primary care: Interpersonal Counseling vs Selective serotonin reuptake inhibitors. The DEPICS Study. A multicenter randomized controlled trial. " pot

Ngày tải lên : 11/08/2014, 16:22

... by interviewers not involved in patients treatment and trained to the use of instruments and scales Research personnel was trained to the use of study instruments in investigator’s meetings, in ... patterns in interpersonal interactions This inventory assesses the severity of interpersonal problems in domains: domineering or controlling, vindictive or self-centred, cold and distant, socially inhibited, ... statistical advice in the design of the study and its on-going evolution PS, MM and BB participated in the design and in the planning of the interventions PR, BB and AB managed the trial data All...

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báo cáo khoa học:" The well-being and treatment satisfaction of diabetic patients in primary care" doc

Ngày tải lên : 12/08/2014, 01:21

... diabetes The instrument was designed to assess the efficacy of new measures The inclusion of a positive well-being dimension was designed to increase the sensitivity of the instrument The positive ... were achieved in patients treated with the oral hypoglycemic agents (OHA) mono-therapy if compared to those treated with insulin or combination therapy [32] On the other hand, insulin was associated ... and creatinine) and microalbuminuria in the spot urine were performed for all patients in the study The Diabetes Treatment Satisfaction Questionnaire (DTSQ) Questionnaires WHO-Well-Being Questionnaire...

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Báo cáo y học: "Efficacy and safety of tiotropium in COPD patients in primary care – the SPiRiva Usual CarE (SPRUCE) study" ppsx

Ngày tải lên : 12/08/2014, 15:20

... The spirometers and their use, including calibration, had to meet the American Thoracic Society's criteria [16] Spirometry training was given prior to initiating the study and a repeat training ... response at the end of the 12-week treatment period Trough FEV1 response was defined as the change from baseline at the end of the 24-hour dosing interval (i.e 10 minutes prior to drug administration) ... for secondary care, neither the patients nor the treatment practices are representative of experiences in primary care The current study was designed to assess the effects of introducing tiotropium...

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Báo cáo y học: "The epidemiology of low back pain in primary care" pptx

Ngày tải lên : 13/08/2014, 13:22

... more informative The same principle can be applied to other dimensions of the LBP experience, for example, measuring the number of days in pain over a period, instead of those still in pain at the ... increases in pain and progressive increases in activity limitation However, the mean scores for the variables measured were around 50% at the beginning of the study and did not improve over the ... extracted and interpreted the data, wrote the paper, and approved the final manuscript JLK conceived of the study, participated in its design, interpreted the data, and revised and approved the final...

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The significance of subjective cognitive decline in primary care and memory clinic patients

Ngày tải lên : 26/11/2015, 10:00

... consisting of 42 amino acids Aβ peptides with this length form the major part of the senile AD plaques in the brain As Aβ42 cumulates into plaques in the brain, lower concentration of Aβ42 in the ... guidelines Furthermore, the clinical- neuropsychological criteria for MCI due to AD resemble the MCI criteria in the present studies 2.3.1 Preclinical AD The stage of preclinical AD as defined in the ... dysfunction in at least one other cognitive domain, as defined earlier in the text b Nonamnestic presentations: Language presentation: The most prominent deficits are in word-finding, but deficits in other...

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