Primary Care Commons^™

2012 Año Europeo Del Envejecimiento Activo Y La Solidaridad Intergeneracional Una Mirada Multidimensional A Un Fenómeno Global, Diego A. Bernardini

Diego Bernardini MD, PhD

No abstract provided.

Introduction To Videos On Gout, Michele Meltzer

Michele Meltzer

No abstract provided.

A Family To Remember: Ethics, Boundaries, And Conflict, Ralph Primelo, Edward Norris, Brian Shablin, Tresa Marrow, Jennifer Bednar, Sharon Clark, Stephen Lammers

Edward R Norris MD, FAPA, FAPM

No abstract provided.

A Multidisciplinary, Resident-Run Clinic For The Treatment Of Hepatitis C In An Underserved, Urban Primary Care Setting, Suzanne J. Templer Do, Joseph L. Yozviak Do, Facp, Vishal Patel Md, Edward Norris Md, Fapm, Eric J. Gertner Md, Mph

Edward R Norris MD, FAPA, FAPM

No abstract provided.

Too Much Medicine; Too Little Care, Paul Glasziou, Ray Moynihan, Tessa Richards, Fiona Godlee

Ray Moynihan

Extract: A growing frustration in clinical medicine is that we are now so busy managing the proliferation of risk factors, “incidentalomas,” and the worried well that we lack the time to care properly for those who are seriously ill. As the definitions of common conditions such as diabetes and kidney disease have expanded and the categories and boundaries of mental disorders have grown, our time and attention for the most worryingly ill, disturbed, and vulnerable patients has shrunk. Too much medicine is harming both the sick and well.

La Sociedad Que Viene - Editorial, Diego A. Bernardini

Diego Bernardini MD, PhD

No abstract provided.

A Multidisciplinary, Resident-Run Clinic For The Treatment Of Hepatitis C In An Underserved, Urban Primary Care Setting, Suzanne J. Templer Do, Joseph L. Yozviak Do, Facp, Vishal Patel Md, Edward Norris Md, Fapm, Eric J. Gertner Md, Mph

Joseph L Yozviak DO, FACP

No abstract provided.

Do You Think It's A Disease? A Survey Of Medical Students, Chrissy Erueti, Paul Glasziou, Chris Del Mar, Mieke Van Driel

Chrissy Erueti

Background: The management of medical conditions is influenced by whether clinicians regard them as "disease" or "not a disease". The aim of the survey was to determine how medical students classify a range of conditions they might encounter in their professional lives and whether a different name for a condition would influence their decision in the categorisation of the condition as a 'disease' or 'not a disease'. Methods: We surveyed 3 concurrent years of medical students to classify 36 candidate conditions into "disease" and "non-disease". The conditions were given a 'medical' label and a (lay) label and positioned where possible …

Studies To Reduce Unnecessary Medication Use In Frail Older Adults: A Systematic Review, Jennifer Tjia, Sarah Velten, Carole Parsons, Sruthi Valluri, Becky Briesacher

Jennifer Tjia

BACKGROUND: Overuse of unnecessary medications in frail older adults with limited life expectancy remains an understudied challenge.

OBJECTIVE: To identify intervention studies that reduced use of unnecessary medications in frail older adults. A secondary goal was to identify and review studies focusing on patients approaching end of life. We examined criteria for identifying unnecessary medications, intervention processes for medication reduction, and intervention effectiveness.

METHODS: A systematic review of English articles using MEDLINE, EMBASE, and International Pharmaceutical Abstracts from January 1966 to September 2012. Additional studies were identified by searching bibliographies. Search terms included prescription drugs, drug utilization, hospice or palliative …

Short- And Long-Term Risk Of Colorectal Adenoma Recurrence Among Whites And Blacks, Adeyinka Laiyemo, Chyke Doubeni, Hassan Brim, Hassan Ashktorab, Robert Schoen, Samir Gupta, Aline Charabaty, Elaine Lanza, Duane Smoot, Elizabeth Platz, Amanda Cross

Chyke A. Doubeni

BACKGROUND: It is unclear whether the higher burden from colorectal cancer among blacks is due to an increased biological susceptibility. OBJECTIVE: To determine whether non-Hispanic blacks (blacks) have a higher risk of adenoma recurrence than non-Hispanic whites (whites) after removal of colorectal adenoma. DESIGN: Secondary analysis of the Polyp Prevention Trial (PPT) data. SETTING: United States. PATIENTS: Patients were 1668 self-identified whites and 153 blacks who completed the 4-year trial. Of these, 688 whites and 55 blacks enrolled in a posttrial, passive Polyp Prevention Trial Continued Follow-up Study (PPT-CFS) and underwent another colonoscopy. MAIN OUTCOME MEASUREMENTS: Recurrence and location of …

Teaching Leader Series: An Interprofessional Approach To Sustained Faculty Development, James P. Orlando Edd, Elissa Foster Phd, Jaan Naktin Md, Cynthia Cappel Rn, Msn, Amy B. Smith Phd, Alexander J. Lemheney M Ed, Kirsten Ryan

Amy B Smith PhD

No abstract provided.

Perceptions Of Evidence-Based Programs Among Community-Based Organizations Tackling Health Disparities: A Qualitative Study, Shoba Ramanadhan, Josephine Crisostomo, Jaclyn Alexander-Molloy, Ediss Gandelman, Milagro Grullon, Vilma Lora, Chrasandra Reeves, Clara Savage, Kasisomayajula Viswanatha, Chyke Doubeni

Chyke A. Doubeni

Dissemination of prevention-focused evidence-based programs (EBPs) from research to community settings may improve population health and reduce health disparities, but such flow has been limited. Academic-community partnerships using community-based participatory research (CBPR) principles may support increased dissemination of EBPs to community-based organizations (CBOs). This qualitative study examined the EBP-related perceptions and needs of CBOs targeting underserved populations. As part of PLANET MassCONECT, a CBPR study, we conducted six key informant interviews with community leaders and four focus groups with CBO staff members in Boston, Worcester and Lawrence, Massachusetts, in 2008. Working definitions of EBPs among CBO staff members varied greatly …

Fpin's Clinical Inquiries. Leukotriene Receptor Antagonists For The Treatment Of Allergic Skin Disorders., Brian Stello, Linda Schwartz, David Fiore

Linda Matula Schwartz MDE, AHIP, CM

No abstract provided.

Analysis United Kingdom And United States Healthcare, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

United Kingdom and the United States are two dissimilar health systems each having uniquely differing focuses, where the primary differences are a parliamentary verses a republic government application toward the socioeconomic requirements of the populace. The United Kingdom’s National Health Service interprets health care as a public service rather than the commodity. The United States healthcare system is riddled with disparities regarding quality, access and cost. The socioeconomic poor and or homeless are less likely to utilize the healthcare system when compared to others who are more fortunate. Health care systems are facing the same challenges around the world with …

The Impact Of Case-Mix On Timely Access To Appointments In A Primary Care Group Practice, Asli Ozen, Hari Balasubramanian

Hari Balasubramanian

No abstract provided.