Journal articles: 'General practioners'

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Patel, F., J. Leigh, P. McCartney, D. Slater, R. D. Start, and D. W. K. Cotton. "General practioners and necropsies General practioners are welcome at necropsies." BMJ 308, no. 6945 (June 25, 1994): 1711–12. http://dx.doi.org/10.1136/bmj.308.6945.1711.

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Meel, Ritu, Deepak Raisingani, Ashwini Prasad, Rachit Mathur, Nidha Madan, and Namita Somani. "Information regarding use of rotary nickel -titanium endodontic instruments among general dental practitioners: a questionnaire survey." Journal of Research in Dentistry 4, no. 1 (July 24, 2016): 4. http://dx.doi.org/10.19177/jrd.v4e120164-8.

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Aim: A cross-sectional questionnaire survey was conducted to obtain information on the use of rotary nickel –titanium endodontic instruments was conducted among General Dental Practioner A two sectioned questionnaire was mailed to 200 randomly general practioners to obtain information on usage of Nickel –Titanium endodontic instrument and data was collected.Results: Forty-six percent of the general practioners had used rotary NiTi instruments. 76% dentists use NiTi files for five or more times a week. Most of the dentist used NiTi file coronally &apically. General dentists experienced more file fracture at size 20 and 25 with 0.02 and 0.04 taper.Conclusions: Dentists are familiar with limitations of NiTi instruments and techniques. Current study showed the awareness of dentists about benefits of NiTi rotary instruments application comparing to traditional techniques and also the high percent usage of these instruments among general dentists.

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Dapoigny, M. "Irritable bowel syndrome and the general practioners." Digestive and Liver Disease 37, no. 12 (December 2005): 907–8. http://dx.doi.org/10.1016/j.dld.2005.08.002.

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Boyle, Cynthia. "Pharmacists From Health Practioners’ Perspectives." American Journal of Pharmaceutical Education 76, no. 10 (December 12, 2012): 186. http://dx.doi.org/10.5688/ajpe7610186.

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Elham, Farokh Gisour, and Zarmehi Sedigheh. "The Use of Instruments by Iranian Endodontics and General Practioners." Open Dentistry Journal 6, no. 1 (June 14, 2012): 105–10. http://dx.doi.org/10.2174/1874210601206010105.

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Aim: The current clinical practice of endodontics involves utilization of a variety of new technological advances and materials. Technologies available for use in endodontic offices today include battery or electric motors using NiTi rotary file systems, new generation of electronic apex locators (EALs), improved digital radiographic sensors, surgical microscopes, and ultrasonic units. The aim of this study was to determine the prevalence and use of newer technologies among Iranian dental practitioners. Materials and methods: The population under study included the dental practitioners participating in the 49th and 50th Congress of Dentistry, who were selected with a simple sampling method. Data was collected by questionnaires which were completed by the participants in an anonymous manner. The contingency table and chi-squared test were used for data analysis by SPSS 13.5 software. Results: A total of 700 dental practitioners participated in the study; NiTi rotary systems were used by 50.1%; electronic apex locators were often employed by 46.3%; 21.7% reported that ultrasonic units were often used. Only 1.1% frequently used surgical microscopes. Males and females differed with respect to the use of newer technologies (P<0.05). Conclusion: Based on the results of the present study, it seems necessary for dentists to take part in continuing dental education programs related to the newer technologies to improve their knowledge and practice.

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Glize, Bertrand, Étienne Santos, Sophie Broussy, Igor Sibon, Pierre-Alain Joseph, and Patrick Dehail. "Management of stroke patients by general practioners: An observational study." Annals of Physical and Rehabilitation Medicine 59 (September 2016): e74-e75. http://dx.doi.org/10.1016/j.rehab.2016.07.174.

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Brown, D. J. "Opinions of general practioners in Nottinghamshire about provision of intrapartum care." BMJ 309, no. 6957 (September 24, 1994): 777–79. http://dx.doi.org/10.1136/bmj.309.6957.777.

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Pierce, David, and Chris Pearce. "COGNITIVE BEHAVIOURAL THERAPY: A STUDY OF RURAL GENERAL PRACTIONERS‘ UNDERSTANDING AND EXPECTATIONS." Australian Journal of Rural Health 11, no. 5 (June 28, 2008): 215–17. http://dx.doi.org/10.1111/j.1440-1584.2003.tb00540.x.

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van Isterdael, Chantal E. D., Gerrit A. van Essen, Marijke M. Kuyvenhoven, Arno W. Hoes, Wim A. B. Stalman, and Niek J. de Wit. "Measles incidence estimations based on the notification by general practioners were suboptimal." Journal of Clinical Epidemiology 57, no. 6 (June 2004): 633–37. http://dx.doi.org/10.1016/j.jclinepi.2003.11.012.

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Jain, Dr Roopesh, Dr Bhupendra Kumar Ratre, and Dr Narmada Prasad Patel. "Awareness of palliative care among general practioners of Bhopal: a cross sectional study." International Journal of Medical Research and Review 5, no. 2 (February 28, 2017): 144–48. http://dx.doi.org/10.17511/ijmrr.2017.i02.08.

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Scalvini, S. "Telecardiology: a new support for general practioners in the management of elderly patients." Age and Ageing 31, no. 2 (March 1, 2002): 153. http://dx.doi.org/10.1093/ageing/31.2.153.

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Pichichero, Michael E., and Michael D. Poole. "Comparison of performance by otolaryngologists, pediatricians, and general practioners on an otoendoscopic diagnostic video examination." International Journal of Pediatric Otorhinolaryngology 69, no. 3 (March 2005): 361–66. http://dx.doi.org/10.1016/j.ijporl.2004.10.013.

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Rogo, K. O. "Family planning through private practioners: characteristics of Kenyan contraceptive acceptors." International Journal of Gynecology & Obstetrics 31, no. 1 (January 1990): 47–55. http://dx.doi.org/10.1016/0020-7292(90)90181-j.

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Hannaford, P. C., and C. R. Kay. "Oral Contraceptives and Rheumatoid Arthritis: New Data from the Royal College of General Practioners' Oral Contraception Study." Rheumatology XXVIII, suppl 1 (November 14, 1989): 36. http://dx.doi.org/10.1093/rheumatology/xxviii.suppl_1.36.

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Xiaolong Gan, and Shirong Li. "Successful Criteria for Sustainable Large Scale Infrastructure Projects in china: Construction practioners' perspective." INTERNATIONAL JOURNAL ON Advances in Information Sciences and Service Sciences 5, no. 6 (March 31, 2013): 589–96. http://dx.doi.org/10.4156/aiss.vol5.issue6.70.

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Islam, Mohammad Saidul. "Off-label promotion of drugs in Bangladesh: evidence from promotional brochures circulated among general practioners by pharmaceutical companies." International Journal of Pharmacy Practice 16, no. 6 (December 2008): 409–12. http://dx.doi.org/10.1211/ijpp.16.6.0011.

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Islam, M. S., and S. S. Farah. "Misleading promotion of drugs in Bangladesh: evidence from drug promotional brochures distributed to general practioners by the pharmaceutical companies." Journal of Public Health 29, no. 2 (February 27, 2007): 212–13. http://dx.doi.org/10.1093/pubmed/fdm024.

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Reddy, MayurNath, Shwetha HL, and Mayur Mishra. "Assessment of occupational burnout among private dental practioners in Bengaluru city -a cross sectional study." International Journal of Dental Research 5, no. 1 (April 24, 2017): 55. http://dx.doi.org/10.14419/ijdr.v5i1.7421.

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Introduction: Dentistry is highly rewarding profession, but it’s very demanding job with high degree of concentration and precision in work. Dentists seem to be prone to professional burnout, anxiety disorders and clinical depression because of the variety of sources of stress encountered throughout the professional career.Objectives: To assess the burnout level and physical exhaustion among private dental practitioners.Materials and methods: A cross sectional study was carried out on private dental practitioners in Bengaluru city. A questionnaire containing 22 items Maslach Burnout Inventory and demographic detail, was administered. The response rates were obtained using a likert scale ranging from 0-6. Analysis for p value, cronbach’s α for each questions (>0.700 = high consistency), frequency and comparison of variables, were done.Results: The study found high level of burnout in 11.3% of participants. It also showed age group of <=25 and 25-35, females were highly influenced. More amount of burnout level found in general practitioners than specialists. Study also indicates that backache 48% and headache 44.7%were main reasons for physical exhaustion followed byneck-ache 34%and hand and wrist disorders 23.7%.Conclusion: As health care provider the dentists are subjected to interpersonal stress due to the demanding nature of the occupation and close proximity to the patient.Moderate to high level of burnout were detected in the study sample, it’s recommended that attention for burnout risk should be given priority by dental professionals.

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Lemoine, P., and C. Pilate. "MULTICENTER DOUBLE BLIND TRIAL COMPARING 3 DOSES OF SURICLONE TO BROMAZEPAM AND PLACEBO IN GENERALIZED ANXIETY TREATED BY GENERAL PRACTIONERS." Clinical Neuropharmacology 15 (1992): 171B. http://dx.doi.org/10.1097/00002826-199202001-00329.

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Patel, Niyati, Shubhangi Deshpande, Varsha Godbole, Viral Champaneri, and Neeraj Singh. "Awareness and approach towards diagnosis and treatment of diabetes type 2 and its complication among general practioners of western Vadodara." International Journal of Diabetes in Developing Countries 35, no. 3 (April 12, 2014): 138–42. http://dx.doi.org/10.1007/s13410-014-0192-0.

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Cao, Yenong, Muhammad Zubair Afzal, and Keisuke Shirai. "Ipilimumab and nivolumab induced immune-related adverse events in metastatic mucosal melanoma." BMJ Case Reports 14, no. 8 (August 2021): e243713. http://dx.doi.org/10.1136/bcr-2021-243713.

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Mucosal melanoma is a rare subtype of melanoma and represents a unique diagnosis and treatment challenge. Immune-checkpoint inhibitors (ICIs) have revolutionised metastatic melanoma treatment, and one of the leading regimens is the combination of ipilimumab (anti-cytotoxic T lymphocyte-associated antigen 4: CTLA4) and nivolumab (anti-programmed cell death protein 1: PD1). We report a case of a patient with metastatic mucosal melanoma treated with ipilimumab and nivolumab who developed multiple immune-related adverse events (irAEs) including uveitis, type I diabetes complicated by diabetic ketoacidosis, destructive thyroiditis, hepatitis and vitiligo. Endocrinopathies including type 1 diabetes and hypothyroidism were treated with insulin and levothyroxine. Hepatitis was responsive to steroids. She had sustained complete response 12 months after discontinuation of the combination therapy. With the wide usage of ICIs in multiple types of malignancies, it is important for general practioners to recognise common and serious irAEs due to ICIs.

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Nayak, Dilip G., Sangeeta Umesh Nayak, Ashita Uppoor, and Keshava Pai. "A Study to Evaluate Awareness of Psychosomatic Factors as a Possible Risk Factor for Periodontal Diseases in General Dental Practitioners of Mangalore City." Journal of Oral Health and Community Dentistry 5, no. 1 (January 2011): 19–23. http://dx.doi.org/10.5005/johcd-5-1-19.

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ABSTRACT Background Clinical observations and epidemiological studies suggest that some negative life events and psychological factors may contribute to an increased susceptibility to periodontal diseases. Management of periodontal diseases is a fundamental part of general practice. This study explored general dental practitioner's awareness about psychosomatic factors and their role in periodontal disease progression. Aim To evaluate the awareness of general dental practioners of Mangalore city and their professional behavior towards patients with stress and depression and periodontal infection. Method Data were collected from 55 general dental practitioners of Mangalore city. 27 respondents were purely general practitioners and other were academicians who were practicing general dentistry. Results the respondents had awareness about the effect of stress and depression on periodontal tissues and their management. They were able to identify the periodontal conditions which occur primarily because of stress. Conclusion The general dental practitioners play a key role in the success of the treatment of periodontal disease since they are the primary care providers. The respondents were significantly aware about the psychological factors such as stress and depression and its significance on periodontium. This may be due to the involvement of more number of young practitioners who were well educated about psychosomatic factors and their effects on periodontium in their dental education.

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Kanaparthi, Alekhya, Divya Dukkireddy, Hema Gopalaiah, Sathya Prakash Reddy Kesary, Tejaswi Katne, and Ramlal Gantala. "Awareness of COVID 19 pandemic among dental practioners of Telangana state, India: A cross sectional survey." Journal of Oral Biology and Craniofacial Research 10, no. 4 (October 2020): 484–89. http://dx.doi.org/10.1016/j.jobcr.2020.08.001.

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Hill, Harry, Peter McMeekin, and Christopher Price. "A systematic review of the activity and impact of emergency care practioners in the NHS." Emergency Medicine Journal 31, no. 10 (July 13, 2013): 853–60. http://dx.doi.org/10.1136/emermed-2013-202660.

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Busse, Reinhard, Michael Hoopmann, and Friedrich Wilhelm Schwartz. "WHICH FACTORS DETERMINE THE USE OF DIAGNOSTIC IMAGING TECHNOLOGIES FOR GASTROINTESTINAL COMPLAINTS IN GENERAL MEDICAL PRACTICE?" International Journal of Technology Assessment in Health Care 15, no. 4 (October 1999): 629–37. http://dx.doi.org/10.1017/s0266462399015421.

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Objective: Even though gastrointestinal complaints are among the most frequent reasons to contact general medical practioners, little is known about the actual care of these patients, especially the use of diagnostic imaging technologies.Methods: In a network of 57 family practitioners and 29 general internists in Lower Saxony, Germany, 1,217 contacts with patients with gastrointestinal diseases (16%, gastritis; 12%, gastroenteritis; 6%, cholelithiasis; 5% each, ulcus ventriculi and duodeni, and 14%, no final diagnosis) were documented. The effects of patient and physician/practice side factors on the use of ultrasonography and radiography were modeled using multivariate logistic regression.Results: For ultrasonography, diagnosis and ownership of an ultrasound unit (odds ratio [OR] = 3.33) were highly significant predictors (p < .0001), followed by unknown diagnosis at beginning of contact (OR = 1.92; p = .0019), physician specialty (OR for internists = 1.89; p = .0025), and severity (p = .0085). For radiography, ownership of an ultrasound unit was the most significant factor (OR = 0.34; p < .0001), followed by severity (p < .0009), ownership of x-ray apparatus (OR = 2.56; p = .0025), physician specialty (OR for internists = 1.98; p = .0358), and unknown diagnosis at beginning of contact (OR = 1.79; p = .0451). Not significant were age and sex of patient and diagnosis for radiography.Conclusions: Physicians use diagnostic imaging technologies for patients with gastrointestinal complaints according to severity and knowledge about the diagnosis, but ownership of technology is the most predictive factor.

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Liang, Wei, Xin Yi Song, and Shou Qing Wang. "Case Study of the Bird's Nest: Risks and Opportunities in China's PPP Implementations in Major Sports Facilities." Advanced Materials Research 243-249 (May 2011): 6332–38. http://dx.doi.org/10.4028/www.scientific.net/amr.243-249.6332.

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Although the infrastructure development projects under PPP operation which can fill the funding gap as a result of increasing demand for infrastructure development and reduced public sector funding capacity have been practiced since the late 80s, the $560 million Bird’s Nest (National Stadium) is the first stadium project in China using this procurement method. This project is generally considered as a successful case by most of the practioners and experts despite the operation right transfer occurred in 2009. Compared to the use of PPP in other field such as transportation, power generation and waste management, development of sports facilities for mega sport event with this model has its own unique features, risks and opportunities. This research identifies and analyzes the risks and opportunities through case study of the Bird’s Nest project. A survey and several interviews are conducted to solicit expert opinions from experienced practitioners and experts. According to the analysis, government behavior related risks and project level risks are found to be two groups of risks which are quite different for major sports facilities projects and general PPP projects.

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Lee, R. J., and J. S. Walker. "Applications of CCEM to Environmental Health Problems." Proceedings, annual meeting, Electron Microscopy Society of America 43 (August 1985): 102–3. http://dx.doi.org/10.1017/s0424820100117558.

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Electron microscopy (EM), with the advent of computer control and image analysis techniques, is rapidly evolving from an interpretative science into a quantitative technique. Electron microscopy is potentially of value in two general aspects of environmental health: exposure and diagnosis.In diagnosis, electron microscopy is essentially an extension of optical microscopy. The goal is to characterize cellular changes induced by external agents. The external agent could be any foreign material, chemicals, or even stress. The use of electron microscopy as a diagnostic tool is well- developed, but computer-controlled electron microscopy (CCEM) has had only limited impact, mainly because it is fairly new and many institutions lack the resources to acquire the capability. In addition, major contributions to diagnosis will come from CCEM only when image analysis (IA) and processing algorithms are developed which allow the morphological and textural changes recognized by experienced medical practioners to be quantified. The application of IA techniques to compare cellular structure is still in a primitive state.

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Rashid, Faisal, Peter L. Munk, Manraj Heran, David Malfair, and Owen Chiu. "SKyphoplasty." Canadian Association of Radiologists Journal 60, no. 5 (December 2009): 273–78. http://dx.doi.org/10.1016/j.carj.2009.07.004.

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Objective SKyphoplasty is a new method of percutaneous spinal augmentation. Despite its limited availability in the United States, SKyphoplasty has experienced considerable growth in recent years. In this article, we aim to provide a stepwise documentation of the technique, with brief reference to the 2 established methods, vertebroplasty and kyphoplasty. Conclusion Experience with SKyphoplasty is relatively limited, and little information has appeared in the literature to support its theoretical benefits. After review of previously published material, an audit of our institutional experience, and discussion with other practioners who perform this procedure, it would appear that pain relief by using this device is at best similar to that of conventional vertebroplasty and kyphoplasty. There was no evidence of height restoration in our patient population, an advantage that has been brought into question.

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Malik, Azhar, Abishek Singh, Aina Kumar, Praveen Singh Samant, Sumit Sabharwal, and Vineet Kumar Pandey. "Attitude among dental practioners towards use of rotary instruments and hand instruments for root canal treatment: a comparative study." Journal of Research in Dentistry 4, no. 1 (July 24, 2016): 13. http://dx.doi.org/10.19177/jrd.v4e1201613-17.

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Aim: The purpose of present study is to assess the attitude of general dental practioners towards use rotary instruments and hand instruments for root canal treatment.Material and Methods: It was a cross-sectional questionnaire study conducted in the private clinics in Lucknow city, Uttar Pradesh. A total of 400 clinics were visited and face to face interview schedule was conducted. Questionnaire consists of demographic details of dental professionals. Information regarding the years of experience, OPD details and number of root canal treatment done per week by dental professionals was obtained. Use of rotary and hand instruments by dental professionals was inquired. Years of experience with Rotary instruments, procedural problems with rotary instruments faced by dental professionals and reasons for not using the rotary instruments if any was also recorded.Results: 102 (33%) of the total study samples were using rotary instruments for root canal treatment and 100 (32%) using both rotary and hand instruments for root canal treatment. Dentists who are using rotary instruments are facing the procedural problem of file breakage {70 (36%)}. And those dental professionals using hand instruments are facing the problem of ledge formation {82(40%)}.Conclusions: The main procedural failure of the rotary instruments in root canal treatment, faced by dental professionals was file breakage and with hand instrument is ledge formation. Lack of expertise is the main reason which restricts dental professionals from using rotary instruments.

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Edmunds, June, and Michael W. Calnan. "The reprofessionalisation of community pharmacy? An exploration of attitudes to extended roles for community pharmacists amongst pharmacists and General Practioners in the United Kingdom." Social Science & Medicine 53, no. 7 (October 2001): 943–55. http://dx.doi.org/10.1016/s0277-9536(00)00393-2.

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NOOTEBOOM, SIBOUT, and KEIMPE WIERINGA. "COMPARING STRATEGIC ENVIRONMENTAL ASSESSMENT AND INTEGRATED ENVIRONMENTAL ASSESSMENT." Journal of Environmental Assessment Policy and Management 01, no. 04 (December 1999): 441–57. http://dx.doi.org/10.1142/s146433329900034x.

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Strategic Environmental Assessment (SEA) aims to assess the environmental effects of proposed policies, plans and programmes (PPPs), governing sectoral activities such as transport, agriculture, industry and tourism. Integrated Environmental Assessment (IEA) aims to assess the environmental effects of societal activities and government policy, not in respect to a particular proposed PPP, but in general. The thesis of this paper is that, in particular at the national and international level, SEA and IEA are instruments with complementary roles in the policy making process. A truly pro-active approach requires application of IEA next to SEA. They can also strengthen one another by making use of the same assessment tools. The paper makes use of the experiences of European practitioners of SEA and IEA. It makes no explicit reference to the general theory of planning and policy making, but the experiences and ideas are considered to be of use to practioners as well as policy makers and academics. The paper first describes the context of SEA and IEA — mainly in Europe — and then compares them on key characteristics. This leads to a discussion of the relationship between the two, possibilities for improvement and conclusions.

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Goldberg, Stuart, and Luke Akard. "Why Don't Hematologists Follow Chronic Myeloid Leukemia Monitoring Guidelines? A Survey Of Practioners In New Jersey and Indiana." Blood 122, no. 21 (November 15, 2013): 5187. http://dx.doi.org/10.1182/blood.v122.21.5187.5187.

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Background Successful treatment of chronic myeloid leukemia (CML) requires monitoring of cytogenetic/molecular responses during tyrosine kinase inhibitor therapy.Both the National Comprehensive Cancer Network and European LeukemiaNet have published monitoring guidelines. However our group has reported <30% of 1200 CML ptsin 2 insurance databases underwent polymerase chain reaction (pcr) monitoring during their 1st year as recommended (Chen ASCO 2013). These inadequately monitored pts experienced inferior outcomes, more hospitalizations and higher costs. We have also conducted a >400 pt chart review from 38 practices and noted over half did not undergo appropriate molecular monitoring, leading to higher rates of progression and mortality (Goldberg Curr Med Res Opin 2013). Barriers to physician adherence with CML guidelines have not been previously explored. Methods An anonymous 3 page survey was mailed to 515 hematologist-oncologists in New Jersey (n=359) and Indiana (n=156) in June 2013. Questions about barriers to guidelines were taken from a prior validated general guideline study (Taba, BMC Health Services Research 2012). Results 96 physicians (19%) responded [NJ=68 (19%); IN=28 (18%)]. Respondents worked 11% in academic centers and 89%community practice; 18% solo practice, 65% heme/onc group, 17% multi-specialty. Physicians were in practice 6% <5, 11% 6-10, and 83% >10 years. 17% saw primarily hematology pts, 8% solid tumors, 75% mixed heme/onc. 92% saw pts with CML and 19% referred. For new CML pts, respondents felt the following tests should be done: CBC 100%,spleen measurement byhand 100%, spleen imaging 37%, flow cytometry peripheral blood (PB) 54%, bone marrow (BM) biopsy or aspirate for morphology 73%, PB karyotype 25%, PB FISH 42%, PB pcr bcr-abl 73%, PB abl kinase mutation 15%, BM karyotype 73%,BM FISH 56%, BM pcr bcr-abl 44%, BM abl kinase mutation 10%, (italic items recommended by NCCN). 77% correctly identified routine PB pcr testing as quarterly (6 % biannual, 2% at one year). PB FISH was chosen 38% quarterly. The 3 month evaluation was queried: 73% recommended obtaining a PB pcr which is a treatment decision point by NCCN guidelines, 38% recommended a PB FISH. 79% utilized a lab performing pcr testing by International Standard, 6% used non-IS lab, 15% did not know what their lab reported and 2% were unfamiliar with IS. 77% stated they were familiar with NCCN guidelines and used them, 19% were familiar but did not use, and 4% were not familiar. Using 5-point Likert scale, 98% strongly or somewhat agreed “treatment guidelines are evidenced based”, 98% agreed “guidelines are useful in daily clinical work and improve quality of treatment”, 90% agreed “guidelines include different aspects of the disease and are a good tool for confirming diagnoses, starting initial treatment and managing complications” and 92% agreed “guidelines are convenient and the information is easy to find.” Barriers to guidelines: 56% disagreed “guidelines are hard to implement due to lack of medical resources”, 48% disagreed “guidelines are hard to implement due to lack of patient resources”, 65% disagreed “there is no time to search for information’, 77% disagreed “guidelines are not accessible”, 92% disagreed “guidelines are too complicated and it is difficult to find the information”, 71% disagreed “guidelines reduce doctors autonomy”, 77% disagreed “guidelines limit treatment options”, 67% disagreed “guidelines limit flexibility and individual approach’, 85% disagreed “there is no need for guidelines as treatment routines exist”, and 83% disagreed “patients do not want doctors to conform to treatment guidelines.” Facilitators included: 90% agreed “an easy to find online database”, 46% agreed “special training courses”, 77% agreed “published materials”, 52% agreed “information through professional societies”, and 67% agreed “available consultation to answer questions about the guidelines.” Conclusions This survey, the 1st onCML guidelines barriers, suggests that guidelines are considered useful (especially on-line or published) without major system, resource or attitudinal barriers. The low response ratecautions firm conclusions, especially since >70% respondents correctly identified pcr monitoring practices (indicating a more motivated physician cohort).Given that outcomes improve when CML pts are monitored per published guidelines, efforts to encourage usage are needed. Disclosures: No relevant conflicts of interest to declare.

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Gaudig, M. "PMH58 BUDGET CONSTRAINTS AS A MAJOR CAUSE FOR UNDERTREATMENT OF PATIENTS SUFFERING FROM ALZHEIMER'S DISEASE IN GERMANY: A COMPARATIVE PANEL SURVEY OF GENERAL PRACTIONERS AND NEUROLOGISTS." Value in Health 11, no. 6 (November 2008): A598. http://dx.doi.org/10.1016/s1098-3015(10)66959-8.

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Brown, Rachel Clare, Andrew Robert Gray, Lee Ching Yong, Alex Chisholm, Sook Ling Leong, and Siew Ling Tey. "A comparison of perceptions of nuts between the general public, dietitians, general practitioners, and nurses." PeerJ 6 (September 11, 2018): e5500. http://dx.doi.org/10.7717/peerj.5500.

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Background Nut consumption at the population level remains low despite the well-documented benefits of their consumption, including their cardioprotective effects. Studies have suggested that advice from health professionals may be a means to increase nut consumption levels. Understanding how nuts are perceived by the public and health professionals, along with understanding the public’s perceptions of motivators of and deterrents to consuming nuts, may inform the development of initiatives to improve on these low levels of consumption. The aim of this cross-sectional study was to compare perceptions of nuts among three groups of health professionals (dietitians, general practioners, and practice nurses) and the general public in New Zealand (NZ), along with motivators of and deterrents to consuming nuts amongst the general public and their experiences of receiving advice around nut consumption. Methods The NZ electoral roll was used to identify dietitians, general practitioners (GPs), and practice nurses, based on their free-text occupation descriptions, who were then invited to complete a questionnaire with 318, 292, and 149 respondents respectively. 1,600 members of the general public were randomly selected from the roll with 710 respondents. Analyses were performed using chi-squared tests to look at differences in categorical variables and linear regression for differences in other variables between the four survey groups. Results Although there were significant differences between the four groups regarding the perceptions of nuts, in general there was agreement that nuts are healthy, high in protein and fat, are filling, and some nuts are high in selenium. We noted frequent agreement that the general public participants would consume more if nuts: improved health (67%), were more affordable (60%), or improved the nutrient content (59%) and balance of fats (58%) within their diets. Over half the respondents reported they would eat more nuts if they were advised to do so by a dietitian or doctor, despite less than 4% reporting they had received such advice. The most frequently selected deterrents to increasing nut consumption were: cost (67%), potential weight gain (66%), and leading to eating too much fat (63%). Discussion It is concerning that so few among the general public report receiving advice to consume more nuts from health professionals, especially given their apparent responsiveness to such advice. Health professionals could exploit the motivators of nut consumption, while also addressing the deterrents, to promote nut intake. These factors should also be addressed in public health messages to encourage regular nut consumption among the public. Educational initiatives could also be used to improve the nutritional knowledge of GPs and practice nurses with regard to nuts, although even dietitians were unsure of their knowledge in some cases.

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Carta, Stefano. "Crisi e significato della 180. Una sfida aperta." PSICOBIETTIVO, no. 3 (October 2009): 19–38. http://dx.doi.org/10.3280/psob2008-003003.

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- The article deals with the urge to enhance the basic inspiring principles of the Italian bill on psychiatry passed in 1979. Such principles dealt with the recognition of the fundamental social nature of the individual, and, as such, of the patient. 30 years later, the Italian public health system has undergone deep changes, due to the return to reductionist paradigms, based on a biological, nosographic and biological interpretation of the patient. At the same time there has been an increase of illnesses, such as depression, panic attacks, or eating disorders, which are quite relevant on an epidemiological scale, together with an increasing transformation of the Italian society towards a more multicultural nature. Both these two groups of factors call for a re-definition of the inspiring principles of the psychiatric law towards a more ethno-psychiatric and ethno-psychological frame. At the same time, these principles need to involve not only the public system, but the private practioners as well.Key Words: law; 180; Jung; Ethnopsychiatry; Autism; Setting.Parole chiave: legge; 180; Jung; etnopsichiatria; autismo; setting.

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Okoroafor, Chikezirim, and Ayodeji Olatunji Aiyetan. "Construction Project Performance: Inhibiting Factors for Stakeholder." Advances in Science and Technology 107 (June 28, 2021): 209–14. http://dx.doi.org/10.4028/www.scientific.net/ast.107.209.

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Globally, the construction industry is a catalyst for economic development. This is because it is the bedrock for economic activities. Over the years, the construction industry has been criticised for under-performing which brings about a decline in productivity. In order to improve construction project performance for infrastructural delivery, there are factors to be considered, inter alia, construction material related factors, construction machinery related factors, and project management related factors. In achieving this objective, a questionnaire survey was expedited to purposive practioners to evaluate the relative importance index of these factors. The paper reveals that in the category of construction material related factors, unsuitable locations for material and late delivery of construction materials topped the list with a MS value of 4.53 and 4.15, respectively; in the category of construction machinery related factors, poor maintenance of tools and machinery and difficulties in hiring construction tools and machinery topped the list with a MS value of 4.54 and 4.50, respectively; while in the category of project management related factors, efficient time management and project quality management topped the list with a MS value of 4.83 and 4.70, respectively. In addition, performance improvement factors were also highlighted.

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Kaneshamoorthy, M. "96 Will Routine Frailty Identification by GPS Improve Patient Care? A Review of the 2017 GMS Contract For General Practitioners (GPS) Using Pestle Analysis Tool." Age and Ageing 49, Supplement_1 (February 2020): i30—i32. http://dx.doi.org/10.1093/ageing/afz194.07.

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Abstract Introduction It is well established in the literature that frailty is associated with high health costs (Bock 2016, England: BioMed Central). Early identification improves patient outcomes. The 2017 GMS contract for General Practioners’ (NHS England 2017) had tried to implement this. This is a result from the government wanting to improve care for frail patients from the “Five Year Forward Review”. This is first policy worldwide to introduce a policy on frailty screening (Reeves, 2018, BMJ, 362, pp. k3349). Majority of frail patients’ first contact with the NHS is through Primary Care. However, with ever reducing number of GPs and increasing work burden, is it appropriate to ask GPs to undertake this? Methods This review uses the policy analysis tool PESTLE (Political, Economical, Social, Technological, Legal, and Environmental) (Visconti 2016, Corporate Ownership and Control,13), to assess the implications of this new contract obligation on GPs and patients. Results Once frail patients are identified, it is advised that they are reviewed by GPs annually. Whether this actually benefits patients are not clear (Page 2017 British Journal of Clinical Pharmacology, 82(3), pp. 583–623). The evidence for interventions being cost-effective is also inconsistent (Hamilton 2017, BMJ, 358, pp. j4478). Alternative methods include implementing a nurse-led community frailty service, has shown some benefit in Netherlands (Bleijenberg 2017, JAMDA). Clinical Pharmacist can aid with medication reviews and focusing on Geriatrician “outreach” clinics in primary care can improve patient care and outcomes (Goldstein 2014, CJEM, 16(5), pp. 370). Due to the work burden, GPs are often seen to be reactive rather than proactive (Goodwin 2010, The King’s Fund). The shift in focus on frailty can simulate more constructive dialogue between primary care, secondary care, patients and their carers. The BMA has also tried to reassure GPs this is not an added burden, but this is controversial (BMA 2017). Conclusions To successfully implement such a policy, emphasis on clear objective outcomes and strategy is needed. There is a risk of frailty identification becoming a tick box exercise.

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Georjutti, Renata Pereira, Fernanda Ladico Miura, Rodrigo Antonio De Faria, Alexandre Sigrist De Martin, and Carlos Eduardo Da Silveira Bueno. "Identification of the profile and perceptions of Brazilian dentists regarding the use of rotary and/or reciprocating instruments in endodontic treatment." Revistas 74, no. 3 (September 25, 2017): 191. http://dx.doi.org/10.18363/rbo.v74n3.p.191.

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Objective: the aim of this study was to establish the profile of dentists with respect to some characteristics in the use of systems and kinematics of instrumentation most used in Brazil for endodontic treatment. Material and Methods: an invitation to participate in the survey was sent digitally to 1,300 dentists from January-April 2016, distributed in the five regions of Brazil, using a service available at surveymonkey.com (Survey Monkey, Palo Alto, CA, USA). They were validated 1,143 with the option of free and informed consent. The data collected were divided into two groups, the first group being only general practioners group (CG Group) and the second group, dentists that did postgraduation in Endodontics (PE Group). Data were statistically analyzed using the Mann-Whitney and Likelihood Ratio (p <0.05). Results: most dentists of the two groups reside in the Southeast region; Are of the female gender; Average age between 26 and 34 years and have a postgraduate degree. The most striking feature of the use of the reciprocating system was the reduction in working time. Conclusion: within the limitations of the present research, it was concluded that most dentists presented a similar profile regardless of whether or not they had a postgraduate course, since they do not use rotating or reciprocating systems exclusively, being Protaper Universal® and Reciproc® the most used, associate the systems with manual files and reuse the files of the systems.

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Ahmed, U., and E. Carmody. "Improving transfer from secondary to primary care: An audit of discharge letters from psychiatric outpatient clinic." European Psychiatry 26, S2 (March 2011): 896. http://dx.doi.org/10.1016/s0924-9338(11)72601-3.

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AimsThe discharge letter plays a crucial role in continuity of care from secondary to primary care. We found no existing study of outpatient discharge letters, including Mental Retardation services. New Ways of Working for psychiatrists has encouraged the discharge of stable outpatients to primary care in order to provide a responsive, flexible service. This study set standards for discharge communication and identified areas for improvement.MethodologyThis was a retrospective random audit of 30 service users discharged from a psychiatric outpatient clinic. Standards were set with consultant psychiatrists and general practioners. Data was collected from the service users’ last two clinic letters using a pre-developed audit tool and compared the current practice with the standards identified.ResultsStandards for status and future planning were largely achieved with reference to current mental state (97%), current medication (90%), other LD professionals involved (95%), advice and how to re-refer (90%).Standards for historical factors were partially achieved; including summary of contact with services (70%), summary (57%) and evaluation (67%) of treatments received. Some standards were not achieved; including requesting view of primary care prior to discharge (27%), statement of capacity (23%), risk factors (23%) and relapse indicators (27%).ConclusionThe audit showed areas of good practice and areas for improvement. Results were disseminated to MDT's and a template developed for outpatient discharge letters. A re-audit has commenced to ensure progress in this important information-sharing process and to enhance the delivery of safe and effective health care.

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Rusdi, A. R., R. Noorzurani, and H. Hussain. "Spiritual enhanced drug addiction rehabilitation (SEDAR) program: An innovative strategy for increase coverage of methadone program in Malaysia." European Psychiatry 26, S2 (March 2011): 100. http://dx.doi.org/10.1016/s0924-9338(11)71811-9.

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IntroductionIn Malaysia, national methadone maintenance therapy program was started by the goverment in October 2005 as part of harm reduction approach in reducing HIV prevalence among drug users along with needles and Syringes exchange(NSEP) program. However, slow coverage of MMT treatment occurs due to limited resources in existing health facilities and lack of participation from general practioners(Gps). There is a need for another paltform to increase coverage and participation of GPs in national MMT program.ObjectivesTo compare the retention rate and other outcomes measures between SEDAR program and Standard MMT treatment in hospital.AimsTo determine the feasability of MMT program in mosque environment.MethodsThe pilot MMT program known as SEDAR program was conducted in Ar-Rahman mosque involving 30 clients. Brief spiritual intervention(BSI) was given by mosque staffs on top of standard MMT treatment counseling. BSI include washing body parts with water or “wuduk”, praying in the mosque or “tahiyatul masjid” and recite “doa” in the mosque environment prior to direct observed therapy of methadone in the mosque by the pharmacist. The retention rate, % of urine drugs negative over time period, drug use and HIV risk behavior, quality of live and spiritual progress were measure using specific tools: OTI, WHO Qol, SF36, HIR96.ResultsWe expect the SEDAR group in Mosque has better outcomes or comparable with standard MMT treatment in hospital setting.ConclusionsThe SEDAR program is feasable to increase coverage of MMT program in Malaysia.

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Paiewonsky, Luisa. "A New Approach to HOV Entry Requirements: MassHighway’s 3+ /Limited 2+ Sticker Program." Transportation Research Record: Journal of the Transportation Research Board 1634, no. 1 (January 1998): 70–77. http://dx.doi.org/10.3141/1634-09.

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The Massachusetts Highway Department opened the I-93 Southeast Expressway high-occupancy vehicle (HOV) lane in November 1995, under a three-person, or 3+, entry requirement. A 2+ rule was not implemented because studies indicated that the high number of existing two-person carpools would overload the narrow lane, causing it to fail. While the lane was an operational success, with general public support, the agency fielded continuing complaints about underutilization. In response, the Massachusetts Legislature and MassHighway designed a program to allow a limited number of two-person vehicles into the lane. MassHighway examined the results of the sticker program on incidents, lane violation rates, and HOV volumes. The program’s impact on incidents was negligible, and the rate actually declined slightly in the months following its opening. The program had no impact on the HOV lane’s already low violation rate, which was due to its barrier-protected, limited-acces design. HOV volumes rose 29 percent on average following the opening of the sticker program. Suprisingly, given the high demand for stickers, relatively few recipients use the lane on a regular basis. A MassHighway survey of sticker recipients revealed some of the reasons for this phenomenon and confirmed several operational aspects about the HOV lane in general. The sticker program represents a new solution to an old problem among HOV practioners—how to balance the need for a congestion-free facility, while meeting the need for public acceptance and perception of adequate utilization. The sticker program went a long way toward diffusing public criticism of the HOV lane, while keeping vehicle volumes to a manageable level. The Southeast Expressway HOV sticker program represents one alternative for successfully metering 2+demand.

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Malone, David G., Nevan G. Baldwin, Frank J. Tomecek, Christopher M. Boxell, Steven E. Gaede, Christopher G. Covington, and Kenyon K. Kugler. "Complications of cervical spine manipulation therapy: 5-year retrospective study in a single-group practice." Neurosurgical Focus 13, no. 6 (December 2002): 1–8. http://dx.doi.org/10.3171/foc.2002.13.6.8.

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Object The authors report a series of 22 patients in whom major complications developed after cervical spinal manipulation therapy (CSMT). A second objective was to estimate the regional incidence of these complications and to compare it with the very low incidences reported in the literature. Methods During a 5-year period, practioners at a single group neurosurgical practice in Tulsa, Oklahoma, treated 22 patients, who were markedly worse during, or immediately after, CSMT. The details of these cases are reported. The 1995 US Government National Census was used to define the regional referral population for Tulsa. The published data regarding the incidence of serious CSMT-related complications and the rate of CSMTs undertaken nationally were used to estimate the expected number of CSMT-related complications in the authors' region. The number (22 cases) reported in this series was used to estimate the actual regional incidence. Complications in the series included radiculopathy (21 cases), myelopathy (11 cases), Brown–Séquard syndrome (two cases), and vertebral artery (VA) occlusion (one case). Twenty-one patients underwent surgery. Poor outcomes were observed in three, outcome was unchanged in one, and 17 improved. The number of patients in this series exceeded the expected number for the region. Conclusions Cervical spinal manipulation therapy may worsen preexisting cervical disc herniation or cause disc herniation resulting in radiculopathy, myelopathy, or VA compression. In cases of cervical spondylosis, CSMT may also worsen preexisting myelopathy or radiculopathy. Manipulation of the cervical spine may also be associated with higher complication rates than previously reported.

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Kool, Rudolf Bertijn, Eva Wilhelmina Verkerk, Jill Meijs, Niels van Gorp, Martijn Maessen, Gert Westert, Wilco Peul, and Simone van Dulmen. "Assessing volume and variation of low-value care practices in the Netherlands." European Journal of Public Health 30, no. 2 (January 17, 2020): 236–40. http://dx.doi.org/10.1093/eurpub/ckz245.

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Abstract Background There have been contributions to quantify the volume of low-value care practices in the USA, Canada and Australia but we have no knowledge about the volume in Europe. The purpose of this study was to assess the volume and variation of Dutch low-value care practices. Methods We conducted a cross-sectional study with data of a Dutch healthcare insurance company from general practioners (GP’s) and hospitals in the Netherlands from 2016. We used all billing claims made by healthcare providers of 3.5 million Dutch inhabitants. We studied Choosing Wisely recommendations in order to select low-value care practices. We used the percentage low-value care practices per hospital and number of low-value care practices per GP as outcomes. Results We assessed the volume of low-back imaging by GPs, screening of patients over 75 years for colorectal cancer and diagnosing varices with Doppler or Plethysmography. We found that 0.4% (range 0–7%) of the eligible patients received low-value screening for colorectal cancer and 8.0% (range 0–88%) of eligible patients received low-value diagnosing of varices. About 52.4% of the GPs ordered X-rays and 11.2% ordered magnetic resonance imagings of the lumbosacral spine. Most healthcare providers did not provide the measured low-value care practices. However, 1 in 12 GPs ordered at least one low-back X-ray a week. Conclusions The three Choosing Wisely recommendations showed a lot of practice variation; many healthcare providers did not order these low-value diagnostic tests; a minor part did order a substantial amount, low-back spine radiology in particular. These healthcare providers should start reducing these activities.

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Mukherjee, Reema, and Sanjay Chaturvedi. "A study of the dietary habits of school children in Pune city, Maharashtra, India." International Journal Of Community Medicine And Public Health 4, no. 2 (January 25, 2017): 593. http://dx.doi.org/10.18203/2394-6040.ijcmph20170296.

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Background: Diet and nutrition of children influence their current health status and scholastic performance and also have long term consequences reaching well into their adulthood. Further, diet preferences and practices acquired during childhood usually persist for life. Data on nutritional intake of school children is required by public health policy makers to be able to formulate nutritional intervention and also for nutritionists and general practioners to be able to advice parents and care givers regarding the inadequacies in the diet. This study was carried out in Pune city, to study the dietary patterns and preferences of school children in the age group five to eleven years.Methods: Qualitative diet survey was carried out by oral questionnaire method. The data collected was on the food habits, frequency of various types of food eaten and the preferences/dislike to various food items. A database was created in MS Excel and Epi Info was used to analyze data. Appropriate inferential and descriptive statistics were calculated.Results: Around 50% of the children were non-vegetarians and only around 6% were vegetarians. Around 70% of children consumed milk daily though a majority insisted that milk is their least preferred food item. Only 5% children consumed green leafy vegetables daily. A majority of children consumed fruits two to six times. Snacks, fast food and processed food were the most preferred food by the children.Conclusions: Food habits acquired during childhood persist into adulthood and form the basis of either good health or ill health, as the case may be, in the coming years. Hence there is a need to educate parents, especially in the middle and higher socioeconomic groups regarding correct dietary habits for the children to ensure that they can live healthy and productive lives as adults.

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Cashmore, Matt T., Aaron J. McCann, Stephen J. Wastling, Cormac McGrath, John Thornton, and Matt G. Hall. "Clinical quantitative MRI and the need for metrology." British Journal of Radiology 94, no. 1120 (April 1, 2021): 20201215. http://dx.doi.org/10.1259/bjr.20201215.

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MRI has been an essential diagnostic tool in healthcare for several decades. It offers unique insights into most tissues without the need for ionising radiation. Historically, MRI has been predominantly used qualitatively, images are formed to allow visual discrimination of tissues types and pathologies, rather than providing quantitative measurements. Increasingly, quantitative MRI (qMRI) is also finding clinical application, where images provide the basis for physical measurements of, e.g. tissue volume measures and represent aspects of tissue composition and microstructure. This article reviews some common current research and clinical applications of qMRI from the perspective of measurement science. qMRI not only offers additional information for radiologists, but also the opportunity for improved harmonisation and calibration between scanners and as such it is well-suited to large-scale investigations such as clinical trials and longitudinal studies. Realising these benefits, however, presents a new kind of technical challenge to MRI practioners. When measuring a parameter quantitatively, it is crucial that the reliability and reproducibility of the technique are well understood. Strictly speaking, a numerical result of a measurement is meaningless unless it is accompanied by a description of the associated measurement uncertainty. It is therefore necessary to produce not just estimates of physical properties in a quantitative image, but also their associated uncertainties. As the process of determining a physical property from the raw MR signal is complicated and multistep, estimation of uncertainty is challenging and there are many aspects of the MRI process that require validation. With the clinical implementation of qMRI techniques and its continued expansion, there is a clear and urgent need for metrology in this field.

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Pezij, JW, E. Bredenhoff, J. Bridges, R. Vrenken, and MJ Ijzerman. "PHP4 PATIENT PREFERENCES TOWARD HEALTH SERVICES PROVIDED BY THE GENERAL PRACTIONER." Value in Health 11, no. 6 (November 2008): A363. http://dx.doi.org/10.1016/s1098-3015(10)66247-x.

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Klijn, Erik-Hans, Jurian Edelenbos, Michiel Kort, and Mark van Twist. "Facing management choices: an analysis of managerial choices in 18 complex environmental public—private partnership projects." International Review of Administrative Sciences 74, no. 2 (June 2008): 251–82. http://dx.doi.org/10.1177/0020852308089905.

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This article looks at how managers in large infrastructure projects in The Netherlands deal with difficult choices, which are labelled dilemmas in this article, in their managerial activities. It presents the results of a survey of 32 managers in 18 complex decision-making projects in which public—private partnerships (PPPs) play an important role. The managers were presented with a number of choices and asked to rate the amount of attention they paid to each of the choices. The article focuses on four (groups of) dilemmas managers face in the inter-organizational context of these processes: (1) interaction with parties, (2) strategic orientation, (3) management style and (4) process dynamics.After a brief elaboration of the role of (network) managers in complex PPP projects and the nature of the dilemmas they face, the four groups of dilemmas are explored by looking at how managers scored on the dilemmas within each group. Conclusions are drawn about managers' perceptions of these dilemmas and the differences between projects. The different choices of dilemmas are then compared with the differences between the scores of the outputs of the projects as perceived by the managers. Finally, general conclusions are drawn about the dilemmas chosen by managers and the consequences of these choices. Points for practioners Pay attention to commitment, goal searching, communication and vertical relations if you want good outcomes in complex environmental projects. Do managers of complex spatial and environmental projects in general choose to open up the decision-making process for stakeholders to enhance support and use the knowledge of stakeholders or do they choose a more closed decision-making process that reduces the number of actors and might speed up the decision-making process? In general, one can see many of these managerial choices between a more project oriented style, that focuses on control, specifying goals, keeping the budget, etc., and a more process oriented style that focuses on activating actors, creating support, or exploring possible content. If we look at the 32 managerial strategies that were researched, there are a few strategies that are positively and strongly correlated to positive perceived outcomes of projects: commitment, goals searching, vertical relationships and communication.

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Tsutsumi, A. "P2024 Occupational stress level among general dental practioners : a nation-wide study using the Brief Job Stress Questionnaire(Poster Presentation,Occupational Health in the Age of Decentralization Reform in Japan,The 79th Annual Meeting of Japan Society for Occupational Health)." SANGYO EISEIGAKU ZASSHI 48, Special (2006): 666. http://dx.doi.org/10.1539/sangyoeisei.kj00004429795.

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Stephenson, Anne E., and S. Jane Chetwynd. "A METHOD OF ANALYSING GENERAL PRACTIONER DECISION MAKING CONCERNING HOME OR HOSPITAL CORONARY CARE." Community Health Studies 8, no. 3 (February 12, 2010): 297–300. http://dx.doi.org/10.1111/j.1753-6405.1984.tb00457.x.

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Busch, Daryle H. "The complete coordination chemistry - one practioner's perspective." Chemical Reviews 93, no. 3 (May 1993): 847–60. http://dx.doi.org/10.1021/cr00019a001.

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Journal articles on the topic 'General practioners'

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