Relevant bibliographies by topics / Physicians (General practice) Diseases

Academic literature on the topic 'Physicians (General practice) Diseases'

Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Physicians (General practice) Diseases"

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Mane, Anil Sham Rao. "Knowledge, Attitude and practice of general medical practitioners and specialty physicians regarding diseases of electrolyte imbalances." Scholars Journal of Applied Medical Sciences 4, no. 7 (July 2016): 2460–63. http://dx.doi.org/10.21276/sjams.2016.4.7.31.

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Tinkle, JD. "AIDS and the podiatric medical practice." Journal of the American Podiatric Medical Association 85, no. 8 (August 1, 1995): 420–27. http://dx.doi.org/10.7547/87507315-85-8-420.

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The number of patients with HIV (human immunodeficiency virus) and AIDS (acquired immune deficiency syndrome) has increased to the point that every podiatric physician in this country will be treating patients who are HIV positive, knowingly or not. Podiatric physicians continue to be part of the medical team that must bear responsibility for the rapid changes in HIV education. Attention must be focused on educating physicians about all aspects of this disease, especially the primary and secondary diseases of AIDS and new treatments and their side effects. Sterile technique and universal precautions have now taken on new importance.
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Ilic, N. "Psychosomatic diseases and depression with general practice physicists." European Psychiatry 26, S2 (March 2011): 380. http://dx.doi.org/10.1016/s0924-9338(11)72088-0.

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The psychosomatic diseases belong to the group of the most spread disorders in the contemporary medical practice. Answer to the question--what is the spread of those disorders and depression with general practice physicists, we have looked for by means of a research performed in February 2008 in the Health Centers Nis and “Vozdovac”-Belgrade. As the research instruments, we have used an anonymous questionnaire about the psychosomatic diseases and depressivity self-estimation scale (ZUNG). Those papers were filled by 36 of physicists and general practitioners, male and female, aged 30-55 years. The thirteen of the total 36 polled doctors (36.11%) were found to be affected by psychosomatic diseases. Ten doctors suffer from hypertension (76.92%), two of them has ulcer (15.38%) and one doctor have diabetes (7.69%). Two of them are found not to be depressive (15.38%),three ones are depressive in remission (23.07%), four doctors are depressive with other disorders (30.76%),and four of them need depression medical treatment (30.76).The depression in total number of polled doctors (36) is distributed as follows:Four without depression (11.11%), eight with depression in remission (22.22%), eighteen with depression followed by other disorders (50%) and six of pooled showed depression that needs medical treatment (16.66%).In the polled group, that offered psychosomatic illness, there is one third with depression that need medical treatment (30.76%)-this is two-times more (in percents) than of those in the total number of polled doctors (16.66%).
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Sharma, S., J. Jones, and M. Stewart. "P621 Secure Electronic Document Signing Uptake in Biologic Prescribing for Immune Mediate Diseases." Journal of Crohn's and Colitis 16, Supplement_1 (January 1, 2022): i547. http://dx.doi.org/10.1093/ecco-jcc/jjab232.747.

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Abstract Background The COVID-19 pandemic drastically impacted workflows in gastroenterology practice. Physicians managing immune-mediated diseases (IMDs) must complete special authorization (SA) and prescription renewal (Rx) forms for patients on biologic therapy. This adds significant administrative burden potentially leading to delays in therapy initiation and care continuity. Historically, document completion has largely been paper-based, with forms faxed between patient support programs (PSPs) and physician offices. The use of secure electronic document signing (SEDS) platforms during the pandemic has allowed physicians to receive and complete documents digitally. The aim of the project was to evaluate the impact of SEDS-based biologic documentation on clinical practice in order to 1) Determine if the use of SEDS platforms increased timeliness of document returns compared to traditional workflows 2) Assess whether SEDS usage is acceptable and sustainable and 3) Assess MD satisfaction with SEDS platforms. Methods This was a retrospective audit of SEDS and paper-based biologic document workflows from a single PSP (Abbvie Care). Outcomes of interest were the number of documents completed monthly using SEDS, new monthly users, and the number of active monthly users between April 1, 2020-March 31, 2021. Time (days) to SEDS completion (vs. paper process) was determined by reviewing timepoint data for SA and Rx documents from May 2019-January 2020 (‘pre- SEDS’) and for SEDS documents from May 2020-January 2021(‘SEDS’). The return time (RT) was defined as the time between date sent to a physician’s office by the PSP to the date returned to the PSP. Documents in the pre-SEDS cohort with a RT exceeding 30 days were excluded. Results In total, 5573 SA and Rx documents were completed by 383 physicians using the SEDS platform from April 2020-March 2021. A mean of 14.6 (sd 21.8) documents were signed per physician. The number of monthly electronic documents processed increased from 104 in April 2020 to 800 in March 2021. Active monthly users increased from 24 in April 2020 to 213 in March 2021 (31 new users monthly). A total of 19,387 paper documents were processed during the ‘pre-SEDS’ period and 3,317 electronic documents processed in the ‘SEDS’ period. The mean RT in the ‘pre-SEDS’ period was 8.03 days (sd 8.2) and the ‘SEDS’ period was 1.11 days (sd 2.6). Conclusion This data demonstrates acceptability, appropriateness, and improved processing efficiency of an SEDS platform improving timeliness of patient care. Next steps in this research include surveying physicians to understand the work-flow impact of SEDS, functionality, long-term sustainability, satisfaction and impacts on disease related outcomes.
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Sharma, S., J. Jones, and M. Stewart. "A84 SECURE ELECTRONIC DOCUMENT SIGNING UPTAKE IN BIOLOGIC PRESCRIBING FOR IMMUNE MEDIATED DISEASES." Journal of the Canadian Association of Gastroenterology 5, Supplement_1 (February 21, 2022): 97–98. http://dx.doi.org/10.1093/jcag/gwab049.083.

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Abstract Background The COVID-19 pandemic drastically impacted workflows in gastroenterology practice. Physicians managing immune-mediated diseases (IMDs) must complete special authorization (SA) and prescription renewal (Rx) forms for patients on biologic therapy. This adds significant administrative burden potentially leading to delays in therapy initiation and care continuity. Historically, document completion has largely been paper-based, with forms faxed between patient support programs (PSPs) and physician offices. Disruption of normal office processes during the pandemic necessitated the movement of existing paper-based workflows online. The use of secure electronic document signing (SEDS) platforms has allowed physicians to receive and complete documents digitally. Aims To evaluate the impact of SEDS-based biologic documentation on clinical practice. Objectives were 1) to determine if the use of SEDS platforms increased timeliness of document returns compared to traditional workflows 2) assess whether SEDS usage is acceptable and sustainable and 3) assess MD satisfaction with SEDS platforms. Methods This was a retrospective audit of SEDS and paper-based biologic document workflows from a single PSP (Abbvie Care). Outcomes of interest were the number of documents completed monthly using SEDS, new monthly users, and the number of active monthly users between April 1, 2020-March 31, 2021. Time (days) to SEDS completion (vs. paper process) was determined by reviewing timepoint data for SA and Rx documents from May 2019-January 2020 (‘pre- SEDS’) and for SEDS documents from May 2020-January 2021(‘SEDS’). The return time (RT) was defined as the time between date sent to a physician’s office by the PSP to the date returned to the PSP. Documents in the pre-SEDS cohort with a RT exceeding 30 days were excluded Results In totality, 5573 SA and Rx documents were completed by 383 physicians using the SEDS platform from April 2020-March 2021. A mean of 14.6 (sd 21.8) documents were signed per physician. The number of monthly electronic documents processed increased from 104 in April 2020 to 800 in March 2021. Active monthly users increased from 24 in April 2020 to 213 in March 2021 (31 new users monthly). A total of 19,387 paper documents were processed during the ‘pre-SEDS’ period and 3,317 electronic documents processed in the ‘SEDS’ period. The mean RT in the ‘pre-SEDS’ period was 8.03 days (Sd 8.2) and the ‘SEDS’ period was 1.11 days (sd 2.6). Conclusions This data demonstrates acceptability, appropriateness, and improved processing efficiency of a SEDS platform improving timeliness of patient care. Next steps in this research include surveying physicians to understand the work-flow impact of SEDS, functionality, long-term sustainability, satisfaction and impacts on disease related outcomes. Funding Agencies None
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Khan, Asaduzzaman, David Plummer, Rafat Hussain, and Victor Minichiello. "Sexual risk assessment in general practice: evidence from a New South Wales survey." Sexual Health 4, no. 1 (2007): 1. http://dx.doi.org/10.1071/sh06012.

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Background: Physicians’ inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. Methods: A stratified random sample of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. Results: Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower (<10%) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were presence of another person (39%) and physician’s embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. Conclusions: The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.
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Willging, Abbygale M., Elvis Castro, and Jun Xu. "Physician–patient communication in vascular surgery: Analysis of encounters in academic practice." SAGE Open Medicine 10 (January 2022): 205031212211224. http://dx.doi.org/10.1177/20503121221122414.

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Objective: To assess physician–patient communication in vascular consults with the aim of identifying areas for improvement. Introduction: Shared decision-making in clinical consults can enhance patient outcomes. Its potential benefits are significant in vascular surgery, where decisions are dependent on the patient’s definition of quality of life and outcomes are influenced by significant lifestyle changes. Methods: In this qualitative cross-sectional study, encounters between five vascular surgeons and their patients with two asymptomatic vascular diseases were audio recorded, transcribed, and analyzed for validated sociolinguistic statistics. The nine-item shared decision-making questionnaire was used to gauge subjective patient perspective. Results: Physicians spent an average of 19 min and 28 s (±8:55) per consult and an average of 12 min and 7 s talking to the patient (±6:33). Physicians used formalized language about 10.3 times an encounter (±8.39), checked for understanding 6.4 times (±4.84), and asked more close-ended than open-ended questions (10.5 ± 6.15 versus 4.6 ± 2.37). Physicians accounted for 46.34% of utterances (±6%) and averaged 5.8 interruptions per encounter (±4). Patients and company accounted for 53.66% of total utterances (±6%) and averaged 10.1 clarification questions (±9.78). The average nine-item shared decision-making questionnaire Likert-type score per patient was 2.82 on a range of −3 to +3 (±0.33), with positive numbers indicating agreement. On average, patients strongly (+2) or completely (+3) agreed that physicians covered the nine criteria. Conclusion: The 9-item shared decision-making questionnaire data showed that patients mostly felt their physician was adequate in exhibiting shared decision-making behaviors. However, physicians asked closed-ended questions that elicited “yes/no” or brief responses, continuously interrupted patient narratives, and rarely checked for understanding from their patients. These subliminal behaviors restrict patient participation in shared decision-making and may be corrected via longitudinal intervention.
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Arias, Jalayne J. "Becoming the Standard: How Innovative Procedures Benefitting Public Health are Incorporated into the Standard of Care." Journal of Law, Medicine & Ethics 39, S1 (2011): 102–5. http://dx.doi.org/10.1111/j.1748-720x.2011.00578.x.

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Physicians’ resistance to implementing innovative medical procedures due to a perceived risk of liability can adversely affect the public’s health. This resistance prevents public access to procedures that could better treat communicable or chronic diseases. Innovative procedures, for the purpose of this article, are medical practices that require physicians to modify current clinical approaches to treating or diagnosing a patient’s condition and incorporate: (1) newly developed tests, treatments, drugs or devices (e.g., genetic screening to identify drug sensitivities to reduce adverse drug reactions); or (2) novel methods not commonly used by a majority of physicians (e.g., partner delivered therapy to treat an intimate partner for a communicable disease or advanced prescription of naloxone to patients prone to an opioid overdose). Innovative procedures do not include treatments provided during clinical research or those beyond a physician’s scope of practice.
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Furrow, Barry R. "Quality Control in Health Care: Developments in the Law of Medical Malpractice." Journal of Law, Medicine & Ethics 21, no. 2 (1993): 173–92. http://dx.doi.org/10.1111/j.1748-720x.1993.tb01241.x.

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Physicians and institutional providers face expanding liability exposure today, in spite of state tort reform legislation and public awareness of the costs of malpractice for providers. Standards of practice are evolving rapidly; new medical technologies are being introduced at a rapid rate; information is proliferating as to treatment efficacy, patient risk, and diseases generally. Tort standards mirror this change. As medical standards of care evolve, they provide a benchmark against which to measure provider failure. The liability exposure of physicians is affected by (1) the generation of data, including outcomes data usable to profile physician practice, and statistical data that allows for predictions as to treatment efficacy, and patient prognosis; (2) obligations to inform patients and third parties of risk created by contagious disease and other sources of harm; (3) obligations of physicians to disclose risks that the provider creates for the patient; (4) obligations to disclose conflicts of interest arising out of the practice setting; and (5) duties arising from new epidemiological knowledge.
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Al-Hashimi, Dalal Adnan, Khaldoon Al-Roomi, and Adel Salman Al-Sayyad. "Reasons for under-reporting of notifiable communicable diseases in the Kingdom of Bahrain: a health-centers based survey." Journal of the Bahrain Medical Society 25, no. 2 (2022): 75–79. http://dx.doi.org/10.26715/jbms.25_2_3.

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Background: Poor compliance by physicians with communicable diseases reporting is a worldwide phenomenon. In Bahrain, there are limited data regarding thoroughness and completeness of the current communicable diseases reporting system. Objective: To identify reasons for noncompliance with reporting of notifiable communicable diseases by primary health care physicians practicing in the Ministry of Health (MoH) primary health care centers. Methods: This is a cross-sectional study. Two hundred and forty-one self-administered questionnaires were distributed to all primary health care physicians practicing in all primary care health centers of the Ministry of Health. The questionnaires included items regarding socio-demographic and practice-related characteristics, self-reported practice related to communicable diseases reporting and reasons for noncompliance with reporting requirements. Results: The response rate was 93%; the mean age of the respondents was 43 ±8.36 years. The period of experience in clinical practice ranged from 1 to 35 years with a mean of 12.84 ± 7.86 years. Lack of feedback on notified cases, forgot to notify, and not sure of diagnosis were cited by more than half of the physicians as reasons for noncompliance with communicable diseases reporting. Conclusion: The findings suggest that there are several reasons for noncompliance with reporting requirements. Revising the current notification procedure to resolve some of the reasons is vital to enhance communicable diseases reporting in Bahrain.
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Dissertations / Theses on the topic "Physicians (General practice) Diseases"

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Nelson, Mark 1957. "Aspects of pharmacological management of hypertension in general practice." Monash University, Dept. of Epidemiology and Preventive Medicine, 2002. http://arrow.monash.edu.au/hdl/1959.1/7923.

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Holt, Jackie. "Psychological distress amongst general practitioners /." [St. Lucia, Qld.], 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17113.pdf.

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Hays, Richard B. "Improving standards in rural general practice /." St. Lucia, Qld, 2003. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17837.pdf.

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Moorhead, Robert George. "Communication skills training for general practice." Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09MD/09mdm825.pdf.

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Bibliography: leaves 554-636. Examines aspects of teaching medical students communication skills at a time when they are entering their clinical years. Integrates reports of 12 data-gathering exercises centred on medical student communication skills with the international literature, and with the author's reflections as an experienced educator and G.P. Recommends that communication skills training in a general practice setting should be a crucial factor in all future training of medical students.
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Buhler, Patricia Lynn. "Prenatal care : a comparative evaluation of nurse-midwives and general practitioners." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24489.

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The practice of midwifery by those other than physicians is illegal in Canada and despite recommendations of nursing, medical and consumer groups, no trials evaluating the effectiveness of the nurse-midwife as a member of the modern obstetrical team have occurred here. To demonstrate a nurse-midwifery model, four nurse-midwives provided primary care to forty-seven childbearing women and their families over a twenty-two month period in a maternity teaching hospital. This clinic presented a unique opportunity for comparing the prenatal care provided by nurse-midwives with that of general practitioners who attended deliveries in the same setting. Utilizing a retrospective chart audit, case control study design, the nurse-midwife cases (NM cases) were each matched to two general practitioner controls (GP controls) through the use of the hospital's prenatal data base. The matching characteristics included low risk status, date of delivery, age, parity, gravidity, previous pregnancy losses and census tract income. Prenatal criteria that had been developed and tested in "The Burlington Randomized Clinical Trial of the Nurse Practitioner" for assessing the quality of care were reviewed and updated for this study. With these criteria two blinded abstractors audited the prenatal record forms of all the subjects and scored them as either "superior", "adequate" or "inadequate". Seventy-seven percent of the records of the NM cases received a "superior" score, where as 60% of the GP controls' records received an "inadequate" score [mathematical formula omitted] Overall, the general practitioners' records indicated more erratic care than those of the nurse-midwives. Although the physicians met most of the initial assessment criteria, they failed to meet the criteria that evaluated the ongoing routine assessment process by recording an inadequate number of prenatal visits (36%), or by omitting urine test results (38$) and blood pressure readings (21%). No differences were found in variables relating to labour and delivery with the exception of the incidence of episiotomies. The results indicate that nurse-midwives as part of an obstetrical team are able to provide safe prenatal care to a low risk population in a Canadian urban context, and that their records are thorough and more consistent than those of general practitioners.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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McCleary, Nicola. "Relationships between perceived decision difficulty, decision time, and decision appropriateness in General Practitioners' clinical decision-making." Thesis, University of Aberdeen, 2015. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=229003.

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The aim of this project was to use patient scenarios (clinical/case vignettes) to explore three aspects of General Practitioners' (GPs') clinical decision-making: how difficult decisions are perceived to be, the time taken to make decisions, and the appropriateness of decisions relative to evidence-based clinical guideline recommendations. A systematic review synthesised the results of published scenario studies. A secondary analysis of scenario studies which investigated antibiotic prescribing for upper respiratory tract infection (URTI) and x-ray referral for low back pain was performed. Relationships between the three aspects of decision-making were investigated, and scenario and GP characteristics associated with these aspects were identified. An online scenario study further refined these relationships for two specific URTI types: sore throat and otitis media. Cognitive processes involved in clinical decision-making were investigated in a Think-Aloud interview study, where GPs verbalised their thoughts while making prescribing decisions for URTI scenarios. There was some evidence that inappropriate antibiotic prescribing for URTI was associated with greater decision difficulty and longer decision time. Decisions made using a more effortful cognitive process may therefore be less likely to be appropriate. Illness durations of four or more days and, in otitis media, unilateral ear examination findings were related to inappropriate prescribing. Based on these results, suggestions have been made for informing the design of interventions to support GPs in making appropriate decisions. A secondary aim was to provide an overview of the methodology and reporting of scenario studies. The systematic review indicated a lack of consistency in methodologies, while reporting is often inadequate. Formats less similar to real consultations (e.g. written scenarios) are commonly used: the results of studies using these formats may be less likely to reflect real practice decision-making than studies using more realistic formats (e.g. videos). Based on these findings, methodological recommendations for scenario studies have been developed.
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Askew, Deborah Anne. "A study of research adequacy in Australian general practice /." [St. Lucia, Qld.], 2005. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18717.pdf.

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Louw, Charmaine. "General practitioners' familiarity attitudes and practices with regard to attention deficit hyperactivity disorder in children and adults." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/433.

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Blaney, David. "The learning experiences of general practice registrars in the South East of Scotland." Thesis, University of Stirling, 2005. http://hdl.handle.net/1893/2003.

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To train to be a general practitioner in the U.K. a doctor must spend two years in hospital training posts and one year in general practice as a general practice registrar (GPR). Concern has been expressed in the literature about both the duration and adequacy of general practice training. A literature review identified that there was limited knowledge of and understanding about the learning experiences of GPRs. The aim of the study was to describe and interpret the learning experiences of GPRs in the South East of Scotland during their year in general practice. The methodology was derived from Denzin's concept of Interpretivism and involved in depth interviews over time with GPRs and thick description to capture and interpret the GPRs learning experiences. Two cohorts of 24 GPRs were recruited, cohort one ran from September 2002 to July 2003 and cohort two from September 2003 to August 2004. The GPRs were interviewed on three occasions during their year. In addition to the interviews six GPR focus groups and six GP trainer focus groups were held over the period December 2002 to September 2003. 21 GPRs in cohort one completed all three interviews and 20 GPRs in cohort two. All the participating GPRs completed at least two interviews. The results were interpreted within the educational concept of the curriculum. Four main curricula were identified during the GPR year: these were the formal, assessment, individual and hidden. Each independently contributed to the GPRs learning and also interacted synergistically at various times during the year. In the last quarter of the year there was a tension between the requirements of the assessment and individual curricula. The individual curriculum which was composed of the GPRs clinical experiences and in particular epiphanies was the main driver of GPR learning. Epiphanies were identified by GPRs as having the most significant impact on their learning. Central to this learning was the contribution of their general practice trainer who supported their learning both through the development of the practice learning environment and the promotion of reflection and self directed learning. GPR learning during the year was an iterative process, which involved a reflective and supported interaction between the GPR, their clinical experiences, epiphanies and their trainer. Through this process the GPRs became self directed and reflective learners and developed individual learning networks which led to changes in the way they practiced medicine. This process also led to the socialisation of their learning and promoted their integration into the culture of working general practice, through which they were exposed to the working realities of life as a general practitioner and these experiences had a critical effect on their future career choice. A number of important policy implications were identified which have implications for the present and future direction of training for general practice. The process of thick description and the longitudinal nature of the study allowed for a new interpretation of the learning experiences of GPRs and added to the knowledge and understanding of how GPRs learn during their training.
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Proude, Elizabeth Marjorie. "HIV/STD Prevention in General Practice." University of Sydney. Public Health, 2002. http://hdl.handle.net/2123/838.

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This thesis examines aspects of the prevention of sexually transmitted diseases (STDs) in the Australian community, with a particular emphasis on HIV/AIDS in the context of general practice (or primary care settings). The work has four broad aims: i) To describe the primary prevention of sexually transmitted diseases, following from the arrival of the HIV/AIDS pandemic in Australia ii) To describe HIV/STD risk behaviour iii) To summarise previously known evidence of interventions to reduce risk and to raise awareness of HIV and other sexually transmitted diseases iv) To contribute new evidence addressing the potential of the general practitioners' role in HIV/STD prevention The first chapter gives a brief review of the history of HIV/AIDS from its discovery in the United States of America to its appearance in Australia and New Zealand, and discusses the Australian response strategies, both initial and continuing, to confine the epidemic. Specifically, the arrival of HIV/AIDS gave rise to increasing awareness of sexually transmitted diseases, which hitherto, although sometimes chronic, were rarely fatal. The public health risk of HIV necessitated swift government action and led to wider acceptance of publicity about sexual behaviour. Although the thesis does not concentrate solely on HIV, this is still an emphasis. This chapter provides useful background to ensuing chapters. Chapter Two provides an overview of behavioural risk in sexually transmitted diseases. It gives a review of risk factor prevalence studies, and introduces risk behaviour and cognitive models of behaviour change, as applied to STD risk. Sexual behaviour is a complex social interaction, usually involving more than one person, and relying on the personality and behaviour patterns intrinsic to the individuals taking part. It is therefore perhaps more challenging to alter than behaviour which is undertaken alone, being dependent on the behaviour and intentions of both parties. Moreover, comprehensive assessment of sexual risk behaviour requires very detailed information about each incident. Its private nature makes accurate data difficult to obtain, and sexual risk behaviour is, correspondingly, difficult to measure. Chapter Three reviews the effectiveness of interventions tested in primary health care settings to reduce sexual risk behaviour. The candidate uses a replicable method to retrieve and critique studies, comparable with standards now required by the Cochrane Collaboration. From 22 studies discussed, nine health interventions were short, 'one-shot', efforts owing to limited time, resources and other practical constraints. This review demonstrates the scarcity of interventions with people who may be perceived as 'low-risk'. Only four interventions were carried out in community health centres and two in university health clinics. One of the university interventions showed no change in sexual behaviour in any of three arms of the intervention (Wenger, Greenberg et al 1992) while the other showed an increase in condom use in both groups, although the intervention group's self-efficacy and assertiveness also improved (Sikkema, Winett & Lombard 1995). The rationale for the intervention, where given, is described. Chapter Four analyses the content, format and quality of sexual health information brochures available in New South Wales at the time of the candidate's own planning for an interventional study. One of the most effective ways to disseminate information widely is by the use of educational literature, especially when the subject material is potentially sensitive or embarrassing to discuss in person. In this chapter, the candidate reviews the literature available at the time of designing the intervention used in Chapter Five. Readability, attractiveness, clarity and the accurate presentation of facts about sexually transmitted disease risk are examined for each pamphlet. Forty-seven pamphlets were scored according to the Flesch formula, and twenty-four of these scored in the 'fairly' to 'very difficult' range. There was, therefore, a paucity of easy-to-read material on these subjects. Chapter Five evaluates a general practitioner-based counselling intervention to raise awareness of sexually transmitted diseases and to modify HIV/STD risk behaviour. While adults aged 18-25 are less likely than older cohorts to have a regular general practitioner or to visit often, most people visit a general practitioner at least once a year. This could provide an opportunity for the general practitioner to raise preventive health issues, especially with infrequent attendees. As the effectiveness of an opportunistic intervention about sexual risk behaviour was yet to be tested, the candidate designed an innovative randomised controlled trial to raise awareness of risk and increase preventive behaviour. The participation rate was 90% and 76% consented to followup; however the attrition rate meant that overall only 52% of the original participants completed the follow-up questionnaire. The intervention proved easy and acceptable both to GPs and to patients, and risk perception had increased at three months' follow-up; however this occurred in both the control (odds ratio 2.6) and the intervention group, whose risk perception at baseline was higher (odds ratio 1.3). In order to establish some markers of risk in the general population, Chapter Six analyses data resulting from questions on sexual behaviour asked in the Central Sydney section of the NSW Health Survey. The candidate advocated for inclusion of relevant questions to determine some benchmarks of sexual risk behaviour and to provide an indication of condom use among heterosexuals. Although limited in scope as a result of competing priorities for questions in the survey, results demonstrate that, while a small percentage of people were at risk, those with higher levels of partner change or of alcohol use were the most likely to always use condoms. Specifically, 100% of those with more than four new partners in the last 12 months had used condoms with every new partner. In addition, 'heavy' alcohol users were more likely to report condom use every time with new partners (odds ratio 0.34). To furnish data to inform future planning of educational activities for general practitioners, Chapter Seven presents the results of a survey of Central Sydney general practitioners' opinions and current practices in HIV risk reduction with in the broader context of sexually transmitted disease prevention. The general practitioner is in an ideal position to provide information and advice, especially if future research affirms the impact of such advice on STD risk behaviour. General practitioners in this study said they would be slightly more likely to discuss sexual health matters with young patients than with older ones (p=0.091), but this was not significant. The most cited barrier to discussing sexual health was inadequate remuneration for taking time to do so (over 50% gave this reason). The next most cited obstacle was difficulty in raising the subject of STDs or HIV in routine consultations, but this reason was given by less than half the sample. Forty-six percent had participated in continuing medical education programs in STDs, HIV/AIDS, or hepatitis diagnosis or management; 32% of GPs had patients with HIV, and 55% of all GPs indicated they would like more training in management and continuity of care of HIV patients. Approximately half (51%) wanted more training in sexuality issues, including sexual dysfunction. Chapter Eight reviews the whole thesis and discusses future directions for the research agenda.
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Books on the topic "Physicians (General practice) Diseases"

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Sonnex, Chris. A general practitioner's guide to genitourinary medicine and sexual health. Cambridge: Cambridge University Press, 1996.

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Haley, Nancy. STD/HIV prevention by newly-trained family physicians: Final report, 1994. [Quebec]: Conseil québécois de la recherche sociale, 1994.

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G, Stovall Thomas, ed. Gynecology for the primary care physician. 2nd ed. Philadelphia, PA: Current Medicine Group, 2008.

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F, McGhee M., ed. Gynaecological symptoms in primary care. Oxford [England]: Blackwell Science, 1996.

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The doctor, his patient and the illness. 2nd ed. Edinburgh: Churchill Livingstone, 2000.

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1938-, Lieberman Joseph A., ed. The fifteen minute hour: Applied psychotherapy for the primary care physician. New York: Praeger, 1986.

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1938-, Lieberman Joseph A., ed. The fifteen minute hour: Applied psychotherapy for the primary care physician. 2nd ed. Westport, Conn: Praeger, 1993.

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A, Lieberman Joseph, ed. The fifteen minute hour: Applied psychotherapy for the primary care physician. New York: Praeger, 1987.

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Leigh, Hoyle. The patient: Biological, psychological, and social dimensions of medical practice. 3rd ed. New York: Plenum Medical Book Co., 1992.

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Leigh, Hoyle. The patient: Biological, psychological, and social dimensions of medical practice. 2nd ed. New York: Plenum Medical Book Co., 1985.

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Book chapters on the topic "Physicians (General practice) Diseases"

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Brooks, D., and E. M. Dunbar. "Making a Diagnosis in General Practice." In Infectious Diseases, 1–21. Dordrecht: Springer Netherlands, 1986. http://dx.doi.org/10.1007/978-94-009-4133-5_1.

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Sherifi, James. "Ailments and Diseases." In General Practice Under the NHS, 79–105. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781003256465-6.

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Gadeholt, Gaut. "Influence on Physicians’ Prescribing Habits by Drug Licensing Authorities: Norway as an Example." In Rationale Pharmakotherapie in der Allgemeinpraxis / Rational Pharmacotherapy in General Practice, 7–15. Berlin, Heidelberg: Springer Berlin Heidelberg, 1991. http://dx.doi.org/10.1007/978-3-642-76731-9_2.

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Todeva-Radneva, Anna, and Asen Beshkov. "A Cross-Cultural Values-Based Approach to the Diagnosis and Treatment of Dissociative (Conversion) Disorders." In International Perspectives in Values-Based Mental Health Practice, 221–27. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47852-0_25.

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AbstractThis case report presents the story of a young woman of Romani descent with a mixed dissociative (conversion) disorder within the contextual evidence-based and value-based medical framework. By painting the picture illustrating the course of her illness and the circumstances leading to the last clinical episode, compelling her most recent hospitalization, we delineate the contrast between common clinical phenomenology and the additional layers of the patient’s beliefs and values. Thus, we emphasize the importance of expanding the one-dimensional mainstream evidence-based approach, not only in cases of cross-cultural doctor-patient interactions but also in general medical practice, since the health attitudes and illness behaviors of every individual are influenced by their values and beliefs. In addition, the contemporary notion of medicine as a factual science requires a paradigm shift toward integrative multifaceted approaches if we as doctors are to treat human beings and not merely diseases.
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Contreras, Eduardo C., and Gustavo J. Puente. "How to Identify Rheumatic Diseases by General Physicians." In Advances in Medical Technologies and Clinical Practice, 136–66. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-5225-0248-7.ch006.

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A large part of the population in countries in process of development ignores what Rheumatic Diseases are, and general practitioners are in most cases unaware of enough information to identify them and the treatments to successfully control them. A proposal to help those general practitioners to detect if an articular condition belongs to a Rheumatic Disease case is to present them the clinical semiology that should lead them to redirect the given conditions to a specialist on the subject, a rheumatologist. The clinical semiology is presented by an automated algorithm inside a goal-based software agent, containing all the necessary information to identify the seven most common inflammatory Rheumatic Diseases, and fourteen of the non-inflammatory ones. The purpose of this tool is to provide the general practitioner with the correct information to redirect the patient with a rheumatologist, in order for it to receive the appropriate medication to be controlled.
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Sharpe, Michael. "General introduction." In Oxford Textbook of Medicine, 5257–58. Oxford University Press, 2010. http://dx.doi.org/10.1093/med/9780199204854.003.2601.

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All physicians who deal with patients experience situations where psychiatric knowledge, skills, and attitudes are relevant. This section of the book provides (1) guidance on how to take a psychiatric history and perform a mental state examination in a medical patient; (2) information about those psychiatric diagnoses most relevant to general medical practice; (3) practical advice on the management of depression and anxiety when it coexists with disease, medically unexplained somatic symptoms, deliberate self-harm, and acute behavioural problems; and (4) detailed information on the common and clinically important problems of alcohol and substance misuse....
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Rothstein, William G. "Training in Primary Care." In American Medical Schools and the Practice of Medicine. Oxford University Press, 1987. http://dx.doi.org/10.1093/oso/9780195041866.003.0028.

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Training in primary care has received limited attention in medical schools despite state and federal funding to increase its emphasis. Departments of internal medicine, which have been responsible for most training in primary care, have shifted their interests to the medical subspecialties. Departments of family practice, which have been established by most medical schools in response to government pressure, have had a limited role in the undergraduate curriculum. Residency programs in family practice have become widespread and popular with medical students. Primary care has been defined as that type of medicine practiced by the first physician whom the patient contacts. Most primary care has involved well-patient care, the treatment of a wide variety of functional, acute, self-limited, chronic, and emotional disorders in ambulatory patients, and routine hospital care. Primary care physicians have provided continuing care and coordinated the treatment of their patients by specialists. The major specialties providing primary care have been family practice, general internal medicine, and pediatrics. General and family physicians in particular have been major providers of ambulatory care. This was shown in a study of diaries kept in 1977–1978 by office-based physicians in a number of specialties. General and family physicians treated 33 percent or more of the patients in every age group from childhood to old age. They delivered at least 50 percent of the care for 6 of the 15 most common diagnostic clusters and over 20 percent of the care for the remainder. The 15 clusters, which accounted for 50 percent of all outpatient visits to office-based physicians, included activities related to many specialties, including pre- and postnatal care, ischemic heart disease, depression/anxiety, dermatitis/eczema, and fractures and dislocations. According to the study, ambulatory primary care was also provided by many specialists who have not been considered providers of primary care. A substantial part of the total ambulatory workload of general surgeons involved general medical examinations, upper respiratory ailments, and hypertension. Obstetricians/ gynecologists performed many general medical examinations. The work activities of these and other specialists have demonstrated that training in primary care has been essential for every physician who provides patient care, not just those who plan to become family physicians, general internists, or pediatricians.
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Kriel, Inge, Geertruida de Bock, Sabine Siesling, and Annette Berendsen. "Primary Care." In Breast cancer: Global quality care, edited by Hans Junkermann, Wolfgang Buchberger, Sylvia Heywang-Köbrunner, Michael Michell, Alexander Mundinger, Carol Benn, and Sophia Zackrisson, 194–200. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198839248.003.0017.

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Abstract: Primary care physicians play a vitally important role in care and in the management of patients with breast cancer in any setting, but their contribution is especially valuable in a developing country setting. Communication between the family physician and the specialist ensures holistic patient management. Whereas the specialist focuses on management of the breast cancer, the generalist assesses and manages the complex interplay between pre-existing chronic medical conditions and the breast cancer. The biopsychosocial model is the cornerstone of general practice. The primary care physician plays an important role in managing breast cancer patients in all phases of the disease: prediagnosis, diagnosis, during treatment, after-treatment survivorship care, care for the elderly, and palliative care.
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Piovesan, Luca, Gianpaolo Molino, and Paolo Terenziani. "Supporting Physicians in the Detection of the Interactions between Treatments of Co-Morbid Patients." In Healthcare Informatics and Analytics, 165–93. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6316-9.ch009.

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The treatment of patients affected by multiple diseases (comorbid patients) is one of the main challenges for modern healthcare. Clinical practice guidelines are widely used to support physicians, providing them evidence-based information of interventions, but only on individual pathologies. This sets up the urgent need of developing methodologies to support physicians in the detection of interactions between guidelines, to help them in the treatment of comorbid patients. In this chapter, the authors identify different levels of abstractions in the analysis of interactions, based on both the hierarchical organization of clinical guidelines (in which composite actions are refined into their components) and the hierarchy of drug categories. They then propose a general methodology (data/knowledge structures and reasoning algorithms operating on them) supporting user-driven and flexible interaction detection over multiple levels of abstraction.
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Piovesan, Luca, Gianpaolo Molino, and Paolo Terenziani. "Supporting Physicians in the Detection of the Interactions between Treatments of Co-Morbid Patients." In Intelligent Systems, 522–50. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-5643-5.ch021.

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The treatment of patients affected by multiple diseases (comorbid patients) is one of the main challenges for modern healthcare. Clinical practice guidelines are widely used to support physicians, providing them evidence-based information of interventions, but only on individual pathologies. This sets up the urgent need of developing methodologies to support physicians in the detection of interactions between guidelines, to help them in the treatment of comorbid patients. In this chapter, the authors identify different levels of abstractions in the analysis of interactions, based on both the hierarchical organization of clinical guidelines (in which composite actions are refined into their components) and the hierarchy of drug categories. They then propose a general methodology (data/knowledge structures and reasoning algorithms operating on them) supporting user-driven and flexible interaction detection over multiple levels of abstraction.
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Conference papers on the topic "Physicians (General practice) Diseases"

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Demchuk, Anna V., Tetyana V. Konstantynovych, and Yuriy M. Mostovoy. "Management of asthma exacerbations in the practice of general physicians (GP)." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.2700.

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Clemente-Coelho, PJ, and ML Marques-Matos. "AB0225 Prevalence of rheumatic diseases in general medicine practice in portugal." In Annual European Congress of Rheumatology, Annals of the rheumatic diseases ARD July 2001. BMJ Publishing Group Ltd and European League Against Rheumatism, 2001. http://dx.doi.org/10.1136/annrheumdis-2001.773.

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Akbar, Sairah, Rosemary Grattan, and Lesley Nairn. "P169 Audit of epilepsy practice in a district general hospital." In Faculty of Paediatrics of the Royal College of Physicians of Ireland, 9th Europaediatrics Congress, 13–15 June, Dublin, Ireland 2019. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-epa.524.

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Carbone, Daniel. "Information Systems in General Practice: A Framework to Implement the Management and Prevention of Chronic Diseases." In InSITE 2007: Informing Science + IT Education Conference. Informing Science Institute, 2007. http://dx.doi.org/10.28945/3078.

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The detrimental health and economic impacts due to the growth of chronic condition sufferers worldwide is well documented. The practical application of electronic information systems is expected to provide valuable support to this predicament. The purpose of this study is to develop an information systems implementation framework for the management and prevention of chronic diseases (CD) in general practices (Doctor’s surgeries). Interviews were conducted on key practice personnel where successful CD information systems implementations and adoption occurred. The interviews, in conjunction with the observations of an external IS facilitator to those implementations aimed at corroborating an emerging framework developed from the literature earlier in the study. Results to this date provided a wealth of information to both part validate and re-design the framework. The role of practice champions, external support, motivators, workflow effects and health outcomes are some of the prominent parameters highlighted in the findings. The implications, so far in this study have identified commonalities in capacity, processes and implementations flows that affect the framework. However, additional validation on new findings needs to be further explored.
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Dann, Lisa, Ethel Ryan, Bronwyn Reid-McDermott, Aine DeBhulbh, and Dara Byrne. "P242 Kids infectious diseases simulation ‘KIDS’ – designing and evaluating the impact on behaviours in clinical practice of a multi-disciplinary simulation based education programme in childhood infectious diseases for paediatric trainees." In Faculty of Paediatrics of the Royal College of Physicians of Ireland, 9th Europaediatrics Congress, 13–15 June, Dublin, Ireland 2019. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-epa.592.

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Cordoba, Gloria, Sif Arnold, Malene Plejdrup Hansen, Julie Olesen, Maria Louise Veimer, Jette Nygaard, and Lars Bjerrum. "6 Overdiagnosis and overtreatment of infectious diseases in general practice. How and where to break the endless loop?" In Preventing Overdiagnosis, Abstracts, August 2018, Copenhagen. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/bmjebm-2018-111070.6.

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Watson, DJ, and T. Rhodes. "OP0109 Higher incidence of thromboembolic events among patients with rheumatoid arthritis vs. osteoarthritis, and vs. no arthritis, in the general practice research database (gprd)." In Annual European Congress of Rheumatology, Annals of the rheumatic diseases ARD July 2001. BMJ Publishing Group Ltd and European League Against Rheumatism, 2001. http://dx.doi.org/10.1136/annrheumdis-2001.781.

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Tsukanova, E. A., A. V. Sushchenko, A. V. Podoprigora, and P. A. Popov. "The interaction of methylacrylic polymer materials of removable plate prosthetics and the mucous membrane of the prosthetic bed of patients with partial secondary adentia and concomitant gastrointestinal diseases: a comparative analysis of complications." In General question of world science. L-Journal, 2020. http://dx.doi.org/10.18411/gq-30-11-2020-03.

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The article presents the data of an original study on the improvement of orthopedic treatment of partial secondary adentia in patients with concomitant chronic pathology of the gastrointestinal tract by the method of removable plate prosthetics. For this purpose, a comparative analysis of three alternative to each other preparations of methyl acrylic polymer for the manufacture of bases of prostheses was made: 1) «GC», 2) «3M-Espe», 3) «Ftorax». A scientific assumption has been formulated that the choice of a specific polymer preparation (within the comparison base) will lead to a change in the number of complications developing during the operation of the prosthesis. In three independent groups of patients, using the compared preparations of methyl acrylic polymer, the relative number of complications was estimated. After the implementation of the study, it was found that the most positive results are shown by the polymer «GC», the least positive – by the polymer «Ftorax», the polymer «3M-Espe» occupies an «intermediate position». The results obtained have a high level of statistical significance, which makes it possible to recommend them for consideration for use in the practice of orthopedic dentistry.
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Voronin, N. I., S. I. Kuznetsov, D. S. Kuznetsov, and P. A. Popov. "The new therapeutic complex for the treatment of unstable stenocardia at the presence of type 2 diabetes mellitus and hyperventilation syndrome: elaboration and analysis of efficiency based on the assessment of outcomes." In General question of world science. НИЦ "LJournal", 2022. http://dx.doi.org/10.18411/gqws-01-2022-09.

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The article presents data from an original study on the implementation and empirical verification of the effectiveness of the developed therapeutic complex aimed at improving the intensive treatment of the nosological association «unstable angina pectoris (as the underlying disease) + type 2 diabetes mellitus (as a background pathology) + hyperventilation syndrome (as a concomitant state)». The author's therapeutic complex is based on a controlled change in auxiliary respiratory oxygenation «downward», provided that basic pharmacotherapy must be supplemented with a balanced combination of antihypoxic drugs and antiaggregant of new generation . A comparative study of two groups of thematic patients was carried out - using the developed complex and using the «traditional approach». The complex key parameters of the outcomes of the underlying disease in patients were studied using clinical assessment of functional classes of angina pectoris and veloergometric assessment of exercise tolerance. When using the developed therapeutic complex in comparison with the «traditional approach», a fundamental improvement in the outcomes of angina pectoris was established, which was confirmed by both the ratio of functional classes and the results of bicycle ergometry. The obtained data of intergroup differences have a high level of statistical significance. This proved the significant actual effectiveness of the developed therapeutic complex. The data presented in the article are distinguished by novelty and practical applicability, which makes it possible to recommend them for further implementation in the practice of the clinic of internal diseases.
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Štercová, Jana, Dana Hübelová, Alice Kozumplíková, and Ludmila Floková. "Zdraví obyvatelstva v okresech hospodářsky problémových regionů." In XXIII. mezinárodní kolokvium o regionálních vědách / 23rd International Colloquium on Regional Sciences. Brno: Masaryk University Press, 2020. http://dx.doi.org/10.5817/cz.muni.p210-9610-2020-52.

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Health is considered to be a crucial factor of regional development and competitiveness. The main goal of the article is to evaluate selected public health factors in economically problematic areas in the Czech Republic in the years 2007 and 2016. A total of 14 indicators in four thematic areas were selected: 1) mortality structure (mortality from circulatory, respiratory and digestive system diseases, neoplasms and external causes), 2) sickness rate (average time of incapacity for work, hospitalized and treated diabetics), 3) reproduction health (total fertility, spontaneous abortion and infant mortality) and 4) medical intervention (the proportion of physicians, general practitioners for adults and general practitioners for children and adolescents). A composite indicator for year 2007 and 2016 was established in each area and each district. The highest value of the indicators sum was proved in Znojmo district, on the other hand, the least favourable situation was detected in the district of Teplice. In districts, where a lower values of indicator was determined, a high accrual in treated diabetics dominates, and most of the districts also show growth in death from circulatory system diseases. The results proved, that it is necessary to pay attention to public health factors not only in its complexity, but also on the basis of component indicators, which can significantly influence the health quality.
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Reports on the topic "Physicians (General practice) Diseases"

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Chalutz, Edo, Charles Wilson, Samir Droby, Victor Gaba, Clauzell Stevens, Robert Fluhr, and Y. Lu. Induction of Resistance to Postharvest Diseases and Extension of Shelf-Life of Fruits and Vegetables by Ultra-Violet Light. United States Department of Agriculture, February 1994. http://dx.doi.org/10.32747/1994.7568093.bard.

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Following preliminary observations by one of the collaborating scientists on this project and the completion of a 1-year, BARD-supported feasibility study (IS-1908-90F), this 3-year BARD project has been executed. The main objectives of the research were to elucidate biochemical and pathological aspects of UV-induced resistance in fruits and vegetables, to characterize physical and biological variables of induced resistance and delay of ripening, and to explore the application of the treatment as a control practice of postharvest diseases and shelf-life extension of fruits and vegetables. Our findings, which are detailed in numerous joint publications, have shown that the effect of UV-C light on induction of resistance and delay of ripening is a general one and of wide oddurrence. Apart from surface sterilization of the commodity, the reduction of decay of different fungi has been associated with and induced resistance phenomenon which gradually builds up within 24 to 48 hours after the UV treatment and can be reversed by visible light. In citrus, induced resistance has been associated with increased activity of the enzymes phenylalanine ammonia-lyase and peroxidase, and with the levels of endglucanase and chitinase. In tomato, resistance was correlated with the production of high levels of tomatine. Our study of some molecular aspects of the induced resistance in grapefruit has revealed the induction of a cDNA which represents a gene encoding for an isoflavone reductase-like protein that, in legumes, has been associated with phytoalexin biosynthesis. This gene was cloned and sequenced. Delay of ripening was associated in tomato with inhibition of ethylene production, carotenoid synthesis, and chlorophyll degradation and with the presence of high levels of polyamines. In peach fruit epiphytic populations of a yeast increased following the UV treatment. Pilot-size treatment and packing lines were constructed in the US and Israel to test the application of the UV treatment on a semi-commercial scale. Although effective in reduction of decay and delay of ripening, a number of problems will have to be addressed before practical application of this methodology can be realized. The main issues are associated with the temporal and variable response to the treatment, and its relationship to the maturity and date of harvest of the commodity.
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