Twelve barriers to COPD diagnosis in France: a comparative qualitative study by Maxime Patout, Laurie Fraticelli, Maéva Zysman, Olivier Le Rouzic, Elisabetta Scanferla, Clémence Martin, Mathieu Delorme, Cécilia Nocent-Ejnaini, Guillaume Roucoux, Lize Kiakouama Maleka, Annaig Ozier, Yassine Benarbia, Lize Kiakouama, Olivier Le Rouzic, Jean-Paul Vasseur, Marie-Agnès Wiss-Laurent, Carla Zonca, Nissrine Erraji, Matthieu Chanard, Fabienne Peretz, Catherine Beseme, Antonio Correira Dos Santos, Héla Saïdi, Lynda Saïl

“…The article respects the consolidated criteria for reporting qualitative research guidelines.Results Three phases in the patients’ clinical pathway to diagnosis and 12 barriers were found: Phase 1 (symptoms before consultation; n=4), lack of COPD knowledge, symptom denial, fear of lung cancer, and delayed general practice consultations; Phase 2 (primary care; n=3), letting bronchitis become chronic, priority to diseases with similar symptoms and/or more serious diseases, lack of COPD screening devices, time and curative treatments; Phase 3 (specialised medicine; n=5), treatment before diagnosis, late referral to pulmonologists, difficulty in accessing specialists and examination results, patient’s reluctance to undergo further examinations, and need for additional tests to confirm a diagnosis.Conclusion People unaware of their COPD condition can encounter up to 12 barriers, which may combine before obtaining a formal diagnosis. …”
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Relationships among thriving at work, organisational commitment and job satisfaction among Chinese front-line primary public health workers during COVID-19 pandemic: a structural e... by Di Jiang, Jingjing Wang, Lei Guo, Yuanmin Jia, Mo Yi, Zeyi Zhang, Ou Chen, Baosheng Zhao

“…Objectives This study aims to explore the mediating effect and influence mechanism of organisational commitment on the association among thriving at work and job satisfaction among frontline primary public health workers (PHWs) in China during the COVID-19 pandemic.Design This study is a cross-sectional written survey.Setting We included 20 primary care units in northern provinces of China.Participants A total of 601 PHWs who worked in primary organisations and against COVID-19 on the front line were included.Methods We collected the data from the participants’ written questionnaire (Minnesota Satisfaction Questionnaire, thriving at work scale and organisational commitment scale), and programmed AMOS V.26.0 to develop a structural equation model (SEM) based on the relationships among the three variables.Results The thriving at work scores of the primary PHWs were (M=3.17, SD=0.65), and job satisfaction was (M=3.05, SD=0.69); the scores of their thriving at work, organisational commitment and job satisfaction were all significantly correlated (p<0.01); and the SEM indicated that organisational commitment had a significant partial mediating effect between thriving at work and job satisfaction. …”
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Cost-effectiveness of metacognitive therapy for cardiac rehabilitation participants with symptoms of anxiety and/or depression: analysis of a randomised controlled trial by David Reeves, Calvin Heal, Patrick Joseph Doherty, Gemma E Shields, Adrian Wells, Lora Capobianco, Anthony Heagerty, Deborah Buck, Linda M Davies, Elizabeth Camacho

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Developing a set of key principles for care planning within older adult care homes: study protocol for a modified Delphi survey by Madalina Toma, Jonathan Taylor, Nick Smith, Sarah Jasim, Jacqueline Damant, Yuri Hamashima, Thais Caprioli

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Can we prevent poststroke cognitive impairment? An umbrella review of risk factors and treatments by Clare Flach, Abdel Douiri, Vibhore Prasad, Majed Obaid, Iain Marshall

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Evaluation of prescribing practices and treatment failure for purulent skin and soft tissue infections in patients with obesity by Mackenzie L. Miller, Destiny M. Hughson, Noah D. Blower, Andrew P. Jameson, Lisa E. Dumkow

“…Setting: Emergency departments, primary care, and urgent care sites throughout Michigan. …”
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A systematic review of barriers to early presentation and diagnosis with breast cancer among black women by Ruth H Jack, Jill Maben, Elizabeth A Davies, Emma Ream, Grace Lucas, Claire EL Jones, Lindsay JL Forbes

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Determinants of well-being and their interconnections in Australian general practitioners: a qualitative study by Nick Glozier, Ian B Hickie, Christiane Klinner, Alyssa Milton, Diana Naehrig, Louise Acland, Brendan Goodger

“…Finances need to be a major consideration to prioritise, promote and support GP well-being, and a sustainable primary care workforce.…”
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A patient choice‐driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility study by Nathan R. Weeldreyer, Mindy L. McEntee, Matthew P. Martin, Chong D. Lee, Farshad Fani Marvasti, Glenn A. Gaesser, Rodger Kessler, Siddhartha S. Angadi

“…Abstract Type 2 diabetes (T2D) is a common metabolic disorder in which only 25% of patients meet management targets. While the primary care setting is positioned to provide lifestyle management education, studies are lacking which integrate behavior interventions in this setting utilizing clinic staff. …”
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Currently prescribed drugs in the UK that could upregulate or downregulate ACE2 in COVID-19 disease: a systematic review by Paul Little, Simon J Griffin, Hajira Dambha-Miller, Nazrul Islam, Ali Albasri, Christopher R Wilcox, Sam Hodgson, Shareen Khan

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Informed choices for some, but not for others: An exploration of Australian midlife women’s participation in mammography screening by social class by Samantha Batchelor, Belinda Lunnay, Sara Macdonald, Paul R Ward

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Association between polypharmacy and falls in older adults: a longitudinal study from England by Nafeesa N Dhalwani, Melanie J Davies, Kamlesh Khunti, Harini Sathanapally, Radia Fahami, Sam Seidu

“…Further exploration of the effects of these complex drug combinations in the real world with a detailed standardised assessment of polypharmacy is greatly required along with pragmatic studies in primary care, which will help inform whether the threshold for a detailed medication review should be lowered.…”
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Neighbourhood socioeconomic conditions and emergency admissions for ambulatory care sensitive conditions in children: a longitudinal ecological analysis in England, 2012–2017 by Bernie Carter, Enitan D Carrol, David Taylor-Robinson, Konstantinos Daras, Tanith Rose, Kate Mason, Courtney Franklin, Lateef Akanni

“…Background Ambulatory care sensitive conditions (ACSCs) are those for which hospital admission could be prevented by interventions in primary care. Children living in socioeconomic disadvantage have higher rates of emergency admissions for ACSCs than their more affluent counterparts. …”
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Delivery, maternal and neonatal outcomes in nulliparous women with gestational diabetes undergoing epidural labour analgesia: a propensity score-matched analysis by Yu Chen, Xin Ye, Han Wu, Yanqing Chen, Huanghui Wu, Xueling Yuan, Xiaofang Yu, Xiaodan Wu

“…Objective This study aimed to retrospectively analyse the influence of epidural labour analgesia (ELA) on delivery and maternal and neonatal outcomes in nulliparous women with gestational diabetes mellitus (GDM) using propensity score-matched analysis.Design Retrospective cohort analysis.Setting Primary care practices in a teaching hospital from March 2018 to October 2021.Participants A total of 816 delivery records of nulliparous women with GDM were collected and retrospectively analysed.Interventions ELA and non-ELA (NELA) cohorts were assessed.Main outcome measure The primary outcome assessed was delivery type (spontaneous, assisted vaginal or caesarean). …”
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Generalised anxiety disorder and its determinants amongst patients with diabetes in primary healthcare clinics: a cross-sectional study in Kuwait City, 2024 by Sana Mubarak Alali, Doaa Khalifa Hussein Abdalla, Aisha Alsaqabi, Hessa Al-Kandari, Ozayr Mahomed

“…This study aimed to determine the prevalence of anxiety and its associated factors among patients with diabetes receiving care at public primary care clinics in Kuwait during the first quarter of 2024. …”
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Is vaginal breech delivery associated with higher risk for perinatal death and cerebral palsy compared with vaginal cephalic birth? Registry-based cohort study in Norway by Guro L Andersen, Solveig Bjellmo, Sissel Hjelle, Pål Richard Romundstad, Torstein Vik, Marit Petra Martinussen, Dag Moster

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Predictors of self-reported hypertension among women of reproductive age in North Dakota by Corey A. Day, Grace Njau, Matthew Schmidt, Agricola Odoi

“…Results The odds of hypertension were significantly higher among women of reproductive age who reported frequent mental distress (odds ratio [OR] = 2.0, 95% confidence interval [CI] = 1.3–3.3), resided in a primary care health professional shortage area (OR = 1.8, 95% CI = 1.2–2.6), were obese (OR = 2.6, 95% CI = 1.7–4.1) and were 35–44 years old (OR = 2.3, 95% CI = 1.6–3.4), relative to their counterparts who did not have frequent mental distress, did not reside in a health professional shortage area, had a normal body mass index, and were 18–34 years old, respectively. …”
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Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis by Rafael Abós-Herràndiz, Teresa Rodriguez-Blanco, Isabel Garcia-Allas, Isabel-Magdalena Rosell-Murphy, Constança Albertí-Casas, Josep Tarrés, Illona Krier-Günther, Xavier Martinez-Artés, Ramon Orriols, Isidre Grimau-Malet, Jaume Canela-Soler

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Knowledge, Attitudes, Motivations, Expectations, and Systemic Factors Regarding Antimicrobial Use Amongst Community Members Seeking Care at the Primary Healthcare Level: A Scoping... by Nishana Ramdas, Johanna C. Meyer, Natalie Schellack, Brian Godman, Eunice Turawa, Stephen M. Campbell

“…Results: The search identified 497 sources, of which 59 met the inclusion criteria, with 75% of the studies conducted in outpatient primary care settings. Four key themes were identified: (1) the ’patient’ theme, highlighting beliefs, knowledge, and expectations, which was the most prominent (40.5%); (2) the ’provider’ theme, emphasizing challenges related to clinical decision-making, knowledge gaps, and adherence to guidelines; (3) the ’healthcare systems’ theme, highlighting resource limitations, lack of infrastructure, and policy constraints; and (4) the ‘intervention/uptake’ theme, emphasizing strategies to improve future antibiotic use and enhance access to and quality of healthcare. …”
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Diagnostics and Treatment of Peptic Ulcer in Adults (Clinical Guidelines of the Russian Gastroenterological Association, the Russian Society of Colorectal Surgeons, the Russian End... by V. Т. Ivashkin, I. V. Mayev, Р. V. Tsarkov, М. Р. Korolev, D. N. Andreev, Е. К. Baranskaya, D. S. Bordin, S. G. Burkov, А. А. Derinov, S. К. Efetov, Т. L. Lapina, Р. V. Pavlov, S. S. Pirogov, Е. А. Poluektova, А. V. Tkachev, А. S. Trukhmanov, А. I. Uljanin, Е. D. Fedorov, А. А. Sheptulin

“…The guidelines set out the modern methods of diagnostics and treatment of peptic ulcer and are created for gastroenterologists, primary care physicians, general practitioners, surgeons, endoscopists.Key points. …”
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