The AFFIRM Framework for gender-affirming care: qualitative findings from the Transgender and Gender Diverse Health Equity Study by Meg Quint, Schuyler Bailar, Alexis Miranda, Shalender Bhasin, Devin O’Brien-Coon, Sari L. Reisner

“…Themes about gender-affirming care coalesced into the acronym AFFIRM: (1) Affirms in individual interactions: Participants called for affirmation of TGD identity, lived expertise, and competent TGD providers and staff. (2) Flexible and accessible: Participants expressed the need for gender-affirming care to be available beyond urban population-specific clinics, in a timely fashion without long wait lists, and in a community-centered manner such as offering non-traditional times and settings. (3) Fights systemic oppression: Participants emphasized the need for providers and health systems to eliminate gatekeeping practices for gender-affirming care and create care models that resist intersecting oppressive systems such as racism and cisgenderism. (4) Interacts with community: Patients desired intentional interaction with TGD community to holistically address health and unmet gender affirmation needs. (5) Retains patients in care: Patients shared the need to collaboratively identify and problem-solve obstacles to gender-affirming care with providers and healthcare systems to optimize TGD-specific retention strategies. (6) Multidisciplinary: Patients called for interdisciplinary teams with co-located services such as primary care and mental healthcare with letter-writing for surgical care, and incorporation of peer navigators to meet the broader social, health, and well-being needs of TGD people. …”
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Respiratory and Rehabilitation Expert Consensus on Full-cycle Rehabilitation Assessment and Treatment for Elderly Patients with Chronic Obstructive Pulmonary Disease by CHEN Xin, JIA Jie, DING Yipeng, YE Xujun, DONG Anqin, HE Jing, LIAO Weijing, ZHENG Jieqiao, YU Binbin, CHEN Zuobing, FANG Yuan, YAO Liqing, ZHU Yiping, FU Jianghong, WANG Siyuan, ZHANG Yangxian

“…It further details the target population, implementation location, rehabilitation content, assessment content, participating disciplines, and rehabilitation goals for each stage, emphasizing the need for clinical respiratory specialists, primary care physicians, rehabilitation physicians/therapists, nurses, nutritionists, psychologists, and social workers to actively coordinate and collaborate throughout the full-cycle rehabilitation process for elderly COPD patients.…”
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Piloting creative engagement strategies to explore themes of parenthood with fathers by Iryna Culpin, Iryna Culpin, Catherine Lamont-Robinson, Mark Billington, Matthew James, James Prewett, Gareth Ward, Mireia Bes Garcia, Giovanni Biglino, Giovanni Biglino

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Barriers to and facilitators of point-of-care ultrasound utilization among physicians, nurse practitioners, and nurses in Japan: a comparative study by Toru Yamada, Takuma Kimura, Kyoko Shigetomi, Takahiro Shinohara, Shuji Ouchi, Suguru Mabuchi, Tomoko Kusama, Takeshi Ishida, Masayoshi Hashimoto

“…Results A web-based survey was distributed via the mailing lists of four major academic societies in general medicine in Japan—the Japanese Society of Hospital General Medicine, the Japan Primary Care Association, the Japanese Association for Home Care Medicine, and the Japan Society of Nurse Practitioner—from April to June 2024. …”
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Functional gastrointestinal disorders predictors in neonates and toddlers: A machine learning approach to risk assessment by Flavia Indrio, Elio Masciari, Flavia Marchese, Matteo Rinaldi, Gianfranco Maffei, Ilaria Gangai, Assunta Grillo, Roberta De Benedetto, Enea Vincenzo Napolitano, Isadora Beghetti, Luigi Corvaglia, Antonio Di Mauro, Arianna Aceti

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The evolving landscape of COVID-19: factors associated with in-hospital COVID-19 related mortality during the 2023–2024 phase of JN.1 subvariant dominance by Drieda Zaçe, Albiana Çekrezi, Christopher Jones, Ludovica Ferrari, Giuseppe De Simone, Elisabetta Teti, Vincenzo Malagnino, Marco Iannetta, Loredana Sarmati, Anna Maria Geretti

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A pilot study examining Toronto-area family physician perspectives on thyroid neoplasm evaluation by Arjun Kundra, David P. Goldstein, Kimberly Wintemute, Sangeet Ghai, Richard W. Tsang, Karuna Gupta, Donatus R. Mutasingwa, Jeff Weissberger, Ella Huszti, Patrick Brown, Huan Jiang, Anna M. Sawka

“…Conclusion There are likely multiple complex factors leading to potential overdiagnosis of TC in primary care, including some physicians’ knowledge gaps about appropriate indications for TN investigations as well as patients’ requests and expectations.…”
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Can screening for degenerative cervical myelopathy (SCREEN-DCM) be effectively undertaken based on signs, symptoms and known risk factors? Rationale and research protocol for a pro... by Benjamin Davies, Mark Kotter, Granit Molliqaj, Enrico Tessitore, Karl Schaller, Teresa Somma, Aria Nouri, Renato Gondar, Joseph S Cheng, Paolo Cappabianca, Alexandre Lavé, Gianpaolo Jannelli, Allan Martin, Justin Virojanapa, Carmen L A Vleggeert-Lankamp, Valerie ter Wengel, Torstein Meling

“…Given that LDD is one of the most common presentations in neurosurgical practice and primary care, it is the objective of the proposed study to administer a screening test to these patients as well as those with risk factors or symptoms which raise the suspicion of underlying DCM.Methods and analysis A screening test based on clinical signs/symptoms and known risk factors of DCM was designed. …”
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Cross-cultural adaptation and psychometric evaluation of the Thai version of the Enhancing Recovery in Coronary Heart Disease Social Support Inventory in individuals with chronic i... by Santi Phetrnui, Jom Suwanno, Chantira Chiaranai, Chonchanok Bunsuk, Naruebeth Koson, Wanna Kumanjan, Chennet Phonphet, Ladda Thiamwong

“…Psychometrics testing used data from a cross-sectional study from July to November 2022 at 16 primary care centers in southern Thailand, involving 405 participants. …”
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Vitiligo Review: etiopathogenesis, diagnosis and treatment by Aleksandra Witek, Jakub Parys, Agnieszka Mikosińska, Martyna Kaźmierczak, Maciej Mossakowski, Patrycja Kałuziak, Marta Jajczak, Mateusz Litwin, Stanisław Jesionek, RAfał Bieś

“… Introduction and purpose:This review is intended for healthcare professionals, including dermatologists, primary care physicians, and researchers, who seek a comprehensive understanding of vitiligo. …”
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Economic burden of musculoskeletal disorders in Tanzania: results from a community-based survey by Stefan Siebert, Emma McIntosh, Manuela Deidda, Richard Walker, Ping-Hsuan Hsieh, Blandina Mmbaga, Clive Kelly, Kajiru Kilonzo, Eleanor Grieve, Elizabeth F Msoka, Kiula Kiula, Nateiya Yongolo, Sanjura Mandela Biswaro, Stefanie Krauth, Jo Halliday

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Non-communicable diseases and their associations with outpatient services utilisation: insight from a population-based survey in Malaysia by Jabrullah Ab Hamid, Awatef Amer Nordin, Suhana Jawahir, Adilius Manual, Iqbal Ab Rahim, Sarah Nurain Mohd Noh, Nur Elina Ab Mutalib, Nurul Salwana Abu Bakar

“…The recently launched Health White Paper for Malaysia has emphasised primary healthcare as a critical component to achieve aspirations of the health system, which includes equity and responsiveness. Strengthening primary care services and improving patient navigation across healthcare levels are critical to supporting individuals with multimorbidity. …”
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How long does it take to start minimal enteral feeding in preterm Neonates admitted to NICUs in Southern Oromia, Ethiopia? by Anteneh Fikrie, Terefu Yambo, Alo Edin, Miesa Gelchu, Dejene Hailu, Mark Spigt

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The relationship between walking speed and changes in cardiovascular risk factors during a 12-day walking tour to Santiago de Compostela: a cohort study by Frank L J Visseren, Yolanda van der Graaf, Wilko Spiering, Remy H H Bemelmans, Paulus P Blommaert, Annemarie M J Wassink, Blai Coll

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The use and subjective experience of sleep apps and their relationship with personality characteristics among young adults by Ståle Pallesen, Ståle Pallesen, Øystein Vedaa, Øystein Vedaa, Erlend Sunde, Erlend Sunde, Anette Harris, Siri Waage, Siri Waage, Ingvild West Saxvig, Jiewen Zhang, Bjørn Bjorvatn, Bjørn Bjorvatn

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Effectiveness and safety of metformin in 51 675 patients with type 2 diabetes and different levels of renal function: a cohort study from the Swedish National Diabetes Register by Katarina Eeg-Olofsson, Soffia Gudbjörnsdottir, Ann-Marie Svensson, Björn Eliasson, Linus Schioler, Björn Zethelius, Nils Ekström, Jan Cederholm, Junmei Miao Jonasson

“…Objective To evaluate the effectiveness and safety of metformin use in clinical practice in a large sample of pharmacologically treated patients with type 2 diabetes and different levels of renal function.Design Observational study between July 2004 and December 2010, mean follow-up 3.9 years.Setting Hospital outpatient clinics and primary care in Sweden.Participants 51 675 men and women with type 2 diabetes, registered in the Swedish National Diabetes Register, and on continuous glucose-lowering treatment with oral hypoglycaemic agents (OHAs) or insulin.Main outcome measures Risks of cardiovascular disease (CVD), all-cause mortality and acidosis/serious infection, associated with each treatment regimens, were analysed in all patients and in subgroups with different estimated glomerular filtration rate (eGFR) intervals. …”
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Evolução de incapacidades físicas em pacientes com hanseníase associada ao nível de atenção à saúde by Fernanda Beatriz Ferreira Gomes, Rúbia Tauany Carneiro Lemos, Isabela Cristina Lana Maciel, Francisco Carlos Félix Lana

“…The increase in the percentage of cases with degree of physical disability zero was more relevant at the primary care level (12%) (p<0.001). Conclusion: The high number of cases diagnosed in specialized services and with physical disabilities already present suggests the need for investments in strengthening primary health care to guarantee comprehensive and effective care with a focus on early diagnosis and reducing physical disabilities related to leprosy. …”
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Anemia in pregnancy: a systematic review and meta-analysis of prevalence, determinants, and health impacts in Egypt by Ahmed Azzam, Heba Khaled, Alrefaey K. Alrefaey, Amar Basil, Sarah Ibrahim, Mohamed S. Elsayed, Muhammad Khattab, Nashwa Nabil, Esraa Abdalwanees, Hala Waheed Abdel Halim

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Pregnancy stressors and postpartum symptoms of depression and anxiety: the moderating role of a cognitive–behavioural therapy (CBT) intervention by Ahmed Zaidi, Atif Rahman, Pamela J Surkan, Najia Atif, Abid Malik, Yunxiang Sun, Soim Park

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Evaluation of an interprofessional education program involving medical and pharmacy students: a mixed-method study by Josephine F. Mertens, Marleen H. M. Hessel, Thomas G. H. Kempen, Stefan Böhringer, Adriaan F. Norbart, Chris W. Walinga, Teun van Gelder

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