Limitations of Ascribing Autonomy, Purpose, and Mastery as Primary Physician Motivators

Trauma to the lower extremities is the principal cause of gait disturbance in early childhood. Three cases are presented to emphasize the relative frequency of children hospitalized for diagnostic evaluation of altered gait who have occult fractures. The cases may refresh the primary physician of the variables that serve as obstacles to accurate diagnosis.

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THE PLACE OF THE PRIMARY PHYSICIAN

The Lancet ◽

10.1016/s0140-6736(67)91066-5 ◽

1967 ◽

Vol 289 (7482) ◽

pp. 161

Author(s):

R.W. Newmark

Keyword(s):

Primary Physician

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Steroid switching in dystrophinopathy treatment: a US chart review of patient characteristics and clinical outcomes

Journal of Comparative Effectiveness Research ◽

10.2217/cer-2021-0110 ◽

2021 ◽

Author(s):

Jessica R Marden ◽

Claudio Santos ◽

Brian Pfister ◽

Richard Able ◽

Henry Lane ◽

...

Keyword(s):

Muscular Dystrophy ◽

Clinical Outcomes ◽

Clinical Characteristics ◽

Chart Review ◽

Patient Characteristics ◽

Becker Muscular Dystrophy ◽

Slow Disease Progression ◽

Primary Physician ◽

The Usa ◽

The Mean

Aim: To describe reasons for switching from prednisone/prednisolone to deflazacort and associated clinical outcomes among patients with Duchenne and Becker muscular dystrophy (DMD and BMD, respectively) in the USA. Methods: A chart review of patients with DMD (n = 62) or BMD (n = 30) who switched from prednisone to deflazacort (02/2017–12/2018) collected demographic/clinical characteristics, reasons for switching, outcomes and common adverse events. Results: The mean ages at switch were 20.1 (DMD) and 9.2 (BMD) years. The primary physician-reported reasons for switching were ‘to slow disease progression’ (DMD: 83%, BMD: 79%) and ‘tolerability’ (67 and 47%). Switching was ‘very’ or ‘somewhat’ effective at addressing the primary reasons in 90–95% of patients. Conclusion: Physician-reported outcomes were consistent with deflazacort addressing patients' primary reasons for switching.

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Opinions of healthcare providers on the design of a smartphone application for asthma treatment in the Kingdom of Saudi Arabia

Multidisciplinary Respiratory Medicine ◽

10.4081/mrm.2020.508 ◽

2020 ◽

Vol 15 ◽

Author(s):

Hajed M. Al-Otaibi ◽

Khalid A. Ansari ◽

Osama Hamad ◽

Turki M. Alanzi

Keyword(s):

Saudi Arabia ◽

Therapeutic Process ◽

Healthcare Providers ◽

Smartphone Application ◽

Asthma Treatment ◽

Cross Sectional Survey ◽

Kingdom Of Saudi Arabia ◽

Cross Sectional ◽

Primary Physician ◽

Global Initiative

Introduction: In several countries of the world, smartphone applications have been designed to contribute to the treatment of asthma. However, none of these applications has been developed in Saudi Arabia. Therefore, the objective of this article is to design a smartphone application for the treatment of asthma based on the opinions of healthcare providers from the Kingdom of Saudi Arabia. Methods: In order to know the opinion of the healthcare providers from Saudi Arabia about the design of an asthmaApp, we used a purposive sampling method and conducted a cross sectional survey employing a questionnaire which was distributed through the QuestionPro.com website to all healthcare providers working in this country. The questionnaire was sent to 376 healthcare providers and the response rate was 25%. Results: The data indicated that the majority of the respondents opined that the following features were important or very important in the design of a smartphone application for asthma treatment in Saudi Arabia: information about. patient diagnosis (98%), primary physician access information(83%), patient satisfaction with the therapeutic process (91%), push notifications about reminder for drugs (95%), push notification for treatment of inhaler and other drugs (92%), push notifications about reminders of clinic visits and therapy sections (81%), push notifications to ask for help sending SMS to primary physician about patients’ attacks (89%), pathophysiology of asthma (82%), asthma triggers (98%), drug guidelines (94%), drug side effects (93%), number of asthma attacks (98%), medication statistics (88%), visual inputs such as peak flow (91%), data to link patients to healthcare providers and to healthcare centers (82%), and Global Initiative for Asthma (GINA) references (72%). Conclusions: According to the opinion of the majority of healthcare providers (92%), the proposed smartphone application designed based on medical guidelines will contribute to improve the treatment of patients with asthma in the Kingdom of Saudi Arabia, and will help to reduce the number of asthma cases that need hospitalization, and the number of asthma cases in the emergency departments of the hospitals of the Kingdom.

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The Primary Physician and the Death of a Child in a Specialized Hospital Setting

PEDIATRICS ◽

10.1542/peds.71.3.443 ◽

1983 ◽

Vol 71 (3) ◽

pp. 443-445

Author(s):

MORRIS A. WESSEL

Keyword(s):

Social Workers ◽

Hospital Setting ◽

Infants And Children ◽

Hospital Service ◽

Community Based ◽

Medical Centers ◽

Primary Physician ◽

Hospital Physicians ◽

Death Of A Child ◽

Specialized Hospital

Pediatricians offer ongoing comprehensive and coordinate care for children. Community-based primary pediatricians assume a large proportion of this repsonsibility, referring a few patients to collegues with specialized skills for consultation and treatment. These consultants, who are often fulltime members of university or other medical centers, provide care extending the lives of many children suffering illnesses that formerly were fatal early in the course of the disease. Some infants and children unfortunately do die after many months or years of treatment at a specialized clinic or hospital service. When this tragedy occurs, parents and siblings have the difficult task of relinquishing their relationship to hospital physicians, nurses, and social workers who have sustained them for many months or years.

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Teen-age Pregnancy: The Family Background

PEDIATRICS ◽

10.1542/peds.50.1.167a ◽

1972 ◽

Vol 50 (1) ◽

pp. 167-167

Author(s):

Eugene P. Shatkin

Keyword(s):

Family Background ◽

Primary Physician ◽

The Family

I read the statement of the Committee on Youth concerning teen-age pregnancy and the problem of abortion and I am concerned that they have overlooked or elected to omit comment on more basic problems preceding the pregnancy crisis of the unmarried teen-ager. Teen-agers of both sexes need advocates and adequate counseling for resolving this crisis. More importantly, I feel, they need an aware primary physician who recognizes the pregnancy as only that part of a larger problem that shows.

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