scholarly journals Relevance of Hypersexual Disorder to Family Medicine and Primary Care as a Complex Multidimensional Chronic Disease Construct

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Liesbeth Borgermans ◽  
Bert Vrijhoef ◽  
Jan Vandevoorde ◽  
Jan De Maeseneer ◽  
Johan Vansintejan ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Family Medicine ◽  
Diagnostic Criteria ◽  
Treatment Options ◽  
Hypersexual Disorder ◽  
Psychosocial Consequences

Hypersexual disorder (HD) is not defined in a uniform way in the psychiatric literature. In the absence of solid evidence on prevalence, causes, empirically validated diagnostic criteria, instruments for diagnosis, consistent guidelines on treatment options, medical and psychosocial consequences, and type of caregivers that need to be involved, HD remains a controversial and relatively poorly understood chronic disease construct. The role of family medicine in the detection, treatment, and followup of HD is not well studied. The purpose of this paper is to describe the complexity of HD as a multidimensional chronic disease construct and its relevance to family medicine and primary care.

scholarly journals Relevance of Chronic Lyme Disease to Family Medicine as a Complex Multidimensional Chronic Disease Construct: A Systematic Review

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Liesbeth Borgermans ◽  
Geert Goderis ◽  
Jan Vandevoorde ◽  
Dirk Devroey
Keyword(s):  
Chronic Disease ◽  
Family Medicine ◽  
Lyme Disease ◽  
Treatment Options ◽  
Public Health Problem ◽  
Global Public Health ◽  
Chronic Lyme Disease ◽  
And Performance

Lyme disease has become a global public health problem and a prototype of an emerging infection. Both treatment-refractory infection and symptoms that are related to Borrelia burgdorferi infection remain subject to controversy. Because of the absence of solid evidence on prevalence, causes, diagnostic criteria, tools and treatment options, the role of autoimmunity to residual or persisting antigens, and the role of a toxin or other bacterial-associated products that are responsible for the symptoms and signs, chronic Lyme disease (CLD) remains a relatively poorly understood chronic disease construct. The role and performance of family medicine in the detection, integrative treatment, and follow-up of CLD are not well studied either. The purpose of this paper is to describe insights into the complexity of CLD as a multidimensional chronic disease construct and its relevance to family medicine by means of a systematic literature review.

scholarly journals Adult NREM Parasomnias: An Update

2018 ◽  
Vol 1 (1) ◽  
pp. 87-104
Author(s):  
Maria Hrozanova ◽  
Ian Morrison ◽  
Renata Riha
Keyword(s):  
Diagnostic Criteria ◽  
Eye Movement ◽  
Clinical Characteristics ◽  
Recent Literature ◽  
Treatment Options ◽  
Rapid Eye Movement ◽  
Precipitating Factors ◽  
Legal Implications

Our understanding of non-rapid eye movement (NREM) parasomnias has improved considerably over the last two decades, with research that characterises and explores the causes of these disorders. However, our understanding is far from complete. The aim of this paper is to provide an updated review focusing on adult NREM parasomnias and highlighting new areas in NREM parasomnia research from the recent literature. We outline the prevalence, clinical characteristics, role of onset, pathophysiology, role of predisposing, priming and precipitating factors, diagnostic criteria, treatment options and medico-legal implications of adult NREM parasomnias.

scholarly journals Australian practice nurses’ perceptions of their role and competency to provide nutrition care to patients living with chronic disease

2014 ◽  
Vol 20 (2) ◽  
pp. 203 ◽  
Author(s):  
Sarah Cass ◽  
Lauren Ball ◽  
Michael Leveritt
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Nutrition Education ◽  
Care Setting ◽  
Primary Care Setting ◽  
Practice Nurses ◽  
Nutrition Care ◽  
Nurses Perceptions ◽  
Basic Level

Nutrition is important in the management of chronic disease, and practice nurses in the Australian primary care setting are increasingly providing nutrition care to patients living with chronic disease. The aim of the present study was to investigate practice nurses’ perceptions of their role and competency to provide nutrition care to patients living with chronic disease in Australia. Twenty practice nurses currently employed in general practice participated in an individual semi-structured telephone interview. Interviews were transcribed verbatim and thematically analysed. Practice nurses perceived themselves to be in a prime position to provide opportunistic nutrition care to patients. Participants perceived that the ideal role of a practice nurse is to advocate for nutrition and provide a basic level of nutrition care to patients; however, the interpretation of the term ‘basic’ varied between participants. Participants perceived that practice nurses are highly trusted and approachable, which they valued as important characteristics for the provision of nutrition care. Barriers to providing nutrition care included time constraints, lack of nutrition knowledge and lack of confidence. Participants were concerned about the availability and accessibility of nutrition education opportunities for practice nurses. The present study has demonstrated that practice nurses perceive themselves as having a significant role in the provision of nutrition care to patients with chronic disease in the Australian primary care setting. Further investigation of strategies to enhance the effectiveness of nutrition care provision by practice nurses is warranted.

scholarly journals Metabolic syndrome and weight management programs in primary care: a comparison of three international healthcare systems

2018 ◽  
Vol 24 (5) ◽  
pp. 372
Author(s):  
Elizabeth Sturgiss ◽  
Claire Deborah Madigan ◽  
Doug Klein ◽  
Nicholas Elmitt ◽  
Kirsty Douglas
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Chronic Disease ◽  
Healthcare System ◽  
Developed Countries ◽  
Individual Risk ◽  
Primary Care Clinicians ◽  
The Uk ◽  
Lifestyle Related Diseases

Lifestyle behaviours are contributing to the increasing incidence of chronic disease across all developed countries. Australia, Canada and the UK have had different approaches to the role of primary care in the prevention and management of lifestyle-related diseases. Both obesity and metabolic syndrome have been targeted by programs to reduce individual risk for chronic disease such as type 2 diabetes. Three interventions are described – for either obesity or metabolic syndrome – that have varying levels of involvement of GPs and other primary care professionals. The structure of a healthcare system for example, financing and physical locations of primary care clinicians, shapes the development of primary care interventions. The type of clinicians involved in interventions, whether they work alone or in teams, is influenced by the primary care setting and resource availability. Australian clinicians and policymakers should take into account the healthcare system where interventions are developed when translating interventions to the Australian context.

scholarly journals Letter from the Editors

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Lee Sterling ◽  
Rachel La Selva ◽  
Shawn (Zhuo) Shao
Keyword(s):  
Primary Care ◽  
Nursing Students ◽  
Family Medicine ◽  
Graduate Program ◽  
Editorial Team ◽  
Original Research ◽  
Special Issue ◽  
The Many ◽  
Web Developers

To our readers, We are immensely proud to present this special issue of the McGill Journal of Medicine (MJM) focused on primary care in Quebec. In recent years the healthcare system in Quebec has gone through massive shifts, many of which have been focused on the role of family physicians and the organization of primary care within the province. These changes reflect a new understanding of the key importance of the previously ignored entry point into our advanced and increasingly complicated healthcare system.In this issue we have sought to bring together diverse perspectives in the ongoing conversation regarding the future of primary care in Quebec. We are proud to present reviews, editorials, original research, artwork and reflections from authors including Dr. Howard Bergman, the Chair of the Department of Family Medicine at McGill, as well as medical and nursing students. A special thank you to Dr. Gillian Bartlett-Esquilant, the Research and Graduate Program Director for the Department of Family Medicine, and Dr. Charo Rodriguez, Director of the McGill Family Medicine Educational Research Group, for contributing an editorial highlighting the importance of primary care research. The above editorials are only a subset of the many other fascinating pieces we are proud to publish in this Issue.This special issue would not have been possible without the incredible effort of the MJM 2016-2017 editorial team. Our editors, section editors, and web developers have worked incredibly hard to bring this project to fruition. As the MJM begins a third year after relaunching in 2015, we hope this Issue stands as a testament to its bright future. We hope you enjoy reading this issue, we have certainly enjoyed putting it together.Best, Lee H. Sterling, Editor-in-Chief, 2017-2018 Rachel La Selva and Shawn Zhuo, Editors-in-Chief, 2016-2017

The Role of Vacuum Device Therapy in the Management of Erectile Dysfunction

2005 ◽  
Vol 00 (01) ◽  
pp. 93 ◽  
Author(s):  
Ronald W Lewis ◽  
Mark M Newell
Keyword(s):  
Primary Care ◽  
Erectile Dysfunction ◽  
Primary Care Physicians ◽  
Treatment Options ◽  
Device Therapy ◽  
Vacuum Device ◽  
American Urological Association

In November 1996, the American Urological Association (AUA) handed down guidelines for treating erectile dysfunction (ED), and urged all physicians to give sound and unbiased explanations of all ED treatments to their patients.1Currently, nearly all urologists and many primary care physicians routinely ask whether their patients are experiencing erectile problems. If the answer is positive, then treatment options are discussed.

scholarly journals Multiple myeloma: Looking beyond standards

2016 ◽  
Vol 02 (01) ◽  
pp. 023-028
Author(s):  
Esha Kaul ◽  
Sanjeev Sharma
Keyword(s):  
Multiple Myeloma ◽  
Diagnostic Criteria ◽  
Plasma Cells ◽  
Residual Disease ◽  
Early Stage ◽  
Treatment Options ◽  
Autologous Stem Cell Transplant ◽  
Cell Transplant ◽  
Frequent Relapses

AbstractMultiple myeloma has been regarded as an incurable disease with frequent relapses. The diagnostic criteria have been revised multiple times to include early stage of the disease where treatment can be effective and can prolong the survival. Newer diagnostic criteria for myeloma have incorporated ≥60% plasma cells in the bone marrow and serum free light chain ratio (involved to uninvolved free light chains) of ≥100. The role of positron emission tomography-computed tomography scans has been recognized, and it has been increasingly utilized upfront in the management of multiple myeloma. Role of minimal residual disease monitoring has been studied in multiple trials and will in near future guide the treatment. Autologous stem cell transplant is still the preferred consolidation therapy after initial three or four drug induction. With the use of novel drugs combinations and with emerging treatment options the standard of care of myeloma patients will change.

scholarly journals The Role of Primary Care Physicians in Managing Chronic Disease

2017 ◽  
Vol 3 (1) ◽  
pp. 86-93 ◽  
Author(s):  
Margot Savoy ◽  
Colleen Hazlett-O’Brien ◽  
Jamie Rapacciuolo
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Primary Care Physicians

scholarly journals Role of Primary Care Physician in COVID-19 Response: A Review

2021 ◽  
pp. 207-214
Author(s):  
Faisal Suliman Algaows ◽  
Amro Youssef A. Elias ◽  
Abdulwahab Abdulmannan M. Alshaikh ◽  
Rawan Saleh Nabzah ◽  
Anas Ebrahim Almejewil ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Family Medicine ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Care Physician ◽  
Clinical Consequences ◽  
Tertiary Care Centers ◽  
The Impact

All healthcare providers have had to adapt and be flexible in order to respond to COVID-19. Nonetheless, the emphasis, particularly at the start of the outbreak, was on the impact and response of secondary and tertiary care. The primary care sector's responsibilities in the response focused on how it could help secondary and tertiary care centers respond. A small percentage of current research and evidence focuses on health services implications or applied public health approaches, with even fewer on the role of primary care and family medicine providers. So, while our scientific understanding of the virus and its subsequent clinical consequences has grown exponentially, information about primary care responses to COVID-19 in a variety of settings, as well as the interaction with patient perspectives and priorities, and broader public health responsibilities, remains significantly hazier.

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