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Displaying Results 1 - 25 of 234 on page 1 of 10
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‘Potentially inappropriate or specifically appropriate?’ Qualitative evaluation of general practitioners views on prescribing, polypharmacy and potentially inappropriate prescribing in older people.
(2016)
Clyne, Barbara; Cooper, Janine A; Hughes, Carmel M; Fahey, Tom; Smith, Susan M; OPTI-SC...
‘Potentially inappropriate or specifically appropriate?’ Qualitative evaluation of general practitioners views on prescribing, polypharmacy and potentially inappropriate prescribing in older people.
(2016)
Clyne, Barbara; Cooper, Janine A; Hughes, Carmel M; Fahey, Tom; Smith, Susan M; OPTI-SCRIPT Study Team
Abstract:
<p>The original article is available at www.biomedcentral.com</p>
<p><strong>Background:</strong> Potentially inappropriate prescribing (PIP) is common in older people in primary care, as evidenced by a significant body of quantitative research. However, relatively few qualitative studies have investigated the phenomenon of PIP and its underlying processes from the perspective of general practitioners (GPs). The aim of this paper is to explore qualitatively, GP perspectives regarding prescribing and PIP in older primary care patients.</p> <p><strong>Method:</strong> Semi-structured qualitative interviews were conducted with GPs participating in a randomised controlled trial (RCT) of an intervention to decrease PIP in older patients (≥70 years) in Ireland. Interviews were conducted with GP participants (both intervention and control) from the OPTI-SCRIPT cluster RCT as part of the trial process evaluation between January and J...
https://epubs.rcsi.ie/gpart/97
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‘you feel like your whole world is caving in’: a qualitative study of primary care patients’ conceptualisations of emotional distress
(2018)
Geraghty, Adam WA; Santer, Miriam; Williams, Samantha; Mc Sharry, Jennifer; Little, Pau...
‘you feel like your whole world is caving in’: a qualitative study of primary care patients’ conceptualisations of emotional distress
(2018)
Geraghty, Adam WA; Santer, Miriam; Williams, Samantha; Mc Sharry, Jennifer; Little, Paul; Muñoz, Ricardo F; Kendrick, Tony; Moore, Michael
Abstract:
General practitioners are tasked with determining the nature of patients' emotional distress and providing appropriate care. For patients whose symptoms appear to fall near the boundaries' of psychiatric disorder, this can be difficult with important implications for treatment. There is a lack of qualitative research among patients with symptoms severe enough to warrant consultation, but where general practitioners have refrained from diagnosis. We aimed to explore how patients in this potentially large group conceptualise their symptoms and consequently investigate lay understandings of complex distinctions between emotional distress and psychiatric disorder. Interviews were conducted with 20 primary care patients whom general practitioners had identified as experiencing emotional distress, but had not diagnosed with major depressive disorder. Participants described severe emotional experiences with substantial impact on their lives. The term depression' was used in ...
http://hdl.handle.net/10379/11612
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A Change Project to Improve Dental Services Provision to Preschool Children in Primary Care
(2012)
Al Araimi, Maryam
A Change Project to Improve Dental Services Provision to Preschool Children in Primary Care
(2012)
Al Araimi, Maryam
Abstract:
<p>Dental decay is a troublesome disease that could significantly impact on children’s oral and general health. Early prevention is crucial and despite the public preventive strategies inIrelandthe decay rate in preschool children remains significantly high. The Health Service Executive provides a range of routine dental services to children in priority groups through the School Programme of the Public Dental Service. Preschool children are not routinely covered by this programme and their receipt of dental care is limited to general oral health messages provided through primary care child services. The financial restrictions have reduced children’s access to the public dental clinics which made the problem worse for preschool children. The project was concerned with providing early routine preventive interventions by Public Health Nurses in the form of oral health education for parents and oral health assessment for preschool children within primary care settings. The rationa...
https://epubs.rcsi.ie/mscttheses/13
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A comparative examination of healthcare use related to hearing impairment in europe
(2018)
Xiao, Mimi; O’Neill, Ciaran
A comparative examination of healthcare use related to hearing impairment in europe
(2018)
Xiao, Mimi; O’Neill, Ciaran
Abstract:
Introduction: The economic burden of hearing impairment is an area of increased interest. In this paper we examine the relationship between hearing impairment and service use in 14 European countries. Methods: Based on the Survey of Health Ageing and Retirement in Europe (SHARE) undertaken in 2013, Poisson regression models are used to analyse the relationship between the number of visits/number of nights in hospital, and hearing impairment controlling for a number of covariates. Results: We find that hearing impairment is generally associated with increased use of primary and secondary healthcare services when other aspects of health have been controlled. Comparative analysis revealed that where access to hearing assistive technology was greatest the additional use of services was least. Conclusions: The comparative analysis suggests that variations exist across countries in respect of the additional healthcare use occasioned by hearing impairment. They may also provide valuable in...
http://hdl.handle.net/10379/14464
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A Concept for a Long-term Scalable Primary Care Model
(2009)
Maad, Soha; Dimitrov, Borislav D; Fahey, Tom
A Concept for a Long-term Scalable Primary Care Model
(2009)
Maad, Soha; Dimitrov, Borislav D; Fahey, Tom
Abstract:
<p>See also European and Mediterranean Conference on Information Systems (EMCIS) website at http://www.emcis.org</p>
<p>This paper presents a concept for development of a unified bioengineering framework that consolidates efforts in extending the geographical boundaries and outreach of primary care in Ireland and ensure its long-term scalability. This framework encompasses infrastructures, devices, systems, techniques, materials, engineering practices and socio-technical set-ups for improved access, safety and quality of care at national and global levels. In particular, we address the development of special purpose solutions, technologies and devices for healthcare from a bioengineering perspective, within the wider biotechnology agenda in Ireland.</p>
https://epubs.rcsi.ie/gpproc/2
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A cost comparison study to review community versus acute hospital models of nursing care delivered to oncology patients
(2020)
O'Mahony, Cian; Murphy, Kevin D.; O'Brien, Gary L.; Aherne, Joe; Hanan, Terry...
A cost comparison study to review community versus acute hospital models of nursing care delivered to oncology patients
(2020)
O'Mahony, Cian; Murphy, Kevin D.; O'Brien, Gary L.; Aherne, Joe; Hanan, Terry; Mullen, Louise; Keane, Maccon; Donnellan, Paul; Davey, Claire; Browne, Helen; Malee, Kathleen; Byrne, Stephen
Abstract:
Purpose: Ireland's Sláintecare health plan is placing an increased focus on primary care. A community oncology nursing programme was developed to train community nurses to deliver care in the community. While the initial pilot was proven to be clinically safe, no cost evaluation was carried out. This study aims to compare the costs of providing cancer support services in a day-ward versus in the community. Methods: 183 interventions (40 in day-ward and 143 in community) were timed and costed using healthcare professional salaries and the Human Capital method. Results: From the healthcare provider perspective, the day-ward was a significantly cheaper option by an average of €17.13 (95% CI €13.72 - €20.54, p < 0.001). From the societal perspective, the community option was cheaper by an average of €2.77 (95% CI -€3.02 – €8.55), although this was a non-significant finding. Sensitivity analyses indicate that the community service may be significantly cheaper from the societal pe...
http://hdl.handle.net/10468/10674
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A frailty instrument for primary care: findings from the Survey of Health, Ageing and Retirement in Europe (SHARE).
(2010)
Romero-Ortuno, Roman; Walsh, Cathal Dominic; Lawlor, Brian A; Kenny, Rose Anne
A frailty instrument for primary care: findings from the Survey of Health, Ageing and Retirement in Europe (SHARE).
(2010)
Romero-Ortuno, Roman; Walsh, Cathal Dominic; Lawlor, Brian A; Kenny, Rose Anne
Abstract:
Background: A frailty paradigm would be useful in primary care to identify older people at risk, but appropriate metrics at that level are lacking. We created and validated a simple instrument for frailty screening in Europeans aged ≥50. Our study is based on the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE, http://www.share-project.org), a large population-based survey conducted in 2004-2005 in twelve European
PUBLISHED
peer-reviewed
http://hdl.handle.net/10344/4934
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A Future Together Building a Better GP and Primary Care Service
(2017)
O’Dowd, Tom; Ivers, Jo-Hanna; Handy, Deirdre
A Future Together Building a Better GP and Primary Care Service
(2017)
O’Dowd, Tom; Ivers, Jo-Hanna; Handy, Deirdre
Abstract:
Reform of primary care in Ireland has been on the agenda for several years. The current system is seen as fragmented, poorly developed and unfair. To achieve reform requires a decisive shift towards general practice. For such a shift to occur the State needs changes in its contractual arrangements with General Practitioners (GPs). Such changes will then facilitate wider changes in primary and community care services.
http://hdl.handle.net/10147/622643
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A pilot study of the duration of GP consultations in Ireland
(2019)
Pierse, Tom; Barry, Luke; Glynn, Liam G.; Quinlan, Diarmuid; Murphy, Andrew W.; O’Neill...
A pilot study of the duration of GP consultations in Ireland
(2019)
Pierse, Tom; Barry, Luke; Glynn, Liam G.; Quinlan, Diarmuid; Murphy, Andrew W.; O’Neill, Ciaran
Abstract:
Background: General practitioner (GP)-led primary care is the linchpin of health care in Ireland. Reflecting international trends, there are increasing concerns about the sustainability of the current Irish GP service due to an increasing workload. Objective data on the duration of GP consultations are currently not available in Ireland. The objective of this pilot study is to demonstrate how the duration of consultations can be collected, using readily available administrative data. Methods: Software was developed to extract the duration of GP consultations using the opening and closing of electronic patient records associated with a GP consultation. GP practices (N = 3) comprising 15 GPs were recruited from a university-affiliated research network. A retrospective analysis of GP consultations with patients with diabetes for the 9 years between 2010 and 2018 was used to assess the feasibility of using this system to measure the duration of consultations. Results: The average durati...
http://hdl.handle.net/10344/8488
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A pilot study of the duration of GP consultations in Ireland
(2020)
Pierse, Tom; Barry, Luke; Glynn, Liam; Quinlan, Diarmuid; Murphy, Andrew; O'Neill,...
A pilot study of the duration of GP consultations in Ireland
(2020)
Pierse, Tom; Barry, Luke; Glynn, Liam; Quinlan, Diarmuid; Murphy, Andrew; O'Neill, Ciaran
Abstract:
General practitioner (GP)-led primary care is the linchpin of health care in Ireland. Reflecting international trends, there are increasing concerns about the sustainability of the current Irish GP service due to an increasing workload. Objective data on the duration of GP consultations are currently not available in Ireland. The objective of this pilot study is to demonstrate how the duration of consultations can be collected, using readily available administrative data. Software was developed to extract the duration of GP consultations using the opening and closing of electronic patient records associated with a GP consultation. GP practices (N =¿3) comprising 15 GPs were recruited from a university-affiliated research network. A retrospective analysis of GP consultations with patients with diabetes for the 9 years between 2010 and 2018 was used to assess the feasibility of using this system to measure the duration of consultations. The average duration of a consultation was 14.1¿...
http://hdl.handle.net/10379/15766
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A review of potentially inappropriate prescribing in over 65’s in Livinghealth clinic
(2015)
Sweeney, J; Laoire, F; Linehan, G; Herlihy, D
A review of potentially inappropriate prescribing in over 65’s in Livinghealth clinic
(2015)
Sweeney, J; Laoire, F; Linehan, G; Herlihy, D
Abstract:
Polypharmacy and potentially inappropriate prescribing (PIP) are areas of growing importance and concern. Optimising drug prescribing in older people is challenging and complex at the individual GP level. At a national level it is an important public health issue for the care and management of the ageing Irish population. The aim of this study was to estimate the prevalence of PIP in Livinghealth Clinic using the STOPP (Screening Tool for Older Personsâ Prescribing) criteria and to identify areas of PIP. LHC audits demonstrated PIP levels of between 16% and 29%. Our findings were similar to other studies in that proton pump inhibitors (PPIs) at maximum therapeutic dosage for >8 weeks, and long acting benzodiazepines prescribed for >1 month, continue to be significant areas of PIP. However, not all identified PIP maybe inappropriate. The STOPP criteria are a useful screening tool for older personsâ prescribing, but are best used together with clinical assessment and discret...
http://hdl.handle.net/10147/558610
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A review of respiratory medicines expenditure in the primary care reimbursement services: 2005-2015
(2017)
O'Dwyer, Jackie
A review of respiratory medicines expenditure in the primary care reimbursement services: 2005-2015
(2017)
O'Dwyer, Jackie
Abstract:
Respiratory disease, is part of the Governments chronic disease management policy. The aim is to manage chronic disease patients as close to their home for as long as possible. The economic benefit of this is to improve medicine adherence and avoid the cost of emergency hospital admissions. One adherence barrier is cost of medicines. The aim of this report was to gain clarity on respiratory medicines expenditure for an eleven year period from 2005-2015. Findings showed that expenditure on all medicines have been decreasing in recent years, with 2015 figures being less than expenditure in 2006. Respiratory medicines have been less than 10% of total medicines expenditure in the PCRS during this time. Drugs for OPD are the most frequently prescribed and highest expenditure medicine class. B2 stimulants are the most frequently prescribed drug group and B2 stimulants and corticoids have the highest expenditure.87% of drugs to treat OPD are dispensed publicly and 13% privately. A scenar...
http://hdl.handle.net/10468/8860
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A simplified approach to the pooled analysis of calibration of clinical prediction rules for systematic reviews of validation studies.
(2015)
Dimitrov, Borislav D; Motterlini, Nicola; Fahey, Tom
A simplified approach to the pooled analysis of calibration of clinical prediction rules for systematic reviews of validation studies.
(2015)
Dimitrov, Borislav D; Motterlini, Nicola; Fahey, Tom
Abstract:
<p>The original article is available at <a href="http://www.dovepress.com">www.dovepress.com</a></p>
<p>OBJECTIVE: Estimating calibration performance of clinical prediction rules (CPRs) in systematic reviews of validation studies is not possible when predicted values are neither published nor accessible or sufficient or no individual participant or patient data are available. Our aims were to describe a simplified approach for outcomes prediction and calibration assessment and evaluate its functionality and validity.</p> <p>STUDY DESIGN AND METHODS: Methodological study of systematic reviews of validation studies of CPRs: a) ABCD(2) rule for prediction of 7 day stroke; and b) CRB-65 rule for prediction of 30 day mortality. Predicted outcomes in a sample validation study were computed by CPR distribution patterns ("derivation model"). As confirmation, a logistic regression model (with derivation study coefficients) was...
https://epubs.rcsi.ie/gpart/65
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A systematic review of measurement tools for the proactive assessment of patient safety in general practice
(2020)
Lydon, Sinéad; Cupples, Margaret; Murphy, Andrew W.; Hart, Nigel; O'Connor, Paul
A systematic review of measurement tools for the proactive assessment of patient safety in general practice
(2020)
Lydon, Sinéad; Cupples, Margaret; Murphy, Andrew W.; Hart, Nigel; O'Connor, Paul
Abstract:
Background Primary care physicians have reported a difficulty in understanding how best to measure and improve patient safety in their practices. Objectives The aims of the study were to identify measures of patient safety suitable for use in primary care and to provide guidance on proactively monitoring and measuring safety. Methods Searches were conducted using Medline, Embase, CINAHL and PsycInfo in February 2016. Studies that used a measure assessing levels of or attitudes toward patient safety in primary care were considered for inclusion. Only studies describing tools focused on the proactive assessment of safety were reviewed. Two independent reviewers extracted data from articles and applied the Quality Assessment Tool for Studies with Diverse Designs. Results More than 2800 studies were screened, of which 56 were included. Most studies had used healthcare staff survey or interviews to assess patient safety (n = 34), followed by patient chart audit (n = 14) or use of ...
http://hdl.handle.net/10379/16308
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A systematic review of patient complaints about general practice
(2020)
O’Dowd, Emily; Lydon, Sinéad; Madden, Caoimhe; O'Connor, Paul
A systematic review of patient complaints about general practice
(2020)
O’Dowd, Emily; Lydon, Sinéad; Madden, Caoimhe; O'Connor, Paul
Abstract:
Objective This review aimed to synthesize the extant research on complaints in general practice. Methods Five electronic databases were searched: Medline, Web of Science, CINAHL, PsycINFO and Academic Search Complete. Peer-reviewed studies describing the content, impact of and motivation for complaints were included and data extracted. Framework synthesis was conducted using the Healthcare Complaints Analysis Tool (HCAT) as an organizing framework. Methodological quality was appraised using the Quality Assessment Tool for Studies with Diverse Designs (QATSDD). Results The search identified 2960 records, with 21 studies meeting inclusion criteria. Methodological quality was found to be variable. The contents of complaints were classified using the HCAT, with 126 complaints (54%) classified in the Clinical domain, 55 (23%) classified as Management and 54 (23%) classified as Relationships. Motivations identified for making complaints included quality improvement for other patients an...
http://hdl.handle.net/10379/16292
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Addressing potentially inappropriate prescribing in older patients: development and pilot study of an intervention in primary care (the OPTI-SCRIPT study)
(2013)
Clyne, Barbara; Bradley, Marie C; Hughes, Carmel M; Clear, Daniel; McDonnell, Ronan; Wi...
Addressing potentially inappropriate prescribing in older patients: development and pilot study of an intervention in primary care (the OPTI-SCRIPT study)
(2013)
Clyne, Barbara; Bradley, Marie C; Hughes, Carmel M; Clear, Daniel; McDonnell, Ronan; Williams, David; Fahey, Tom; Smith, Susan M; on behalf of the OPTI-SCRIPT study team
Abstract:
Abstract Background Potentially inappropriate prescribing (PIP) in older people is common in primary care and can result in increased morbidity, adverse drug events, hospitalizations and mortality. The prevalence of PIP in Ireland is estimated at 36% with an associated expenditure of over €45 million in 2007. The aim of this paper is to describe the application of the Medical Research Council (MRC) framework to the development of an intervention to decrease PIP in Irish primary care. Methods The MRC framework for the design and evaluation of complex interventions guided the development of the study intervention. In the development stage, literature was reviewed and combined with information obtained from experts in the field using a consensus based methodology and patient cases to define the main components of the intervention. In the pilot stage, five GPs tested the proposed intervention. Qualitative interviews were co...
http://dx.doi.org/10.1186/1472-6963-13-307
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Advanced paramedics in general practice in Ireland – an exploratory study
(2020)
Feerick, Fintan
Advanced paramedics in general practice in Ireland – an exploratory study
(2020)
Feerick, Fintan
Abstract:
Introduction: Healthcare policy in Ireland is in a state of transition due to an increased aging population with chronic disease and co-morbidities, demands for services will rise. To help reduce pressures on the acute hospital setting, more patients and services are being directed towards general practice and primary care services. As Irelands population increases and chronic disease becomes more prevalent, demand on limited general practice services will increase. Current and future predictions suggest that there are insufficient numbers of existing General Practitioners (GPs) available to meet this increased demand. Globally, during times of healthcare workforce shortages, various health systems have adopted “task shifting” models of healthcare delivery, where certain roles or tasks are undertaken by alternative nonmedical personnel with less education and training, in order to alleviate some of the pressures on limited medical personnel. Evidence suggests that there is an appeti...
http://hdl.handle.net/10344/9568
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Adverse effects of amoxicillin for acute lower respiratory tract infection in primary care: Secondary and subgroup analysis of a randomised clinical trial
(2018)
Tandan, Meera; Vellinga, Akke; Bruyndonckx, Robin; Little, Paul; Verheij, Theo; Butler,...
Adverse effects of amoxicillin for acute lower respiratory tract infection in primary care: Secondary and subgroup analysis of a randomised clinical trial
(2018)
Tandan, Meera; Vellinga, Akke; Bruyndonckx, Robin; Little, Paul; Verheij, Theo; Butler, Chris C.; Goossens, Herman; Coenen, Samuel
Abstract:
A European placebo-controlled trial of antibiotic treatment for lower respiratory tract infection (LRTI) conducted in 16 primary care practices networks recruited participants between November 2007 and April 2010, and found adverse events (AEs) occurred more often in patients prescribed amoxicillin compared to placebo. This secondary analysis explores the causal relationship and estimates specific AEs (diarrhoea, nausea, rash) due to amoxicillin treatment for LRTI, and if any subgroup is at increased risk of any or a specific AE. A total of 2061 patients were randomly assigned to amoxicillin (1038) and placebo (1023); 595 (28%) were 60 and older. A significantly higher proportion of any AEs (diarrhoea or nausea or rash) (OR = 1.31, 95% CI 1.05-1.64, number needed to harm (NNH) = 24) and of diarrhoea (OR 1.43 95% CI 1.08-1.90, NNH = 29) was reported in the amoxicillin group during the first week after randomisation. Subgroup analysis showed rash was significantly more often reported ...
http://hdl.handle.net/10379/7378
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Adverse effects of amoxicillin for acute lower respiratory tract infection in primary care: secondary and subgroup analysis of a randomised clinical trial
(2018)
Tandan, Meera; Vellinga, Akke; Bruyndonckx, Robin; Little, Paul; Verheij, Theo; Butler,...
Adverse effects of amoxicillin for acute lower respiratory tract infection in primary care: secondary and subgroup analysis of a randomised clinical trial
(2018)
Tandan, Meera; Vellinga, Akke; Bruyndonckx, Robin; Little, Paul; Verheij, Theo; Butler, Chris; Goossens, Herman; Coenen, Samuel
Abstract:
A European placebo-controlled trial of antibiotic treatment for lower respiratory tract infection (LRTI) conducted in 16 primary care practices networks recruited participants between November 2007 and April 2010, and found adverse events (AEs) occurred more often in patients prescribed amoxicillin compared to placebo. This secondary analysis explores the causal relationship and estimates specific AEs (diarrhoea, nausea, rash) due to amoxicillin treatment for LRTI, and if any subgroup is at increased risk of any or a specific AE. A total of 2061 patients were randomly assigned to amoxicillin (1038) and placebo (1023); 595 (28%) were 60 and older. A significantly higher proportion of any AEs (diarrhoea or nausea or rash) (OR = 1.31, 95% CI 1.05-1.64, number needed to harm (NNH) = 24) and of diarrhoea (OR 1.43 95% CI 1.08-1.90, NNH = 29) was reported in the amoxicillin group during the first week after randomisation. Subgroup analysis showed rash was significantly more often reported ...
http://hdl.handle.net/10379/14114
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Adverse events of fluoroquinolones vs. other antimicrobials prescribed in primary care: A systematic review and meta-analysis of randomized controlled trials
(2018)
Tandan, Meera; Cormican, Martin; Vellinga, Akke
Adverse events of fluoroquinolones vs. other antimicrobials prescribed in primary care: A systematic review and meta-analysis of randomized controlled trials
(2018)
Tandan, Meera; Cormican, Martin; Vellinga, Akke
Abstract:
Background Fluoroquinolones (FQs) are second line antimicrobial agents. Once the decision to prescribe an antimicrobial is made, its choice should be based on both the benefits and harms. This systematic review quantifies the occurrence of common adverse events (AEs) related to FQs in relation to any other antimicrobial for any indication in primary care. Methods We searched randomized controlled trials from Embase, PubMed, Cochrane Central Register of Controlled Trials and CINHAL. FQs had to be administered orally, for any indication, to adults and in primary care. Data were extracted independently in standard forms in Covidence . Pooled estimates of the intervention effects for AEs were determined by the Peto odds ratios (ORs) and 95% confidence intervals in Revman. Results Of the 39 studies selected, the most commonly reported AEs were nausea, vomiting, diarrhoea, headache, dizziness, and rash. A meta-analysis of 28 studies reporting AEs showed central nervous system (CNS) (OR...
http://hdl.handle.net/10379/7377
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Alcohol MOT part one
(2015)
Public Health Agency
Alcohol MOT part one
(2015)
Public Health Agency
Abstract:
The Alcohol MOT is designed to support those working in primary care to carry out alcohol brief interventions. There is extensive evidence to show that primary care-based brief interventions are very effective at reducing drinking at both hazardous and harmful levels. MOT Part 1 enables patients to work out if they are drinking at hazardous or harmful levels. MOT Part 2 helps motivate and support patients to reduce their drinking. Both tools are designed so that a practitioner can work through them with a patient, or a patient can work through them alone.
http://dx.doi.org/10.14655/6744-932065
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Alcohol MOT part one
(2015)
Public Health Agency
Alcohol MOT part one
(2015)
Public Health Agency
Abstract:
The Alcohol MOT is designed to support those working in primary care to carry out alcohol brief interventions. There is extensive evidence to show that primary care-based brief interventions are very effective at reducing drinking at both hazardous and harmful levels. MOT Part 1 enables patients to work out if they are drinking at hazardous or harmful levels. MOT Part 2 helps motivate and support patients to reduce their drinking. Both tools are designed so that a practitioner can work through them with a patient, or a patient can work through them alone.
http://dx.doi.org/10.14655/6744-932065
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Alcohol MOT part two
(2011)
Public Health Agency
Alcohol MOT part two
(2011)
Public Health Agency
Abstract:
The Alcohol MOT is designed to support those working in primary care to carry out alcohol brief interventions. There is extensive evidence to show that primary care-based brief interventions are very effective at reducing drinking at both hazardous and harmful levels. MOT Part 1 enables patients to work out if they are drinking at hazardous or harmful levels. MOT Part 2 helps motivate and support patients to reduce their drinking. Both tools are designed so that a practitioner can work through them with a patient, or a patient can work through them alone.
http://dx.doi.org/10.14655/6744-932064
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Alcohol MOT part two
(2011)
Public Health Agency
Alcohol MOT part two
(2011)
Public Health Agency
Abstract:
The Alcohol MOT is designed to support those working in primary care to carry out alcohol brief interventions. There is extensive evidence to show that primary care-based brief interventions are very effective at reducing drinking at both hazardous and harmful levels. MOT Part 1 enables patients to work out if they are drinking at hazardous or harmful levels. MOT Part 2 helps motivate and support patients to reduce their drinking. Both tools are designed so that a practitioner can work through them with a patient, or a patient can work through them alone.
http://dx.doi.org/10.14655/6744-932064
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Alcohol screening and brief intervention among drug users in primary care : a discussion paper
(2012)
Field, Catherine Anne; Klimas, Jan; Barry, Joe; Bury, Gerard; Keenan, Eamon; Lyons, Suz...
Alcohol screening and brief intervention among drug users in primary care : a discussion paper
(2012)
Field, Catherine Anne; Klimas, Jan; Barry, Joe; Bury, Gerard; Keenan, Eamon; Lyons, Suzi; Smyth, Bobby P.; Cullen, Walter
Abstract:
Background problem alcohol use is common among problem drug users (PDU) and associated with adverse health outcomes. Primary care has an important role in the overall stepped approach to alcohol treatment, especially screening and brief intervention (SBI). Aim To discuss three themes that emerged from an exploration of the literature on SBI for problem alcohol use in drug users attending primary care. Methods material for this discussion paper was gathered from three biomedical databases (PubMed, PsycINFO and Cochrane library), conference proceedings and online resources of professional organisations or national health agencies. Themes discussed in this paper are: (a) the potential of primary care for delivery of alcohol SBIs to PDUs, (b) screening methods and (c) application of brief interventions to PDUs. Although SBI improves health outcomes associated with problem alcohol use in the general population, further research is needed among high-risk patient groups, especially PDUs.
http://hdl.handle.net/10197/3429
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