Diagnostic accuracy of point-of-care lung ultrasound for community-acquired pneumonia in children in ambulatory settings: a systematic review and meta-analysis by Hughes-Davies, H, Ukwatte, U, Roberts, N, Turner, PJ, Hayward, GN, Fanshawe, TR, Bird, C

“…Further research is needed which overcomes issues around training in point-of-care lung ultrasound, study design and reliability of the reference test (chest radiography) to better evidence the role of point-of-care lung ultrasound in diagnosing pneumonia in children in ambulatory and resource-limited settings.…”

A simple approach to improve recording of concerns about child maltreatment in primary care records: developing a quality improvement intervention by Woodman, J, Allister, J, Rafi, I, de Lusignan, S, Belsey, J, Petersen, I, Gilbert, R

“…<p><b>Background</b> Information is lacking on how concerns about child maltreatment are recorded in primary care records. <p><b>Aim</b> To determine how the recording of child maltreatment concerns can be improved. …”

Role of primary and secondary care data in atrial fibrillation ascertainment: impact on risk factor associations, patient management, and mortality in UK Biobank by Camm, CF, Von Ende, A, Gajendragadkar, PR, Pessoa-Amorim, G, Mafham, M, Allen, N, Parish, S, Casadei, B, Hopewell, JC

“…Conclusion: Integration of data from primary care with that from hospital records has a substantial impact on AF ascertainment, identifying a third more cases than hospital records alone. …”

Implementing strategies to improve uptake of patient-reported outcome measures (PROMs) in gender-affirming care: a mixed-methods implementation study by Kamran, R, Jackman, L, Goodwin, C, Laws, A, Stepney, M, Harrison, C, Jain, A, Rodrigues, J

“…<p><strong>Importance</strong> The Practical Guide to Implementing PROMs in Gender-Affirming Care (PG-PROM-GAC) is an evidence-based resource, which was developed in response to international calls for improved patient-reported outcome measure (PROM) implementation in gender-affirming care. …”

Views and factors influencing Primary Care Practitioner (pcp) interactions with the pharmaceutical industrys representatives in Malaysia: a multi-sectors qualitative study by Salim, Hani, Ping, Yein Lee, Siew, Mooi Ching, Mawardi, Maliza, Wan Idris, Wan Noor Azlin, Harrun, Noor Harzana

“…Methods: We used qualitative methods using semi-structured interviews among primary care practitioners from three sectors; academic, public and private. …”
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Living wishes : a communication campaign encouraging Singapore residents aged 35 to 59 to initiate Advance Care Planning discussions with their elderly parents by Chong, Charlotte Wen Wei, Gouw, Emily Shu Hui, Lee, Phyllis Zhi Ning, Tan, Raelynn Zhi Xuan

“…This paper presents Living Wishes, a communication campaign aimed at increasing Advance Care Planning (ACP) discussions between adults and their elderly parents so that they are better prepared to handle their elderly parents’ end-of-life (EOL) care. …”
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Enhancing care quality and accessibility through digital technology-supported decentralisation of hypertension and diabetes management: a proof-of-concept study in rural Bangladesh by Xie, Wubin, Paul, Rina Rani, Goon, Ian Y., Anan, Aysha, Rahim, Aminur, Hossain, Md Mokbul, Hersch, Fred, Oldenburg, Brian, Chambers, John Campbell, Mridha, Malay Kanti

“…Objective: The critical shortage of healthcare workers, particularly in rural areas, is a major barrier to quality care for non-communicable diseases (NCD) in low-income and middle-income countries. …”
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Socio-demographic characteristics and clinical profile of suicide attempters attending the Emergency Department at a Tertiary Care Hospital in Oman: a retrospective study by Al Khatri, Mahmood, Al Huseini, Salim, Almaqbali, Mandhar, Cucchi, Angie, Al-Saadi, Alkhatib, Al Farsi, Abdulmunim, Jose, Sachin, Al-Sibani, Nasser, Al-Adawi, Samir

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Examining patient choice and provider competition under the National Health Insurance Fund outpatient cover in Kenya: does it enhance access and quality of care? by Kazungu, J, Barasa, E, Quaife, M, Nonvignon, J

“…Background: While patient choice and provider competition are predicted to influence provider behaviour for enhancing access and quality of care, evidence on provider perceptions and response to patient choice and provider competition is largely missing in low-resource settings such as Kenya. …”

Evaluation of the impact of COVID-19 pandemic on hospital admission related to common infections: Risk prediction models to tackle antimicrobial resistance in primary care by Fahmi, A, Palin, V, Zhong, X, Yang, Y, Watts, S, Ashcroft, DM, Goldacre, B, MacKenna, B, Fisher, L, Massey, J, Mehrkar, A, Bacon, S, the OpenSAFELY Collaborative, Hand, K, van Staa, TP

“…While this study has several limitations, the results indicate that a focus on risk-based antibiotic prescribing could help tackle AMR in primary care.…”

Prevalence and associated factors of lipohypertrophy in insulin-injected patients with diabetes in selected primary care clinics in Peninsular Malaysian: a cross-sectional study by Alias, Siti Hawa, Teng, Cheong Lieng, Devaraj, Navin Kumar, Amirrudin, Saadatunnoor, Abd Latib, Noor Rawaida, Chong, Fui Yee, Yussof, Syamimi, Mohamad Din, Mohamad Danial, Lim, Poon Wah

“…Introduction: This study aimed to determine the prevalence and associated factors of lipohypertrophy in insulin-injecting patients with diabetes at selected primary care clinics in Malaysia. Methods: This cross-sectional study was conducted among adults aged ≥18 years with type 1 or 2 diabetes treated with insulin for at least 6 months at six selected public primary care clinics in Malaysia. …”
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Machine learning-based risk prediction model for medication administration errors in neonatal intensive care units: a prospective direct observational study by Henry Basil, Josephine, Lim, Wern Han, Syed Ahmad, Sharifah M., Menon Premakumar, Chandini, Mohd Tahir, Nurul Ain, Mhd Ali, Adliah, Seman, Zamtira, Ishak, Shareena, Mohamed Shah, Noraida

“…Methods: This national-level, multicentre, prospective direct observational study was conducted in neonatal intensive care units (NICUs) of five public hospitals in Malaysia. …”
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Wholesale central bank digital currencies: approaches, implementation strategies and use cases by Bear, K, Vertex, P, Zhang, B, Hussain, H, Coelho, H

Collaborative model of care between Orthopaedics and allied healthcare professionals in knee osteoarthritis (CONNACT) : study protocol for an effectiveness-implementation hybrid randomized control trial by Tan, Bryan Yijia, Pereira, Michelle Jessica, Yang, Su-Yin, Hunter, David J., Skou, Soren Thorgaard, Thumboo, Julian, Car, Josip

“…The Collaborative Model of Care between Orthopaedics and Allied Healthcare Professionals (CONNACT) Model of Care (MoC) was developed by optimizing evidence-based non-surgical treatments to deliver value-based care for people with knee OA. …”
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Associations between health literacy and health care utilization and mortality in patients with coexisting diabetes and end-stage renal disease : a prospective cohort study by Griva, Konstantina, Loong, Russel K. L., Nandakumar, Mooppil, Rajeswari, Moothathamby, Khoo, Eric Y. H., Lee, Vanessa Y. W., Kang, Augustine W. C., Osborne, Richard H., Brini, Stefano, Newman, Stanton P.

“…Objectives Health literacy encompasses a broad skill set linked to patients' self-management ability and the complexity of their health care environments. Self-management in the context of multimorbidity is particularly challenging, placing patients at risk of poor clinical outcomes. …”
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Effectiveness of a chronic obstructive pulmonary disease integrated care pathway in a regional health system : a propensity score matched cohort study by Wu, Christine Xia, Hwang, Chi Hong, Tan, Woan Shin, Tai, Kai Pik, Kwek, Lynette Siang Lim, Chee, Thong Gan, Choo, Yee Mun, Phng, Francis Wei Loong, Chua, Gerald Seng Wee

“…Objective: The chronic obstructive pulmonary disease (COPD) integrated care pathway (ICP) programme was designed and implemented to ensure that the care for patients with COPD is comprehensive and integrated across different care settings from primary care to acute hospital and home. …”
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The development of volcanic ash cloud layers over hours to days due to atmospheric turbulence layering by Bursik, Marcus, Yang, Qingyuan, Bear-Crozier, Adele, Pavolonis, Michael, Tupper, Andrew

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Multiple introductions of NRCS-A Staphylococcus capitis to the neonatal intensive care unit drive neonatal bloodstream infections: a case-control and environmental genomic survey by Lees, EA, Gentry, J, Webster, H, Sanderson, N, Eyre, D, Wilson, D, Lipworth, S, Crook, D, Wong, THN, Mark, A, Jeffery, K, Paulus, S, Young, BC

“…</strong> The Staphylococcus capitis NRCS-A strain has emerged as a global cause of late-onset sepsis associated with outbreaks in neonatal intensive care units (NICUs) whose transmission is incompletely understood.…”

Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care by Zhu, Xiaoli, Lee, Eng Sing, Lim, Phoebe X. H., Chen, Yee Chui, Chan, Frederick H. F., Griva, Konstadina

“…Diabetes mellitus (DM) is a serious threat to global health and diabetic foot ulcers (DFU) remains one of the most common complications of DM1 affecting around 20 million people annually.2 DFUs are complex to treat, take months or years to heal, and the recurrence rates remain high up to 40% within 1 year of healing.3 People with DFUs are at risk of prolonged healing times and hospitalisation, reduced quality of life4, 5 and higher five-year mortality rates.3 Moreover, DFU is a causal factor for up to 85% of patients with diabetes who subsequently undergo lower extremity amputation3, 6 and is a leading cause of global disability.2 Singapore has the highest rate of diabetic lower extremity amputation (DLEA) in the world7 because of DFU and the trend is increasing.8 Additionally, DFU is a substantial clinical and economic burden to health systems in Singapore with escalating healthcare costs corresponding to more proximal amputation levels and high re-admission rates.9 Thus, understanding barriers to managing DFU is vital for improving patient care.…”
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A comparison of sodium-glucose co-transporter 2 inhibitor kidney outcome trial participants with a real-world chronic kidney disease primary care population by Forbes, AK, Hinton, W, Feher, MD, Elson, W, Ordóñez-Mena, JM, Joy, M, Fan, X, Banerjee, D, Cole, NI, Munro, N, Whyte, M, Suckling, RJ, Swift, PA, de Lusignan, S

“…</p> <br> <p><strong>Methods:</strong> A cross-sectional analysis of adults with CKD in English primary care was conducted using the Oxford-Royal College of General Practitioners Clinical Informatics Digital Hub. …”