British unpaid carers’ perspectives on what impacts their resilience when providing end of life care at home- a scoping review by Gould, S, Borgstrom, E, McCallum, K, Wee, B, Garcia, R

Time to speed up scientific deliveries in fibrotic interstitial lung disease: innovative clinical trial design to improve patient care by Kawano-Dourado, L, Kulkarni, T, Ryerson, CJ, Richards, DB

“…<p><strong> Conclusion </p></strong>By using an innovative and efficient adaptive multi-interventional trial platform design, we aim to accelerate and improve care for patients with fILD. Through worldwide collaboration, novel analytical methodology and pragmatic trial delivery, REMAP-ILD aims to overcome major limitations associated with conventional randomised controlled trial approaches to rapidly improve the care of people living with fILD.…”

Developing a digital phenotype to subdivide adult immunosuppressed COVID-19 outcomes within the English Primary Care Sentinel Network by Leston, M, Kar, D, Forbes, A, Jamie, G, Wimalaratna, R, Jiwani, G, Ordóñez-Mena, JM, Stewart, DE, Whitaker, H, Joy, M, Lee, LYW, Hobbs, FDR, de Lusignan, S

Evaluating machine learning for predicting youth suicidal behavior up to 1 year after contact with mental-health specialty care by O’Reilly, LM, Fazel, S, Rickert, ME, Kuja-Halkola, R, Cederlöf, M, Hellner, C, Larsson, H, Lichtenstein, P, D’Onofrio, BM

After neonatal care, what next? A qualitative study of mothers’ post-discharge experiences after premature birth in Kenya by Maluni, J, Oluoch, D, Molyneux, S, Boga, M, Jones, C, Murila, F, English, M, Ziebland, S, Hinton, L

“…Minimal involvement in their baby’s care while in the neonatal unit appeared to contribute to the mothers’ lack of confidence in caring for their babies independently post-discharge when they no longer had the support of the clinical and nursing staff. …”

GP Workforce Sustainability to maximise effective and equitable patient care: a realist review of what works, for whom and in what circumstances? by Owen, E, Burford, B, Duddy, C, Goodman, C, Lamb, L, Rapley, T, Rees, E, Vance, G, Park, SE

Developing feasible and acceptable strategies for integrating the use of patient-reported outcome measures (PROMs) in gender-affirming care: an implementation study by Kamran, R, Jackman, L, Laws, A, Stepney, M, Harrison, C, Jain, A, Rodrigues, J

“…<p><strong>Objective</strong></p> Use CFIR guidance to create comprehensive, evidence-based, feasible, and acceptable gender-affirming care PROM implementation strategies. <p><strong> Design, setting, participants</strong></p> A 3-Phase participatory process was followed to design feasible and acceptable strategies for integrating PROMs 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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Associations between Clinicopathological Characteristics and Intraoperative Opioid Requirements during Endoscopic Submucosal Dissection with Monitored Anesthesia Care: A Retrospective Study by Kim, Hyun Il, Jung, Da Hyun, Lee, Sung Jin, Lee, Yong Chan, Lee, Sang Kil, Kim, Ga Hee, Nam, Ho Jae, Lee, Sihak, Byon, Hyo-Jin, Shin, Sung Kwan

“…Compared with other endoscopic procedures, it requires higher doses of opioids, leading to adverse events during monitored anesthesia care. We investigated the correlations between clinicopathological characteristics and intraprocedural opioid requirements in patients who underwent endoscopic submucosal dissection under monitored anesthesia care. …”
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Associations between attainment of incentivised primary care indicators and incident diabetic retinopathy in England : a population-based historical cohort study by McKay, Ailsa J., Gunn, Laura H., Sathish, Thirunavukkarasu, Vamos, Eszter, Nugawela, Manjula, Majeed, Azeem, Molina, German, Sivaprasad, Sobha

“…The associations between England's incentivised primary care-based diabetes prevention activities and hard clinical endpoints remain unclear. …”
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First nosocomial cluster of COVID-19 due to the Delta variant in a major acute care hospital in Singapore: investigations and outbreak response by Lim, Wei Yen, Tan, Glorijoy Shi En, Htun, Htet Lin, Phua, Hwee Pin, Kyaw, Win Mar, Guo, Huiling, Cui, Lin, Mak, Tze Minn, Poh, Bee Fong, Wong, Judith Chui Ching, Setoh, Yin Xiang, Ang, Brenda Sze Peng, Chow, Angela Li Ping

“…Objectives: The first large nosocomial cluster of coronavirus disease 2019 (COVID-19) in Singapore in April 2021 led to partial closure of a major acute care hospital. This study examined factors associated with infection among patients, staff and visitors; investigated the possible role of aerosol-based transmission; evaluated the effectiveness of BNT162.b2 and mRNA1273 vaccines; and described the successful containment of the cluster. …”
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Can a brief online interdisciplinary program enhance the understanding of musculoskeletal pain amongst primary care staff? A prospective study by Ng, Khim Siong, Goh, Bandy Qiuling, Tang, Woh Peng, Lee, Angela Wing Yan, Lee, Samantha, Koh, Kim Hwee, Shah, Mitesh

“…Background: Primary care staff do not provide consistent education on musculoskeletal pain management to patients in accordance with the recommendations of clinical practice guidelines. …”
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Supporting insulin initiation in type 2 diabetes in primary care: results of the Stepping Up pragmatic cluster randomised controlled clinical trial by Furler, John, O’Neal, David, Speight, Jane, Manski-Nankervis, Jo-Anne, Gorelik, Alexandra, Holmes-Truscott, Elizabeth, Ginnivan, Louise, Young, Doris, Best, James, Patterson, Elizabeth, Liew, Danny, Segal, Leonie, May, Carl, Blackberry, Irene

“…Objective: To compare the effectiveness of a novel model of care (“Stepping Up”) with usual primary care in normalising insulin initiation for type 2 diabetes, leading to improved glycated haemoglobin (HbA1c) levels. …”
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‘I don’t care who joins my choir’: investigating attitudes to diversity and inclusivity in lower- and upper-voice choirs in the United Kingdom by MacGregor, E

Non-invasive versus arterial pressure monitoring in the pre-hospital critical care environment: a paired comparison of concurrently recorded measurements by Perera, Y, Poole, K, Raitt, J, Metcalfe, D, Lewinsohn, A

“…<p><strong> Conclusions</strong></p> Non-invasive blood pressure measurements are often inaccurate in the pre-hospital critical care setting, particularly in patients with haemodynamic instability. …”

Trends in end digit preference for blood pressure and associations with cardiovascular outcomes in Canadian and UK primary care: a retrospective observational study by Greiver, M, Kalia, S, Voruganti, T, Aliarzadeh, B, Moineddin, R, Hinton, W, Dawes, M, Sullivan, F, Syed, S, Williams, J, De Lusignan, S

“…</p> <p><strong>Setting</strong> Primary care practices in Canada and the UK.</p> <p><strong>Participants</strong> Adults aged 18 years or more.…”

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. …”