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

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

“…<p><strong>Introduction:&nbsp;</strong>To perform a systematic review of the diagnostic accuracy of point-of-care lung ultrasound, compared to chest radiography, in children and young people (0&ndash;21 years) who present to ambulatory settings with suspected community-acquired pneumonia.…”

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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When a test is more than just a test: findings from patient interviews and survey in the trial of a technology to measure antidepressant medication response (the PReDicT Trial) by Brown, S, Ploeger, C, Guo, B, Petersen, JJ, Beckenstrom, AC, Browning, M, Dawson, GR, Deckert, J, Dias, R, Dourish, CT, Gorwood, P, Kingslake, J, Menke, A, Sola, VP, Reif, A, Ruhe, H, Simon, J, Stäblein, M, van Schaik, A, Veltman, DJ, Morriss, R, PReDicT Group

“…The aim was to explore patient experiences of the Test including acceptability and implementation, to inform its use within care. A bespoke survey was completed by trial participants in five countries (n = 778) at week 8. …”

Empirical studies on director shareholdings of SGX-listed companies. by Chew, Kim Cheer., Tan, Chiu Yun., Teo, Chuan Ming.

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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 brings about significant issues, such as the loss of patient autonomy and increased burden on one’s family members when it comes to making important decisions about one’s 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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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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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.…”