Evaluation of the adherence of municipalities and states to the Ministry of Health’s microplanning for high-quality vaccination activities and the increase in vaccination coverage... by Ana Catarina de Melo Araújo, Thales Philipe Rodrigues da Silva, Gustavo Velasquez-Melendez, Luciana Maiara Diogo Nascimento, Carla Conceição Ferraz, Fernanda Penido Matozinhos, Eder Gatti Fernandes

“…The criteria for assessing the states’ adherence to the OM included: (1) Formation of a coordination committee for the OM for HQVA; (2) Inclusion of representatives from Primary Care in the committee; (3) Inclusion of representatives from COSEMS in the committee; (4) Regular coordination meetings between health surveillance and primary care for vaccination actions; and (5) Utilization of a management tool for decision-making and strategic planning (e.g., SWOT). …”
Get full text

Workplace Health Promotion as a good solution to the negative impact of the financial crisis on healthcare systems by Francesco Chirico

“…Indeed, lifestyle changes can increase fitness to work and decrease the likelihood of work-related diseases, while supporting the state’s efforts in preventive medicine and primary care. Additionally, targeted programmes implemented in the workplace have the ability to be far-reaching and extensive in their scope, influencing a wide range of working age adults and their families [8, 9]. …”
Get full text

Feasibility of a Mobile App–Based Cognitive-Behavioral Perinatal Skills Program: Protocol for Nonrandomized Pilot Trial by Andrea B Temkin-Yu, Aliza Ayaz, Ella Blicker, Michael X Liu, Ace Oh, Isabelle E Siegel, Meredith J Seewald, Alison D Hermann, Soudebah Givrad, Lara M Baez, Lauren M Osborne, Cori M Green, Maddy M Schier, Alexandra M Davis, Shasha Zhu, Avital Falk, Shannon M Bennett

“…Participants will be recruited from a variety of public and private insurance-based psychiatry, obstetrics, and primary care clinics at a large academic medical center located in New York City. …”
Get full text

Using stated-preferences methods to develop a summary metric to determine successful treatment of children with a surgical condition: a study protocol by Nigel Hall, Marian Knight, Nick Lansdale, Lisa Hinton, Charles Opondo, Simon Kenny, Stefano Giuliani, John Buckell, Oliver Rivero-Arias, Kokila Lakhoo, Alexander Macdonald, Crispin Jenkinson, Benjamin Allin, Rema Ramakrishnan, Gregor Walker, Timothy Bradnock, Karolina Kuberska, Benjamin M Craig, Goher Ayman, Anna May Long, Joanne Shepherd

Get full text

A Rare Manifestation of Tuberculosis Presenting in the United States by Osman Bhatty, David Waters, Nicholas Wilka, Shradha Samuel, John Horne, Renuga Vivekanandan

“…A 64-year-old Bangladeshi female presented to her primary care physician with a tender right breast lump that had been present for 4-5 days along with subjective fevers and malaise. …”
Get full text

Diabetes Risk Evaluation Using Indian Diabetes Risk Score among Adults of an Urban Slum in Bengaluru, Karnataka by S. Saraswathi, Amita Mukhopadhyay, M. Sumana, Ipsita Debata, Prem Sagar Panda

“…The Indian diabetes risk score (IDRS) by the Madras diabetic research foundation is a validated and useful screening tool that identifies high-risk people in primary care settings. The study aimed to assess the risk of type 2 diabetes mellitus among adults in an urban slum in Bengaluru, Karnataka with the Indian diabetic risk score (IDRS). …”
Get full text

Epidemiology of Chronic Kidney Diseases (CKD) in Malaysia and Pakistan, Pathophysiology of CKD-Associated Pruritus and Other CKD-Associated Dermatological Disorders by Inayat Ur Rehman, Tahir Mehmood Khan

“…CKD-aP has become one of the upmost distressing cutaneous and most common symptom of chronic kidney disease which is often overlooked by nephrologists, primary care physicians, and other health-care professionals. …”
Get full text

Rare or orphan diseases. A review study by Ener Mantilla Horna, Jóhel Osorio Fernández

“…This poses a challenge for both patients and healthcare professionals, as a patient with a chronic rare or orphan disease is often unique in the primary care setting. Mental health care for patients with rare or orphan diseases is essential to improve their quality of life. …”
Get full text

Kidney Disease and Youth Onset Type 2 Diabetes: Considerations for the General Practitioner by Allison B. Dart, Elizabeth A. Sellers, Heather J. Dean

“…A general understanding of this complex disease by primary care providers is critical, so that at-risk individuals are identified and managed early in the course of their disease, such that progression can be modified in this high-risk group of children and adolescents. …”
Get full text

Graves’ Disease Presenting as a Unilateral Breast Mass by Neeka N. Akhavan, Edlira Maska

“…We report on a 37-year-old male who presented to the primary care clinic with the chief complaint of a tender right-sided breast mass and with an associated loss of appetite and forty-pound weight loss. …”
Get full text

Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management by Kareem Omran, Sameh Ali Ali, Ehsan Ahmad, Hilal Matta, Wissam Jamal Al Tamr

Get full text

Setting new standards for health communication in South Africa by Sonja Verwey, Andrea Crystal

“…The challenge the ANC led government faces is to balance the maintenance of tertiary care service with the simultaneous upgrading of . primary care seNices. The strategy adopted by the Department of Health is to regulate the industry and educate the public. …”
Get full text

Pneumocystis carinii Pneumonia in HIV — Investigate or Just Treat? by Steven Kesten

“…The pattern has been so typical of the disorder that empirical therapy without microbiological proof of disease is often imitated by primary care physicians. This strategy has not been tested in controlled clinical trials although decision analysis models have attempted to evaluated it, it's liekly reasonable to choose empirical antimicrobial therapy in specific clinical settings such as: (a) typical radiographic picture in a person with dyspnea and/or nonproductive cough. presence of HIV and a CD4 count of less than 200 cells/mm3:(b) previous PCP, typical appearance and the patient is known to tolerate standard anti-PCP medications: and (c) high clinical suspicion in a patient who refuses bronchoscopy yet desires treatment or where bronchoscopy cannot he performed. …”
Get full text

BUILDING RESILIENT HEALTH SYSTEMS: THE CRITICAL ROLE OF PRIMARY HEALTH CARE AND NATIONAL HEALTH INSURANCE by Ernawaty

“…Furthermore, it underscores the necessity of developing suitable assessment tools, such as the Primary Care Assessment Tool (PCAT), to evaluate and enhance PHC services tailored to local needs. …”
Get full text

Inflammatory Arthritis following Hepatitis B Vaccination in an Infant by Sana S. Rahimi, Barbara E. Ostrov, Maricarmen Lopez-Pena

Get full text

Maternal and Pediatric Health Outcomes in relation to Gestational Vitamin D Sufficiency by Stephen J. Genuis

“…With increasing evidence pointing to fetal origins of some later life disease, securing vitamin D sufficiency in pregnancy appears to be a simple, safe, and cost-effective measure that can be incorporated into routine preconception and prenatal care in the offices of primary care clinicians. Education on gestational nutritional requirements should be a fundamental part of medical education and residency training, instruction that has been sorely lacking to date.…”
Get full text

La lutte contre le sida au Maroc : opportunités et limites pour l’accès aux soins des personnes en migration by Camille Fidelin

“…In Morocco, the response to HIV has been used as an advocacy opportunity by associations to develop access to primary care for people in migration, in the context of the new migration policy initiated in 2014. …”
Get full text

Protocol for a feasibility study and process evaluation of a psychosocially modelled diabetes education programme for young people with type 1 diabetes: the Youth Empowerment Skill... by Nick Sevdalis, Khalida Ismail, Tayana Soukup, Trevor Murrells, Dulmini Kariyawasam, Stephen Thomas, Judith Parsons, Angus Forbes, Rita Forde, Maria Baldellou Lopez, Marie Jones, Martha Ford-Adams, Nardos Yemane, Siobhan Pender, Alex Silverstien

Get full text

Rationale and design for Healthy Hearts in Manufacturing (HHM): A pragmatic single-arm hybrid effectiveness-implementation study for hypertension management and tobacco cessation by Hanzi Jiang, Yao Tian, Jennifer Bannon, Amy E. Krefman, Lawrence C. An, Dustin D. French, Claude R. Maechling, Jane Holl, Richard Chagnon, Theresa L. Walunas, Christopher Burch, Anthony Musci, Darce Latsis, Dawn Carey, Megan McHugh

“…The WHCs are in nine states and provide primary care services for employees and family members of four manufacturing companies. …”
Get full text