Scandinavian journal of primary health care
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Scand J Prim Health Care · Jan 2008
Randomized Controlled TrialEffects of anti-secretory factor (ASF) on irritable bowel syndrome (IBS). A double-blind, randomized study.
To evaluate the role of the endogenous protein anti-secretory factor (ASF) on the symptoms, especially loose stools, in irritable bowel ayndrome (IBS). ⋯ Both study groups improved significantly on the VAS but no additive effect was seen for the active treatment. In the sub-group with loose stools, the SPC diet induced ASF plasma levels in IBS patients and was correlated to significant symptom improvement in the individual patient.
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Scand J Prim Health Care · Jan 2008
General practitioners' perceptions of introducing near-patient testing for common infections into routine primary care: a qualitative study.
Near-patient tests are promoted for guiding management of common infections in primary care with a view to enhancing the effectiveness of prescribing decisions and containing antimicrobial resistance. Changes in clinical practice should be based on appraisals of the factors that might influence change, viewed from the perspective of those expected to implement the change. We therefore explored the views of general practitioners concerning the possible introduction of near-patient tests for managing common infections. ⋯ Despite GP enthusiasm for the concept of a rapid test to distinguish viral from bacterial infection, strategies to promote uptake would be enhanced if concerns were addressed regarding the importance and feasibility of such tests in daily practice.
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Scand J Prim Health Care · Jan 2008
General practitioners' views on consultations with interpreters: a triad situation with complex issues.
To study a group of general practitioners' (GPs) views on cross-cultural consultations through interpreters in primary healthcare in Sweden. ⋯ Barriers in cross-cultural communications could originate from all persons involved, the interpreter, the GP, and the patient, as well as from tangible factors. Ways to reduce misunderstandings in GP-patient encounters through interpreters are suggested.
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To explore diagnostic interaction to understand more about why some problems appear medically unexplained. ⋯ Making sense of illness can be enhanced by inviting and recognizing the patient's story.
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Scand J Prim Health Care · Jan 2008
ReviewInterventions on frequent attenders in primary care. A systematic literature review.
To analyse which interventions are effective in influencing morbidity, quality of life, and healthcare utilization of frequently attending patients (FAs) in primary care. ⋯ No study showed convincing evidence that an intervention improves QoL or morbidity of frequent attending primary care patients, although a small effect might be possible in a subgroup of depressed frequent attenders. No evidence was found that it is possible to influence healthcare utilization of FAs.