The British journal of general practice : the journal of the Royal College of General Practitioners
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Randomized Controlled Trial
Experiences of a commercial weight-loss programme after primary care referral: a qualitative study.
Referral to a commercial weight-loss programme is a cost-effective intervention that is already used within the NHS. Qualitative research suggests this community-based, non-medical intervention accords with participants' view of weight management as a lifestyle issue. ⋯ Referral by the GP and follow-up assessment appointments were integral to participant experiences of the intervention, and could be adapted for use in general practice potentially to augment treatment effects.
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Comparative Study
Child obesity cut-offs as derived from parental perceptions: cross-sectional questionnaire.
Overweight children are at an increased risk of premature mortality and disease in adulthood. Parental perceptions and clinical definitions of child obesity differ, which may lessen the effectiveness of interventions to address obesity in the home setting. The extent to which parental and objective weight status cut-offs diverge has not been documented. ⋯ Clinical and parental classifications of obesity are divergent at extremes of the weight spectrum.
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Observational Study
Childhood urinary tract infection in primary care: a prospective observational study of prevalence, diagnosis, treatment, and recovery.
The prevalence of targeted and serendipitous treatment for, and associated recovery from, urinary tract infection (UTI) in pre-school children is unknown. ⋯ Over half of children with UTI on culture were not prescribed antibiotics at first presentation. Serendipitous UTI treatment was relatively common, but often inappropriate to the organism's sensitivity. Methods for improved targeting of antibiotic treatment in children who are acutely unwell are urgently needed.