The European journal of general practice
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A better understanding of patient non-adherence to type 2 diabetes medication is needed to design effective interventions to address this issue. ⋯ Around one-third of the patients do not adhere to their non-insulin glucose-lowering drugs. More research is needed to optimise the performance of the predicting model before considering its implementation in routine clinical practice.
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Patients experience long-lasting health problems defined as post-intensive care syndrome (PICS) after Intensive Care Unit (ICU) admission. Little is known about PICS in primary care. ⋯ Patients admitted to the ICU encounter more new primary care disease-episodes and GP contacts. As patients present their symptoms to their GP first, it is therefore up to the GP to recognise these critical illness-related symptoms.
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Nursing home residents (NHR) and staff have been disproportionally affected by the COVID-19 pandemic and were therefore prioritised in the COVID-19 vaccination strategy. However, frail older adults, like NHR, are known to have decreased antibody responses upon vaccination targeting other viral antigens. ⋯ These findings highlight the need for further monitoring of SARS-CoV-2 immunity upon vaccination in the elderly population, as their impaired humoral responses could imply insufficient protection against COVID-19.
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Controlled Clinical Trial
Impact of a patient reminder letter from their general practitioners on influenza vaccination: A quasi-experimental study in Paris, France.
Seasonal influenza vaccination coverage levels remain too low in many countries. ⋯ Reminder letters could help increase influenza vaccination coverage.
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The Covid-19 pandemic has increased stress levels in GPs, who have resorted to different coping strategies to deal with this crisis. Gender differences in coping styles may be contributing factors in the development of psychological distress. ⋯ The most common coping strategies were adaptive and differed by gender. However, highly stressful situations caused maladaptive strategies to emerge.