A Diagnostic Test Accuracy Study Investigating General Practitioner Clinical Impression and Brief Cognitive Assessments for Dementia in Primary Care, Compared to Specialized Assessment.

Background: Many health systems are interested in increasing the number of uncomplicated and typical dementia diagnoses that are made in primary care, but the comparative accuracy of tests is unknown.

Objective: Calculate diagnostic accuracy of brief cognitive tests in primary care.

Methods: We did a diagnostic test accuracy study in general practice, in people over 70 years who had consulted their GP with cognitive symptoms but had no prior diagnosis of dementia.

Impact of remote vital sign monitoring on health outcomes in acute respiratory infection and exacerbation of chronic respiratory conditions: systematic review and meta-analysis.

Background: Our aim was to investigate the effectiveness of virtual wards on health outcomes in patients with acute respiratory infection.

Methods: We searched four electronic databases from January 2000 to March 2021 for randomised controlled trials (RCTs). We included studies in people with acute respiratory illness or an acute exacerbation of a chronic respiratory illness, where a patient or carer measured vital signs (oximetry, blood pressure, pulse) for initial diagnosis and/or asynchronous monitoring, in a person living in private housing or a care home.

Clinical judgement by primary care physicians for the diagnosis of all-cause dementia or cognitive impairment in symptomatic people.

Background: In primary care, general practitioners (GPs) unavoidably reach a clinical judgement about a patient as part of their encounter with patients, and so clinical judgement can be an important part of the diagnostic evaluation. Typically clinical decision making about what to do next for a patient incorporates clinical judgement about the diagnosis with severity of symptoms and patient factors, such as their ideas and expectations for treatment. When evaluating patients for dementia, many GPs report using their own judgement to evaluate cognition, using information that is immediately available at the point of care, to decide whether someone has or does not have dementia, rather than more formal tests.

Clinical judgment of GPs for the diagnosis of dementia: a diagnostic test accuracy study.

Background: GPs often report using clinical judgment to diagnose dementia.

Aim: To investigate the accuracy of GPs' clinical judgment for the diagnosis of dementia.

Design & Setting: Diagnostic test accuracy study, recruiting from 21 practices around Bristol, UK.

Montreal Cognitive Assessment for the detection of dementia.

Background: Dementia is a progressive syndrome of global cognitive impairment with significant health and social care costs. Global prevalence is projected to increase, particularly in resource-limited settings. Recent policy changes in Western countries to increase detection mandates a careful examination of the diagnostic accuracy of neuropsychological tests for dementia.

Why can't my child see 3D television?

A child encountering difficulty in watching three-dimensional (3D) stereoscopic displays could have an underlying ocular disorder. It is therefore valuable to understand the differential diagnoses and so conduct an appropriate clinical assessment to address concerns about poor 3D vision.

There is no association between a measure of clinical care and the response rate of GPs to postal surveys: a methodological study.

Background: There has been much research into factors that can be modified to improve the response rates of general practitioners to surveys and to the demographic characteristics of those who do and do not respond. However, response is yet to be considered with respect to the quality of clinical care provided by GPs. In the UK, one measure of quality of care is the Quality and Outcomes Framework (QOF) score achieved by a general practice.

Carotid artery dissection presenting with isolated headache and Horner syndrome after minor head injury.

A woman aged 31 years presented to the emergency department after a minor head injury. She reported mild headache and a metallic taste in her mouth. Full neurologic examination was remarkable only for left-sided Horner syndrome.

High caloric intake, poor cognition and dementia: the Caerphilly Prospective Study.

To examine the hypothesis that caloric intake in mid-life is associated with later dementia or cognitive impairment not dementia (CIND). A prospective cohort study was conducted in Caerphilly, South Wales, United Kingdom. Men aged 45-59 years were identified from the electoral roll and general practice.

Metabolic syndrome, diabetes, poor cognition, and dementia in the Caerphilly prospective study.

We have examined whether metabolic syndrome is associated with intermediate risk of impaired cognition between people with and without diabetes. Men aged 45 to 59 years were identified from Caerphilly in South Wales, United Kingdom. Participation rate was 89% (41% of the original cohort) and 2,512 men were examined in phase one from July 1979 until September 1983.

Do GPs respond to postal questionnaire surveys? A comprehensive review of primary care literature.

Background: There is a general consensus that postal surveys of physicians have low response rates. Recent systematic reviews have provided an improved evidence base to help researchers maximize response rates to self-completion questionnaires but to date, there is no comprehensive analysis of whether response rates have improved.

Objective: To determine a contemporary estimate for the mean response rate to surveys of GPs published in primary care journals over the past decade.

An intercalated research Masters in primary care: a pilot programme.

Academic medicine is said by some to be in decline and primary care in particular struggles to recruit to academic general practice posts at all levels. Intercalated degrees are often described as being a stepping-stone to an academic career, yet a Bachelors programme may not teach in-depth research skills and for many medical students a PhD is not a desirable option. This article reports the processes and outcomes of an intercalated research Masters that provided a senior medical student with a credible research qualification based on primary care research.

Co-occurrence and associations of pain and fatigue in a community sample of Dutch adults.

Widespread pain and chronic fatigue are common in the general population. Previous research has demonstrated co-occurrence of syndromes that are associated with pain and fatigue (fibromyalgia and chronic fatigue syndrome), but there is limited existing data on the co-occurrence of these symptoms in general. This study investigates the co-occurrence of pain and fatigue, and characterises people with these symptoms individually, and in combination.