Review
Clinical Neurology
Me Collantes, Y. H. Zuniga, C. N. Granada, D. R. Uezono, L. C. De Castillo, C. G. Enriquez, K. D. Ignacio, S. D. Ignacio, R. D. Jamora
Summary: This paper examines the current state of stroke care in the Philippines, highlighting limited government financing coverage and challenges in accessing stroke medications. Stroke diagnostic and treatment facilities are predominantly located in urban settings with out-of-pocket expenditures prevailing. The lack of a unified national stroke registry hinders accurate assessment of the local burden of stroke.
FRONTIERS IN NEUROLOGY
(2021)
Article
Hematology
Christopher Wallenhorst, Carlos Martinez, Ben Freedman
Summary: The study found that the risk of ischemic stroke in patients with incidentally detected AA-AF in primary care is not lower than clinically presented AF patients, highlighting the importance of identifying previously undetected AF through opportunistic screening and implementing stroke prevention measures.
THROMBOSIS AND HAEMOSTASIS
(2022)
Article
Medicine, General & Internal
Erica Barbazza, Robert A. Verheij, Lotte Ramerman, Niek Klazinga, Dionne Kringos
Summary: This study explores the availability and secondary uses of primary care prescribing data in the Dutch context, aiming to improve the quality of care. The study identifies three main sources of data: clinical data in electronic health records (EHRs), pharmacy data in community pharmacy databases, and claims data from insurers. However, the integration of these data sources is limited. The study emphasizes the importance of consolidating patient-specific data and prioritizing data linkages to enhance the actionability of prescribing data.
Article
Nursing
Lina Guo, Yuanli Guo, Jo Booth, Miao Wei, Lin Wang, Yiru Zhu, Yu He, Yanjin Liu
Summary: This study explores the experiences of health management among individuals at high risk of stroke, providing valuable insights for primary stroke prevention.
Article
Medicine, General & Internal
Sarah Parkinson, Judith Smith, Manbinder Sidhu
Summary: Primary care networks (PCNs) were introduced in the National Health Service (NHS) in England in 2019 to improve integrated care for patients and address financial and workforce sustainability issues in general practice. Motivations for participation in PCNs include potential to improve patient care, enable better coordinated services, and enhance financial and workforce sustainability within primary care. PCNs also face challenges in finding a balance between local and national autonomy, decision making, and control.
Article
Public, Environmental & Occupational Health
Lisa Bailey-Davis, Angela Marinilli Pinto, David J. Hanna, Michelle I. Cardel, Chad D. Rethorst, Kelsey Matta, Christopher D. Still, Gary D. Foster
Summary: This qualitative study explores patients' perceptions and expectations about obesity treatment and referral to community-commercial programs. The study found that patients are frustrated with weight management in primary care and expect providers to offer more treatment options. They also view referrals to effective community-commercial programs as an acceptable option. However, privacy and security issues need attention.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Alissa Bernstein Sideman, Melissa Ma, Alma Hernandez de Jesus, Cecilia Alagappan, Na'amah Razon, Daniel Dohan, Anna Chodos, Tala Al-Rousan, Loren I. Alving, Freddi Segal-Gidan, Howie Rosen, Katherine P. Rankin, Katherine L. Possin, Soo Borson
Summary: This qualitative study explored the perspectives of primary care practitioners (PCPs) on their role in dementia care. The study found alignment between PCP perspectives and the core values of primary care in diagnosing and providing care for individuals with dementia, but identified a mismatch between these values and the health systems infrastructure for dementia care in their practice environment.
Article
Health Care Sciences & Services
Omar H. Ordaz, Raina L. Croff, LaTroy D. Robinson, Steven A. Shea, Nicole P. Bowles
Summary: Contrary to previous reports, Black American patients in this study generally accepted patient portals as tools for personalized care and reducing unfair disease burden in primary care. Increased communication, experience, and adoption of remote health care practices among Black Americans will lead to better health care opportunities.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Review
Clinical Neurology
Walter N. Kernan, Anthony J. Viera, Sandra A. Billinger, Dawn M. Bravata, Susan L. Stark, Scott E. Kasner, Louis Kuritzky, Amytis Towfighi
Summary: Primary care teams play a key role in providing poststroke care, focusing on preventing recurrent stroke, improving function, preventing late complications, and enhancing quality of life. Patient-centered primary care involves establishing a foundation for poststroke management, screening for complications, and ensuring ongoing support for patients with functional impairments. Effective management of risk factors and lifestyle modifications are crucial in reducing the risk of recurrent stroke and optimizing outcomes in poststroke care.
Article
Medicine, General & Internal
Sarah Hoare, Alison Powell, Rakesh Narendra Modi, Natalie Armstrong, Simon J. Griffin, Jonathan Mant, Jenni Burt
Summary: Participants in the study showed overall support for AF screening, viewing it as a positive step towards early diagnosis and better treatment outcomes. They believed that participating in the screening could lead to a better future and demonstrated their commitment to self-care. Most participants perceived the screening test as non-invasive and had low perceived risks, contributing to high uptake rates.
Article
Health Care Sciences & Services
Sae Takada, Zewei Shen, Philippe Bourgois, O. Kenrik Duru, Lillian Gelberg, Maria Han, Marjan Javanbakht, Steve Shoptaw, Kenneth Wells, Gery Ryan
Summary: A study was conducted on primary care patients to understand their perceptions and preferences regarding social and behavioral risk screening. The findings revealed that patients were willing to share such risk factors with their primary care providers, preferred in-person discussions with or without a survey, and desired a list of community resources to address their needs.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Medicine, General & Internal
Aileen Callanan, Diarmuid Quinlan, Susanne O'Sullivan, Colin P. Bradley, Patricia M. Kearney, Aileen Murphy, Claire Mary Buckley
Summary: Atrial fibrillation (AF) is a major risk factor for stroke and is often asymptomatic. Early detection of AF can significantly reduce stroke risk. International experts recommend AF screening, but there are multiple screening methods.
Article
Multidisciplinary Sciences
Getnet Mitike, Frehiwot Nigatu, Eskinder Wolka, Atkure Defar, Masresha Tessema, Tezita Nigussie
Summary: This study explores the experiences and roles of sub-national health systems in Ethiopia during the COVID-19 pandemic. The findings show that local government authorities and health systems responded actively in the early stages, but the intensity of the multisectoral response declined as the pandemic progressed, leading to neglect of essential health services. It is necessary to learn from this pandemic and invest in the basics of the health system, as well as coordination of interventions.
Article
Health Care Sciences & Services
Brian C. Ricci, Jonathan Sachs, Konrad Dobbertin, Faiza Khan, David A. Dorr
Summary: In primary care risk stratification, provider adjudication of algorithms improves the prediction of adverse outcomes by considering patient factors that automated algorithms may overlook. The study found that providers take into account disease severity, self-management skills, behavioral health, and actionable risk scores during adjudication. Overall, the adjudicated risk model demonstrated better performance than a commercial algorithm, particularly in predicting ED visits, hospital admissions, and death.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Genetics & Heredity
Benjamin J. Kerman, Charles A. Brunette, Elizabeth J. Harris, Ashley A. Antwi, Amy A. Lemke, Jason L. Vassy
Summary: This study examines the influence of polygenic risk scores (PRSs) on primary care physician's medical decision-making and investigates whether patient race affects this influence. The results show that, despite identical clinical and genetic profiles, physicians are more likely to recommend treatment and screening for Black patients compared to White patients.
GENETICS IN MEDICINE
(2023)
Article
Rehabilitation
Eric Asaba, Aileen Bergstrom, Ann-Helen Patomella, Susanne Guidetti
Summary: This study explores engaging occupations in relation to stroke risk and identifies a paradox in the relationship between engaging occupations and health. The findings highlight the need for a deeper understanding of occupation experiences and the characteristics that promote or compromise health. Lifestyle programs should be designed to offer personal relevance and facilitate a positive balance between health compromising and health promoting occupations in everyday life.
SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY
(2022)
Article
Rehabilitation
Emelie Malstam, Eric Asaba, Elisabet Akesson, Susanne Guidetti, Ann-Helen Patomella
Summary: This study interviewed six adults with stroke risk factors and found that changing lifestyle habits is a complex process. Engagement in health and occupational activities can promote healthy lifestyle habits, but contextual factors need to be considered.
SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY
(2022)
Article
Health Care Sciences & Services
Klas Ytterbrink Nordenskiold, Jan-Eric Olsson, Bo C. Bertilson
Summary: At Doctors of the World Medical Clinic in Stockholm, medical care is provided to vulnerable migrants who lack access to subsidized care. A retrospective study was conducted to examine the demographic, diagnostic, and therapeutic characteristics of these migrants. The findings revealed differences in morbidity, therapeutics, and seasonal distribution depending on gender and season.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Gerontology
Eric Asaba, Margarita Mondaca, Staffan Josephsson, Karin Johansson
Summary: This article discusses the importance of engagement and influence in everyday life situations for older persons, highlighting the threat to democracy when frailty is labeled and the social processes that affect capabilities are not recognized. Through examples, the article shows how older people use various resources to address their needs and capabilities, and influence their engagement in daily activities. The authors argue that health and social care services should recognize the interdependency, vulnerability, and agency within older persons' local practices to enable democratic expression. Conceptual and methodological shifts are needed in research, policy, and practice to promote democratic processes.
Review
Social Sciences, Interdisciplinary
Ursa Bratun, Eric Asaba, Joca Zurc
Summary: This study aims to explore the reasons why people choose to continue working even after they are eligible for retirement, using different dimensions to describe prolonged work participation. The findings suggest that health is a key motivator, along with achievement, positive relationships, helping others, and enjoying work.
JOURNAL OF OCCUPATIONAL SCIENCE
(2023)
Article
Rehabilitation
Lisette Farias, Lisa Holmlund, Eric Asaba
Summary: Understanding the process of return-to-work is crucial for supporting individuals with disabilities in their social participation and health. This study explores the expectations and ways of understanding return-to-work from the perspectives of workers, employers, and occupational therapists. The findings reveal that stakeholders' different expectations hindered open discussions on flexible arrangements, and shed light on the challenges of work reintegration and the influence of work/productivity norms and policies on the return-to-work process.
OTJR-OCCUPATIONAL THERAPY JOURNAL OF RESEARCH
(2023)
Article
Multidisciplinary Sciences
Marianne Degerman, Micael Ohman, Bo C. Bertilson
Summary: The study aimed to investigate the effects of laser Photobiomodulation (PBM) on the healing time of hard-to-heal venous leg ulcer, and found that using PBM in addition to traditional dressing significantly reduced the healing time of the ulcer.
Article
Immunology
Eirini Apostolou, Muhammad Rizwan, Petros Moustardas, Per Sjoegren, Bo Christer Bertilson, Bjoern Bragee, Olli Polo, Anders Rosen
Summary: The study suggests that COVID-19 can trigger reactivation of latent herpesviruses and induce heightened anti-viral response in ME/CFS patients, especially for EBV and HHV6. Additionally, ME/CFS patients may have elevated levels of EBV-VCA IgG even before SARS infection.
FRONTIERS IN IMMUNOLOGY
(2022)
Article
Rehabilitation
Ursa Bratun, Andreja Svajger, Barbara Domajnko, Matic Kavcic, Eric Asaba
Summary: This study explored the expectations and experiences related to return to work (RTW) after severe COVID-19 in a group of workers in Slovenia. The results showed that work identity was affected, and workers faced challenges in reintegrating into work. Personal agency and support systems played a positive role in their rehabilitation. Workers recovering from severe COVID-19 were at risk of developing negative expectations regarding their work re-entry.
DISABILITY AND REHABILITATION
(2023)
Article
Psychiatry
Marina Taloyan, Hassan Alinaghizadeh, Bjorn Wettermark, Jan Hasselstrom Jan Hasselstrom, Bo Christer Bertilson
Summary: This study investigated the prevalence of mental disorders and physical-mental multimorbidity in a primary care population in Stockholm, Sweden. The results showed that nearly one-third of the patients had a mental disorder, and the highest odds of mental disorders were observed in females, younger individuals, and those with alcohol abuse disorder.
ASIAN JOURNAL OF PSYCHIATRY
(2023)
Article
Rehabilitation
Martin Karaba Backstrom, Andre Luiz Moura de Castro, Aaron M. Eakman, Moses N. Ikiugu, Nigel Gribble, Eric Asaba, Anders Kottorp, Olov Falkmer, Mona Eklund, Nils Erik Ness, Stefan Balogh, Patrick Hynes, Torbjoern Falkmer
Summary: Recently, it has been suggested that gender disparity in Occupational Therapy is influenced by segregated gendered job norms. A round table research involving 13 male Occupational Therapists revealed that focusing on the core values and broadening the profession's scope could facilitate diversity in the workforce. These findings highlight the need for an intersectional approach and a shift from the male/female perspective.
SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY
(2023)
Article
Rehabilitation
Lill Hultman, Eric Asaba, Dorothee Riedel, Sara Abdu, Helen Afe, Rahel Atafnu, Lili Ejigu, Jamie Bolling, Mahelet Negussie, Julius Ntobua, Margarita Mondaca
Summary: This paper explores everyday experiences of migration and disability from an intersectional perspective, taking into account issues such as gender, class, and ethnicity. The study reveals that disabled migrants face unique challenges, and the lack of support and accurate knowledge may result in their neglect and permanent exclusion.
DISABILITY & SOCIETY
(2023)
Article
Rehabilitation
Eric Asaba, Michael Sy, Roi Charles Pineda, Rebecca Aldrich, Tetsuya Anzai, Peter Bontje, Ursa Bratun, Lisette Farias, Maria Kapanadze, Lea Suc, Elisabet Akesson
Summary: There is a significant number of individuals who have recovered from COVID-19 globally and need assistance in returning to meaningful and productive work. This study aims to demonstrate the various factors that affect return to work practices in different countries and emphasizes the importance of exploring this topic from an international perspective during an ongoing pandemic. Occupational therapy plays a crucial role in medical rehabilitation after COVID-19, but its contribution to post-COVID return to work processes has not been widely acknowledged. There is a need for evidence-based knowledge on return to work that can be utilized by occupational therapists during present and future pandemics.
WORLD FEDERATION OF OCCUPATIONAL THERAPISTS BULLETIN
(2023)
Article
Public, Environmental & Occupational Health
Mandana Fallahpour, Louise Nygard, Eric Asaba
Summary: This study explores communication and engagement in everyday situations between persons with young-onset dementia living in a nursing home and the caregivers using ethnographic methods. The findings highlight the paradoxical tension between the nursing home as a residence and workplace, as well as a place of calm and boredom. The degree to which everyday activities and encounters are redefined and renegotiated is an important aspect of caregiving practices in nursing home settings for residents with young-onset dementia.
INTERNATIONAL JOURNAL OF QUALITATIVE STUDIES ON HEALTH AND WELL-BEING
(2022)