General practitioner referrals to exercise physiologists during routine practice: A prospective study

AbstractA prospective study was designed in which General Practitioners were issued with a standard referral letter for hearing aid provision. Unknown to the General Practitioner an independent otolaryngologist assessment was obtained at the time of first attendance. Three hundred consecutive patients selected by General Practitioners applying these guidelines were seen in a designated hearing aid clinic staffed by audiological technicians of senior grade or above. Referral pro formata were incomplete in 75 patients who were not assessed. Ninety-four patients (31 per cent) (95 per cent confidence interval 29–36 per cent) were accepted by the audiologist. Obstructing wax was the most common criterion failed. Clinical agreement between audiologist and otolaryngologist was 57 per cent greater than chance. None of the cases of clinical disagreement altered treatment. A direct referral system as proposed could have processed only 31 per cent of 300 referrals. However, experienced technical staff reliably detected otological pathology and with aural toilet facilities 91 per cent of 225 patients (confidence interval 88–94 per cent) were aided.

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Pain scores and recovery post tonsillectomy: intracapsular versus extracapsular coblation

The Journal of Laryngology & Otology ◽

10.1017/s0022215119001610 ◽

2019 ◽

Vol 133 (09) ◽

pp. 775-781 ◽

Cited By ~ 3

Author(s):

M Junaid ◽

S Sood ◽

H Walijee ◽

J Dorgham ◽

S De

Keyword(s):

Primary Care ◽

General Practitioner ◽

Visual Analogue Scale ◽

Prospective Study ◽

Analogue Scale ◽

Normal Fluid ◽

Pain Scores ◽

Average Pain ◽

A Prospective Study ◽

Intracapsular Tonsillectomy

AbstractObjectiveThis study compared post-tonsillectomy pain scores and recovery using the coblation-only technique, comparing extracapsular versus intracapsular approaches.MethodsA prospective study was performed in our paediatric ENT department. Pain scores were recorded on days 0, 2, 4 and 8, using a visual analogue scale ranging from 0 (no pain) to 10 (extreme pain). Information was also collected on: return to normal fluid and solid intake, and any post-operative visits to primary care.ResultsIn total, 101 patients were included in the analysis. Average pain scores were statistically lower on days 2, 4 and 8 in the intracapsular group compared to the extracapsular cohort. The intracapsular cohort also returned sooner to normal fluid and solids intake. The extracapsular group were more likely to visit the general practitioner post-operatively.ConclusionIntracapsular tonsillectomy appears to result in reduced morbidity overall and should be considered as a viable alternative in relevant cases.

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Health problems and psychosocial work environment as predictors of long term sickness absence in employees who visited the occupational physician and/or general practitioner in relation to work: a prospective study

Occupational and Environmental Medicine ◽

10.1136/oem.60.4.295 ◽

2003 ◽

Vol 60 (4) ◽

pp. 295-300 ◽

Cited By ~ 59

Author(s):

H Andrea

Keyword(s):

General Practitioner ◽

Prospective Study ◽

Work Environment ◽

Sickness Absence ◽

Health Problems ◽

Psychosocial Work Environment ◽

Occupational Physician ◽

Psychosocial Work ◽

A Prospective Study

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An audit of routine practice: a prospective study on the use of mouth props in oral surgery

BDJ ◽

10.1038/s41415-020-1707-3 ◽

2020 ◽

Vol 228 (12) ◽

pp. 938-942

Author(s):

Benjamin H. J. Rapaport ◽

Matthew T. Smith ◽

James S. Brown

Keyword(s):

Prospective Study ◽

Oral Surgery ◽

Routine Practice ◽

A Prospective Study

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Who should treat epistaxis?

The Journal of Laryngology & Otology ◽

10.1017/s0022215100101409 ◽

1987 ◽

Vol 101 (2) ◽

pp. 139-142 ◽

Cited By ~ 6

Author(s):

D. G. John ◽

A. I. Alison ◽

D. J. A. Scott ◽

A. R. McRae ◽

M. J. Allen

Keyword(s):

Emergency Department ◽

General Practitioner ◽

Prospective Study ◽

Successful Treatment ◽

Successful Management ◽

Bleeding Point ◽

Accident And Emergency ◽

Accident And Emergency Department ◽

A Prospective Study

AbstractA prospective study was undertaken of 75 patients complaining of epistaxis who presented to an Accident and Emergency Department.The patients were placed into four groups according to their presenting features, and various forms of appropriate management applied.It was found that in the group that had ceased bleeding on presentation, whether or not a bleeding point was visible, there was no benefit obtained by treatment. If the nose was still bleeding on presentation, and the bleeding point was visible, successful management could be obtained by cauterising the bleeding point. This is a treatment that could be carried out by either the General Practitioner or the Accident Department. If the nose was actively bleeding, and the bleeding point could not be seen, then even initially successful treatment by the Accident Department was usually found to be ineffective within forty-eight hours. It is suggested that this group should be referred to an ENT unit on presentation.

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A Prospective Study among Patients Presenting at the General Practitioner with a Tick Bite or Erythema Migrans in the Netherlands

PLoS ONE ◽

10.1371/journal.pone.0064361 ◽

2013 ◽

Vol 8 (5) ◽

pp. e64361 ◽

Cited By ~ 37

Author(s):

Agnetha Hofhuis ◽

Tineke Herremans ◽

Daan W. Notermans ◽

Hein Sprong ◽

Manoj Fonville ◽

...

Keyword(s):

General Practitioner ◽

The Netherlands ◽

Prospective Study ◽

Erythema Migrans ◽

Tick Bite ◽

A Prospective Study

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Clinicoetiological profile and outcome of acute febrile illness with thrombocytopenia in children: a hospital based prospective study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20202135 ◽

2020 ◽

Vol 7 (6) ◽

pp. 1284

Author(s):

Priyanka Agarwal ◽

Ratan Kumar Das ◽

Dillip Kumar Dash ◽

Mamta Kumari ◽

M. D. Mohanty

Keyword(s):

Prospective Study ◽

Scrub Typhus ◽

Correct Diagnosis ◽

Febrile Illness ◽

Female Child ◽

Routine Practice ◽

Severe Thrombocytopenia ◽

Age Group ◽

Appropriate Treatment ◽

A Prospective Study

Background: Thrombocytopenia is often the most commonly encountered clinical condition in this routine practice. Etiological causes being numerous, often pose a challenge in evaluating and treating the patients. The objective of this study was to find out the different causes and clinical profile of fever with thrombocytopenia in children aged 1month to 14 year who were admitted in this set up.Methods: This was a prospective study done on 200 patients with thrombocytopenia admitted IMS AND SUM Hospital, BBSR with various complaints, during the period of 01 August 2017 to 01 August 2019. This study includes age group 1months to 14 years.Results: The highest incidence of thrombocytopenia belonged to the age group 11-14 years (22.5%) followed by 6-9 years (19.5%) and 3-6 years (18%). Incidence of thrombocytopenia was more in male child (58.5%) as compared to female child (41.5%). the most common cause of thrombocytopenia was dengue (50%), Scrub typhus (34%) septicaemia (17.5%) followed by malaria (10.5%). Among the infectious aetiology severe thrombocytopenia was seen more in dengue (25%) and scrub typhus (34.5%) but evidence of bleeding was seen more in sepsis (34.2%) even with higher platelet count which may be explained by associated multi organ failure.Conclusions: Infections like malaria, dengue, leptospirosis and septicaemia were the common causes of thrombocytopenia along with scrub typhus. Whenever thrombocytopenia is detected further investigations can help us in reaching a correct diagnosis in the majority of the cases so that appropriate treatment can be given and also to avoid unnecessary platelet transfusion to prevent transfusion related complications.

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Rheumatoid Arthritis Real-world Management Over 20 Years

The Journal of Rheumatology ◽

10.3899/jrheum.201189 ◽

2021 ◽

pp. jrheum.201189

Author(s):

Elena Nikiphorou ◽

Fowzia Ibrahim ◽

David L. Scott

Keyword(s):

Rheumatoid Arthritis ◽

Clinical Trials ◽

Cohort Studies ◽

Prospective Study ◽

Real World ◽

Observational Studies ◽

Patient Management ◽

Routine Practice ◽

Prospective Cohort Studies ◽

A Prospective Study

Clinical trials show which treatments improve rheumatoid arthritis (RA), whereas observational studies show how patients are managed in routine practice. Prospective cohort studies give the most detailed information about what happens to patients, but being a part of a prospective study influences patient management because patients are no longer routine cases.

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