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Diagnostic characteristics and prognoses of primary-care patients referred for clinical exercise testing: a prospective observational study

published 2 days ago
Background: Evaluation of angina symptoms in primary care often includes clinical exercise testing. We sought to identify clinical characteristics that predicted the outcome of exercise testing and to describe the occurrence of cardiovascular events during follow-up. Methods: This study followed patients referred to exercise testing for suspected coronary disease by general practitioners in the County of Jamtland, Sweden (enrolment, 25 months from February 2010). Patient characteristics were registered by pre-test questionnaire. Exercise tests were performed with a bicycle ergometer, a ... more

GPs' role security and therapeutic commitment in managing alcohol problems: a randomised controlled trial of a tailored improvement programme

published Wed, Apr 16 2014 19:00 GMT
Background: General practitioners with more positive role security and therapeutic commitment towards patients with hazardous or harmful alcohol consumption are more involved and manage more alcohol-related problems than others. In this study we evaluated the effects of our tailored multi-faceted improvement implementation programme on GPs' role security and therapeutic commitment and, in addition, which professional related factors influenced the impact of the implementation programme. Methods: In a cluster randomised controlled trial, 124 GPs from 82 Dutch general practices were randomised ... more

Current utility of the ankle-brachial index (ABI) in general practice: implications for its use in cardiovascular disease screening

published Wed, Apr 16 2014 19:00 GMT
Background: Peripheral arterial disease (PAD) is a marker of systemic atherosclerosis and associated with a three to six fold increased risk of death from cardiovascular causes. Furthermore, it is typically asymptomatic and under-diagnosed; this has resulted in escalating calls for the instigation of Primary Care PAD screening via Ankle Brachial Index (ABI) measurement. However, there is limited evidence regarding the feasibility of this and if the requisite core skills and knowledge for such a task already exist within primary care. ... more

"We no longer live in the old days": a qualitative study on the role of masculinity and religion for men's views on violence within marriage in rural Java, Indonesia

published Tue, Apr 15 2014 19:00 GMT
Background: Previous studies on domestic violence in Indonesia have focused primarily on women's experiences and little research has been undertaken to understand men's views on domestic violence or their involvement in the prevention of domestic violence. This study aimed to explore men's views on masculinity and the use of violence within marriage, in order to gain knowledge on how to involve men in prevention of domestic violence in rural Indonesia. Methods: Focus group discussions with six groups of local male ... more

Experiences of barriers and facilitators to weight-loss in a diet intervention - a qualitative study of women in Northern Sweden

published Tue, Apr 15 2014 19:00 GMT
Background: There is a lack of research about the experiences of participating in weight-reducing interventions. The aim of this study was to explore barriers and facilitators to weight-loss experienced by participants in a diet intervention for middle-aged to older women in the general population in Northern Sweden.MethodIn the intervention the women were randomised to eat either a Palaeolithic-type diet or a diet according to Nordic Nutrition recommendations for 24 months. A strategic selection was made of women from the two ... more