Family practice
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Dementia is an increasing concern in many countries, especially in those experiencing rapid growth in the proportion of older adults in their population. ⋯ The incidence of dementia diagnosis increased with age except in the oldest old in both sexes. This may be attributed to the effect of mortality competing risk. Future research on the association between risk factors and dementia should consider studying dementia among the oldest old separately to minimize bias.
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Use of medical cannabis (MC) in Israel has increased since its regulatory approval in 2016. Currently, more than 1% of Israeli adults are treated with MC; this requires primary care physicians (PCPs) to be familiar with this treatment option. ⋯ Our survey revealed PCPs' differing opinions and insufficient knowledge regarding treatment with MC. These findings suggest that continuing medical education regarding MC is needed.
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Pre-conception care is well known as part of opportunistic, proactive, preventive care for men and women throughout their reproductive years; to lower behavioural, environmental and health-related factors that could lead to poor maternal and foetal outcomes. Many studies have been conducted on the delivery of pre-conception care worldwide. However, no studies were conducted in Saudi Arabia on this topic. ⋯ The gained insight from the in-depth exploration of physicians' perspectives on pre-conception care helps direct future resources and efforts to both team-based, multi-disciplinary preventative approaches, and population education on the importance of preparing for a pregnancy.
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Ageing is accompanied by many changes that make it more difficult for nutritional needs to be met. Management of malnutrition in older adults requires collaboration among multiple clinical disciplines. ⋯ IPCP has a strong and significant correlation with the nutritional status in older adults. The IPCP implementation could significantly improve their nutritional status after the IPCP implementation compared to usual care.
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The pandemic state caused by SARS CoV-2 came to overburden all levels of healthcare, including Primary Care. In Portugal, most patients were followed in ambulatory, monitored by phone calls or face-to-face visits by their General Practitioner. ⋯ Male gender, age and the presence of comorbidities are the main determinants for hospitalization and death. These COVID-19 patients should receive a higher attention when they come to primary care for assistance.