Pactgp

07/02/2021

We're really looking forward to our Dragons' Den at Royal College of General Practitioners annual conference next week.

We will be deciding the best idea from our final 4 ideas selected by our panel of judges.

Join us next week, Thursday 11th February at 13:30 - 14:15. Link https://rcgpfa.org.uk/programme/

09/08/2020

Our FIRST blog is out (4 min read) by Johanna Reilly: https://sites.google.com/nihr.ac.uk/pact/members/blogs

🗣 "Even in pre-pandemic days, much of what we do in primary care is subject to uncertainty."

Guidelines don't always reflect our patients.

🗣 "High-quality collaborative research can help improve care"

That's where PACT GP comes in - a primary care trainee research collaborate.

01/03/2020

Looking at themes from an online stroke community, researchers looked at emotional adjustment post-stroke and the role played by participation in this community.

💡 'Survivors progressed along, or moved between, positive and negative pathways not in a time-dependent manner but in response to “trigger events,” such as physical setbacks or anti-depressant treatment, which may occur at any chronological time'. 💡

🔗: https://www.tandfonline.com/doi/abs/10.1080/09602011.2019.1702561?journalCode=pnrh20

27/02/2020

400 New Zealand patients who took cannabidiol (CBD) reported through audit:

👍 Better quality of life
👍 Better anxiety/depressive symptoms
👍 Better sleep/appetite
👍 No major adverse effects

BUT no control/placebo group

🔗: https://bjgpopen.org/content/early/2020/02/03/bjgpopen20X101010

25/02/2020

Whoever you are & wherever you come from, primary care research needs you. 🦸🏽🦸🏻‍🦹🦸🏿‍

We need 5 mins of your time to fill in this questionnaire, so we can get going: https://is.gd/pactstudy

We're asking about projects/supervisors.

Thanks for your time! 🙏🏽

24/02/2020

Literally not eating for a longer period and eating in a shorter time period has been linked to:

➡️ longer lifespan in animal studies

➡️ loss, better sensitivity, lower levels, lower blood pressure, lower inflammation for

Essentially you can start off by a late breakfast, then getting rid of breakfast altogether, then pushing later in the evening. This is difficult to achieve on mentally demanding days, I just tell my patients to have either a late or early . It's a low cost intervention with potential for great change.

🔗 :

Review Article from The New England Journal of Medicine — Effects of Intermittent Fasting on Health, Aging, and Disease

23/02/2020

Whoever you are, wherever you come from, primary care research needs you. 🦸🏽🦸🏻‍♂️🦹🏼🦸🏾🦸🏿‍♀️🦸🏿‍♂️

We need 5 mins of your time to fill in this questionnaire, so we can get going: https://is.gd/pactstudy

We're asking about projects & supervisors.

Thanks for your time! 🙏🏽

19/02/2020

Dutch cross-sectional data (n=1655 between 2014-2016) found 82% adjusted relative risk (ratio rather than difference) of acute coronary syndrome (ACS, heart attack) in the night compared to the day.

Lesson: have a lower threshold of calling an ambulance in cases of chest discomfort in the night as risk of ACS is higher.

🔗: https://academic.oup.com/fampra/advance-article-abstract/doi/10.1093/fampra/cmaa005/5717775?redirectedFrom=fulltext

16/02/2020

GP trainee survey (n=100) and interviews (n=10) found more telephone consultation training is associated with more confidence for GP trainees.

Positive experiences included managing workload and convenience.

Negative experiences included complex encounters, communication barriers, and absence of examination.

British Journal of General Practice Open 🔗: https://bjgpopen.org/content/early/2020/02/03/bjgpopen20X101008

12/02/2020

A Japanese cohort study followed up 93000 patients for 15 yearrs:

⬆️ Intake of fermented soy products associated with
⬇️ 10-11% all cause mortality

BMJ 🔗 :https://www.bmj.com/content/368/bmj.m34

❓Should we focus on mono-nutrients for dietary studies on the complex human body❓

❓Could a , the holy grail for food really exist❓

❓Would we do better to focus on patterns of food intake❓

09/02/2020

Double blind randomised control trial from The New England Journal of Medicine: https://www.nejm.org/doi/full/10.1056/NEJMoa1909666

1676 patients with Helicobacter pylori infection and first degree relative with gastric cancer treated with standard triple therapy (2 antibiotics and proton pump inhibitor) 💊💊💊 vs. placebo found:

⬇️ 45% decreased relative risk (as a proportion)
🔻 1.5% decreased absolute risk (as a difference) of gastric cancer at 9.2 year follow-up

05/02/2020

Cohort study evidence from Dambha-Miller and colleagues (2019) showed that patients (n=867) who:

⚖️ ⬇️lost >= 10% weight soon after diagnosis of type 2 diabetes were 77% (relative risk) more likely to achieve remission of their diabetes at 5 years.

BMJ summary 🔗: https://www.bmj.com/content/368/bmj.l6775

Original paper 🔗: https://onlinelibrary.wiley.com/doi/full/10.1111/dme.14122