General practice ethics: text messages and boundaries in the GP-patient relationship.


:Virtual forms of communication (eg texting) can support patients and may contribute to better care. However, these informal communication methods may intrude on the doctor’s leisure time and undermine standards of care if they replace face-to-face consultations.Texting may cross boundaries in potentially unprofessional ways, especially when particular patients are favoured with this privilege. It may disadvantage patients who are not favoured or who are not comfortable using mobile technology. We also note that GPs cannot control the distribution of their number or recall it without the inconvenience of changing the number once it has been disclosed.Virtual communication is an integral part of the way we live, despite the potential pitfalls. Each form (social media, electronic messaging systems, video consultations, mobile phones, etc) has its advantages and disadvantages. This makes it important for practices to develop policies supporting the responsible use of virtual communication. Such policies should:clarify (for patients and GPs) when its use is appropriate accommodate doctors’ individual preferences regarding technology provide guidance regarding GPs’ duties, especially for interactions that do not allow full evaluation of patients.GPs may wish to have specific criteria for providing patients with this degree of access, set very clear indications and contraindications to its use, explain the potential pitfalls, and ensure that text messages augment good care rather than replace it.


Aust Fam Physician


Mintzker Y,Rogers W


Has Abstract


2015-08-01 00:00:00










  • Integrated treatment of co-occurring mental illness and addiction: clinical intervention, program, and system perspectives.

    abstract::Individuals with mental illness and addiction comprise at least half of the patients in most mental health treatment systems. This combination results in increased risk for frequent psychiatric relapses, poor medication compliance, violence, suicide, legal problems, and high utilization of the emergency room or inpati...

    journal_title:CNS spectrums

    pub_type: 杂志文章,评审


    authors: Ziedonis DM

    更新日期:2004-12-01 00:00:00

  • The effects of irradiance and exposure time on the surface roughness of bulk-fill composite resin restorative materials.

    abstract:OBJECTIVES:To evaluate the surface roughness of 4 different bulk-fill resin-based composites cured using different irradiance levels. Methods: This in vitro study was performed in February 2017 to August 2017 at the College of Dentistry, King Saud University. Twenty-four specimens were prepared from each of the bulk-fi...

    journal_title:Saudi medical journal

    pub_type: 杂志文章


    authors: Alkhudhairy FI

    更新日期:2018-02-01 00:00:00


    abstract::Caffeic acid and its derivatives because of its biological activities, including antioxidants, antithrombosis, antihypertensive, antifibrosis, antiviral, and anti-tumor properties are good candidates as adjuvants in anticancer therapy. The aim of this study was the examination of cyto- and genotoxic effect of caffeic ...

    journal_title:Acta poloniae pharmaceutica

    pub_type: 杂志文章


    authors: Matejczyk M,Swislocka R,Kalinowska M,Swidersk G,Lewandowsk W,Jablonska-Trypuo A

    更新日期:2017-05-01 00:00:00

  • Pharmacokinetics, safety and tolerability of the orally administered receptor antagonist of cysteinyl-leukotrienes BAY x 7195 in single-dose escalation studies.

    abstract::BAY x 7195 is a novel receptor antagonist of cysteinyl-leukotrienes currently under development for the treatment of asthma. It is effective in antagonizing the leukotriene-D4 induced bronchoconstriction in healthy volunteers following oral administration. The pharmacokinetics, safety and tolerability of the drug were...

    journal_title:International journal of clinical pharmacology and therapeutics

    pub_type: 临床试验,杂志文章


    authors: Heinig R,Schaefer HG,Wensing G,Kuhlmann J

    更新日期:1995-10-01 00:00:00

  • [Local immunotherapy].

    abstract::Specific immunotherapy, together with avoidance of the allergen and symptomatic treatment, forms part of the treatment of allergic pathology. The oldest, best known and most studied form is subcutaneous immunotherapy (SCIT), whose efficacy, both in the short and the long term, has been widely demonstrated in numerous ...

    journal_title:Anales del sistema sanitario de Navarra

    pub_type: 杂志文章,评审


    authors: Lasa E,Garrido S,Arroabarren E,Anda M,Ollo B,Tabar AI

    更新日期:2003-01-01 00:00:00

  • Comparing the financial risk of bed-day and DRG based pricing types using parametric and simulation methods.

    abstract::The extent of random financial risk involved in the Finnish bed-day and Diagnosis Related Groups (DRG) based hospital pricing systems were estimated and compared using parametric and simulation methods. DRG based payment schemes were found to provide significantly better protection against financial risk for municipal...

    journal_title:Health care management science

    pub_type: 杂志文章


    authors: Mikkola H,Sund R,Linna M,Häkkinen U

    更新日期:2003-05-01 00:00:00

  • The Struggle Is Real: A Systematic Review of Food Insecurity on Postsecondary Education Campuses.

    abstract:BACKGROUND:Numerous international studies have examined cross-sectional correlates of food insecurity (FI) among postsecondary education students. Research is needed to synthesize the findings of this work to support vulnerable students. OBJECTIVE:To systematically review peer-reviewed and gray literature to assess th...

    journal_title:Journal of the Academy of Nutrition and Dietetics

    pub_type: 杂志文章,评审


    authors: Bruening M,Argo K,Payne-Sturges D,Laska MN

    更新日期:2017-11-01 00:00:00

  • Laryngeal histoplasmosis: an occupational hazard.

    abstract::Isolated laryngeal histoplasmosis is a very rare entity. It has variable clinical presentations that might mimic both benign and malignant lesions, and is usually associated with pulmonary and other disseminated forms of histoplasmosis. Herein, we report a case of primary laryngeal histoplasmosis without the involveme...

    journal_title:Singapore medical journal

    pub_type: 杂志文章


    authors: Teoh JW,Hassan F,Mohamad Yunus MR

    更新日期:2013-10-01 00:00:00

  • Putative common pathways in therapeutic brain stimulation for affective disorders.

    abstract::Brain stimulation methods in the treatment of affective disorder are electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), vagus nerve stimulation (VNS), and deep brain stimulation (DBS). Clinically, ECT is considered the strongest remedy in the treatment of severe depression, especially depression...

    journal_title:CNS spectrums

    pub_type: 杂志文章,评审


    authors: Bolwig TG

    更新日期:2003-07-01 00:00:00

  • Primary retroperitoneal mucinous cystadenoma.

    abstract::Primary mucinous neoplasms of the retroperitoneum, including mucinous cystadenocarcinomas, mucinous borderline tumors, and mucinous cystadenomas are uncommon tumors found exclusively in women. Since the retroperitoneum does not contain mucinous epithelium, the origin, and histogenesis of these tumors remain unclear. I...

    journal_title:Saudi medical journal

    pub_type: 杂志文章


    authors: Abedalthagafi M,Jackson PG,Ozdemirli M

    更新日期:2009-01-01 00:00:00

  • Modulation of cutaneous wound healing by silymarin in rats.

    abstract:OBJECTIVE:To investigate the effect of topical application of silymarin on full-thickness cutaneous wounds in rats. METHOD:A full-thickness cutaneous defect (2×2cm) was induced on the back of 85 male and female Wister rats. The animals were randomly divided into four groups (n=20 in each group), treated with 1ml basal...

    journal_title:Journal of wound care

    pub_type: 杂志文章


    authors: Oryan A,Tabatabaei Naeini A,Moshiri A,Mohammadalipour A,Tabandeh MR

    更新日期:2012-09-01 00:00:00

  • Evaluation of rs62527607 [GT] single nucleotide polymorphism located in BAALC gene in children with acute leukemia using mismatch PCR-RFLP.

    abstract::Acute leukemia is the most common cancer in children and involves several factors that contribute to the development of multidrug resistance and treatment failure. According to our recent studies, the BAALC gene is identified to have high mRNA expression levels in childhood acute lymphoblastic leukemia (ALL) and those...

    journal_title:Cancer genetics

    pub_type: 杂志文章


    authors: Nadimi M,Rahgozar S,Moafi A,Tavassoli M,Mesrian Tanha H

    更新日期:2016-07-01 00:00:00

  • Alirocumab dosing patterns during 40 months of open-label treatment in patients with heterozygous familial hypercholesterolemia.

    abstract:BACKGROUND:ODYSSEY OLE (NCT01954394) was an open-label extension (OLE) study for patients with heterozygous familial hypercholesterolemia (HeFH) who had completed previous phase 3 clinical trials with alirocumab. Alirocumab dose could be increased or decreased as per physician judgment. OBJECTIVE:To assess how the ali...

    journal_title:Journal of clinical lipidology

    pub_type: 杂志文章


    authors: Hovingh GK,Guyton JR,Langslet G,Dufour R,Baccara-Dinet MT,Din-Bell C,Manvelian G,Farnier M

    更新日期:2018-01-01 00:00:00

  • Hodgkin's disease during pregnancy: a case report and review of the literature.

    abstract::The simultaneous presence of cancer and pregnancy is rare but occurs, creating extreme scenarios in clinical practice. Hodgkin's disease (HD), affects primarily young adults and therefore obstetricians may confront young women with this type of lymphoma during pregnancy. We report a case of a 27-year-old woman with HD...

    journal_title:Clinical and experimental obstetrics & gynecology

    pub_type: 杂志文章,评审


    authors: Korkontzelos I,Antoniou N,Akritidis N,Demou A,Zagaliki A,Lykoudis S

    更新日期:2005-01-01 00:00:00

  • Muscle synergies at the elbow in static and oscillating isometric torque tasks with dual degrees of freedom.

    abstract::This study's aim was to identify the effect of oscillation of torques in isometric tasks under identical mechanical conditions on the muscle synergies used. It was hypothesized that bi-functional muscles would play a lesser role in torque oscillation, because they would also generate an undesired oscillation. Thus, ch...

    journal_title:Motor control

    pub_type: 杂志文章


    authors: Ettema GJ,Taylor E,North JD,Kippers V

    更新日期:2005-01-01 00:00:00

  • Parametrization by nonlinear regression analysis of the active acid metabolite of ebastine using different weighting methods.

    abstract::The study of the analytical error function has been applied to evaluate the pharmacokinetics of ebastine active acid metabolite after a single oral dose of 10 mg of metabolite in 6 healthy volunteers. Plasma concentrations were measured using an automated solid phase extraction method. The analytical method was fully ...

    journal_title:International journal of clinical pharmacology and therapeutics

    pub_type: 杂志文章


    authors: Mariño EL,Jansat JM,March MA,Lastra CF

    更新日期:1996-12-01 00:00:00

  • From Follicular Development and Ovulation to Ovarian Cancers: An Unexpected Journey.

    abstract::Follicular development and ovulation are complex development processes that are regulated by multiple, interacting pathways and cell types. The oocyte, cumulus cells, granulosa cells, and theca cells communicate to impact follicular development and ovulation. Many hormones and cytokines control intracellular regulator...

    journal_title:Vitamins and hormones

    pub_type: 杂志文章,评审


    authors: Richards JS

    更新日期:2018-01-01 00:00:00

  • Effect of microcrystalline chitosan on the solubility of ibuprofen.

    abstract::It was found that MCCh may be used for the enhancement of the solubility and dissolution rates of drugs. The solubility of IBA in water increased significantly (about 10-fold) when MCCh was added. Differential scanning calorimetry (DSC), powder X-ray diffractometry, and IR spectroscopy were used to confirm that salt l...

    journal_title:Acta poloniae pharmaceutica

    pub_type: 杂志文章


    authors: Bodek KH

    更新日期:2002-03-01 00:00:00

  • Psychiatric nurses' decision to restrain.

    abstract::The use of restraints in all health care settings has come under increased scrutiny in recent years. Although the organizational context has been suggested as a possible influence on restraint use, few researchers have examined whether organizational factors affect use of restraints and nurses' decisions to restrain p...

    journal_title:Journal of psychosocial nursing and mental health services

    pub_type: 杂志文章


    authors: Lindsey PL

    更新日期:2009-09-01 00:00:00

  • Effect of cinacalcet on bone mineral density of the radius in hemodialysis patients with secondary hyperparathyroidism.

    abstract:BACKGROUND/AIM:Cinacalcet, an allosteric modulator of the calcium sensing receptor, effectively reduces serum parathyroid hormone (PTH) in patients with secondary hyperparathyroidism. It is not well known whether bone mineral density (BMD) of hemodialysis patients with secondary hyperparathyroidism is altered after cin...

    journal_title:Clinical nephrology

    pub_type: 杂志文章


    authors: Ishimura E,Okuno S,Tsuboniwa N,Ichii M,Yamakawa K,Yamakawa T,Shoji S,Nishizawa Y,Inaba M

    更新日期:2011-10-01 00:00:00

  • Social Mishap Exposures for Social Anxiety Disorder: An Important Treatment Ingredient.

    abstract::Conventional cognitive-behavioral therapy for social anxiety disorder, which is closely based on the treatment for depression, has been shown to be effective in numerous randomized placebo-controlled trials. Although this intervention is more effective than waitlist control group and placebo conditions, a considerable...

    journal_title:Cognitive and behavioral practice

    pub_type: 杂志文章


    authors: Fang A,Sawyer AT,Asnaani A,Hofmann S

    更新日期:2013-05-01 00:00:00

  • [A case of tongueworms (Pentastomida): a specific problem in context of the modern phylogenetics].

    abstract::A short essay on anatomy, ultrastructure and larval development, life cycles, classification, palaeontology and phylogenetic relationships of Pentastomida is given. Currently, the Pentastomida are usually placed within Crustacea, as sister group of Branchiura (Crustacea, Maxillopoda). The grounds are striking similari...

    journal_title:Zhurnal obshchei biologii

    pub_type: 杂志文章,评审


    authors: Chesunov AV

    更新日期:2002-05-01 00:00:00

  • The Effect of a Digital Behavioral Weight Loss Intervention on Adherence to the Dietary Approaches to Stop Hypertension (DASH) Dietary Pattern in Medically Vulnerable Primary Care Patients: Results from a Randomized Controlled Trial.

    abstract:BACKGROUND:Obesity treatment focuses primarily on reducing overall caloric intake with limited focus on improving diet quality. The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is effective in managing hypertension and other chronic conditions, yet it is not clear whether behavioral weight control int...

    journal_title:Journal of the Academy of Nutrition and Dietetics

    pub_type: 杂志文章,随机对照试验


    authors: Steinberg D,Kay M,Burroughs J,Svetkey LP,Bennett GG

    更新日期:2019-04-01 00:00:00

  • Antioxidant and memory enhancing effects of purple sweet potato anthocyanin and cordyceps mushroom extract.

    abstract::The effects of purple sweet potato anthocyanin (SPA) and Cordyceps mushroom extract (CME) on lipid peroxidation, 1,1-diphenyl-2-picrylhydrazyl (DPPH) radicals and cognitive deficits were examined. Both SPA and CME exhibited DPPH radical scavenging activities with similar potency. In contrast, only SPA was shown to eff...

    journal_title:Archives of pharmacal research

    pub_type: 杂志文章


    authors: Cho J,Kang JS,Long PH,Jing J,Back Y,Chung KS

    更新日期:2003-10-01 00:00:00

  • [Malignant hemangioendothelioma of the thyroid. Pathologic study of a case].

    abstract::The authors report a case of malignant tumor of the thyroid in a 79 years old woman with a long standing goiter for 20 years but who did not live in endemic mountainous goiter area. The right lobe of the thyroid was surgically removed in February 1992 because increasing in size. Pathologic diagnosis was non malignant ...

    journal_title:Annales de pathologie

    pub_type: 杂志文章


    authors: Pusel J,Rodier JF,Auge B,Janser JC

    更新日期:1993-01-01 00:00:00

  • [Spatio-temporal interrelations of three sympatric species of voles (Mammalia: Rodentia) in the South Urals].

    abstract::The structural and functional organization and the spatio-temporal interrelations of three sympatric vole species (Microtus oeconomus, Clethrionomys, rutilus, and C. rufocanus) were analyzed on territories different in the type of their functional significance to the animals (survival stations, zones of temporary disp...

    journal_title:Zhurnal obshchei biologii

    pub_type: 杂志文章


    authors: Zhigal'skiĭ OA

    更新日期:2007-11-01 00:00:00

  • [Consensus for antimicrobial susceptibility testing for Enterobacteriaceae. Subcommittee on Antimicrobials, SADEBAC (Argentinian Society of Clinical Bacteriology), Argentinian Association of Microbiology].

    abstract::Taking into account previous recommendations from the National Committee for Clinical Laboratory Standards (NCCLS), the Antimicrobial Committee, Sociedad Argentina de Bacteriología Clínica (SADEBAC), Asociación Argentina de Microbiología (AAM), and the experience from its members and some invited microbiologists, a co...

    journal_title:Revista Argentina de microbiologia

    pub_type: 共识发展会议,指南,杂志文章,评审


    authors: Famiglietti A,Quinteros M,Vázquez M,Marín M,Nicola F,Radice M,Galas M,Pasterán F,Bantar C,Casellas JM,Kovensky Pupko J,Couto E,Goldberg M,Lopardo H,Gutkind G,Soloaga R,Subcomisión de Antimicrobianos of the Sociedad Argent

    更新日期:2005-01-01 00:00:00

  • Alpha-cobratoxin as a possible therapy for multiple sclerosis: a review of the literature leading to its development for this application.

    abstract::The use of snake venom in the treatment of multiple sclerosis has been, at best, controversial. The anecdotal reports for snake venom's beneficial effects in this condition may be supportable now by recent scientific evidence. Cobratoxin, a neurotoxin obtained from the venom of the Thailand cobra, has demonstrated sev...

    journal_title:Critical reviews in immunology

    pub_type: 杂志文章,评审


    authors: Reid PF

    更新日期:2007-01-01 00:00:00

  • Prevalence and risk factors of clopidogrel non-response among Saudi patients undergoing coronary angiography.

    abstract:OBJECTIVES:To estimate the prevalence of clopidogrel non-response and identify its risk factors among Saudi patients.  METHODS:This cross-sectional study was conducted at Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia between January and June 2013, to assess the degree of platelet inhibition using the V...

    journal_title:Saudi medical journal

    pub_type: 杂志文章


    authors: Sakr HI,Alamri HS,Almoghairi AM,Alkhudair AA,AlMasood AS

    更新日期:2016-02-01 00:00:00

  • Effect of 13-cis-retinoic acid treatment on protein kinase C from 10T1/2 cells.

    abstract::Protein kinase C from 10T1/2 cells can be eluted by linear gradient of NaCl in two fractions. Following treatment with 10(-5) M 13-cis-retinoic acid a decrease of total PKC activity was observed, mainly at the expense of the 150 mM NaCl eluted fraction. ...

    journal_title:Folia biologica

    pub_type: 杂志文章


    authors: Miloszewska J,Janik P,Pietruszewska E

    更新日期:1990-01-01 00:00:00