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Wyświetlanie 1-15 z 52
Tytuł:
Physical function measures and health-related quality of life in primary care medicine: cross-sectional study
Autorzy:
Starkopf, Ann
Müller, Raili
Starkopf, Anu
Aart, Annika
Kull, Mart
Põlluste, Kaja
Lember, Margus
Kallikorm, Riina
Powiązania:
https://bibliotekanauki.pl/articles/551815.pdf
Data publikacji:
2017
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
popula on, primary care
Źródło:
Family Medicine & Primary Care Review; 2017, 2; 161-166
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Clinical practice guidelines, quality indicators, and the true values of primary care
Autorzy:
Petrazzouli, F.
Petrazzouli, M.
Powiązania:
https://bibliotekanauki.pl/articles/2088059.pdf
Data publikacji:
2019
Wydawca:
Uniwersytet Opolski. Instytut Nauk o Zdrowiu
Tematy:
clinical practice guidelines
quality indicators
core values
primary care
rural primary care
Opis:
Despite the increasing popularity of the concepts known as person-centered care and the holistic approach, their implementation in real life is far from optimal. Patients’ priorities, preferences, and values are still too often neglected. The tendency to measure the outcomes of primary care just in terms of avoiding hospital admissions, reducing health care costs, and increasing adherence to treatment can cause problems and create distortion. Guidelines are too focused on single diseases and not patient-focused. Most guidelines have a “one-size-fits-all” mentality and do not build flexibility or contextualization into their recommendations. Quality indicators should be used with caution and wisdom, especially in primary care, as they are mainly related to a few common chronic diseases and this is not conducive to recognizing the vast range of health problems of our patients. Quality indicators can be useful as a starting point for discussions about quality in primary care but not all the data that we have in our electronic clinical records can be used to derive good quality indicators and they cannot reflect the broad scope of primary care. Some core values are difficult to measure because doctors and nurses are pushed to spend too much time on the registration and administration of the required data rather than dedicate this time to the actual care of the patient. Person-centered health care is certainly one the visions of primary care and primary care doctors need to step up and lead the change. Rural primary care doctors, who traditionally adopt a less biomedical and more holistic approach than their urban counterparts, could become the pioneers in the implementation of this process.
Źródło:
Medical Science Pulse; 2019, 13, 4; 60-63
2544-1558
2544-1620
Pojawia się w:
Medical Science Pulse
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A practical guide to cryptorchidism for the primary care physician
Autorzy:
Lovin, Jennifer Margaret
Khater, Nazih
Mata, John A.
Powiązania:
https://bibliotekanauki.pl/articles/551973.pdf
Data publikacji:
2019
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
cryptorchidism
physicians
primary care
orchiopexy.
Opis:
Cryptorchidism, also known as undescended testis, affects 3–5% of full term male infants at birth and 23% of preterm or low birth weight infants. Current guidelines recommend that all boys with cryptorchidism without testicular descent by 6 months of age be referred to an appropriate specialist for evaluation, with surgery preferably performed by 18 months. We aim to examine areas of controversy still being debated by reviewing published articles, in order to provide primary providers with a practical guide to diagnosis and management of the undescended testis. Our review examined published articles from 2000 to 2018, related to undescended testes, and their management. 32 articles were reviewed from 2000 to 2018 and showed with a high level of evidence that failure of testicular descent by 6 months of age (gestational) should prompt referral to an appropriate specialist. Physical exam is crucial. The main concerns for patients with cryptorchidism are the increased risk of testicular cancer and sub fertility. Routine use of scrotal ultrasound is not recommended in the evaluation of cryptorchidism. Diagnostic laparoscopy serves to confirm the presence of an intra-abdominal testicle. Surgical intervention within 18 months of age is imperative. Cryptorchidism should be corrected surgically between 6 months and 18 months of age. Early detection with diagnostic laparoscopy is the standard of care for treatment of palpable, undescended testis.
Źródło:
Family Medicine & Primary Care Review; 2019, 1; 78-82
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Attitudes towards complementary medicine practices among patients admitted to a primary care unit during the COVID-19 pandemic in Turkey
Autorzy:
Gökgöz Durmaz, Funda
Gökşin Cihan, Fatma
Kızmaz, Muhammet
Powiązania:
https://bibliotekanauki.pl/articles/2207172.pdf
Data publikacji:
2023-03-25
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
attitudes
complementary medicine
primary care
Opis:
Introduction and aim. The use of complementary medicine applications is increasing due to the interest of society. We aimed to assess the attitudes, behaviors, and awareness of the patients who applied to a primary care unit towards complementary medicine practices. Material and methods. This cross-sectional study was conducted with the voluntary participation of 562 individuals who admitted in a primary care unit. The data was collected through face-to-face interviews through a research questionnaire form and the Complementary, Alternative, and Conventional Medicine Attitudes Scale between 20 June-20 August 2021. The sample size was calculated with the OpenEpi v3.01program and statistical analyzes were performed using the SPSS-24 package program. Results. Their mean age was 39.73±12.95 years and women accounted for 55.5% (n=312) of all participants. The most known complementary medicine methods were phytotherapy, acupuncture, and cup therapy. The information sources of the participants about Complementary Medicine were mostly people around them; only 31.1% of them consulted a doctor. The mean total scale score was 111.45±19.08. Those with chronic diseases, employees, who had COVID-19 disease, high educational status, and those who evaluated their health status as good had more positive attitudes towards complementary medicine practices. A weak negative correlation was found between age and total scale score. Conclusion. Although positive attitudes towards complementary medicine practices are exhibited, health professionals are consulted at very low rates as a source of information. Health care providers must make arrangements and plans to provide this increasing interest from reliable sources.
Źródło:
European Journal of Clinical and Experimental Medicine; 2023, 1; 27-35
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Attention to biotinidase deficiency in children! A case report
Uwaga na niedobór biotynidazy u dzieci! Opis przypadku
Autorzy:
Alkan, Cigdem
Tan, Makbule Neslişah
Mevsim, Vildan
Powiązania:
https://bibliotekanauki.pl/articles/1034818.pdf
Data publikacji:
2018
Wydawca:
Medical Communications
Tematy:
biotinidase deficiency
newborn screening
primary care
Opis:
Biotinidase deficiency is an autosomal recessive metabolic disease that causes biotin deficiency. The exact diagnosis of the lack of biotinidase is made by demonstrating the absence of enzyme activity in the serum. Biotinidase deficiency is treated with oral biotin taken for lifetime. Early diagnosis and treatment are very important and prevent a number of complications. In this case report, a newborn baby was referred for periodic healthcare assessments to a family medicine centre, where biotinidase deficiency was diagnosed. Screening performed as part of periodic health assessment in the primary care setting is important for the detection of certain diseases, as many disease-related disabilities can be prevented with early diagnosis. In family practice, “shared decision-making,” which represents one of the elements of the patient-centred clinical method, is very effective, provided that patients and their relatives adapt to preventive healthcare.
Niedobór biotynidazy jest autosomalnym recesywnym zaburzeniem metabolicznym powodującym niedobór biotyny. Rozpoznanie niedoboru biotynidazy ustala się na podstawie braku aktywności enzymatycznej w surowicy, a jego leczenie polega na doustnym przyjmowaniu biotyny przez całe życie. Wczesne rozpoznanie i leczenie mają bardzo istotne znaczenie i pozwalają zapobiec licznym powikłaniom. W opisanym przypadku niedobór biotynidazy został rozpoznany u noworodka w ośrodku medycyny rodzinnej, gdzie został on skierowany w celu przeprowadzenia okresowej oceny stanu zdrowia. Badania przesiewowe wykonywane w ramach okresowej kontroli w placówkach podstawowej opieki zdrowotnej odgrywają ważną rolę w wykrywaniu niektórych chorób. W praktyce lekarza rodzinnego „wspólne podejmowanie decyzji”, które stanowi jeden z elementów klinicznej metody zorientowanej na pacjenta, jest skuteczne o tyle, o ile pacjenci i ich krewni potrafią dostosować się do wymogów profilaktycznej opieki zdrowotnej.
Źródło:
Pediatria i Medycyna Rodzinna; 2018, 14, 4; 428-430
1734-1531
2451-0742
Pojawia się w:
Pediatria i Medycyna Rodzinna
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Prevention of cardiovascular disease in a rural general practice
Autorzy:
Tomiak, Elżbieta
Chlabicz, Sławomir
Mizgała, Elżbieta
Lukas, Witold
Panasiuk, Lech
Drzastwa, Witold
Jankowska-Zduńczyk, Agnieszka
Powiązania:
https://bibliotekanauki.pl/articles/987099.pdf
Data publikacji:
2016
Wydawca:
Instytut Medycyny Wsi
Tematy:
cardiovascular risk factors
prevention
primary care
Opis:
Introduction. Cardiovascular disease (CVD) prophylaxis in general practice, especially in rural areas, is a major organizational challenge. Objective. The aim of this study was to determine the prevalence of CVD risk factors in the studied population, and to identify the effect of the number of planned prophylactic consultations on selected clinical parameters, risk factors, and total cardiovascular risk on the SCORE scale (Systemic Coronary Risk Evaluation). Materials and method. The study included patients of a rural general practice, aged 35–55 years, with at least one modifiable CVD risk factor. Medical history was obtained, a physical examination performed, blood glucose levels, lipid profile, BMI, waist circumference and blood pressure measured and the SCORE cardiovascular risk at baseline and at the end of the study calculated. All participants were provided with targeted specific education. Analysis was performed in two groups of patients (1 and 2), where group 1 had one more prophylactic consultation than Group 2. Results. The results at baseline and a year later were compared in pharmacologically untreated patients, 26 in Group 1 and 34 in Group 2. In Group 1, which had had more prophylactic consultations, a statistically significant decrease was found in the mean systolic blood pressure: 131.000–124.782 (p= 0.02721), mean diastolic blood pressure: 86.846–83.462 (p=0.01111), and a statistically significant decrease in total cardiovascular risk on the SCORE scale (p=0.0478). Conclusions. The higher number of preventive consultations had an impact on a statistically significant decrease in mean blood pressure and mean SCORE value. The year-long cardiovascular disease prophylaxis programme proved less effective than expected, and neither a decrease in body weight nor an improvement in lipid metabolism was achieved in any of the groups.
Źródło:
Annals of Agricultural and Environmental Medicine; 2016, 23, 4
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Problems of pain treatment in the elderly in primary care
Autorzy:
Sobieski, Mateusz
Grata-Borkowska, Urszula
Powiązania:
https://bibliotekanauki.pl/articles/1065257.pdf
Data publikacji:
2019
Wydawca:
Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
Tematy:
elderly
pain
pain treatment
primary care
seniors
Opis:
One of the most common reasons for patients reporting to their general practitioners is pain. With increasing age, these conditions become more common in the population and are more severe. In addition to the cause of pain, the clinical picture also includes comorbidities and medications taken for this reason, as well as psychophysiological changes that occur in the body with increasing age. With the aging of society, the problem of older people's pain is becoming a growing problem. The article presents data on the characteristics of pain among seniors, the principles of its treatment and describes the most common problems associated with pain therapy.
Źródło:
World Scientific News; 2019, 135; 99-115
2392-2192
Pojawia się w:
World Scientific News
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Recommendations of the Polish Society of Physiotherapy, the Polish Society of Family Medicine and the College of Family Physicians in Poland in the field of physiotherapy of back pain syndromes in primary health care
Autorzy:
Kassolik, Krzysztof
Rajkowska-Labon, Elżbieta
Tomasik, Tomasz
Pisula-Lewandowska, Agnieszka
Gieremek, Krzysztof
Andrzejewski, Waldemar
Dobrzycka, Anna
Kurpas, Donata
Powiązania:
https://bibliotekanauki.pl/articles/552992.pdf
Data publikacji:
2017
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
primary care physician
physiotherapy
back pain syndromes.
Źródło:
Family Medicine & Primary Care Review; 2017, 3; 323-334
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Unfinished first-line tuberculosis treatment in primary care in Indonesia
Autorzy:
Asyary, Al
Mahendradhata, Yodi
Powiązania:
https://bibliotekanauki.pl/articles/552420.pdf
Data publikacji:
2019
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
tuberculosis
drug resistance
Indonesia
developing countries
primary care.
Opis:
Background. Unfinished tuberculosis (TB) treatment has slowly but surely become an unexpected event in the disease’s development into drug-resistant TB. Developing countries, mostly comprised of Asian and Eastern European countries, including Indonesia, have been overwhelmed in preventing drug-resistant TB outcomes and have also failed to avoid the development of this disease. Objectives. This review discusses the current issue of an unfinished first-line TB treatment strategy in primary care in Indonesia, presenting some relevant strategies in developing countries. Material and methods. A narrative review approach conducted on all existing evidence in selected scientific bibliographic sources. The researchers defined the keywords based on the research question as a search strategy. Results. Scarce resources and limited access, alongside national policy on TB control and management, contribute in different ways to impede first-line TB treatment in Indonesia. Empowerment of TB patients and their families are considered the best ways to increase awareness on TB medication in a low- to middle-income setting. The role of the hospital and private practitioner networks in the treatment and management of TB patients is essential for developing active-case-finding-approach programs for TB suspects in primary care in an Indonesian setting. Contrarily, the potential misunderstandings in TB treatment have led to peculiar events affected by poor surveillance systems for TB investigation contacts to prevent TB incidences in large populations. Conclusions. This study addressed the barrier of all stakeholders, particularly primary care, to achieve the Indonesian government’s goals of TB elimination by 2030 and zero TB findings by 2050
Źródło:
Family Medicine & Primary Care Review; 2019, 2; 185-188
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of renal function in primary care
Autorzy:
Musiałowska, B.
Rudzińska, M.
Koc-Żórawska, E.
Żórawski, M.
Powiązania:
https://bibliotekanauki.pl/articles/1918735.pdf
Data publikacji:
2018
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
chronic kidney disease
acute kidney injury
Primary Care
Opis:
Evaluation of renal function is one of the primary tools used in treatment and monitoring kidney injury such as acute kidney injury (AKI) or chronic kidney disease (CKD) in Primary Care patients. Accompanying chronic diseases also have an impact on the assessment of renal function, treatment monitoring and adjustment of drug doses.
Źródło:
Progress in Health Sciences; 2018, 8(2); 202-205
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Primary health care in Estonia
Autorzy:
Polluste, Kaja
Lember, Margus
Powiązania:
https://bibliotekanauki.pl/articles/552005.pdf
Data publikacji:
2016
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
primary health care
patient satisfaction
family medicine
health care reform
primary health care financing
Estonia
Źródło:
Family Medicine & Primary Care Review; 2016, 1; 74-77
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Process mapping: a tool to foster intra- and inter-organizational coordination in primary care
Autorzy:
Santana, Sylvina
Redondo, Patricia
Powiązania:
https://bibliotekanauki.pl/articles/552612.pdf
Data publikacji:
2018
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
process mapping
coordinated care
Petri net
care transition
health center
primary care.
Źródło:
Family Medicine & Primary Care Review; 2018, 1; 41-46
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Travel medicine in primary health care
Autorzy:
Korzeniewski, Krzysztof
Powiązania:
https://bibliotekanauki.pl/articles/552447.pdf
Data publikacji:
2017
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
travel medicine
primary health care.
Źródło:
Family Medicine & Primary Care Review; 2017, 3; 303-308
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Tension-type headache – most prevalent, still unknown
Autorzy:
Sobieski, Mateusz
Korzeniewska, Aleksandra
Powiązania:
https://bibliotekanauki.pl/articles/1065224.pdf
Data publikacji:
2019
Wydawca:
Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
Tematy:
Tension-type headache
cognitive-behavior therapy
headache
pain
primary care
Opis:
Tension-type headaches are the most common type of primary headache disorders. They concern up even to 80% of the population. Despite their usually mild course, they are still a major health problem resulting from the multidimensional etiology of the disease, prevalence, demanding treatment and disregarding the symptoms of patients by doctors. The therapy of tension-type headache, due to its character, sometimes requires cooperation with a psychologist or psychotherapist. The article presents current diagnostic methods as well as methods of treatment - immediate, prophylactic and psychological.
Źródło:
World Scientific News; 2019, 135; 14-31
2392-2192
Pojawia się w:
World Scientific News
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Experiences of family physicians after a CME ultrasound course
Autorzy:
Szwamel, Katarzyna
Polański, Piotr
Kurpas, Donata
Powiązania:
https://bibliotekanauki.pl/articles/551568.pdf
Data publikacji:
2017
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
Primary health care, ultrasonography
physicians
family.
Źródło:
Family Medicine & Primary Care Review; 2017, 1; 62-69
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 52

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