Effects of a long-term lifestyle intervention program with Mediterranean diet and exercise for the management of patients with metabolic syndrome in a primary care setting

2015 ◽  
Vol 26 (5) ◽  
pp. 317-323 ◽  
Author(s):  
R. Gomez-Huelgas ◽  
S. Jansen-Chaparro ◽  
A.J. Baca-Osorio ◽  
J. Mancera-Romero ◽  
F.J. Tinahones ◽  
...  
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Mediterranean Diet ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Care Setting ◽  
Primary Care Setting ◽  
Diet And Exercise ◽  
Lifestyle Intervention Program

Recognition and assessment of dementia in primary care

2019 ◽  
Vol 30 (9) ◽  
pp. 438-443
Author(s):  
Karen Harrison-Dening
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Signs And Symptoms ◽  
Assessment Tools ◽  
Long Term Conditions ◽  
Practice Nurses ◽  
Memory Assessment ◽  
Neurology Clinic

While patients diagnosed with dementia will require management from specialist neurology clinics, practice nurses play an important role in their health. Karen Harrison-Dening explains what assessment tools are available for patients with particular health needs The majority of patients are diagnosed in a memory assessment service or a neurology clinic. However, early detection of a possible dementia is often done in a primary care setting. Dementia diagnosis has been seen by some as a ‘tick-box exercise’ but there are significant benefits to patients and their families when screening or testing for dementia is carried out early, especially in supporting the patients management of other comorbid or long-term conditions. Nurses working in primary care have a key role in identifying patients who may have the signs and symptoms of dementia by enabling them to access a timely diagnosis.

scholarly journals Resistant Hypertension and Obstructive Sleep Apnea in the Primary-Care Setting

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
M. Demede ◽  
A. Pandey ◽  
F. Zizi ◽  
R. Bachmann ◽  
M. Donat ◽  
...  
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Resistant Hypertension ◽  
Evaluation System ◽  
Care Setting ◽  
Primary Care Setting ◽  
Obstructive Sleep ◽  
Risk Evaluation System

We ascertained the prevalence of resistant hypertension (RH) among blacks and determined whether RH patients are at greater risk for obstructive sleep apnea (OSA) than hypertensives.Method. Data emanated from Metabolic Syndrome Outcome Study (MetSO), a study investigating metabolic syndrome among blacks in the primary-care setting. Sample of 200 patients (mean age = 63 ± 13 years; female = 61%) with a diagnosis of hypertension provided subjective and clinical data. RH was defined using the JNC 7and European Society guidelines. We assessed OSA risk using the Apnea Risk Evaluation System ARES), defining high risk as a total ARES score ≥6.Results. Overall, 26% met criteria for RH and 40% were at high OSA risk. Logistic regression analysis, adjusting for effects of age, gender, and medical co morbidities, showed that patients with RH were nearly 2.5 times more likely to be at high OSA risk, relative to those with hypertension (OR = 2.46, 95% CI: 1.03–5.88,P<.05).Conclusion. Our findings show that the prevalence of RH among blacks fell within the range of RH for the general hypertensive population (3–29%). However, patients with RH were at significantly greater risk of OSA compared to patients with hypertension.

Markers of metabolic syndrome in obese children before and after 1-year lifestyle intervention program

2010 ◽  
Vol 50 (6) ◽  
pp. 391-400 ◽  
Author(s):  
C. Pedrosa ◽  
B. M. P. M. Oliveira ◽  
I. Albuquerque ◽  
C. Simões-Pereira ◽  
M. D. Vaz-de-Almeida ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Obese Children ◽  
Before And After ◽  
Lifestyle Intervention Program

Recognition and assessment of dementia in primary care

2019 ◽  
Vol 24 (8) ◽  
pp. 383-387
Author(s):  
Karen Harrison Dening
Keyword(s):  
Primary Care ◽  
Early Detection ◽  
Care Setting ◽  
Primary Care Setting ◽  
Signs And Symptoms ◽  
Dementia Diagnosis ◽  
Long Term Conditions ◽  
Memory Assessment ◽  
Neurology Clinic

The majority of patients are diagnosed within a memory assessment service or a neurology clinic. However, early detection of a possible dementia is often done in a primary care setting. Dementia diagnosis has been seen by some as a ‘tick-box exercise’ but there are significant benefits to patients and their families when screening or testing for dementia is carried out early, especially in supporting the patients management of other comorbid or long-term conditions. Community nurses have a key role in identifying patients who may have the signs and symptoms of dementia by enabling them to access a timely diagnosis.

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