scholarly journals P and Z ICPC2 classifications as reason for encounter for sex and age in central Portugal in 2016 and 2019

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Fábio Valente ◽  
Luiz Miguel Santiago

Abstract Background ICPC2 reasons for encounter classified in P (Psychological) and Z (Social) chapters are scarce in the medical literature. We aimed to verify the frequency of such reasons for encounter classified in P and Z ICPC-2 chapters, to perceive their association by sex and age in the post-economic 2011 to 2015 economic and financial Portuguese crisis, calculating its trends from 2016 to 2019. Methods Observational, cross-sectional study in 2020 comparing data from 2016 and 2019 using the application R of the software RStudio® version 1.3.1093, considering 100 random samples of 10.000 dimension random samples with replacement from the original one. Absolute and relative frequencies and classification trends of all items corresponding to the component signs and symptoms and Illnesses and diagnostics of chapters P and Z in total and by gender were calculated. Results Classified reasons for encounter in 2016 and 2019 presented statistically significant association by sex (P < 0.001) and age (P < 0.001) being more common in women (67.4% in 2016 and 66.8% in 2019) and in adulthood (51.6 years in 2016 and 51.5 years in 2019). P and Z of components 1 and 7 reasons for encounter decreased in both chapters (Δ = -7.3% in component 1 and Δ = -2.3% in component 7 of P; Δ = -0.9% in component 1 of Z) between 2016 and 2019. Conclusions The P and Z ICPC-2 chapters classified as reasons for encounter presented statistically significant association by sex and age and were more frequent near to the crisis years, in the female sex and in those older than 50 years.

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e009774
Author(s):  
Marianne Legendre-Dugal ◽  
Janet Bradley ◽  
Subramanian Potty Rajaram ◽  
Catherine M Lowndes ◽  
Banadakoppa M Ramesh ◽  
...  

2018 ◽  
Vol 71 (1) ◽  
pp. 104-110 ◽  
Author(s):  
Márcia Koja Breigeiron ◽  
Vitória da Costa Moraes ◽  
Janice Carneiro Coelho

ABSTRACT Objective: Identify the signs and symptoms of patients with Gaucher Disease, inferring possible priority nursing diagnoses. Method: Cross-sectional study, developed in a specialized laboratory, between 2013 and 2015. The sample (n = 91) comprised the records of patients with genetic diagnosis for Gaucher Disease. The study respected research norms. Results: Prevalence of female sex (57.1%), age at diagnosis between 0 and 10 years, and origin from the Southeast Region of Brazil were prevalent. Hematologic changes, bone pain, hepatomegaly, splenomegaly, and fatigue were the most recurrent signs and symptoms. The inferred diagnoses for the studied population were: Risk for bleeding; Fatigue; Chronic pain and Acute pain; Impaired physical mobility; Imbalanced nutrition: less than body requirements; and Risk for Developmental Delay. Conclusion: The establishment of Priority Nursing Diagnoses based on signs and symptoms makes it possible to achieve expected outcomes for each individual in the care context.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Jingzhen Lai ◽  
Chunwei Qin ◽  
Eric J. Nehl ◽  
Junjun Jiang ◽  
Yunxuan Huang ◽  
...  

2019 ◽  
Author(s):  
Makoto Kaneko ◽  
Kees Van Boven ◽  
Hiroshi Takayanagi ◽  
Tesshu Kusaba ◽  
Takashi Yamada ◽  
...  

Abstract Background GP in Japan are encouraged to conduct home visits for older adults. However, most previous studies on home visits were based on secondary analyses of billing data that did not include reasons for the encounter. Objectives This study aimed to describe home visit care by GP in Japan, including reasons for encounter, health problems, episodes of care, comprehensiveness and multimorbidity. Methods This multicentre descriptive cross-sectional study used the International Classification of Primary Care, second edition, and was conducted in Japan from 1 October 2016 to 31 March 2017. Participants were patients who received home visits from 10 enrolled GPs working in urban and rural areas across Japan. The main outcome measures were reasons for encounter, health problems and multimorbidity. Results Of 253 potential patient participants, 250 were included in this analysis; 92.4% were aged 65 years and older. We registered 1,278 regular home visits and 110 emergency home visits. The top three reasons for encounters home visits were associated with cardiovascular and gastrointestinal disorders: prescriptions for cardiovascular diseases (n = 796), medical examination/health evaluation for cardiovascular diseases (n = 758) and prescriptions for gastrointestinal problems (n = 554). About 50% of patients had multimorbidity. Cardiovascular, endocrine and neuropsychological diseases were the most frequent problems in patients with multimorbidity. Conclusions The main reasons for encounter were prescriptions for chronic conditions. Emergency visits accounted for 8% of all visits. Around half of the patients had multimorbidity. This information may help GPs and policy makers to better assess home visit patients' needs.


PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0188606 ◽  
Author(s):  
Jenny Coetzee ◽  
Gillian Hunt ◽  
Maya Jaffer ◽  
Kennedy Otwombe ◽  
Lesley Scott ◽  
...  

2014 ◽  
Vol 5 (1) ◽  
pp. 113-118 ◽  
Author(s):  
Yousef Moghaddasi ◽  
Seyedtaghi Mirmohammadi ◽  
Anees Ahmad ◽  
Syavash Etemadi Nejad ◽  
Jamshid Yazdani

2020 ◽  
Author(s):  
Marlene Thielecke ◽  
Stefanie Theuring ◽  
Welmoed van Loon ◽  
Franziska Hommes ◽  
Marcus A. Mall ◽  
...  

AbstractObjectivesThe comparatively large proportion of asymptomatic SARS-CoV-2 infections in the youngest children opens up the possibility that kindergartens represent reservoirs of infection. However, actual surveys in kindergartens beyond individual outbreaks are rare. At the beginning of the second pandemic wave in Berlin, Germany, i.e., end of September 2020, we screened SARS-CoV-2 infections among kindergarten children, staff and connected household members.MethodsTwelve kindergartens were randomly selected in the Berlin metropolitan area, and a total of 720 participants were recruited (155 pre-school children, 78 staff, 487 household members). Participants were briefly examined and interviewed, and SARS-CoV-2 infections and anti-SARS-Cov-2 IgG antibodies were assessed.ResultsSigns and symptoms, largely resembling common cold, were present in 24.2% of children and 28.9% of staff. However, no SARS-CoV-2 infection was detected among 701 PCR-tested individuals, and only one childcare worker showed IgG seroreactivity (0.15%; 1/672).ConclusionsAgainst a backdrop of increased pandemic activity in the community, this cross-sectional study does not suggest that kindergartens are silent transmission reservoirs. Nevertheless, at increasing pandemic activity, reinforced precautionary measures and repeated routine testing appears advisable.


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