scholarly journals COVID-19 Skin Manifestations in Skin of Colour

2021 ◽  
pp. 120347542110533
Author(s):  
Edgar Akuffo-Addo ◽  
Mathew N. Nicholas ◽  
Marissa Joseph
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Medical Literature ◽  
Skin Manifestations ◽  
Dermatologic Manifestations

Coronavirus disease (COVID-19) skin manifestations have been increasingly reported in medical literature. Recent discussions have identified a lack of images of skin of color (SOC) patients with COVID-19 related skin findings despite people with skin of color being disproportionately affected with the disease. There have been calls to prioritize the identification of COVID-19 skin manifestations in patients with SOC and disseminate these findings. The objective of this article is to review the existing literature on COVID-19 skin manifestations and, where possible, discuss how they may present differently in patients with SOC. Further research is needed to allow primary care physicians and dermatologists to be aware of and easily identify patients with cutaneous findings that may be secondary to COVID-19. Patients presenting with idiopathic dermatologic manifestations should be considered for COVID-19 testing and follow public health guidelines for self-isolation.

scholarly journals Comparing Hospital and Primary Care Physicians’ Attitudes and Knowledge Regarding Antibiotic Prescribing: A Survey within the Centre Region of Portugal

Antibiotics ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 629
Author(s):  
António Teixeira Rodrigues ◽  
João C. F. Nunes ◽  
Marta Estrela ◽  
Adolfo Figueiras ◽  
Fátima Roque ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Problem ◽  
Primary Care Physicians ◽  
Negative Impact ◽  
Public Health Problem ◽  
Antibiotic Prescribing ◽  
Self Medication ◽  
Centre Region ◽  
Attitudes And Knowledge

Background: Antibiotic resistance is a worldwide public health problem, leading to longer hospital stays, raising medical costs and mortality levels. As physicians’ attitudes are key factors to antibiotic prescribing, this study sought to explore their differences between primary care and hospital settings. Methods: A survey was conducted between September 2011 and February 2012 in the center region of Portugal in the form of a questionnaire to compare hospital (n = 154) and primary care (n = 421) physicians’ attitudes and knowledge regarding antibiotic prescribing. Results: More than 70% of the attitudes were statistically different (p < 0.05) between hospital physicians (HPs) and primary care physicians (PCPs). When compared to PCPs, HPs showed higher agreement with antibiotic resistances being a public health problem and ascribed more importance to microbiological tests and to the influence of prescription on the development of resistances. On the other hand, PCPs tended to agree more regarding the negative impact of self-medication with antibiotics dispensed without medical prescription and the need for rapid diagnostic tests. Seven out of nine sources of knowledge’s usefulness were statistically different between both settings, with HPs considering most of the knowledge sources to be more useful than PCPs. Conclusions: Besides the efforts made to improve both antibiotic prescribing and use, there are differences in the opinions between physicians working in different settings that might impact the quality of antibiotic prescribing. In the future, these differences must be considered to develop more appropriate interventions.

scholarly journals Role of primary care physicians in diabetes care in India

2020 ◽  
Vol 6 (6) ◽  
pp. 235
Author(s):  
M. D. Abu Bashar ◽  
Nazia Begam
Keyword(s):  
Public Health ◽  
Type 2 Diabetes ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Survival Rates ◽  
Type 2 Dm ◽  
Public Health Challenge ◽  
Overweight Or Obesity

Diabetes is a major worldwide epidemic and a public health challenge of 21<sup>st</sup> century with &gt;415 million individuals living with the disease and this number is expected to grow to staggering 642 million by 2040. Of patients with this disease, 90% to 95% have type 2 DM. Factors contributing to this increase mainly of type 2 diabetes include an aging population, improved survival rates, and the increasing prevalence of overweight or obesity.

Pediatric Cardiac Conditions

Asthma ◽  
2014 ◽  
pp. 204-214
Author(s):  
Louis I. Bezold
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Differential Diagnosis ◽  
Side Effects ◽  
Cardiac Disease ◽  
Cardiac Dysfunction ◽  
Primary Care Physicians ◽  
Public Health Issue ◽  
Medical Issues ◽  
Common Association

Many cardiac conditions presenting in childhood belong on the differential diagnosis list of bronchial asthma, and vice versa. Asthma, through either direct disease action or undesired side effects of therapy, is associated with subclinical cardiac dysfunction and ischemia. Obesity, a tremendous public health issue, shares a common association with both cardiac disease and asthma. Considering these facts, close collaboration between pediatric subspecialists and primary care physicians is absolutely necessary to effectively manage children with the multiple comorbidities associated with asthma. More research is needed to optimize asthma therapies while reducing complications, with the goal of the best possible outcomes for all children struggling with these medical issues.

Recognizing and Effectively Treating Depression

CNS Spectrums ◽  
2008 ◽  
Vol 13 (S11) ◽  
pp. 5-9 ◽  
Author(s):  
Yves Lecrubier
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Antidepressant Drugs ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
International Survey ◽  
Road Accidents

AbstractIn 2004, more people died in Europe from suicide than from road accidents. The lifetime prevalence of major depression is 20% for women and 10% for men. Depression is a leading cause of disability and decreased quality of life. In spite of this, numerous studies have shown that only ~50% of depressed patients are recognized as such in primary care. In a recent international survey of everyday management of depression we observed that only ~15% of patients became symptom-free following treatment. In spite of this low level of remission primary care physicians and psychiatrist only rarely increased the dose of antidepressant or switched to another medication as unanimously recommended by different guidelines. Numerous studies have demonstrated the importance of maintaining treatment for ≥6 months after remission is obtained in order to prevent relapse and recurrence. However, a recent study reported that only 19% of a cohort of patients in primary care continued treatment for 6 months as recommended. Antidepressants can be very effective but only when used correctly at adequate doses and for a sufficient duration. Although new improved antidepressants are obviously desirable, a greater recognition of depression and its treatment by the correct use of currently available antidepressant drugs could greatly improve the management of this major public health problem.

scholarly journals Retaining interest in caring for underserved patients among future medicine subspecialists: Underserved Medicine and Public Health (UMPH) program

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jillian S. Catalanotti ◽  
David K. Popiel ◽  
April Barbour
Keyword(s):  
Public Health ◽  
Internal Medicine ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Underserved Populations ◽  
Lessons Learned ◽  
University Hospital ◽  
Subspecialty Training ◽  
Internal Medicine Residents ◽  
Underserved Patients

Abstract Background Accessing subspecialty care is hard for underserved patients in the U.S. Published curricula in underserved medicine for Internal Medicine residents target future-primary care physicians, with unknown impact on future medicine subspecialists. Methods The aim was to retain interest in caring for underserved patients among Internal Medicine residents who plan for subspecialist careers at an urban university hospital. The two-year Underserved Medicine and Public Health (UMPH) program features community-based clinics, evening seminars, reflection assignments and practicum projects for 3–7 Internal Medicine residents per year. All may apply regardless of anticipated career plans after residency. Seven years of graduates were surveyed. Data were analyzed using descriptive statistics. Results According to respondents, UMPH provided a meaningful forum to discuss important issues in underserved medicine, fostered interest in treating underserved populations and provided a sense of belonging to a community of providers committed to underserved medicine. After residency, 48% of UMPH graduates pursued subspecialty training and 34% practiced hospitalist medicine. 65% of respondents disagreed that “UMPH made me more likely to practice primary care” and 59% agreed “UMPH should target residents pursuing subpecialty careers.” Conclusions A curriculum in underserved medicine can retain interest in caring for underserved patients among future-medicine subspecialists. Lessons learned include [1] building relationships with local community health centers and community-practicing physicians was important for success and [2] thoughtful scheduling promoted high resident attendance at program events and avoided detracting from other activities required during residency for subspecialist career paths. We hope Internal Medicine residency programs consider training in underserved medicine for all trainees. Future work should investigate sustainability, whether training results in improved subspecialty access, and whether subspecialists face unique barriers caring for underserved patients. Future curricula should include advocacy skills to target systemic barriers.

Fool’s Gold: Psychologists Using Disingenuous Reasoning to Mislead Legislatures into Granting Psychologists Prescriptive Authority

2003 ◽  
Vol 29 (4) ◽  
pp. 489-524
Author(s):  
Brent Pollitt
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
American Psychological Association ◽  
The United States ◽  
Psychotropic Medications ◽  
American Psychological ◽  
Training Requirements ◽  
Prescriptive Authority

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.

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