Evaluation of the administration frequency of the adults to the Family Health Centers and conditions about taking service for the periodic health examination

Objective: To evaluate the frequency of obesity and its relation of metabolic syndrome. Methods: The data from the records of the consecutive adult residents of Bursa province in Turkey who were admitted to the family health centers from the 1st January to the 31st December 2016 were evaluated retrospectively. The population size was 2901396 (N) and the sample size was at least n=17729. A total of 17812 participants (10939 females, 6873 males) were included in this retrospective observational study. Sociodemographic characteristics, diseases, used medication and smoking, height, weight, waist and hip circumferences (WaC and HC) were recorded from the files. Results: The mean age of all subjects was 46.1 years, the mean BMI was 28.1 kg/m2 with a mean WaC of 91.3 cm, HC of 104.7 cm, WHR of 0.87. The prevalence of obesity in Bursa was found to be 32.2% (37.8% in females and 23.3% in males) according to BMI, 63.2% (69.7% in females, 52.9% in males) according to waist and hip circumferences. Conclusions: Preventive measures should be taken by health authorities to prevent the rapid increase in general and abdominal obesity that may lead to serious comorbidities. doi: https://doi.org/10.12669/pjms.35.4.235 How to cite this:Goktas O, Ersoy C, Ercan I, Can FE. General and abdominal obesity prevelances and their relations with metabolic syndrome components. Pak J Med Sci. 2019;35(4):---------. doi: https://doi.org/10.12669/pjms.35.4.235 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Evaluation of Clinical Follow-Up of The Patients Monitored at Home Due To COVID-19 Pandemic

Eurasian Journal of Family Medicine ◽

10.33880/ejfm.2021100401 ◽

2021 ◽

Vol 10 (4) ◽

pp. 163-170

Author(s):

Ayse Didem Esen ◽

Secil Arica ◽

Mikail Ozdemir

Keyword(s):

Family Health ◽

Definitive Diagnosis ◽

Hospitalized Patients ◽

Health Centers ◽

The Novel ◽

Cross Sectional ◽

The Family ◽

The Mean ◽

At Home

Aim: The most valuable approach to prevent the spread of the novel COVID-19, which is a pandemic today, is to detect, isolate, and treat patients. The majority of patients are mild or asymptomatic cases. These cases are followed up and isolated at home in many countries. With a governmental decision issued in Turkey, it has been deemed appropriate to follow up the suspected, contact or definitive diagnosis patients who do not indicate inpatient treatment, have a mild clinical course, or do not have a risk factor that may lead to a severe course of COVID-19, at home by the family practice units. In this study, we aimed to investigate the characteristics of the patients with COVID-19 who were being monitored at home. Methods: The study was designed as a retrospective cross-sectional observational study. In this study, 321 people who were registered at the Education and Family Health Centers of our hospital and followed up as COVID-19 suspects, contacts, or definitive cases were identified. Home follow-up data of these patients between April 1-30 were obtained retrospectively from the records of family health centers. Data, such as the presence and course of symptoms of people followed at home, their isolation status, medicine usage status, and test results were recorded electronically for further analysis. Results: In this study, 321 patients, 163 (50.28%) males, and 158 (49.22%) females were included. Among 321 patients, 287 (89.41%) were contact patients, 54 (16.82%) were suspected patients, and 28 (8.72%) had a definitive diagnosis. The mean age of the patients was 40.00±20.68. Among the patients included in this study, 27 (8.41%) were hospitalized, symptoms worsened in 8 (2.49%), 5 (1.56%) were re-applied to the hospital, 5 (1.56%) were re-hospitalized, and 28 people (8.72%) were administered medication. Conclusion: The mean age of patients who complied with the measures of isolation was higher than patients who did not. The mean age of hospitalized patients was higher than in non-hospitalized patients. The frequency of observed symptoms was consistent with the previous studies in the literature. Keywords: cough, fever, pandemics, quarantine, SARS-CoV-2

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Experience on the use of the family record as a tool for deepering the model of family health centers in the district of San Miguel, Chile.

Medwave ◽

10.5867/medwave.2016.6743 ◽

2016 ◽

Vol 16 (Suppl6) ◽

pp. 6743-6743

Author(s):

Daniel Alejandro Ruiz Maldonado ◽

Paulina Rebolledo Rodríguez ◽

Roxana Velasquez Vergara ◽

Jorge Pacheco Lazo

Keyword(s):

Family Health ◽

Health Centers ◽

The Family

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Family Health Care for Amphetamine-abused Adolescent in Thai Context: Cases Study

Journal of Clinical Review & Case Reports ◽

10.33140/jcrc.05.11.01 ◽

2020 ◽

Vol 5 (11) ◽

Keyword(s):

Health Care ◽

Video Game ◽

Family System ◽

Hospital Setting ◽

Family Health ◽

Information Support ◽

Health Examination ◽

Family Meeting ◽

The Family ◽

Cases Study

Amphetamine abuse has become a major challenge facing Thai society. The cases study was aimed at exploring how nurses provide care for family with amphetamine used teenagers at community hospital setting. The concept of Family healthcare and Family Resiliency were applied. The participants were 5 families with amphetamine-abused teenagers. The study tools comprised of Family Health Care Intervention (FHCI) that included family health assessment, family intervention, and Family Power Handout. Data was collected by in-depth interview, questionnaire, and health examination. Content analysis was used to analyze data. Findings displayed all parents had severe stress. Some fathers had high anger and punished their sons by striking. The adolescent boys had several risks behaviors; delinquency, theft, and video game addiction. Families coped with various methods such as taking sons to ordain. The family system had poor function. The nurses started therapeutic communication with parents and teenagers. Reducing suffering, providing emotional and information support were done. Some mothers were referred to psychiatrist due to severe depression. Family meeting and counselling were used; as well as follow-up, which was done for 4 weeks. Family psychoeducation and modification were conducted. After 4 sessions, family stress was decreased. Family function had adjusted to provide care for the teenagers, which could help them to decrease amphetamine using. Some fathers had seen function change of positive fathering. In summary, the FHCI could provide care for the family as a total unit. However, this situation is very complex, thus, longitudinal study design is needed for monitoring and evaluating the family health outcome.

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Practices of the family health team: advisors of the access to the health services?1

Texto & Contexto - Enfermagem ◽

10.1590/0104-07072014000610013 ◽

2014 ◽

Vol 23 (4) ◽

pp. 1077-1086 ◽

Cited By ~ 5

Author(s):

Anne Caroline Coelho Leal Árias Amorim ◽

Marluce Maria Araújo Assis ◽

Adriano Maia dos Santos ◽

Maria Salete Bessa Jorge ◽

Maria Lúcia Silva Servo

Keyword(s):

Health Services ◽

Family Health ◽

Health Centers ◽

Systematic Observation ◽

Health Team ◽

Health Strategy ◽

The Family ◽

Family Health Strategy ◽

Family Health Team ◽

Data Collection Technique

The study aimed to analyze the practices of the team in the Family Health Strategy, and how these guide the access to the health services. This was undertaken through qualitative research with systematic observation of the practice in three Family Health Centers as the data collection technique. The analyzing flowchart guided the analysis of the data. The results revealed that the access occurs, preferentially, through the family registration and the program actions directed towards specific groups. The procedure-centered practice guides the care in the Family Health Strategy, prioritizing the Emergency Room, depicted in emergency care. Some activities undertaken by the nurse were shown to be more susceptible to new therapeutic positions, shown by the service users' satisfaction. The study points to the need to advance in the re-signification of the practices, so as to strengthen improvement of access in the system's "gateway".

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Evaluation of pre-natal care from the perspective of different models in primary care

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692013000200011 ◽

2013 ◽

Vol 21 (2) ◽

pp. 546-553 ◽

Cited By ~ 5

Author(s):

Renata Leite Alves de Oliveira ◽

Cátia Regina Branco da Fonseca ◽

Maria Antonieta de Barros Leite Carvalhaes ◽

Cristina Maria Garcia de Lima Parada

Keyword(s):

Primary Care ◽

Family Health ◽

Evaluation Study ◽

Service Evaluation ◽

Models Of Care ◽

Health Centers ◽

The Public ◽

The Family ◽

Chi Squared ◽

Natal Care

OBJECTIVES: to evaluate the quality of the pre-natal care delivered in primary care, comparing the traditional model and the Family Health Strategy. METHOD: a service evaluation study, grounded in the public health policies. The data was obtained from interviews with managers, observation in the health centers, and analysis of patient records of pregnant women, selected at random. Differences in the indicators for structure and process were evaluated using the Chi-squared test, adopting p<0.05 as the critical value, calculation of the odds ratio, and confidence intervals of 95%. RESULTS: Similar structures were evidenced in both models of care. Synthesis indicators for the process created in the present study, and those indicated by the public policies, indicated that the situation is more favorable in Family Health Centers. Regarding the set of activities called for in pre-natal care, the performance was flawed in both models, although it was slightly better in the Family Health Centers. CONCLUSION: the results indicate the need for actions to improve pre-natal care in the two models of primary care evaluated in the municipality.

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Knowledge, Attitude and Practice of Health Care Personnel about Medical Waste Management in Selected Family Health Centers in Mansoura, Egypt

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol04-i06/668 ◽

2019 ◽

Vol 4 (06) ◽

Author(s):

Hanan Hamed Mohamed ◽

Rabab Gad Abd El-Kader ◽

Adel Al-Wehedy Ibrahim

Keyword(s):

Health Care ◽

Waste Management ◽

Family Health ◽

Medical Waste ◽

Health Centers ◽

Health Care Personnel ◽

Attitude And Practice ◽

The Family ◽

Medical Waste Management ◽

Knowledge Attitude And Practice

Background: Inadequate management of medical waste is a serious problem in many developing countries due to the risks arising to human health and the environment. The study aim was to assess knowledge, attitude and practice of the health care personnel about the medical waste management in the selected family health centers in Mansoura, Egypt. Design: Cross-sectional study approach was utilized. Cluster random sample was used in selecting the family health centers, the health care personnel working in the selected centers were the participant. Knowledge of health care providers was assessed by structured questionnaire. Observation checklists was used to assess their practice and Likert scale questionnaire to assess their attitude. Results: showed incorrect knowledge and improper practices related to different issues handling wastes of chemicals, pressurized containers and radioactive materials in addition, the duration of storage waste among the health care personnel and more than half (57.5%) of them had satisfactory attitude. Conclusion: physician and pharmacists had a good knowledge about waste management while most of them had unsatisfactory practice. Nurses had a satisfactory practice and most of the health care workers had satisfactory attitude towards safe waste management. Recommendations: development of in-service training program in relation to awareness and practices of waste disposal for all health care staff, with continuous monitoring at regular intervals. In addition to written policies or clear guidelines of waste management should be available at the family health centers.

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ATTENTION ON CONTRACEPTION BY FAMILY HEALTH TEAMS: CONVERGENCE OF EDUCATIONAL AND INVESTIGATIONAL PRACTICES

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2017-0124 ◽

2019 ◽

Vol 28 ◽

Author(s):

Luciana Cristina dos Santos Maus ◽

Evangelia Kotzias Atherino dos Santos ◽

Marli Terezinha Stein Backes ◽

Vitória Regina Petters Gregório ◽

Márcia Borck

Keyword(s):

Qualitative Research ◽

Sexual And Reproductive Health ◽

Family Health ◽

Health Centers ◽

Reproductive Health Services ◽

Structured Interviews ◽

The Family ◽

Education And Awareness ◽

The City ◽

Empirical Material

ABSTRACT Objective: to build health actions in conjunction with Family Health teams to improve contraceptive care. Method: a qualitative research, in the convergent care modality, with theoretical and methodological support from the Paideia Support. Data collection was performed through semi-structured interviews and convergence groups. The research participants belonged to five Health Centers in the city of Florianópolis, Brazil. The empirical material was organized and coded through the webQDA software. Data analysis followed the four generic processes: apprehension, synthesis, theorization and transference. Results: the analysis of the semi-structured interviews allowed the elaboration of proposals to improve contraceptive care and the convergence groups provided opportunities for education and awareness on the theme of contraceptive care. The first strategy used in the convergence groups was the presentation of inserts with the proposed actions to improve contraceptive care, allowing the participants of the groups to validate the actions (or not). The second strategy used Therapeutic Dolls to create scenes that contextualize contraceptive care in the daily services, allowing the recognition of two categories for analysis: the vulnerability profile of the users who demand contraceptive care; and the possibilities for perfecting this attention. Conclusion: the Family Health teams are betting on actions aimed at guaranteeing the access of users, especially adolescents, to sexual and reproductive health services.

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