scholarly journals Diagnosis and treatment of vestibulapathy in ambulatory practice

2017 ◽  
Vol 21 (4) ◽  
pp. 6-14
Author(s):  
Dmitriy V Kandyba
Keyword(s):  
General Practitioners ◽  
Point Of View ◽  
Diagnosis And Treatment ◽  
Vestibular Disorders ◽  
Treatment And Prevention ◽  
Clinical Diagnostic ◽  
Ambulatory Practice

The lecture devoted to general practitioners presents modern ideas about clinical diagnostic, treatment and prevention of vestibular disorders from the point of view of neurologists and specialists in the field of otorhinolaryngology.

scholarly journals AB1359-HPR PERCEPTION ABOUT FIBROMYALGIA AND ITS ACCOMPANYING SYMPTOMS AMONG MEXICAN PHYSICIANS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1966.1-1967
Author(s):  
R. I. Arvizu-Rivera ◽  
N. Escobedo-Zuñiga ◽  
I. J. Colunga-Pedraza ◽  
G. Serna-Peña ◽  
A. Cárdenas
Keyword(s):  
Abdominal Pain ◽  
Sleep Disturbance ◽  
General Practitioners ◽  
Sleep Disturbances ◽  
Negative Impact ◽  
Point Of View ◽  
Widespread Pain ◽  
Clinical Diagnostic ◽  
Accompanying Symptoms ◽  
Strongly Agree

Background:Previous studies showed that 93% of rheumatologists consider fibromyalgia (FM) as a clinical entity. However, accompanying symptoms such as fatigue, widespread pain, sleep disturbance and headache are underrecognized among physicians. According to a previous study, most recognized symptoms by general practitioners are fatigue and widespread pain (72.6%), while about thirty percent of physicians recognize sleep disturbance and depression as symptoms.Objectives:To investigate physicians’ point of view of FM accompanying symptoms in northeastern Mexico.Methods:We designed an electronic survey about physicians’ perceived importance of depression, fatigue, widespread pain, sleep disturbances, headache and irritable bowel disease symptoms (pain and cramping) in patients with FM. Questions were answered using a 5-point Likert scale: 1, strongly disagree; 2, disagree; 3, neutral; 4, agree; 5, strongly agree. General practitioners, rheumatologists, neurologists, psychiatrists were included.Results:A total of 236 physicians were included: general practitioners, 149 (59.3%); rheumatologists, 21 (8.9%); neurologists 18 (7.6%); psychiatrists 8 (3.4%), and family physicians, 49 (20.8%). FM was considered a clinical diagnosis by 208 (88.1%) and most physicians think FM is both a physical and psychological condition, 190 (80.5%). Full results on physicians’ perceptions is shown in Table 1. Fatigue was the symptom which most physicians agreed or strongly agreed was important in FM, 219 (92.7%). Disagreement (any degree) was greater regarding abdominal pain/cramping being an important symptom in FM, 52 (22%). Complete results can be seen in Image 1.Table 1.Perceptions’ of physicians about FM.VariableFM is a clinic diagnostic, n (%)208 (88.1)Unsure FM is a clinical diagnostic, n (%)12 (5)FM is a physical illness, n (%)33 (14)FM is a psychological illness, n (%)11 (4.7)FM is both physical and psychological, n (%)190 (80.5)FM has a negative impact on quality of life, n (%)227 (96.2)FM has a negative impact on life expectancy, n (%)135 (57.2)Conclusion:FM was considered a clinical diagnostic and an illness both physical and psychological by most physicians. Headache and abdominal pain/cramping are symptoms less likely to be perceived as important in patients with FM.References:[1]Perrot S, Choy E, Petersel D, et al. Survey of physician experiences and perceptions about the diagnosis and treatment of fibromyalgia. BMC Health Serv Res. 2012 Oct 10;12:356.[2]Kianmehr N, Haghighi A, Bidari A. Are general practitioners well informed about fibromyalgia? Int J Rheum Dis. 2017 Dec;20(12):1917-1921Figure 1.Image 1. Perception of accompanying symptoms of fibromyalgia (FM)Disclosure of Interests:None declared

CLINICAL AND LABORATORY EXAMINATION OF SYNOVIAL FLUID IN THE JOINT DISEASES DIAGNOSTICS. PART 1

2021 ◽  
pp. 23-33
Author(s):  
L. R. Yuldasheva ◽  
Y. A. Polevaya ◽  
Zh. Yu. Sapozhkova
Keyword(s):  
Synovial Fluid ◽  
General Practitioners ◽  
Diagnosis And Treatment ◽  
Joint Diseases ◽  
Laboratory Examination ◽  
Clinical Diagnostic ◽  
Standard Procedures ◽  
Trauma Surgeons

Synovial fluid examination plays the important role in diagnosis and treatment of joint diseases. Nowadays it presents a substantial challenge in clinical and lab settings because of lack of manuals for the examination and processing of synovial fluid. It needed cross-disciplinary approach between orthopedic and trauma surgeons, rheumatologists, general practitioners, and clinical lab specialists to achieve the diagnostic and treatment spot-on goals in time. It is become incredibly important to develop the standard procedures for assessment of synovial fluid and its implementation into the practice for clinical diagnostic laboratories.

A new medical Internet system in healthcare: innovation of Telegeriatrics and healthcare demands of older patients of different age groups (Preprint)

2020 ◽  
Author(s):  
Yu Gong ◽  
Jianyuan Zhou
Keyword(s):  
Cardiovascular Diseases ◽  
General Practitioners ◽  
Older Patients ◽  
Metabolic Diseases ◽  
Treatment Plan ◽  
Age Groups ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
World Health ◽  
New Model

BACKGROUND Healthcare for older patients is a worldwide challenge for public health system. A new medical Internet system in healthcare which is a new model of telegeriatrics system has been established. The key innovation is the new telegeriatrics system was conducted jointly by general practitioners in the Community Health Service Center and specialists in university teaching hospital. Unlike the typical telemedicine that has been practiced in other countries, the new model provides a solution for the key issues in telemedicine where a doctor is unable to conduct a direct physical examination and the associated potential diagnostic error. OBJECTIVE This study is to introduce the operation mechanism of the new Telegeriatrics system and analyze healthcare demands of older patients in different age groups applying the new Telegeriatrics system. METHODS 472 older patients (aged≥60) were enrolled and divided into the young older group (aged 60 to 74), the old older group (aged 75 to 89) and the very old group (aged≥90) according to the age stratification of World Health Organization. Proportion of the top 10 diseases of older patients of different age groups was analyzed. RESULTS The process of older patients’ diagnosis and treatment made by specialist and general practitioners formed a closed loop. It ensures the timeliness and effectiveness of diagnosis and treatment of older patients. The treatment effect can be observed by general practitioners and specialist can adjust the treatment plan in time. In this study, it was found that older patients in different age groups have different healthcare demands. Coronary heart disease and type 2 diabetes mellitus were found to be the main diseases of the older patients and the young older patients as well as the old older patients applying Telegeriatrics. CONCLUSIONS The new telegeriatrics system can provide convenient and efficient healthcare services for older patients and overcome the disadvantage of currently used models of telegeriatrics. Older patients in different age groups have different medical care demands. Cardiovascular diseases and metabolic diseases have become the main diseases of the elderly applying the new Telegeriatrics system. Healthcare policy makers should invest more medical resources to the prevention of cardiovascular diseases and metabolic diseases in the elderly.

scholarly journals Expert consensus on the prevention, diagnosis and treatment of cold injury in China, 2020

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Hong-Xu Jin ◽  
◽  
Yue Teng ◽  
Jing Dai ◽  
Xiao-Dong Zhao
Keyword(s):  
Relevant Literature ◽  
Population Level ◽  
Cold Injury ◽  
Expert Consensus ◽  
Diagnosis And Treatment ◽  
Hospital Treatment ◽  
Emergency Procedures ◽  
Treatment And Prevention ◽  
Foreign Countries ◽  
Body Heat

AbstractCold injury refers to local or systemic injury caused by a rapid, massive loss of body heat in a cold environment. The incidence of cold injury is high. However, the current situation regarding the diagnosis and treatment of cold injury in our country is not ideal. To standardize and improve the level of clinical diagnosis and treatment of cold injury in China, it is necessary to make a consensus that is practical and adapted to the conditions in China. We used the latest population-level epidemiological and clinical research data, combined with relevant literature from China and foreign countries. The consensus was developed by a joint committee of multidisciplinary experts. This expert consensus addresses the epidemiology, diagnosis, on-site emergency procedures, in-hospital treatment, and prevention of cold injury.

scholarly journals Exploiting Clonal Evolution to Improve the Diagnosis and Treatment Efficacy Prediction in Pediatric AML

Cancers ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 1995
Author(s):  
Salvatore Nicola Bertuccio ◽  
Laura Anselmi ◽  
Riccardo Masetti ◽  
Annalisa Lonetti ◽  
Sara Cerasi ◽  
...  
Keyword(s):  
Treatment Efficacy ◽  
Clonal Evolution ◽  
Poor Response ◽  
Point Of View ◽  
Diagnosis And Treatment ◽  
Preclinical Model ◽  
Therapeutic Protocols ◽  
Pediatric Aml ◽  
Patients Experience ◽  
Efficacy Prediction

Despite improvements in therapeutic protocols and in risk stratification, acute myeloid leukemia (AML) remains the leading cause of childhood leukemic mortality. Indeed, the overall survival accounts for ~70% but still ~30% of pediatric patients experience relapse, with poor response to conventional chemotherapy. Thus, there is an urgent need to improve diagnosis and treatment efficacy prediction in the context of this disease. Nowadays, in the era of high throughput techniques, AML has emerged as an extremely heterogeneous disease from a genetic point of view. Different subclones characterized by specific molecular profiles display different degrees of susceptibility to conventional treatments. In this review, we describe in detail this genetic heterogeneity of pediatric AML and how it is linked to relapse in terms of clonal evolution. We highlight some innovative tools to characterize minor subclones that could help to enhance diagnosis and a preclinical model suitable for drugs screening. The final ambition of research is represented by targeted therapy, which could improve the prognosis of pediatric AML patients, as well as to limit the side toxicity of current treatments.

Anomalies of Infants and Children

PEDIATRICS ◽  
1959 ◽  
Vol 23 (1) ◽  
pp. 150-150
Author(s):  
JOSEF WARKANY
Keyword(s):  
Dental Caries ◽  
General Practitioners ◽  
Subject Matter ◽  
Congenital Anomalies ◽  
Point Of View ◽  
Infants And Children ◽  
Facial Bones ◽  
Functional Disturbances ◽  
Facial Clefts ◽  
The Subject

This book was written, according to the foreword, primarily for students and general practitioners. It is designed as a quick reference to aid in discussions with parents and to facilitate an understanding of the anatomic anomalies discussed, of the resulting functional disturbances and their treatment. The authors are plastic surgeons and the subject matter is chosen essentially from their point of view. They deal with a variety of congenital anomalies but also with disorders resulting from postnatal injuries. Such etiologically heterogeneous subjects as deformities of the skull and brain, facial clefts, hemangiomas, fractures and dislocations of the facial bones and dental caries are discussed.

An overview on the concept of “Aam” and its significance as mentioned in Ayurvedic texts.

2020 ◽  
Vol 8 (01) ◽  
Author(s):  
Tejaswini Katare ◽  
Disha Sharma ◽  
Ganesh Puradkar ◽  
Arun Dudhamal
Keyword(s):  
Point Of View ◽  
The Body ◽  
Diagnosis And Treatment ◽  
Important Concept ◽  
Root Cause ◽  
Causative Factors ◽  
Undigested Food ◽  
Unhealthy Diet ◽  
Lack Of Exercise ◽  
All Diseases

Aam is an important concept described by Ayurvedic Acharyas which is responsible for many diseases. According to Ayurvedic point of view, all diseases are originated from aamdosh, vitiation of Agni i.e malfunction of Agni produces Aam. Aam is unripe, undigested food which is caused due to Agnimandya. Agnimandya produces aam and viceversa. We all know that all diseases are caused due to Agnimandya. Therefore as agnimandya and aam are the causative factors of each other, aam is the root cause of all diseases. Hence aam and agnimandya plays an important role in diagnosis and treatment of disease. Nowadays due to lack of exercise, unhygienic and unhealthy diet, incapability to obey the rules of sound body maintenance and increasing pollution results in agnimandya and aam production in the body and decrease in immunity resulting into various diseases. The concept of aam is the most important fundamental principal of Ayurveda in understanding the physio- pathology of the disease.

Legal Challenges for Romanian Family Medicine Practitioners in Times of ‘COVID-19’

2021 ◽  
Vol 28 (1) ◽  
pp. 71-75
Author(s):  
Silviu Dumitru PAUN ◽  
◽  
Sinziana-Elena BIRSANU ◽  
Codrut Andrei NANU ◽  
◽  
...  
Keyword(s):  
Family Medicine ◽  
General Practitioners ◽  
Point Of View ◽  
Insurance Policy ◽  
Roles And Responsibilities ◽  
Applicable Law ◽  
Professional Activities ◽  
Legal Challenges ◽  
The Law ◽  
Special Circumstances

The general practitioners (GPs’) practice faced serious challenges as a result of COVID-19 pandemic, including from a legal point of view. In this context, a series of questions related to the GPs’ professional activities might arise such as: (i) what happens if a doctor makes a mistake because he/she is exhausted, as a result of overtime or (ii) if he/she performs medical acts outside the boundaries of his/her own specialty or without consent, as requested by his/her own conscience, by the situation, by the authorities and by his/her principal? In all these special circumstances this could mean that the doctor fails to comply with the applicable law. Moreover, because he/she breaches the law, the professional insurance policy will cease to be applicable. With new roles and responsibilities, the GPs should adjust their practice to the current conditions.

scholarly journals Scientific Ethics applied to Medicine

2019 ◽  
Vol 2 (1) ◽  
pp. 01-03
Author(s):  
Marcello Menapace
Keyword(s):  
General Medicine ◽  
Diagnosis And Treatment ◽  
Human Beings ◽  
Treatment And Prevention ◽  
Or Practice ◽  
Scientific Ethics

General medicine is the study of the science that allows physicians to deal with the prevention, diagnosis and treatment of adult diseases in human beings. Since medicine is the science or practice of the diagnosis, treatment, and prevention of disease.

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