scholarly journals Timely Detection of Glaucoma in General Practice as a Means Prevent Late Diagnosis

2016 ◽  
pp. 143-145
Author(s):  
Nataliia Medvedovskaya ◽  
Zoreslava Povch
Keyword(s):  
Risk Factors ◽  
Early Stage ◽  
Low Vision ◽  
Family Doctor ◽  
Risk Groups ◽  
Sociological Research ◽  
Timely Diagnosis ◽  
Treatment And Prevention ◽  
The Family ◽  
Near Future

The objective: justification of need of the organization of introduction of measures for timely identification of an ophthalmic hypertension in practice of the family doctor for timely diagnosis of glaucoma, the prevention of development of her terminal stage became a research objective. Patients and methods. Outpatient and polyclinic units of five healthcare institutions of the city of Kiev in which primary help by the principles of the general medical practice – family medicine is given became scientific base of a research. Forms of account No. 12 «The report on the diseases registered at patients who live in the district of service of treatment and prevention facility» and questionnaires of a sociological research of risk factors of glaucoma (820 questionnaires) were primary material. Achievement of goals of a research demanded use of a complex of methods of a research, a basis for which was a systemic approach, namely: bibliosemantic, sociological, medico-statistical methods. Results. Of a research it has turned out that prevalence of glaucoma continues to increase enough in high gear (for 14,9% from 2010 to 2014) that proves relevance of a problem of the prevention of a blindness and a low vision because of glaucoma in Ukraine and in the near future. Owning knowledge of modern risk factors which has the proved influence on formation of an oftalmogipertenziya, and over time and glaucomas, physicians of primary contact can actively form risk groups on glaucoma that will allow to unify and to individualize at the same time preventively – improving, medical and diagnostic medical care in each case and to objectify assessment of her results in dynamics. Conclusion. Interaction in form of cooperation of the family doctor and ophthalmologist within the competences allows to perform effective long accounting of patients, preventing loss of visual functions by them for the account, first of all timely diagnosis of a disease (at an early stage), possible correction of the available risk factors of origin and progressing of glaucoma.

Risk Factors for Development of Glaucoma in the Practice of Family Doctor

2016 ◽  
pp. 52-54
Author(s):  
Nataliia Medvedovskaya ◽  
Zoriana Povch
Keyword(s):  
Risk Factors ◽  
General Practice ◽  
Ocular Hypertension ◽  
Early Stage ◽  
Family Doctor ◽  
Daily Practice ◽  
Risk Groups ◽  
Sociological Research ◽  
Effective Prevention ◽  
The Family

The objective: studying of risk factors of developing of glaucoma for formation of risk groups in daily practice of the family doctor, in particular timely identification of an ocular hypertension, the prevention of establishment for the first time of the diagnosis in her late stage became a research objective. Patients and methods. Outpatient and polyclinic offices of five healthcare institutions of the city of Kiev in which primary help by the principles of the general medical practice – family medicine is given became scientific base of a research. Forms of account № 12 «The report on the diseases registered at patients who live in the area of service of treatment and prevention facility» and questionnaires of a sociological research of risk factors of glaucoma (820 questionnaires) were primary material. Achievement of goals of a research demanded use of a complex of methods of a research, a basis for which was a system approach, namely: bibliosemantic, sociological (questionnaire), medico-statistical methods. Results. Оf a research it is proved that relevance of a problem of the prevention of a blindness and a low vision owing to glaucoma increases in Ukraine over the years. Modern risk factors of development of glaucoma which have the proved influence on formation of an ocular hypertension, and are studied later and glaucomas, knowledge of which will help physicians of primary contact with the patient to form actively risk groups on glaucoma that, in turn, allows to individualize at the same time preventively – improving, medical and diagnostic medical care in each case and to objectify assessment of its results in dynamics. Conclusion. Knowledge the doctor of the general practice the family doctor of modern risk factors of development of glaucoma is necessary for her effective prevention as it is proved that timely diagnosis of a disease (at an early stage) does possible correction of the existing risk factors of emergence and progressing of glaucoma that is very important in daily practice of the doctor of the general practice – the family doctor.

scholarly journals Experts’ opinion on the detection and management of prediabetes in Lebanon

2021 ◽  
Vol 104 (3) ◽  
pp. 003685042110294
Author(s):  
Emile Andari ◽  
Paola Atallah ◽  
Sami Azar ◽  
Akram Echtay ◽  
Selim Jambart ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preliminary Report ◽  
Early Stage ◽  
National Guidelines ◽  
Lifestyle Modifications ◽  
Multiple Tests ◽  
Lebanese Population ◽  
To Come ◽  
Near Future

Given that the complications of type 2 diabetes can start at an early stage, early detection and appropriate management of prediabetes are essential. We aimed to develop an expert opinion on prediabetes in Lebanon to pave the way for national guidelines tailored for the Lebanese population in the near future. A panel of seven diabetes experts conducted a thorough literature review and discussed their opinions and experiences before coming up with a set of preliminary recommendations for the detection and management of prediabetes in Lebanon. Lebanese physicians employ multiple tests for the diagnosis of prediabetes and no national cut-off values exist. The panel agreed that prediabetes screening should be focused on patients exceeding 45 years of age with otherwise no risk factors and on adults with risk factors. The panel reached that fasting plasma glucose (FPG) and HbA1c should be used for prediabetes diagnosis in Lebanon. FPG values of 100–125 mg/dL or HbA1c values of 5.7%–6.4% were agreed upon as indicative of prediabetes. For the management of prediabetes, a three-step approach constituting lifestyle modifications, pharmacological treatment and bariatric surgery is recommended. There should be more focus on research on prediabetes in Lebanon. This preliminary report will be further discussed with the Lebanese Society of Endocrinology, Diabetes and Lipids in 2021 in order to come up with the first Lebanese national guidelines for the detection and management of prediabetes in Lebanon.

scholarly journals The role of the family doctor in the early diagnosis of colorectal cancer

2021 ◽  
Vol 16 (3) ◽  
pp. 307-313
Author(s):  
Mihaela Adela IANCU ◽  
◽  
Gabriela GANEA ◽  
Ramona Dorotea CĂLIN ◽  
Irina Anca EREMIA ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Family History ◽  
Early Detection ◽  
Treatment Options ◽  
Family Doctor ◽  
Tobacco Consumption ◽  
Individual Risk ◽  
The Family

The incidence of colorectal cancer is increasing. It is currently the third most common cancer, after lung and breast cancer. Despite the increased incidence, recent advances in early detection, performing the screening according to the recommendations and treatment options have reduced colorectal cancer mortality. The role of the family doctor is to advise and to identify non-modifiable risk factors (age, male sex, race, family history, inflammatory bowel disease) as well as modifiable ones (tobacco consumption, low-fiber, high-fat and high carbohydrate diet, a sedentary lifestyle, obesity), in order to avoid these risk factors by developing a personalized plan for the prevention and early detection of colorectal cancer depending on the individual risk. Genetic testing and a more comprehensive family history documentation by the family doctor can enable those with a hereditary predisposition for the colorectal cancer to take preventive measures. Applying evidence-based prevention strategies reduces the prognosis of colorectal cancer and reduces mortality. Colorectal cancer has an increased survival rate if diagnosed early and treated properly.

scholarly journals CONTEMPORARY PREVENTION AREAS OF DIABETES AND ITS COMPLICATIONS: THE ROLE OF THE FAMILY PHYSICIAN

2016 ◽  
Vol 57 (3) ◽  
pp. 60-68
Author(s):  
O. M. Korzh
Keyword(s):  
Risk Factors ◽  
Healthcare Professionals ◽  
Preventive Measures ◽  
Early Recognition ◽  
New Technology ◽  
Family Doctor ◽  
Education Of Patients ◽  
The Family ◽  
Assessment And Treatment

The article discusses the features of the activities of the family doctor in the conduct of preventive measures against the development of diabetes and its complications. It is shown that the basis of therapeutic and preventive activities determined by a complex effect on the risk factors and implementation of optimal pharmacotherapy. The identification and modification of risk factors for cardiovascular disease is a major challenge facing the general practitioners, family medicine. The family doctor should take a proactive stance in relation to early recognition of risk factors. New technology to physicians and patients could help in the formation, monitoring and improving results. Essential is a multi-modal education of patients and healthcare professionals in the understanding of diseases, risk assessment and treatment.

scholarly journals Prevention of Arterial Hypertension in Adolescents with Existing Risk Factors in Rural Clinics

2016 ◽  
pp. 60-66
Author(s):  
Larysa Matіukha ◽  
Nataliia Orlovska ◽  
Tetiana Buchanovska
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Arterial Hypertension ◽  
Absolute Risk ◽  
Family Doctor ◽  
Exertional Dyspnea ◽  
Sinus Arrhythmia ◽  
Daily Monitoring ◽  
The Family ◽  
The Impact

The objective: to determine the frequency and impact of risk factors among adolescent children in the countryside on the possibility of arterial hypertension (AH) development and to devise the family doctor recommendations for its prevention. Patients and methods. The cohort study of 214 children at the age of 12–17 years who attend Khotiv educational complex «Secondary school of I–III levels – gymnasium» in Kiev region was implemented in order to identify the elevated numbers of blood pressure (BP) and the impact of risk factors on the development of hypertension in future. The sociological poll about the existing risk factors for cardio-vascular disease, the measurement of height and weight with the following bodymass index (BMI) calculation, the Rufe’s test for evaluating the physical efficiency, the BP measurement in the office, the electrocardiography (ECG), the blood pressure daily monitoring (BPDM) and the ophthalmoscopy were carried out. Results. Pre-hypertension was revealed among 29 children that made 13,6±2,3% of respondents, and arterial hypertension was diagnosed for 25 children that made 11,6±2,2%. Arterial hypertension was detected 2.5 times more often among boys in comparison with girls (8,3±1,9% and 3,3±1,5% accordingly). Most of respondents with arterial hypertension were 141year1old children. The most common complaints of the respondents were sleep disturbance (59,3±3,6%), exertional dyspnea (57,0±3,4%), headache (41,1±3,4%) and rapid fatigue (21,0±2,8%). The following risk factors as sex, hereditary factor for arterial hypertension especially combined with diabetes, myocardial infarction, stroke; smoking of respondents, smoking of parents, overuse of products containing the excess of table salt, insufficient use of vegetables and fruit (less than 200 g/day or no daily usage), the use of energy drinks, inactive way of life, low physical activity, the change of body weight (the overweight and the underweight) were significant. Conclusions. The frequency of arterial hypertension among the examined children who live in the countryside is 11.6%, including 8.3% among boys and 3.3% among girls. The main risk factors of arterial hypertension are the overweight, the underweight, the family history of arterial hypertension, the smoking of parents and physical inactivity of children. It has been found out that the absolute risk of arterial hypertension development in future is 40 per cent higher among the smokers, 10 per cent higher among the children whose parents smoke, 20 per cent higher among the dyspn(o)eic respondents, 20 per cent higher among the underweight children, 30 per cent higher among the overweight children, 30 per cent higher among the children with the changes of the fundus of eye, 20 per cent higher among the children with sinus tachycardia and 40 per cent higher among children with a single supraventricular extrasystole or sinus arrhythmia.

scholarly journals Awareness on breast cancer screening in Malaysia: a cross sectional study

BioMedicine ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 18
Author(s):  
Mun-Seng Lee ◽  
Choiriyatul ‘Azmiyaty Amar Ma’ ruf ◽  
Dayang Puteri Nadhirah Izhar ◽  
Sayyida Nafisah Ishak ◽  
Wan Syazana Wan Jamaluddin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Early Stage ◽  
Clinical Manifestations ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Main Concern ◽  
Sectional Study ◽  
Cross Sectional ◽  
Treatment And Prevention

Introduction: The increasing rate of breast cancer (BC) incidence in Malaysia hints a lack of awareness among Malaysians. One (1) woman out of nineteen (19) is at risk with BC and almost up to fifty percent (50%) of women diagnosed with BC were reported to be under the age of fifty (50). Our main concern is to study the level of awareness among the women on risk factors, clinical manifestations, diagnosis, preventions and treatments. Method: A cross-sectional study was conducted exclusively among women in the public with total sample of three hundred and forty six (346), questionnaires were distributed using a simple random technique. Data was collected and analyzed by student T test in SPPS version 20. Results: Our study reveals insufficient awareness on BC. Overall, awareness on risk factors is inadequate, but good knowledge on the importance of family history and diet as risk factors are discovered. Awareness on the cause and clinical manifestations of BC is required for improvement. As for treatment, alternatives especially surgery and chemotherapy are unclear to public, public is remotely unwitting on cessation of smoking to prevent BC at the early stage. Conclusion: Malaysian has spaces for improvement on awareness of BC in terms of risk factors, clinical manifestations, diagnosis, treatment and prevention. Early detection can be achieved with good awareness because it leads to better prognosis and lower mortality.

scholarly journals UPDATES IN THE MANAGEMENT OF NEUROBLASTOMA

2016 ◽  
Vol 2 (2) ◽  
Author(s):  
Roly Squire
Keyword(s):  
Risk Factors ◽  
Risk Groups ◽  
Low Risk ◽  
Current Therapy ◽  
Genetic Profile ◽  
Therapeutic Effects ◽  
Excellent Outcome ◽  
Key Words Neuroblastoma ◽  
Near Future ◽  
Risk Grouping

Through international collaboration we are at the start of a new age in the management of this enigmatic tumour. Tumours are now grouped at diagnosis using the International Neuroblastoma Risk Grouping (INRG), which uses information from tumour tissue reflecting tumour biology, as well as radiology to define Image-defined risk factors (IDRF). Tumours in high risk groups receive maximal therapy in an attempt to try and improve outcomes which are still poor. Intermediate risk tumours, which have better outcomes due to better response to current therapy, are treated aggressively with combination therapies with proven therapeutic effects, but with increasing attention to the minimising adverse treatment effects. The treatment of low risk tumours is now vastly reduced, acknowledging the excellent outcome in these children using minimal therapy. It has become apparent that the consequences of therapy in these children can easily be worse than those from the tumour itself. For very low risk tumours trials are exploring the outcomes without any treatment. INRG allows more precise comparison of results between different international groups, and provides a template into which new prognostic variables can be introduced, and their value assessed. In many centres multi-array analysis is studying the genetic profile of each tumour; perhaps this will allow increasing individualisation of treatment programmes in the near future. Key words: Neuroblastoma, International Neuroblastoma Risk Grouping, Image defined risk factors. 

scholarly journals The role of the family doctor in endothelial dysfunction and metabolic syndrome comorbidities

2016 ◽  
Vol 11 (1) ◽  
pp. 41-44
Author(s):  
Adriana TICĂRĂU ◽  
◽  
Dumitru MATEI ◽  
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Endothelial Dysfunction ◽  
Polycystic Ovary ◽  
Family Doctor ◽  
Population Register ◽  
Ovary Syndrome ◽  
Alcoholic Fatty Liver ◽  
The Family

The prevalence of metabolic syndrome in the population register percent growth, which is why the role of the family doctor in preventive medicine becomes essential, one of its main objectives being the early detection of patients exposed to risk factors in order to prevent cardiovascular diseases. Closely linked to metabolic syndrome is endothelial dysfunction, as a result of its evaluation, it can be selected patients with metabolic syndrome, and patients who associated comorbidities: non-alcoholic fatty liver, hyperuricemia, polycystic ovary syndrome, sleep apnea.

scholarly journals Risk factors of deforming osteoarthritis in the family doctor practice

2021 ◽  
Vol 25 (3 (99)) ◽  
pp. 48-51
Author(s):  
A. Lehkun ◽  
L. Sydorchuk ◽  
A. Zaremska
Keyword(s):  
Risk Factors ◽  
General Structure ◽  
Family Doctor ◽  
Additional Risk ◽  
Occupational Factors ◽  
American College Of Rheumatology ◽  
Joint Pathology ◽  
The Family ◽  
Age Over 60

Osteoarthritis (OA) is the most common bone and joint pathology, affecting, according to the American College of Rheumatology ACR (2019), about 302 million people worldwide and is the leading cause of disability in the elderly.Objective. To investigate the role of additional risk factors in patients with OA in the practice of family physicians for secondary prevention.Material and methods. A retrospective analysis of 50 outpatient records and electronic medical records (EMC) of patients with OA for 2019-2020 was performed: 30 women, 20 men; aged 35-75 years. Concomitant risk factors were studied by epidemiological analysis: obesity / overweight, burdensome family history, traumatic factor, occupational exposure.Results. The respiratory and circulatory systems diseases dominate in the structure of the primary morbidity of the Northern Bukovina inhabitants in 2020. The incidence of bone and joint is 4.04% in the general structure, which does not differ significantly from the European average. The structure of the primary morbidity of the bone and joint sphere is dominated by arthrosis and deforming OA (DOA). The injuries and occupational factors dominated in structure of DOA risk factors at the age under 50, but after 50 years – obesity and burdened heredity prevailed, with a significant impact of the occupational factor. Absence of injuries in the anamnesis and occupational factors reduce the risk of DOA 8 and 3.5 times, respectively (p<0.05). Age over 60 years increases the relative risk of DOA 2.5 times as much (p=0.013), especially in women to almost 4 times.Conclusions. Additional risk factors should be considered in patients with DOA for secondary prevention.

scholarly journals Risk factors and the role of the family doctor in the small bowel neoplasm

2016 ◽  
Vol 11 (1) ◽  
pp. 37-40
Author(s):  
Dorotea Ramona CADAR ◽  
◽  
Dumitru MATEI ◽  
◽  
Keyword(s):  
Risk Factors ◽  
Small Bowel ◽  
Statistical Data ◽  
Family Doctor ◽  
Considerable Research ◽  
Small Bowel Neoplasm ◽  
The Family ◽  
Peutz Jeghers Syndrome ◽  
Bowel Neoplasm

Small bowel neoplasm is extremely rare, a reason for which it has a limited knowledge and understanding. Very few things are known about its etiology. Yet a high risk to develop a small bowel cancer was noted for patients with Crohn’s disease, celiac disease, familial adenomatous polyposis, and Peutz-Jeghers syndrome. A few modifiable risk factors were incriminated, such as the consumption of smoked meat, saturated fats, obesity and smoking, which also increase the incidence of small bowel neoplasm. Thus, it was observed that more considerable research is required, as well as more consistent statistical data, to understand better the etiology and biology of this type of cancer. We need to mention that a higher commitment from the family doctor is needed in the prevention and dispensarization of this pathology.

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