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 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.

scholarly journals Australia – being there (in praise of general practice)

1997 ◽  
Vol 21 (1) ◽  
pp. 48-49
Author(s):  
Alcuin Wilkie
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Mental Health Services ◽  
Health Services ◽  
Family Doctor ◽  
Therapeutic Role ◽  
The Family ◽  
Being There

“… the cardinal requirement for the improvement of the mental health services in this country, is … a strengthening of the family doctor in his therapeutic role.” – Michael Shepherd (1966).

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 Using general practice data to monitor influenza vaccination coverage in the medically at risk: a data linkage study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031802
Author(s):  
Dauda Badmus ◽  
Robert Menzies
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
General Practice ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Risk Groups ◽  
Medical Risk ◽  
Medical Risk Factors ◽  
Adult Vaccination ◽  
The Impact

ObjectiveTo examine the possibility of using data from a network of Australian General Practices (GPs) to estimate influenza vaccination coverage in Australians medically at risk.DesignData electronically extracted from a large national network of Australian GP clinics (MedicineInsight) was analysed for annual influenza vaccination coverage from 2008 to 2014. We compared the results with the 2009 and 2014 Adult Vaccination Survey. We adjusted for differences in the distribution of age, risk groups and provider types.SettingAll states in Australia.ParticipantsGPs participating in MedicineInsight programme.InterventionsNot applicable.Main outcome measuresAnnual vaccination coverage across risk groups as recorded in Adult Vaccination Survey in 2009 and 2014 were compared with vaccination coverage in MedicineInsight. The impact of National Immunisation Programme expansion of free vaccine in 2010 to cover patients aged <65 years with medical risk factors.ResultsThe proportion of MedicineInsight patients aged ≥18 years and diagnosed with medical risk factors was higher in 2014 (33.2%), compared with the AVS in 2009 (25%). In 2009, influenza vaccination coverage estimates for those aged 18–64 years with medical risk factors was lower for MedicineInsight patients compared with the AVS (26% vs 36%). There was no evidence of any change in coverage between 2008 and 2014, despite the vaccine being available free of charge to this group from 2010.ConclusionGeneral practice databases have the potential to help fill the gap in vaccination coverage data in patients with medical risk factors.

Increase general practice funding or risk "death of the family doctor," GP leader warns

BMJ ◽  
2015 ◽  
Vol 350 (feb20 11) ◽  
pp. h859-h859 ◽  
Author(s):  
G. Iacobucci
Keyword(s):  
General Practice ◽  
Family Doctor ◽  
The Family

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.

Sign in / Sign up

Export Citation Format

Share Document