scholarly journals Drug-related Postural Hypotension: to Withdraw or Not to Withdraw (A Case Series)

2019 ◽  
Vol 3 (4) ◽  
pp. 241
Author(s):  
Fadzilah Mohamad ◽  
Navin Kumar Devaraj ◽  
Aneesa Abdul Rashid ◽  
Abdul Hadi Abdul Manap
Keyword(s):  
Primary Care ◽  
Orthostatic Hypotension ◽  
Postural Hypotension ◽  
Care Setting ◽  
Primary Care Setting ◽  
Case Series ◽  
The Elderly ◽  
Health Sciences ◽  
Significant Morbidity ◽  
Common Presentation

Orthostatic hypotension is a common presentation in the primary care setting. Concise management is important as it can lead to falls, particularly in the elderly and can lead to significant morbidity and mortality. Its management presents as a challenge as there are differing guidelines on managing these patients. This case report illustrates two cases of drug-related orthostatic hypotension with similar presentation, however both were managed differently.International Journal of Human and Health Sciences Vol. 03 No. 04 October’19 Page : 241-244

PSYCHIATRIC MORBIDITY AMONG THE ELDERLY IN A PRIMARY CARE SETTING—REPORT FROM A SURVEY IN SÃO PAULO, BRAZIL

1997 ◽  
Vol 12 (7) ◽  
pp. 728-736 ◽  
Author(s):  
OSVALDO P. ALMEIDA ◽  
ORESTES V. FORLENZA ◽  
NEREIDA K. COSTA LIMA ◽  
VALÉRIA BIGLIANI ◽  
SILVIA M. ARCURI ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychiatric Morbidity ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo

scholarly journals Diabetic Peripheral Neuropathies (DPNs) from Basic and Clinical Aspects

2019 ◽  
pp. 36-38
Author(s):  
Hiroshi Bando
Keyword(s):  
Primary Care ◽  
Orthostatic Hypotension ◽  
Diabetic Complications ◽  
Care Setting ◽  
Primary Care Setting ◽  
Diabetic Polyneuropathy ◽  
Clinical Aspects ◽  
Peripheral Neuropathies ◽  
Distal Symmetric Polyneuropathy ◽  
Symptoms And Signs

Diabetes has been one of the crucial diseases worldwide, which has to be controlled adequately for long years. It has three diabetic complications of micro-angiopathy such as neuropathy, retinopathy and nephropathy. Among them, Diabetic Peripheral Neuropathies (DPNs) are most prevalent to manage in primary care setting. In this article, recent topics concerning DPNs are introduced [1]. DPNs have a variety of symptoms and signs, then DPNs are often described in plural forms [2]. DPNs are classified into two categories, which are local and general. The former includes mononeuropathy and multifocal neuropathy. The latter includes diabetic polyneuropathy (DPN) and others. DPN has Distal Symmetric Polyneuropathy (DSPN) and Diabetic Autonomic Neuropathy (DAN) [2]. For examples, DSPN shows bilateral numbness of extremities and DAN shows Orthostatic Hypotension (OH).

Factors associated with potentially inappropriate medication use by the elderly in the Brazilian primary care setting

2012 ◽  
Vol 34 (4) ◽  
pp. 626-632 ◽  
Author(s):  
Márcio Galvão Oliveira ◽  
Welma Wildes Amorim ◽  
Sandra Rêgo de Jesus ◽  
Victor Alves Rodrigues ◽  
Luiz Carlos Passos
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Inappropriate Medication ◽  
Medication Use ◽  
The Elderly ◽  
Potentially Inappropriate Medication ◽  
Factors Associated ◽  
Inappropriate Medication Use

Real-world evaluation of digital CBT for insomnia in the primary care setting – many should not log on to doze off

2019 ◽  
Vol 12 ◽  
Author(s):  
Zheyu Xu ◽  
Kirstie N. Anderson
Keyword(s):  
Primary Care ◽  
Clinical Trials ◽  
Sleep Disorders ◽  
Care Setting ◽  
Primary Care Setting ◽  
Case Series ◽  
Stepped Care ◽  
List Type ◽  
Cognitive Behaviour ◽  
The Uk

Abstract Cognitive behaviour therapy for insomnia (CBTi) has emerged as the first-line treatment for insomnia where available. Clinical trials of digital CBTi (dCBTi) have demonstrated similar efficacy and drop-out rates to face-to-face CBTi. Most patients entering clinical trials are carefully screened to exclude other sleep disorders. This is a case series review of all those referred to a dCBTi within an 18-month time period. Those initially screened, accepted after exclusion of other sleep disorders, commencing and completing therapy were assessed to understand patient population referred from general practice in the UK. 390 patient referrals were analysed. 135 were suitable for dCBTi with a high rate of other sleep disorders detected in screening. 78 completed therapy (20.0%) and 44.9% had significant improvement in sleep outcomes, achieving ≥20% improvement in final sleep efficiency. dCBTi can be used within the UK NHS with good benefit for those who are selected as having insomnia and who then complete therapy. Many referrals are made with those likely to have distinct primary sleep disorders highlighting the need for education regarding sleep and sleep disorders prior to dCBTi therapy. Key learning aims (1) The use of unsupported digital cognitive behavioural therapy for insomnia (dCBTi) requires proper patient selection. (2) There are many insomnia mimics and also previously unrecognized sleep and psychiatric disturbances that are under-diagnosed in the primary care setting that are contraindications for unsupported dCBTi. (3) The use of a stepped care approach similar to the UK’s Improving Access to Psychological Therapies (IAPT) model using dCBTi could be feasible in the public health setting.

1499: The Prevalence of LUTS and Prostate Enlargement in the Primary Care Setting

2007 ◽  
Vol 177 (4S) ◽  
pp. 494-495 ◽  
Author(s):  
Michael Naslund ◽  
Alicia Gilsenan ◽  
Kirk Midkiff ◽  
Eric Wolford ◽  
Aileen Bown ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Prostate Enlargement

Recognizing and Treating PTSD in the Primary Care Setting

2008 ◽  
Author(s):  
Ruth Elaine Graves ◽  
Tanya N. Alim ◽  
Notalelomwan Aigbogun ◽  
Thomas A. Mellman ◽  
William B. Lawson
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting
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