scholarly journals Management of a case of COVID-19 with adrenal crisis at a semi-urban primary healthcare center

2020 ◽  
pp. 122-126
Author(s):  
Chinmay Saha Podder ◽  
Nandini Chowdhury ◽  
Wasim Md Mohosin Ul Haque
Keyword(s):  
Primary Healthcare ◽  
Social Stigma ◽  
Severe Disease ◽  
Limited Resource ◽  
Adrenal Crisis ◽  
Steroid Use ◽  
Healthcare Center ◽  
Resource Setting ◽  
Increased Risk ◽  
Primary Healthcare Center

Prolonged steroid use and the resultant adrenal insufficiency pose an increased risk of severe disease in patients with COVID-19. We describe here a case of Covid-19 with adrenal crisis in an elderly man at a semiurban primary healthcare center. He and his family were forced to leave their home because of being infected with SARS-CoV-2. He was managed for adrenal crisis at a limited resource setting with a good outcome. This case also highlights the importance of social stigma related to COVID-19 in Bangladesh. Birdem Med J 2020; 10, COVID Supplement: 122-126

scholarly journals Effectiveness of Telephone Monitoring in Primary Care to Detect Pneumonia and Associated Risk Factors in Patients with SARS-CoV-2

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1548
Author(s):  
Jose Miguel Baena-Díez ◽  
Isabel Gonzalez-Casafont ◽  
Sara Cordeiro-Coelho ◽  
Soledad Fernández-González ◽  
Migdalia Rodríguez-Jorge ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Healthcare ◽  
Severe Disease ◽  
Health Care Practitioner ◽  
Post Discharge ◽  
Healthcare Center ◽  
Telephone Monitoring ◽  
Associated Risk Factors ◽  
Primary Healthcare Center

Improved technology facilitates the acceptance of telemedicine. The aim was to analyze the effectiveness of telephone follow-up to detect severe SARS-CoV-2 cases that progressed to pneumonia. A prospective cohort study with 2-week telephone follow-up was carried out March 1 to May 4, 2020, in a primary healthcare center in Barcelona. Individuals aged ≥15 years with symptoms of SARS-CoV-2 were included. Outpatients with non-severe disease were called on days 2, 4, 7, 10 and 14 after diagnosis; patients with risk factors for pneumonia received daily calls through day 5 and then the regularly scheduled calls. Patients hospitalized due to pneumonia received calls on days 1, 3, 7 and 14 post-discharge. Of the 453 included patients, 435 (96%) were first attended to at a primary healthcare center. The 14-day follow-up was completed in 430 patients (99%), with 1798 calls performed. Of the 99 cases of pneumonia detected (incidence rate 20.8%), one-third appeared 7 to 10 days after onset of SARS-CoV-2 symptoms. Ten deaths due to pneumonia were recorded. Telephone follow-up by a primary healthcare center was effective to detect SARS-CoV-2 pneumonias and to monitor related complications. Thus, telephone appointments between a patient and their health care practitioner benefit both health outcomes and convenience.

scholarly journals URBAN-RURAL DISPARITY: THE UTILIZATION OF PRIMARY HEALTHCARE CENTERS AMONG ELDERLY IN EAST JAVA, INDONESIA

2019 ◽  
Vol 7 (2) ◽  
pp. 147 ◽  
Author(s):  
Ratna Dwi Wulandari ◽  
Agung Dwi Laksono
Keyword(s):  
Primary Healthcare ◽  
Rural Areas ◽  
Health Research ◽  
Urban Areas ◽  
The Elderly ◽  
Utilization Of Health Services ◽  
Healthcare Center ◽  
Urban Rural ◽  
Primary Healthcare Centers ◽  
Primary Healthcare Center

Background: Urban always attracts investors to invest. Health facilities in urban areas are growing rapidly compared to villages. This condition is estimated to contribute to the disparity of urban-rural areas in the utilization of health services. Studying the utilization of health services is a way to evaluate the performance of the health care system through its output.Aim: This study analyzed the urban-rural disparity in the utilization of primary healthcare center by the elderly.Method: This study used in the 2013 Basic Health Research raw data. The 2013 Basic Health Research was designed as a cross-sectional survey. With the multi-stage cluster random sampling method, 25,813 elderly people in East Java Province participated. Data were analyzed using Multinomial Logistic Regression tests.Results: Elderly people in urban areas have a better probability of outpatient use of 1.208 than those living in rural areas (OR 1.208; 95% CI 1.057-1.380). The elderly who have a primary school and under education have the possibility of 1.558 times more utilizing outpatients in primary healthcare centers than the elderly who have college education levels (OR 1.558; 95% CI 1.001-2.424).Conclusion: There was a disparity between urban and rural areas in the utilization of outpatient primary healthcare centers in East Java by the elderly. Policymakers in East Java are recommended to improve facilities and infrastructure of the primary healthcare centers in rural areas by paying attention to the results of this study.Keywords: elderly, urban-rural disparities, primary healthcare center, healthcare utilization, inpatient-outpatient. 

scholarly journals Prevalence of Overweight and Obesity in a Primary Healthcare Center in Goiania City

2018 ◽  
Vol 3 (2) ◽  
pp. 27
Author(s):  
Carlos Vieira ◽  
Paulo Gentil ◽  
Mário Campos ◽  
Wanderson Santos ◽  
Gustavo Costa ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Overweight And Obesity ◽  
Healthcare Center ◽  
Primary Healthcare Center

scholarly journals Study on causes of fever in primary healthcare center uncovers pathogens of public health concern in Madagascar

2018 ◽  
Vol 12 (7) ◽  
pp. e0006642
Author(s):  
Julia Guillebaud ◽  
Barivola Bernardson ◽  
Tsiry Hasina Randriambolamanantsoa ◽  
Laurence Randrianasolo ◽  
Jane Léa Randriamampionona ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Healthcare ◽  
Health Concern ◽  
Public Health Concern ◽  
Healthcare Center ◽  
Primary Healthcare Center

scholarly journals Prenatal care in a primary healthcare center for imprisoned pregnant women

Rev Rene ◽  
2014 ◽  
Vol 15 (2) ◽  
Author(s):  
Maria do Carmo Silva Fochi ◽  
Agnês Raquel Camisão da Silva ◽  
Maria Helena Baena de Moraes Lopes
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Primary Healthcare ◽  
Healthcare Center ◽  
Primary Healthcare Center

scholarly journals Knowledge and Attitudes about Antibiotic Use and Resistance: A CrossSectional Study among Primary Healthcare Center Attendees in an Urban area, Alexandria, Egypt

2019 ◽  
Author(s):  
Rehab A. Rayan
Keyword(s):  
Urban Area ◽  
Primary Healthcare ◽  
Bacterial Resistance ◽  
Single Point ◽  
Antibiotic Use ◽  
Health Concern ◽  
Knowledge And Attitudes ◽  
Healthcare Center ◽  
Level Of Knowledge ◽  
Primary Healthcare Center

Antibiotic misuse and bacterial resistance is a significant public health concern worldwide. Egypt lacks policies and regulations concerning medication prescriptions. The study explores the knowledge and attitudes regarding antibiotic use and resistance among adults attending a primary healthcare centre in an urban area of Alexandria. The researcher conducted a single point, descriptive cross-sectional study on 87 adults aged ≥18 years attending a primary healthcare center in an urban area of Alexandria in January 2019 using a semi-structured questionnaire to gather data about the knowledge and attitudes of using antibiotics and resistance through the face-to-face interviewing method. The data were analyzed by descriptive statistics to explore the respondents’ level of knowledge with respect to the use of antibiotics and resistance. High level of knowledge was assigned as > 66.7% of the total score. About 52.8% of the respondents (63.2% of them were females) lack adequate knowledge about the use and resistance of antibiotics. Almost 65.6% of males had less restrictive knowledge about the use of antibiotics and resistance than 45.5% of the females. Simultaneously, 47.1% of the respondents erroneously believed that antibiotics work on both bacterial and viral infections and 14.9% thought it just fights viruses. Approximately, 66.7% of them were unaware of the meaning of antibiotic resistance. Moreover, 33.3% stated they have no role to play against bacterial resistance. 83.9% of respondents knew that vaccination can prevent bacterial resistance. The findings display poor knowledge and attitudes of proper antibiotic use and resistance among respondents. Healthcare providers should utilize these findings to educate the public on how to rationally use antibiotics and the health hazards of bacterial resistance.

Abstract P026: Cardiovascular Risk Factors, Lifestyle And Social Determinants: Results From A Population-based Cross-sectional Study In Brazil (laparc Study)

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Tomás de Souza Mello ◽  
Beatriz D Marinho ◽  
Rafael B Azevedo ◽  
Lucas Antequera ◽  
Pedro Julio Velasco ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Healthcare ◽  
Sedentary Lifestyle ◽  
Demographic Data ◽  
Inverse Association ◽  
Socioeconomic Indicators ◽  
Cross Sectional ◽  
Healthcare Center ◽  
Low Education ◽  
Primary Healthcare Center

Objective: To evaluate the relationship between the main cardiovascular (CV) risk factors and socioeconomic indicators in a population of young adults provided by a Primary Healthcare Center in a large urban area of Brazil. Methods: Cross-sectional population study that included adults aged between 20- and 50-years old provided by a Primary Healthcare Center in Rio de Janeiro, Brazil. Demographic data (gender and age), socioeconomic data (education level, occupation, employment), CV risk factors (smoking, sedentary lifestyle, obesity, hypertension, diabetes, dyslipidemia) were recorded. The metabolic profile was evaluated through laboratory tests. Those who studied up to high school were considered poorly educated. Results: A total of 604 individuals were enrolled [39% male, mean age: 38.8 ± 8,9 years]. The median of schooling was 12 years. In addition, 288 individuals had high schooling, of which 44.5% were male. A total of 130 individuals did not study or work. Women with low education had a higher risk of smoking, hypertension, and obesity, with no difference regarding labor or study activities. Otherwise, men with low education had higher risk of sedentary lifestyle and hypertension. Among men, not working or studying increased the risk of smoking and hypertension. Conclusions: We found an inverse association between socioeconomic status and the prevalence of CV risk factors. Women are more affected by low schooling, while men are more affected by their working occupation. The study suggests that socioeconomic factors influence the CV risk, affecting men and women differently, pointing to the need for public policies to reverse this situation.

Sign in / Sign up

Export Citation Format

Share Document