scholarly journals PREGNANCY IMPLANTED IN THE SCAR OF CAESAREAN SECTION AND THE ROLE OF THE GENERAL PRACTITIONER

2021 ◽  
Vol 68 (2) ◽  
pp. 174-178
Author(s):  
Ana Maria Alexandra Stănescu ◽  
◽  
Ioana Veronica Grăjdeanu ◽  
Gabriel Cristian Bejan ◽  
Liviu Nicolae Ghilencea ◽  
...  

The increase in the number of cesarean sections led to severe complications, such as the ectopic scar pregnancy and the morbidly adherent placenta. The incidence of scar pregnancy is 1/2000 of pregnancies, the more frequently associated with the higher the number of cesarean sections. These can cause severe bleeding, rupture of the uterus, bladder or digestive injury or maternal mortality. The general practitioner has an important role in the diagnosis and monitoring of these patients. He knows the patient's history, is asked in permanent by it and sometimes is in the situation of being the only one checking pregnancy. This work aims to review the diagnostic and monitoring criteria for ectopic scar pregnancy helpful to family physicians. Addressing all patients with a scarred uterus for early screening ultrasound may increase the rate of diagnosis. The family doctor is an essential partnership in monitoring these high risk cases.

SpringerPlus ◽  
2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Elizabeth Ann Sturgiss ◽  
Nicholas Elmitt ◽  
Chris van Weel ◽  
Emily Haesler ◽  
Ginny Sargent ◽  
...  

1966 ◽  
Vol 59 (11P1) ◽  
pp. 1149-1153
Author(s):  
Robert Smith

Dr Robert Smith surveys the history of birth control and sounds a warning for the future of mankind, if the population explosion is allowed to continue unchecked. He stresses the importance of the role of the general practitioner in the limitation of births. Sir Theodore Fox describes the work of the Family Planning Association and stresses that, increasingly, this is a specialist service covering all aspects of fertility. He also feels that the general practitioner has a role in family planning.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mario Rivera-Izquierdo ◽  
Luz María Valverde-Cano ◽  
Virginia Martínez-Ruiz ◽  
María Rosa Sánchez-Pérez ◽  
Francisco Javier Atienza-Martín ◽  
...  

Abstract Background People over 64 years have a high fatality rate when they are involved in traffic accidents. Besides, older victims of road crashes are expected to rise in the future due to population aging. The purpose of the study was to document their perception on the role of the family doctor, the main facilitating factors, and the perceived barriers to the temporary or permanent restriction of their driving. Methods This qualitative study used focus group methodology. A sample of 16 people over 65 years old was obtained through a series of segmentation criteria at an active participation centre for older adults in a small town in Jaén province (Spain). All were invited to participate in a discussion during which they were asked to express their opinions and subjective experiences concerning the role of their family doctor. The group conversation was taped, fully transcribed and analysed, and codes were generated with both deductive and inductive methods. Results After merging the codes to generate themes, we identified 9 relevant categories: perception of age-related risk, road safety, role of public authorities, driver assessment centre, role of the family doctor, role of the family, proposals for addressing traffic accidents in older adults, consequences of the driving prohibition, and public transport. All categories help to explain the subjective driving and traffic safety experiences of older road users. Conclusions Although family doctors do not usually ask their older patients about road driving, they are highly valued by these patients. Thus, family doctors have a great potential to act, along with the family members, for the benefit of older patients’ traffic safety, in ways that can prevent their involvement in road crashes and reduce the negative consequences of having to stop driving if necessary.


2021 ◽  
Vol 16 (3) ◽  
pp. 307-313
Author(s):  
Mihaela Adela IANCU ◽  
◽  
Gabriela GANEA ◽  
Ramona Dorotea CĂLIN ◽  
Irina Anca EREMIA ◽  
...  

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.


Medic ro ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 20-25
Author(s):  
Roxana Anamaria Viţelariu ◽  
Diana Vulea ◽  
Remus Şipoş

Psychiatric pathology is one of the emerging problems of contemporary medicine. In a society in a continuous development, there is a need for the evolution and updating of knowledge, including in the medical field. As depression, anxiety, burnout syndrome and other psychiatric disorders become more common, the addressability of these cases in the family medicine practice becomes a topic that requires a careful approach. Thus, this article aims to address the chal­lenges in the management of the psychiatric patient en­coun­tered in the family doctor’s office. Due to the fact that patients with mental illness are often stigmatized, it is necessary to educate the general population, but also the medical staff, so that these patients benefit from an early diagnosis, appropriate treatment and dynamic supervision. In conclusion, the central role in the health care system belongs to the family doctor, who is the one who benefits from an overview of the patient, which integrates somatic, psychiatric and social aspects.  


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