Archives of Community and Family Medicine最新文献

{"title":"Interpretation of the Reasons for Consultation: Manifest and Latent Content. The Initiation of the Diagnostic Process in General Medicine","authors":"J. Luis Turabián","doi":"10.22259/2638-4787.0201001","DOIUrl":"https://doi.org/10.22259/2638-4787.0201001","url":null,"abstract":"The task of the general practitioner (GP) is to discover the true nature of the health problem. The reason for consultation expressed by the patient is a manifest content. The GP must transform or complete those ideas that are latent or initially hidden. The latent content of the symptom / problem / motive may be incomprehensible at the beginning. When the initial manifest material of the patient is translated by the GP, we have a more understandable expression. This distinction between manifest and latent content makes special sense in two the motives / symptoms / problems that: A) although they pose a coherent material, cause some surprise or cognitive dissonance to the GP, and B) have no explanatory physiopathological meaning, nor are they comprehensible according to the usual theoretical frameworks. These types of visits may be a large part of the patients seen on a normal GP consultation day. In these motives / symptoms / problems the GP, instead of performing the “clinical method of the detective,” uses a “biopsychoanalytical” method or tool, that is the beginning of the diagnostic process, which has at least 3 ways: 1) The GP acts by helping and avoiding disturbances in the patient’s reflexive process; 2) The GP try of knowing the latent material by means of “reading the patient’s manifest signs and symbols”. The messages of our patients contain “facts” and “feelings”, and we must be attentive and understand the emotional messages. The reason for consultation / symptom / manifest problem that the patient initially expresses is a “symbolic representation” (with universal and particular symbols); and 3) In addition, the doctor looks for what seems to be the cause of the patient’s problem in the doctor-patient relationship itself.","PeriodicalId":246196,"journal":{"name":"Archives of Community and Family Medicine","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124588933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The State of Physical, Recreational and Health Status of Senior Citizens in Bangladesh: A Comparative Study among the Residents of Old Home and Community Residents of Dhaka City","authors":"A.K.M Majbah Uddin, K. Islam","doi":"10.22259/2638-4787.0202001","DOIUrl":"https://doi.org/10.22259/2638-4787.0202001","url":null,"abstract":"","PeriodicalId":246196,"journal":{"name":"Archives of Community and Family Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123551715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Character and Destination of Multimorbidity: Reflections for Classification","authors":"J. Luis Turabián","doi":"10.22259/2638-4787.0302011","DOIUrl":"https://doi.org/10.22259/2638-4787.0302011","url":null,"abstract":"Multimorbidity is the presence of two or more long-term health problems. It often involves the superposition of mental, cardiovascular, diabetes, cancer and respiratory diseases. Multimorbidity is now a widespread phenomenon that affects the health of populations around the world, with the greatest burden among people or disadvantaged subpopulations, as it has become a serious public health problem due to its negative consequences on quality of life, the greater tendency to disability and mortality, polypharmacy and cost of utilization of health services, and that gives rise to a considerable burden of care. Multimorbidity is not simply a problem of chronological aging, nor is it distributed randomly [1,2].","PeriodicalId":246196,"journal":{"name":"Archives of Community and Family Medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125507834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socio-Economic Condition, Dietary Pattern and Nutritional Status of Pre-School Children among Settlers and Ethnic Communities in Bandarban District of Bangladesh","authors":"M. Haque., K. Islam","doi":"10.22259/2638-4787.0202002","DOIUrl":"https://doi.org/10.22259/2638-4787.0202002","url":null,"abstract":"Nutrition is a foundation to ensure good health. The geographic and demographic factors affect food and nutrition. Life of the tribal people is diverse and distinct. This study focuses socio-economic condition, dietary pattern and nutritional profile of preschool children among ethnic minorities and settlers at a single point in a specified time in sadar upazila of Bandarban district. This area was conveniently selected to collect sample because both settlers and ethnic groups reside here concurrently. Each union/ward was one cluster and from each cluster sample was collected by visiting door to door. The dietary energy intake was determined by three days 24 hours recall method. Statistical Package for Social Sciences 22.0 version was used for data analysis. Nutritional status was determined by ENA for SMART Software. Mean age of the children was 4.21±0.80 (ethnic) and 4.10±0.84 (settler). Most of the parents completed primary education. Father of the children was day labor and mother was housewife. Average monthly family income among ethnic and settler was 10316.53±10013.97 and 17515.50±10128.11 BDT. Average weight and height of ethnic children was 16.18 kg and 97.45 cm whereas settler children carried 14.01 kg weight and 94.73 cm height and this difference was statistically significant. Normal and underweight ethnic children were 84.80% and 15.20% whereas 67% and 33% among settler group. Distribution of normal and stunted ethnic children was 62.80% and 37.20% and among settler it was 55.0% and 45.0%. About 8.60% and 15% children were wasted among ethnic and settler. Statistically significant association was found between condition of latrine and ethnic child nutritional status (HAZ). Source of drinking water was significantly associated with ethnic children nutritional status (WAZ) as like immunization and deworming status. Average calorie intake of ethnic children was 1037.33 per day whereas settler children took 986.86. Mean protein, carbohydrate and fat intake of ethnic children was higher than settler children and it was statistically significant. Monthly family income, condition of latrine, housing status and group (ethnic/settler) influence significantly nutritional status of children. It is concluded that nutritional status of pre-school ethnic children was comparatively better in terms of weight, height, calorie intake, protein, fat and carbohydrate consumption and immunization coverage. This research finding will be helpful for policy maker and planner to develop new plan and strategy to combat under nutrition.","PeriodicalId":246196,"journal":{"name":"Archives of Community and Family Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115260562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}