Topics in Primary Care Medicine最新文献

Role of Primary Health Care System in Response to a Major Incident: Challenges and Actions 初级卫生保健系统在应对重大事件中的作用:挑战和行动

Topics in Primary Care Medicine Pub Date : 2020-05-20 DOI: 10.5772/intechopen.92461

A. F. Al-Jazairi

引用次数: 2

Self-Management of Chronic Fatigue Syndrome in Adolescents 青少年慢性疲劳综合征的自我管理

Topics in Primary Care Medicine Pub Date : 2020-02-28 DOI: 10.5772/intechopen.91413

K. Rowe, A. Apple, F. McDonald

{"title":"Self-Management of Chronic Fatigue Syndrome in Adolescents","authors":"K. Rowe, A. Apple, F. McDonald","doi":"10.5772/intechopen.91413","DOIUrl":"https://doi.org/10.5772/intechopen.91413","url":null,"abstract":"Chronic fatigue syndrome (CFS) or myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a condition of unknown aetiology that commonly follows an infection. There are no known predictors for recovery or established treatments. At the Royal Children’s Hospital (RCH) in Melbourne, Australia, the majority of young people with CFS are provided with symptom management and lifestyle guidance in an outpatient setting. However, for some, educational or social issues preclude progress and for those who request this assistance, since 2012, the Victorian Paediatric Rehabilitation Service has offered an Intensive Self-Management Program. For this program, participants engage in both group and individual sessions, attending 3 days per week for 4 weeks in small groups of 3–4. Interdisciplinary input is from Occupational Therapy, Physiotherapy, Education and Psychology to assist with goal setting and strategies. Outcome measures are obtained at initial assessment, 6 weeks and 6 months post-program. Support is offered for 12 months post-program. For both the outpatient program and the intensive program the outcomes and feedback from patient and family has influenced the approach and focus. This chapter outlines the current approach and how it has evolved over time.","PeriodicalId":351143,"journal":{"name":"Topics in Primary Care Medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125606622","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}

引用次数: 1

Visual Disability and Causes of Preventable Blindness 视力障碍和可预防失明的原因

Topics in Primary Care Medicine Pub Date : 2019-11-08 DOI: 10.5772/intechopen.88793

Mercedes Libeth Ramos Amador, J. Torres

引用次数: 6

Approach to Chronic Urticaria from Primary Care and Emergency Services: Case Reports in Spain 从初级保健和急诊服务中治疗慢性荨麻疹的方法:西班牙的病例报告

Topics in Primary Care Medicine Pub Date : 2019-11-07 DOI: 10.5772/intechopen.88369

L. Rubio, M. A. Perez, José Ángel López Díaz, Sara Alcántara Luna

{"title":"Approach to Chronic Urticaria from Primary Care and Emergency Services: Case Reports in Spain","authors":"L. Rubio, M. A. Perez, José Ángel López Díaz, Sara Alcántara Luna","doi":"10.5772/intechopen.88369","DOIUrl":"https://doi.org/10.5772/intechopen.88369","url":null,"abstract":"Urticaria is a common process. The true incidence is not known; it is believed that between 15 and 25% of the population may suffer at some point in his life. Acute urticaria has a prevalence of 20% and the chronic form 0.5–1%. Urticaria is a disease that affects the skin and mucosa, characterized by the presence of hives. It occurs as a localized intracutaneous edema circled and an area of redness (erythema), which is typically itchy. There are histaminergic foods and drugs that worsen the prognosis of the disease. Foods which rely on aging to taste nice are always presumed to be high in histamine (chocolate, yogurt, seafood, strawberries, etc.) and drugs like nonsteroidal anti-inflammatory drugs. For diagnosis we have several tools (urticarial activity score, chronic urticaria quality-of-life questionnaire (CU-Q2oL), urticaria control test, etc., among which the most useful, simple, and cost-effective is the clinic history). The treatment of choice are antihistamines, from a daily tablet up to four tablets as maximum dose. Corticosteroids are excluded to exacerbations and must be prescribed in short guideline (maximum 10 days) without progressive decrease. Severe forms of urticaria resistant to treatment with antihistamines are treated with biological agents like omalizumab.","PeriodicalId":351143,"journal":{"name":"Topics in Primary Care Medicine","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129487831","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}

引用次数: 0

Visual Pathologies: The Semiotics of the Patient and the Practitioner in Comics 视觉病理学:漫画中病人和从业者的符号学

Topics in Primary Care Medicine Pub Date : 2019-10-16 DOI: 10.5772/intechopen.88262

Jonathan Comyn de Rothewelle

{"title":"Visual Pathologies: The Semiotics of the Patient and the Practitioner in Comics","authors":"Jonathan Comyn de Rothewelle","doi":"10.5772/intechopen.88262","DOIUrl":"https://doi.org/10.5772/intechopen.88262","url":null,"abstract":"Newspapers have been a stronghold news source for centuries covering a wide range of topics. Though reporting is meant to be unbiased and only fact, stories produced are inevitably entwined with the author’s cultural values—news content ranging from sports to healthcare, including articles, advertisements, and editorial cartoons provide valuable insight into the lives of society. Voices, or narratives, are a huge part of how culture is created and maintained. In healthcare, patients can feel like their voices are not heard. In an attempt to bridge the gap between medical and humanities research and to gain insight into doctor-patient interactions, this analysis asks what ideologies and beliefs are present in medical contexts and how are they represented within the editorial cartoon. Recent studies suggest that mass media as societal discourse may frame or position participants within a society. In this theory of framing, culture is formed from discourse through a reflexive process. Using Kress and Van Leeuwen’s research on meaning making, this study will perform a discursive analysis on medical-themed editorial cartoons from Carpe Diem, Rhymes with Orange, The Lockhorns, to Bizarro. Through this close reading, explicit and implicit cultural beliefs held about medicine, including practitioners and patients, have been revealed, including the portrayal of the doctor’s power over the patient and patient distrust in doctors. Taking into consideration media theory and the analysis of the comics, medical associations and practices may find valuable insight from the opinions and beliefs of not just the authors of these comics but society as a whole, which may prove important as debates over healthcare are ongoing.","PeriodicalId":351143,"journal":{"name":"Topics in Primary Care Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133897577","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}

引用次数: 2

Pharmacoeconomical Impacts of Crohn’s Disease 克罗恩病的药物经济学影响

Topics in Primary Care Medicine Pub Date : 2019-06-26 DOI: 10.5772/INTECHOPEN.86868

Stjepan Rudan, R. Gmajnić, S. Pribić

引用次数: 0