scholarly journals Controlling antibiotic usage—A national analysis of General Practitioner/Family Doctor practices links overall antibiotic levels to demography, geography, comorbidity factors with local discretionary prescribing choices

2020 ◽  
Vol 74 (8) ◽  
Author(s):  
Michael Stedman ◽  
Mark Lunt ◽  
Mark Davies ◽  
Erin Fulton‐McAlister ◽  
Abid Hussain ◽  
...  
2021 ◽  
Vol 25 (3) ◽  
pp. 41-49
Author(s):  
Irina V. Yubrina ◽  
Ludmila N. Degtyareva ◽  
Igor A. Bozhkov

BACKGROUND: About 70% of TB dispensary patients have chronic somatic diseases which not only prevent effective treatment of TB but also take progressive course themselves. AIMS: To timely detect and treat acute and chronic somatic disease combined with TB. MATERIALS AND METHODS: since 2020 the algorithm of patient complex investigation by specialists of therapeutic profile was developed in the Tuberculosis Dispensary No. 5, among them the general practitioner was the coordinator of the patients medical route. This became especially relevant during the COVID-19 pandemic. RESULTS: In accordance with the developed algorithms of diagnostic search the patient was comprehensively examined. There were no signs of tuberculosis were in him, however the general practitioner involving to specialists team could diagnose signs of complex cardiac arrhythmia the probable cause which was a new coronavirus infection that he had had six weeks before. CONCLUSIONS: The organization of a new form of medical service for phthisiatric patients allowed general practitioner to reveal serious cardiac pathology directly at the TB dispensary, to refer the patient for consultation to the cardiologist-arrhythmologist, to follow the patient and perform recommended cardiologic treatment simultaneously with measures or medical supervision over persons contacting with tuberculosis.


1993 ◽  
Vol 1 (3) ◽  
pp. 155-159
Author(s):  
P J Toghill

During the winters of the last quarter of the nineteenth century, Dr W G Grace - undeniably the most famous cricketer in the world (Figure 1) - went about his business in Bristol as a family doctor in one of the city's poorer areas. Though instantly recognizable by the Victorian public, his professional activities were unhindered by the press, by his cricketing admirers or by his sporting colleagues. Such a situation is now scarcely credible when lesser sporting heroes are pursued and harassed by the ubiquitous press and media, eager for trivia, tittle-tattle, and salacious gossip. Nevertheless, William Gilbert Grace (WG) was able to pursue two separate and entirely different careers. The first, his cricketing life, was crowned with spectacular sporting success and erratic financial rewards; the second, his doctor's life, gave him domestic security and stability, and the means to enjoy his sport. For him life was topsy-turvy, with cricket as his profession and medicine as his hobby.


1992 ◽  
Vol 161 (5) ◽  
pp. 709-711 ◽  
Author(s):  
Marc L. Bourgeois ◽  
Pascale Duhamel ◽  
Helene Verdoux

A 58-year-old woman suffering from delusional parasitosis tried to kill her general practitioner. Her husband shared in her beliefs but lost all delusional conviction after she was compulsorily admitted to a special hospital. The case illustrates the intractable nature and potential dangerousness of some of these cases, and their affinity to paranoia.


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.


PEDIATRICS ◽  
1971 ◽  
Vol 47 (3) ◽  
pp. 628-629
Author(s):  
M. M. Nichols

The concern of the practicing physician to provide the best possible care for his patients is not a new one belonging to the "now" generation or even Nader's Raiders.1 It has been passed from yesterday's family doctor to today's general practitioner and specialist and is exemplified by Dr. Laurance Nickey's letter to the Editor2 in which he asks if the data are reliable which show that 12 countries report lower infant mortality rates than the United States.


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