Chemotherapy of pulmonary tuberculosis

1963 ◽  
Vol 1 (2) ◽  
pp. 5-7
Keyword(s):  
Pulmonary Tuberculosis ◽  
General Practitioners ◽  
Chest Physician ◽  
General Physicians

In Britain it is usual for the diagnosis of pulmonary tuberculosis to be confirmed and its treatment planned and started by a chest physician. He may have to share responsibility for the later stages of management with general practitioners and general physicians. This note on the chemotherapy of tuberculosis is written for them.

How to Identify Rheumatic Diseases by General Physicians

2020 ◽  
pp. 1533-1563
Author(s):  
Eduardo C. Contreras ◽  
Gustavo J. Puente
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Rheumatic Diseases ◽  
Inflammatory Rheumatic Diseases ◽  
Automated Algorithm ◽  
Disease Case ◽  
General Physicians ◽  
The Subject ◽  
The Given ◽  
To Receive

A large part of the population in countries in process of development ignores what Rheumatic Diseases are, and general practitioners are in most cases unaware of enough information to identify them and the treatments to successfully control them. A proposal to help those general practitioners to detect if an articular condition belongs to a Rheumatic Disease case is to present them the clinical semiology that should lead them to redirect the given conditions to a specialist on the subject, a rheumatologist. The clinical semiology is presented by an automated algorithm inside a goal-based software agent, containing all the necessary information to identify the seven most common inflammatory Rheumatic Diseases, and fourteen of the non-inflammatory ones. The purpose of this tool is to provide the general practitioner with the correct information to redirect the patient with a rheumatologist, in order for it to receive the appropriate medication to be controlled.

scholarly journals General practitioners' attitudes towards research in general medicine

2021 ◽  
Vol 27 (1-2) ◽  
pp. 17-31
Author(s):  
Miloranka Petrov-Kiurski ◽  
Slavoljub Živanović
Keyword(s):  
General Practitioners ◽  
General Medicine ◽  
Scientific Discipline ◽  
Research Projects ◽  
Work Quality ◽  
Service Period ◽  
Medical Discipline ◽  
General Physicians ◽  
Years Of Service ◽  
Frequent Reason

Introduction: General medicine is a specific scientific discipline and research is a constituting part of each medical discipline. Objective: We reviewed general physicians` (GPs) attitudes towards scientific research and their reasons for participating or not participating in them. Method: We made a specific questionnaire for the sake of this research. We got the data on age, gender, service periods, place of work (city/country), and specialty: GP or specialist in general medicine, as well as their opinions on research. We forwarded the questionnaire to 550 physicians' email addresses in November 2016. The acquired data were statistically processed using SPSS 20.0 for Windows. Results: The questionnaire was filled out by 233 physicians, of whom 83,3% were women, 67% specialists in general medicine, 68,7% physicians worked in city clinics; the average age of the participants was 46.46±10.29, the average service period 17.85±10.99 years. Out of the total number, 67.8% of the participants thought research was important and useful, even more so by specialists in general medicine, which was statistically significant (p=0.000). There were 71.2% of the physicians who already participated in the research projects, mostly working in the cities (p=0.008), physicians older than 50 (p=0.000), and physicians with service period >20 years (p=0,000). Physicians 30 or younger (p=0.017) and physicians with ≤ 10 years of service (p=0.002) thought research improved work quality. The most frequent reason for not participating in the research projects was lack of time due to a patient and administration overload. The most frequent reason for participating, for physicians with 11-20 and over 20 years of service, was improving work quality (p=0.007). Conclusion: Physicians think research is necessary and useful in general medicine and it improves work quality. The most frequent reason for not participating in the research projects was lack of time due to a patient and administration overload.

scholarly journals Abordagem do Delirium na Comunidade

2021 ◽  
Author(s):  
Catarina Rebelo ◽  
Hugo Oliveira ◽  
Maria do Céu Rocha
Keyword(s):  
Primary Care ◽  
Palliative Care ◽  
General Practitioners ◽  
Domiciliary Care ◽  
General Physicians

INTRODUÇÃO: O delirium é uma das complicações neuropsiquiátricas mais frequentes em Cuidados Paliativos. Constitui uma disfunção neurológica grave, não existindo diretrizes bem estabelecidas para a sua gestão na comunidade. O objetivo deste trabalho consiste na revisão da evidência existente sobre a abordagem do delirium na comunidade, em particular em Portugal.MÉTODOS: Revisão da literatura utilizando os termos MeSH delirium, palliative care, domiciliary care, general practitioners, general physicians, primary care, Portugal e end of life.RESULTADOS E CONCLUSÃO: O delirium é, habitualmente, multifatorial, tendo um impacto importante nos serviços de saúde, profissionais, cuidadores e, sobretudo, nos doentes. A evidência científica para o seu tratamento é escassa e aplica-se, sobretudo, aos cuidados hospitalares. A estruturação de cuidados de qualidade no âmbito da prevenção, identificação atempada e gestão precoce do delirium, no contexto dos Cuidados Paliativos na comunidade, deve incluir o doente, a sua família e o ambiente onde se insere.

scholarly journals A Survey of Physicians’ Opinion and Treatment Preferences Regarding Febrile Seizures in Children

2021 ◽  
pp. 80-85
Author(s):  
C. Tulasi Priya ◽  
Chaudhary Devand Gulab
Keyword(s):  
General Practitioners ◽  
Pediatric Population ◽  
Tertiary Care ◽  
Febrile Seizures ◽  
Current Treatment ◽  
Treatment Preferences ◽  
Axillary Temperature ◽  
Cross Sectional ◽  
General Physicians ◽  
Treatment Trends

Background: Fever of either low or high-grade is a big concern when present in the pediatric age group; it is much more worrisome if children are younger than 5 years of age. Fever can subside on its own or with the help of simple remedies and or medications. However, some children will develop seizures when they have a fever. Febrile seizures are one of the most common presenting complaints seen in pediatric patients in emergency room visits and physician consult. Two different types of seizures are seen in children, simple and complex seizures. Simple febrile seizures are non harming and self-limiting, while, complex seizures are prone to have long-term side effects on children. Febrile seizures can occur with or without a source of an underlying cause. In this study, we aimed to identify physicians’ opinions, knowledge, and suggestions to improve guidelines on current treatment trends for fever and fever’s association with febrile seizures in children less than 5 years of age. Objectives: To determine physicians’ opinion knowledge, and suggestions to improve guidelines on current treatment trends for fever and fever’s association with febrile seizures in children less than 5 years of age.  Methods: A cross-sectional study plan was designed and conducted in June - July 2021 involving general physicians and pediatricians (n = 600). The questionnaire form including 15 closed-end questions was distributed to physicians. Descriptive statistics were used to analyse the data.  Results: 100% of physicians prescribed antipyretics to control fever and or to prevent complications, especially febrile seizures. All participants were aware that axillary temperature of > 37.2 ° C is defined as fever. All most all, general physicians and most pediatricians used antipyretics to treat other associated symptoms and signs, even when the fever was absent. 76.3% believed that high fever might be an indicator of underlying serious occult bacterial infection. Almost all physicians (91.3%) advised parents to switch to the use of alternate medication when the fevers did not subside after initial treatment with paracetamol; everyone recommended that non-medical supportive treatments like tepid sponging along with antipyretics and ibuprofen to reduce the fever soonest possible. 68% of pediatricians and 90% of general practitioners believe that febrile seizures will cause brain damage. 74% of general practitioners preferred to refer children immediately to specialty centers, for further management of seizures. However, Pediatricians at tertiary care centers, as well as those in private practice used diazepam or lorazepam.    Conclusion: Differences are negligible between general physicians and pediatricians while managing fever and fever complications including febrile seizures. Irrespective of the knowledge, awareness and the availability of fever guidelines by many national and international organizations, physicians are leaning towards child and parents comfort in treatment fever. The gap is wider in general physicians’ preparedness than pediatricians. A considerable gap exists to improve physicians' approach, diagnosis, and management of fever in the pediatric population.

How to Identify Rheumatic Diseases by General Physicians

2016 ◽  
pp. 136-166
Author(s):  
Eduardo C. Contreras ◽  
Gustavo J. Puente
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Rheumatic Diseases ◽  
Inflammatory Rheumatic Diseases ◽  
Automated Algorithm ◽  
Disease Case ◽  
General Physicians ◽  
The Subject ◽  
The Given ◽  
To Receive

A large part of the population in countries in process of development ignores what Rheumatic Diseases are, and general practitioners are in most cases unaware of enough information to identify them and the treatments to successfully control them. A proposal to help those general practitioners to detect if an articular condition belongs to a Rheumatic Disease case is to present them the clinical semiology that should lead them to redirect the given conditions to a specialist on the subject, a rheumatologist. The clinical semiology is presented by an automated algorithm inside a goal-based software agent, containing all the necessary information to identify the seven most common inflammatory Rheumatic Diseases, and fourteen of the non-inflammatory ones. The purpose of this tool is to provide the general practitioner with the correct information to redirect the patient with a rheumatologist, in order for it to receive the appropriate medication to be controlled.

Variations in Use of Cardiac Services in England: Perceptions of General Practitioners, General Physicians and Cardiologists

1998 ◽  
Vol 3 (3) ◽  
pp. 153-158 ◽  
Author(s):  
Alison Chapple ◽  
Anthony Gatrell
Keyword(s):  
Qualitative Research ◽  
General Practitioners ◽  
South Asian ◽  
Comparative Method ◽  
Structured Interviews ◽  
General Hospitals ◽  
Constant Comparative Method ◽  
General Physicians ◽  
Use Of Services ◽  
Health Districts

Objective: To explain why those who live some distance from tertiary cardiac centres make less use of coronary angiography and revascularisation than those who live close by, and why people living in particular wards within certain districts make less use of services than might be expected from their level of need. Method: Semi-structured interviews with 24 general practitioners (GPs) in two English health districts (Morecambe Bay and East Lancashire), five general physicians working in district general hospitals, and four interventional cardiologists working in tertiary centres. Transcripts of audiotape recordings were analysed using the constant comparative method. Results: Those living far from tertiary centres are usually referred to general physicians before they are referred for angiography. The general physicians tend to be more conservative in their approach to treatment than interventional cardiologists. GPs working near tertiary centres are able to refer directly to interventional cardiologists. There are also logistical and economic reasons for inequitable use of services. Some GPs perceived that patients of South Asian descent undergo fewer investigations than might be expected because of communication or other difficulties. Conclusion: Use of cardiac services would be more equitable if there were interventional cardiologists based in district general hospitals who could perform angiograms for their own patients in the tertiary centres. Patients might also benefit if angiograms could be conducted in selected district general hospitals. Further qualitative research, involving both doctors and patients, is needed to explore other reasons for relatively low rates of investigation and revascularisation in certain groups of patients.

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