Multimorbidity is a health issue mostly dealt with in primary care practice. As a result of their generalist and patient-centered approach, long-lasting relationships with patients, and responsibility for continuity and coordination of care, family physicians are particularly well placed to manage patients with multimorbidity. However, conflicts arising from the application of multiple disease ...

the visual form of writing has not only meaning apart from the content of writing but also different language from the language of writing. based on this claim, graphologists believe that it is possible to recognize writers’ thought through their handwriting. in fact, graphologists constituted some principles for analyzing handwriting as well as semiotic system for interpreting the visual diver...

background: primary antibody deficiency, the most common primary immunodeficiency disorder, represents a heterogeneous spectrum of conditions caused by a defect in any critical stage of b cell development and is characterized by impaired production of normal amounts of antigen-specific antibodies. objective: this retrospective study aimed at description and analysis of demographic, clinical, im...

Even though the tradition of osteopathic medicine is based in primary care, more osteopathic graduates than in the past are pursuing subspecialties within medicine. Some claim that medical specialties, such as dermatology, compromise osteopathic principles and philosophy. However, the authors contend that dermatology exemplifies the ideals expressed by Andrew Taylor Still, MD, DO, and explain h...

A number of specific and commonly recognized moral principles have been articulated for application in the realm of health care ethics. Some ethicists, notably Beauchamp and Childress (2004), have used such principles as a primary framework for ethical analysis and dialogue. In this approach, referred to as principlism, each principle represents a serious, though not absolute, moral duty that m...

We cannot afford to ignore, as physicians or citizens, the biological attributes of sex in the study of behaviour, achievement or disease. The biological sciences, borrowing many facts from medical and pathological experience, have established a few fundamental principles of great value in the study of primary and secondary sex differentiation, and in the light of these principles our knowledge...

in this paper we investigate decompositions of submodules in modules over a proufer domain into intersections of quasi-primary and classical quasi-primary submodules. in particular, existence and uniqueness of quasi-primary decompositions in modules over a proufer domain of finite character are proved. proufer domain; primary submodule; quasi-primary submodule; classical quasi-primary; decomposi...

Realization of health care as primary objective is necessary to strengthen primary health care (PHC). There is a need to build financial viable and sustainable PHC based on rational principles to fulfill the goals of providing quality health services on an affordable and equitable basis and also ensuring fiscal prudence. Health-care leadership, innovations in primary care, family medicine speci...

In many countries, primary care informatics has developed to the point that it is recognised as an important enabler of quality improvement; this has not occurred to date in the United States. With this conference, we aimed to build an international consensus as to whether primary care has unique characteristics that require an informatics subspecialty; and, if so, to establish the role of prim...

CONTEXT Primary care practice. OBJECTIVE To test whether the principles of complex adaptive systems are applicable to implementation of team-based primary care. DESIGN We used complex adaptive system principles to implement team-based care in a private, five-clinic primary care practice. We compared randomly selected samples of patients with coronary heart disease (CHD) and diabetes before ...