BACKGROUND Chronic Kidney Disease (CKD) is a worldwide public health problem. There are few studies in Latin America, especially in primary care settings. Our objective was to determine the prevalence, stages, and associated factors of CKD in primary care setting. METHODS We did a retrospective secondary analysis of a database from the Diabetes and Hypertension Primary Care Center of the Peru...

large series have been published and no treatment protocol has been established. Systemic therapies such as retinoids, methotrexate, and cyclosporine, among others, either alone or in combination, have traditionally achieved mixed results.5 However, the market introduction of biological therapies provided new options for the treatment of this variant of psoriasis. Experience with biological the...

In the United States, melanoma incidence rates are rising faster than for all other preventable or “early detectable” cancers. Early recognition and treatment of thin cutaneous melanoma have contributed to a decreased case-fatality rate over the past 50 years, but many at-risk Americans have yet to be screened. Primary prevention is directed to educating the public and health care providers to ...

OBJECTIVE This study aims to measure the rate, types, and causes of injuries presented at a primary care setting in the Muscat governorate. METHODS A cross-sectional study was carried out where all patients who attended the Al Moabelah Health Center from the period of 1(st) January 2010 to the 31(st) December 2010 were identified from the electronic medical records. Patients identified with a...

OBJECTIVE The authors' goal was to determine whether treatments known to be effective for bulimia nervosa in specialized treatment centers can be used successfully in primary health care settings. They examined the benefits of two treatments for bulimia: 1) fluoxetine, an antidepressant medication, and 2) guided self-help, an adaptation of cognitive behavior therapy. METHOD Ninety-one female ...

Primary care practitioners are ideally situated to carry out health promotion activities. Neural tube defects are of a fairly low incidence, but the consequences are tragic. They range from life long physical and often intellectual disabilities, to death at birth. Increased folate intake, either through eating folate rich foods or through supplementation, has been shown to reduce the incidence ...

Almost 24 million Americans are military veterans. The size of this population and the fact that veterans are at increased risk for a wide variety of health complications make the care of veterans an important component of primary care. The large demand placed on the National Guard and Reserves from current conflicts has resulted in a very large percentage of veterans’ care being delivered in t...

PURPOSE This study was conducted to determine how time is allocated to diabetes care. METHODS Patients with type 2 diabetes who were receiving care from the internal medicine residents were shadowed by research nurses to observe the process of management. The amount of time spent with patients and the care provided were observed and documented. RESULTS The total time patients spent in the c...