abstract background: the world health organization emphasizes on integration of sexual health into primary health care services, educating people and health care workers about sexuality, and promoting optimal sexual health. despite the high prevalence of sexual problems, these problems are poorly managed in primary health care services. this study was conducted to evaluate the efficacy and feas...

BACKGROUND Chest pain is a common presenting complaint in general practice. Serum troponin testing is an important clinical tool to help identify patients who present with suspected acute coronary syndrome (ACS). OBJECTIVE This article will discuss the role of troponin testing in the diagnosis of ACS, and the role of high-sensitive troponin, which is now in widespread use. The importance of c...

In the last 6-7 years there has been a progressive increase in the use of nurses or secretaries in Paediatric Primary care setting. Regional incentives (few) and the rising (remarkable) of the workload and patients’ requests, convinced about the 40% of the italian Family Paediatricians (FP) to hire new staff. In the 70% of cases the employers were organized in working group in one private pract...

Hyperthyroidism is one the commonest endocrine diseases encountered in our daily practice. The classical features of hyperthyroidism include palpitation, tremor, heat intolerance, anxiety and weight loss despite increase in appetite. Although the clinical features are easy to recognise in most of the patients, it is important to recognise a large variety of atypical presentations. Some patients...

3759 and Ophthalmologe2004;101:1098e104.7. Rundle P, Singh AD, Rennie I. Proton beam therapy for iris melanoma: a review of 15 cases. Eye2007;21:79e82.8. Muller K, Peter J, Nicole N, et al. Lacrimal gland radiosensitivity in uveal melanoma patients. Int JRadiat Oncol Biol Phys 2009;74:497e502.9. Lommatzsch PK,Werschnik C, Schuster E. Long-term follow-up or Ru-106 brachyt...

recognizing the advantages of primary care as a means of improving the entire health system, this text comments on reforms of publicly funded primary health centers, and the rapid development of private forprofit providers in sweden. many goals and expectations are connected to such reforms, which equally require critical analyses of scarce resources, professional trust/motivation and business ...