Scandinavian journal of primary health care
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Scand J Prim Health Care · Jul 1990
A three-year training programme for primary health care physicians in Poland.
A three-year training programme was developed and implemented by the Medical Centre of Postgraduate Education in Poland with the aim of improving the knowledge and skills of primary health care physicians working in the State Health Services' community centres. The programme creates several learning and self-assessment opportunities with the general principle of not distracting a doctor from his daily duties in a community health centre for more than one day a month. ⋯ It increased health authorities' activity in creating new learning opportunities and doctors' motivation to learn. Self-assessment made by the first group of trainees who completed the three-year programme (results obtained by means of a questionnaire) revealed substantial increase in professional competence resulting from the participation in the programme.
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Scand J Prim Health Care · Mar 1990
The relationship between menarche and sexual, contraceptive, and reproductive life events.
Relationships between menarche and sexual, contraceptive, and reproductive life events were investigated by structured interviews of 585 Danish women, aged 15-54 years. Data were analyzed by multivariate test statistics. The trend toward an earlier menarche was confirmed. ⋯ After correction for coital debut, no association was observed between menarche and coital frequency, number of sexual partners, or use of oral contraceptives. Menarche was not associated with number of births, spontaneous or induced abortions, or frequency of ectopic pregnancies. The results suggest that the predictive value of the menarche for sexual and contraceptive life events is conditioned primarily by the association between menarche and coital debut.
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The article is a short summary of a PhD-thesis, which was accepted by the Faculty of Medicine, University of Copenhagen, May 1989. The thesis is written in Danish with an English summary. It can be obtained free at the Department of General Practice, University of Copenhagen, Juliane Maries Vej 18, DK-2100 København O, Denmark, as long as issues are still available.
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Scand J Prim Health Care · May 1988
The diagnosis of adult pneumonia in general practice. The diagnostic value of history, physical examination and some blood tests.
Because of lower respiratory infection that was treated with antibiotics on the suspicion of pneumonia, 71 patients aged 15 years or more were referred to the study by general practitioners. Using a positive chest X-ray as a "gold standard", 15% had pneumonia. The diagnostic value of variables from history, physical examination and blood tests was evaluated by calculating the likelihood ratio (LR). ⋯ The white blood cell count and particularly the C-reactive protein analysis had a high diagnostic value, CRP greater than 50 mg/l had an LR of 37. In this selected material pulmonary symptoms and lung findings were of minor value in differentiating patients with and without pneumonia, with no LR exceeding 2.3. This can be explained to some extent by selection bias.
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The purpose of the study was to estimate the prevalence and social characteristics of men and women with alcohol-related problems in a primary care district by registers and also the utility of the data in primary health care and the municipality. 4.5% of the men and 0.5% of the women in Olofström were known for an alcohol-related problem (in at least one of 22 registers during 1980) ("problem drinkers"). The prevalence rate was higher in the younger age groups and among men and women born in Finland. For the five-year period 1977-81 the prevalence rate was 7.3% for men and 0.9% for women. ⋯ About 2/3 of the registered "problem drinkers" in 1980 were found in sources belonging to the health care sector, 2/3 in sources related to the social service and thus 1/3 to both the health care sector and the social service. More than 90% of the "problem drinkers" in 1980 were found in one of five register agencies. By collecting data from a few register sources a general practitioner in Sweden can in a short time get valuable information about alcohol problems in his catchment area.