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Identifier |
39634 |
Title |
Ηπατίτιδα C και η συμβολή του γενικού ιατρού στην έγκαιρη διάγνωση και θεραπεία της σε ένα γεωγραφικά προσδιορισμένο πληθυσμό |
Alternative Title |
General Practitioner's contribution in early diagnosis and treatment of Hepatitis C in a geographically well defined area |
Creator |
Skliros, Efstathios A
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Abstract |
Hepatitis C is a serious matter of public health world wide because of its chronicity that leads to cirrhosis and hepatic cancer. Thirteen years after the cloning of the HCVs genome, the necessity of the doctors participation in coping with Hepatitis C in Primary Health Care has just been understood. The main purpose of this PhD is to study Hepatitis C in a district region and define the General Practitioners role in the epidemiological analysis and treatment. In this direction, four individual studies were conducted to determine: a. The prevalence of Hepatitis C among patients of regional Health Centres or other Primary Health Care physicians. b. Possible ways of transmission and high risk factors in Greece. c. The ability of General Practitioners to cope with Hepatitis C in rural regions. Results show that Hepatitis C is an existing problem in Primary Health Care in Greece. In our study, the prevalence of anti-HCV is 3.5% varying between 0 and 12.7%. Hepatitis C is related to hospital admission for more than four days, dentical acts, blood transfusion, intravenous drug use and more than 5 deliveries. The prevalence of anti-HCV between individuals with high blood ALT levels is 6.5% (7/107) and therefore, the use of blood transaminase levels as a method to diagnose patients is limited. Furthermore, the study in Kurdish population does not reveal any anti-HCV positive individual, which makes the construction of conclusions very difficult. The results of our study demonstrate that Primary Care physicians deal with and treat Hepatitis C patients. In addition to that, they are capable of coping with Hepatitis C in rural regions. Finally, multidisciplinary working between General Practitioners and Gastrenterologists appears to be extremely necessary and at the same time very successful when patients have already been treated in their region. In conclusion, taking and evaluating a complete history during the physical examination is essential to determine all the possible risk factors. The diagnosis in Primary Health Care is based on revealing these factors. Finally, a second important conclusion is that primary health care physicians can participate in treating Hepatitis C in collaboration with secondary health care practitioners or units.
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Language |
Greek |
Issue date |
2003-04-01 |
Date available |
2003-07-10 |
Collection
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School/Department--School of Medicine--Department of Medicine--Doctoral theses
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Type of Work--Doctoral theses
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Permanent Link |
https://elocus.lib.uoc.gr//dlib/3/f/3/metadata-dlib-2003skliros.tkl
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Views |
250 |