Managing Chronic Diseases in Family Medicine: Best practices and Evidence-Based Approaches

The management of chronic diseases within the realm of family medicine presents a multifaceted challenge with profound implications for healthcare systems and patients alike. Chronic diseases, such as diabetes, hypertension, and cardiovascular conditions, are prevalent and impose a significant burden on individuals, families, and society as a whole. This article explores best practices and evidence-based approaches for managing chronic diseases in family medicine. It delves into the epidemiological landscape of chronic illnesses, emphasizing the need for effective prevention and management strategies. Evidence-based Models, such as The Chronic Care Model (CCM), Patient-Centered Medical Home (PCMH), and Self-assessment models are discussed in the context of family medicine. The importance of comprehensive, coordinated, and patient-centric approaches is underscored, highlighting the pivotal role of primary care physicians in the ongoing battle against chronic diseases. It is clear, that development in the field of family medicine underscores the importance of patient involvement in diseases management process through shared-decision making model. Although such model require physicans to spend more time educating patients so they can make informed decisions and implement self-management strategies, it has overall better health outcomes and eventually needs to requiring less intervention by physicians

Prevalence of a carbapenem-resistance gene (KPC), vancomycin-resistance genes (van A/B) and a methicillin-resistance gene (mecA) in hospital and municipal sewage in a southwestern province of Saudi Arabia

Abstract Objective According to the World Health Organization, the increasing antibiotic resistance of pathogens is one of the most important threats to human health. Prevalence of a carbapenem-resistance gene (KPC), vancomycin-resistance genes (van A/B) and a methicillin-resistance gene (mecA) in hospital and municipal sewages will be potential threat to public health. Results Vancomycin-resistance genes were detected in the sewage of community tank-II, sewage tank of the tertiary and general hospital. Carbapenem-resistance gene was detected in sewage of community tank-II and sewage from tertiary hospital. Methicillin-resistance gene was detected in sewage of community tank-II, sewage from a fish market sewage tank and sewage from an animal slaughter house sewage tank. The detection of a KPC, van A/B and a mecA in sewages will help further the process to take the appropriate measures to prevent the spread of such bacteria in the environment

The outright regarding abdominal wall hernia among adults in Jazan: A cross-sectional study

Background: Hernias are repeatedly encountered in surgical clinics owing to risks such as constipation, weightlifting, gestation, weight gain, and ongoing ailments similar to bronchial asthma and prostatic enlargement. The study intended to examine various viewpoints of the population's knowledge and beliefs concerning hernia and its management. Methods: Individuals in this cross-sectional study were randomly picked from those at greater risk of acquiring abdominal wall hernias (AWHs). To report their awareness levels toward AWH, the data were calculated as frequency, expressed as a percentage, and displayed as tables and figures. Results: Eighty-six percent of the patients did not have a hernia during the study, but all had experienced hernias before the study date. About 36.9% of participants showed a poor level of knowledge regarding AWHs. Participants' knowledge was notably correlated with gender, age, marital status, previous abdominal surgery, presence of interfamilial hernias, and having asthma or chronic cough (P < 0.05). According to 55% of respondents, pain and discomfort after an operation are the most prevalent complications, while 15.1% reported no postoperative complications. According to 41.4% of respondents, laparoscopic surgery was the best treatment option, followed by open surgery and lifestyle modifications in 28% and 24.8%, respectively. Conclusion: Compared to females, males were more likely to suffer from AWHs. Hernia's risk factors, management methods, and surgical complications were not well understood by participants. This may entail holding seminars to raise awareness of AWHs among the community members