Title: HEALTH CHECK (PREVENTION TESTS) Descriptive info: Menu.. Thursday 21 March 2013.. News.. Main Symptoms.. Main Deseases.. Laboratory Τests.. Medications.. Pneumonology Articles.. Medical Articles.. Article Editors.. You ask - We Answer.. Congresses.. Guidelines.. Links.. Books Presentation.. Editorials.. Just another WordPress.. com site.. PNEUMON quarterly medical journal.. HELLENIC THORACIC SOCIETY.. Athens Medical Center.. Read More.. HEALTH CHECK (PREVENTION TESTS).. The early detection of symptomatic disease (screening) leads unambiguously to more effectively deal with 'the same applies for early detection of pathological deviations of laboratory tests which either express or disease leading to heart disease (cholesterol, glucose, hemoglobin, etc.. ).. In other words, the application of preventive medicine through programs (usually) annual audit (check up, annual physical) results in significant improvement in the level of population health.. Serious considerations on the issue of implementation of preventive medicine are: what preventive health services aimed at the population and what discouraged, how recoverable, and what will be evaluated.. It should also be taken into account the criteria for what conditions will "who are aimed", ie 1) the extent of morbidity, concerning the extent and severity of diseases (cardiovascular diseases, malignant neoplasms) 2) proof of the favorable outcome of the application.. of this program check up (reducing the incidence of coronary heart disease risk factors following modification means identified in the programs of preventive medicine) and 3) the quality / safety of the method.. Today in western societies, the easy access to medical information through the press and the Internet makes it easy to UPDATE the public about health issues and raise awareness on the existence of symptoms.. The informed patient is generally cooperative patient, knowledgeable, demanding and has already made several times in preventive health check.. Reported but no substitute for personalized offer health services ... same time.. continues to smoke, make repeated urinalysis, tumor markers and other tests without clear indication and recommendation, and to avoid for reasons unknown (and usually due to misinformation) to undergo a colonoscopy, mammography, digital rectal examination the prostate gland.. It also ignores the.. influence of heredity in certain diseases that avoids dealing with prevention in this.. The lack of effective implementation of the institution of the family doctor-yperefarmogis / or the failure to implement preventive laboratory testing on a massive scale-and non-assessment (the incorrect assessment) results, critically cancels the positive effect of the check up in.. population health.. Regarding the content of a program of preventive medicine at considered healthy individual, proposed the following periodic inspection (according to the instructions of international agencies, medical companies, government health service providers) '.. 1) Basic haematological and biochemical tests (glucose, lipid profile, renal and hepatic function, complete blood count) 2) Under sheet and age, urological and gynecological control (prostate examination / mammography-pap test)-colonoscopy.. Additional tests are proposed depending on each case-existence of hereditary factors predisposing-specific symptoms-assessment findings and signs on physical examination, eg ultrasound, vitamin levels, thyroid function, immunological testing, radiographs, even more specific tests such as CT or.. MRI scans.. In conclusion we recommend regular (annual) Basic laboratory testing of the adult population, where more detailed and amplified by certified health care units, and the results should be evaluated required and the family doctor 'also noted that child-.. teenagers and the elderly, the laboratory test profile differs to some extent on implicit reasons (development-aging).. NIKOLAOS MARAVEGIAS.. ATHENS MEDICAL CENTER.. Go Back.. Contact us.. About Us.. View our videos.. Search.. Articles.. Authors.. Questions - Answers.. Homepage.. Authors.. Pneumonological Articles.. You Ask - We Answer.. Contact.. Info..
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Title: Modern treatment of cardiovascular diseases: interventional cardiology Descriptive info: Modern treatment of cardiovascular diseases: interventional cardiology.. Cardiovascular diseases are the leading cause of death worldwide based on data from the World Health Organization.. (1) The problem of cardiovascular disease is particularly evident in developed Western societies, where it now belongs to Greece, where nearly half of deaths annually due to cardiovascular diseases.. Also an important factor, which often escape from informing the general public, is that now the world's deaths from cardiovascular disease in women have exceeded those of men.. So the myth that women are protected in relation to cardiovascular disease apparently shot down, and after the deaths of women who are due to cardiovascular disease (heart attacks, stroke) is first in frequency than any other condition as a benchmark.. is almost ten times the deaths due to breast cancer.. The last forty years have been many epidemiological studies have demonstrated the importance of different risk factors in the development of cardiovascular disease.. Speaking on cardiovascular disease should be clear that the lion's share belongs to atheromatous disease, the progressive deposition of fat content in the arterial wall with narrowing of blood vessels and reduce blood flow of the respective instruments.. (2) atherosclerosis is a universal disease that most patients do not only focus on one area but may present clinical findings from various areas of our arterial tree.. The most common views are in the carotid system with subsequent stroke, of course, the coronary arteries with subsequent coronary heart disease and myocardial infarction and of course in other peripheral arteries in the form of peripheral vascular disease with intermittent claudication.. The main risk factors are responsible for the development of atherosclerotic disease are five:.. The family history of cardiovascular disease at a young age in first degree relatives (parents and siblings).. Smoking is both active and passive.. Increased blood cholesterol.. Diabetes mellitus.. Hypertension.. Recent years have emerged and several secondary factors such as obesity, physical inactivity, psychological disorders such as anxiety disorders and depression, and more recently the relationship between periodontal disease to cardiovascular diseases.. Most studies have shown that most impressive and significant results in reducing cardiovascular deaths are due to measures that are the concern of prevention.. Although nowadays there is significant potential for the medication with many excellent medications that reduce cardiac mortality and several invasive or surgical interventions, the fact remains that approximately 70% of deaths prolifthenton achieved by medical intervention due to preventive measures.. The central pillars of prevention include the correct diagnosis and treatment of hypertension and diabetes, the regulation of elevated cholesterol levels, smoking cessation and physical exercise.. In future, we hope we can have genetic interventions to help and those who have inherited a predisposition for cardiovascular disease.. But once the patients come to us after the occurrence of atherosclerotic disease, no longer talking about prevention, but for detailed diagnosis and proper treatment.. The modification of risk factors remain important, but often compounded medication depending on the features and characteristics of each patient's specific circumstances is necessary and the interventional or surgical intervention for the treatment of advanced atherosclerotic disease.. Globally, when we talk about interventions epanaimatoseos, that facilitate the passage of blood through stenosed arteries, can now be thoroughly conclude that surgical treatment has assumed a leading position in treating patients with coronary heart disease in relation to cardiac treatment.. Specifically, within the last ten years, the initial equivalence of 1 to 1 of angioplasty with coronary artery bypass (by pass) in the U.. S.. has now definitively overturned and now about 75% of patients with coronary artery disease treated with surgical operations ... to five years with these new "smart stent» show restenosis rates to single figures and many studies are usually around 5%.. (4.. 5) In conclusion, angioplasty procedures have been developed and improved both the immediate effectiveness and safety with success rates of surgery over 95% and reduced the severity of acute complications of less than 1%, but in the long term effectiveness as the need for new surgery.. for restenosis is limited to rates below 5%.. Finally, perhaps the biggest advantage and the main reason that most patients prefer treatment over invasive surgery is the minimum total charge that accompanies the surgery.. Usually then, a patient undergoing angioplasty at the hospital stays only 24 hours within one week may return to normal activities.. Moreover, it is particularly important for patients to comply with the appropriate accompanying medication, particularly the adoption of dual antiplatelet therapy to prevent late complications of stent placement namely thrombosis.. Newer techniques are also available to us and is useful at a rate of approximately 5% of interventions, including systems and athirektomis thromvektomis (devices that can remove part of the plaque or thrombus).. Specific examples are directed athirektomi and rotary athirektomi and reolytiki thromvrktomi.. The use of these devices should be used to shape and anatomical whitewashed rough bottlenecks so as to allow the placement of stent.. Also at our disposal for difficult cases and there endostefaniaios ultrasound (IVUS), who through a catheter passing in coronary arteries, gives ultrasound sections of the vascular wall, allowing more accurate measurements of the rate stenoseos, and components.. a plate.. So, nowadays with the help of all these advanced techniques can go to specific niche operations depending on the circumstances of each patient and each failure, thereby ensuring excellent results for most patients.. (6).. Interventional cardiology has also been extended to correct congenital heart disease without the need for open cardiac surgery.. The most important example and perhaps the most successful intervention is the valvuloplasty of pulmonary valve and the mitral valve in which the majority of patients have excellent long-term results without the need for reintervention.. The last years have also created several systems convergence (common name: umbrellas), which help address the majority of mesokolpikon communications specific kinds ventricular septal defect, as well as convergence of the foramen ovale in patients who have undergone clinical events.. In some patients, remain an open foramen ovale contributes to unexplained ischemic events (myocardial infarction, stroke, etc.. ) and in selected patients, the convergence of the foramen ovale may lead to prevention of new ischemic episodes.. Lastly, modern and quite new development is a percutaneous (interventional) replacement heart valves.. This technique is in its infancy in our days for patients who can not undergo the classical cardiac surgery due to high risk.. There is great research activity in this area and it is probable that a significant proportion of cardiac valvular heart disease in the future be treated invasive.. (7).. In conclusion, the most effective method of reducing cardiovascular disease remains prevention.. Despite technological advances and discoveries of new drugs in the greatest benefit to the general population and patients with cardiovascular disease remains the modification of risk factors mentioned above.. Also, the attendant medication as appropriate depending on the characteristics of each patient and where appropriate served or invasive Cardiac surgery, can also significantly improve the life expectancy of patients with cardiovascular disease.. With regard to intervention, the interventional cardiology through technological developments and new innovative techniques fairly claim to dominance in the treatment of patients with atheromatous disease and gradually extended in later entries.. Efthymios Deliargyris.. Files..
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Title: Diabetes mellitus Descriptive info: Diabetes mellitus.. DIABETES MELLITUS.. Nikos Stathatos, Endocrinologist.. Diabetes mellitus is a disease in which the body does not produce enough insulin or can not use it.. Insulin is a hormone which this is necessary for the body can use the various nutrients (carbohydrates, proteins, fats) taken with food and converts them into energy.. The exact causes of this disease is not known, but two factors certainly play a very important role: the first is heredity.. People who have relatives with diabetes are more likely to show themselves this problem.. The second is the environment.. By this term we refer to factors such as nutrition, pachysarkeia and lack of exercise.. To make a diagnosis of diabetes mellitus, the doctor may do one of the following two tests: Measurement of blood sugar when the patient is hungry or sugar curve.. By measuring fasting blood sugar, if the value is between 100 and 125 mg / dL, then we say this man is pro-sugar.. Patients with pre-sugar are at increased risk for complications of increased blood sugar, but maybe a little less than patients with diabetes mellitus.. If the value is 126 mg / dL or greater, then the diagnosis is diabetes mellitus.. These prices should be confirmed in a second time.. The curve of sugar, sugar is measured with the patient fasting and 2 hours after drink a sugary solution.. If the measurement is 2 hours between 140 and 199 mg / dL, then the diagnosis is pre-sugar.. If 200 mg / dL or greater, then the diagnosis is diabetes mellitus.. Finally, another way to make a diagnosis if there is a random measurement of blood sugar over 200 mg / dL, and the patient has symptoms compatible with increased blood sugar: polyuria, polydipsia, weakness, weight loss.. Diabetes mellitus is divided into 2 categories.. Diabetes type 1 and type 2.. TYPE 1 DIABETES MELLITUS.. This form of diabetes mellitus is an autoimmune disease that is caused by a problem of the immune (defense) system.. In a health body, especially cells in pankreas called beta cells produce insulin.. In cases of diabetes type 1 diabetes, the immune system confuses them for foreign cells and destroys them (as does the bacteria for example).. When a large proportion of these cells are destroyed (90%), symptoms of diabetes mellitus occur.. This is the rarest form of diabetes mellitus and represents about 5-10% of cases.. TYPE 2 DIABETES MELLITUS.. In this case, the beta cells still produce insulin.. However, other body cells do not respond properly to insulin produced, or the quantity produced is sufficient to meet the needs of the organization.. That is, these people, no insulin in their bodies but not working as it should.. Some of these patients regulate their sugar to lose weight, change their diet and ... mellitus are:.. - Frequent urination (polyuria).. - Excessive thirst (polydipsia).. - Excessive hunger.. - Unexpected weight loss.. - Nervousness.. - Blurred vision.. SAKCHARODOUS DIABETES COMPLICATIONS.. If patients who have diabetes do not properly regulate blood sugar, many problems can occur over time.. Although very often the increased sugar does not cause symptoms, sustained hyperglycemia (increased blood sugar) is a great stress on the body which can cause many problems.. These problems are the implications of sugar, comprising:.. - Neuropathy: nerve damage.. Usually causes problems in the legs and other body parts.. - Retinopathy: Damage to the eyes.. - Renal disease: kidney damage.. The kidneys clean the blood of harmful substances which can be accumulated in these cases.. - Heart problems are more common in patients with diabetes mellitus.. SAKCHARODOUS DIABETES TREATMENT.. From the moment you make a diagnosis of diabetes mellitus, each patient must make some necessary adjustments in their daily lives to be able to regulate blood sugar and to remain healthy.. This requires a process that takes time, patience and perseverance.. First of all diabetic patients must learn to count the sugar.. There are many different sakcharometra, which is very easy to use and require very little blood to make the measurements.. Then, each patient must learn how to adapt the diet to blood sugar remains below the set.. This is a process that is not the overnight, but requires time and constant synnergasia your doctor and nutritionist to each patient.. This needs a lot of attention because a number of myths circulating about the diet of a diabetic patient.. For this reason, it is essential that each patient received training from the authority for food and not to trust people opinions of non-specific.. For if needed medicines (including insulin) or not, the doctor decides on the basis of the initial examination of each patient.. This is very important to stress that no medicine can not regulate sugar without proper nutrition and increased physical activity.. The pattern of activity decided with your doctor.. Usually, any patient who has just been diagnosed with diabetes (especially type 2) should be examined by an ophthalmologist and a cardiologist.. Once this test, we decided to treatment (diet, medications, exercise).. Patients with type 1 diabetes require insulin from day of diagnosis.. SOME CONCLUSIONS.. - Diabetes mellitus is a very synithismeni disease which is related to the most common form of the pachysarkeia.. - It is "insidious" because it can be for years without causing symptoms but prokalontas damage to vital organs (heart, brain, kidneys).. - Is often associated with other problems (eg hypertension, elevated cholesterol, elevated uric acid) which also affect the health of the patient.. - There is no cure.. But it can be treated consistently by significantly reducing the likelihood of potentially serious complications.. NIKOLAS STATHATOS..
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Title: 21st National Pulmonary Congress Descriptive info: Meetings.. 21st National Pulmonary Congress.. 18-21 OCT 2012.. ATHENS, HILTON HOTEL.. www.. 21pneumon2012.. gr.. pneumonologist.. Photos..
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Title: ERS Annual Congress Descriptive info: ERS Annual Congress,.. Vienna 1 - 5 september.. photo..
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