Professor of Family Medicine, University of Milan and Rome
EURACT Council, Director of Communications
Family doctors are better placed than other professions to see what is wrong with all parts of healthcare and better placed to recognise the value of collaborative solutions. Most of the world came to recognise this as long ago as 1978 at the Alma Ata consensus conference and Starfield has demonstrated it in her comparison of healthcare systems – high quality, cost – efficient healthcare needs to have broad – visioned primary care at its heart.
A new review looks at cervical cancer screening in the era of HPV vaccination. The review notes that trials have demonstrated the efficacy and safety of vaccines against HPV infection, but the complete effect of HPV vaccination as a cancer prevention strategy may not be fully evident for decades, given the slow progression from HPV infection to the development of cervical cancer.
The duration of a person’s unfitness for work is determined by more than his/her primary diagnosis. Patients often report psychological problems and a feeling of being burnt out. Antonius Schneider and colleagues analyzed whether an association exists between such psychological symptoms and the length of sick leave, even if patients received their sick note because of purely physical symptoms, such as back pain.
Urinary tract infections, chronic high blood pressure and bleeding or clotting disorders may increase the risk of pregnancy-associated stroke in women with preeclampsia, a high-blood pressure disorder unique to pregnancy, according to new research in the American Heart Association’s journal Stroke.
A new study by researchers at the Intermountain Medical Center Heart Institute in Salt Lake City found that using long-term aspirin therapy to prevent strokes among patients who are considered to be at low risk for stroke may not be effective as previously thought.
The study found that atrial fibrillation patients who received a catheter ablation and were low risk of stroke didn’t benefit from long-term aspirin therapy, but are at risk of higher rates of bleeding compared to no therapy at all.
When patients were unaware they were taking statins there was no reported increase in muscle-related symptoms. But, when patients knew they were taking a statin, they were more likely to report symptoms, a finding consistent with the nocebo effect.