Custom essays on MSN Term Paper: Evaluation of Clinical Guideline

Modern information about the structure of viral hepatitis, illness of Lime, diphtheria, the dysenteries will help general practitioners to decide concrete clinical tasks. To the authors, leaders of infectious service, the queries of practical health protection are well known; they have a rich experience on optimization and perfection of measures on a fight against infections that found a reflection in guideline. Methodical recommendations on sharp intestinal infections, viral hepatitis, illness of Lime, diphtherias et al, developed leading specialists and ratified by a committee on a health protection, organically entered in the structure of guideline and are the unique feature of this edition. Guideline is intended for general specialists, pediatricians, internists’ practitioners. It can be used by infectiologists, gastroenterologists, dermatologists, neurologists, rheumatologists and other specialists.
One famous scientist marked: «To the group infectious it is possible to take 98% all diseases. If to think a little about this percent – 99,8%. And if to think more – all 100%». Indisputably, it is an overstatement, but a part of stake truth is in the words of scientist.
Let’s discuss according to chosen guideline “Infectious diseases”: What does it consist of? Any disease is a sign of weakening of organism of man. On a background hyposthenia immunity, infecting takes place especially easily, what organ or system will appear affected – determined the set of etiologic factors. At the same time enough hardness infections to develop in a healthy organism. A healthy organism – it is, foremost, the healthy immune system. Immunity is supported by the healthy way of life. The World health Organization has defined health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”.
These guideline’s maxims have to be reminded a future general practitioner on that reason, that modern medicine has a heel in valeology, i.e. in conception of fight of organism with illness, in harm to that direction, which forming, strengthening and maintenance of health is underlain. However, uniquely fruitful approach consists of combination of sanology with valeology. Ancient Greeks it fine understood, and not for nothing the goddess of health carried the name of Gigeya for them. It is possible to remember more early times – about 2000 years B.C. Already in this period laws, directed on a health care, were formulated in Mesopotamia, i.e. laws, regulating hygienically bases of making healthy of population. In course of time Gigeya as character of medicine appeared practically forced out the second daughter of Asklepiya by Panacea, and the role of hygiene was taken only to protecting of organism from the unfavorable for a health factors of external environment.
Today world medical science far stepped back from primitive interpretation of health as absence of illnesses. It is said in the preamble of regulation of worldwide organization of health protection: “A health is the state of complete physical, spiritual and social prosperity, rather than just absence of illnesses or physical defects”.
Last years WHO sufficiently successful propagandizes a simple formula: “more healthy choice is more easy choice”. The European bureau developed by WHO and in a great deal realized the program “The Healthy lifestyle”. Idea of way of life as a factor, determining a health, at the beginning of 80th designed as conception, in the basis leaning both against the results of epidemiology researches and on achievements in area of social sciences. Conception of “way of life as a factor, determining a health” was accepted as one of head stone of the program of the European bureau of WHO.
This philosophy of health must become basic and for a future general practitioners. Time of doctors in a clean kind goes away to the past. Time of rehabilitation of Gigeya comes, i.e. high-quality other going near a health of people care and to the idea of prophylaxis. Exactly a general practitioner becomes a key figure here. On expression of academician Amosov to “be healthy, own efforts, permanent and considerable, are needed. Replacing them is impossible nothing”. To initiate these efforts and give them necessary direction can and a general practitioner must. Looking after not only adults but also children, he gets unique possibility to mortgage in consciousness of people a requirement in a healthy lifestyle in the earliest age. Designating this important aspect, we pass to the practical prophylaxis of infectious diseases taking into account those important changes which bring in socio-economic realities of present time in it.
Guideline includes not only description, methods of treatment of different infectious diseases but also social roots of their appearance. It is generally known, that social shocks, especially wars, always entailing economic problems, result in wide distribution of epidemic diseases. History knows that mass of examples. We will remember even the period of Great strife, catastrophic drought at the end of XIX century and accompanying by it cholera or “typhus” times of Civil war. Similar, though not so catastrophic situation, is observed and in modern country. Such illnesses, as HIV-infection, viral hepatitis, tuberculosis, gonorrhea, collect dangerous growth. Naturally, that growth of specific gravity of infectious diseases requires the improvement of preparation of specialists, answering the requirements of today’s reality. Preparation of infectiologists must have a greater volume and substantially other orientation incomparably, what, for example, in such socially and, consequently, epidemiology to the happy country, as Sweden. Undoubtedly, what in preparation of general of infection practitioners must occupy proper a situation place?
The picture of infectious morbidity changed not only in number but also high-quality. A situation is an especially model with such illness, as diphtheria. If in 50th of XX century the students-physicians were in an only theoretical position of acquaintance with, in 90th index of morbidity made much more. Vaccination is important method of struggle with infectious diseases. Vaccination as one of the effective ways of treating the diseases mentioned above. Vaccination is the giving of antigens from a disease-causing organism, either by injection or orally, with the aim of causing the body’s immune system to learn to make antibodies against the disease. The body should be able to respond fast enough to infection by that disease to eliminate it before symptoms develop. Another factor which must be taken into account is that diseases can spread across international boundaries, so one the role of World Health Organization is to have in addition to national policies, a worldwide coordinated approach. The conducted sociological questioning stated that population:
а) does not know about the epidemic of diphtheria;
b) is afraid to be infected AIDS during a vaccination;
c) does not find time to vaccinate;
d) is afraid of complications.
In the last a serious negative role was played by the press in which information appeared that vaccination it is better not to do from diphtheria, as a domestic vaccine is off-grade, has too much contra-indications, weakens immunity and so on, it added that the forced vaccination violates human rights. But providing sanitary-epidemiology prosperity in a country just and directionally on the observance of human rights! Research of social status diseased diphtheria allowed selecting among them three basic categories – children of preschool age, schoolboys and nonworking pensioners. Children appeared uninstalled from pure resistance of parents, and nonworking pensioners, unlike a working population, fallen out of sphere of attention of infectiologists. Unfortunately, infectiologists can not reach to every family, and all hope -is on general practitioners. To disperse afore-mentioned errors, similarly as well as to watch after a scope the inoculations of all patients is his duty.
Other side of problem, having the expressed social roots, is the sharply growing alcohol zing of population. Among dying from diphtheria in 1993 in the country 80% made persons, sufferings alcoholism, which not only the general hypothesis of organism is characteristic for but also, by virtue of frivolous attitude toward the health, late turned to the doctor. Statistics also show that about 80% make alcoholics and among the habitants of country, dying from a dysentery and viral hepatitis. They, by reason of the illegibility in intimate connections, most subject to the risk of diseases, transmissible sexual a way, such as a gonorrhea and syphilis, opening the gate of HIV-infection in same queue.