注意脏护理的差距:将我们所知道的转化为我们所做的事情
Valerie A Luyckx1,2,3, Katherine R Tuttle4,5, Dina Abdellatif6
1Department of Public and Global Health, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Journal of family medicine and primary care
|July 1, 2024
概括
弥合病知识与实践之间的差距至关重要. 早期诊断和治疗病,高血压和糖尿病是必不可少的,但面临着需要立即解决的重大障碍.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
背景情况:
- 在将病研究转化为临床实践方面存在重大延迟.
- 由于诊断和治疗缺口,对病的有效治疗方法未得到充分利用.
- 脏疾病往往是默默地进展,导致晚期诊断和低于最佳的管理.
研究的目的:
- 强调急需加快实施基于证据的病治疗方法的关键需要.
- 强调早期诊断和治疗病及其危险因素的重要性.
- 识别阻碍及时和有效的病护理的系统障碍.
主要方法:
- 审查目前关于预防和管理病的指导方针.
- 分析高血压和糖尿病的诊断和治疗率作为病风险因素.
- 检查患者,临床医生和卫生系统层面早期发现和治疗病的障碍.
主要成果:
- 既定的病干预措施与其广泛的临床应用之间仍然存在很大的差距.
- 一小部分患有高血压和糖尿病的人接受了最佳的治疗,以预防病.
- 大多数病患者在诊断后仍然未被诊断或治疗不足.
结论:
- 需要采取紧急行动,以减少病治疗采用的平均17年的延迟.
- 最大限度地提前诊断和治疗机会,特别是在初级保健水平,是必不可少的.
- 解决多方面的障碍对于改善全球脏健康结果至关重要.
相关概念视频
01:27Dialysis
288
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
288
01:12Internal Anatomy of the Kidney
1.5K
The kidneys are essential organs in the human body, performing a myriad of tasks that maintain homeostasis and overall health.
Anatomical Position and Dimensions
The kidneys are retroperitoneal organs positioned against the posterior abdominal wall on either side of the spine, roughly between the twelfth thoracic and third lumbar vertebrae. Each kidney is typically 10-12 cm long, 5-6 cm wide, and 3-4 cm thick, weighing about 150 grams.
Renal Cortex
The outermost region of the kidney is the...
Anatomical Position and Dimensions
The kidneys are retroperitoneal organs positioned against the posterior abdominal wall on either side of the spine, roughly between the twelfth thoracic and third lumbar vertebrae. Each kidney is typically 10-12 cm long, 5-6 cm wide, and 3-4 cm thick, weighing about 150 grams.
Renal Cortex
The outermost region of the kidney is the...
1.5K
01:28Renal Drug Excretion: Tubular Secretion
174
Active tubular secretion is a robust, energy-demanding process that utilizes carrier systems to transport drugs into renal tubules. The active renal secretion systems include the organic anion transporter (OAT) for weak acids and the organic cation transporter (OCT) for weak bases. Structurally similar drugs can compete for the same transporter, potentially leading to drug accumulation and toxicity. However, this principle can be exploited therapeutically. One example is probenecid (Probalan),...
174