Wednesday 18 October 2017
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 that must be provided based on the history, physical examination and evaluation of paraclinical examinations by your family physician. Unfortunately in our country is not practical until now the institution of family doctor integrated to provide preventive health services (although there are family-general practitioners), and neither has been detected from the majority population of the necessity of a large scale.
Much of the population subjected to annual or more often laboratory tests and results either remain in a sealed envelope, either aftoaxiologountai (bypassing the physical examination, history and family physician), or controlled by a doctor who does not know and will probably never seen the examined. The current Greek / Greek enimeromenos/i- is an important extent, the effects of pathological deviations of laboratory parameters on health (eg, adverse effects of hypercholesterolemia in the arteries, diabetes and complications, low hematocrit), but at the 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

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