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IPCA

International Primary Care Association
 
 
 

Clinical Focus Volume 2 N2

Volume 2 Issue 2 - 2006

Abstract

Hypothyroidism is common and is generally managed in primary care. Trial data is often not available to support what is regarded as established clinical practice. Increasing numbers of patients with symptoms which might be attributable to hypothyroidism are tested requiring more frequent interpretation of abnormal thyroid function tests. Investigation and treatment of hypothyroidism are discussed including management of those who are pregnant or have transient or subclinical hypothyroidism.

Introduction

Hearing loss is the most prevalent sensory deficit in the human population.1 The prevalence of permanent congenital hearing loss in children is 3-4/1000. The introduction of a well run Universal Neonatal Hearing Screening programmes has greatly increased the identification of affected children. Significant hearing loss at any age may lead to educational, economic and social disadvantages to the individual and to the community. The need for a solution to this important healthcare problem and advances in current technology, have led to a revolution in the rehabilitative audiology. In this review, we highlight the main recent developments in the management of the hearing-impaired individual. Rehabilitation requires the identification of the individual with the hearing impairment and the direction of resources to reduce the effect of this impairment on disability and the resulting educational, economic and social handicap. The task requires the effort of a team including audiologists, hearing therapists, otologists, neuro-otologists, speech therapists, educational audiologists, social services, hospital managers, employers, educators, the voluntary societies, the Internet, hearing aid manufacturers, and the individuals and stakeholders affected.

Introduction

Ageing populations and rising levels of obesity are contributing to a global epidemic of diabetes that is threatening our health and longevity: an estimated 300 million people worldwide will suffer from Type 2 diabetes by 2025.1 A recent national diabetes audit found the number of people with diabetes in the UK now exceeds two million but estimates that 25% of the diabetic population are either undiagnosed or not recorded on practice registers; this suggests as many as one in four are unaware they have the condition.2,3

 
 

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