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This Quick Reference Guide for Clinicians contains highlights from Post-Stroke Rehabilitation, Clinical Practice Guideline No. 16, which was developed by a multidisciplinary, private-sector panel comprised of health care professionals and a consumer representative. The Quick Reference Guide for Clinicians is an example of how a clinician might implement the panel's findings and recommendations on the overall management of stroke patients who need post-stroke rehabilitation programs or services before returning to a family or other living environment. Topics include medical management of patients, systematic assessment and evaluation of patients throughout acute care and rehabilitation, referring patients to appropriate rehabilitation programs, managing the rehabilitation process, discharging patients from rehabilitation programs, and reintegrating patients into family and community environments.
1. A regular eye exam is all that is needed to find a cataract. 2. A cataract does not have to be removed right away. 3. Talk with your doctor about how your cataract affects your vision and your life. 4. After talking with your doctor, decide whether surgery is right for you.
Because many environmental diseases either manifest as common medical problems or have nonspecific symptoms, an exposure history is vital for correct diagnosis. The primary care physician can--by obtaining a thorough exposure history--play an important role in detecting, treating and preventing diseases caused by toxic exposure. The exposure history consists of three parts: exposure survey, which includes information about current and past exposure, and health and safety practices at work; work history, including all past jobs and military service; and environmental history, which includes information about the home environment.
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The story of the Department of Health and Human Services (DHHS), its United States Public Health Service (US PHS), and the US PHS Commissioned Corps is comprised of people and programs aimed at protecting and promoting the nation's health, including oral health. The federal precursors of these organizations focused on clinical services for federal beneficiaries, and with time grew to include federal support for community and state programs for underserved and institutionalized populations; biomedical and behavioral research conduct: drug, device, and food regulatory activities; and, most recently, an enhanced response to biodefense and emergency readiness, among other activities. An essential component of the workforce addressing these activities is the US PHS Commissioned Corps, directed by the Surgeon General of the US PHS. This corps is a mobile, uniformed health service assigned to programs throughout the DHHS, as well as to other departments and agencies as needed. Dentistry has been a critical part of these programs and of the corps since their inception.
Public Health Service (PHS) needs an epidemiological approach to execute and implement its widespread tasks, as laid down by law. Data collection and transfer is strictly limited by law; PHS has usually to refer to its own (current) data, collected and used primarily for individual applications and therefore of limited epidemiologic use. The legal basis for epidemiologic work in the field of PHS is interpreted, the restrictions by data protection are shown, the limited use of the present current data basis is discussed. Finally, the role of PHS as part of the local administration is justified as well as its importance for community based health reports and health planning.
In the United Kingdom and the United States the public health services have always been considered as being an integral part of public health. The mission, tasks and objectives are the same. In Germany pub-lic health research and public health initiatives on behalf of the universities started in the 1990s. Before that terms and disciplines such as "hygiene" and "social medicine" prevailed. The public health service -- related to these disciplines -- had also been established previously. At the start of the debate on public health issues, however, the pub-lic health service did not play an important role. It was criticized for its conventional organization and its lack of population-based strategies. This article describes the conceptual development of both public health and the public health service over the last 15 ye-ars and the importance of public health politics in achieving a joint strategy aimed at im-proving the health of the population including different population groups.