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BROWSE INTRODUCTION TO THE SYMPTOMS AND SIGNS PDF

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Whereas the symptoms and signs of surgical disease have not changed in the . Browse's Introduction to the Investigation and Management of. Browse's Introduction to the Symptoms and Signs of Surgical Disease book. Read 19 reviews from the world's largest community for readers. The fourth edit. Full text of "Browse's Introduction To The Symptoms And Signs Of Surgical .. Sir Norman Browse History taking and clinical examination You must be.

Perfect book for clinical sessions of surgery. Sep 06, Smit added it. Dec 23, Guuleed is currently reading it Shelves: Jul 24, Lamees rated it really liked it Shelves: Dec 11, Nguyen Bao anh added it. Dec 07, Dr.

Browse’s Introduction to the Symptoms & Signs of Surgical Disease, Fifth Edition

It's a must to read this book during surgery rounds , I love it! Sep 16, Nur Izzati rated it liked it Shelves: Not that helpful for my surgical posting. Jun 23, Bethelhem added it. Aug 07, Al-anoud Al-jarbou rated it really liked it.

Oct 15, Zahra rated it liked it. This review has been hidden because it contains spoilers. To view it, click here. It's helpful. I've studied parts of this book during the clinical exam of surgery.

Browse's Introduction to the Symptoms and Signs of Surgical Disease (4th edn)

Mar 18, Abdulrahman added it. I totally love the editing of this book with the hard cover, the colors and every thing. Nov 11, Sopnil Rahman rated it did not like it. Cheat you not giving book. Saniulhassan rated it it was amazing Mar 06, Moony Awamy rated it really liked it Sep 23, Emmanuel rated it really liked it Jan 17, Hanadi AboSaif rated it really liked it Dec 18, Zashim rated it really liked it Dec 20, Kubeh Pascal rated it really liked it Apr 09, Jun 09, Dhanushka added it.

Similarly, the stroke knowledge was Respondents with a lower educational level exhibited slightly lower scores for both conditions.

The same was observed for their stroke knowledge of For heart attack knowledge, they scored For stroke knowledge, they scored Multiple logistic regression model was performed using scores on the heart attack and stroke knowledge questions as the dependent variable. The independent variables entered into the model were age, gender, race, education level, and occupational status. The results showed that those with higher knowledge for both disease conditions were more likely to be female, to have higher levels of education, and were employed Table 4.

Table 4: Multiple logistic regression analysis of factors associated with high heart attack and stroke knowledge score. Discussion In this study, we found that the current level of knowledge for signs and symptoms of heart attack and stroke was fair in the resident population. Heart Attack Knowledge Delay from symptom onset in a heart attack to presentation at hospital is an international concern.

As mentioned in the Introduction section, studies conducted in the United States [ 13 ], United Kingdom [ 14 ], and Australia [ 15 ] showed similar median interval, of 2. Other symptoms such as dyspnea, nausea, or syncope are lesser known [ 14 ].

In a major study in the USA, one-third of , subjects with confirmed diagnosis of myocardial infarction did not have chest pain on presentation [ 25 ]. When chest pain is not the main presenting complaint, patients may be confused about the severity of their symptoms and thus postpone seeking treatment. From a global viewpoint, the level of knowledge of signs and symptoms of heart attack in Singapore is comparable to USA and Canada [ 26 , 27 ]. From to , the Centers for Disease Control in USA collated data nationwide via telephone interviews with a total of ,, respondents on heart attack knowledge.

Their aim was to compare knowledge between the nonrural and rural populations. Singapore is a city-state, thus singling out their nonrural population analysis for comparison; their results showed a higher knowledge, with They found the more educated and younger adults 19 to 65 years old to have higher knowledge, congruent with our study.

Unlike ours, there was also a racial and gender discrepancy with Hispanics and women scoring lower [ 26 ]. In Vancouver, Canada, an urban study published in showed more similar results to ours, with They also found that level of knowledge was higher in young respondents with higher education level and higher annual household income [ 27 ].

In Victoria, Australia, a similar study was also conducted in , with similar results of Respondents with higher educational levels reported higher number of symptoms correctly [ 28 ]. Stroke Knowledge Regarding stroke knowledge, numerous studies have been done in USA, in different states.

A large-scale study performed by the Centers for Disease Control, in 17 states, showed that, in , public knowledge of major warning signs of stroke was high, with This level of stroke knowledge appears to be comparable to our study of The study did not carry out stratification studies.

Further analysis of 2 published articles in the USA, performed in similar urban adult populations, in Ohio, , and Michigan, , concurred with our study that younger respondents and those with higher educational level have a higher stroke knowledge level [ 30 , 31 ].

Telescoping into the Asia Pacific Region, in Victoria, Australia, a similar published study in shows This appears to be comparatively lower as compared to USA and Singapore.

Despite that difference, again, stroke knowledge was found to be higher in those who are more educated. Age differences were not studied in this paper. Taking One Step Forward Overall, the heart attack and stroke knowledge in the Singapore resident population appears to be somewhat similar, in comparison to countries within the same economic, educational, and healthcare strata.

A similarly comprehensive plan is in place in Canada for both heart attack and stroke knowledge, known as the Canadian Heart Health Strategy and Action Plan, started in with its latest executive summary published in [ 35 ]. HPB concentrates on publishing informative and interactive content online, organizing nationwide campaigns complete with public health exhibitions, and putting up posters in public areas for the adult population.

Currently, we lack the supportive statistics to determine the effectiveness of such interventions. Also, our interventions are mainly targeted at the literate, working, and studying populations. This conclusion is heartening and assuring that public school health education and continuing public health advocacy by the Singapore Health Promotion Board appears to be heading in a positive direction.

At the same time, we recognize the need for greater public knowledge of signs and symptoms of heart attack and stroke in general. Furthermore, any public health education needs to emphasize the less common presenting complaints of both conditions. As with Canadian and American action plan experiences, continual reassessment of methods employed to promote public health messages is important to maintain relevance.

In this manner, this study could be used as a baseline, to measure the effectiveness of future public health campaigns and to correlate with studies performed after intervention.

Another group to consider is the unemployed and retired, as campaigns in workplaces may prove futile to aid the understanding of this group. Public health campaigns may need to be carried out in the media such as television and radio, with supporting talks and poster exhibitions in common public-use areas such as community centres, bus stops, or train stations. Addressing those with a lower educational level may require that the information in the campaigns be kept simple and succinct.

We intend to follow up with public health education efforts, which should be studied for their effectiveness in eventually lowering morbidity and mortality, as such, becoming a springboard for comparison before and after intervention. Limitations Two possible limitations of this study include nonrespondent and interviewer biases. As To minimize interviewer bias, intensive training was given to all interviewers to standardize method of asking, prior to commencement of study.

Interviewers were also randomly shadowed by staff of the Health Promotion Board to ensure quality of the interviews remained consistent. The strength of this study is the close relation of the demographics of the sample population to the true Singapore resident population in the survey year of [ 21 ].

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This study has also made the assumption that being equipped with knowledge will translate into earlier treatment.

However, some studies [ 36 , 37 ] have illustrated that there may be other barriers to early presentation to the hospital.

Locally, no similar study has been conducted. Further studies in our local setting to explore other possible reasons why heart attack and stroke patients are not presenting to hospital earlier may be helpful. Conclusion We found a comparable knowledge of stroke and heart attack signs and symptoms in the community, to countries within the same economic, educational, and healthcare strata.

However, there are still pockets of community which require more public health education efforts. In this fourth edition, the distinguished principal author has invited three eminent colleagues to join him, each active not only in clinical practice but also experienced in examination and assessments, and they are to be congratulated on the result.

They have extensively revised and, where appropriate, combined each of the progressively updated original chapters and introduced a new one on the all important symptoms, signs and emergency management of major injuries.

In addition, the chapters on the breast, muscles and bones have been completely rewritten. Nevertheless, the original systematic approach and style has been maintained.

The first chapter on history taking and clinical examination sets the tone for the whole book, emphasising a careful, methodical approach, always giving the patient complete attention and never taking short cuts. After the new second chapter on trauma, the subsequent 16 cover sequentially and logically the major anatomical areas. The book is beautifully illustrated with high-quality photographs, including new ones, and colour line diagrams, each succinctly annotated.Hanadi AboSaif rated it really liked it Dec 18, Reviewed by John Lowry.

Another helpful feature is the inclusion throughout the book of revision panels, summarising the important aspects of, for example, examination, causes and classifications. John Black.

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Schneider, A. Furthermore, any public health education needs to emphasize the less common presenting complaints of both conditions.

Saniulhassan rated it it was amazing Mar 06,

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