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Biomedical subjects

H Tabenkin

Publications and source records attributed to H Tabenkin.

46 records · Page 3Linked to original sources
PubMed1993

Treatment of streptococcal pharyngitis with amoxycillin once a day.

OBJECTIVE: To evaluate treatment of group A beta haemolytic streptococcal pharyngitis with amoxycillin once daily compared with phenoxymethylpenicillin three or four times a day. DESIGN: Randomised controlled study of consecutive patients presenting with symptoms suggestive of group A beta haemolytic streptococcal pharyngitis in whom culture of a throat swab yielded positive results. SETTING: Five family medicine practices. SUBJECTS: 157 patients aged over 3 years who required treatment with antibiotics. MAIN OUTCOME MEASURES: Clinical response, bacteriological response, days at work and school lost, and compliance. RESULTS: During the period of the study 393 patients presented with symptoms suggesting streptococcal pharyngitis; 157 of them had throat swabs that yielded positive results on culture. Eighty two were treated with phenoxymethylpenicillin and 75 with amoxycillin. No difference was observed in the clinical response, days at work and school lost (139 days for 64 patients taking phenoxymethylpenicillin v 100 days for 57 patients taking amoxycillin; p > 0.2), or residual positive cultures after two days (6 (7.3%) v 3 (4%); p > 0.5). A significant difference in the bacteriological response was found after 14 days (5 (6.1%) v 0; p < 0.04) with no positive cultures observed in the amoxycillin group. CONCLUSIONS: These findings support the hypothesis that amoxycillin once daily is as effective as phenoxymethylpenicillin in the treatment of group A beta haemolytic streptococcal pharyngitis.

Absenteeism↗
PubMed1993

[Primary care consultation rates among the middle aged and elderly].

The consultation rate among family physicians has been widely discussed in the literature, but very few studies have been done in Israel. We analyzed the pattern of visits to the family physician of 1,860 patients aged 40 years and older in 3 urban clinics, 2 kibbutzim and 1 rural clinic with a total population of 6,700. The consultation rate rose steadily with age. It was 3.4 per year at age 40-49, and 5.6 at ages 70 and over, with a mean annual rate of 4.6. 77% of the screened population consulted the physician in 1 year and 91.4% in 3 years. Only 9.6% did not visit their physicians in the 3 years. About two-thirds visited the physician 1-4 times a year, and only 2% visited more than 15 times. In urban practices women attended more often than men but there was no significant sex difference in the rural practices. As a result of the greater visit rates of the elderly, they consumed a larger share of medical services. The mean consultation rate in this survey is similar to that in England and in other Western countries. However, it is relatively low in comparison to other studies in Israel. This may be due to the different practice setting and the use of a different sampling frame.

Adult↗
PubMed1993

Characteristics of registered clinic patients who have not visited their family physician for 3 years.

The objective of this study was to obtain and critically evaluate data on the health characteristics and the need for medical assistance in patients aged 40 years and over, from six urban and rural medical practices in northern Israel, who have not consulted their family physician for at least 3 years. A health questionnaire was completed by means of telephone calls and personal contacts, regarding 139 non-visitors (out of 1847 patients aged 40 and over). The health characteristics and prevalence of medical and social problems were compared to regular clinic attenders. Questionnaires of 101 non-attenders were completed for a response rate of 73% (101/139). The non-attendance rate was 7.5% (139/1847) and there was a low rate of morbidity. The majority (81%) were 40-59 years old and only 16% had had previous illnesses. Only 10% took medications regularly, most of them medical personnel. Twenty-eight of the non-attenders were employees of the regional health care system. Most of these individuals coped with chronic illnesses by consulting the regional hospital's outpatient clinics. Non-attenders could be characterized as less prone to health problems. Most of them seemed remarkably fit and were not suffering unduly as a result of their lack of medical attention.

Adult↗
PubMed1992

[Characteristics of urgent house calls in an urban clinic].

Urgent house calls during regular clinic hours constitute a significant burden on the family physician's workload. It is the impression of the staff of this clinic that many patients use this service incorrectly, so that ordering an urgent house call often leads to a direct confrontation between the patient and his physician. During a 4-month period questionnaires were filled out by the physician before and after every visit described as "urgent" by the caller. There was a huge gap between the physician's and the patient's concept of what constitutes an urgent situation. However, in many cases the physician justified the visit. This survey emphasizes the importance of house calls and justifies them, but not always as to their urgency. As a result of this survey, we are now designing a program to improve communication when an urgent house call is ordered, in order to minimize the gap between the physician's and his patient's understanding and expectations of the necessity and urgency of the visit.

Aged↗
PubMed1992

[Characteristics and perceptions of physician managers in Israel].

In a survey of 120 physician managers (PM) of the Israel Ministry of Health and the General Sick Fund (Kupat Holim), demographic and managerial characteristics and perceptions of what is important for effective performance were studied. Medical directors of hospitals, districts and Kupat Holim clinics were included. The majority of the respondents had some training in medical management. 33% are family physicians, 15% are internists, 33% have degrees in public health, 17% are board certified in medical management, and 8% are pediatricians. None of the district and hospital medical directors of the General Sick Fund is a woman, but 40% of medical directors in Ministry of Health districts are women. More than 50% of PMs are not satisfied with the dualistic management that exists mainly in the General Sick Fund. 42% of the respondents stated that 8 or more years after residency is the most appropriate time to assume managerial roles. The average score of those who chose medical management from the point of view of job satisfaction was 7.4 +/- 2.3, but the rated satisfaction from performance as a PM in the health care system today is 4.2 +/- 2.6 (on a 1-10 scale). The most important managerial characteristics perceived by the respondents were credibility, ability to communicate and delegate, and leadership.

Female↗
PubMedDate not supplied

Prevalence of markers of infection with hepatitis B and C viruses in immigrants of operation Solomon, 1991.

Sera of 200 recent Ethiopian immigrants (less than 1 year in Israel) were tested for the presence of antibodies against hepatitis B and hepatitis C viruses. The prevalence of the various markers was: anti-hepatitis B core antigen (anti-HBc) 52%, and hepatitis B surface antigen (HBsAg) 11.5%. None of the HBs-positive sera tested positive for IgM-anti core. Sixty-eight sera from nonvaccinated subjects were tested for anti-HBs, and 12 of them were anti-HBc negative/anti-HBs positive (the only positive marker was anti-HBs). Four of 23 HBsAg-positive sera were HBcAg positive (17%), and only 1 of 18 HBeAg-negative sera was positive for anti-e antibodies. Antibodies to hepatitis C were positive in 6/200 sera (3%).

Adolescent↗