RESUMO
The Dutch College of General Practitioners' practice guideline "Problem drinking" contains recommendations for the (early) recognition, diagnosis and treatment of problem drinking and includes recommendations for young people and the management of acute alcohol intoxication. In daily practice problems with alcohol manifest themselves mainly as indirect signals and aspecific symptoms. The practice guideline recommends asking about alcohol use in every case where symptoms cannot be directly explained. General practitioners are usually able treat patients with a drinking problem themselves. Short-term interventions by the general practitioner and practice nurse are effective in the reduction of alcohol use. 'E-mental health' is an aid that can be used in the diagnosis and treatment of problem alcohol use.
Assuntos
Alcoolismo/diagnóstico , Alcoolismo/terapia , Clínicos Gerais/normas , Guias de Prática Clínica como Assunto , Padrões de Prática Médica , Consumo de Bebidas Alcoólicas , Intoxicação Alcoólica/diagnóstico , Intoxicação Alcoólica/terapia , HumanosRESUMO
A persistent infection with human papillomavirus (HPV) underlies all cases of cervical cancer. HPV testing is repeated 6 months after initial Pap smears 2 or 3a1. As vaccination against HPV is now included in the National Immunisation Programme of the Netherlands, yearly cervical cancer morbidity and mortality rates are expected to be cut by half. After vaccination against HPV, women still need to participate in the cervical cancer screening programme. Breastfeeding is no longer a contraindication for making Pap smears, provided that breastfeeding is indicated on the cytology application form. Liquid-based cervical cytology is an equivalent to conventional cervical cytology and offers the possibility of testing for HPV. General practitioners are responsible for communicating results from the cervical cancer screening programme to the participating women.
