Bacterial diseases and preventive medical care
In Preventive medical care new discoveries and inventions make great changes in the human life.
Another important development has been the discovery that death is really a slow intruder, that diseases do not suddenly spring up full-blown but often have long scenarios. In the Korean War, autopsies of young American soldiers revealed that in 54 percent of these youths, many of whom had only very recently attained manhood, coronary heart disease was already starting. We see- of the disease germinate in the early years and the ultimate heart attack is the end result of a long process in time, then here is a problem that can be combatted, for there is time to combat it. And there is evidence of what factors are involved, there are mere to fight; to retard, and perhaps even to prevent it from getting started Some of the most impressive preventive work recently has been the result of advances in the understanding of body chemistry-and of chemical abnormalities that may be inborn. It has now become possible to detect early in life, even almost immediately after birth, such inborn errors as phenylketonuria and galactosemia.
Detection of diseases
They involve inability to properly handle certain specific food elements, and simply by avoiding such elements it has become possible to prevent development of mental retardation, growth failure, and other serious problems. Understanding of the chemistry of disease is expanding rapidly, and there is growing confidence that the principles of early detection and treatment of diseases due to inborn chemical errors can be extended to many common chronic diseases. That 'can make it possible for the doctor in his practice to have to deal less-with severe complications triggered while a disease smoulders under the surface before calling attention to itself with obvious symptoms, and he can be concerned instead with The early detection of the still symptom-free but predisposed patient and correction of the basic problem before complications have a chance to Develop..
Already, for example, promising work is being done in detecting people with prediabetes-those who have no symptoms of diabetes but do have changes in body chemistry that may forecast eventual onset of overt diabetes. Early results of treating such patients with antidiabetic agents are regarded by some investigators as promising, suggesting it may be possible to prevent the development of diabetes and such complications as visual disturbances, circulatory disturbances, and increased risk of coronary heart disease. As we have noted earlier, kidney machines can be lifesavers for pa- tients with kidney failure-but it would be far 'better to prevent the failure. And there is growing hope now that in many cases failure may be prevented by attention to asymptomatic bacteria.
Bacteria detection
Asymptomatic bacteria simply means the presence of sizable numbers' of bacteria in the urine without causing symptoms. The condition may occur at any age and in either sex but is especially frequent in females, affecting 1.2 percent of schoolgirls and 6 percent of pregnant women. There is ovi- dence that if left untreated bacteria may eventually cause the kidney disease pyelonephritis, which in turn may result in kidney failure. Bacteria can be treated effectively once detected, and newer tests now make its detection simpler and more practical. Today, as the next chapter will show, many testing procedures are available to make it possible for the physician increasingly to anticipate and prevent disca rather than wait for it to appear.
In Preventive medical care new discoveries and inventions make great changes in the human life.
Another important development has been the discovery that death is really a slow intruder, that diseases do not suddenly spring up full-blown but often have long scenarios. In the Korean War, autopsies of young American soldiers revealed that in 54 percent of these youths, many of whom had only very recently attained manhood, coronary heart disease was already starting. We see- of the disease germinate in the early years and the ultimate heart attack is the end result of a long process in time, then here is a problem that can be combatted, for there is time to combat it. And there is evidence of what factors are involved, there are mere to fight; to retard, and perhaps even to prevent it from getting started Some of the most impressive preventive work recently has been the result of advances in the understanding of body chemistry-and of chemical abnormalities that may be inborn. It has now become possible to detect early in life, even almost immediately after birth, such inborn errors as phenylketonuria and galactosemia.
Detection of diseases
They involve inability to properly handle certain specific food elements, and simply by avoiding such elements it has become possible to prevent development of mental retardation, growth failure, and other serious problems. Understanding of the chemistry of disease is expanding rapidly, and there is growing confidence that the principles of early detection and treatment of diseases due to inborn chemical errors can be extended to many common chronic diseases. That 'can make it possible for the doctor in his practice to have to deal less-with severe complications triggered while a disease smoulders under the surface before calling attention to itself with obvious symptoms, and he can be concerned instead with The early detection of the still symptom-free but predisposed patient and correction of the basic problem before complications have a chance to Develop..
Already, for example, promising work is being done in detecting people with prediabetes-those who have no symptoms of diabetes but do have changes in body chemistry that may forecast eventual onset of overt diabetes. Early results of treating such patients with antidiabetic agents are regarded by some investigators as promising, suggesting it may be possible to prevent the development of diabetes and such complications as visual disturbances, circulatory disturbances, and increased risk of coronary heart disease. As we have noted earlier, kidney machines can be lifesavers for pa- tients with kidney failure-but it would be far 'better to prevent the failure. And there is growing hope now that in many cases failure may be prevented by attention to asymptomatic bacteria.
Bacteria detection
Asymptomatic bacteria simply means the presence of sizable numbers' of bacteria in the urine without causing symptoms. The condition may occur at any age and in either sex but is especially frequent in females, affecting 1.2 percent of schoolgirls and 6 percent of pregnant women. There is ovi- dence that if left untreated bacteria may eventually cause the kidney disease pyelonephritis, which in turn may result in kidney failure. Bacteria can be treated effectively once detected, and newer tests now make its detection simpler and more practical. Today, as the next chapter will show, many testing procedures are available to make it possible for the physician increasingly to anticipate and prevent disca rather than wait for it to appear.
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