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By Christos Lionis, MD, PhD Associate Professor IFPCRN Executive Board Member lionisgalinosd.uoc.gr

Outline Clinic of Social and Family Medicine at the University of Crete, Greece-A short background Developing epidemiologic research and measuring the burden of common illnessDeveloping diagnostic tools in measuring diagnostic accuracy: a focus on disease managementIntroducing clinical governanc

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By Christos Lionis, MD, PhD Associate Professor IFPCRN Executive Board Member lionisgalinosd.uoc.gr

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    10. Association of allergic rhinitis with the use of pesticides

    11. Prevalence of skin symptoms and work-related skin symptoms among grape farmers and controls.

    16. Diseases management in rural Crete-the case of gastrointestinal   problems Study of the functional gastrointestinal disorders in rural Crete Foteini Anastasiou, PhD thesis, Supervisor: Prof. Christos Lionis

    17. Results dyspepsia- IBS 394 patients were identified with upper abdominal symptoms non related to ulcer or GERD 48 (12.2%) patients were registered as dyspeptic by primary care physicians 29 (60.4%) were interviewed 146 patients identified as IBS by their physicians 123 eligible for interview 67 participated Lionis C, Olsen-Faresjo A, Anastasiou F, Wallander MA, Johansson S, Faresjo T. Measuring the frequency of functional gastrointestinal disorders in rural Crete: a need for improving primary care physicians' diagnostic skills. Rural Remote Health. 2005 Jul-Sep;5(3):409. Epub 2005 Aug 17. PMID: 16108701 19 male 29 female, from those were interviewed 10 (52.63%)males 19 (65.51%)females 19 male 29 female, from those were interviewed 10 (52.63%)males 19 (65.51%)females

    19. Results Dyspepsia 1 fulfilled the Rome II criteria for functional dyspepsia Agreement between doctor’s diagnoses and IDGP was 20.7% Kappa Coefficient agreement of 0.018 (CI 95% 0.017- 0.019, p=0.6) At the time of interview 11 patients had a history of peptic ulcer 7 had GERD like symptoms and 6 had dyspeptic symptoms 5 had no symptoms and no past history of ulcer Most patients were using antacids (21patients, 72.4 %) 11 or 37.9% with peptic ulcer, 7 or 24.14%, 6 with dyspepsia 20.69%, GERD 7 24.14%, 11 or 37.9% with peptic ulcer, 7 or 24.14%, 6 with dyspepsia 20.69%, GERD 7 24.14%,

    20. Results IBS Criteria fulfillment 46 (69%) Manning’s 32(48%) Rome II 16(24%) Rome III 27(40%) FGIDs questionnaire The agreement of the Rome III with Manning criteria was poor (Kappa =0, 25). Rome III criteria was moderate Kappa= 0.51). The agreement between the FGIDs questionnaire and the criteria was With Manning’s: Kappa = 0.30 With Rome II : Kappa = 0.31 With Rome III : Kappa = 0.24 Co-morbidity with other diseases 31 IBS patients (46%) suffered from GERD like symptoms and 9 (13%) had a history of gall- bladder problems.

    22. Patterns of pain and consulting behaviour in patients with musculoskeletal disorder in rural Crete, Greece 82.6% (n=455) had at least one MSD Low back (56.9%) neck (34.1%), shoulder (29.9%) knee (27.9%) Only 1/3 of those with symptoms had consulted GPs for the same reasons

    31. The Theory of Planned Behaviour

    41. A clinical clerkship-Some summary points It seems that the one month clinical clerkship together with the available educational material satisfied the great majority of the medical students, although a high proportion found its duration non adequate. The acquirement of clinical skills may predict good satisfaction of medical students These preliminary results should be confirmed by a thorough analysis of the available data

    42. A medical students training in COPC: experiences gained from rural Crete

    43. Teaching COPC and developing research in undergraduate education 8 reports were reviewed and classified into 3 major categories: (i) Management of chronic illness (n=2) (ii) Prevalence of chronic disease (n=4) (iii) Descriptive epidemiology of health habits (n=2) These reports were based on non- experimental research and the length of their observation was 2-4 weeks. The main instruments utilized were: (1) AUDIT questionnaire (2) Mini Nutritional Assessment (3) Rome II for IBS criteria (4) St. Vincent’s’ criteria for DM (5) ATP III classification (6) Geriatric Depression Scale

    49. Sense of control and spirituality in rural Crete ?????sµ?? 2 ?????t?t?? t?? ?pa???a? ??????? The Royal Free Interview for Religious and Spiritual Beliefs (18 items) (King, et al. Psychol Med 1995) (Sapountzi-Krepia D) The SOC Questionnaire (29 items) (?a?????, ?a? s??. ???e?a ????????? ?at????? 2004)

    50. 8. Suggesting a ten steps stepwise model for developing research in general practice

    60. 8. Look at possibilities to work together with other teams and researchers in a neighboring country Country-to-country collaboration The Greek-Turkish collaboration in General Practice/Family Medicine

    65. 9th WONCA Rural Health World Conference 2009 June 12-14, 2009 Island of Crete, Greece June 12-14 Scientific Program June 15-16 Post Conference events

    66. 9th WONCA Rural Health World Conference 2009 MAIN THEME: HEALTH INEQUALITIES SUB-THEMES: TECHNOLOGY SUITABLE FOR RURAL SETTINGS ISLAND MEDICINE HEALTH SERVICES FOR IMMIGRANTS

    67. 9th WONCA Rural Health World Conference 2009 REGISTRATION

    68. 9th WONCA Rural Health World Conference 2009 IMPORTANT DATES Early pre-registration deadline: April 27, 2009 Late pre-registration deadline: June 2, 2009 On site registrations: June 12-14, 2009

    69. 9th WONCA Rural Health World Conference 2009 ABSTRACT SUBMISSION GUIDELINES Abstract submission deadline: January 20, 2009 Authors’ notification: March 6, 2009

    70. 9th WONCA Rural Health World Conference 2009 COMMITTEES Resource Persons: Ian Couper, WONCA World Rural Health Working Party, Chairman John Wynn Jones, EURIPA President Tom Norris, 7th WONCA Rural Health Conference 2006, Chairman James Rourke, WONCA World Rural Health Working Party, former Chairman Roger Strasser, WONCA World Rural Health Working Party, former Chairman Chris van Weel, WONCA World, President

    71. 9th WONCA Rural Health World Conference 2009 COMMITTEES International Advisory Board Lars Agreus, Sweden Jose Manuel Lopez Albouin, Spain Liliana Arias-Castillo, Colombia Bruce Chater, Australia Carlos Córdoba, Equador John Gilles, Scotland John Wynn Jones, UK Manolis Kogevinas, Greece Ioannis Kyriopoulos, Greece Bodossakis Merkouris, Greece Allan Pelch, Denmark Eleni Petridou, Greece Hércules de Pinho, Brazil Anastas Philalithis, Greece Arturo Serrano, Argentina Sais Symeonidis, Greece Lefteris Thireos, Greece Erik Trell, Sweden Carlos Becerra Verdugo, Chile Jaque Banque Vidiella, Spain Paul Warley, Australia Hakan Yaman, Turkey Alfredo Zurita, Argentina

    72. 9th WONCA Rural Health World Conference 2009 COMMITTEES Chairman: Christos Lionis Vice Chairmen: Marios Chatziarsenis Manolis Symvoulakis Secretary: Theodoros Vasilopoulos Members: Foteini Anastasiou Nikos Antonakis Maria Antonopoulou Gabriela Aspaki Stella Argyriadou Ioannis Christoforidis Kostas Chliveros Androniki Glystra Nikos Kakoliris Ioannis Komninos Dimitris Kounalakis Kornilia Makri Ada Markaki

    73. 9th WONCA Rural Health World Conference 2009 PRELIMINARY PROGRAM

    74. 9th WONCA Rural Health World Conference 2009 ACCOMODATION CRETA MARIS 5 * (Conference Center) SILVA MARIS 4*

    75. 9th WONCA Rural Health World Conference 2009 POST CONFERENCE EVENTS June 13, 18.30 / Arolithos Village (half day tour) Charming picturesque village near Heraklion Traditional architecture & decoration of old houses of Crete Genuine craftsmen and Cretan artisans Folklore evening Tastes of Crete, local wine and raki

    76. 9th WONCA Rural Health World Conference 2009 POST CONFERENCE EVENTS

    77. 9th WONCA Rural Health World Conference 2009 POST CONFERENCE EVENTS

    78. 9th WONCA Rural Health World Conference 2009 WEBSITE

    79. 9th WONCA Rural Health World Conference 2009 WEBSITE (SITE MAP)

    80. 9th WONCA Rural Health World Conference 2009 ON-LINE SERVICES

    81. 9th WONCA Rural Health World Conference 2009 COMMUNICATION PLAN

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