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Demographic Data presentation

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Oman Poly

on 3 April 2013

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Importance of
Annual Physical Check-up (APE) An Annual Physical Examination (APE) should be near the top of every company’s priorities. The workforce being the backbone of the industry, a comprehensive healthcare program will create a healthy and vibrant workplace. If one does not routinely visit a doctor for other reasons, an annual check-up is a must. Even if a person feels healthy and is in excellent physical shape, an annual physical examination is key to continued health and happiness. Reasons for scheduling that examination include: This benefit given to employees will make them appreciate their employers’ efforts in promoting a healthy workforce and creating a positive work environment. - validating that one is in good health takes away one more worry from one’s mind, possibly leading to less stress. - for diseases with long progression periods (certain cancers, heart disease, etc.) early detection is key to beginning treatment and conquering an illness. - along with early detection comes the possibility of a prolonged life if problems are found and treated immediately. An annual physical examination can save life. - annual physical examinations allow for established baselines for things like weight, blood pressure, sugar levels, and cholesterol, x-ray, etc. These baselines will help the physical examining doctor determine an employee’s health progression or regression. - compare these physical examination results (blood pressure, x-ray, blood sugar, cholesterol and other blood chemistry levels, heart conditions, etc.) from year to year to see where one is improving, and where a person needs help. Consult a doctor if there are some significant changes. - this helps to motivate employees to be fully engaged in their health and wellness. Employers who want to make sure their employees are leading healthy, productive lives both in and out of the office should encourage employees to undergo annual physicals in addition to full participation in company wellness programs. And an annual physical examination is absolutely a great way to ensure employees are being screened for easily treatable diseases and generally staying on top of their health. Peace of Mind Early Detection Prolonged Life Establish Baselines Monitor "unseen" Health Issues Employee Wellness Compliance No. members who availed
Breakdown by gender Age Distribution Sex Distribution Top Findings Demographic Data Presentation MAXICARE Heartland Medical
and Diagnostic Center Finding No. 1 myopia (nearsightedness): difficulty in seeing distant objects clearly;
hyperopia (farsightedness): difficulty in seeing close objects clearly;
astigmatism: distorted vision resulting from an irregularly curved cornea, the clear covering of the eyeball. The three most common refractive errors are: A fourth condition is presbyopia, which leads to difficulty in reading or seeing at arm's length. It differs from the other disorders in that it is linked to aging and occurs almost universally.

Refractive errors cannot be prevented, but they can be diagnosed by an eye examination and treated with corrective glasses, contact lenses or refractive surgery. Recommendation:
Follow-up consultation of EOR Finding No. 2 URINARY TRACT INFECTION A urinary tract infection (UTI) is an infection that affects part of the urinary tract. When it affects the lower urinary tract it is known as a simple cystitis (a bladder infection) and when it affects the upper urinary tract it is known as ptelonephritis (a kidney infection). Symptoms from a lower urinary tract include painful urination and either frequent urination or urge to urinate (or both), while those of pyelonephritis include fever and flank pain in addition to the symptoms of a lower UTI. In the elderly and the very young, symptoms may be vague or non- specific. The main causal agent of both types is Escherichia coli, however other bacteria, viruses or fungi may rarely be the cause. Recommendation:
Treatment of UTI Finding No. 3 ASTIGMATISM Astigmatism is a common type of refractive error. It is a condition in which the human eye does not focus light evenly onto the retina, the light-sensitive tissue at the back of the eye. Astigmatism in the eye means that the cornea is oval like a football instead of spherical like a basketball. Most astigmatic corneas have two curves – a steeper curve and a flatter curve. This causes light to focus on more than one point in the eye, resulting in blurred vision at distance or near. Finding No. 4 HYPERTENSION Hypertension is the term used to describe high blood pressure. Blood pressure is a measurement of the force against the walls of your arteries as your heart pumps blood through your body.

Blood pressure readings are usually given as two numbers -- for example, 120 over 80 (written as 120/80 mmHg). One or both of these numbers can be too high.

The top number is called the systolic blood pressure, and the bottom number is called the diastolic blood pressure.

•Normal blood pressure is when your blood pressure is lower than 120/80 mmHg most of the time.
•High blood pressure (hypertension) is when your blood pressure is 140/90 mmHg or above most of the time.
•If your blood pressure numbers are 120/80 or higher, but below 140/90, it is called pre-hypertension. Finding No. 5 HYPERAERATED LUNGS Hyperaerated lungs generally refers to the appearance of the lungs on a chest X-ray or CT that appear to contain more air than normal. This may be due to an artificial artifact or an actual condition.

Reasons for a hyperaerated (hyperinflated, hyperlucent) appearance on X-ray may include being thin & tall. Hyperaeration can be seen with asthma and may be the first sign of COPD. In most instances, it is neither of these, but is an "over-reading" of the chest x-ray by the radiologist. Finding No. 6 SCOLIOSIS Scoliosis is an abnormal curving of the spine. Your spine is your backbone. It runs straight down your back. Everyone’s spine naturally curves a tiny bit. But people with scoliosis have a spine that curves too much. The spine might look like the letter “C” or “S.”

Most of the time, the cause of scoliosis is unknown. This is called idiopathic scoliosis. Finding No. 7 HEMORRHOIDS Hemorrhoids are painful, swollen veins in the lower portion of the rectum or anus.

Hemorrhoids are very common, especially during pregnancy and after childbirth. They result from increased pressure in the veins of the anus. The pressure causes the veins to swell, making them painful, particularly when you are sitting.

The most common cause is straining during bowel movements. Recommendation:
Evaluation/Treatment of Hemorrhoids Finding No. 9 RIGHT AXIS DEVIATION Right axis deviation is an unusual pattern in the direction taken in the movement of electrical signals through the heart. It can be indicative of heart problems in a patient and is determined by looking at the results of an electrocardiogram procedure. In patients with right axis deviation, the axis, a measurement of the direction taken by electrical signals as they move through the heart, is over 105 degrees. Treatment of patients with this type of ECG result depends on the underlying cause. Recommendation:
Evaluation of Breast Cysts Finding No. 8 SINUS BRADYCARDIA Sinus bradycardia can be defined as a sinus rhythm with a resting heart rate of 60 beats per minute or less. However, few patients actually become symptomatic until their heart rate drops to less than 50 beats per minute. The action potential responsible for this rhythm arises from the sinus node and causes a P wave on the surface ECG that is normal in terms of both amplitude and vector. These P waves are typically followed by a normal QRS complex and T wave. A slow heart rate can be normal and healthy. Or it could be a sign of a problem with the heart’s electrical system. Finding No. 10 BREAST CYST A breast cyst is a fluid-filled sac within the breast. One breast can have one or more breast cysts. They're often described as round or oval lumps with distinct edges. In texture, a breast cyst usually feels like a soft grape or a water-filled balloon, but sometimes a breast cyst feels firm.

Breast cysts can be painful and may be worrisome but are generally benign. They are most common in pre-menopausal women in their 30s or 40s. They usually disappear after menopause, but may persist or reappear when using hormone therapy. Breast cysts can be part of fibrocystic disease. The pain and swelling is usually worse in the second half of the menstrual cyscle or during pregnancy. Summary of Laboratory Urinalysis Complete Blood Count (CBC) Fecalysis Chest Xray (CXR) Electrocardiogram (ECG) Pap Smear No. of expected Availees Urinary tract infections occur more commonly in women than men, with half of women having at least one infection at some point in their lives. Recurrences are common. Risk factors include female anatomy, sexual intercourse and family history. Pyelonephritis, if it occurs, usually follows a bladder infection but may also result from a blood borne infection. Diagnosis in young healthy women can be based on symptoms alone. In uncomplicated cases, urinary tract infections are easily treated with a short course of antibiotics. Astigmatism in the eye occurs when light is bent differently depending on where it strikes the cornea and passes through the eyeball. The cornea of a normal eye is curved like a basketball, with the same degree of roundness in all areas. An eye with astigmatism has a cornea that is curved more like a football, with some areas that are steeper or more rounded than others. This can cause images to appear blurry and stretched out. Astigmatism can affect both children and adults. Some patients with slight astigmatism will not notice much change in their vision. It is important to have eye examinations at regular intervals in order to detect any astigmatism early on for children. If you have pre-hypertension, you are more likely to develop high blood pressure.

If you have heart or kidney problems, or if you had a stroke, your doctor may want your blood pressure to be even lower than that of people who do not have these conditions.

You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, and early death.

Most of the time, there are no symptoms. For most patients, high blood pressure is found when they visit their health care provider or have it checked elsewhere.

Because there are no symptoms, people can develop heart disease and kidney problems without knowing they have high blood pressure. If you have a severe headache, nausea or vomiting, bad headache, confusion, changes in your vision, or nosebleeds you may have a severe and dangerous form of high blood pressure called malignant hypertension. Tests may be done to look for:

•High cholesterol levels
•Heart disease, such as an echo cardiogram or electrocardiogram. Kidney disease, such as a basic metabolic panel and urinalysis or ultrasound of the kidneys

The goal of treatment is to reduce blood pressure so that you have a lower risk of complications. You and your health care provider should set a blood pressure goal for you.There are many different medicines that can be used to treat high blood pressure. Hyperaeration usually means that the lungs are expanded and have more air than one would expect. Thus, the term "hyper" rather than "normal" aeration is used. It is a somewhat subjective interpretation of the chest x-ray. If you never smoked, this is very unlikely to be a sign of a lung problem. It is most commonly seen in people during an asthma attack, adults with emphysema and other lung conditions. Recommendation:
• Evaluation of X-ray result It is the most common type. It is grouped by age.

•In children age 3 and younger, it is called infantile scoliosis.
•In kids age 4 - 10, it is called juvenile scoliosis.
•In older kids age 11 - 18, it is called adolescent scoliosis.

Scoliosis most often affects girls. Some people are just more likely to have curving of the spine. Curving generally gets worse during a growth spurt.

Usually there are no symptoms. But symptoms can include:

•Backache or low-back pain
•Tired feeling in the spine after sitting or standing for a long time
•Uneven hips or shoulders (one shoulder may be higher than the other)
•Spine curves more to one side Recommendation:
Evaluation of Scoliosis Hemorrhoids may be caused by:

•Straining during bowel movements
•Sitting for long periods of time
•Anal infections
•Certain diseases, such as liver cirrhosis

Hemorrhoids may be inside or outside the body.

•Internal hemorrhoids occur just inside the anus, at the beginning of the rectum.
•External hemorrhoids occur at the anal opening and may hang outside the anus.

Symptoms of hemorrhoids include:

•Anal itching
•Anal ache or pain, especially while sitting
•Bright red blood on toilet tissue, stool, or in the toilet bowl
•Pain during bowel movements
•One or more hard tender lumps near the anus For some people, a slow heart rate does not cause any problems. It can be a sign of being very fit. Healthy young adults and athletes often have heart rates of less than 60 beats a minute.

In other people, bradycardia is a sign of a problem with the heart’s electrical system. It means that the heart's natural pacemaker is not working right or that the electrical pathways of the heart are disrupted. In severe forms of bradycardia, the heart beats so slowly that it does not pump enough blood to meet the body's needs. This can cause symptoms and can be life-threatening.

Men and women age 65 and older are most likely to develop a slow heart rate that needs treatment. As a person ages, the electrical system of the heart often does not function normally. Bradycardia can be caused by:

•Changes in the heart that are the result of aging.
•Diseases that damage the heart's electrical system. These include coronary artery disease, heart attack, and infections such as endocaditis and myocarditis.
•Conditions that can slow electrical impulses through the heart. Examples include having a low thyroid level (hypothyroidism) or an electrolyte imbalance, such as too much potassium in the blood.
•Some medicines for treating heart problems or high blood pressure, such as beta-blockers, antiarrhythmics, and digoxin.

A very slow heart rate may cause you to:

•Feel dizzy or lightheaded.
•Feel short of breath and find it harder to exercise.
•Feel tired.
•Have chest pain or a feeling that your heart is pounding or fluttering (palpitations).
•Feel confused or have trouble concentrating.
•Faint, if a slow heart rate causes a drop in blood pressure.

Some people don't have symptoms, or their symptoms are so mild that they think they are just part of getting older. Recommendation:
Evaluation of Bradycardia In certain people, some right axis deviation is normal. Tall, thin adults tend to naturally exhibit some right axis deviation, as do children and athletes, because of the position of the heart in the chest. People can also be born with this condition and may not experience health problems if it is congenital, while in other cases it can be a sign of a congenital birth defect. Chronic pulmonary disease is also a potential cause of right axis deviation. Recommendation:
Evaluation of ECG result Treating breast cysts is usually not necessary unless they are painful or cause discomfort. In most cases, the discomfort they cause may be alleviated by draining the fluid from the cyst.

The cysts form as a result of the growth of the milk glands and their size may range from smaller than a pea to larger than a ping pong ball. Small cysts cannot be felt during a physical examination, and some large cysts feel like lumps. However, most cysts, regardless of their size cannot be identified during physical exams. Urinalysis Complete Blood Count (CBC) Fecalysis Chest Xray (CXR) Electrocardiogram (ECG) Pap Smear References MediCall Philippines, Inc.
Annual Check-up November 27 and 29, 2012 in cooperation with Recommendation:
• Evaluation/Treatment of Hypertension Recommendation:
Follow up consultation of Astigmatism ERROR OF REFRACTION A refractive error is a very common eye disorder. It occurs when the eye cannot clearly focus the images from the outside world. The result of refractive errors is blurred vision, which is sometimes so severe that it causes visual impairment. WHO
A.D.A.M. Medical Encyclopedia
National Jewish-MedHelp
PubMed Health
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