{"id":261,"date":"2016-11-06T20:44:34","date_gmt":"2016-11-06T20:44:34","guid":{"rendered":"http:\/\/medfam.ro\/neculau\/?p=261"},"modified":"2016-11-09T21:30:25","modified_gmt":"2016-11-09T21:30:25","slug":"ghid-preventie-2016","status":"publish","type":"post","link":"https:\/\/medfam.ro\/neculau\/ghid-preventie-2016\/","title":{"rendered":"Ghid de preventie 2016"},"content":{"rendered":"<div style=\"padding-bottom:20px; padding-top:10px;\" class=\"hupso-share-buttons\"><!-- Hupso Share Buttons - https:\/\/www.hupso.com\/share\/ --><a class=\"hupso_counters\" href=\"https:\/\/www.hupso.com\/share\/\"><img decoding=\"async\" src=\"https:\/\/static.hupso.com\/share\/buttons\/share-small.png\" style=\"border:0px; padding-top:2px; float:left;\" alt=\"Share Button\"\/><\/a><script type=\"text\/javascript\">var hupso_services_c=new Array(\"facebook_like\",\"facebook_send\",\"google\",\"print\");var hupso_counters_lang = \"ro_RO\";var hupso_image_folder_url = \"\";var hupso_url_c=\"\";var hupso_title_c=\"Ghid%20de%20preventie%202016\";<\/script><script type=\"text\/javascript\" src=\"https:\/\/static.hupso.com\/share\/js\/counters.js\"><\/script><!-- Hupso Share Buttons --><\/div><p><a href=\"http:\/\/ghidurimedicale.ro\/ghid-de-preventie-2016\/\" target=\"_self\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full\" src=\"http:\/\/edu-cnsmf.ro\/prevent\/materiale\/antet_ghid.jpg\" alt=\"\" width=\"907\" height=\"333\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 13px;\">Medicina d<\/span>e familie reprezint\u0103 pentru mul\u021bi dintre noi calea de a \u00eent\u00e2lni OMUL, la toate \u0219i fiecare dintre v\u00e2rstele lui, \u00een toate ipostazele lui \u2013 omul s\u0103n\u0103tos sau bolnav- \u0219i de a r\u0103spunde lui dup\u0103 nevoile sale, iar comunit\u0103\u021bii din care face parte, dup\u0103 priorit\u0103\u021bi.<\/p>\n<p style=\"text-align: justify;\">Algoritmul deprinderii acestui parcurs presupune deschidere, curiozitate, d\u0103ruire, lupta cu timpul la dispozi\u021bie si cu \u0219abloanele instaurate de rutina constr\u00e2ngerilor organizatorice. Profesionalizarea acestui parcurs presupune, \u00eentre altele, existen\u021ba unor instrumente clarificatoare.<\/p>\n<p style=\"text-align: justify;\"><strong>Ghidul de preven\u021bie<\/strong> <em>(Stilul de via\u021b\u0103 s\u0103n\u0103tos \u0219i alte interven\u021bii preventive prioritare pentru boli netransmisibile, \u00een asisten\u021ba medical\u0103 primar\u0103)<\/em> este un astfel de instrument, dedicat \u00een primul r\u00e2nd profesioni\u0219tilor din asistenta primara, medici de familie \u0219i asisten\u021bi medicali, \u00een scopul familiariz\u0103rii acestora cu conceptele moderne ale domeniului medicinei preventive. Deopotriv\u0103, el este un vehicul educa\u021bional destinat sensibiliz\u0103rii publicului larg \u0219i cre\u0103rii acelei platforme generale de \u00een\u021belegere f\u0103r\u0103 de care, b\u0103t\u0103lia pentru p\u0103strarea\/rec\u00e2\u0219tigarea s\u0103n\u0103t\u0103\u021bii, nu poate fi dec\u00e2t o lupt\u0103 f\u0103r\u0103 sor\u021bi de izb\u00e2nd\u0103.<\/p>\n<p>&nbsp;<\/p>\n<p><a style=\"background-color: #ffffff;\" href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol1.pdf\" target=\"_blank\" name=\"Vol. 1\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-423 alignleft\" style=\"opacity: 0.9; border: 1px solid black;\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol1f1.jpg\" alt=\"ghid_preventie_vol1f\" width=\"212\" height=\"300\" \/><\/a><\/p>\n<p style=\"text-align: justify;\"><strong>Primul volum<\/strong> al Ghidului <em>(Introducere. Metodologie)<\/em> clarific\u0103 no\u021biuni cheie legate de preven\u021bie, l\u0103s\u00e2ndu-v\u0103 s\u0103 \u00een\u021belege\u021bi c\u0103 ne vom ocupa de cea adev\u0103rat\u0103, orientat\u0103 spre prevenirea apari\u021biei bolii \u00een primul r\u00e2nd (preven\u021bie primar\u0103) \u0219i spre depistarea ei \u00eentr-un stadiu precoce, \u00een al doilea r\u00e2nd (preven\u021bie secundar\u0103). De aceea vorbim despre factorii de risc ai \u00eemboln\u0103virilor, cei esen\u021biali pentru producerea majorit\u0103\u021bii bolilor cronice netransmisibile fiind cei lega\u021bi de stilul de via\u021b\u0103: alimenta\u021bia, mi\u0219carea, fumatul \u0219i consumul problematic de alcool. \u00cen plus, specific\u0103 pa\u0219ii parcur\u0219i \u00een realizarea acestui Ghid, metoda utilizat\u0103 fiind cea de adaptare a celor mai noi ghiduri interna\u021bionale \u00een vigoare, conform metodologiei ADAPTE.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol2.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-365\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol2f.jpg\" alt=\"ghid_preventie_vol2f\" width=\"232\" height=\"331\" \/><\/a>Cel de <strong>al doilea volum al Ghidului<\/strong> <em>(<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol2.pdf\" target=\"_blank\">Interven\u021biile preventive adresate stilului de via\u021b\u0103: Alimenta\u021bia. Activitatea fizic\u0103<\/a>)<\/em> ne apropie de t\u0103r\u00e2mul disputelor interna\u021bionale din propriul frigider, respectiv de consensul universal privind nevoia de mai multa mi\u0219care!<\/p>\n<p style=\"text-align: justify;\">De CE, C\u00c2T \u0219i mai ales CE s\u0103 m\u00e2nc\u0103m pentru a ne p\u0103stra s\u0103n\u0103to\u0219i? Care sunt cele mai frecvente gre\u0219eli? Exist\u0103 o singur\u0103 cale, cea a renun\u021b\u0103rii la multe? Sau o cale de mijloc, adaptabil\u0103 preferin\u021belor individuale? De CE, C\u00c2T \u0219i CUM s\u0103 ne mi\u0219c\u0103m?<\/p>\n<p style=\"text-align: justify;\">V\u0103 propunem a\u0219adar c\u00e2teva recomand\u0103ri privind ce \u00eenseamn\u0103 comportamente, alimentar \u0219i de mi\u0219care, s\u0103n\u0103toase. E nevoie de pu\u021bin timp pentru a le asimila \u0219i de mult mai mult timp pentru a reflecta \u0219i a le introduce sistematic \u00een via\u021ba noastr\u0103.<\/p>\n<p><a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol3.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-366 alignleft\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol3f.jpg\" alt=\"ghid_preventie_vol3f\" width=\"230\" height=\"328\" \/><\/a>\u00a0 \u00a0Cel de <strong>al treilea volum al Ghidului <\/strong><em>(<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol3.pdf\" target=\"_blank\">Interven\u021biile preventive adresate stilului de via\u021b\u0103. Consumul de alcool<\/a>)<\/em> aduce \u00een aten\u021bia tuturor alcoolul, unul dintre factorii de risc \u00een general accepta\u021bi \u0219i binev\u0103zu\u021bi, cu at\u00e2t mai mult cu c\u00e2t \u00een dezbaterea public\u0103 i se atribuie uneori apelative de aliment, factor protector pentru s\u0103n\u0103tatea cardiovascular\u0103.<\/p>\n<p style=\"text-align: justify;\">Consumul problematic de alcool, ne spun autorii de la ALIAT, adic\u0103 dep\u0103\u0219irea unui nivel de consum mediu de 2UI\/zi la b\u0103rba\u021bi \u0219i 1UI\/zi la femei \u0219i la cei peste 65 de ani, este responsabil de o plaj\u0103 variat\u0103 de boli, de la cele mai banale la cele mai temute (diversele forme de cancer, respectiv tulbur\u0103rile induse de consumul de alcool).<\/p>\n<p style=\"text-align: justify;\">Se clarific\u0103 faptul c\u0103, depistarea \u00een timp util a persoanelor la risc pentru consum problematic este posibil\u0103 utiliz\u00e2nd un simplu chestionar (AUDIT). Scorul ob\u021binut permite \u00eencadrarea nivelului de consum \u00een clase de gravitate \u0219i orienteaz\u0103 medicul \u00een alegerea tipului de interven\u021bie (scurt\u0103 sau extins\u0103).<\/p>\n<p style=\"text-align: justify;\">\u00cen esen\u021b\u0103, vorbim de o pledoarie pentru a lua \u00een aten\u021bie alcoolul, a face evalu\u0103ri sistematice privind consumul de alcool \u0219i de a deschide calea unei comunic\u0103ri motiva\u021bionale cu persoanele evaluate, pentru schimbarea comportamentelor la risc. Volumul dedicat consumului de alcool pune la dispozi\u021bia publicului instrumente utile \u00een acest demers.<\/p>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol4.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-367\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol4f.jpg\" alt=\"ghid_preventie_vol4f\" width=\"222\" height=\"316\" \/><\/a><br \/>\nCel de <strong>al patrulea volum al Ghidului <\/strong><em>(<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol4.pdf\" target=\"_blank\">Interven\u021biile preventive adresate stilului de via\u021b\u0103. Fumatul<\/a>) <\/em>ne pune fa\u021b\u0103 \u00een fa\u021b\u0103 cu obiceiul de a fuma, respectiv dependen\u021ba de nicotin\u0103 \u0219i cu riscurile pe care fumatul activ, dar \u0219i cel pasiv le incumb\u0103: o pletor\u0103 de afec\u021biuni cronice invalidante \u2013 de la afectare cardiovascular\u0103 la toate nivelurile, la boli respiratorii cronice obstructive \u0219i la cancere diverse \u2013 de tract respirator, digestiv, urinar, col uterin \u0219i chiar leucemie mieloid\u0103 cronic\u0103.<\/p>\n<p style=\"text-align: justify;\">Afl\u0103m \u0219i c\u0103 nici o \u021bigar\u0103 nu e de dorit \u0219i c\u0103 to\u021bi poten\u021bialii fum\u0103tori trebuie \u00eentreba\u021bi despre obiceiul de a fuma, cu orice prilej (<em>screening pentru fumat<\/em>). Tot cu orice ocazie trebuie folosit\u0103, \u00een cazul fum\u0103torilor, \u0219i magica fraz\u0103: \u201e<em>Cel mai bun lucru pe care-l pute\u021bi face ACUM pentru s\u0103n\u0103tatea Dvs este s\u0103 renun\u021ba\u021bi la fumat!\u201d<\/em>\u00a0 (<em>interven\u021bia scurt\u0103 pentru renun\u021barea la fumat<\/em>).<\/p>\n<p style=\"text-align: justify;\">\u00cen plus, cum evalu\u0103m dependen\u021ba de nicotin\u0103 \u0219i care sunt metodele farmacologice pentru sprijinirea renun\u021b\u0103rii la fumat.<\/p>\n<p style=\"text-align: justify;\">\u00cencurajator e nu numai faptul c\u0103 astfel de interven\u021bii sunt dovedit eficace, ci \u0219i c\u0103, persoanele evaluate sunt mai satisf\u0103cute de vizita la medicul care le practic\u0103!<\/p>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol5.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-369 alignleft\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol5f.jpg\" alt=\"ghid_preventie_vol5f\" width=\"244\" height=\"348\" \/><\/a>Cel de <strong>al cincilea volum al Ghidului <\/strong><em>(<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol5.pdf\" target=\"_blank\">Abordarea integrat\u0103 a riscului pentru bolile netransmisibile asociate stilului de via\u021b\u0103. Riscul cardiometabolic. Cancerul<\/a>) <\/em>ofer\u0103 cadrul conceptual \u0219i instrumentele necesare aplic\u0103rii unor strategii de combatere sistematic\u0103 \u0219i concomitent\u0103 a factorilor de risc comuni ai bolilor cardiovasculare \u0219i cancerului.<\/p>\n<p style=\"text-align: justify;\">V\u0103 propunem o abordare integrat\u0103 a riscului cardiovascular (RCV) cu riscul de diabet, boli de nutri\u021bie \u0219i metabolism \u00een c\u00e2\u021biva pa\u0219i: estimarea activ\u0103 a RCV global folosind instrumentul SCORE \u0219i parametri modificatori ai riscului estimat; estimarea activ\u0103 a riscului de diabet; comunicarea privind riscul identificat \u0219i sus\u021binerea activ\u0103 \u0219i sistematic\u0103 a celor identifica\u021bi la risc \u00eenalt \u00een vederea adopt\u0103rii \u0219i men\u021binerii de schimb\u0103ri de comportament, pentru reducerea nivelului de risc identificat. De remarcat c\u0103, prezen\u021ba acelora\u0219i factori de risc moduleaz\u0103 pe de o parte debutul \u0219i ritmul de evaluare a riscului cardiometabolic, c\u00e2t \u0219i managementul integrat al riscului.<\/p>\n<p style=\"text-align: justify;\">Acela\u0219i volum ne ajut\u0103 s\u0103 afl\u0103m C\u00c2ND trebuie ini\u021biate \u0219i la ce intervale trebuie derulate principalele screeninguri? CUM interpret\u0103m rezultatele ob\u021binute \u0219i CARE sunt recomand\u0103rile privind monitorizarea riscurilor identificate?<\/p>\n<p style=\"text-align: justify;\">Se clarific\u0103 astfel aspectele privind riscul oncologic \u0219i rolul medicului de familie \u00een depistarea precoce, \u00een cazul celor mai frecvente afec\u021biuni neoplazice: cancerul de col uterin, cancerul colorectal \u0219i cancerul mamar.<\/p>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol6.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-372\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol6f.jpg\" alt=\"ghid_preventie_vol6f\" width=\"238\" height=\"340\" \/><\/a>Cel de <strong>al \u0219aselea volum al Ghidului <\/strong><em>(<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol6.pdf\" target=\"_blank\">Probleme de nutri\u021bie, cre\u0219tere \u0219i dezvoltare la copil: alimenta\u021bia 0-2 ani, tulbur\u0103rile de cre\u0219tere \u0219i dezvoltare<\/a>) <\/em>aduce \u00een aten\u021bia tuturor medicilor de familie, un subiect de interes major: recomand\u0103rile actuale privind alimenta\u021bia copiilor \u00een perioadele critice pentru cre\u0219terea \u0219i dezvoltarea lor: de la na\u0219tere la 6 luni \u0219i de la 6 luni la 2 ani.<\/p>\n<p style=\"text-align: justify;\">Ve\u021bi afla nu doar c\u0103 \u201c<em>TOATE MAMELE AR PUTEA AL\u0102PTA<\/em>\u201d (doar 3% dintre mame nu pot al\u0103pta!) dar, \u0219i mai important, de ce \u0219i cum s\u0103 le sprijini\u021bi pentru a face cel mai frumos \u0219i util cadou PE VIA\u021a\u0102 copiilor lor: LAPTELE MATERN!<\/p>\n<p style=\"text-align: justify;\">Pute\u021bi g\u0103si principii moderne privind ALIMENTA\u021aIA COMPLEMENTAR\u0102 (vechea diversificare) \u0219i ve\u021bi \u00een\u021belege importan\u021ba diversit\u0103\u021bii alimentelor, cantit\u0103\u021bii \u0219i frecven\u021bei meselor \u00een diferite etape precum \u0219i contribu\u021bia DIETEI MINIM ACCEPTABILE pentru o cre\u0219tere \u0219i dezvoltare armonioas\u0103!<\/p>\n<p style=\"text-align: justify;\">Dac\u0103 dori\u021bi s\u0103 combate\u021bi cu argumente \u0219tiin\u021bifice miturile legate de alimenta\u021bia nou-n\u0103scutului \u0219i sugarului, dac\u0103 dori\u021bi s\u0103 \u00eenarma\u021bi mamele cu instrumente solide (OMS-UNICEF) \u00een lupta cu obiceiurile gre\u0219ite sau chiar periculoase, parcurge\u021bi negre\u0219it acest volum, eventual de mai multe ori \u0219i da\u021bi-l mai departe!<\/p>\n<p style=\"text-align: justify;\"><a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol7.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-373 alignleft\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol7f.jpg\" alt=\"ghid_preventie_vol7f\" width=\"241\" height=\"344\" \/><\/a>Cel de <strong>al \u0219aptelea volum al Ghidului <\/strong><em>(<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol7.pdf\" target=\"_blank\">Consulta\u021bia preventiv\u0103 integrat\u0103. Interven\u021biile recomandate la copil. Interven\u021biile recomandate la adult<\/a>) v<\/em>\u0103 ofer\u0103 o imagine sintetic\u0103 a consulta\u021biei preventive structurate adaptate pentru diferite v\u00e2rste (\u0219i gen).<\/p>\n<p style=\"text-align: justify;\">Dori\u021bi s\u0103 \u0219ti\u021bi cum ar trebui evaluat\u0103 persoana de orice v\u00e2rst\u0103 aflat\u0103 \u00een fa\u021ba voastr\u0103?<\/p>\n<p style=\"text-align: justify;\">Dori\u021bi s\u0103 v\u0103 preg\u0103ti\u021bi adecvat astfel \u00eenc\u00e2t s\u0103 nu rata\u021bi interven\u021bii esen\u021biale? Dori\u021bi s\u0103 practica\u021bi cu folos interven\u021bii recunoscute ca valoroase \u00een sus\u021binerea modific\u0103rilor de comportament, esen\u021biale pentru reducerea unor riscuri? Dori\u021bi s\u0103 fi\u021bi eficien\u021bi \u0219i s\u0103 colabora\u021bi cu succes cu celelalte e\u0219aloane de interven\u021bie pentru managementul riscurilor sau afec\u021biunilor identificate?<\/p>\n<p style=\"text-align: justify;\">Parcurg\u00e2nd acest volum afla\u021bi cum v\u0103 pute\u021bi organiza, aloc\u00e2nd timp, deleg\u00e2nd sarcini, elabor\u00e2nd protocoale interne pentru derularea interven\u021biilor preventive.<\/p>\n<p style=\"text-align: justify;\">Dori\u021bi s\u0103 v\u0103 oferi\u021bi \u0219ansa de a avea interac\u021biuni adev\u0103rate cu OAMENI, av\u00e2nd amprenta istoriilor lor familiale, cu temerile, curajul exagerat, riscurile asumate din ne\u0219tiin\u021b\u0103, comoditate, deprimare? Crede\u021bi c\u0103 pute\u021bi schimba ceva, c\u00e2t de pu\u021bin, \u00een via\u021ba lor \u0219i a voastr\u0103? Dori\u021bi s\u0103 afla\u021bi cuvintele magice cu care \u00ee\u00ee pute\u021bi ajuta s\u0103-\u0219i p\u0103streze s\u0103n\u0103tatea sau s\u0103-\u0219i descopere bolile grave din timp?<\/p>\n<p style=\"text-align: justify;\">Parcurge\u021bi Ghidul de interven\u021bii preventive \u0219i reflecta\u021bi la cele mai bune solu\u021bii pentru a le face posibile \u00een practica dumneavoastr\u0103! E foarte posibil s\u0103 g\u0103si\u021bi noi motive de satisfac\u021bie, profesional\u0103 \u0219i uman\u0103!<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Dr. Cristina Isar<\/strong>, Centrul Na\u021bional de Studii pentru Medicina Familiei<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol1.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-364 alignleft\" style=\"border: 1px solid black;\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/ghid_preventie_vol1.jpg\" alt=\"ghid_preventie_vol1\" width=\"210\" height=\"300\" \/><\/a><a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol2.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-365 alignleft\" style=\"border: 1px solid black;\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol2f.jpg\" alt=\"ghid_preventie_vol2f\" width=\"210\" height=\"300\" \/><\/a><a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol3.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-366 alignleft\" style=\"border: 1px solid black;\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol3f.jpg\" alt=\"ghid_preventie_vol3f\" width=\"210\" height=\"300\" \/><\/a><br \/>\n<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol4.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-367 alignleft\" style=\"border: 1px solid black;\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol4f.jpg\" alt=\"ghid_preventie_vol4f\" width=\"210\" height=\"300\" \/><\/a><br \/>\n<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol5.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-369 alignleft\" style=\"border: 1px solid black;\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol5f.jpg\" alt=\"ghid_preventie_vol5f\" width=\"210\" height=\"300\" \/><\/a><br \/>\n<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol6.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-372 alignleft\" style=\"border: 1px solid black;\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol6f.jpg\" alt=\"ghid_preventie_vol6f\" width=\"210\" height=\"300\" \/><\/a><br \/>\n<a href=\"http:\/\/cnsmf.ro\/ghidpreventie\/GhidPreventie_Vol7.pdf\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-373 alignleft\" style=\"border: 1px solid black;\" title=\"\" src=\"http:\/\/ghidurimedicale.ro\/wp-content\/uploads\/2016\/10\/Ghid_preventie_vol7f.jpg\" alt=\"ghid_preventie_vol7f\" width=\"210\" height=\"300\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Ghidul a fost realizat \u00een cadrul proiectului:RO19.04\u00a0<strong>\u201eInterven\u0163ii la mai multe niveluri pentru preven\u0163ia bolilor netransmisibile asociate stilului de via\u0163\u0103 \u00een Rom\u00e2nia\u201d \u2013\u00a0<\/strong><strong>Programul RO19 \u201eIni\u0163iative \u00een s\u0103n\u0103tatea public\u0103\u201d<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Promotor:<\/strong><\/p>\n<p><strong>Institutul Na\u021bional de S\u0103n\u0103tate Public\u0103<\/strong><\/p>\n<p>Dr. Leonte Anastasievici 1-3, 050463, Bucure\u015fti<\/p>\n<p><a href=\"http:\/\/www.insp.gov.ro\/\">www.insp.gov.ro<\/a><\/p>\n<p><strong>Parteneri<\/strong><\/p>\n<p><strong>Centrul Na\u021bional de Studii pentru Medicina Familiei<\/strong><\/p>\n<p>Calea Mo\u0219ilor 227, Sc. 1, Ap.3, Sector 2, 0208868 Bucure\u0219ti<\/p>\n<p><a href=\"http:\/\/www.cnsmf.ro\/\">www.cnsmf.ro<\/a><\/p>\n<p><strong>ALIAT \u2013 Alian\u021ba pentru Lupta \u00eempotriva Alcoolismului \u0219i Toxicomaniilor<\/strong><\/p>\n<p>Str. Constantin F. Robescu nr.4, Sector 3, 030218 Bucure\u0219ti<\/p>\n<p><a href=\"http:\/\/www.aliat-ong.ro\/\">www.aliat-ong.ro<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div style=\"padding-bottom:20px; padding-top:10px;\" class=\"hupso-share-buttons\"><!-- Hupso Share Buttons - https:\/\/www.hupso.com\/share\/ --><a class=\"hupso_counters\" href=\"https:\/\/www.hupso.com\/share\/\"><img src=\"https:\/\/static.hupso.com\/share\/buttons\/share-small.png\" style=\"border:0px; padding-top:2px; float:left;\" alt=\"Share Button\"\/><\/a><script type=\"text\/javascript\">var hupso_services_c=new Array(\"facebook_like\",\"facebook_send\",\"google\",\"print\");var hupso_counters_lang = \"ro_RO\";var hupso_image_folder_url = \"\";var hupso_url_c=\"\";var hupso_title_c=\"Ghid%20de%20preventie%202016\";<\/script><script type=\"text\/javascript\" src=\"https:\/\/static.hupso.com\/share\/js\/counters.js\"><\/script><!-- Hupso Share Buttons --><\/div><p>&nbsp; Medicina de familie reprezint\u0103 pentru mul\u021bi dintre noi calea de a \u00eent\u00e2lni OMUL, la toate \u0219i fiecare dintre v\u00e2rstele lui, \u00een toate ipostazele lui \u2013 omul s\u0103n\u0103tos sau bolnav- \u0219i de a r\u0103spunde lui dup\u0103 nevoile sale, iar comunit\u0103\u021bii din care face parte, dup\u0103 priorit\u0103\u021bi. Algoritmul deprinderii acestui parcurs presupune deschidere, curiozitate, d\u0103ruire, lupta&hellip; <br \/> <a class=\"button small blue\" href=\"https:\/\/medfam.ro\/neculau\/ghid-preventie-2016\/\">Cite\u0219te mai mult<\/a><\/p>\n","protected":false},"author":1,"featured_media":274,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4,5],"tags":[],"class_list":["post-261","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articole","category-articole-medicale"],"_links":{"self":[{"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/posts\/261","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/comments?post=261"}],"version-history":[{"count":13,"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/posts\/261\/revisions"}],"predecessor-version":[{"id":287,"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/posts\/261\/revisions\/287"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/media\/274"}],"wp:attachment":[{"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/media?parent=261"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/categories?post=261"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medfam.ro\/neculau\/wp-json\/wp\/v2\/tags?post=261"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}