Journal of general practice (Los Angeles, Calif.)最新文献

Editorial Note for Special Issue: COVID - 19 Impact on Human Body and community 特刊编辑说明:COVID - 19对人体和社区的影响

Journal of general practice (Los Angeles, Calif.) Pub Date : 2020-01-01 DOI: 10.37421/JGPR.2020.8.379

Archana Mourupoju

引用次数: 0

Multiple Organ Involvements in a Case of IgG4 Related Disease 一例IgG4相关疾病的多器官受累

Journal of general practice (Los Angeles, Calif.) Pub Date : 2020-01-01 DOI: 10.37421/JGPR.2020.8.378

Hamed Zainaldain, F. Rizvi, Samaneh Azizimanesh, G. Siri, S. Alesaeidi

引用次数: 1

Editorial Note for Regular Issue: Journal of General Practice 定期发行的社论注释:全科医学杂志

Journal of general practice (Los Angeles, Calif.) Pub Date : 2020-01-01 DOI: 10.37421/JGPR.2020.8.380

Archana Mourupoju

引用次数: 0

How New Technologies Could Help in Epilepsy Care, Education and Sensitization of Patients and Carers: The Experience of Telemedicine in the South of Morocco 新技术如何有助于癫痫治疗、教育和提高患者和护理人员的敏感性:摩洛哥南部远程医疗的经验

Journal of general practice (Los Angeles, Calif.) Pub Date : 2020-01-01 DOI: 10.37421/JGPR.2020.8.377

N. Kissani, Z. Chourafa, A. Traoré, IlhamTekni, Zahra Chahbane, Bahija Bouchkara, Ismail ElAarroumi, Menana El-Qassri, Z. Souirti

{"title":"How New Technologies Could Help in Epilepsy Care, Education and Sensitization of Patients and Carers: The Experience of Telemedicine in the South of Morocco","authors":"N. Kissani, Z. Chourafa, A. Traoré, IlhamTekni, Zahra Chahbane, Bahija Bouchkara, Ismail ElAarroumi, Menana El-Qassri, Z. Souirti","doi":"10.37421/JGPR.2020.8.377","DOIUrl":"https://doi.org/10.37421/JGPR.2020.8.377","url":null,"abstract":"Epilepsy is a public health care problem in Morocco because of its high prevalence (1, 1%). Patients with epilepsy and their families need education and sensitization especially in South Morocco, where health resources and specialized personnel are lacking. All these factors inspired the neurology team of the university hospital in Marrakesh to start using new technologies for epilepsy care, education and sensitization of patients in Marrakech, other neighboring cities and different other parts of South Morocco. We started using new technologies in 2009 at Marrakesh university hospital, which is the sole center in all South Morocco. The aim of this study is to describe the first experience with the use of telemedicine (TM) in epilepsy and to show how it could facilitate, improve care, education, sensitization and reach the maximum of PWE, and thus save time, energy and displacements. Authors showed through this work, that telemedicine offers various possibilities, to connect not only patients, families, physicians and other health professionals, but also associations. (Video conferencing; use of mobile phones; and also use websites and tutorials). This use of new technologies is done for free, for all our patients with the support of university hospital of Marrakech. For a wide category of illiterate patients in Morocco, we use audio and video messages to give a chance of communication and exchange of all kind of informations about the progress of their epilepsy and its follow up. Finally, we have a busy programme for specialists, GPs and all health professionals to provide continuous training.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"8 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70054041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Profiling the Pathway of the Dizzy Patient in the Emergency Department from the Triage and Onwards 急诊科眩晕患者从分诊及以后的路径分析

Journal of general practice (Los Angeles, Calif.) Pub Date : 2020-01-01 DOI: 10.37421/JGPR.2020.8.381

Kalliopi Gkatzoudi, I. Gergianaki, I. Tsiligianni, D. Klonaris, E. Prokopakis

{"title":"Profiling the Pathway of the Dizzy Patient in the Emergency Department from the Triage and Onwards","authors":"Kalliopi Gkatzoudi, I. Gergianaki, I. Tsiligianni, D. Klonaris, E. Prokopakis","doi":"10.37421/JGPR.2020.8.381","DOIUrl":"https://doi.org/10.37421/JGPR.2020.8.381","url":null,"abstract":"Background: Dizziness is a common complaint among patients seeking medical assistance in the Emergency Departments (EDs). Although its aetiology is usually benign, patients often follow a complex pathway with health service and resource overuse. Aims of this study were to describe the symptoms and characteristics of such subjects and gain an overall impression of their management by ED physicians. Methods: Our study was performed in the University Hospital of Heraklion, Crete, Greece. We retrospectively collected demographic, clinical and co-morbidity data of patients visiting the ED complaining of dizziness during a 3-month period. These were evaluated initially by general practitioners (GPs) in the triage and then referred to other specialists, if needed. Results: In total, 408 self-referred patients visited the triage of the ED complaining of dizziness. The most common accompanying symptoms of dizziness were vertigo, headache, fatigue, nausea and imbalance. Relevant concomitant chronic diseases included hypertension, coronary artery disease and diabetes mellitus. After the initial triage, most patients were referred to an internist or an otorhinolaryngologist, or remained in the triage for further work up. Conclusion: Our study underlines the difficulty to diagnose and refer cases with dizziness faced by triage GPs in the ED. There is a great variability of symptoms accompanying dizziness and GPs face the challenge to discharge or refer to specialists for further examination. An educational need for GPs and the devise of simple but efficient diagnostic algorithms have emerged as unmet needs.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"8 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70054185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traumatic intrapericardial diaphragmatic hernia 外伤性心包内膈疝

Journal of general practice (Los Angeles, Calif.) Pub Date : 2019-07-01 DOI: 10.4103/NJGP.NJGP_1_19

U. Mba

{"title":"Traumatic intrapericardial diaphragmatic hernia","authors":"U. Mba","doi":"10.4103/NJGP.NJGP_1_19","DOIUrl":"https://doi.org/10.4103/NJGP.NJGP_1_19","url":null,"abstract":"This article describes the case of a 33-year-old male who sustained blunt trauma to his torso in a high-speed motor vehicle accident. He presented to the emergency room with abdominal pain, chest pain, dyspnea, distended neck veins, and shock. There was no history of pretraumatic chest symptoms or congenital abnormalities. Computed tomography (CT) of the chest showed bowel loops extending into the pericardium through a large rent in the diaphragm. A diagnosis of traumatic intrapericardial diaphragmatic hernia (TIPDH) was made. Hence, the patient was transferred to the theater where surgical mesh repair was done through an open laparotomy. TIPDHs are rare, forming about 0.9% of traumatic diaphragmatic hernias with only 96 cases reported in worldwide literature as at 2014. However, they are potentially life-threatening and require a high index of suspicion to diagnose. They often result from blunt abdominal trauma. Symptoms include chest pain, abdominal pain, and dyspnea, with or without features of cardiac tamponade or bowel obstruction. CT scan is the best diagnostic tool. Primary repair through open laparotomy is recommended in acute cases, with mesh reinforcement for large diaphragmatic tears to ensure the repair is tension-free.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"17 1","pages":"64 - 67"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70834206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Manifestations and Symptoms of Maxillary Sinusitis of Odontogenic Origin Demonstrated by Cone Beam Computed Tomography 牙源性上颌鼻窦炎的临床表现和症状的锥形束ct分析

Journal of general practice (Los Angeles, Calif.) Pub Date : 2019-01-01 DOI: 10.4172/2329-9126.1000371

M. Fredriksson, Jenny Kuoljok, L. Flygare, D. Berggren, K. Tano

引用次数: 2

Clinical governance: Quality Health-Care System for 21st Century 临床治理:面向21世纪的优质医疗体系

Journal of general practice (Los Angeles, Calif.) Pub Date : 2019-01-01 DOI: 10.4103/NJGP.NJGP_13_18

Danesi Ma

引用次数: 0

A Prospective Medical System of the Future/a Complete Health Care System 未来的前瞻性医疗体系/完整的医疗保健体系

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-12-07 DOI: 10.4172/2161-1068.1000370

Mahdy Ali Ahmad Osman

引用次数: 0

ED and CVD in primary care: Are we missing screening and intervention opportunities? 初级保健中的ED和CVD:我们是否错过了筛查和干预的机会?

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-09-20 DOI: 10.4172/2329-9126-C1-008

pRehana B Ahmed, David Molonyp

引用次数: 0