Journal of general practice (Los Angeles, Calif.)最新文献_第10页

Accurate Solution to Brain Wave Disorders 准确解决脑电波紊乱

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-10 DOI: 10.4172/2329-9126.1000288

Manisha Ch, ajkar

引用次数: 0

From an Overcrowded to a Smoothly Functioning Emergency Department within Two Months 从人满为患到两个月内顺利运作的急诊科

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-06 DOI: 10.4172/2329-9126.1000287

F. Basis

{"title":"From an Overcrowded to a Smoothly Functioning Emergency Department within Two Months","authors":"F. Basis","doi":"10.4172/2329-9126.1000287","DOIUrl":"https://doi.org/10.4172/2329-9126.1000287","url":null,"abstract":"Background: Our Emergency Department (ED) went through two periods with different managers. Although the number of beds, visits and admissions during these two periods didn't change significantly, a change in the ED’s policy, without a change in the hospital’s policy, converted a very crowded ED to an uncrowded one within few weeks, and changed the pattern of work in the hospital, gradually for many years. \u0000Objectives: To share our experience and describe how a very crowded ED was transformed into an uncrowded one within few weeks and how we maintained the change thereafter. Methods: All data concerning the ED and other department activities were collected by using our hospital’s computerized business intelligence (BI) system. \u0000Results: The average length of stay (LOS) of admitted patients in the ED was 5.05+0.98 hrs during period \"A\" (1993-2001). It dropped to 2.45+0.21 during period \"B\" (2002-2007) (P<0.001). The percent of patients boarding in the ED more than 10 hours dropped from 11.5+2.4% (period “A”) to 2.6+0.7% (period “B”) within three months. Despite a gradual increase in the number of admissions to the GM wards, there was a gradual decrease in the average LOS during period \"B\", compared to period \"A\" (6.1 vs. 5.5 days) (P=0.001). The death rate among patients in the ED and in the GM wards decreased significantly during period \"B\" (P<0.001). \u0000Conclusions: We were able to achieve a difficult goal of eliminating overcrowding in the ED and consequently, other hospital’s wards only through assertiveness, persistence, adherence to protocols and the full personal backing of the hospital's manager.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000287","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48090759","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: 1

Stories Notebook about the Fundamental Concepts in Family Medicine: Continuity, The Fable of The River with Meanders 家庭医学基本概念的故事笔记:连续性、曲流河寓言

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-02 DOI: 10.4172/2329-9126.1000285

J. Turabián

引用次数: 2

Stories Notebook about the Fundamental Concepts in Family Medicine: Comprehensiveness and Integrality, The Fable of The Tree and The Grass 关于家庭医学基本概念的故事笔记：全面性与整体性，《树与草的寓言》

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-01 DOI: 10.4172/2329-9126.1000284

J. Turabián

引用次数: 4

Stories Notebook about the Fundamental Concepts in Family Medicine: An Introduction 关于家庭医学基本概念的故事笔记本：导论

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-01 DOI: 10.4172/2329-9126.1000283

J. Turabián

引用次数: 3

Stories Notebook about the Fundamental Concepts in Family Medicine: Context and Contextualization, The Fable Of the Seagull, The Dove, The Crow And The Albatross 关于家庭医学基本概念的故事笔记本:情境和情境化，海鸥的寓言，鸽子，乌鸦和信天翁

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-01-23 DOI: 10.4172/2329-9126.1000286

J. Turabián

引用次数: 1

The Epidemiology of Neurofibroma in Infancy and Childhood Among Nigerian Igbos 尼日利亚伊博族婴幼儿神经纤维瘤流行病学研究

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-01-18 DOI: 10.4172/2329-9126.1000282

W. Onuigbo

引用次数: 3

AN ACADEMIC APPROACH TO THE MANAGEMENT OF HEALTHCARE GENERATED WASTE 医疗废物管理的学术方法

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-01-18 DOI: 10.4172/2329-9126.C1.001

Salih H Aljabr

引用次数: 0

Motivation is an Adjuvant Therapy for Pediatric Patients with Minimal Change Disease 动机是一种辅助治疗儿童患者的微小变化的疾病

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-01-01 DOI: 10.4172/2329-9126.1000338

M. El-Gamasy

{"title":"Motivation is an Adjuvant Therapy for Pediatric Patients with Minimal Change Disease","authors":"M. El-Gamasy","doi":"10.4172/2329-9126.1000338","DOIUrl":"https://doi.org/10.4172/2329-9126.1000338","url":null,"abstract":"Objectives: There were few publications which concern psychosocial motivation in pediatric patients with idiopathic nephritic syndrome(INS) to evaluated effects of psychological and social motivation on responsiveness of children with INS to steroid therapy and to detect whether there was relation between psychosocial motivation and the outcome of those children. Subjects: This work was conducted as a randomized controlled clinical trial, single blinded study in Tanta university pediatric nephrology outpatient clinic on 172 children with Steroid Sensitive Nephrotic Syndrome (SSNS). They were divided randomly into motivational nephrotic group as Group 1 and a control nephrotic group as Group 2. Their aged 2-10 years and mean disease duration 2.6 ± 2.1 and 2.3 ± 2.1 years in Group 1 and 2 respectively. Methods: Data was collected through a collection of biological, social and psychological data which were formulated, structured for 6 months where their ideas and expectations about disease, the compliance with treatment and follow up visits and frequency of relapses between the two studied patients groups were compared. Results: There was statistically significant decrease in the number of relapses in Group 1 when compared to Group 2. Regarding compliance with follow up visits, there was a highly significant increase in Group 1 compared to control group. There was statistically significant difference after application of psychosocial motivation regarding patients' ideas and expectations about the disease. Conclusions: The psychosocial motivation is significantly highly effective in improving the management of SSNS children, so we recommend all physicians to adopt psychosocial motivation to their nephritic children.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"5 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000338","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70285182","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

New Management Options of Deep Vein Thrombosis (DVT) and Prevention of DVT Recurrence in Primary Care Medicine Anno 2017 深静脉血栓形成(DVT)的新治疗方案及预防DVT复发

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-01-01 DOI: 10.4172/2329-9126.1000295

J. Michiels, J. Michiels, Wim Moossdorff, M. Lao, H. Smeets, Ming Han, A. Gadisseur, W. Schroyens

引用次数: 0