Journal of general practice (Los Angeles, Calif.)最新文献_第3页

Benign Phyllodes Breast Tumor: Regarding a Young Woman's Clinical Case 乳腺良性叶状瘤:关于一个年轻女性临床病例

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000360

P. Ferreira, X. deSousa, A. Batista, I. Martins, L. Branco, J. Simões, C. Alves, M. Rigueira, M. Gonçalves, L. Cortez

{"title":"Benign Phyllodes Breast Tumor: Regarding a Young Woman's Clinical Case","authors":"P. Ferreira, X. deSousa, A. Batista, I. Martins, L. Branco, J. Simões, C. Alves, M. Rigueira, M. Gonçalves, L. Cortez","doi":"10.4172/2329-9126.1000360","DOIUrl":"https://doi.org/10.4172/2329-9126.1000360","url":null,"abstract":"Phyllodes tumors are rare fibroepithelial lesions that count for 0.3-1% of all primary breast tumors. Telling the difference between phyllodes tumors and giant juvenile fibroadenomas, that rarely affect adolescent and young women, is difficult but of importance because resection with margins is the mainstay of treatment for phyllodes tumors. We report a clinical case of an eighteen-year-old female patient, with past history of left breast lump excision four years before, classified as “juvenile fibroadenoma”. In early 2015, she was referred to the consultation by the appearance of a bulky ipsilateral lump (10.8 x 6.9 cm), core-biopsy histology revealed “fibroadenoma with more lax stroma vs benign phyllodes tumor”. Surgical excision of the lesion was performed. Histology of the specimen confirmed “benign phyllodes breast tumor (14 x 12 x 8 cm and 788 g)”. Given its benign nature and negative margins, the patient did not require further treatment and currently attends in follow-up consultation. A brief discussion of this rare form of fibroepithelial tumor, minding its classification, diagnosis, treatment, followup and prognosis is done.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"6 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000360","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70285117","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

Hypothyroidism Associated with Type 2 Diabetes 甲状腺功能减退与2型糖尿病相关

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000369

Abeer Al Saweer

引用次数: 0

Biopsychosocial Concept is the Characteristic that Distinguishes the Practice of General Practitioner/Family Doctor 生物心理社会观念是区分全科医生/家庭医生执业的特征

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000E123

J. Turabián

引用次数: 3

Triple Negative Invasive Encapsulated Papillary Carcinoma of the Breast· ® A Case Report 乳腺三阴性浸润性包膜乳头状癌1例报告

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000358

Xavier de Sousa, P. Ferreira, I. Martins, L. Branco, J. Simões, I. Duarte, M. Gonçalves, M. Rigueira, L. Cortez

引用次数: 0

Internet Addiction Disorder among Medical Students in University of Kufa: A Cross Sectional Study 库法大学医学生网络成瘾的横断面研究

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000368

S. Alfadhul, H. Hameed, S. Mohammed

引用次数: 3

Progenitor Endothelial Cells in Pulmonary Arterial Hypertension 肺动脉高压中的祖内皮细胞

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000357

A. Berezin

引用次数: 0

Internship Competencies in General Medicine (Monastir-Tunisia) 全科医学实习能力(突尼斯monastir)

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000362

A. Belguith, Koubaa Aa, W. Boughalleb, H. Abroug, M. Fredj, I. Zemni, Bouslah Am, M. Soltani

{"title":"Internship Competencies in General Medicine (Monastir-Tunisia)","authors":"A. Belguith, Koubaa Aa, W. Boughalleb, H. Abroug, M. Fredj, I. Zemni, Bouslah Am, M. Soltani","doi":"10.4172/2329-9126.1000362","DOIUrl":"https://doi.org/10.4172/2329-9126.1000362","url":null,"abstract":"Background: The internal trainees learning is an essential deal for acquiring competencies in general practice. The internship book serves for their pre-post evaluation. Objective: We aimed at describing the intern’s improvement of skills during training. Methods: We conducted a quasi-experimental study, including interns having carried out their stage in general medicine, from March 2008 to February 2015. Our main outcome was comparing pre-post stage acquisitions. Results: Within the period study, 566 interns realized the internship. Acquisitions improvement rate increased significantly after stage in all items for the Lickert scale very good and excellent. Self-evaluation rates pre-post stage passed from 1.7%-34.5% for primary care current activities and from 2.3%-35.1% for care globality. For technical abilities, the rate passed from 7.5%-22.8% for gastroenterology skills. The highest non-response rate was notified for care coordination passing from 2.6%-10.4% and for ophthalmology (from 18.8%-27.8%). However, the best student competence was care coordination (26.1%). The highest increasing technical skill item was unregistered in otoscopic examination (24.9%), the lowest was practice and reading an intradermal reaction (5.3%). Conclusion: The apprehension of some competencies must be developed by including family doctor trainer in Tunisians faculties of medicine.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"6 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000362","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70285194","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

The Evaluation of Mood Status in Mothers of Infants with Infantile Colic 婴儿绞痛母亲的情绪状态评价

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000354

R. Oztepeli, H. Dağ, M. Dogan, V. Arıca, A. Irdem, Habip Gedik

{"title":"The Evaluation of Mood Status in Mothers of Infants with Infantile Colic","authors":"R. Oztepeli, H. Dağ, M. Dogan, V. Arıca, A. Irdem, Habip Gedik","doi":"10.4172/2329-9126.1000354","DOIUrl":"https://doi.org/10.4172/2329-9126.1000354","url":null,"abstract":"Objective: The aim of this study was to evaluate mood changes in mothers of infants diagnosed with infantile colic.Materials and Methods: In this prospective case-control study, mothers with infants who were referred to the Pediatric Clinic of Ministry of Health Okmeydani Research and Training Hospital and diagnosed with infantile colic between November 2014 and February 2015 were compared with those of infants without infantile colic using the Beck Depression Inventory and a questionnaire.Results: A total of 31 mothers with male infants (51%) and 30 mothers with female infants (49%) participated in the study. The mean Beck depression inventory scores were 18.3 (min 5-max 35 points; median score: 21) in the infantile colic group and 14.6 (min 5-max 33; median score: 12) in the control group. Beck depression inventory scores in the infantile colic group were significantly higher than those of control group. The mean Beck depression inventory scores were 17.0 (min 5-max 32 points; median score: 17) in mothers who had no problems during the pregnancy and 24.9 (min 5-max 35 points; median score: 25.5) in mothers who had problems during the pregnancy, respectively. Beck depression inventory scores in mothers who had problems during the pregnancy were significantly higher than those who had no problems during pregnancy.Conclusion: Beck depression inventory scores in mothers with infants diagnosed with infantile colic were significant compared to the control group. Mothers of infants diagnosed with infantile colic may require psychological support.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"6 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000354","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70285403","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

An Open Label, Multi-Center, Non-Interventional Study of the Safety of Nebivolol (Nebilet) In the Treatment of Hypertension in Filipino Adult Patients: A Post Marketing Surveillance Study 一项开放标签、多中心、非介入研究奈比洛尔(Nebilet)治疗菲律宾成年高血压患者的安全性:一项上市后监测研究

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000361

Fatima R. Collado

{"title":"An Open Label, Multi-Center, Non-Interventional Study of the Safety of Nebivolol (Nebilet) In the Treatment of Hypertension in Filipino Adult Patients: A Post Marketing Surveillance Study","authors":"Fatima R. Collado","doi":"10.4172/2329-9126.1000361","DOIUrl":"https://doi.org/10.4172/2329-9126.1000361","url":null,"abstract":"Background: Nebivolol is a potent third generation beta-blocking agent indicated for the treatment of hypertension, and is distinguished from other beta blockers by its dual mechanism of action involving high β-1 cardioselectivity and unique nitric-oxide (NO) induced vasodilation. This study aims evaluate the safety and efficacy of Nebivolol (Nebilet) 5mg in the treatment of hypertension among Filipino adult patients. Methods: This is a prospective, open-label, non-interventional study which evaluated the safety of Nebivolol (Nebilet) 5mg in Filipino adult subjects with hypertension, aged 21 to 80 years, in an out-patient setting. Results: A total of 1,154 patients were recruited into the study, 36 (3%) of which had reported adverse events (AEs). Majority of the AEs were due to headaches (18%) and other non-specified events (32%). Most of the adverse events reported were mild to moderate and some were known effects of β- blockers. There were no serious or unsuspected adverse events described during the study. In terms of efficacy, nebivolol reduced blood pressure to less than 140/90 mmHg or a decrease of >10 mm Hg diastolic blood pressure (DBP) in 82% of subjects in the first follow-up visit. At the end of the treatment period, 97% had achieved target blood pressure levels. Conclusions: The study has shown that nebivolol is a safe and effective medication in hypertensive Filipino adult patients.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"6 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000361","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70285157","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

Myasthenia Gravis-Our Experience in the Last Three Years with Interesting Associations 重症肌无力——我们最近三年的经历与有趣的联系

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000363

S. Chandra, Akshata Huddar, Nibu Varghese, Neeraja Koti, Ganaraja Vh, M. Pooja, T. Issac

{"title":"Myasthenia Gravis-Our Experience in the Last Three Years with Interesting Associations","authors":"S. Chandra, Akshata Huddar, Nibu Varghese, Neeraja Koti, Ganaraja Vh, M. Pooja, T. Issac","doi":"10.4172/2329-9126.1000363","DOIUrl":"https://doi.org/10.4172/2329-9126.1000363","url":null,"abstract":"Background: Myasthenia gravis is a common immune mediated disease with a prevalence of 1 in 30000 populations. It is eminently treatable but when it presents atypically diagnosis can be missed. Aim: To look for the common and uncommon clinical features and antibody profile in patients with features of myasthenia gravis. Settings and design: Myasthenia gravis though well known to be associated with antibody to AchR receptor in the post synaptic membrane, a large group of patients are seronegative for AchR with atypical presentations. Anti- Titin antibody titre was done in 7 cases and anti-MUSK in 1 case when strongly indicated by clinical features. Materials and methods: 29 patients who were confirmed as Myasthenia gravis, seen by authors in the last 3 years were evaluated with anti AchR antibodies in all cases and; Anti-titin and Anti-musk antibodies when clinical indication was strong and patient could afford. Statistical analysis: Descriptive analysis was done as the number is small. Results and consideration: Maximum numbers of patients were seen in the younger age group. But patients with more serious disease, patients with Thymic and extrathymic Tumors, Anti-titin and musk associated patients were in the later age group. Thymic tumour has been not detected for nearly 10 years after disease onset in one case. Macroglossia, Motor neuron disease overlap is seen in one case which is relatively very rare. Though Myasthenia gravis is seen commonly in the young persons, Thymic and extrathymic tumors, Anti-titin antibody associated Myasthenia gravis is seen in later age group. Macroglossia and Motor neuron disease overlap features do not exclude MG.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"6 1","pages":"2-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000363","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70285206","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