Journal of general practice (Los Angeles, Calif.)最新文献_第4页

Assessment of Quality of Antenatal Care Service Provision and Associated Factor at Governmental Health Facilities of Harar Town, Eastern Ethiopia, 2017 2017年埃塞俄比亚东部哈拉尔镇政府卫生机构产前保健服务质量及相关因素评估

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000367

Dr.Kedir Teji, Gosaye Tekelehaymanot, Dr.Firehiwot Mesfin

引用次数: 6

General Medicine without Time 没有时间的普通医学

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9146.1000364

J. Turabián

{"title":"General Medicine without Time","authors":"J. Turabián","doi":"10.4172/2329-9146.1000364","DOIUrl":"https://doi.org/10.4172/2329-9146.1000364","url":null,"abstract":"Access to medical knowledge in relation to the main problems that constitute knowledge and work of the doctor can be done in several complementary ways. One of these roads is historical knowledge. If we study the form and content of medical textbooks at different times we could see how they reflect the dominant medical theory at each time according to the publication dates and so we could detect trends on the concepts of etiology, diagnosis, treatment, etc. of the different health problems. The contemporary debate on the development of science and technology, part of the assumption that science and technology have a linear development but the study of history affirms that the fundamental principles of medicine do not change in spite of scientific, technological or socio-political advances. Our profession has an immutable base of assistance, concern for others and curiosity of being the patient as a person, the axis of medical practice, respect for the autonomy of the patient, meticulous observation, etc. Some of the elements that define the medical being in an immutable and without time or epoch way are: 1-variability and induction; 2-research; 3-biopsicosocial, functional and somatic; 4-diagnosis; 5-healthy and sick: the disease develops as a time of life; 6-the anamnesis is almost everything and the complementary tests are not almost anything; 7-course, prognosis, evolution and context and 8-treatment depends on individual internal and external contexts.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"6 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9146.1000364","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70285606","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

High Dose PPI with H2 Blocker for Long Term Remission of Symptoms in Cervical Inlet Patch 大剂量PPI联合H2阻滞剂长期缓解宫颈入口贴片症状

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000366

Aloke, eep Bhattachrjee

引用次数: 0

Botulinum Toxin Type A for Forehead Wrinkles in Asian A型肉毒杆菌毒素治疗亚洲人额头皱纹

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000348

C. Ming

引用次数: 1

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000352

A. Adeoti, J. Fadare, E. Ajayi, K. Adekeye, M. Akolawole

{"title":"Respiratory-Related Medical Admissions in a Tertiary Institution in South-Western Nigeria","authors":"A. Adeoti, J. Fadare, E. Ajayi, K. Adekeye, M. Akolawole","doi":"10.4172/2329-9126.1000352","DOIUrl":"https://doi.org/10.4172/2329-9126.1000352","url":null,"abstract":"Background: Globally, respiratory diseases are common causes of medical admissions. Our objective was to determine the causes and outcome of respiratory diseases in our facility for health planning, policy formulation and allocation of resources.Method: A retrospective study of all respiratory-related admissions between January 2011 and December 2015. Classification of diseases was based on the ICD-10 coding system.Results: Respiratory-related admissions accounted for 460 (12%) of all medical cases with a slight male preponderance of 1.4 to 1. Mean age of patients was 50.4 ± 20.8 years. The majority 342 (74.3%) of these admissions were due to communicable respiratory diseases. Pulmonary tuberculosis (44.1%) and pneumonia (28.9%) accounted for the highest admissions which were closely followed by COPD (11.1%) and asthma (7.2%). The commonest co-morbidity was HIV/AIDS (12.3%) which also coexisted with other diseases in most cases of mortality. The median hospital-stay was 7 days. Most diseases had peak presentations during the dry season except bronchial asthma with rainy and dry peak seasons. The overall mortality was 17.6% and the highest mortalities were recorded in patients who had pulmonary tuberculosis (55.5%), pneumonia (20.9%) and COPD (8.6%).Conclusion: Communicable respiratory diseases are the leading causes of morbidity and mortality. Scaling up on coverage of the control programmes as well as the methodical integration of non-communicable diseases into already existing control programmes will further strengthen the health-care systems in resource-limited settings.","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/10.4172/2329-9126.1000352","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70285392","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

Vaccination–Yes or No 接种疫苗——是或否

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000e122

Siniša Franjić

引用次数: 1

Long Term Left Ventricular Reverse Remodeling and Functional Outcome after Cardiac Resynchronization in Advanced Heart Failure 晚期心力衰竭患者心脏再同步化后的长期左心室反向重构和功能结局

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000365

N. Stoškutė, J. Vaškelytė, E. Ereminienė, A. Puodziukynas, Kviesulaitis, A. Abramavičiūtė

{"title":"Long Term Left Ventricular Reverse Remodeling and Functional Outcome after Cardiac Resynchronization in Advanced Heart Failure","authors":"N. Stoškutė, J. Vaškelytė, E. Ereminienė, A. Puodziukynas, Kviesulaitis, A. Abramavičiūtė","doi":"10.4172/2329-9126.1000365","DOIUrl":"https://doi.org/10.4172/2329-9126.1000365","url":null,"abstract":"Objectives: The purpose of this study was to assess long-term outcomes of cardiac resynchronization therapy (CRT) on left ventricular reverse remodeling and functional recovery in patients with advanced heart failure and to establish predictors for positive response to cardiac resynchronization. Methods: The study population consisted of 48 patients (age 68 ± 8.51 years, 79.55% male). Patients underwent transthoracic echocardiography, electrocardiogram, the 6-minute walk test (6MWT) and NYHA functional class evaluation before biventricular pacemaker implantation and during follow-up. Results: Median follow-up was 21.89 ± 9.21 months. 4 (7.7%) patients died from heart failure. Reverse left ventricular remodeling was observed in 77.08% (N=37) patients. CRT resulted in statistically significant improvement of NYHA functional class (p=0.015) and the increased results of 6MWT (p=0.000). Logistic regression analysis demonstrated lower pulmonary artery systolic pressure (PASP) (OR 1.152, 95% CI 1.026-1.293; p=0.017) and more severe mitral regurgitation (OR 0.11, 95% CI 0.018-0.769; p=0.025) prior to device implantation as significant predictors of positive response to CRT. Poor response cut-off value of PASP ≥ 46 mmHg was established in ROC analyses, with 78% of sensitivity and 62% of specificity. Conclusions: Our study confirmed the reversible cardiac remodeling and improvement in systolic left and right ventricular function and functional condition in advanced heart failure patients treated with CRT. According to our study, lower pulmonary artery pressure and more severe mitral regurgitation prior to device implantation predicted favorable long-term response to CRT.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"06 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70285241","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

Management of a Patient with a Broken Heart Syndrome 心碎综合症患者的处理

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000346

Nihit N Mehta

引用次数: 0

Hair Loss in Youngsters 青少年脱发

Journal of general practice (Los Angeles, Calif.) Pub Date : 2018-01-01 DOI: 10.4172/2329-9126.1000355

R. Rajput

引用次数: 0

The Use of Topical Compounded Analgesic Creams in Neuropathic Pain by the Primary Care Physician 初级保健医生使用局部复合镇痛药膏治疗神经性疼痛

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-12-30 DOI: 10.4172/2329-9126.1000345

J. Hesselink, D. Kopsky, Tomomi Fujikawa, Miyuki Narutaki, Masami Yamamoto, H. Kakutani, Yuji Shirai, K. Ishikura, Kazuhiro Kusunoki, S. Tanaka, T. Kawata, S. Kanazawa, Sayuri Matsuzaki, M. Bando, S. Waka

{"title":"The Use of Topical Compounded Analgesic Creams in Neuropathic Pain by the Primary Care Physician","authors":"J. Hesselink, D. Kopsky, Tomomi Fujikawa, Miyuki Narutaki, Masami Yamamoto, H. Kakutani, Yuji Shirai, K. Ishikura, Kazuhiro Kusunoki, S. Tanaka, T. Kawata, S. Kanazawa, Sayuri Matsuzaki, M. Bando, S. Waka","doi":"10.4172/2329-9126.1000345","DOIUrl":"https://doi.org/10.4172/2329-9126.1000345","url":null,"abstract":"The primary care physician often has to help diabetic patients suffering from localized neuropathic pain. Most of the current anti-epileptics and anti-depressants however, especially when prescribed to the elderly patients, have troublesome drawbacks: drug-interactions, side effects and tolerability issues. Topical compounded creams might be a good alternative, especially since it is easy to test in the general practice to discover responders to these creams. At our Institute for Neuropathic Pain we see many patients suffering from peripheral neuropathic pain. We have developed a number of compounded creams based on amongst others amitriptyline 10%, ketamine 10%, clonidine 0.2%, baclofen 5%, and phenytoin 10%. Many patients profit from such topical formulations and we will describe how a primary care physician can fast decide whether as specific compounded cream is useful for a patient. Patients suffering from peripheral neuropathic pain, as in diabetic neuropathy, chronic idiopathic axonal polyneuropathy (CIAP) and chemotherapy induced polyneuropathy (CIPN) as well as from complex regional pain syndrome (CRPS), seem often to be responsive to such topical approach. Meanwhile, more than 800 Dutch medical doctors have been prescribing one or more of our compounded creams, and patients and medical doctors from abroad frequently contact us to explore the therapeutic options for their patients based on these creams. We will give some practical tips how to differentiate between responders and non-responders.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47420330","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: 3