Journal of general practice (Los Angeles, Calif.)最新文献_第8页

Clinical Image on Obstructed Labor in Mearg General Hospital West Tigray,Ethiopia 埃塞俄比亚西提格雷米尔格综合医院难产的临床影像

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-05-10 DOI: 10.4172/2329-9126.1000I003

S. Gebre

引用次数: 0

The Effect of Breastfeeding on the Cognitive and Language Development of Children Under 3 Years of Age: Results of Balochistan-Early Childhood Development Project 母乳喂养对3岁以下儿童认知和语言发展的影响:俾路支省儿童早期发展项目的结果

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-29 DOI: 10.4172/2329-9126.1000305

Meesha Iqbal, G. Rafique, S. Ali

{"title":"The Effect of Breastfeeding on the Cognitive and Language Development of Children Under 3 Years of Age: Results of Balochistan-Early Childhood Development Project","authors":"Meesha Iqbal, G. Rafique, S. Ali","doi":"10.4172/2329-9126.1000305","DOIUrl":"https://doi.org/10.4172/2329-9126.1000305","url":null,"abstract":"Background: Breastfeeding is known to be an important factor in the overall growth and development of children. \u0000 Breastfeeding is thought to lead to enhance cognitive and language development of a child. However, this \u0000 association has not yet been scientifically and statistically established. This study aimed to explore this association \u0000 in children under 3 years of age. \u0000Methods: This was a secondary data-analysis of the baseline data of “Balochistan – Early Childhood \u0000 Development Project”. The final sample comprised of 604 children less than 3 years of age. The children were \u0000 selected by three-stage stratified random sampling from three districts of Balochistan province; Gwadar, Quetta and \u0000 Qilla Saifullah. The data for the duration of breastfeeding was categorized as less than 6 months, from 6 months to \u0000 12 months and greater than 12 months. The age appropriate language and cognitive development of children was \u0000 assessed through the CDA (Care for development Appraisal) tool. We applied multivariate logistic regression model \u0000 for the analysis. \u0000Results: In unadjusted analysis, children breastfed for more than 12 months were at an advantage for cognitive \u0000 and language development (cOR=2.91, cOR=2.8; p<0.05; respectively). After adjusting for a range of co-variates \u0000 this developmental advantage decreased to aOR=2.42 for cognition and aOR=2.44 for language respectively \u0000 (p<0.05). \u0000Conclusions: The duration for which the child is breast-fed is integral for his language and cognitive \u0000 development. Based on our findings we recommend that breastfeeding should be promoted for more than 12 \u0000 months to bring out the maximum benefit in the language and cognitive development of a child.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2017-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47531773","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: 9

Usefulness of C-reactive Protein Testing in Acute Cough/Respiratory Tract Infection: A Case-Control Study in a UK Based GP Population c反应蛋白检测在急性咳嗽/呼吸道感染中的有效性:一项英国GP人群的病例对照研究

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-29 DOI: 10.4172/2329-9126.1000307

Ghosh S, Farell L, Calnan G, Panray Gb

{"title":"Usefulness of C-reactive Protein Testing in Acute Cough/Respiratory Tract Infection: A Case-Control Study in a UK Based GP Population","authors":"Ghosh S, Farell L, Calnan G, Panray Gb","doi":"10.4172/2329-9126.1000307","DOIUrl":"https://doi.org/10.4172/2329-9126.1000307","url":null,"abstract":"Introduction: Point of care testing for C-reactive protein (CRP) has shown promise as a measure to reduce \u0000 unnecessary antibiotic prescribing in respiratory tract infections (RTI) and has been adopted into NICE guidelines, \u0000 but its use in primary care is still controversial. We aimed to evaluate the effect of CRP testing on the prescription of \u0000 antibiotics and the outcome of patients in general practice with acute cough/RTI. \u0000Methods: We undertook a case-control study with POC testing with CRP in intervention group (Oct 16-Jan 17) \u0000 and compared this to similar cohort of patients from a year previously coded with exact diagnosis. \u0000Results: A total of 207 patients were included: 69 in the intervention group and 138 in the control group. \u0000The two groups were similar in clinical characteristics. In the intervention group, the antibiotic prescribing rate was \u0000 31.6%, which was significantly lower than that in the control group (59.9%) (P=0.003). \u0000The recovery rate, as recorded by the GPs, was 94.9% and 93.8% in the intervention and control groups, \u0000 respectively. Referral to Emergency Department for children under 12 was also reduced significantly in the \u0000 intervention group (4.4%) when compared to the control group (6.5%; P=0.00479). \u0000Conclusion: The study showed that CRP testing in patients with acute cough/RTI may reduce antibiotic \u0000 prescribing and referral to pediatric ED, probably without compromising recovery.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"5 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42853709","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: 2

Satya - Svasthya Ayurveda Treatment Yoga and Agriculture 阿育吠陀治疗，瑜伽和农业

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-28 DOI: 10.4172/2329-9126.1000306

A. Mani

引用次数: 0

Stories Notebook about the Fundamental Concepts in Family Medicine: Contextand Contextualization, the Fable of The Buffaloes and The Bison 关于家庭医学基本概念的故事笔记本：情境化和情境化，水牛和野牛的寓言

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-25 DOI: 10.4172/2329-9126.1000304

J. Turabián

引用次数: 0

Scrotum Hernia with Large Volume of Ascites 阴囊疝伴大量腹水

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-24 DOI: 10.4172/2329-9126.1000303

Zhongwu Jia, Yu Zhou, S. Kong, J. Ni

{"title":"Scrotum Hernia with Large Volume of Ascites","authors":"Zhongwu Jia, Yu Zhou, S. Kong, J. Ni","doi":"10.4172/2329-9126.1000303","DOIUrl":"https://doi.org/10.4172/2329-9126.1000303","url":null,"abstract":"Ascitic hernia is still a thorny task but sometimes it may severely influence patients to live a simple but quality or \u0000 functional life. Herein, we discuss regarding a 37-year-old man with a basketball like indirect inguinal ascitic hernia \u0000 who was bedridden due to large volume of cirrhotic ascites. All conservative therapies seemed to be only little \u0000 efficient, only surgery could save him. Based on our past decade's successful experience, where we used to apply \u0000 an improved technique (Hernia-Roof/Hernia-Sac-Top (HST) approach) to solve scrotum ascitic hernia, aiming to \u0000 strengthen resistant degree of groin area with little damage to its natural structure. Our technique has been \u0000 confirmed a practical method in China, and reported in many Chinese version of journals. The technique has three \u0000 advantages below: \u00001) Ascites was preoperatively managed to ensure the incision wound. \u00002) The hernia orifice was entirely exposed and closed with suture completely for the first time. \u0000The hernia sac itself, the lower mesh and the orifice-closed were fixed together via 3-D skills. The patient stood \u0000 up again like a true man. Now he has been followed up in outpatient doctor's office since 10 years, No complications \u0000 were found. After that, more cases including emergency cases were successfully performed. It is inspiring and has \u0000 educational value for both patients and surgeons.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47888590","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

Patients Perceptions and Expectations of the General Practice Consultation and of the Doctors Prioritisation Skills of Multi-Morbidity 患者的看法和期望全科医生咨询和医生优先技能的多病

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-21 DOI: 10.4172/2329-9126.1000302

Carter Singh

{"title":"Patients Perceptions and Expectations of the General Practice Consultation and of the Doctors Prioritisation Skills of Multi-Morbidity","authors":"Carter Singh","doi":"10.4172/2329-9126.1000302","DOIUrl":"https://doi.org/10.4172/2329-9126.1000302","url":null,"abstract":"Purpose: Patients presenting with multiple problems during a single general practice consultation have been \u0000 anecdotally referred to as ‘shopping list patients’. The aims of this study were to explore the factors that could help \u0000 general practitioners develop effective strategies to manage these patients. \u0000Methods: This is a questionnaire based study with a total sample size of (n=66). The study timeframe was July \u0000 2012 to Jan 2013 and the response rate was 82.5%. \u0000Results: Irrespective of age or gender, most patients admitted to presenting to the GP with multiple problems \u0000 approximately 30% of the time. Lack of timely access to GP appointments was the main reason cited by the majority \u0000 of patients for presenting with multiple problems. \u0000Conclusions: Improving access to GP appointments would reduce patients presenting with multiple problems \u0000 during a single consultation. The reasons and explanations should be patient centered. \u0000The findings from the research above may facilitate GP’s to increase levels of patient/GP satisfaction and safety, \u0000 optimize rapport, reduce complaints, help to manage time more effectively (reduce late running of appointments) \u0000 and increase practice productivity.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45476132","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

Complications of Instrumental Vaginal Deliveries and Associated Factors in Suhul General Hospital, Shire, North-West Tigray, Ethiopia 埃塞俄比亚提格雷西北部郡Suhul总医院阴道辅助分娩并发症及相关因素

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-07 DOI: 10.4172/2329-9126.10002300

S. Gebre, A. Hailu

{"title":"Complications of Instrumental Vaginal Deliveries and Associated Factors in Suhul General Hospital, Shire, North-West Tigray, Ethiopia","authors":"S. Gebre, A. Hailu","doi":"10.4172/2329-9126.10002300","DOIUrl":"https://doi.org/10.4172/2329-9126.10002300","url":null,"abstract":"Instrumental vaginal delivery is a key element of essential obstetric care, and scaling up its use in resource poor \u0000 countries through training and supply of appropriate equipment is likely to contribute significantly to reduce maternal \u0000 and newborn morbidity and mortality and objective of the study was to assess complications of instrumental vaginal \u0000 delivery and associated factors. A two years retrospective cross sectional analytical study was conducted from July \u0000 2013 to June 2015 in the obstetric department of Shire, Suhul General Hospital, North-West zone, Tigray Ethiopia. \u0000 Records of 357 mothers managed with operative vaginal delivery were retrieved, 224 (62.7%) were rural residents. \u0000 Low instrumental vaginal delivery was the most common type of practiced station (208, 58.3%) but mid instrumental \u0000 delivery is highly associated with complications [AOR 95% CI 12.2 (4.79-31, 4)]. Fetal distress was the most \u0000 common indication of operative vaginal deliveries, 158 (44.3%) as well as the commonest cause of low 1st minute \u0000 Apgar score, 97 (54.8%). More than half of mothers were assisted with forceps, 187 (52.4%), and it was the, \u0000 commonest cause for perineal tear (67.4%) and significantly associated with feto maternal complications [AOR 95% \u0000 CI 1.73 (1.07-2.80)]. Even though forceps had higher maternal complications, vacuum extraction has higher fetal \u0000 complications. We conclude that obstructed labor (OL), mid pelvic instrument application, increases in birth weight \u0000 and forceps application were significantly associated with feto maternal complications.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"5 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44078666","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: 10

Which Motivational Factors are of More Relevance to the Rural Health Worker? Evidence from a Ghanaian District Hospital 哪些激励因素与农村卫生工作者更相关?来自加纳地区医院的证据

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-07 DOI: 10.4172/2329-9126.1000299

E. Kumah

{"title":"Which Motivational Factors are of More Relevance to the Rural Health Worker? Evidence from a Ghanaian District Hospital","authors":"E. Kumah","doi":"10.4172/2329-9126.1000299","DOIUrl":"https://doi.org/10.4172/2329-9126.1000299","url":null,"abstract":"Introduction: Motivation of health professionals is one of the key ways to ensuring efficient provision of health \u0000 services. Improving the motivation of health workers in rural and remote areas is of greatest concern to all countries \u0000 worldwide. Even though factors influencing health worker motivation are well established in the literature, little is \u0000 known about the motivational factors that are of relevance to different categories of rural health workers in \u0000 developing countries. \u0000Objectives: Employing questionnaire survey, we studied 252 health employees of a rural healthcare organization in Northern Ghana to understand the motivational factors that are considered most important by rural health \u0000 workers, and to determine if these factors are valued differently by different cadres of health professionals. \u0000Results: Our findings showed financial rewards as the number one motivator; followed by promotion, growth and \u0000 development; job security; acknowledgement, praise and recognition; and working environment in that order. \u0000 Different cadres of the rural health professionals valued the motivational factors differently: doctors were motivated \u0000 by their working environment; nurses by promotion, growth and development; pharmacists and pharmacy \u0000 technicians by praise, acknowledgement and recognition; and support staff and laboratory technicians by financial \u0000 rewards. \u0000Conclusion: Motivational factors should be applied to different cadres of rural health workers differently.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46136657","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

Familiar Occurrence of Desmosis of the Colon - Report of Two Cases and Literature Review 结肠粘膜粘连的常见发生——附2例报告并文献复习

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-06 DOI: 10.4172/2329-9126.1000301

S. Szymańska, M. Markiewicz-Kijewska, M. Pyźlak, Agnieszka Wieckowska-Karkucinska, P. Kaliciński, M. Pronicki

{"title":"Familiar Occurrence of Desmosis of the Colon - Report of Two Cases and Literature Review","authors":"S. Szymańska, M. Markiewicz-Kijewska, M. Pyźlak, Agnieszka Wieckowska-Karkucinska, P. Kaliciński, M. Pronicki","doi":"10.4172/2329-9126.1000301","DOIUrl":"https://doi.org/10.4172/2329-9126.1000301","url":null,"abstract":"Gastrointestinal motility disorders are relatively common in children and adolescents. The diagnosis is often \u0000 difficult and time-consuming as the etiology of the problems includes different pathological entities such as enteric \u0000 neuropathies, myopathies and collagenopathies. Hirschsprung's disease (HD) is one of the most common and best \u0000 recognized disorders, particularly in infants. Whereas, desmosis of the colon is a rare condition characterized by \u0000 total or focal lack of connective-tissue net of the circular and longitudinal muscles without any abnormalities within \u0000 enteric nervous system (ENS). Its diagnosis is based on full-thickness intestinal biopsy or post-operative material \u0000 followed by histological staining with pricrosirius red. We present two adolescent girls who were familiar related (the \u0000 same mother, different fathers) and both of them suffered from chronic constipations. HD was excluded in these \u0000 cases and surgical removal of impaired part of intestines was performed. Material from post-operative specimens \u0000 proved desmosis of the colon in each patient.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48441552","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