Journal of general practice (Los Angeles, Calif.)最新文献_第9页

Gender Differences to the Contextual Factors Questionnaire and Implications for General Practice 情境因素问卷的性别差异及其对全科医学的启示

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-04-04 DOI: 10.4172/2329-9126.1000297

J. Pelletier

{"title":"Gender Differences to the Contextual Factors Questionnaire and Implications for General Practice","authors":"J. Pelletier","doi":"10.4172/2329-9126.1000297","DOIUrl":"https://doi.org/10.4172/2329-9126.1000297","url":null,"abstract":"The purpose of this study was to contribute to the revision of the International Classification of Diseases (ICD-10) \u0000 by exploring how mental health service users and their relatives conceive the influence of the contextual factors, as \u0000 described in Chap. 21 of the ICD-10, on a) the onset of a mental or behavioral disorder; b) the resurgence of such a \u0000 disorder; and c) the recovery process. In individual interviews, the 18 main categories of contextual factors proposed \u0000 by the ICD-11 (beta draft) were discussed through the Contextual Factors Questionnaire (CFQ) by 28 participants \u0000 who completed the CFQ individually. \u0000This paper presents the results from a t-test that was performed on the data set to assess whether the means for \u0000 two groups who completed the CFQ were statistically different from each other (p≤ 0.05). On one hand, we found \u0000 significant differences between users and family members for A) Housing or the environment (p=0.01), and B) \u0000 Personal finances (p=0.04); and for C) Water or nutrition (p=0.05) between male and female participants, on the \u0000 other hand. In light of the fact that Social or cultural environments were considered to be the most influential of all 18 \u0000 contextual factors by all aggregated participants, this suggests that male-female differences are related to social \u0000 norms concerning gender, rather than discrete biological sex categories.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2017-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45990377","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

Stories Notebook about the Fundamental Concepts in Family Medicine:Uncertainty. The Fable of the Zebra and the Horse 关于家庭医学基本概念的故事笔记本：不确定性。斑马与马的寓言

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-03-31 DOI: 10.4172/2329-9126.1000298

J. Turabián

引用次数: 1

Emotions Need to be Defined 情绪需要定义

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-28 DOI: 10.4172/2329-9126.1000e113

T. Scheff, Steven Mateo

引用次数: 0

Do GP Registrars Care about QOF? An Audit of General Practice Registrar Quality and Outcome Framework Achievement 全科医生注册商关心质量吗?对全科执业注册师质量和成果框架成就的审计

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-28 DOI: 10.4172/2329-9126.1000294

Carter Singh

{"title":"Do GP Registrars Care about QOF? An Audit of General Practice Registrar Quality and Outcome Framework Achievement","authors":"Carter Singh","doi":"10.4172/2329-9126.1000294","DOIUrl":"https://doi.org/10.4172/2329-9126.1000294","url":null,"abstract":"Purpose The Quality and Outcome Framework (QOF) was introduced in 2004 as part of the General Medical Services Contract. In this age of austerity it has never been more important in general practice to ensure that QOF targets are achieved not only to improve the standard of care patients receive but also to ensure that income generation is maximized. We are a six-partner training practice with approximately 13,000 patients and 4 full time GP Registrars. It was an incidental finding that on reviewing the patients’ notes that the registrars had seen, the relevant QOF indicators had not been addressed in the majority of cases during the routine consultations. Methods In the first week of February 2013 random routine surgeries were retrospectively selected for each registrar and each patient’s notes were reviewed with regards to how many QOF indicators had been addressed or missed by the registrar during the consultation. A second round of audit was conducted during the final week of February to investigate if the recommendations for change in practice had made any difference to clinical performance. Results The majority of registrars significantly improved following the tutorials discussing the recommendations for change in practice. Conclusions A formal QOF induction tutorial has been developed containing the recommendations for change arising from this audit. As a result it he hoped that the standards of clinical care, opportunistic health promotion, chronic disease management, practice income and registrar job satisfaction will all improve.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000294","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47904252","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 Issues that Jobbing GPs are Annoyed About 在职全科医生烦恼的问题

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-27 DOI: 10.4172/2329-9126.1000292

Carter Singh

引用次数: 0

Does Length Matter? Patients’ Perceptions and Expectations of the Length of the General Practice Consultation 长度重要吗？患者对全科会诊时长的认知和期望

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-27 DOI: 10.4172/2329-9126.1000293

Carter Singh

{"title":"Does Length Matter? Patients’ Perceptions and Expectations of the Length of the General Practice Consultation","authors":"Carter Singh","doi":"10.4172/2329-9126.1000293","DOIUrl":"https://doi.org/10.4172/2329-9126.1000293","url":null,"abstract":"Purpose The length of the average General Practice (GP) consultation is increasing. In 1990 the average length was 8.33 minutes but by 2003 the median consultation length had increased to 13.3 minutes. The aims of this study were to explore patient’s perceptions of the length of the general practice consultation. Methods This is a questionnaire based study with a total sample size of (n=66). The study timeframe was July 2012 to Jan 2013 and the response rate was 82.5%. The study was conducted at a single six-partner GP training practice with a list size of approximately 13000 patients. Results The majority of patients thought that the consultation length was ten minutes. Approximately two thirds of patients did not wish for any changes to be made to the length of their GP consultations. Approximately one third of patients indicated that they would like the average length of the consultation to be longer Conclusions This research suggests that the majority of patients are happy with the length of their GP consultations and do not wish for any change. Perhaps it is the time taken to document the clinical encounter and ‘house-keeping’ duties which are responsible for the late-running of appointments rather than the face to face time spent with the patient? The patient’s satisfaction with the length of the consultation suggests that they are happy with the prioritization and time-management skills of their GPs.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"2017 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42791514","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

Study Variation of Anthropometric Variables at Time of Puberty 青春期人体测量变量变化的研究

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-24 DOI: 10.4172/2329-9126.1000296

K. De

{"title":"Study Variation of Anthropometric Variables at Time of Puberty","authors":"K. De","doi":"10.4172/2329-9126.1000296","DOIUrl":"https://doi.org/10.4172/2329-9126.1000296","url":null,"abstract":"Aim: Puberty is vital stage of human growth and life cycle; this stage faces different psychological, physiological changes, it is a stage when individuals are going towards maturation. For this stage human needs sufficient nutrition, lack of nutrition causes delayed puberty, stunted growth, in female, lack of nutrition cause their menarche, if female under nutrition remains in time of their child bearing it effects in child weight, due to under nutrition girl suffers from anemia. \u0000Methods: Study is done on adolescent girls of rural area of Paschim Medinipur, by anthropometric tools different anthropometric measurements were taken. \u0000Results: The overall means, standard deviations of height and weight of the adolescent girls were 150.01 cm (4.81) and 44.06 kg (5.70) respectively. Among all circumferential measurements mean Hip circumference is highest 84.85 cm (6.57) and among skin folds Triceps skinfold is 8.98 mm (2.03). According to table mean height increases (7.54) cm progressively from 10 years to 19 years, 8.76 kg weight increases from 10 to 19 years. \u0000Conclusion: Age wise change is shown in this study which proves growth pattern of adolescent period.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"2017 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000296","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41633934","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 Treatment of Glucocorticoid Steroid Resistant Chronic Inflammatory Disease with Moxa Tar 艾布治疗糖皮质激素-类固醇抵抗性慢性炎症性疾病

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-24 DOI: 10.4172/2329-9126.1000291

Q. Zeng

{"title":"The Treatment of Glucocorticoid Steroid Resistant Chronic Inflammatory Disease with Moxa Tar","authors":"Q. Zeng","doi":"10.4172/2329-9126.1000291","DOIUrl":"https://doi.org/10.4172/2329-9126.1000291","url":null,"abstract":"Currently glucocorticoid steroid is the mainstay of treatment of chronic inflammatory diseases like asthma, COPD, rheumatoid arthritis. But many chronic inflammatory diseases are resistant to glucocorticoid steroid like pulmonary fibrosis, atherosclerosis related diseases, chronic laryngitis and chronic muscle injury. Glucocorticoid steroid has been thoroughly studied and its therapeutic potential has been exhausted, and therefore there is a need to develop new anti-inflammatory drugs or anti-inflammatory therapies. Moxa (Artemisia Argyi) is a plant, its burning smoke or Tar has strong anti-inflammatory property. In this article the author wants to introduce a new way (Moxa Tar) of treating glucocorticoid steroid resistant chronic inflammatory diseases based on some clinical experiments and hypothesis of the author’s personal observation. The purpose of this article is to open up a new field and raise researchers’ attention to this new field for developing new anti-inflammatory drugs or anti-inflammatory therapies. The methods used in this study are Crossover design, i.e. patients serve as their own control, comparing the clinical symptoms and signs before and after Moxa Tar treatment.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":"5 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000291","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49617101","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

ANA, RF and CRP in Patients with Rheumatic Symptoms (SLE and/or RA) in the King Abdul-Aziz Hospital-Jeddah-Saudi Arabia 沙特阿拉伯吉达阿卜杜勒-阿齐兹国王医院风湿病症状(SLE和/或RA)患者的ANA、RF和CRP

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-24 DOI: 10.4172/2329-9126.1000290

Ahmed Bamujaly

引用次数: 2

From Recovery in Mental Health to Recovery in General Practice: Contributionof Service Users and their Relatives to the Revision of the WHO InternationalClassification of Diseases 从心理健康康复到全科医学康复：服务使用者及其亲属对世界卫生组织国际疾病分类修订的贡献

Journal of general practice (Los Angeles, Calif.) Pub Date : 2017-02-16 DOI: 10.4172/2329-9126.1000289

J. Francois

{"title":"From Recovery in Mental Health to Recovery in General Practice: Contributionof Service Users and their Relatives to the Revision of the WHO InternationalClassification of Diseases","authors":"J. Francois","doi":"10.4172/2329-9126.1000289","DOIUrl":"https://doi.org/10.4172/2329-9126.1000289","url":null,"abstract":"The purpose of this study was to contribute to the revision of the International Classification of Diseases (ICD-10) by exploring how mental health service users and their relatives conceive the influence of the contextual factors, as described in Chap. 21 of the ICD-10, on a) the onset of a mental or behavioral disorder; b) the resurgence of such a disorder; and c) the recovery process. In individual and group interviews, the 18 main categories of contextual factors proposed by the ICD-11 (beta draft) were discussed through the Contextual Factors Questionnaire (CFQ). Participants in individual interviews (N=28) completed the CFQ. Among the three dimensions, it was for the recovery process that the contextual factors were considered to be the most influential, followed by their influence on the resurgence of a mental or behavioral disorder and then by the influence on the onset of that disorder. The most influential factor for a single dimension was that of ‘interventions’ on the recovery process, whereas the ‘social or cultural factors’ are the most influential ones for all dimensions combined, closely followed, at par, by ‘risk factors’ and ‘interpersonal relations’. As recovery is also dependent upon health services and interventions globally, this paper suggests that these could be more effective if they were recovery-oriented and with recovery as a common overarching goal for mental as well as for physical healthcare provision and thus for global recovery. However, further work is needed to validate its reliability for enhanced mental and physical health parity in general practice.","PeriodicalId":90594,"journal":{"name":"Journal of general practice (Los Angeles, Calif.)","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2329-9126.1000289","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45208511","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