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Journal of General Practice

ISSN: 2329-9126

Open Access

Volume 9, Issue 1 (2021)

Research Pages: 1 - 1

Dizzy Patient in the Emergency Department

Kalliopi Gkatzoudi, Irini Gergianaki, Ioanna Tsiligianni, Dionisios Klonaris and Emmanuel Prokopakis

Background: Dizziness is a common complaint among patients seeking medical assistance in the Emergency Departments (EDs). Although its aetiology is usually benign, patients often follow a complex pathway with health service and resource overuse. Aims of this study were to describe the symptoms and characteristics of such subjects and gain an overall impression of their management by ED physicians. Methods: Our study was performed in the University Hospital of Heraklion, Crete, Greece. We retrospectively collected demographic, clinical and co-morbidity data of patients visiting the ED complaining of dizziness during a 3-month period. These were evaluated initially by general practitioners (GPs) in the triage and then referred to other specialists, if needed. Results: In total, 408 self-referred patients visited the triage of the ED complaining of dizziness. The most common accompanying symptoms of dizziness were vertigo, headache, fatigue, nausea and imbalance. Relevant concomitant chronic diseases included hypertension, coronary artery disease and diabetes mellitus. After the initial triage, most patients were referred to an internist or an otorhinolaryngologist, or remained in the triage for further work up. Conclusion: Our study underlines the difficulty to diagnose and refer cases with dizziness faced by triage GPs in the ED. There is a great variability of symptoms accompanying dizziness and GPs face the challenge to discharge or refer to specialists for further examination. An educational need for GPs and the devise of simple but efficient diagnostic algorithms have emerged as unmet needse.

Editorial Pages: 1 - 2

Editorial Note on General Practice

Bikash Desar

I am pleased to introduce Journal of General Practice (GP) (https://www.hilarispublisher.com/general-practice.html) a rapid peer reviewed Journal which has key concerns about multidisciplinary topics that includes medical sciences with dental sciences and oral health. Journal main aim is to encourage the latest developments and innovations for publication on the open access platform as research articles, reviews, case studies, commentaries, short communication, and the letters to the editor.

Case Report Pages: 1 - 4

Case of IgG4 Related Disease

Hamed Zainaldain, Fatema S. Rizvi, Samaneh Azizimanesh, Goli Siri and Samira Alesaeidi

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Review Pages: 1 - 6

Epilepsy Care, Education and Sensitization of Patients and Carers

Najib Kissani, , Zineb Chourafa , Abdoulay Traore

Epilepsy is a public health care problem in Morocco because of its high prevalence (1, 1%). Patients with epilepsy and their families need education and sensitization especially in South Morocco, where health resources and specialized personnel are lacking. All these factors inspired the neurology team of the university hospital in Marrakesh to start using new technologies for epilepsy care, education and sensitization of patients in Marrakech, other neighboring cities and different other parts of South Morocco. We started using new technologies in 2009 at Marrakesh university hospital, which is the sole center in all South Morocco. The aim of this study is to describe the first experience with the use of telemedicine (TM) in epilepsy and to show how it could facilitate, improve care, education, sensitization and reach the maximum of PWE, and thus save time, energy and displacements. Authors showed through this work, that telemedicine offers various possibilities, to connect not only patients, families, physicians and other health professionals, but also associations. (Video conferencing; use of mobile phones; and also use websites and tutorials). This use of new technologies is done for free, for all our patients with the support of university hospital of Marrakech. For a wide category of illiterate patients in Morocco, we use audio and video messages to give a chance of communication and exchange of all kind of informations about the progress of their epilepsy and its follow up. Finally, we have a busy programme for specialists, GPs and all health professionals to provide continuous training.

Research Pages: 1 - 8

Effects of Behavioural Change and Communication on Lifestyle Habits and Behaviours

Getabalew Endazenaw Bekele, Gloria Thupayagale-Tshweneagae and Yohana Mashalla

Background: Prevalence of metabolic syndrome is rapidly increasing and adolescents’ lifestyle including dietary; smoking, alcohol consumption, physical inactivity and sedentary habits are major risk factors for developing metabolic syndrome and cardiovascular diseases. The study aimed to investigate the effects of behavioural change and communication on lifestyle behaviours on metabolic syndrome. Methods: Multistage, school-based randomised control trial was done among secondary school adolescents in Addis Ababa, Ethiopia. The intervention lasted for six months and data was collected using a modified WHO STEP wise approach for Non-communicable Diseases Surveillance and analysed using SPSS version 24. Descriptive statistics were used to organise and describe the findings, Mc Nemar test was used to determine the effect of the intervention on adolescent’s lifestyle, self-efficacy and outcome expectations of behavioural change. P-value<0.05 was considered statistically significant. Results: There were 413 and 411 adolescents in the control and interventional groups respectively. After six months of intervention prevalence of metabolic syndrome declined from 12.4% to 9.95%; sedentary life of ≥ 2 hr/day declined from 89.8% to 60.6%, alcohol intake declined from 22.6% to 14.8% and smoking declined from 9.7% to 8.5% in the interventional group. The changes were significant p-value<0.001. Adolescents who were involved in moderate or vigorous physical activities significantly increased from 55.2% to 58.6% in the interventional group but remained the same in the control group. Self-efficacy and all outcome expectations significantly improved (P<0.05) in the interventional group. Overweight, triglycerides and total cholesterol levels significantly declined in both groups P-value<0.05 and fasting blood glucose significantly increased in the control group but significantly declined in the intervention group p-value<0.001). Conclusion: Behavioural change and communication intervention had significant impact on modification of the adolescents’ lifestyle behaviour and is effective in reducing metabolic syndrome in adolescents

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