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Journal of General Practice

ISSN: 2329-9126

Open Access

Current Issue

Volume 9, Issue 2 (2021)

    Editorial Pages: 1 - 1

    Integrative Education for Neurobiology

    Christian Montag

    Christian Montag

    Editor Note Pages: 1 - 1

    Clinical Pharmacy: Editorial Note

    Indu Kohar

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    Editorial Note Pages: 1 - 1

    Health Care Systems: Editorial Note

    Satoru Haresaku

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    Editorial Pages: 1 - 1

    Nursing and Health Care: Editorial Note

    Andrew Palmer

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    Editorial Pages: 1 - 1

    Psychology and Neuroscience: Editorial Note

    Andrew Palmer

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    Volume 9, Issue 3 (2021)

      Review Pages: 1 - 5

      Sialadenitis: Overview and Clinical Management

      Eren Tan* and Bing Mei Teh

      Background; Sialadenitis (inflammation of the salivary glands) is commonly caused by salivary calculi or infection, although less common causes such as neoplasia or systemic
      inflammatory conditions are important to consider and rule out.
      Objectives: This article provides an overview of the clinical presentation, workup and management of sialadenitis in the primary care setting, including common differential
      diagnoses and recommendations on when to refer for specialist care.
      Discussion: The three major salivary glands are the parotid, submandibular and sublingual glands. Management of acute sialadenitis involves antibiotics, massage, hydration,
      sialogogues and removing medications causing salivary stasis. Salivary calculi may require removal via transoral or endoscopic techniques, or gland excision. It
      is important to consider other causes including viral infections, juvenile recurrent parotitis, or neoplasia. Patients with chronic sialadenitis or where the diagnosis
      is unclear should be referred to an Ear, Nose and Throat (ENT) specialist.

      Mini Review Pages: 1 - 3

      Obesity and Anxiety in COVID-19 Disease: Possibilities of Prevention with Hygienic-Dietary Interventions

      Sivaropoulos Nektarios*, Kalogridakis Georgios, Aligizakis Eutyxios, and Gryllaki Nicoletta

      Purpose: Obesity, stress, poor adherence to dietary rules and lack of exercise during the necessary distancing measures to limit the spread
      adversely affect the course of COVID-19 disease, according to available medical literature. The purpose of our study is to detect how the above
      factors increase the severity of the disease and to suggest options for addressing this critical problem.
      Methods: We conducted a bibliography review of 50 articles, from studies related to obesity, stress, nutrition and COVID-19 Disease in
      the Databases (PubMed, Embassy, MEDLINE and Cochrane) and we selected, finally, 17 articles that matched and harmonized with our
      research question.
      Results: During lockdowns, Obesity and less disposition to perform physical exercise, increases vulnerability of COVID-19 patients, as
      produces and exacerbates anxiety, depression, panic attacks, post-traumatic stress, psychotic symptoms and suicidal ideations. The above
      findings are due in part to social determinants of human health status. The Mediterranean diet seems to outperform the Western diet but
      there is a need for more research. The recommendations that result from studies and benefit the patient with COVID-19 disease consist in the
      application of a hypo caloric diet that improves metabolic health and respiratory function with adequate intake of micronutrients and fiber,
      vitamins. Also necessary is the intake of trace elements such as Copper, Zinc which limits the reproduction of the virus and Omega-3 lipids.
      Moderate aerobic exercise is recommended, which decreases inflammatory cytokines and enhances the immunity response. Treating
      stress with relaxation techniques, behavioral psychotherapy and medication when needed is crucial.
      Conclusions: Drastic measures are needed to regulate the weight of citizens, with hygienic and dietary measures, by
      strengthening the idea of exercise and systematic aerobic activity, which will be extremely beneficial for the prevention of COVID-19
      and will benefit even more the most vulnerable groups-citizens with increased vulnerability due to multi-disease. Finally, it is necessary to
      preserve the mental health of citizens and to develop psychosocial interventions that will strengthen the mental and social health of the most
      vulnerable groups during the COVID-19 pandemic.

      Research Pages: 1 - 3

      Analysis of Quality of Clinical Letters Written in Psychiatry Community Clinic

      Jahan Zeb Khan*, Annette Kavanagh, Tayyaba Ishtiaq

      Aims: Clinical letters are vital for Clear and effective communication. Our aim was to evaluate the quality of clinical letters against audit
      standards in a community psychiatry clinic.
      Methods: In the first cycle of the audit we assessed quality of letters All letters (n=30) written by the author for patients who attended
      community mental health clinic between last two weeks of September 2015. The 2nd cycle of the audit we assessed letters (n=29) written
      in last two weeks of November 2015. The audit standards were developed as per recommendations of 21st European Congress of Psychiatry
      and relevant literature research.
      Results: The standard of clinical letters in the first cycle of audit varied significantly. The information related to bio data details (name, D.O.B.
      address, diagnosis and pharmacological treatment) was accurately stated 100% (30/30) in the letters. The All Day Living activities (ADLs) and
      standard length of letter were found in 66.7% (20/30) and 73.3% (22/30) of letters respectively. The quality of letters improved in the 2nd cycle
      of the audit as per audit standards.

      Mini Review Pages: 1 - 2

      HIV- THE IDIOSYNCRATIC VIRUS OF MODERN ERA

      Alois Lametschwandtner* ,X Faisal Ali

      The cardiovascular system is the first system to develop and to function. It supplies tissues and organs with oxygen, nutrients, hormones, immune competent cells and others and deliberates them from waste products and metabolic heat. Many attempts were made to gain insights into its three-dimensional structure by injecting air, liquids, waxes or hardening substances.

      Review Pages: 1 - 5

      Evaluation and Management of Overactive Bladder: Current UK Practice

      Saddaf Hina*, Paraskeve Granitsiotis, Veenu Taygi, Ammar Alhasso

      Over Active Bladder (OAB) is a common problem affecting millions of men and women worldwide. It has far-reaching consequences
      on individual quality of life. No single treatment has been proven to be most effective, although many management options exist. Often a
      combination of options is required to successfully tackle OAB symptoms. In this review, we provide an overview of OAB, including risk
      factors for OAB; keys to diagnosis and therapeutic options including conservative and medical treatment, as well as management of refractory
      OAB; when to consider referral to a specialist; and resources for clinicians and patients. The aim of this review is to inform clinicians
      regarding OAB management in order to improve patient counseling and care in primary care setting.

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