Journal of General Practice

Without continual growth and progress, such words as improvement, achievement, and success have no meaning. Founded in 2013, Journal of General Practice (ISSN: 2329-9126) is growing continuously. It is our pleasure to announce that during year 2019, all issues of volume 7 were published online on time and the print issues were also brought out and dispatched within 30 days of publishing the issue online. All published articles of this journal are included in the indexing and abstracting coverage of Google Scholar, Sherpa Romeo, Open J Gate, Academic Keys, RefSeek, Hamdard University, EBSCO A-Z, OCLCWorldCat, Publons, Geneva Foundation for Medical Education and Research, Studies receiving funding from a funding organization that is included on the list of PMC and Research Funder Policies or authors having NIH grant were submitted to PubMed (PubMed NLM ID: 101632871)

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.

A 64-year-old woman with presentation of proptosis referred to Rheumatologic clinic at Amir- Alam hospital. The result of physical exam revealed that there was a left eye proptosis with 29 mm in size and no light perception. Computed tomography showed mass infiltration to left carotid sheet and mandibular foramen. Besides, there was an increase in hepatic vascularity and peri-portal infiltration predominantly in the left lobe that caused intra-hepatic duct dilation. Despite of the deterioration of the proptosis and visual acuity, probably due to limited knowledge about IgG4-RD, the patient did not receive the appropriate treatment. Unfortunately, this issue caused significant reduction in the visual acuity (no light perception). Finally, pathology and IHC study revealed presence of CD20+ plasma cell up to 60% per High power field and with the diagnosis of IgG4-RD, methylprednisolone and cyclophosphamide initiated and we observed a significant reduction of symptoms.