Journal of family & community medicine最新文献

{"title":"The association of lunate morphology with the development of wrist pathology in the Saudi population.","authors":"Asayel A Alomri, Duaa Y Alghirash, Enas A Altuwairqi, Fatimah A Alquraish, Fatem S Alibrahim, Radi A Alsaffar, Syed R H Daimi, Tarek M Hegazi, Khaled B Awary","doi":"10.4103/jfcm.jfcm_288_24","DOIUrl":"10.4103/jfcm.jfcm_288_24","url":null,"abstract":"<p><strong>Background: </strong>The lunate bone plays a crucial role in wrist stability and movement; therefore, any disruption to its integrity could significantly impact the function of the hand and subsequently, the quality of life. The variation in lunate morphology has been associated with several wrist pathologies. Although limited studies have assessed the association between lunate morphology and wrist pathology, none has been done on the Saudi population.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted at a hospital, in Saudi Arabia. A total of 284 wrist radiological reports were included in the study. The magnetic resonance imaging (MRI) findings, clinical assessment, and demographic information were obtained for each of these 284 reports. Lunate morphology was dichotomized according to the Viegas classification, and the presence of various wrist pathologies was evaluated using MRI.</p><p><strong>Results: </strong>The study sample consisted of 205 patients; 72.2% had a type I lunate and 27.8% had a type II lunate. Both Saudi citizens and residents were represented in the study population. Tendinopathy was the most identified pathology (89%), followed by ganglion cysts (42%), osteoarthritis (29%), ligament injury (28%), and fractures (17%). No significant association was found between lunate type and the distribution of the wrist pathologies (P = 0.510) or with the type of pathology (P = 0.595).</p><p><strong>Conclusion: </strong>This study provides valuable insight into the association between lunate morphology and wrist disorders. The findings suggest that lunate morphology does not significantly influence the presence of specific wrist pathologies. Further research is needed to explore other factors that influence wrist disorders.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 2","pages":"138-144"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of modern e-health services including telemedicine and telepharmacy for remote patient care in Saudi Arabia.","authors":"Farah K Alhomoud","doi":"10.4103/jfcm.jfcm_246_24","DOIUrl":"10.4103/jfcm.jfcm_246_24","url":null,"abstract":"<p><strong>Background: </strong>Numerous preventive measures and regulations including electronic health (e-health) services were implemented during the coronavirus pandemic. Despite their importance, very little is known about their use. Therefore, the aim of this study was to determine the use of e-health application by healthcare providers (HCPs), and assess their awareness, perceptions, and practices of such services.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted during July to September 2024 using online self-administered questionnaires. Participants were selected using convenient sampling technique supplemented by snowball sampling. The calculated sample size was 218 participants. Data was collected through an online pretested English-language questionnaire. SPSS version 26 was used to analyze data; Chi-square test was used to examine the associations between HCPs' responses regarding perceived benefits, risks, and needs related to e-health tools.</p><p><strong>Results: </strong>Of the 471 survey participants who started filling out the survey, 64% (n=300) reported using e-health services since coronavirus disease and were included in the final analysis. Female HCPs used e-health applications twice as often as males, and a decline in e-health use was seen with increasing age of participants. Most common purpose for using e-health services were treatment (61%), consultations (60%), and follow up with patient (54%). The most used e-health tools were telephones or cell phones (69.0%) and WhatsApp applications (64.0%) followed by Zoom application (50.0%) and Sehhaty application. Technical problems such as poor internet connection and automatic updates of applications were reported by more than half of the users (52%). Participants reported perceived risks regarding privacy and data protection, and clinical risks associated with using e-health tools.</p><p><strong>Conclusion: </strong>HCPs' positive experiences with e-health services in Saudi Arabia, valued for their cost-effectiveness and efficiency. However, patient misinterpretation, privacy risks, and clinical errors persist. Growing demand underscores the need for more explicit e-health regulations and broader professional involvement to enhance e-health service.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 1","pages":"51-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Akram's lifestyle: An effective remedy for the management of gastroesophageal reflux disease.","authors":"Sadia A Khan, Javeria Z Khan, Tayyab S Akhter, Hamama-Tul-Bushra Khaar, Talay Yar, Mohammad A Randhawa","doi":"10.4103/jfcm.jfcm_302_24","DOIUrl":"10.4103/jfcm.jfcm_302_24","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of gastroesophageal reflux disease (GERD) has generally increased worldwide. Irregular pattern of intake of meals are known to be the most prevalent cause of GERD. The intake of food on top of another meal may cause gastroesophageal reflux either by generating transient lower-esophageal sphincter relaxations (TLESRs) subsequent to distention of the upper part of the stomach or/and delayed gastric emptying due to inhibition of migrating motor complexes (MMCs) in the distal part of the stomach. Present study evaluated the effect of authors suggested regimen \"Akram's lifestyle\", taking meals twice-a-day with the liberty to consume only liquids in the intervening periods on the outcome of patients presenting with mild to moderate GERD.</p><p><strong>Materials and methods: </strong>Study included 60 patients with symptoms of GERD who agreed to follow \"Akram's lifestyle\", took two meals a day about 10-12 hours apart, consuming liquids in between meals for a period of two weeks. Typical GERD symptoms of heartburn, acid reflux, nausea, vomiting and dyspepsia as reported by the patients were scored on visual analog scale (VAS). Gastrointestinal and associated complaints were also evaluated by \"Yes/No\" response. Data obtained before and after two weeks of intervention was analyzed using SPSS version 28.0.</p><p><strong>Results: </strong>Final data after 2 weeks were available for 45 patients. There was a highly significant improvement in GERD symptoms (heartburn, reflux, nausea, vomiting, and dyspepsia) within 2 weeks of dietary intervention (<i>P</i> < 0.000). Improvement was also reflected in the significant reduction (>69%) in the gastrointestinal complaints as evaluated by \"Yes/No\" responses after the dietary intervention.</p><p><strong>Conclusions: </strong>Adherence to \"Akram's lifestyle\" for GERD for 2 weeks resulted in a significant improvement or complete relief of symptoms of patients with GERD. Reduced gastric acid secretion, TLESRs and enhanced gastric emptying could be the potential contributing factors in causing this improvement. Further investigations with larger samples are needed to confirm the findings.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 1","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of pediatric patients with febrile convulsions admitted to a tertiary care hospital in Riyadh, Saudi Arabia.","authors":"Alanoud A Abuhaimed, Nawaf A Alghamdi, Ghadah I Alhussin, Ghadah S Alduhaimi, Fatmah Othman, Duaa M Baarmah, Hamad A Alkhalaf","doi":"10.4103/jfcm.jfcm_10_24","DOIUrl":"10.4103/jfcm.jfcm_10_24","url":null,"abstract":"<p><strong>Background: </strong>Febrile convulsions (FCs) are the most common type of seizures in children. They usually occur between the ages of 6 months and 5 years and affect 2%-5% of children worldwide. The aim of this study was to describe the epidemiological and clinical characteristics of children who have been diagnosed with FCs and admitted to a tertiary care hospital in Riyadh.</p><p><strong>Materials and methods: </strong>The study included pediatric patients aged between 3 months and 5 years who presented to the emergency department of King Abdullah Specialist Children's Hospital in Riyadh, Saudi Arabia and were admitted to hospital with FC diagnosis during 2015 to 2021. The hospital's electronic medical records system was reviewed to obtain patients' information on age, gender, clinical characteristics, laboratory investigations, length of hospital stay, and outcome. Data was analyzed using Stata 12; Chi-square test was used to determine association between categorical variables, while t-test or Mann-Whitney U test compared continuous data between two groups.</p><p><strong>Results: </strong>A total of 247 children with FC diagnoses were included in the analysis; 0.4% of pediatric patients were admitted to the hospital with the diagnosis of FC. Most of the patients (77%) convulsions were triggered by upper respiratory tract infections and median duration of the convulsion episode was 4 min; 55% of the patients had a simple FC, and 40% had recurrence of FCs. Developmental delays were more common in children with recurrent FCs (15%) compared to children who had only one episode of convulsion (2.7%) [<i>P</i> < 0.001].</p><p><strong>Conclusion: </strong>During the study period, 0.4% of pediatric patients were admitted to hospital with FC diagnoses. Larger multicenter studies are needed to evaluate FCs based on their clinical and operational characteristics to improve the quality of care, decrease the length of patient hospital stay, and lower the recurrence rate.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 1","pages":"21-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of prostate cancer and its screening tests in men in the Middle East: A systematic review and meta-analysis.","authors":"Nawaf S A Mohamed, Joud M O Asfari, Samar M A Sambawa, Rima M D Aljurf, Kholoud A A Alsaygh, Assad M Arafah","doi":"10.4103/jfcm.jfcm_211_24","DOIUrl":"10.4103/jfcm.jfcm_211_24","url":null,"abstract":"<p><p>Prostate cancer (PCa) is a significant health issue characterized by the uncontrolled growth of cells in the prostate gland primarily affecting men 50 years old or older. The aim of this research was to assess the level of knowledge and attitudes of men in the Middle East towards PCa. A comprehensive search strategy in major databases from the date of first publication on this topic to April 2024 was conducted of cross-sectional studies assessing the knowledge and attitudes of adult men in the Middle East toward PCa. Data on the study's methodology, participant characteristics, and outcomes related to the knowledge of PCa and attitudes towards PCa were extracted and analyzed using the comprehensive meta-analysis software. The Newcastle-Ottawa Scale was used for quality assessment. The meta-analysis of 26 studies revealed significant heterogeneity among studies, with an overall rate of previous education on PCa at 76.3% (95% confidence interval [CI]: 61.2%- 86.8%), but a much lower rate of education on PCa screening at 20.5% (95% CI: 7.2%-46.2%). Knowledge of PCa, its screening tools, symptoms, risk factors, and treatments, as well as attitudes towards PCa screening, varied widely, with knowledge rates of 50.5% for PCa, 32.3% for screening tools, 45.5% for symptoms, 49.4% for risk factors, and 58.4% for treatments. The rate of favorable attitude towards PCa screening was reported at 50.0% (95% CI: 36.7%-63.3%). The Middle East has some understanding of PCa but there is little knowledge of screening techniques, symptoms, risk factors, and treatments. To improve early detection and patient outcomes, comprehensive education and culturally sensitive communication strategies are necessary.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and outcomes of the screening program of autism spectrum disorder in Primary Healthcare Centers in Bahrain.","authors":"Muna A Almohri, Mahmood A Alawainati, Zahra A Ayoob, Nayla A Nasser, Noof A Abdulaal, Ahmed A Aldailami, Donya A Aldailami","doi":"10.4103/jfcm.jfcm_155_24","DOIUrl":"10.4103/jfcm.jfcm_155_24","url":null,"abstract":"<p><strong>Background: </strong>Autism spectrum disorder (ASD) is a chronic neurodevelopmental condition that requires early diagnosis and intervention for the improvement of the patient's skills and functioning. Several guidelines, therefore, recommend the screening of all children for ASD. This study determined the outcomes of ASD screening program in Primary Healthcare Centers (PHCs) in Bahrain.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted in 12 of the 27 PHCs in Bahrain. The Modified Checklist for Autism in Toddlers-Revised (MCHAT-R) was completed for children who attended the selected centers. Findings from the checklists and the outcome of positive screening cases were recorded. MCHAT-R scores of <3 were indicative of a low risk for ASD. Children with moderate and high MCHAT-R risk were referred for psychiatric assessment. SPSS version 25.0 was used for data analysis; mean and standard deviation were calculated for continuous variables, and categorical variables presented as frequency and percentage. Chi-square test or Fisher's exact test, as appropriate, used to test for statistical significance.</p><p><strong>Results: </strong>A total of 3729 MCHAT-R checklists of children with a mean age of 2 years were included. Most children were Bahraini (78.0%), half of whom were males (51.3%). While most of the children (98.8%) had a low-risk MCHAT-R score, 1.2% had a moderate-high risk MCHAT score (12.33/1000). Of the cohort, 19 cases (0.51%) had ASD, 5.10/1000 children. Nearly two-thirds of children with confirmed ASD were males ( 63.2%), and one-third were females (36.8%). In addition, 14 cases (41.2%) of those who had moderate-high MCHAT refused to follow the subsequent diagnostic protocol.</p><p><strong>Conclusion: </strong>This study revealed a low prevalence of positive MCHAT-R screening and confirmed ASD cases. The vast majority of children who were positive on screening had a confirmed diagnosis of ASD. Some cases with positive MCHAT results failed to follow up for diagnosis. Therefore, improving parental and community awareness regarding ASD is important for a better outcome.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 1","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' satisfaction with services provided by family physicians at the Comprehensive Healthcare Centers in Northern Jordan.","authors":"Hadeel B Heilat, Muntaha K Gharaibeh, Wanas M Shtaiyat, Raghad S Gharaibeh, Ayah M Ananbeh, Manar J Baniyaseen, Shahd M Alsharaydeh, Aya B Alqawaba'h, Emad A Alzu'bi, Nour G Amayreh, Reem R Aldawagreh","doi":"10.4103/jfcm.jfcm_185_24","DOIUrl":"10.4103/jfcm.jfcm_185_24","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction is a paramount measure of the quality of healthcare system, particularly in the practice of family medicine. The study aimed to assess patients' satisfaction with services provided by family physicians (FPs) at Comprehensive Healthcare Centers (CHCCs) in Northern Jordan.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted at 11 CHCCs in Northern Jordan between July and October 2023. A convenient sample of 367 patients, both males and females over the age of 18 years, was selected. Participants were requested to complete the Arabic version of the Consultation Satisfaction Questionnaire (CSQ). Mean and standard deviation calculated for continuous variables, and frequencies and percentages for categorical variables. Multivariable logistic regression analysis yielded factors related to patients' satisfaction with family physician.</p><p><strong>Results: </strong>The mean score of patients' satisfaction was 55.63 ± 12.15. The highest mean satisfaction scores were reported for the \"professional care\" provided by the FP (72.41 ± 15.9), followed by the \"depth of relationship and the length of consultation\" with the FP, respectively. Patients who had a reference health center if needed (P < 0.002), had health insurance (P < 0.05), patient's privacy (P < 0.027), and waiting time < 20 min to see the FP (P < 0.001) were all positively associated with the status of patients' satisfaction. Logistic regression final model included only two factors, waiting time < 20 minutes and having a reference health center.</p><p><strong>Conclusion: </strong>The study reveals moderate patient satisfaction with care provided by FP. The moderate satisfaction is attributed to good care provided by FP and the least to the length of consultation. The predictors of satisfaction are the waiting time to see FP and the availability of a reference health center. Study has implications for the health care system in Jordan, as regards the strengthening of the health information system to incorporate policies on appointments, quality of consultation times, and waiting times<b>.</b></p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 1","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the provision of estimated waiting time on patient satisfaction with the Emergency Department: A randomized controlled trial.","authors":"Khalid N Almulhim, Lina A AlMudayris, Zeyad K Alshehri, Ahmed K Alnawah, Danah A Aljeri, Abdulaziz S Hadadi","doi":"10.4103/jfcm.jfcm_173_24","DOIUrl":"10.4103/jfcm.jfcm_173_24","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction is a quality measure that provides important details on the medical care provided. This study aimed to assess the effect of displaying \"estimated waiting time\" on patient's satisfaction with emergency care.</p><p><strong>Materials and methods: </strong>This study included 190 patients from the Emergency Department (ED) of King Fahad Hofuf Hospital (KFHH) who were aged 18 and above and were triaged as 3 and above on the Canadian triage and acuity scale (CTAS). One hundred eighteen patients were selected as the entrance group, and 72 selected as the inside group that were further divided into intervention group (35) and control group (37); Intervention group received estimated waiting time. Two questionnaires were administered, first at the triage entrance and the second at the ED after being seen by the physician. Fischer's exact test was applied to test for association between categorical variables, and Mann- Whitney U test was used to compare satisfaction scores between the groups.</p><p><strong>Results: </strong>For the 118 patients at the triage entrance, 50% were aged 18-39 years, 62% were females, and 61% were triaged as category 3. One-third patients were willing to wait for 0-1 hour, and 28% described their symptoms as severe. Only 29.7% patients said they would wait until seen by doctor. No statistically significant difference in the level of satisfaction between patients who were provided with the estimated waiting time and those who were not (P=0.962).</p><p><strong>Conclusion: </strong>There were no statistically significant variations between the two groups' preferences regarding patients' awareness of their predicted waiting times. The results indicated that managing patients' perceptions and expectations of waiting times effectively is inconsequential for the improvement of patient experience.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 1","pages":"36-43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shaping the future of primary healthcare: Factors influencing medical students' preference for family medicine specialty in Qatar.","authors":"Maryam A Al-Rashid, Muna T Abed Alah, Areej S Al-Hamad, Michail Nomikos, Marwan F Abu Hijleh","doi":"10.4103/jfcm.jfcm_250_24","DOIUrl":"10.4103/jfcm.jfcm_250_24","url":null,"abstract":"<p><strong>Background: </strong>As countries strive to strengthen primary healthcare systems, understanding medical students' specialty preferences, particularly for Family Medicine, becomes crucial. Objective of present study was to determine factors that influence medical students' preferences for Family Medicine in Qatar.</p><p><strong>Materials and methods: </strong>A study was conducted among medical students at one public university in Qatar from March 1, 2023, to March 15, 2023. Data collected using a structured, validated questionnaire; students participated in the study by filling an online questionnaire. Information sought included sociodemographic characteristics, medical specialty preferences, and the impact of 31 factors on these choices such as interest in dealing with diverse patient issues, and the influence of physician role models among others. Statistical analysis performed using SPSS version 26.0 Descriptive statistics, including frequencies and percentages, were used to summarize participant demographics and medical specialty preferences. Mann-Whitney U-test tested the difference in preference for family medicine specialty by various students' characteristics. Logistic regression analysis performed to identify factors related to preferring Family Medicine.</p><p><strong>Results: </strong>A total of 262 students completed the survey with age ranging between 17-24 years (Mean=20, SD=1.7 years); majority (68.3%) were females and 54.4% were non-Qatari. About 16% students reported having a first degree relative or a family friend with family medicine specialty. Compared to surgery and internal medicine, a fewer students selected family medicine as their preferred specialty. Surgery was ranked as the top career choice (53.4%) followed by internal medicine (36.5%) and pediatrics (31.7%). Presence of a personal connection to a field seemed to have a significant impact on student preference. Being in the clerkship phase of medical education (adjusted odds ratio [AOR]=2.18, 95% CI: 1.12-4.23, P = 0.022) and possessing a personal connection to Family Medicine (AOR= 3.46, 95% CI: 1.65-7.29, P = 0.001) significantly predicted the selection of Family Medicine between students' top two choices.</p><p><strong>Conclusion: </strong>Clinical exposure and personal connections influence students' preference for family medicine specialty. Promoting these elements through targeted educational and mentorship programs may increase students' interest in Family Medicine and help to address the gap between student preferences and the greater need for primary care providers.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 1","pages":"65-73"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aquagenic wrinkling of the palms: A report of two cases from a family medicine setting in Eastern Saudi Arabia and literature review.","authors":"Maryam K Alsoweilem, Rasha H Alsheikh","doi":"10.4103/jfcm.jfcm_217_24","DOIUrl":"10.4103/jfcm.jfcm_217_24","url":null,"abstract":"<p><p>Aquagenic wrinkling of the palms (AWP) is a rare transient dermatological disorder, characterized by an extreme and early wrinkling and pruning of the palms that occurs within a few minutes of exposure to water. Greater awareness of AWP is needed since the vast majority of AWP cases are linked with cystic fibrosis (CF) and CF carrier state. Initial assessment of AWP cases can be done in a primary care setting. A comprehensive medical history and physical examination should be done upon the diagnosis of AWP with additional investigations based on patients' presentation. We report two cases of AWP diagnosed at a family medicine center in Dammam, Saudi Arabia. The first case was related to the use of ibuprofen and discounting this medication led to a marked improvement in the patient's symptoms. The second case was related to primary palmar hyperhidrosis that was managed successfully with topical 20% aluminum chloride.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"32 1","pages":"74-77"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}