International Journal of Family & Community Medicine最新文献

{"title":"Educational spaces and environments: in times of Covid-19 pandemic","authors":"Jailma Cruz da Silva, Orliel dos Santos de Jesus","doi":"10.15406/ijfcm.2021.05.00244","DOIUrl":"https://doi.org/10.15406/ijfcm.2021.05.00244","url":null,"abstract":"The appearance of COVID-19 brought to Brazil, and to the world, innumerable methods to contain the increase of infected people. These methods are necessary to avoid the spread of the virus and include social distancing and quarantine of the population. Knowing that these methods have a big impact on the educational system. This study has as its objective to verify the process of teaching and learning, in educational spaces and environments, in times of a pandemic. In order to look for a pattern in established actions in educational programs to incorporate in large scale the tools of educational technology at a distance (distance learning), for example platforms and virtual teaching environments designed to guarantee the pedagogical processes of learning and ameliorate the impact of absence from the classroom during the pandemic, and its post-pandemic consequences. We emphasize the importance of the teacher as mediator, understanding that this professional should respect the different levels of learning of the students and try to carry out activities that help with the improvement of practical education for the appropriate environment and spaces of interaction.","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90954076","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}

{"title":"Midwives’ knowledge of COVID 19 and pregnancy in four maternity units in Brazzaville in 2021","authors":"J. Mbongo, Gickelle Bintsene Mpika, H. N'dinga, Norcia Itoua, Jean Daniel Mahoungou, Serge Parfait Koko, L. Iloki","doi":"10.15406/ijfcm.2021.05.00243","DOIUrl":"https://doi.org/10.15406/ijfcm.2021.05.00243","url":null,"abstract":"Purpose: To evaluate midwives' knowledge of Covid 19 and Pregnancy. Materials and methods: This was a knowledge analytical study. Midwives working in delivery units and outpatient clinics were included. The variables were focused on socio-demographic and professional aspects, general information on Covid-19, the clinical and biological manifestations, the prevention of corona virus transmission and the prevention of mother-to-child transmission. Results: Out of 82 respondents, 73 (89.1%) were secondary school graduates, working mainly in Talangai Hospital. The media was the source of information for 78 (95.1%); Covid 19 is a viral infection 78 (95.1%); the route of contamination was respiratory 79 (96.3%) and transplacental 16 (19.5%) of respondents. The clinical signs were: fever 76 (92.7%), cough 77 (93.9%) and dyspnea 77 (93.9%) of the respondents. Biological diagnosis was done by RDT (rapid diagnosis test) 73 (89, 1%), completed by PCR confirmation 43 (52.4%) of the respondents. Prevention methods: hand washing several times a day 72 (87,8%) and alternative by disinfectant gel 75 (91,5%); lifting the fold of the elbow when sneezing or coughing 76 (89%); used handkerchief thrown in the trash 70 (85,4%) of the respondents; out of 3 preventive measures in the labour room, 20 (23,4%) answered correctly, 48 (58,5%) gave only 1 to 2 correct answers and 14 (17%) did not identify any measure. The overall knowledge of midwives on Covid 19 was insufficient 25 (30.5%), average 52 (63.4%), good 5 (6.1%) of the respondents. For the factors that can influence the level of knowledge, there is no link between the level of knowledge and the socio-professional characteristics of the midwives (Chi2 test: P-value ˃ 5%). However, the fact of working at the CHUB could have a slight influence (sensitive P-value close to 95%). Conclusion: There is a need to diversify sources of information for an improvement of knowledge in order to place the midwife at the top of the medical news.","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76853527","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}

{"title":"Visceral pseudoaneurysms and the role of endovascular treatment – a case report","authors":"A. Figueiredo, N. Camacho, M. E. Ferreira","doi":"10.15406/ijfcm.2021.05.00242","DOIUrl":"https://doi.org/10.15406/ijfcm.2021.05.00242","url":null,"abstract":"Introduction: Visceral pseudoaneurysms are pathological dilations of the visceral arteries and/or their branches. They are a rare entity but with devastating consequences given their high potential for rupture and hemorrhage. The evolution of endovascular techniques has changed the paradigm in the treatment of this entity, making it the preferred option for the elective treatment of visceral pseudoaneurysms. Clinical case: The authors described the case of a pancreatic pseudoaneurysm in a young male patient, with past medical history of chronic pancreatitis and pancreatic pseudocyst, marked smoking and alcoholic habits, which presented with an abdominal pain and a drop in hemoglobin. After discussing the case with the Vascular Surgery department, it was decided towards an endovascular treatment given the patient's clinical stability and appropriate anatomical location for the proposed intervention. Coil embolization via humeral artery was performed with immediate angiographic success, and clinical, analytical and imaging improvement in the postoperative period. Conclusion: In addition to open surgical repair and laparoscopic surgery, there are also endovascular procedures for the treatment of visceral pseudoaneurysms, so the vascular surgeon must be aware with the available strategies, taking into account the patient, the characteristics and location of the visceral pseudoaneurysm.","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"266 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75142501","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}

{"title":"Risk of work addiction in academic physicians prevalence, determinants and impact on quality of life","authors":"I. Merchaoui, A. Gana, Samia Machghoul, Ines Rassas, M. Hayouni, M. Bouhoula, N. Chaari, Adnene Hanchi, C. Amri, M. Akrout","doi":"10.15406/ijfcm.2021.05.00239","DOIUrl":"https://doi.org/10.15406/ijfcm.2021.05.00239","url":null,"abstract":"The prevalence of work addiction is constantly increasing worldwide, ranging from 8.3% to 30%, especially among physicians. The aim of this study was to assess the prevalence and characteristics of Work Addiction among academic physicians and its influence on their mental and physical health. This is a cross-sectional survey conducted among the 293 academic physicians practicing in the teaching hospitals of the faculty of Medicine of Monastir in Tunisia. We used a self-administered questionnaire, with the «Work Addiction Risk Test » and the «SF-8 health survey». The participation rate was 24.3%, 24% were addicted to work and 56% were at high risk of addiction. WART score was significantly higher in single, females with medical history of depression or associated depression, poor physical and mental health and psychosomatic symptoms. It was significantly decreased with age, and seniority. Certain psychosocial factors increased WART score. Mental health score was significantly lower in single, females, assistant professor and increased with age, seniority and number of children. Academic physicians are at a high risk of developing work addiction. Preventive guided measures to reconcile family life and work as well as organizational strategies are recommended.","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89633645","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}

{"title":"Surgical therapy for herlyn-werner-wunderlich (HWW) syndrome cases","authors":"Pangastuti N, Rahman Mn, Setyawan N","doi":"10.15406/ijfcm.2021.05.00238","DOIUrl":"https://doi.org/10.15406/ijfcm.2021.05.00238","url":null,"abstract":"Introduction: One of the rare forms of Mullerian congenital ducts is Herlyn-Werner-Wunderlich (HWW) syndrome. HWW syndrome is usually found at puberty with nonspecific symptoms. Pelvic pain can be found both acute and chronic, dysmenorrhoea, as well as hematometra and hematocolpos. Early detection and treatment results in a good prognosis with fertility preservation. Case presentation: Two cases of Herlyn-Werner-Wunderlich (HWW) syndrome surgically performed were reported at Dr. Sardjito Yogyakarta Indonesia Central General Hospital in 2017-2018. Both cases are still children and at the age of puberty. The chief complaint in both cases it was reported to have the same main complaint, abdominal pain, with the condition having never experienced menstruation yet. On further examination it is known that pain is caused due to hematometra and hematosalping that occur in both cases. The first case with hematometra in the right hemiuterus and right hematosalpinx, while second case with hematometra in the uterus didelphys and bilateral hematosalpinx. One case with a normal vagina, and the other case of vaginal agenesis. There was previous history of surgery in both of cases. There are abnormalities in the urinary tract that occur together with these genital abnormalities. Surgical therapy is carried out with the main goal being to drain menstrual blood from hematometra and hematosalpinx. In first case which has a vagina within the normal range (9 cm long) and the inferior area of ​​the right hemiuterus which is bulging toward the vagina, an area can be identified for the drainage incision to drain the entire hematometra and hematosalpinx. In the second case with vaginal agenesis, neovagina which is made by sigmoid colon vaginoplasty surgery can be a way of menstrual blood flow for a lifetime. Conclusion: Clinical manifestations of Herlyn-Werner-Wunderlich (HWW) syndrome cases can be classified into 2 groups, complete and incomplete. Surgical treatment is based on the condition of the uterus and vagina. In the condition of cervical agenesis but with a normal vagina, surgery can be done by making an incision in the drainage of the uterine cervical tissue. If vaginal agenesis is obtained, vaginoplasty surgery can be performed, and one of the options is sigmoid colon vaginoplasty.","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"1997 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87553616","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}

{"title":"Pulmonary histoplasmosis: A case report","authors":"Sunzida Arina","doi":"10.15406/ijfcm.2021.05.00237","DOIUrl":"https://doi.org/10.15406/ijfcm.2021.05.00237","url":null,"abstract":"Histoplasmosis is a systemic fungal infection caused by dimorphic fungus Histoplasma capsulatum. It is widely distributed throughout the world. In present study, the case of a 50-year-old male patient diagnosed as pulmonary histoplasmosis. Initially, the patient was suspected as a case of alcoholic hepatitis but subsequently the diagnosis of pulmonary histoplasmosis was confirmed by lung biopsy. The symptoms were dissuaded following amphotericin B and itraconazole treatment.","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73352301","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}

{"title":"Hypertension self-management and antihypertensive prevalence amid patients in Saudi Arabia via knowledge, attitude, and practice assessment","authors":"S. Sharaf","doi":"10.15406/ijfcm.2021.05.00233","DOIUrl":"https://doi.org/10.15406/ijfcm.2021.05.00233","url":null,"abstract":"Background: Diagnosed cases with hypertension (HT) are elevating worldwide and in Saudi Arabia (SA). HT self-management amid patients is important for controlling the disease and its complications. The aim of this study is to perform an HT KAP evaluation amid patients with HT in SA. Subjects and methods: This Cross-sectional study was performed between January and April 2021. An administered validated online survey was presented to the patients via the Survey Monkey website-link. Data collectors contacted possible patients in several sites comprising; hospitals, shopping malls, and leisure-centers. The associations amid categorical variables were assessed via the chi-square test application. The Pearson correlation coefficient (r) measured potential correlations between the patients’ KAP and outcome variables. Results: This study surveyed 410 patients with HT with mean systolic blood pressure (SBP) of 144.1 mmHg ± 15.4 and diastolic blood pressure (DBP) 90.2 mmHg ± 10.2, mean age 56 ± 11 years, range 18–80 years. Generally, 73% of patients showed good HT knowledge and 78% showed good HT attitude, whereas 77% revealed poor HT practice. Significant positive linear correlations were found amid attitude versus (with) knowledge (r= 0.40, P <0.001), practice with knowledge (r= 0.26, P <0.001), practice with attitude (r= 0.26, P <0.001), SBP with DBP (r= 0.57, P <0.001), whereas significant negative linear correlations were found amid SBP with knowledge (r= −0.13, P <0.05), SBP with attitude (r= −0.11, P <0.05), SBP with practice (r= −0.10, P <0.05), DBP with knowledge (r= −0.10, P <0.05), DBP with attitude (r= −0.14, P <0.05), and DBP with practice (r= −0.10, P <0.05). Surprisingly, 59% of patients didn’t administer any prescribed anti-hypertensives. Conclusion: The patients showed a very good attitude and knowledge regarding HT; however, these were not mirrored in their practice towards HT. Unproper administration of prescribed anti-hypertensive medicines without a proper healthy diet and exercise caused a direct contribution resulted in poor HT practice despite increased HT knowledge and awareness. Consequently, patients are advised to participate in the free HT health education programs provided by the ministry of health (MOH) to increase their knowledge of the importance of drug compliance and applications for improving HT self-management to better manage HT and its complications.","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81426942","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}

{"title":"Obesity self-management: knowledge, attitude, practice, and pharmaceutical use among healthy obese individuals in Saudi Arabia","authors":"S. Sharaf","doi":"10.15406/ijfcm.2021.05.00232","DOIUrl":"https://doi.org/10.15406/ijfcm.2021.05.00232","url":null,"abstract":"Introduction: Obesity is a chronic disease that is increasing in Saudi Arabia (SA) and globally. Obesity self-management among individuals is essential for managing obesity and its complications. This study aimed to conduct an obesity knowledge, attitude, and practice (KAP) assessment and prevalence of used pharmaceutical anti-obesity medications among individuals with obesity in SA. Subjects and methods: This cross-sectional study was conducted between January and April 2021. The participants completed a validated online administered questionnaire using the Survey Monkey website. Potential participants were approached in governmental hospitals, leisure centers, and shopping malls. The chi-square test was used to assess associations between categorical variables. In addition, correlations between the participants' KAP and outcome variables were measured using the Pearson correlation coefficient (r). Results: In all, 410 obese individuals (mean age 40±14 years, range 18–80 years) were surveyed. Overall, 68% of participants reported good obesity knowledge, and 63% reported a good attitude, while 72% reported poor practice. In addition, there were significant positive linear correlations between knowledge and attitude (r=0.44, P<0.001), knowledge and practice (r=0.14, P<0.01), attitude and practice (r=0.11, P<0.05), body mass index (BMI), and waist circumference (WC) (r=0.25, P<0.01), while there were significant negative linear correlations between knowledge and BMI (r=−0.20, P<0.001), attitude and BMI (r=−0.19, P<0.001), practice and BMI (r=−0.67, P<0.001), knowledge and WC (r=−0.10, P<0.05), attitude and WC (r=−0.10, P<0.05), and practice and WC (r=−0.45, P<0.001). Interestingly, 67% of participants did not use any approved pharmaceutical anti-obesity medications due to a lack of anti-obesity treatment knowledge and safety. Conclusion: The participants reported good knowledge and attitudes toward obesity, although these were not reflected in their practice levels. The lack of pharmaceutical knowledge, safety, and use of anti-obesity medications contributed directly to poor practice levels. Health authorities should establish clinical and pharmaceutical health education programs incorporating the latest pharmaceutical anti-obesity medications, including their applications and safety, for enhancing self-management and awareness among obese individuals.","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73871597","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}

{"title":"Association of range of accommodation with fully corrected refractive errors","authors":"A. Afsar, R. A. Khan, Muhammad Imshad Khan","doi":"10.15406/IJFCM.2021.05.00230","DOIUrl":"https://doi.org/10.15406/IJFCM.2021.05.00230","url":null,"abstract":"Background: To study whether the range of accommodation differs in myopes and hypermetropes than normal population. Purpose: To study the range of accommodation in myopes and hypermetropes in comparison to normal population in different age groups. Materials and methods: A comparative cross-sectional study was conducted at MHL from January 2018 to October 2018. Total 99 patients were enrolled in this study who had refractive errors. All patients were included who had 10 – 55 years age. Both genders were included. Both myopic and hypermetropic patients were included having fully corrected myopia and hypermetropia. Patients with any ocular pathologies were excluded. All patients who were included in this study had complete ocular and posterior chamber examination from ophthalmologist. There visual acuity was recorded using Snellen`s visual acuity chart and recorded in Snellen notation. Near vision was assessed on near vision chart. Then range of accommodation will be measured by RAF meter. All data entered and analyzed by SPSS 20 (Statically package for social scientist). Bar charts and Pie charts were used to describe qualitative data and range, mean, S.Dwere used to express quantitative data. For data normality Kolmogorov-Smirnov and Shapiro Wilktest used and showed that all parameters are non-parametric as p value is ≤ 0.05 (p = 0.000). Results: Total 99individuals were analyzed who had refractive errors. There were 60 female and 39male individuals. Avg age of individuals was 21 with standard deviation ±3. Association of rang of accommodation between hypermetropes and emmetropes during point break, Rec point and Rang D the p value is 0.001 in all points. Association of rang of accommodation between emmetropes and myopes during point break, Rec point and Rang D the p value is 0.142, 0.224 and 0.315 accordingly. Conclusion: Association of rang of accommodation is significant between emmetropes and hypermetropes (p=0.001). But there is no significant association of rang of accommodation between Myopes and emmetropes (p=0.224).","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"126 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82355872","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}

{"title":"Nursing care in palliative care in pediatric oncology","authors":"Joana Muniz Mendonça, Luana Luzia de Assis Arruda Corbari, Matheus Mychael Mazzaro Conchy, Renan da Silva Bentes","doi":"10.15406/ijfcm.2021.05.00229","DOIUrl":"https://doi.org/10.15406/ijfcm.2021.05.00229","url":null,"abstract":"This research has as general theme \"Nursing care in palliative care in pediatric oncology\", an approach that needs to be further discussed due to the need to prepare nursing professionals working in the pediatric sector with cancer patients who are terminally. Thus, an informative text was produced with information based on authors who have already conducted research on this theme, with a qualitative approach, because this is a Bibliographic research. To guide this research, the general objective was to identify the knowledge and reactions of nursing professionals in pediatric cancer care and as specific objectives to identify the perceptions and feelings that permeate pediatric nursing practice in relation to cancer, treatment, and its implications and to know the care/care activities aimed at children hospitalized in the pediatric oncology sector. It is concluded that the courses directed to nursing need to offer disciplines that prepare these professionals to deal with pediatric patients who are in terminal state, preparing them to comfort the family in the face of the failure of the treatments that the patient underwent.","PeriodicalId":13982,"journal":{"name":"International Journal of Family & Community Medicine","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79946403","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}