Liaquat National Journal of Primary Care最新文献_第6页

Prevalence of Pulmonary Tuberculosis among the Elderly- An Observation from a Rural Province of Thailand 肺结核在老年人中的流行——来自泰国农村省份的观察

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184/lnjpc.2707-3521.1.17

引用次数: 0

Treating Carbon Monoxide Poisoning – Is Continuous Positive Airway Pressure Advantageous over Oxygen Therapy? 治疗一氧化碳中毒-持续气道正压优于氧疗?

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184/lnjpc.2707-3521.3.1

引用次数: 0

Enhancing Depth of Reflection of Family Medicine Residents: Results of an Intervention 提高家庭医学住院医师反思深度:一项干预结果

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184/lnjpc.2707-3521.3.9

{"title":"Enhancing Depth of Reflection of Family Medicine Residents: Results of an Intervention","authors":"","doi":"10.37184/lnjpc.2707-3521.3.9","DOIUrl":"https://doi.org/10.37184/lnjpc.2707-3521.3.9","url":null,"abstract":"The ability to reflect in professional practice is the cornerstone of self-directed learning. Reflective practice in medicine is an important teaching-learning modality for improving decision-making and clinical reasoning. It is a strategy for self-regulation of clinical and academic performance. This study was undertaken with the aim of improving the reflective ability skills of family medicine residents through the introduction of reflective practice at Aga Khan University. This was a case study using a pre-post design. A questionnaire was administered to assess the baseline level of reflection in family medicine residents, followed by a workshop on reflective practice to orient residents about the process and levels of reflection. Residents were asked to document reflective logs on a blog, feedback was provided. Post-intervention data were collected by re-administration of the questionnaire the change in the reflective level. Pre-post questionnaire data were analysed for comparisons using the Wilcoxin Sign Rank test on SPSS version 19. Out of 15 eligible residents, a total of 13 residents were available during the study period. In a pre-intervention questionnaire, reflective levels across the domains indicated that residents used reflection 50% of the time which increased post-intervention to more than 80% of the time. The degree of pre-post difference was lowest in the ‘Habitual Action Domain’ and largest in the domains of ‘Reflection’ and ‘Critical Reflection’ (4.1-4.8 and 3.8-4.5). Reflective practice is an effective strategy to develop residents as reflective thinkers by increasing their depth of reflection. Facilitation of their reflection through feedback enhances their ability to reflect.","PeriodicalId":140679,"journal":{"name":"Liaquat National Journal of Primary Care","volume":"195 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132734082","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}

引用次数: 0

Prevalence of Generalised Anxiety Disorder among Urban Omani Patients Attending Primary Care Centres: A Cross-Sectional Study 在阿曼城市初级保健中心就诊的患者中，广泛性焦虑症的患病率:一项横断面研究

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184/lnjpc.2707-3521.5.14

{"title":"Prevalence of Generalised Anxiety Disorder among Urban Omani Patients Attending Primary Care Centres: A Cross-Sectional Study","authors":"","doi":"10.37184/lnjpc.2707-3521.5.14","DOIUrl":"https://doi.org/10.37184/lnjpc.2707-3521.5.14","url":null,"abstract":"Background: Anxiety disorders are common mental health illnesses in primary care. Undiagnosed and thus untreated mental disorders can interfere with the patient’s quality of life, ultimately resulting in poor daily functioning, a greater number of doctor consultations, and increased disability.\u0000\u0000Objective: The objective of this study was to establish the prevalence of generalised anxiety disorder (GAD) among an urban adult Omani population as well as associated sociodemographic and clinical variables.\u0000\u0000Methodology: This study utilised a cross-sectional design and was performed between December 2019 and January 2020. A total of 250 Omani patients were recruited from eight randomised government-funded primary care centres in Muscat, Oman. The prevalence of GAD among the participants was determined by utilising an Arabic version of the validated 7-item General Anxiety Disorder tool delivered during face-to-face interviews. \u0000\u0000Results: Overall, a total of 33 patients had GAD (13.2%). According to the univariate analysis, a personal history of anxiety (P = 0.001), chronic medical illnesses (P = 0.025), low monthly income (P = 0.018), divorced individuals (P = 0.015), and housewives with extra part-time employment (P = 0.032) were significantly associated with GAD. However, only the absence of a personal history of anxiety (P = 0.001), and high monthly income (P = 0.002) remained a statistically significant protector against GAD in the multivariate analysis.\u0000\u0000Conclusion: We found a high prevalence of GAD among an adult urban Omani population. Moreover, certain clinical and sociodemographic variables were found to be significantly associated with the disorder, including a personal history of anxiety and low monthly income. The quality of life of Omani GAD patients may be improved via rapid screening of the general population.","PeriodicalId":140679,"journal":{"name":"Liaquat National Journal of Primary Care","volume":"277 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134251780","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}

引用次数: 0

Case Report of Herpes Zoster in the 17-year-old Boy 17岁男童带状疱疹1例报告

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184/lnjpc.2707-3521.4.17

引用次数: 0

The Influence of Socio-Demographic Characteristics on Patient Satisfaction in Family Medicine Clinics of Karachi 社会人口学特征对卡拉奇家庭医学诊所患者满意度的影响

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184//lnjpc.2707-3521.3.6

{"title":"The Influence of Socio-Demographic Characteristics on Patient Satisfaction in Family Medicine Clinics of Karachi","authors":"","doi":"10.37184//lnjpc.2707-3521.3.6","DOIUrl":"https://doi.org/10.37184//lnjpc.2707-3521.3.6","url":null,"abstract":"Objective: To determine the association of patients' satisfaction with demographic and socio-economic characteristics of patients visiting the family medicine clinics of the Aga Khan University. \u0000\u0000Design: Cross-sectional study \u0000\u0000Place and duration of study: The study was conducted at family medicine clinics at the Integrated Medical Service Centers, Aga Khan University, Karachi, from 10th January 2017 to 9th July 2017. \u0000\u0000Material and Methods: A total of 160 consecutive patients (48 males and 112 females, age range 18 – 65 years) visiting the family medicine clinics were recruited with informed consent. A validated questionnaire consisting of 18 items was administered to all patients who consented to participate in the study. The reasons for dissatisfaction were also assessed. Descriptive statistics were calculated. Stratification was done, and the association of satisfaction with age, gender, marital status, education, and economic status was investigated using the chi-square test. The p-value ≤0.05 was considered significant. \u0000\u0000Results: Out of a total of 160 study participants, 86.3% indicated their satisfaction, while 13.8% were found to be dissatisfied with the services at the family medicine clinic. The most common reason (50%) for dissatisfaction among the dissatisfied patients was the state of OPD facilities. On chi-square analysis, gender (p=0.028), education level (p=0.010) and socioeconomic status (p=0.002) were found to be significantly different among satisfied and dissatisfied patients. On multivariable analysis, education, marital status and socioeconomic status were found to be independently associated with patient satisfaction.\u0000\u0000Conclusion: The results showed that higher satisfaction was associated with higher education, higher socioeconomic status and higher among the widowed population.","PeriodicalId":140679,"journal":{"name":"Liaquat National Journal of Primary Care","volume":"1233 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132305733","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}

引用次数: 1

A Cross-Sectional Survey on Knowledge, Attitude and Practice of Dental Ethics among Dental Graduates of Karachi, Pakistan: A Multicenter Study 巴基斯坦卡拉奇牙科专业毕业生牙科伦理知识、态度和实践的横断面调查:一项多中心研究

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184/lnjpc.2707-3521.5.27

{"title":"A Cross-Sectional Survey on Knowledge, Attitude and Practice of Dental Ethics among Dental Graduates of Karachi, Pakistan: A Multicenter Study","authors":"","doi":"10.37184/lnjpc.2707-3521.5.27","DOIUrl":"https://doi.org/10.37184/lnjpc.2707-3521.5.27","url":null,"abstract":"BACKGROUND:\u0000Dental ethics apply moral principles and virtues governing the character and conduct of an individual to the practice of dentistry. In dental practice, various ethical issues rises which need to be dealt with extreme sensitivity and professionalism according to the various codes of dental ethics.\u0000\u0000OBJECTIVE:\u0000To determine the knowledge, attitude, and practice (KAP) of dental ethics among dental graduates and to compare the KAP of dental ethics between House officers (HOs) and Postgraduate students (PGs).\u0000\u0000METHODS:\u0000A questionnaire-based cross-sectional study was conducted at four different dental colleges in Karachi (January-June, 2022). The questionnaire consisted of 13 self-administered closed-ended questions. Questionnaires were distributed for the face-to-face survey among target participants. Knowledge, attitude, and practices of dental ethics principles about the routine dental clinical practice were inquired. Data were analyzed using SPSS version 23.\u0000\u0000RESULTS:\u0000390 complete responses were received. 65.7% of respondents were HOs, and 34.3% were PGs. 74% of dental graduates exhibited inadequate knowledge. 52.7% of dental graduates displayed poor attitudes. Poor practices were recorded largely in our study as only 48.5% of overall respondents depicted favorable responses to the asked questions. The frequency of inadequate knowledge among HO and PGs was 84% and 64% respectively. 50% of HOs and 44.5% of PGs showed poor attitudes. 48.5% overall respondents (HOs and PGs) depicted favorable responses to the asked questions indicating poor practices.\u0000\u0000CONCLUSION:\u0000Inadequate knowledge, poor attitude, and poor practices related to dental ethics are noted by dental graduates in our study. Years of experience and learning have an impact on responses.","PeriodicalId":140679,"journal":{"name":"Liaquat National Journal of Primary Care","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122714222","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}

引用次数: 0

Resistant Plane Warts Treated by 40% Salicylic Acid and 16% Lactic Acid Combination on the Face 40%水杨酸和16%乳酸组合治疗面部抗性平面疣

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184/lnjpc.2707-3521.4.24

{"title":"Resistant Plane Warts Treated by 40% Salicylic Acid and 16% Lactic Acid Combination on the Face","authors":"","doi":"10.37184/lnjpc.2707-3521.4.24","DOIUrl":"https://doi.org/10.37184/lnjpc.2707-3521.4.24","url":null,"abstract":"Human papillomaviruses (HPV) cause warts, which are the benign epithelial proliferation of the mucous membrane and skin. HPV-3 and HPV-10 commonly cause plane warts. Multiple treatment options must be used as no specific treatment option is available. We have a lot of limitations for the face as treatment can cause permanent scarring on the face. We report a case of 41 years immunocompetent male presenting with many plane warts on the face who was successfully treated with topical application of 40% Salicylic acid cream and 16% lactic acid cream made up of 44% of bees wax on lesions after a failure of many other treatment options, a) Topical zinc oxide twice per day for 3 months, b) Topical 5% salicylic acid dispensing cream made in 95% bees wax, c) Topical 5% fluorouracil cream, d) Topical imiquimod cream, e) Topical retinoids cream only at night for one month, f) Oral Isotretinoin 20mg twice per day for 2 months, and 3 sessions of cryotherapy. The patient's last treatment was oral isotretinoin 20 mg twice per day for the last 2 months. In general, doctors avoid using more than 5% salicylic acid, but after a detailed discussion with the patient, we decided to try this combination and succeeded.","PeriodicalId":140679,"journal":{"name":"Liaquat National Journal of Primary Care","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127884439","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}

引用次数: 0

Coronavirus Disease (COVID-19) Pandemic: Common Challenges and Recommendations 冠状病毒病(COVID-19)大流行:共同挑战和建议

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184/lnjpc.2707-3521.1.27

引用次数: 0

The Etiological Spectrum of Short Stature among Children Attending Endocrine Clinic at Tertiary Care Hospital 三级医院内分泌门诊儿童身材矮小的病因谱分析

Liaquat National Journal of Primary Care Pub Date : 1900-01-01 DOI: 10.37184/lnjpc.2707-3521.6.8

{"title":"The Etiological Spectrum of Short Stature among Children Attending Endocrine Clinic at Tertiary Care Hospital","authors":"","doi":"10.37184/lnjpc.2707-3521.6.8","DOIUrl":"https://doi.org/10.37184/lnjpc.2707-3521.6.8","url":null,"abstract":"Background: One of the most frequent reasons for referral to pediatric endocrinology units is short stature. Children's short height has a complicated etiology that includes genetics, race, gender, nutrition, and several endocrine hormones.\u0000\u0000Objective: To determine the etiological spectrum of short stature among children presenting to endocrinology outpatient clinics in a tertiary care hospital.\u0000\u0000Methods: This descriptive cross-sectional study was performed in the outpatient clinic of the Endocrinology Department at the National Institute of Child Health Hospital from September to December 2022. Short stature was defined as height for age <-2 standard deviations for the corresponding age and gender according to World Health Organization growth charts. 263 children were enrolled in the study. Detailed history and panel investigation for short stature were mediated for each child.\u0000\u0000Results: A total of 263 patients were enrolled in the study having a median age of 8 (IQR=6-9) years and the majority were females (53.2%). The median SD of height and current weight was -3.48 (IQR= -4.3 - -2.83) and -2.8 (IQR= -3.59 - -2.17) respectively. The most frequently seen classification of short stature was the normal variant (68.1%) followed by endocrine disorders (19.8%), dysmorphic syndrome (9.9%), and chronic disease (2.3%). The most common cause of short stature was familial short stature (47.9%) followed by growth hormone deficiency (18.3%), constitutional short stature (9.1%), Turner syndrome (9.1%), both familial and constitutional SS (8%), idiopathic short stature (3%), celiac disease (2.3%), Cushing syndrome (n=2, 0.8%), panhypopituitarism (0.8%) and Seckel syndrome (0.8%).\u0000\u0000Conclusion: This study analyzed that the majority of short stature are normal variants. However, findings of endocrine disorders, dysmorphic disorders, and chronic disease suggest timely screening and detection of short stature to avoid serious consequences of silent underlying diseases.","PeriodicalId":140679,"journal":{"name":"Liaquat National Journal of Primary Care","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121304446","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}

引用次数: 0