Journal of Family Medicine and Primary Care最新文献

{"title":"Empowering primary health through AI: Innovations, applications, and considerations.","authors":"Abhishek Malu, Nilesh G Patel","doi":"10.4103/jfmpc.jfmpc_357_25","DOIUrl":"10.4103/jfmpc.jfmpc_357_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2602-2603"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731574","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":"\"It is not a disease like cancer, we can live well with diabetes\" - A qualitative study exploring positive experiences of diabetic patients.","authors":"Aswathy Raveendran, Sowbarnika Vaishnavi, Madhivanan Arulmozhi, Kandasamy Premanandh","doi":"10.4103/jfmpc.jfmpc_1636_24","DOIUrl":"10.4103/jfmpc.jfmpc_1636_24","url":null,"abstract":"<p><strong>Background: </strong>The increasing prevalence of diabetes mellitus poses a significant challenge to the healthcare system. Healthcare providers focus mainly on clinical targets, which explain the short-term benefits and limited long-term effects on outcomes. Patient experiences can be included in diabetes care to assist diabetic patients lead healthy lives. Despite the focus on complications and barriers, there is minimal research on the positive aspects of living with type 1 or type 2 diabetes. This study aims to fill the gap by identifying and exploring the positive experiences of diabetic patients that could enhance diabetes management, patient behaviour, and well-being.</p><p><strong>Methodology: </strong>This qualitative study was conducted among diabetic patients at the Urban Health and Training Centre, Villupuram. The respondents were selected using a purposive sampling method from the list of diabetic patients attending the non-communicable disease clinic. One-to-one interviews were conducted using a semi-structured interview guide by asking participants open-ended questions about diabetes self-care, healthcare experiences, social networks, career aspirations, community involvement, and messages for newly diagnosed individuals with diabetes. Individual interviews were conducted until no new information was generated from the additional interviews and data saturation was attained. Manual content analysis was done from the transcripts.</p><p><strong>Result: </strong>The positive experiences were classified under four broad themes and eight categories, namely, mindset shift, optimism after seeing good results, dietary changes, healthy lifestyle choices, family support, treating doctor's guidance, self-care practices, and medication adherence.</p><p><strong>Conclusion: </strong>Communicating positive experiences of people with diabetes promotes optimism, enhances self-care, and improves both mental and physical well-being.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2251-2257"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731604","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":"Age predominates as associate than reproductive health stage for 5 min heart rate variability in middle aged women- a cross-sectional study from Gujarat, India.","authors":"Jayesh Dalpatbhai Solanki, Divyang Rajeshkumar Joshi, Krina Ashish Atodaria, Chhaya Maheshbhai Ghodadara","doi":"10.4103/jfmpc.jfmpc_274_25","DOIUrl":"10.4103/jfmpc.jfmpc_274_25","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular health is adversely affected by menopausal transition with reduced heart rate variability (HRV) as a manifest. Electrocardiogram (ECG) based 5 min HRV has worsening trend from premenopausal to postmenopausal stage, but age is the biggest confounder. We aimed to study 5 min HRV among age-matched sample population of premenopausal, perimenopausal and postmenopausal healthy women.</p><p><strong>Methodology: </strong>A cross-sectional field study was conducted on apparently healthy women of 40-55 years of age. STRAW+10 criteria were used to stratify reproductive health stage groups. Lead II ECG-based 5 min HRV (VarioWin HR software) was recorded in supine position using standard protocol. Meticulous age matching was used to create premenopausal, perimenopausal (early and late), and postmenopausal (early and late) subgroups. Various age-matched pairs of subgroups were compared for time domain, frequency domain, and geometric HRV parameters.</p><p><strong>Results: </strong>There was a lack of significant difference among premenopausal, perimenopausal and postmenopausal subgroups. Difference of HRV was small, insignificant without any general pattern in age matched pair of: premenopausal verses early perimenopausal group (<i>n</i> = 24 each); early perimenopausal verses late perimenopausal group (<i>n</i> = 20 each); late perimenopausal verses early postmenopausal group (<i>n</i> = 13 each); and early postmenopausal verses late postmenopausal group (<i>n</i> = 17 each).</p><p><strong>Conclusion: </strong>Middle aged healthy women revealed lack of difference of 5 min HRV parameters between premenopausal, perimenopausal or postmenopausal women after age-matching. This lack of association indicates age and other confounders as significant attribute for HRV than the reproductive health status of women, and its calls for further study for reinforcement and causality.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2544-2551"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731624","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":"Blended learning in dermatology: Enhancing clinical education for family medicine residents.","authors":"Amol S Dhane","doi":"10.4103/jfmpc.jfmpc_1669_24","DOIUrl":"10.4103/jfmpc.jfmpc_1669_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2587-2588"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731645","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":"Profiling of outpatients attending Centre for Rural Health, Nutakkhi, Andhra Pradesh, South India.","authors":"Arti Gupta, D Hashini, Rajeev Aravindakshan, Ajay Moparthi, Gangadhar Makkena, Yamini Marimuthu","doi":"10.4103/jfmpc.jfmpc_1462_24","DOIUrl":"10.4103/jfmpc.jfmpc_1462_24","url":null,"abstract":"<p><strong>Background: </strong>Primary healthcare services are the first contact point for a person to seek preventive promotive and curative healthcare. The present study aimed to assess the morbidity profile of outpatients at a Centre for Rural Health AIIMS, Nutakkhi, Andhra Pradesh, South India.</p><p><strong>Materials and methods: </strong>This record-based study analyzed morbidity data from outpatients at the Centre for Rural Health AIIMS (CRHA), located in Nutakkhi, Andhra Pradesh, South India, serving a population of about 15,000. Managed by doctors posted from AIIMS, Mangalagiri, Andhra Pradesh, India, the clinic operates six days a week with an average daily attendance of 50 patients. Patient details, diagnosis, and treatments were documented in morbidity registers. Data from June 2021 to December 2023 were extracted, coded using ICD-10 by two doctors independently, and analyzed using IBM SPSS Statistics 28.0.</p><p><strong>Results: </strong>The outpatient department (OPD) of the CRHA, Nutakkhi, Andhra Pradesh, South India, attended 15,867 patients from 2021 to 2023, with adults (47.44%), elderly (41.60%), and children (10.97%). Gender distribution was nearly equal. Endocrine, nutritional, and metabolic diseases (24.0%) were most common, followed by respiratory (18.11%) and circulatory system diseases (17.92%). Notable conditions included digestive, musculoskeletal diseases, and injuries. The prevalence of conditions varied by gender and age. Endocrine diseases peaked in 2021 (29.30%), while circulatory diseases rose to 23.09% in 2023. Respiratory diseases were prevalent among children, and health checkups increased in 2023.</p><p><strong>Conclusion: </strong>The study identified endocrine, respiratory, and circulatory system diseases as prevalent in the rural population, highlighting the need for targeted healthcare strategies and resource allocation, especially for the elderly and children.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2125-2130"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731666","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 impact and challenges of integrating AR and VR in Indian healthcare education.","authors":"Amol S Dhane","doi":"10.4103/jfmpc.jfmpc_1459_24","DOIUrl":"10.4103/jfmpc.jfmpc_1459_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2585-2586"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731679","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 mediating role of sleep disturbances in mobile phone addiction and depression among medical students.","authors":"Priyash Jain, Kartikay Chaturvedi, Koustubh Rajgopal Bagul, Varchasvi Mudgal","doi":"10.4103/jfmpc.jfmpc_1546_24","DOIUrl":"10.4103/jfmpc.jfmpc_1546_24","url":null,"abstract":"<p><strong>Background: </strong>Mobile phone addiction is an emerging behavioral concern linked to adverse mental health outcomes, including depression. Sleep disturbances have been proposed as a potential mediator in this relationship. However, there is limited research addressing this phenomenon in the Indian context, particularly among medical students who are vulnerable to both addiction and mental health challenges.</p><p><strong>Aim: </strong>To explore the mediating role of sleep disturbances in the relationship between mobile phone addiction and depression among medical students in Central India.</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted among 362 undergraduate medical students at a government medical college in Central India. Participants completed validated tools, including the Mobile Phone Addiction Scale (MPAS), Pittsburgh Sleep Quality Index (PSQI), and Patient Health Questionnaire-9 (PHQ-9). Statistical analysis included correlation and mediation analysis using SPSS (v26) to assess relationships and the mediating effect of sleep disturbances.</p><p><strong>Results: </strong>The prevalence of mobile phone addiction in the study population was 53.3%. Mobile phone addiction demonstrated significant positive correlations with both poor sleep quality (rs = 0.35, <i>P</i> < .05) and depression scores (rs = 0.41, <i>P</i> < .05). Sleep quality also correlated moderately with depression (rs = 0.52, <i>P</i> < .05). Mediation analysis revealed that sleep disturbances partially mediate the relationship between mobile phone addiction and depression, accounting for 29.8% of the total effect.</p><p><strong>Conclusion: </strong>This study highlights the role of sleep disturbances as a critical link between mobile phone addiction and depression. Interventions targeting sleep quality could mitigate the depressive symptoms associated with mobile phone addiction. These findings underscore the importance of integrating behavioral and mental health screening into primary care, particularly for students and young adults.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2287-2293"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731680","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":"Understanding the obesity epidemic among north Indian medical students: Prevalence, risk factors, and health implications.","authors":"Aman Dev Singh, Harseerat Grewal, Simmi Oberoi, Aafia Sachdeva, Rohit Batish","doi":"10.4103/jfmpc.jfmpc_1813_24","DOIUrl":"10.4103/jfmpc.jfmpc_1813_24","url":null,"abstract":"<p><strong>Background: </strong>Obesity among medical students is a significant public health issue with various contributing factors, including dietary habits, physical activity, and genetic predisposition. This study aims to assess obesity prevalence and its associated factors among North Indian medical undergraduates.</p><p><strong>Aim: </strong>To assess the prevalence of obesity and its relationship with various factors among medical undergraduates in North India.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted from September 15, 2024, to October 15, 2024, at a tertiary care institute. All students from the MBBS Batch 2023 participated via convenient sampling. Data were collected through a Google form covering sociodemographic, dietary and physical habits, and mental health. Analysis was performed using SPSS Trial version 26.</p><p><strong>Results: </strong>Out of 208 students, 6% were underweight, 66.8% were normal weight, 17.8% were overweight, and 5.8% were obese. Significant associations were found between BMI and gender (<i>P</i> = .003), breakfast eating (<i>P</i> = .012), and family history of obesity (<i>P</i> = .006).</p><p><strong>Conclusion: </strong>Obesity prevalence among medical students in North India is influenced by a complex interplay of sociodemographic, lifestyle, and genetic factors. Targeted programs are needed to address these specific predictors and support health management in medical students.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2258-2265"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731683","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":"Identifying the accessibility barriers for chronic disease management in health care delivery system amongst the Urban Poor of Kolkata, West Bengal, India.","authors":"Priyanka Roy, Mainak Bardhan","doi":"10.4103/jfmpc.jfmpc_1050_24","DOIUrl":"10.4103/jfmpc.jfmpc_1050_24","url":null,"abstract":"<p><strong>Background: </strong>Challenges the socioeconomically vulnerable urban population faces in managing chronic diseases are compounded by deficiencies and lacunae in the healthcare delivery system. In the socioeconomic context of chronic disease management (CDM) under the ambit of the healthcare delivery system under National Urban Health Mission (NUHM), there is a dearth of adequate provision of health services and its delivery mechanisms to mitigate the issues. The objective of this research was to identify the barriers that lead to the snowballing of the deficiencies and inadequacies of the healthcare delivery mechanism related to CDM amongst the urban poor of Kolkata.</p><p><strong>Materials and methods: </strong>The design of this study was a sequential explanatory mixed method using both structured and semistructured tools. The quantitative and qualitative data were collected separately at different time intervals and integrated to establish the interpretation. The study locations were Kalighat, Khidirpur, Mominpur, Ekbalpur, Ultadanga, and Brace Bridge under Kolkata Municipal Corporation, West Bengal. The total number of respondents was 271, which included NUHM programme officers at the state level, service providers at Urban Primary Health Centres (UPHCs), and urban poor population beneficiaries.</p><p><strong>Results: </strong>The accessibility barriers were the location of UPHCs, logistics barriers, quality of care and patients dissatisfaction, out-door timing, lack of medicines, diagnostics facilities, job loss due to repeated health visits, patients' choice, preference over secondary and tertiary care delivery centres, inadequate information, education and communication, and dysfunctional referral system.</p><p><strong>Conclusions: </strong>There are several accessibility barriers to appropriate healthcare relevant to CDM and a huge implementation gap under NUHM policy.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2158-2167"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731622","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":"Birth companion satisfaction for the usage of Maathru Samman Pants while attending labor of their pregnant women as an initiative of respectful maternity care: A mixed method study.","authors":"B Venkatashiva Reddy, Pulla Sirisha, Madhur Verma, Priti Gupta, Rakesh Kakkar, Star Pala, Wansalan Karu Shullai","doi":"10.4103/jfmpc.jfmpc_1618_24","DOIUrl":"10.4103/jfmpc.jfmpc_1618_24","url":null,"abstract":"<p><strong>Introduction: </strong>In India, having birth companions during labor and delivery has been increasingly recognized as an essential component of respectful maternity care. The present study was conducted to study birth companion satisfaction, acceptability, and demand for using Maathru Samman Pants (MSP) while attending labor of pregnant women in tertiary care health facilities.</p><p><strong>Methodology: </strong>Between 2023 and 2024, a multicentric study was conducted. For birth companion recruitment, tertiary care sites included District Hospital Tenali (South), District Hospital Bathinda (North), and District Hospital Shillong/NEIGRIHMS (East). The study utilized a mixed-method cross-sectional design with multistage, stratified, random sampling techniques based on the hospital's delivery load. After the pregnant women delivered a baby using Maathru Samman Pants when the birth companion was comfortable answering the questions, an interview was carried out in the postnatal ward. The questionnaire was composed of 37 questions. Apart from the questionnaire, every 20^th birth companion was also considered for qualitative data collection by taking in-depth interviews.</p><p><strong>Results: </strong>A total of 403 birth companions were studied. The majority (68.98%) of birth companions were between 41 and 60 years of age, followed by those aged 20-40 years (30.27%), and a small fraction over 60 years old (0.74%). Gender distribution was predominantly female, accounting for 99.5% of the total, with males representing only 0.5%. Most of the birth companions were mothers or mothers-in-law (81.14%), followed by sisters or sisters-in-law (14.64%). Of the total 50.62% agreed 38.96% strongly agreed that Maathru Samman Pants (MSPs) were comfortable during childbirth and 60.55% agreed it was comfortable for toilet use. Overall, MSP usage had high satisfaction scores among birth companions, particularly in the North and East. The overall usefulness of MSP was rated very highly, with an average score of 4.77 ± 0.54. A large majority (87.84%) of birth companions consider it extremely important to respect cultural norms during delivery. The importance of respecting cultural norms during delivery was rated very high among birth companions, with a mean score of 4.86 ± 0.42, particularly in the East (5.00). A significant majority (99.21%) of birth companions believe that the introduction of personalized delivery attire (MSP) is a positive initiative for respectful maternity care.</p><p><strong>Conclusion: </strong>The MSP has fostered a respectful and supportive birthing environment by maintaining privacy, offering comfort, and preventing unnecessary exposure. The high satisfaction, acceptability, and demand for MSP of birth companions across regions highlight its cultural sensitivity and appropriateness. Government healthcare facilities should adopt the MSP universally to enhance the childbirth experience for women and birth companions.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 6","pages":"2216-2225"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731644","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}