{"title":"\"Coping self-efficacy scale\" evaluation of the Turkish validity and reliability of the scale.","authors":"Ozden Gokdemir, Ogulcan Come, Cetin Akın, Merthan Tunay","doi":"10.4103/jfmpc.jfmpc_1612_24","DOIUrl":"10.4103/jfmpc.jfmpc_1612_24","url":null,"abstract":"<p><strong>Background: </strong>The purpose of the study is to evaluate the validity and reliability of the Coping Self-Efficacy Scale (CSES) for family physicians.</p><p><strong>Method: </strong>The study is a correlational cross-sectional type of methodological study conducted with 255 family physicians. In the research, data were collected using descriptive data record form and the CSES. The collected data were analyzed using the following statistical methods: \"Explanatory Factor Analysis (EFA),\" \"Confirmatory Factor Analysis (CFA),\" \"Cronbach's Alpha.\"</p><p><strong>Results: </strong>This study involved family physicians (mean age: 38.5 ± 10.1, 59.2% women), with 72.2% married and 59.6% having children. Work settings varied, with 39.2% in family health centers, 38.0% in university hospitals, and 16.5% in state hospitals. Exploratory and confirmatory factor analyses were conducted on the CSES, revealing a three-factor model with strong validity (Kaiser-Meyer-Olkin (KMO) =0.956). The model exhibited good fit indices (χ² =61.432, df = 132, <i>P</i> = 1.000; root mean square error of approximation (RMSEA) =0.000; goodness of fit (GFI) =0.998; comparative fit index (CFI) =1.00; incremental fit index (IFI) =1.003; relative fit index (RFI) =0.997; normed fit index (NFI) =0.997). Reliability was high (Cronbach's α =0.978), indicating robust internal consistency across factors. This instrument appears reliable and valid for assessing family physicians' self-efficacy.</p><p><strong>Conclusions: </strong>Findings affirm the reliability and validity of the CSES instrument in assessing self-efficacy among family physicians, providing a valuable tool for understanding and enhancing their professional capabilities in diverse healthcare settings.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"2746-2751"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855341","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":"An adolescent with newly diagnosed Wilson disease having underlying type 1 diabetes: A previously unreported combination.","authors":"Neeraj Kumar, Sunisha Jakhar, Dinkar Yadav, Neha Yadav, Kapil Bhalla","doi":"10.4103/jfmpc.jfmpc_1820_24","DOIUrl":"10.4103/jfmpc.jfmpc_1820_24","url":null,"abstract":"<p><p>Wilson's disease is a copper deposition disease; involving the brain, liver, and eyes with onset commonly in adolescent age group. The onset of symptoms typically occurs around 12-15 years of age. The usual manifestations are hepatic (40% of the cases), neurological (35%) or psychiatric (10%). It has been seen associated with various endocrinopathies like hypothyroidism and hypoparathyroidism but its association with type 1 diabetes mellitus very rare. To the best of our knowledge, no case has been reported about association of type 1 diabetes mellitus with Wilson disease. Here we report a case of 14-year-old male patient, who was diagnosed with type 1 diabetes mellitus one year back, now presented with neurological symptoms. On further investigations patient was found to have Wilson's disease.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"3019-3021"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855350","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}
Naveen Ravi, Rajay N Bharshankar, Sandip M Hulke, Avinash Eknath Thakre, Santosh Laxman Wakode, N Subba Krishna, Nitin Ashok John, Madhuri Taranikanti, M Kalpana, K Prafull, Vandana S Daulatabad, Anish Singhal, Vidya Ganji, Madhusudhan Umesh, Archana Gaur
{"title":"P300 event-related potential in children with hypothyroidism.","authors":"Naveen Ravi, Rajay N Bharshankar, Sandip M Hulke, Avinash Eknath Thakre, Santosh Laxman Wakode, N Subba Krishna, Nitin Ashok John, Madhuri Taranikanti, M Kalpana, K Prafull, Vandana S Daulatabad, Anish Singhal, Vidya Ganji, Madhusudhan Umesh, Archana Gaur","doi":"10.4103/jfmpc.jfmpc_297_25","DOIUrl":"10.4103/jfmpc.jfmpc_297_25","url":null,"abstract":"<p><strong>Background: </strong>Hypothyroidism is a common endocrine disorder, which adversely affects the developing central nervous system in the pediatric population. Despite treatment, patients may continue to experience neurological impairments such as cognitive dysfunction. P300 is an event-related potential (ERP) which is often considered as a marker for cognition. In this study, P300 was recorded in hypothyroid children.</p><p><strong>Materials and methods: </strong>This study involved 52 children between the ages of 8 and 15 years who were newly diagnosed with hypothyroidism. Auditory P300 latencies and amplitudes were recorded in the study population at the time of diagnosis, 1-month and 6-months follow-up. A <i>P</i> value of < 0.05 was assigned for statistical significance, and Kruskal-Wallis test was used to assess the same.</p><p><strong>Results: </strong>Although the amplitudes and latencies of P300 appeared to increase and decrease respectively, during successive follow-ups compared to the values recorded at the time of diagnosis. However, these changes were not statistically significant (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>This study did not show any significant changes in P300 latencies and amplitudes. A shorter follow-up timeframe and a smaller sample size are possible limitations of this study. There is a possibility that P300 may show considerable changes over a longer course of disease management.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"2892-2896"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855409","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":"Analysing health conditions and economic influence on healthcare infrastructure: A comparative analysis of India, China, Japan, and South Korea.","authors":"Saurabh Kumar, Umme Afifa, Shilpa Reddy, Amit Kumar, Sitaram Choudhary, Ashok Kumar, Sadhna Singh","doi":"10.4103/jfmpc.jfmpc_1697_24","DOIUrl":"10.4103/jfmpc.jfmpc_1697_24","url":null,"abstract":"<p><strong>Introduction: </strong>Asian nations are striving for rapid economic growth, but factors like climate change, pollution, and unhealthy lifestyles are rising alongside, posing serious health risks. Asia, home to diverse cultures and economies, includes top global GDP contributors like China, Japan, India, and South Korea. Despite economic progress, Asia faces high mortality from illness, especially non-communicable diseases (NCDs).</p><p><strong>Objective: </strong>This study aims to analyse health conditions and the impact of economic growth on healthcare systems in these four countries while conducting a comparative analysis of their healthcare outcomes.</p><p><strong>Material and methods: </strong>Key indicators like hospital bed availability, active physicians, and healthcare spending as a percentage of GDP are examined. The study focuses on NCDs, such as cancers, cardiovascular diseases, and respiratory conditions.</p><p><strong>Results: </strong>Economic growth has led to better healthcare access, but NCDs now dominate as the leading causes of death. Healthcare infrastructure improves with GDP growth.</p><p><strong>Conclusion: </strong>Despite economic gains, managing the growing burden of NCDs is essential for improving health outcomes in these Asian nations.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"2729-2738"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855421","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":"Anthropometric (measurement) proficiency among <i>AanganWadi</i> workers (AWW).","authors":"Harish Gupta","doi":"10.4103/jfmpc.jfmpc_117_25","DOIUrl":"10.4103/jfmpc.jfmpc_117_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"3088-3089"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855422","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":"Bridging the gaps in Janani Suraksha Yojana: Addressing challenges through innovative solutions.","authors":"Angeline Hephzibah Pauljoseph, Priyadharshini Ragavane, Priyanga Chandrashekar","doi":"10.4103/jfmpc.jfmpc_2121_24","DOIUrl":"10.4103/jfmpc.jfmpc_2121_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"3082-3083"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855432","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":"Case report: Lyme disease presenting as Guillain-Barré syndrome in Jeddah, Saudi Arabia.","authors":"Heba Abbas Ezmeirlly","doi":"10.4103/jfmpc.jfmpc_2138_24","DOIUrl":"10.4103/jfmpc.jfmpc_2138_24","url":null,"abstract":"<p><p>Lyme disease (LD) is the most common vector-borne disease in the United States; however, it is very rare in Saudi Arabia. If left untreated, the disease can lead to neuroborreliosis, which can rarely present as Guillain-Barré-like syndrome. We propose the possible diagnosis of an unusual presentation of neuroborreliosis in a patient with a previous presumed diagnosis of Guillain-Barré syndrome (GBS) in Jeddah, Saudi Arabia. Early clinical suspicion and accurate testing can lead to proper diagnosis and case management. Cases of LD in Saudi Arabia are limited in the literature. The association between GBS and LD is very uncommon, although there are anecdotal reports in the literature. We would like to raise awareness, among clinicians, including primary care physicians regarding the possibility of LD in Jeddah, Saudi Arabia.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"3032-3036"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855435","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":"Epidemiological pattern of cleft lip and palate under Rashtriya Bal Swasthya Karyakram project in the state of Bihar: A cross-sectional hospital-based study.","authors":"Shria Datta, Veena Kumari Singh","doi":"10.4103/jfmpc.jfmpc_1643_24","DOIUrl":"10.4103/jfmpc.jfmpc_1643_24","url":null,"abstract":"<p><strong>Purpose: </strong>There is a paucity of literature on the incidence and distribution of cleft lip and palate cases in the population of Bihar leading to an unmeasured gap in the status of cleft patients in this part of the country. The present study assessed the pattern of cleft cases in the community reported at the largest cleft center in the state under Rashtriya Bal Swasthya Karyakram (RBSK).</p><p><strong>Methodology: </strong>The study was a questionnaire-based, cross-sectional study conducted over one month at a tertiary care center in Bihar. It included all patients with cleft lip and palate, below the age of 5 years, either isolated or combined, attending the OPD or admitted to the ward in the plastic surgery department.</p><p><strong>Results: </strong>The demographic distribution of cleft lip patients included 16% cleft lip, 6% cleft lip with alveolus, 2% microform, 46% cleft palate, and 30% cleft lip with cleft palate. Bilateral cases contributed to 42% of all cases. Male to female ratio was 3:2 with a ratio of 5:3 in cleft lip, 2:1 in cleft lip with alveolus, 0:1 in microform, 12:11 in cleft palate, and 11:4 in cleft lip with palate patients, respectively.</p><p><strong>Conclusion: </strong>The incidence and distribution of cleft lip and palate were found to be similar to the studies done in other parts of India. Registration of cleft cases under the RBSK project of the central government has led to affordable treatment for poor patients in the state of Bihar.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"2842-2846"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855455","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}
Vibha V Gosalia, Rujal D Bhitora, Harsha M Solanki
{"title":"Malnutrition: The silent crisis: Collation of anthropometric measures of nutritional status in children under 2 years of age: A hospital-based case-control study.","authors":"Vibha V Gosalia, Rujal D Bhitora, Harsha M Solanki","doi":"10.4103/jfmpc.jfmpc_296_25","DOIUrl":"10.4103/jfmpc.jfmpc_296_25","url":null,"abstract":"<p><strong>Background: </strong>Even if malnourishment is a life-threatening condition, there is not a single 'gold standard' anthropometric measurement to diagnose child undernutrition. Hence, this case-control study compared different anthropometric measurements to assess child malnutrition.</p><p><strong>Methodology: </strong>Using WHO's MGRS Criteria 2006, cases and controls were selected and matching was done for age and sex. The calculated sample size was 154 (77 cases and 77 controls), assuming a two-sided confidence level of 95%, power of the study 80% and a case-control ratio of 1:1, 10% nonresponse rate and lack of exclusive breastfeeding taken as an exposure factor. The Z-scores (WFH, HFA, WFA) were calculated using WHO Anthro software. The sensitivity, specificity, and accuracy were calculated for each anthropometric measure. Multiple linear regressions for comparison of MUAC against WFA and HFA Z-scores were performed. The Composite Index of Anthropometric Failure (CIAF) was also calculated.</p><p><strong>Results: </strong>Even among controls, 26% were severely stunted and 14.2% were severely underweight. The sensitivity MUAC to diagnose severely underweight and severely stunted children was 84.2% and 58.5%, respectively. Multiple Linear regression found positive association of WAZ and MUAC. Out of 154 children, 114 (74%) had anthropometric failure.</p><p><strong>Conclusions: </strong>The combined anthropometric measurements approach to screen chronic malnutrition in the community is strongly recommended. There is a need to develop software in the local language that is simple and feasible to use by grass route workers for early diagnosis of SAM children.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"2821-2825"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855474","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":"Utility of enhanced quantitative urine culture technique for isolation of uro-pathogens in children.","authors":"Kavita Gupta, Prashanth Purushotham, Nischitha Vallurupalli, Bilal Malik, Saroj Dash","doi":"10.4103/jfmpc.jfmpc_260_25","DOIUrl":"10.4103/jfmpc.jfmpc_260_25","url":null,"abstract":"<p><strong>Background: </strong>Urinary tract infections (UTIs) are the most common bacterial infection worldwide. Symptoms of UTI in children is vague & non-specific and mostly underdiagnosed Standard urine culture (SUC) is the gold standard for detecting uropathogens but the clinical correlation and its implication in initiating antimicrobial therapy continue to be a question for decision-making. Enhanced quantitative urine culture (EQUC) was developed to overcome these limitations. However, its utility to diagnose paediatric UTI has not been well explored, necessitating the need for new diagnostic methods. The study was conducted to evaluate the utility of EQUC for isolation of bacterial uropathogens in children.</p><p><strong>Method: </strong>A prospective observation study was conducted and urine samples were collected and processed using both SUC and EQUC techniques. Microbial identification was performed using phenotypic characteristics and biochemical tests. VITEK 2 SYSTEM was used for identification and antimicrobial susceptibility testing whenever required.</p><p><strong>Results: </strong>A total of 156 samples were collected from 84 patients and subjected to SUC and EQUC techniques. SUC identified 50 positive samples (32.05%), while EQUC identified 87 positive samples (55.7%). EQUC recovered 25% more organisms compared to SUC. Escherichia coli was the most common organism isolated in both the techniques. Management of patients considering EQUC results showed better recovery in all age groups especially for midstream urine.</p><p><strong>Conclusion: </strong>The EQUC technique demonstrated higher recovery rates of uro-pathogens compared to the SUC, making it a valuable tool for diagnosing paediatric UTIs.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 7","pages":"2837-2841"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855482","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}