Journal of Family Medicine and Primary Care最新文献

{"title":"Enhancing ocular accommodation function and intraocular pressure symmetry through Mingshi Qigong: A pilot case series on visual fatigue recovery.","authors":"Song-Yi Lin, Ching-Yao Tsai, Terry B J Kuo, Yen-Ying Kung, Cheryl C H Yang","doi":"10.4103/jfmpc.jfmpc_1455_25","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1455_25","url":null,"abstract":"<p><p>This preliminary case series explored the effects of a 6-week Mingshi Qigong (MQ) intervention on ocular function in five individuals with visual fatigue and coexisting ocular conditions (cataract or glaucoma). Pre- and postintervention assessments included refractive power, accommodative microfluctuations (AMFs), high-frequency component (HFC), and intraocular pressure (IOP) symmetry. Participants showed refractive changes, some of which may lie within test-retest error margins. Reductions in HFC values reflected enhanced accommodative stability, accompanied by a shift from tension-dominant to relaxation-dominant zones. Notably, Case 04 with glaucoma reported functional visual improvement, while Case 01 exhibited bilateral gains with AMF/HFC stabilization. IOP differences were reduced to ≤1 mmHg in all participants, suggesting improved binocular pressure balance. These preliminary findings suggest that MQ may provide a noninvasive approach to enhance ciliary muscle function, AMF, and IOP balance in visual fatigue, suitable for home use, primary care, and chronic disease management in community clinics.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"1000-1007"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772555","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":"Home based new born care practices among tribal population in Nilgiri District, Tamil Nadu, India.","authors":"S Rajesh Kanna, A Evangeline Mary, R Yamuna Devi, P Saravanakumar, P Seenivasan","doi":"10.4103/jfmpc.jfmpc_917_25","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_917_25","url":null,"abstract":"<p><strong>Introduction: </strong>Neonatal sepsis is a major cause of morbidity leading to 2.7 million neonatal deaths annually worldwide. Around 26.14% of women in Tamil Nadu are illiterates, lacking personal, financial independence and empowerment that hinders the good home-based care of the newborn. Tribal population have their own cultural practices lacking scientific evidence like harmful practices. Hence this study was conducted to assess the home-based newborn care practices among tribal population.</p><p><strong>Methods: </strong>A community based cross-sectional study was conducted among 450 tribal mothers with children age < two months in Nilakottai, Nilgiris district, Tamil Nadu using multistage random sampling and validated semi-structured questionnaire. Statistical analysis was conducted using SPSS and Chi square test (<i>P</i> < 0.05 was statistically significant).</p><p><strong>Results: </strong>The safe new born care practice in the study was about 21.3% (CI: 21.3 ± 3.78). Age ranged from 20 to 32 years. About 35.8% of mothers had completed high school, joint families were 65.3%. Regarding harmful practices, 47.1% had applied kajal dye to eyes, 18.7% blew air in nose and 26.4% instilled oil in ears of newborn. Low level of awareness was observed on warmth, skin, umbilical care. Prelacteal feeding was 61%. Role of health personnel was observed for creating awareness among those who had practiced safe newborn care.</p><p><strong>Conclusion: </strong>Health education and behavior change communication is the need which can improve the new born care practices among mothers and family members among the tribal population.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"978-983"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773104","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":"A Community based cross-sectional study on health literacy among rural adolescent population in Pondicherry.","authors":"Jennifer Rachel, V Sudha","doi":"10.4103/jfmpc.jfmpc_1139_25","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1139_25","url":null,"abstract":"<p><strong>Context: </strong>Health literacy is considered as a tool in public health to reduce health disparities. This is considered an important issue among adolescents since investing during these formative years will result in informed decision making and healthier lifestyle choices in adulthood.</p><p><strong>Aims: </strong>To assess the health literacy level and associated factors among rural adolescents in Pondicherry.</p><p><strong>Settings and design: </strong>A community-based cross-sectional study was conducted in the rural field practice area of a private medical college.</p><p><strong>Methods and material: </strong>A cross-sectional study was conducted among 250 rural adolescents residing in the rural field practice area of a private medical college using simple random sampling. Modified HLS-EU-Q16 (Short version of the European Health literacy survey) questionnaire was used to assess health literacy.</p><p><strong>Statistical analysis used: </strong>Chi-square test and logistic regression.</p><p><strong>Results: </strong>The mean age of the study participants was 14.33 ± 2.81. The prevalence of inadequate health literacy was 82%. There was significant association between the health literacy scores and socioeconomic status (<i>P</i> = 0.004), father's occupation (<i>P</i> < 0.001), education of the parents (<i>P</i> < 0.001), and school class of the children (<i>P</i> < 0.001). There was a significant increase in health literacy scores with an increase in age.</p><p><strong>Conclusions: </strong>This study has revealed that the majority of adolescents in rural areas of Pondicherry have inadequate health literacy. Therefore, targeted interventions are required to empower adolescents to make informed decisions regarding their health for them to lead healthier lives.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"586-591"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773130","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":"Success rate and impacts of cervical cerclage on pregnancy outcomes: Single-center experience.","authors":"Nadiah Awad Algethami, Yasmine Hassan Abdullah Turkistani, Sahar Ahmad Alwagdani","doi":"10.4103/jfmpc.jfmpc_1761_25","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1761_25","url":null,"abstract":"<p><strong>Background: </strong>Cervical cerclage represents the most controversial surgical procedure in the obstetric field, as it is still not accepted by many obstetricians around the world as an effective maneuver, while being considered by others as a fundamental treatment of women with a history of preterm birth, shortened cervix on ultrasound, and a history of cervical incompetence.</p><p><strong>Objectives: </strong>To assess the success rate and investigate the impacts of cervical cerclage on pregnancy outcomes.</p><p><strong>Subjects and methods: </strong>It was a retrospective cohort study through the review of medical records of singleton women who underwent cervical cerclage at Al-Hada Armed Forces Hospital, Taif, throughout 2020-2024. Successful cervical cerclage was defined as a procedure accompanied by the delivery of live infants.</p><p><strong>Results: </strong>This study included 125 patients. The age of more than half of them (56.8%) ranged between 30 and 39 years. The majority of women (96.7%) had elective cervical cerclage, with a success rate of 89.2%. Younger maternal age (<i>P</i> = 0.038), 1-3 parity (<i>P</i> = 0.047), and higher gestational age at delivery (<i>P</i> < 0.001) were significantly associated with successful cervical cerclage. Almost half (50.8%) of women who underwent cervical cerclage stayed 3 days at the hospital, while neonatal complications were observed among 23.2% of the women.</p><p><strong>Conclusion: </strong>High success rate of cervical cerclage has been reported, with few maternal complications. However, high neonatal complications were reported.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"769-773"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773179","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":"Anemia in elderly patients admitted in the geriatric and medicine wards of S. S. hospital: A cross-sectional study.","authors":"Vijai Tilak, Rahul, Bitan Naik, Sankha S Chakrabarti, Deepa Rani, Abhishek K Singh","doi":"10.4103/jfmpc.jfmpc_2093_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_2093_24","url":null,"abstract":"<p><strong>Introduction: </strong>Regardless of its cause, anemia is a very prevalent condition linked to higher morbidity and a lower quality of life. The difficulties that result from anemia make it more severe, especially in the elderly population. Assessing the clinicopathological range of geriatric anemia, which frequently goes undiagnosed, is the aim of our study.</p><p><strong>Material and method: </strong>The present study is a prospective hospitalbased cross-sectional study conducted between July 2019 and January 2022. Total of 102 patients aged 60 years and above were included in the study. Detailed demographic, clinical, and laboratory data were collected. Anemia was defined and classified according to the World Health Organization criteria. Clinical history, complete blood picture, and peripheral smear were obtained in all patients. Bone marrow studies were performed when clinically indicated.</p><p><strong>Results: </strong>Out of 102 patients, 71 patients were male with a male: female ratio of 2.29:1. The mean hemoglobin concentration was 7.3 gm/dl. Anemia of chronic disease was the most common cause of anemia (32.37%), followed by iron deficiency anemia (7.8%). Forty-three patients (42.2%) showed normocytic normochromic red blood cell morphology.</p><p><strong>Conclusion: </strong>Hospital admitted elderly patients usually present with a moderate degree of anemia. Hematological malignancies like multiple myeloma and iron deficiency anemia are the more frequent etiologies. Since primary care doctors are the first point of contact with these geriatric anemic patients, they have an essential role in the early diagnosis, management, and referral of these cases, particularly in their early stages.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"853-858"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773186","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":"A description of chronic musculoskeletal pain among people living with Human Immunodeficiency Virus in Wisconsin, USA.","authors":"Jordan A Gliedt, Olivia Algiers, Jack Klahr, Jeanna Kedrowski, Julia Dickson-Gomez, Katherine Quinn","doi":"10.4103/jfmpc.jfmpc_792_25","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_792_25","url":null,"abstract":"<p><strong>Introduction: </strong>People living with Human Immunodeficiency Virus (HIV) experience disproportionate health burdens, including higher rates of chronic pain. However, the nature, prevalence, and impact of chronic musculoskeletal pain (CMP) on people living with HIV are not fully understood. The purpose of this study was to explore the nature of CMP, HIV disease state, medication and substance use, HIV care, stigma, and comorbidities among a sample of people living with HIV.</p><p><strong>Methods: </strong>This study was a cross-sectional survey of people living with HIV in Wisconsin, United States, that was completed between February 2023 and January 2024. The prevalence of respondents with CMP by body location was calculated. Descriptive statistics were calculated for all variables for respondents with and without CMP.</p><p><strong>Results: </strong>A total of 93 responses were analyzed. A total of 90.32% (n = 84) of respondents reported CMP. Lower back pain was the most common site of CMP (65.59%, n = 61). Respondents with CMP were older (43.2 years), lived with HIV for a longer period (13.69 years), and reported greater use of antiretroviral therapy (87.48%) compared to respondents without CMP. Respondents with CMP showed a moderate level of perceived stigma related to HIV status and were found to have moderate depression and mild anxiety.</p><p><strong>Conclusion: </strong>This study reinforces prior literature indicating that people living with HIV experience a substantially higher rate of CMP. Further study is needed to better understand the intersection between CMP, HIV, and health outcomes.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"918-926"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773187","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":"Addressing social media addiction in medical students: A timely and necessary assessment.","authors":"Swati Sahai, Amit Kumar","doi":"10.4103/jfmpc.jfmpc_1219_25","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1219_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"1027-1028"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773204","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":"Strengthening early rabies education and preventive measures - Reflections on 'empowering adolescents in Lucknow with rabies awareness: An interventional study'.","authors":"Shubham J Shivale","doi":"10.4103/jfmpc.jfmpc_1485_25","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1485_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"1035-1036"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773222","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":"Need of an hour to tackle carbapenem-resistant <i>Klebsiella pneumoniae</i>.","authors":"Sahjid Mukhida, Deepali Desai","doi":"10.4103/jfmpc.jfmpc_1734_25","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1734_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"1039-1040"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773277","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 practice of family pharmacists in managing polypharmacy for home-based elderly patients.","authors":"Shiyu Wang, Qingmao Luo, Jiahao Chen, Le Li, Aiqiu Liao, Yu Zou, Zhouqian Jiang, Jinzhuo Li, Wenyan Yi","doi":"10.4103/jfmpc.jfmpc_1584_25","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1584_25","url":null,"abstract":"<p><strong>Background: </strong>Family Pharmaceutical Care (FPC) provides personalized, continuous pharmaceutical interventions and health education, creating a home-centered polypharmacy management framework for elderly patients under the supervision of family pharmacists. This study evaluates FPC's feasibility and impact, offering evidence for regional family pharmacist team building and care model development.</p><p><strong>Methods: </strong>This cohort study enrolled 123 elderly patients discharged between January 2024 and March 2025, divided per patient preference into control and observation groups, both for 6months. Quarterly follow-ups assessed clinical outcomes and implementation barriers.</p><p><strong>Results: </strong>Using FPC achieved a net reduction in pharmaceutical expenditures of USD2,002.49 (RMB14,362.06) and demonstrated significantly lower hospitalization costs USD19,704.92 (RMB 141,325.80), and a 17.56% decrease in hospitalization frequency during the 6-month follow-up period compared to controls. The observation group achieved sustained glucose control (FPG 13%, 2hPG 17%, <i>P</i> < 0.001), BMI reduction (6.52%, <i>P</i> < 0.001), and blood pressure improvements (SBP/DBP: 6.4%/6.1%, <i>P</i> < 0.01). The control group showed better lipid improvements (LDL-c 22.49%, TC 15.00%, both <i>P</i> < 0.001). Both groups exhibited paradoxical HbA1c increases (observation vs control, -0.35% vs -0.90%). The glycemic and blood pressure target rate significantly improved, FPG (47.37% vs 29.82%), 2hPG (38.60% vs 22.81%), and blood pressure (35.09% vs 29.82%). While the target rate of the HbA1c initially demonstrated significant improvement at 3 months (36.84% vs 19.30%), this positive effect was not sustained to the study end.</p><p><strong>Conclusion: </strong>Combining FPC and pharmacy outpatient management with medical care is beneficial. Pharmacists can help patients solve their medication problems through standardized service models, reducing hospitalizations and medical expenses, while also improving the blood sugar, blood pressure, and blood lipid indicators of patients with chronic diseases.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 2","pages":"724-732"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773281","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}