Journal of Family Medicine and Primary Care最新文献

{"title":"The effect of empagliflozin and sitagliptin as an add-on therapy to metformin in blood pressure reduction in diabetic patients in primary health care settings in Riyadh, Saudi Arabia.","authors":"Mayada Ahmed, Mohammed Altoyan, Raghad Hijazi, Joud AlJebreen, Mohammed H Alshalan, Reema Aldhalaan, Lama Altarifi","doi":"10.4103/jfmpc.jfmpc_1529_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1529_24","url":null,"abstract":"<p><strong>Background/aim: </strong>Type 2 diabetes mellitus (T2DM) is a chronic condition. Metformin is the first-line treatment, but if inadequate, sodium-glucose cotransporter-2 inhibitors (SGLT2i) or dipeptidyl peptidase-4 inhibitors (DPP4i) are recommended as add-on therapies. This study aimed to directly compare the effects of empagliflozin (SGLT2i) and sitagliptin (DPP4i) as add-on therapies to metformin in reducing blood pressure (BP) in a cohort of type 2 diabetes patients in routine care. Additionally, the study assessed the impact on HbA1c levels to optimize antidiabetic medication selection for better BP control.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted at a tertiary center in Riyadh, Saudi Arabia, including diabetic patients aged 18-75. BP readings were compared at 12- and 24-week intervals. Patients had a confirmed diagnosis of T2DM, were prescribed either Janumet or Synjardy, and had at least one BP reading within 3 months before and 2-24 weeks after starting treatment. Exclusion criteria included antihypertensive medication use, medication changes, or taking antidiabetic drugs other than metformin. Data included demographics, vital signs, and lab results.</p><p><strong>Results: </strong>The study included 44 participants, with a mean age of 55.73 years and a baseline HbA1c of 9.17%. Participants were on Synjardy (43.2%) or Janumet (56.8%). No significant reduction in systolic or diastolic BP was found. However, HbA1c decreased from 9.17% to 7.52% after 6 months, with the greatest reduction noted between baseline and 3 months.</p><p><strong>Conclusion: </strong>Although neither drug significantly impacted BP, both combinations reduced HbA1c. Further research with a larger sample is needed to clarify their effects on BP.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"1116-1121"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008101","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":"Client satisfaction among people living with HIV attending an anti-retroviral therapy center with special emphasis on the sexual minority population at a teaching institution in West Bengal: A mixed-method study.","authors":"Ishita Sarkar, Rahul Biswas, Sanghamitra Maulik, Ananya Ramanandi, Ankit Das, Debjani Guchhait","doi":"10.4103/jfmpc.jfmpc_1541_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1541_24","url":null,"abstract":"<p><strong>Context: </strong>Patient satisfaction is a crucial indicator of service quality in the healthcare system. There is limited information regarding the level of satisfaction of sexual minority groups of people living with HIV (PLHIV) regarding treatment services.</p><p><strong>Aims: </strong>This comparative study assessed client satisfaction among general (male and female) patients and the sexual minority group with the antiretroviral service delivery at the ART center.</p><p><strong>Settings and design: </strong>This cross-sectional analytical study of a mixed-method approach was conducted from September 2023 to May 2024 at the ART center of Barasat Government Medical College and Hospital.</p><p><strong>Materials and methods: </strong>A total of 430 patients were enrolled in this study. Data were collected using a face-to-face exit interview and focus group discussion.</p><p><strong>Statistical analysis used: </strong>Overall patient satisfaction was determined by obtaining the average scores from Likert scale responses. A Chi-square or Fisher's exact test was used to explore associations between overall patient satisfaction and demographic characteristics of participants and other variables. A <i>P</i> value of 0.05 or less was considered statistically significant.</p><p><strong>Results: </strong>Overall patient satisfaction was 85.1% in general patients and 75.2% in sexual minority patients, which was a statistically significant difference between the two groups (Z test of proportion). Factors that showed significant association with satisfaction were marital status, education level, type of family, socioeconomic status, convenient service hours, and waiting time. Key areas of dissatisfaction reported in interviews and FGDs were lack of toilet facility, long waiting time, lack of space at ART center, disclosure of sexual identity of sexual minority patients, etc.</p><p><strong>Conclusions: </strong>Overall patient satisfaction was high among the study subjects though higher among general patients compared to sexual minority patients. Marital status, educational status, social class, service hours, and waiting time were found to be important predictors of patient satisfaction. The provision of increased space in the ART center and toilet facility and implementation of regular induction and refresher training for health care personnel may go a long way in further enhancement of patient satisfaction among both groups.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"1044-1053"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005834","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":"Waist circumference as a predictor for severity of liver fibrosis in non-alcoholic fatty liver disease patients.","authors":"Shalini Suri, Shraddha Singh, Sushma Swaraj Rapelly, Sumit Rungta, Ehsan Ahmad","doi":"10.4103/jfmpc.jfmpc_1464_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1464_24","url":null,"abstract":"<p><strong>Introduction: </strong>Non-alcoholic fatty liver disease (NAFLD) may in some cases progress to increasing grades of liver fibrosis and eventually cirrhosis. NAFLD patients often succumb to cardiovascular causes. Previous studies have linked visceral fat, a known cardiovascular risk factor, to NAFLD. Visceral fat is best quantified by measuring the waist circumference (WC). This study is aimed to determine the association of waist circumference with severity of liver fibrosis in NAFLD patients.</p><p><strong>Methods: </strong>In this cross-sectional study we recruited 82 NAFLD patients diagnosed via ultrasonography. They underwent anthropometric examination followed by transient elastography with Fibro Scan to assess of liver stiffness measure (LSM). A cutoff LSM value of 7kPa was used to indicate significant fibrosis. Among the participants, 40 patients had an LSM value of <7 kPa (insignificant/no fibrosis), while 42 were found to have >7 kPa (significant fibrosis). Biochemical parameters of Lipid profile and Liver enzymes were also analyzed.</p><p><strong>Statistical analysis used: </strong>SPSS software with Student <i>t</i>-test, Chi-square <i>t</i>-test, ANOVA, and Spearman correlation with 95% CI is used. <i>P</i> <0.05 is considered significant.</p><p><strong>Results: </strong>Patients with significant fibrosis had higher mean weight (<i>P</i> < 0.001), BMI (<i>P</i> = 0.009), WC (<i>P</i> = 0.002), and waist-hip ratio (WHR, <i>P</i> = 0.032) compared to those with no fibrosis. However, hip circumference (HC) was not significantly associated between the two groups. In correlation studies, BMI (<i>P</i> = 0.001), weight (<i>P</i> < 0.001), WC (<i>P</i> = 0.001), and HC (<i>P</i> = 0.008) positively correlated with severity of liver fibrosis in NAFLD patients. However, no significant correlation was found with WHR.</p><p><strong>Conclusion: </strong>Weight, BMI, and visceral fat indicators like WC and WHR are strongly associated with liver fibrosis severity in NAFLD patients. Notably, weight, BMI, WC, and HC positively correlate with fibrosis severity, while WHR does not. Early diagnosis of fatty liver is crucial to prevent progression to life-threatening conditions like NASH or NASH cirrhosis. Waist circumference could serve as a practical screening tool in primary health care centres for identifying NAFLD patients at risk of fibrosis progression.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"1073-1078"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969104","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":"Investigating the association between the severity of acute pancreatitis and red blood cell distribution width and platelet distribution width in patients diagnosed with acute pancreatitis referred to Imam Khomeini Hospital in Ahvaz from 2018 to 2021.","authors":"Abazar Parsi, Eskandar Hajiani, Amin Samani, Seyed Saeed Seyedian, Pezhman Alavinejad","doi":"10.4103/jfmpc.jfmpc_107_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_107_24","url":null,"abstract":"<p><strong>Introduction and aim: </strong>Acute pancreatitis (AP) is an inflammatory disease that causes significant morbidity and mortality. Red blood cell distribution width (RDW) and platelet distribution width (PDW) are commonly used and easily measurable indicators that provide valuable information about an individual's inflammatory condition. This study aimed to evaluate the diagnostic value of RDW and PDW in comparison with other scoring systems for predicting the severity of AP.</p><p><strong>Method: </strong>The present study with a retrospective cross-sectional design was conducted on 115 patients admitted to Imam Khomeini Hospital in Ahvaz from 2018 to 2021. The variables that were measured included demographic characteristics, comorbidities, hospitalization, laboratory parameters, prognostic scoring systems (Ranson and bedside index for severity in acute pancreatitis (BISAP)), and mortality rates. A comparison was made between various parameters in patients diagnosed with mild and severe AP. The prognostic value of RDW and PDW in determining the severity of AP was determined using the receiver operating characteristic (ROC) curve.</p><p><strong>Results: </strong>Severe AP patients exhibited higher Ranson and BISAP scores (<i>P</i> < 0.01) and experienced a longer duration of hospital stay (<i>P</i> < 0.01) compared with AP patients. PDW was found to be significantly elevated in AP patients compared to those with mild AP (17.77 ± 25.11 vs. 14.8 ± 1.67; <i>P</i> = 0.02). There were no statistically significant differences in the RDW in mild and severe AP patients (14.0 ± 3.59 versus 14.19 ± 5.9; <i>P</i> = 0.90).</p><p><strong>Conclusion: </strong>The findings of the study suggest that utilizing PDW as an indicator of inflammation can serve as a valuable approach to evaluating the progression of AP. However, RDW does not offer significant assistance in the early prediction of AP severity. Nonetheless, it is crucial to conduct future prospective studies with larger sample sizes, including all pancreatitis cases.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"832-838"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971339","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":"Dengue dynamics in India: Harnessing auto regressive integrated moving average model for predictive insights.","authors":"Sashikanta Tripathy, Amit Kumar Mishra, Manisha Ruikar","doi":"10.4103/jfmpc.jfmpc_1387_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1387_24","url":null,"abstract":"<p><strong>Background: </strong>Dengue, a mosquito-borne viral disease caused by the Dengue virus (DENV), poses a significant threat to global health. Nearly half of the world's population is at risk, with an estimated 100-400 million infections annually. South East Asian countries, including India, are particularly vulnerable due to their temperate climate and changing environmental conditions, leading to a rise in Dengue cases every year.</p><p><strong>Objectives: </strong>The current study was done to analyse the trend of Dengue in India and to forecast Dengue cases and deaths in India.</p><p><strong>Methods: </strong>The study employed a time series analysis approach, collecting Dengue data from 1999 to 2023 from the National Health Profile and NVBCDCP. Gretl software was used to develop an appropriate ARIMA (Auto Regressive Integrated Moving Average) model based on the available data to forecast Dengue cases and deaths. The model was checked for stationarity and used to predict Dengue cases and deaths for the next 3 years (2024-2026).</p><p><strong>Results: </strong>The analysis revealed an increasing trend in Dengue cases and deaths in India over the study period. The forecasted data for 2024-2026 also indicate a continued rise in both cases and deaths. The projected Dengue cases for 2026 are 309,836 (95% CI; 240,337-379,334), while the projected deaths are 533 (95% CI; 285-781).</p><p><strong>Conclusion: </strong>The increasing trend in Dengue burden highlights the urgent need for targeted interventions to mitigate the public health impact. Hence, it is recommended that the policymakers and health authorities must prioritize the planning and implementation of effective preventive measures to curb the increasing trend of Dengue in India.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"1054-1057"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013009","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":"Fintech and healthtech synergism: Pioneering a digital healthcare revolution for accessible, affordable, and effective patient-centered care.","authors":"Rushikesh Shukla, Harshit Bagotia, Poorvikha Satish, H Shruthi Kamath, Swastika Chatterjee, Donald Savariah, Ved Kaulgud, Harsha Gobburi, Sourya Acharya","doi":"10.4103/jfmpc.jfmpc_999_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_999_24","url":null,"abstract":"<p><p>The blending of financial technology (fintech) and health technology (healthtech) has the potential to bring about major changes in the healthcare industry. In this review, we have delved into this convergence and explored how it can improve healthcare access, affordability, and patient outcomes. Beginning with a delineation of fintech and healthtech, we analyzed the impact of financial innovations such as mobile payment systems, crowdfunding platforms, and blockchain technology on healthcare. Additionally, we examined the rising trends in healthtech integration, such as telemedicine, wearable devices, and health data analytics, and how these technologies intersect with financial systems to enhance healthcare delivery. By showcasing real-life examples and case studies, the study demonstrated how fintech and healthtech solutions have been successfully implemented in healthcare settings. But why doesn't everyone take them up? Regulatory complexities along with ethical considerations are two of the main barriers toward large-scale adoption of these solutions, besides technological limitations. It is crucial to meet these challenges if financial and healthcare solutions are going to be successfully combined through continued innovation.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"820-824"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004716","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 longitudinal study depicting persistence of COVID-19 antibodies after half a year using chemiluminescent microparticle immunoassay among healthcare workers and frontline workers in Mumbai, India's largest metropoli.","authors":"Rujuta S Hadaye, Sachee Agrawal, Mangala Gomare, Daksha Shah, Abhiram Kasbe, Jayanthi Shastri, Gulnar Khan, Pradnya Chandanshive, Nirjhar Chatterjee, Vl Anand Vijay","doi":"10.4103/jfmpc.jfmpc_1335_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1335_24","url":null,"abstract":"<p><strong>Introduction: </strong>Antibodies play a role in herd immunity, and studies estimate that COVID-19 antibody protection lasts approximately 1 to 4 months following COVID-19 vaccination and 6 to 8 months following infection. As healthcare workers and frontline workers were highly exposed to the infection, it is necessary to know if they have developed immunity against COVID-19.</p><p><strong>Aim: </strong>To estimate the seroprevalence of SARS-CoV-2 antibodies among health care workers and frontline workers in Mumbai qualitatively and quantitatively and observe the change in antibody levels after 6 months.</p><p><strong>Material and methods: </strong>This longitudinal study was conducted over 9 months in two phases among 1544 healthcare workers (HCWs) and 1555 frontline workers (FLWs) aged above 18 years in Mumbai, Maharashtra, India. Participants' blood samples were analyzed using the SARS-CoV-2 IgG-II Quant assay for the qualitative and quantitative determination of IgG antibodies to SARS-CoV-2. A follow-up was done after 6 months.</p><p><strong>Results: </strong>A total of 2733 (88.2%) of the 3099 participants were followed up in Phase II, which included 1370 (50.1%) FLWs and 1363 (49.9%) HCWs. The study found a seropositivity rate of 99.9% with a significantly higher antibody titre in BEST (public transport) workers, those vaccinated with precautionary doses, those vaccinated with precautionary doses with a history of confirmed COVID-19 disease, and participants over 45 years.</p><p><strong>Conclusions: </strong>The study findings indicate a widespread seroconversion against COVID-19 and a beneficial effect of precautionary dose in addition to two doses of the COVID-19 vaccine. The role of subclinical infection needs to be explored.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"1009-1016"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999717","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":"Prolonged visual aura, late-onset migraine-like headaches, and seizures suggest an occipital arteriovenous malformation.","authors":"Josef Finsterer, Sounira Mehri","doi":"10.4103/jfmpc.jfmpc_910_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_910_24","url":null,"abstract":"<p><p>To report a patient with occipital arteriovenous malformation (AVM), manifested by prolonged visual aura and migraine-like headache as well as rare tonic-clonic seizures. The patient is a 55-year-old woman with a left occipital, unruptured AVM that first manifested with attacks of prolonged visual aura, followed by a migraine-like headache at the age of 32. The frequency of these attacks steadily increased over the years and at the age of 45 she experienced her first tonic-clonic seizure. The workup revealed a left occipital, unruptured AVM. She received levetiracetam (1000 mg/d), which she discontinued at the age of 53. At the age of 54 years, she suffered a second tonic-clonic seizure, but the patient continued to refuse to undergo embolization, resection, or stereotactic radiosurgery. This case demonstrates that an occipital, unruptured AVM can go undetected for years and present with late-onset, migraine-like headaches with prolonged visual aura and rare generalized seizures. Patients with late-onset, migraine-like headaches with prolonged visual aura require immediate brain imaging.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"1139-1141"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988360","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":"Over-the-top (OTT) entertainment viewership addiction among the undergraduates of a medical college in Bhubaneswar, Odisha.","authors":"Snigdha Singh, Ipsita Debata, Anugya A Behera, Prem S Panda, Aurobindo Samantaray, Basanta K Behera","doi":"10.4103/jfmpc.jfmpc_1732_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1732_24","url":null,"abstract":"<p><strong>Background: </strong>There has been a sudden surge in the popularity of OTT (Over-the-top) viewership during the recent pandemic mostly among youngsters. This has also influenced their physical, mental, and social health.</p><p><strong>Objectives: </strong>To find the prevalence of OTT addiction among medical students and evaluate its effect on their physical, mental, and social health. We have also assessed the factors responsible for the preference for OTT over other platforms.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted among consenting medical students, aged 18 years and above, in a medical college in Bhubaneswar from April 2022 to June 2022. The total sample was 423. The participants were selected through convenience sampling. Data was collected through a pre-tested questionnaire shared with the respondent's emails. Data was collected on socio-demographics, OTT usage patterns, the effects of OTT on health, and factors responsible for OTT preference among the students. Data was compiled in Microsoft Excel and analyzed by STATA-17.</p><p><strong>Results: </strong>Out of 430 final participants, 59.43% were males. The prevalence of OTT addiction in our study was 68.37%. OTT addiction was significantly associated with residence (<i>P</i> = 0.044), course year (0.021), duration of OTT usage (<i>P</i> < 0.01), type of content viewed (<i>P</i> = 0.000031), and preferred watch time (<i>P</i> < 0.01). Some factors identified that favor OTT preference were instant content, flexibility, and cost-effectiveness.</p><p><strong>Conclusion: </strong>Almost two-thirds of study participants had OTT addiction. OTT had a significant negative effect on students' physical, mental, and social health.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"1110-1115"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971343","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":"India's millet consumption conundrum: A snapshot from the urban slums of eastern Odisha.","authors":"Prajna Paramita Giri, Mythry Ravichandran, Swayam Pragyan Parida, Binod Kumar Behera, Sonu H Subba","doi":"10.4103/jfmpc.jfmpc_1310_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1310_24","url":null,"abstract":"<p><strong>Introduction: </strong>Millets are small-seeded cereal grains that are highly nutritious, rich in fiber, vitamins, minerals, and antioxidants, and can be grown on arid lands with minimal inputs. Odisha Millets Mission (OMM) is the unique flagship program the Government of Odisha launched in 2017-18 promoting millet consumption. The present study aimed to assess the knowledge, attitude, and practice towards millet consumption among women residing in an urban slum and to identify the barriers and facilitators in the adoption of millet in daily diet.</p><p><strong>Methodology: </strong>A community-based cross-sectional study was conducted in the Urban slum areas of Bhubaneswar. A diverse population of 316 adult women was recruited, including 32 AWWs and their helpers from our study area from August to October 2023. A self-designed, pre-tested, semi-structured questionnaire was prepared and administered to the study participants.</p><p><strong>Results: </strong>All 316 participants demonstrated knowledge about millets, with Ragi being the most commonly recognized type. Among the participants, 222 (70.3%) were currently consuming millet in household practice. A significant majority, 93.4%, believed millet was rich in minerals and vitamins. Additionally, 59% expressed a willingness to try millet-based recipes. However, only 35.6% of participants reported consuming millets daily, and for 56.4% of them, the primary reason for non-consumption was the difficulty in obtaining millets.</p><p><strong>Conclusion: </strong>Adopting millet in the daily diet is possible only through active community participation and awareness. The findings underscore the importance of raising awareness about the nutritional benefits of millet within the community.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 3","pages":"1003-1008"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004775","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}