Journal of Family Medicine and Primary Care最新文献

{"title":"Multidisciplinary interventional approach in management of acute pancreatitis-changing trends over the time.","authors":"Abhinav Gupta, Jyoti Jindal, Vikas Garg, Veenu Gupta, Prabhdeep Singh Nain","doi":"10.4103/jfmpc.jfmpc_1599_24","DOIUrl":"10.4103/jfmpc.jfmpc_1599_24","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of multidisciplinary management on mortality and morbidity in acute pancreatitis (AP) patients and to investigate the clinical profile and intervention requirements in patients with peripancreatic collections.</p><p><strong>Materials and methods: </strong>A prospective observational study was conducted in 100 AP patients admitted to a tertiary care hospital in Ludhiana. Statistical analysis was performed using SPSS21 software (SPSS Inc., Chicago, IL, USA).</p><p><strong>Results: </strong>Of the 100 cases, 27% were in the 31-40 age group, with a male predominance (67%) and biliary etiology (44%). Radiological evidence of pancreatitis was present in 90% of cases, with peripancreatic collections in 53%. Interventions included nasojejunal feeding tube (NJFT) (66%), Percutaneous catheter drainage (PCD) insertion (34%), necrosectomy (11%), therapeutic endoscopic retrograde cholangiopancreatography (5%), and cholecystectomy (3%). Out of 100 patients, there was need for ICU admission in 58%, ventilatory support in 25%, and inotropes in 31% of the patients. Bacterial growth was detected in 90.9% of peripancreatic collection samples, with Klebsiella being the most common isolate. The mean length of stay was 19 days, with a final outcome of discharge (71%), discharge against medical advice (24%), and mortality (5%).</p><p><strong>Conclusion: </strong>This study demonstrates a significant relationship between the severity of AP and the need for interventions, which affects the final outcome of patients, resulting in decreased morbidity and mortality.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3287-3291"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212775","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":"Exploring the motivations and challenges of private dental practitioners in rural India: A qualitative analysis.","authors":"Vaibhav Kohli, Pankaj Chaudhary, Ayush Razdan Singh, Priyanka Bhushan, Nancy Srivastava, Rohit Sharma, Kumar Gaurav Chhabra, Mrunal Meshram","doi":"10.4103/jfmpc.jfmpc_1953_24","DOIUrl":"10.4103/jfmpc.jfmpc_1953_24","url":null,"abstract":"<p><strong>Introduction: </strong>Considering the contribution of the oral health care mandate in meeting the dental needs of the rural dwellers and apprehension on the declining number of dentists in the rural areas, there is still a dearth of empirical evidence on dentists' motives and working rural environment.</p><p><strong>Aim and objective: </strong>To understand the rewards and roadblocks by private dental practitioners in rural localities.</p><p><strong>Materials and methods: </strong>A qualitative study was conducted using purposive sampling, on practicing private dentists in rural neighborhoods. A semistructured interview was performed of participating dentist at their respective place of work. All interviews were audio recorded, transcribed, and coded using pre-set and emergent codes. Data were collected until study reached thematic saturation.</p><p><strong>Results: </strong>Twenty-eight participants including 19 men and 09 women working privately in rural areas of India were part of the study. Six main themes were identified: Familiarity, education, clinical care delivery, financial factors, village proximity to city and lack of facilities. The most influential of these themes were rural upbringing which had a positive influence and lack of facilities was considered unappealing for dental practitioners to live.</p><p><strong>Conclusion: </strong>These results stress the continuity of rural background in dentist's decision to practice in rural areas. The living standards of the rural population should be improved and villages' access by construction and rehabilitation of rural roads should be improved. The abovediscussed factors should be taken into considerations to determine how to take appropriate measures for eradicating the social inequalities in availability of dental practitioners.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3292-3297"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212871","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":"Relationship between levels of postnatal depression and its correlates; neonate's birth order and mother's age among new mothers.","authors":"Anupama Korlakunta, B Gangabhavani, V Karpugam, D Sarada","doi":"10.4103/jfmpc.jfmpc_1868_24","DOIUrl":"10.4103/jfmpc.jfmpc_1868_24","url":null,"abstract":"<p><strong>Context: </strong>Postnatal depression (PND) is a well-known cause of distress among new mothers depicting a significant public health problem affecting women, neonates, and the family.[1] During the postnatal period, there is a rise in the physical and emotional pressure on the mother, and the exhaustion associated with PND may affect her capacity as a mother to provide love and care to the newborn.</p><p><strong>Aims: </strong>To study the relationship between the levels of PND and new mothers' age and birth order of the neonates.</p><p><strong>Settings and design: </strong>Hospital setting and cross-sectional research design.</p><p><strong>Methods and material: </strong>The cross-sectional study was conducted on 100 new mothers in the first week of their delivery by administering the Telugu version of the Edinburgh Postnatal Depression Scale (EPDS).</p><p><strong>Statistical analysis used: </strong>The data was analyzed using SPSS 27 (2019) for ANOVA, F test, and Chi-square test.</p><p><strong>Results: </strong>The majority (90%) of mothers had moderate PND with EPDS scores between 11-20 and 6% had high PND with EPDS scores between 21-30 and the sample mean EPDS scores ranged from 1.23 to 2.14. The results of the one-way analysis of variance indicated that the sample did not differ significantly (<i>P</i> = 0.5 and <i>P</i> > 0.05) in their levels of EPDS scores with regard to their age. On the contrary, there was a significant association found between the birth order of the neonate and levels of PND of new mothers (<i>n</i> = 100) under study.</p><p><strong>Conclusions: </strong>The findings of the study reiterates that the levels of PND among new mothers had no relationship with their age but showed a strong relationship with their neonate's birth order and recommends screening new mothers for PND.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3239-3243"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212886","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":"Sinonasal carcinoma: A rare case report.","authors":"Jyoti P Sapre, Kirti N Vyas","doi":"10.4103/jfmpc.jfmpc_349_25","DOIUrl":"10.4103/jfmpc.jfmpc_349_25","url":null,"abstract":"<p><p>Carcinoma of the nose and paranasal sinuses is an uncommon tumour accounting for less than 1% of all malignancies and about 3% of head and neck malignancies. It is more common in fifth and sixth decades with increased male preponderance. Occupational exposure to nickel has been known to increased its occurrence. Here we present a case of 25-year male presenting with right sided nasal blockage and pain in the right eye with swelling for 2 months. Imaging studies revealed a large soft tissue density with involvement of surrounding structures with bony erosion and extension to the orbit. Histopathology and Immunohistochemistry confirmed the diagnosis of poorly differentiated sinonasal carcinoma non keratinising type.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3575-3577"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212920","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":"Impact of treatment modality on cognition in older adults with type 2 diabetes mellitus.","authors":"Porimita Chutia, Shailendra Mohan Tripathi","doi":"10.4103/jfmpc.jfmpc_1859_24","DOIUrl":"10.4103/jfmpc.jfmpc_1859_24","url":null,"abstract":"<p><strong>Introduction: </strong>Cognitive impairment impacts functionality and health outcomes in older adults with diabetes mellitus. Crucially, managing diabetes involves many self-management activities that require adequate cognitive abilities. Pharmacological therapy for diabetes mellitus in older persons should address both cognitive functions and glycaemic control.</p><p><strong>Objective: </strong>To examine the relationship between the treatment modality of diabetes and cognitive functions in the elderly.</p><p><strong>Methodology: </strong>A cross-sectional hospital-based study of older adults with type 2 diabetes mellitus over 1 year was conducted. Sociodemographic, relevant clinical details were obtained; Mini-Mental Status Examination (MMSE), Digit Symbol Substitution Test (DSST), Rey Auditory Verbal Learning Test (RAVLT), Trail-Making B test, F-A-S fluency, and categorical fluency test were assessed. Descriptive statistics, a generalized linear model, and a structural equation model with path analysis were performed to understand the relationship between treatment modality for diabetes and cognitive functions in the elderly.</p><p><strong>Results: </strong>A total of 134 diabetic patients with a mean age of 68.06 + 6.29 years were assessed. The oral hypoglycaemic agent (OHA) treatment group has significantly better glycaemic control than the insulin group (<i>P</i> value < 0.001). The OHA treatment group performed significantly better in DSST, Trail-Making B test, F-A-S fluency, categorical fluency, and RAVLT (delayed recall, immediate memory). The OHA treatment group has a significant association with all cognitive test scores except DSST, RAVLT immediate memory, and learning which is further strengthened with SEM analysis.</p><p><strong>Conclusion: </strong>Compared to insulin, OHA has a beneficial effect on cognition in older adults with type 2 diabetes mellitus.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3444-3450"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212928","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":"From awareness to action: Strengthening POCSO with the Barnahus approach.","authors":"Srihari Prabu, Priyanga Chandrasekaran, Priyadharshini Ragavane","doi":"10.4103/jfmpc.jfmpc_2052_24","DOIUrl":"10.4103/jfmpc.jfmpc_2052_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3604-3605"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212952","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":"Study risk factors, clinical profile, and outcome in hospitalized COVID-19 geriatric patients.","authors":"Pankaj Sahu, Puja Kumari","doi":"10.4103/jfmpc.jfmpc_1770_24","DOIUrl":"10.4103/jfmpc.jfmpc_1770_24","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Coronaviruses are from the family of viruses that cause respiratory illness in humans. Severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and the common cold are examples of coronaviruses that cause illness in humans. COVID-19, the new strain of coronavirus was first reported in Wuhan, China in December 2019. The virus has since spread all over the world creating havoc. The zoonotic origin of the virus has been a significant area of investigation. The infected person spreads the virus to two or three other people in a chain reaction-like pattern. India, like many countries, experienced a significant number of confirmed cases and deaths.Variations in fatality rates were observed globally.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The aim of the study is to study risk factors, clinical profile, and outcomes in hospitalized elderly (age &gt;60) with COVID-19 and the correlation of disease severity with comorbidities and laboratory and radiological parameters by comparing the differences between young elderly (60-70 years old), old elderly (71-80 years old), and very old elderly (&gt;81 years old). It is important to identify the risk factors and high-risk groups to aid early, aggressive intervention, facilitate equitable hospital resources, and alleviate the critical care crisis that has arisen in the country and the world.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;This is a retrospective observational study of all the hospitalized elderly patients (&gt;60 years old) who were diagnosed with COVID-19 and admitted to a tertiary care hospital from April 1, 2020, to December 31, 2020. Data such as clinical history along with associated comorbidities, clinical parameters, radiological imaging, signs and symptoms, treatment given and oxygen requirements, and hospital stay including ICU were collected from a computer-based data acquisition system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Out of 654 confirmed hospitalized elderly patients with COVID-19, 60.1% (&lt;i&gt;n&lt;/i&gt; = 393) were young adults, 31.2% (&lt;i&gt;n&lt;/i&gt; = 204) were old adults and 8.7% (&lt;i&gt;n&lt;/i&gt; = 57) were very old adults. Among these, hypertension, diabetes mellitus, hypothyroidism, and chronic artery disease (CAD) were the most common comorbidities in the data collected. The frequent symptoms observed were fever in almost 89% of the patient's upper respiratory tract infection (which commonly includes sore throat, nasal stuffiness, runny nose, and cough) was observed in more than 60% of the admitted patients, and approximately 20% of the patient's complaint of shortness of breath (SOB). Adults above 60 years are considered vulnerable group who are more prone to develop severe disease and tend to have more complications as the age increases. The number of ICU admissions is also amplified with age and related comorbidity. It is observed in the study that the duration of hospital stay is reduced significantly with the advent of antiviral use such as Remdesivir and other exper","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3211-3219"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212959","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":"To study the effect of children diagnosed with autism spectrum disorder on lives of parents and problems, challenges faced by them.","authors":"Praneta Swarup, Poonam Chillar Vij, Amit Vij, Pradeep Kumar, Romana Amin Wani, Vinayak Upadhyay, Priya Ambawata, Abhinav Dhankar, Kunal Kumar, Abhinit Kumar","doi":"10.4103/jfmpc.jfmpc_1678_24","DOIUrl":"10.4103/jfmpc.jfmpc_1678_24","url":null,"abstract":"<p><strong>Background: </strong>Autism spectrum disorder (ASD) poses significant challenges not only to affected children but also to their families, particularly parents. The impact of ASD on parents' psychological, emotional, and social well-being can lead to increased stress and reduced quality of life.</p><p><strong>Method: </strong>This hospital-based observational cross-sectional study was conducted over six months (January to June 2024) at the Department of Pediatrics, School of Medical Sciences and Research, Greater Noida. Ethical clearance was obtained, and informed consent was acquired from parents of children diagnosed with ASD visiting the Pediatrics Outpatient Department.</p><p><strong>Result: </strong>Among the participants, a majority were female (56.0%), with most parents aged 31-40 years (65.5%). Many parents reported inadequate support, with 31.5% feeling they received \"a little\" support. Satisfaction rates varied: 45.5% were satisfied with sleep, and 46.0% with daily living activities. Notably, 32.5% of respondents experienced negative feelings \"very often.\"</p><p><strong>Conclusion: </strong>Parents of children with ASD face diverse challenges, including inadequate support and emotional distress. The findings underscore the need for targeted interventions and support programs to enhance their quality of life.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3220-3224"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213007","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":"Transformative stories of Accredited Social Health Activists under National Health Mission in tribal district of Chhotaudepur, Gujarat, India.","authors":"Megha Sidhpura, Anjali Pahad, Nikunj Makwana","doi":"10.4103/jfmpc.jfmpc_1873_24","DOIUrl":"10.4103/jfmpc.jfmpc_1873_24","url":null,"abstract":"<p><strong>Context: </strong>The National Health Mission (NHM) of India aims to provide accessible healthcare to rural populations by employing trained female community health volunteers known as Accredited Social Health Activists (ASHAs). ASHAs, selected from the villages they serve, act as a bridge between the community and the public health system.</p><p><strong>Aims: </strong>The study aimed to create a detailed profile of ASHAs and document the transformative improvements in their lives, particularly at the personal level and in terms of their relationships with their families, communities, and health care system.</p><p><strong>Settings and design: </strong>A mixed-methods approach was used, with surveys and six focus group discussions (FGDs) across Chhotaudepur-a tribal district of Gujarat.</p><p><strong>Methods and material: </strong>Data from ASHAs were collected through a questionnaire and theme guide.</p><p><strong>Statistical analysis used: </strong>Survey results were analysed using frequency and percentage distribution, while content analysis identified key themes in transcribed discussions.</p><p><strong>Results: </strong>The findings indicated significant positive changes in the lives of ASHAs. On a personal level, ASHAs felt empowered and more confident in their roles as community health workers. There was a noticeable shift in the perspectives of their families, who now viewed them with increased respect as they have been financially independent and started supporting their families. Similarly, communities and government health officials began to recognize the vital role ASHAs play in improving healthcare access.</p><p><strong>Conclusion: </strong>Overall, the study highlights the transformative impact of the NHM program on ASHAs, both personally and within the broader socio-cultural and healthcare framework.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3244-3251"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213030","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":"Tweeples' concerns during the early phase of COVID-19 Pandemic - Lessons for the future public health communications: A Twitter-based mixed methods study.","authors":"Harshal B Sonekar, Kumaravel Ilangovan, Suganya Barani, Sendhilkumar Muthappan, Gowtham Sockalingam, Malathi Mathiyazhakan, Manickam Ponnaiah","doi":"10.4103/jfmpc.jfmpc_1556_24","DOIUrl":"10.4103/jfmpc.jfmpc_1556_24","url":null,"abstract":"<p><strong>Background: </strong>During COVID-19, the government and public health sectors used Twitter for disseminating information on health, awareness and preventing measures. However, resources on infodemics of the public responses and their personal expressions in the evolutionary stages of the pandemic at a global level is limited. We explored the topics discussed by the Tweeples related to COVID-19.</p><p><strong>Methods: </strong>We retrieved English language tweets from 25 December 2019 to 26 March 2020 containing the keywords 'Corona' or 'nCoV' or 'Covid' or 'SARS' or 'virus' using the Twitter's application programme interface (API) in Python 3.7 with predefined codes. Trend graphs were generated using the counts and proportions of keyword tweets and the number of retweets of the keyword tweets. We performed thematic analysis with selected 1400 (100 from every Thursday) tweets for emerging topics and critically appraised the themes.</p><p><strong>Results: </strong>We identified that Tweeples' were discussing the coronavirus pandemic a week before official notification. 'Corona' (60%) and 'COVID' (26%) were the most popular terms. We constructed six common themes including awareness, emotions, beliefs, politics, economy and controversies. Key topics of the tweets during the early stages were the economic impact and scientific information of COVID-19, stigma and discrimination, general awareness, personal reactions, social support and conspirational theories.</p><p><strong>Conclusion: </strong>During the evolutionary phase of the COVID-19 pandemic, a rapid knowledge transition was observed. Twitter as a vibrant social media can be used for early identification of disease outbreak, perception and communication of the community, thus complementing the existing disease-surveillance and management systems.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3252-3258"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213048","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}