Journal of Family Medicine and Primary Care最新文献

{"title":"Health literacy among rural adolescents: An emerging concern.","authors":"Shubham J Shivale","doi":"10.4103/jfmpc.jfmpc_551_26","DOIUrl":"10.4103/jfmpc.jfmpc_551_26","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2351-2352"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721727","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 urban child malnutrition through a maternal nutrition lens.","authors":"Shubham J Shivale, Akash Nagar, Supriya S Desai","doi":"10.4103/jfmpc.jfmpc_302_26","DOIUrl":"10.4103/jfmpc.jfmpc_302_26","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2363-2364"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720581","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":"Considering artificial intelligence within innovative medical devices in primary care.","authors":"Samita M Heslin","doi":"10.4103/jfmpc.jfmpc_86_26","DOIUrl":"10.4103/jfmpc.jfmpc_86_26","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2367-2368"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720558","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 three-stage family medicine approach to unmasking vitamin D deficiency in a post-COVID-19 prediabetes patient.","authors":"Hein Minn Tun","doi":"10.4103/jfmpc.jfmpc_2042_25","DOIUrl":"10.4103/jfmpc.jfmpc_2042_25","url":null,"abstract":"<p><p>Vitamin D is essential for musculoskeletal health, and deficiency is frequently linked to pain and weakness. While low vitamin D levels worsen acute Coronavirus disease 2019 (COVID-19) outcomes, their role in post-COVID symptom recovery remains unclear. The American Diabetes Association recommends diabetes screening from age 35, with earlier screening for overweight adults with risk factors. This case study aims to report an occult case of vitamin D deficiency among post-COVID-19 prediabetes patients through the lens of a case study using the three-stage family medicine approach following the CAse REport (CARE) checklist. A 50-year-old woman presented with right forearm pain for two weeks and intermittent numbness in the same arm for two months after recovering from COVID-19. Through clinical, individual, and contextual assessments, neurological and structural causes were excluded, revealing severe vitamin D deficiency (10 ng/mL) and incidental prediabetes (HbA1c 5.9%). Her symptoms were influenced by sedentary post-pandemic behaviour, emotional stress, and limited local healthcare access. Management included non-steroidal anti-inflammatory drugs for symptom relief, high-dose vitamin D supplementation (60,000 IU weekly for 8-12 weeks), lifestyle modification, and psychosocial support, demonstrating the value of holistic care in primary practice. This case illustrates how the three-stage family medicine approach aids in identifying metabolic and nutritional contributors to nonspecific musculoskeletal complaints, addressing patient concerns, and guiding shared management, especially in resource-limited settings. Despite being a single case, it highlights the importance of holistic, patient-centred care and early detection of modifiable risks such as vitamin D deficiency and prediabetes in post-COVID-19 patients.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2322-2327"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723321","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":"Stimulate the tobacco addiction into teenager and younger members by tobacco user family members. Does it important for tobacco prevention and control.","authors":"Sahjid Mukhida, Neha Gawarle","doi":"10.4103/jfmpc.jfmpc_2113_25","DOIUrl":"10.4103/jfmpc.jfmpc_2113_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2370-2371"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723450","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":"Knowledge of emerging hypertension challenges among tribal populations in India: An analytical study among medical and allied health professionals.","authors":"Sudip Bhattacharya, Akash Dasgupta, G Jahnavi, Vinayagamoorthy Venugopal, Sunil Panigrahi, Soumik Ghosh, Richa, Abha Kumari, Sushil Kumar, Dibyanshu, Abhijit Boratne","doi":"10.4103/jfmpc.jfmpc_341_26","DOIUrl":"10.4103/jfmpc.jfmpc_341_26","url":null,"abstract":"<p><strong>Introduction: </strong>Hypertension is a major modifiable risk factor for cardiovascular disease and is increasingly recognized among India's tribal populations, who are experiencing rapid epidemiological and lifestyle transitions. Despite rising prevalence, earlier age of onset, and high levels of undiagnosed and uncontrolled hypertension in tribal communities, national non-communicable disease strategies often inadequately account for their sociocultural, geographic, and health-system contexts. Health professionals play a central role in detection, counselling, and continuity of care; however, evidence regarding their knowledge of emerging hypertension trends and challenges in tribal populations remains limited. This study assessed knowledge levels among medical and allied health professionals in India, and examined factors associated with good knowledge.</p><p><strong>Methods: </strong>A cross-sectional analytical study was conducted among medical and allied health professionals from academic, clinical, research, and programme settings across multiple Indian states. Participants were recruited using purposive sampling and completed a structured, pre-tested, self-administered electronic questionnaire assessing knowledge related to epidemiological trends, sociocultural determinants, health-system barriers, and governance challenges of hypertension in tribal populations. Knowledge scores were computed and categorized as good or inadequate. Descriptive statistics and multivariable logistic regression were used to identify predictors of good knowledge.</p><p><strong>Results: </strong>A total of 247 participants were included. Overall, 55.9% demonstrated good knowledge. High awareness was observed regarding lifestyle transitions, dietary salt intake, alcohol use, seasonal migration, access barriers, and the potential role of telemedicine. However, fewer than half correctly identified early-onset hypertension in tribal populations, and knowledge regarding exclusion of traditional governance structures from non-communicable disease programme was limited. Participants aged 24-30 years had significantly higher odds of good knowledge compared with those aged 18-24 years.</p><p><strong>Discussion: </strong>While awareness of structural and behavioral determinants was relatively high, critical gaps persist in recognizing early-onset disease and governance-related challenges. Addressing these gaps through targeted education and training is essential to strengthen hypertension prevention and control strategies in tribal settings.</p><p><strong>Conclusions: </strong>Knowledge regarding hypertension in tribal populations was good, but important gaps remained in early detection and governance-related issues. Strengthening culturally sensitive training for healthcare professionals is essential for improving tribal hypertension care in India.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2252-2258"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723188","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":"Depression, anxiety, and stress symptoms in patients with cardiovascular diseases attending primary health care centers in Western Saudi Arabia: A cross-sectional study.","authors":"Alhussain Alzahrani, Abdullah Alzahrani, Abdulrahman Bayazeed, Nawaf Aljehani, Faisal Alkahtani, Turki Alqarni","doi":"10.4103/jfmpc.jfmpc_411_26","DOIUrl":"10.4103/jfmpc.jfmpc_411_26","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases (CVDs) remain a major cause of mortality across the globe and are often accompanied by psychological distress, which may worsen disease outcomes.</p><p><strong>Aim: </strong>This study aimed to investigate the frequency and main predictors of depression, anxiety, and stress in patients with CVD.</p><p><strong>Settings and design: </strong>Data were collected in primary health care centers (PHCCs) operated by the Ministry of National Guard Health Affairs in western Saudi Arabia.</p><p><strong>Methods and materials: </strong>A cross-sectional study was conducted among adults with confirmed CVD. Psychological symptoms were assessed using the validated Arabic version of the Depression, Anxiety, and Stress Scale-21. Subscale scores were summed, categorized by standard severity levels, and analyzed using descriptive statistics and forward binary logistic regression to identify predictors exceeding the 'normal' range.</p><p><strong>Statistical analysis used: </strong>Data analysis was performed with IBM SPSS Statistics v31.</p><p><strong>Results: </strong>Among 420 CVD patients (mean age 57.3 ± 11.4; 45.5% female), depression, anxiety, and stress were present in 40.0%, 46.0%, and 30.0%, respectively, while 76.4% had at least one psychological distress symptom. Depression was more common in younger, female, or employed participants; anxiety in females or participants with non-CVD comorbidities or a family history of disability; and stress in participants with a family history of chronic disease or longer CVD duration. Medication adherence was protective across all outcomes.</p><p><strong>Conclusions: </strong>High rates of depression, anxiety, and stress were observed among patients with CVD. Routine psychological screening and structured psychosocial care within PHCCs are recommended.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2304-2308"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724868","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":"Perspectives of mothers regarding infant swaddling and hip health in Riyadh, Saudi Arabia: Behavioral trends and associated determinants.","authors":"Hays S Alfawaz, Rana A Alhazzani, Abdulrhman A Almazrou, Alhassna Alkahmous, Nourah A Alkahmous, Omar A Alkahmous, Aram Aldughayyim, Shatha Y Asiri, Mastourah A Alshahrani, Sarah A Alessa, Ameerah S Assiry, Khulood Y Almaddi, Abdulelah F Alshehri","doi":"10.4103/jfmpc.jfmpc_408_26","DOIUrl":"10.4103/jfmpc.jfmpc_408_26","url":null,"abstract":"<p><strong>Background: </strong>Infant swaddling that restricts physiological hip flexion and abduction has been identified as a modifiable postnatal risk factor for developmental dysplasia of the hip (DDH). Despite increasing biomechanical evidence linking improper swaddling techniques to adverse hip development, caregiver-related determinants of hip-safe swaddling practices remain insufficiently characterized in Middle Eastern populations.</p><p><strong>Objective: </strong>To assess maternal knowledge of DDH and safe swaddling practices and to examine socio-demographic and informational factors associated with knowledge adequacy among mothers residing in Riyadh, Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional web-based survey was conducted among mothers with at least one child aged ≤ 5 years living in Riyadh. Data were collected using a previously validated questionnaire assessing DDH awareness and swaddling practices. Knowledge scores were calculated and categorized using predefined thresholds. Associations between socio-demographic characteristics and knowledge levels were examined using Pearson's Chi-squared test.</p><p><strong>Results: </strong>Among 436 respondents, the mean DDH knowledge score was 67%, while knowledge of correct swaddling practices averaged 46.9%. Higher maternal educational attainment and receiving infant care information from healthcare professionals were independently associated with adequate DDH knowledge. Early DDH screening before 6 months of age was also independently associated with adequate swaddling-related knowledge. Reliance on informal information sources, including family members and social networks, was more frequently observed among participants with lower knowledge scores.</p><p><strong>Conclusion: </strong>Maternal awareness of DDH does not consistently translate into knowledge of appropriate hip-safe swaddling techniques. Integration of anticipatory guidance on safe infant positioning into routine pediatric preventive care may represent a modifiable pathway for reducing caregiver-related DDH risk exposures during early infancy.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2243-2251"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724902","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":"Health workforce status in India and parliamentary questions.","authors":"Harish Gupta","doi":"10.4103/jfmpc.jfmpc_1257_25","DOIUrl":"10.4103/jfmpc.jfmpc_1257_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2347-2348"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13466071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721895","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":"Recalibrating evidence hierarchies in populous low- and middle-income countries: Opportunity cost, epistemic alignment, and the overproduction of systematic reviews.","authors":"Sudip Bhattacharya, Alok Singh, Amarjeet Singh, Niraj N Rishi, Sneha Bharti, Sandeep Kumar Gupta, Nirma Gupta, Akanksha Singh, Deepanshi Saxena, Sunita Sahish, Himanshu Sahu, Astha Amrute, Arti Sharma, Palak Khargonkar, Anshika Pathak","doi":"10.4103/jfmpc.jfmpc_427_26","DOIUrl":"10.4103/jfmpc.jfmpc_427_26","url":null,"abstract":"<p><p>Systematic reviews and meta-analyses (SR-MA) occupy the apex of evidence hierarchies within evidence-based medicine (EBM). Their rapid proliferation over the past three decades has strengthened guideline development and policy formulation but has also generated concerns regarding redundancy, structural bias, and disproportionate prioritization, particularly in low- and middle-income countries (LMICs). To critically examine the overproduction and over prioritization of SR-MA in populous LMIC contexts through the lenses of opportunity cost, epistemic alignment, and global research inequities. A narrative critical review with conceptual synthesis was conducted using structured searches of PubMed/MEDLINE, Scopus, and Google Scholar (January 2024-February 2026). Literature addressing systematic review proliferation, methodological redundancy, publication bias, language bias, authorship inequity, research incentives, and methodological pluralism was included. Interpretive thematic synthesis was undertaken. Rapid expansion of SR-MA has been accompanied by overlapping reviews, variable methodological rigor, and structural biases, including publication and language bias. In LMIC research ecosystems, excessive emphasis on SR-MA may generate opportunity costs by diverting intellectual labour away from primary investigation, pragmatic trials, and translational innovation. Illustrative case studies from North India demonstrate how locally conducted primary research can drive institutional redesign, service innovation, and culturally adapted implementation outcomes not achievable through aggregation alone. While systematic reviews remain indispensable, disproportionate prioritization in populous LMICs risks underutilizing demographic and epidemiological advantage. Recalibrating incentive structures to restore equilibrium between synthesis and discovery is essential for sustainable and context-sensitive global health knowledge production.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2197-2203"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720881","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}