Journal of Family Medicine and Primary Care最新文献_第4页

The Pangi Valley Diet: Characterizing a traditional Himalayan tribal dietary pattern with potential for non-communicable disease protection. Pangi山谷饮食：具有非传染性疾病保护潜力的传统喜马拉雅部落饮食模式的特征

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_371_26

Sunil Kumar Raina

{"title":"The Pangi Valley Diet: Characterizing a traditional Himalayan tribal dietary pattern with potential for non-communicable disease protection.","authors":"Sunil Kumar Raina","doi":"10.4103/jfmpc.jfmpc_371_26","DOIUrl":"10.4103/jfmpc.jfmpc_371_26","url":null,"abstract":"Traditional dietary patterns of isolated indigenous populations have repeatedly demonstrated protective effects against non-communicable diseases (NCDs), yet most defined, named and operationalized protective dietary patterns originate from European or Western contexts. Here characterization of the traditional dietary pattern of the Pangwal and Bot (Bhot) communities of Pangi Valley, Himachal Pradesh, India hereinafter termed the, \"Pangi Valley Diet (PVD)\" as a distinct, named, and scientifically grounded protective dietary pattern analogous to geographically bounded, ecologically constrained dietary pattern whose structural features parallel other cardio metabolic-protective traditional diets like the Mediterranean diet is being proposed. Drawing exclusively on existing ethnographic, nutritional, and ecological literature, this paper describes the compositional features of the PVD, maps its active bioactive constituents to known NCD-protective mechanisms, and proposes a preliminary scoring framework for its operationalisation in research and clinical contexts. The PVD is characterized by low-glycemic index whole grains, fermented foods, high-altitude yak and chauri dairy with favorable fatty acid profiles, wild edible plants with high antioxidant and phytochemical loads, near-zero refined carbohydrate and processed food content, and a naturally favorable sodium-to-potassium ratio. These features, emerging from ecological constraint and centuries of agro-pastoral adaptation rather than dietary prescription, collectively constitute a biologically plausible protective dietary pattern.","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2192-2196"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722427","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}

引用次数: 0

Domestic violence in female trauma patients - A prospective study at a trauma center. 女性创伤患者的家庭暴力——创伤中心的前瞻性研究。

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_1756_24

Djino Khaki, Eva-Corina Caragounis, Mikael Sundfeldt, Karin Svensson Malchau

{"title":"Domestic violence in female trauma patients - A prospective study at a trauma center.","authors":"Djino Khaki, Eva-Corina Caragounis, Mikael Sundfeldt, Karin Svensson Malchau","doi":"10.4103/jfmpc.jfmpc_1756_24","DOIUrl":"10.4103/jfmpc.jfmpc_1756_24","url":null,"abstract":"Introduction: Domestic violence (DV) represents a significant source of suffering, particularly among women as their lifetime risk of DV is 33%, globally. Identifying DV in emergency settings remains a clinical challenge as it is not consistently screened for. The aim of this study was to assess the prevalence of DV in female trauma patients at our trauma center and to describe their injuries, in order to improve targeted care services.Methods: A prospective observational study from September 2021 to September 2022 included women (≥18 years) admitted to Sahlgrenska University Hospital's Trauma Unit in Gothenburg, Sweden. Exclusions comprised non-Swedish residents, post-traffic accident admissions, dementia, or the inability to give informed consent. Patients completed questionnaires on DV history, current DV, type of abuse, substance involvement, relationship duration, and education level. Data on injury, management, and hospital stay were collected.Results: Of 19 included patients, 36.8% (n = 7) experienced DV. None reported sexual abuse. DV-exposed women had a mean age of 53 ± 17 years, while the non-DV group averaged 60 ± 23 years (P > 0.05), with a hospital stay of 2.6 ± 1.9 days and 5 ± 3.4 days, respectively (P > 0.05). To be asked about DV was important to all patients of both groups. Half of the DV-exposed women desired to consult a social worker. Injury patterns did not significantly differ between the groups; however, physically abused women exhibited more contusions, lacerations, and abrasions of the skin in all areas of the body.Conclusion: There is a substantial prevalence of DV among female trauma patients, underscoring the need for medical professionals to consistently screen for DV in all female trauma cases, irrespective of the nature of their injuries.","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2259-2266"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721995","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}

引用次数: 0

Diabetes mellitus, ABO Blood groups, and biochemical correlates in pancreatic cancer- A retrospective study from Jeddah. 糖尿病、ABO血型和胰腺癌的生化相关性——来自吉达的回顾性研究。

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_1942_25

Syed Sameer Aga, Muhammad Anwar Khan, Mohammed S Thabet, Nawaf Muteb Alharbi, Waleed Mohammed Aljehani, Abdulazziz Khalid Alhazmi, Mohammed Fayih Alotaibi, Saniya Nissar

{"title":"Diabetes mellitus, ABO Blood groups, and biochemical correlates in pancreatic cancer- A retrospective study from Jeddah.","authors":"Syed Sameer Aga, Muhammad Anwar Khan, Mohammed S Thabet, Nawaf Muteb Alharbi, Waleed Mohammed Aljehani, Abdulazziz Khalid Alhazmi, Mohammed Fayih Alotaibi, Saniya Nissar","doi":"10.4103/jfmpc.jfmpc_1942_25","DOIUrl":"10.4103/jfmpc.jfmpc_1942_25","url":null,"abstract":"Background: Pancreatic cancer (PC) is the seventh-leading cause of cancer-related death worldwide. Studies have established a 2-fold risk of PC among individuals with diabetes mellitus (DM). In this study, we aimed to determine the prevalence and biochemical correlates of DM and in PC patients.Methods: The current retrospective cross-sectional study was conducted between 2016 and 2022. The study sample included all patients aged >18 who were admitted after a primary diagnosis of PC at our center. A comprehensive review of the charts was conducted to gather demographic data, including diabetes and ABO Rh blood group (BG).Results: A total of 186 PC patients were included, 76 (40.9%) of whom were females and 110 (59.1%) were males. DM was found in 120 (64.5%) patients, of whom 125 (67.2%) were diagnosed pre-PC and constituted 72 (60%) males and 48 (40%) females. The most prevalent type of PC was adenocarcinoma (68.6%), with stage IV being 97.8% of the cases. The most common BG among PC patients was type O in 68 (36.6%) patients, followed by type A in 45 (24.2%). Also, 124 (66.7%) were Rh-positive, while 14 (7.5%) were Rh-negative. Serum CA19-9 was the most commonly detected biomarker, present in 27.4% of patients.Conclusion: The percentage of DM among PC patients was found to be 64.5%, of whom 3.8% were diagnosed after the diagnosis of PC. Blood group O was the most common; however BG type B was associated with a higher risk of DM in (P = 0.028) in PC patients.","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2309-2317"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13466074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722455","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}

引用次数: 0

The prevalence of negative fecal occult blood test (FOBT) among colorectal cancer patients in a tertiary care center. 某三级保健中心结直肠癌患者粪便隐血试验（FOBT）阴性的流行情况。

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_2252_25

Layla M AlBreacan, Hussam Jnaid, Momo Arai, Ziad Helaly

{"title":"The prevalence of negative fecal occult blood test (FOBT) among colorectal cancer patients in a tertiary care center.","authors":"Layla M AlBreacan, Hussam Jnaid, Momo Arai, Ziad Helaly","doi":"10.4103/jfmpc.jfmpc_2252_25","DOIUrl":"10.4103/jfmpc.jfmpc_2252_25","url":null,"abstract":"Objectives: Colorectal cancer (CRC) is the third most common cancer worldwide and a leading cause of death. The fecal occult blood test (FOBT) is a widely used initial screening test; however, its results can be influenced by multiple factors. This study aimed to evaluate the prevalence of negative FOBT among patients with CRC and possible etiologies.Methodology: This case-control study included patients aged 50 years and older who were diagnosed with CRC and underwent FOBT. Risk factors and comorbidities were recorded. FOBT results, Colonoscopy findings, tumor location, and type were investigated.Results: A total of 118 patients diagnosed with CRC, who underwent FOBT were included in this study. Of the 118 patients, 63 were males, and 55 were females, with a mean age of 61.3 years and a mean body mass index of 28.87. The most common comorbidity was hypertension (44.9%). Furthermore, 47.5% of the participants had positive FOBT, and 52.5% had negative FOBT. The most common colonoscopy finding was a mass lesion (49%), which was in the rectum (42.4%). Adenocarcinoma was the most common histopathological diagnosis (81.4%). No significant relationship was observed between FOBT results and other variables.Conclusion: More than half of the CRC cases had negative FOBT despite the distal location and type of the tumor. Screening options should be discussed with patients, and further studies are needed to evaluate noninvasive stool-based tests.","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2224-2229"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724827","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}

引用次数: 0

Understanding helmet compliance through an environmental lens. 从环境角度理解头盔合规性。

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_424_26

Shreya Sengupta, S Adithya Prasad

引用次数: 0

Constant ovulation during oral contraceptive treatment: Follicle-stimulating hormone-secreting pituitary adenoma case report and literature review. 口服避孕药治疗期间持续排卵：促卵泡激素分泌垂体腺瘤病例报告及文献复习。

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_2054_25

Yang Yang, Lin Qiao, Jing Zhang

{"title":"Constant ovulation during oral contraceptive treatment: Follicle-stimulating hormone-secreting pituitary adenoma case report and literature review.","authors":"Yang Yang, Lin Qiao, Jing Zhang","doi":"10.4103/jfmpc.jfmpc_2054_25","DOIUrl":"10.4103/jfmpc.jfmpc_2054_25","url":null,"abstract":"Follicle-stimulating hormone (FSH)-producing pituitary neuroendocrine tumor is very rare and usually present with menstrual disorders, ovarian cysts, polycystic ovary morphology (PCOM), and so on. It is often confused with polycystic ovary syndrome (PCOS) and is difficult to diagnose. Missed or misdiagnosis may lead to unnecessary surgical injury or severe neurologic damage. We describe the case of a 37-year-old woman with persistent menstrual disturbances and ovarian cysts. Because of unceasing ovulation after usage of combined oral contraceptive (COC) she was suspected of having endogenous uncontrolled FSH and eventually a pituitary adenoma was found. In addition, we review the features of onset, diagnostic history, treatment, and prognosis of previous similar reports. We find the symptoms of FSH-secreting pituitary adenomas puzzling. Mild cases are easily overlooked, and severe cases are easily misdiagnosed as ovarian hyperstimulation syndrome and ovarian tumors and receive unnecessary pharmacological and surgical interventions. Attention to abnormal sex hormones is key to diagnosis, and prompt surgical tumor removal is important.","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2341-2346"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724843","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}

引用次数: 0

Brunner's Gland hyperplasia presenting with melenic stools and microcytic anemia: A case report. 勃伦纳腺增生表现为黑便和小细胞性贫血1例。

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_148_25

Zaid Al-Fakhouri, Steve D'Souza, Ala Abdel-Jalil

引用次数: 0

Reconsidering the neural signature of medication overuse headache: Addiction and neuroplasticity perspectives. 重新考虑药物过度使用头痛的神经特征：成瘾和神经可塑性的观点。

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_142_26

Palwasha Asghar

引用次数: 0

Varicella-zoster virus meningitis during amenamevir therapy with measured cerebrospinal fluid drug concentration: A case report. 测量脑脊液药物浓度的阿米那韦治疗期间水痘-带状疱疹病毒性脑膜炎1例报告。

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_473_26

Rina Matsumoto, Hiroshi Horiuchi, Tsuyoshi Otsuka, Hiroshi Miyazaki, Ryosuke Furuya

{"title":"Varicella-zoster virus meningitis during amenamevir therapy with measured cerebrospinal fluid drug concentration: A case report.","authors":"Rina Matsumoto, Hiroshi Horiuchi, Tsuyoshi Otsuka, Hiroshi Miyazaki, Ryosuke Furuya","doi":"10.4103/jfmpc.jfmpc_473_26","DOIUrl":"10.4103/jfmpc.jfmpc_473_26","url":null,"abstract":"Varicella-zoster virus (VZV) meningitis has been reported during treatment with amenamevir (AMNV). Although case reports have raised concerns about its ability to prevent central nervous system (CNS) complications, cerebrospinal fluid (CSF) penetration has not been evaluated. We report the first case of VZV meningitis with measured CSF AMNV concentration. An 80-year-old man developed altered consciousness and dysarthria on day 7 of AMNV therapy for thoracic herpes zoster. The CSF AMNV concentration on admission was 0.086 µmol/L (41.3 ng/mL), measured 20-24 h after the last dose, within the reported in vitro half-maximal effective concentration (EC50) range for VZV (0.055-0.10 µmol/L) in Japan; however, the clinical relevance of this comparison remains uncertain. The patient's condition improved rapidly after initiation of acyclovir therapy. This case provides the first direct evidence that AMNV reaches the CSF. However, whether CSF exposure is sufficient to prevent CNS complications or attenuate disease severity remains unclear.","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2338-2340"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13466070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722432","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}

引用次数: 0

Minor surgical procedures in primary care in Bahrain: Attitudes, barriers, and implications. 巴林初级保健中的小外科手术：态度、障碍和影响。

IF 1.1

Journal of Family Medicine and Primary Care Pub Date : 2026-06-01 Epub Date: 2026-07-27 DOI: 10.4103/jfmpc.jfmpc_137_25

Noor Almahdi, Maryam Sayyar, Noor S Najeeb, Fatema Almoallem, Huda Almahal, Hala AlFarra, Mohamed Mandeel

{"title":"Minor surgical procedures in primary care in Bahrain: Attitudes, barriers, and implications.","authors":"Noor Almahdi, Maryam Sayyar, Noor S Najeeb, Fatema Almoallem, Huda Almahal, Hala AlFarra, Mohamed Mandeel","doi":"10.4103/jfmpc.jfmpc_137_25","DOIUrl":"10.4103/jfmpc.jfmpc_137_25","url":null,"abstract":"Background: Minor surgical procedures (MSPs) are integral to the primary health care, offering efficient and cost-effective treatment for common ailments. This study investigates the current state of MSPs within local health centres in Bahrain, exploring primary care physicians' (PCPs) attitudes toward these procedures and identifying the challenges they face.Methods: A cross-sectional study was conducted among 367 PCPs in Bahrain using a validated questionnaire. The questionnaire explored PCPs' demographics, their attitudes toward performing MSPs, the frequency of performing MSPs, and perceived barriers to conducting these procedures.Results: The study revealed that 75.1% of PCPs in Bahrain perform MSPs. While most PCPs expressed a positive attitude towards performing MSPs and recognised their benefits to the patients, several barriers were identified. Lack of training (90.5%), lack of clinical experience (78.6%), and insufficient time (72.6%) were perceived as the most significant obstacles. Female physicians reported facing significantly higher barriers compared to males.Conclusion: This study highlights the need for greater support for PCPs performing MSPs in Bahrain. Addressing barriers such as the lack of training, time constraints, and concerns about complications through targeted interventions, including enhanced training programs and the provision of dedicated time and resources, can empower PCPs to confidently expand their scope of practice and deliver comprehensive patient-centred care.","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 6","pages":"2204-2209"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723118","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}

引用次数: 0