Journal of Family Medicine and Primary Care最新文献

{"title":"Psychological distress, coping mechanisms, and quality of life among infertile women in rural and urban Salem: A cross-sectional study.","authors":"Priyanka Krishnamoorthy, Sendilkumar Balasundaram, Indra Sambasivam, Tamilchudar Raju, K Srividhya, L Gayathri","doi":"10.4103/jfmpc.jfmpc_284_25","DOIUrl":"10.4103/jfmpc.jfmpc_284_25","url":null,"abstract":"<p><strong>Background: </strong>Infertility is a major stressor for women, influenced by healthcare access, social stigma, and support systems. This study compares stress levels, coping strategies, and quality of life between infertile women in rural and urban Salem.</p><p><strong>Objectives: </strong>To assess stress levels, coping mechanisms, and quality of life among infertile women in rural and urban areas and to explore challenges and coping effectiveness in these regions.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 125 infertile women from rural and urban Salem attending fertility clinics. Convenience sampling was used, and data were collected via the Depression Anxiety Stress Scale (DASS-21), Coping Inventory for Stressful Situations (CISS), and WHOQOL-BREF quality of life scale. Statistical analysis was performed using the trial version of IBM, SPSS-16.</p><p><strong>Results: </strong>Significant differences were found between rural and urban women. There was a significant association between area (urban vs rural) and physical health (χ² = 67.862, df = 3, <i>P</i> < 0.001). Urban participants generally reported better physical health than rural participants. A significant association was found between area and psychological health (χ² = 46.645, df = 3, <i>P</i> < 0.001), with urban participants showing better psychological health compared to their rural counterparts. A strong association was found between area and social relationships (χ² = 99.885, df = 2, <i>P</i> < 0.001). Urban participants reported better social relationships, while rural participants reported lower levels of social support. Significant differences in environmental health were also observed between urban and rural participants (χ² = 74.523, df = 2, <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>This study highlights disparities in mental health outcomes and coping effectiveness between rural and urban infertile women. Urban women benefit from better healthcare and support, whereas rural women face challenges with healthcare access and coping strategies. Targeted interventions are needed to improve healthcare and psychological support for rural populations to reduce the emotional burden of infertility.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3332-3337"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212942","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":"Prevalence and sociodemographic correlates of second-hand smoke exposure among nonsmoking adults in district Rohtak, Haryana.","authors":"Vinod Chayal, Shravan Kumar Sasidharan, Ramesh Verma, Meenakshi Kalhan, Yogender Singh, Sadam Hussain, Mohit Rohilla, Rohit Yadav, Bhavana Shivaji, Bidipta S Gupta","doi":"10.4103/jfmpc.jfmpc_288_25","DOIUrl":"10.4103/jfmpc.jfmpc_288_25","url":null,"abstract":"<p><strong>Background: </strong>Second-hand smoke (SHS) accounts for 0.9 million deaths and 24 million disability adjusted life years annually. SHS exposure has been associated to a wide range of diseases thus far, with the majority of studies focused on the link between SHS exposure and the development of cardiovascular disorders or lung cancer.</p><p><strong>Objectives: </strong>The objectives of the study were to estimate the prevalence of SHS exposure and identify its sociodemographic correlates among nonsmokers and also to assess knowledge and attitude toward SHS among nonsmokers in adults.</p><p><strong>Methodology: </strong>The study included 400 subjects where 200 each was recruited from rural and urban areas. Twenty were selected randomly using survey registers from each of the ten subcentes from rural areas. From urban areas, 66 subjects were selected randomly from three urban health posts. Data collection included information that was recorded on a predesigned, pretested semistructured interview schedule.</p><p><strong>Results: </strong>The prevalence of second-hand exposure at home was found to be 44% and 54% in urban and rural areas, respectively, whereas at workplaces, it was found to be 50.5% and 60.9%. It also reflected SHS exposure at home is significantly associated with study area, age category, occupation, and education, while SHS exposure at workplaces is significantly associated with occupation, education, and socioeconomic scale.</p><p><strong>Conclusion: </strong>The study highlights a high prevalence of second-hand smoke exposure among nonsmokers in both rural and urban areas, particularly at home and workplaces. Sociodemographic factors such as age, occupation, education, and socioeconomic status significantly influence SHS exposure. These findings underscore the need for targeted public health interventions, including awareness campaigns and policy enforcement, to reduce SHS exposure and protect nonsmokers from its harmful effects.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3298-3304"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212945","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":"Prevalence and risk factors of postpartum psychiatric illness in Sub-Himalaya hilly region: A community-based cross-sectional study.","authors":"Harpreet Kaur, Jitesh Jitesh, Anupama Dhiman, Jyoti Gupta, Rishab Dhiman","doi":"10.4103/jfmpc.jfmpc_2078_24","DOIUrl":"10.4103/jfmpc.jfmpc_2078_24","url":null,"abstract":"<p><strong>Background: </strong>Perinatal mental health disorders affect maternal and child health significantly. It can manifest as postpartum blues, postnatal depression or a more severe form as postpartum psychosis. Mostly, postpartum mental health disorders remain undiagnosed and untreated and there is paucity of data on the true prevalence of these disorders in the community.</p><p><strong>Methods: </strong>The present study has been conducted as a community-based cross-sectional study on postpartum and post-abortion women in the sub-Himalayan hilly area of India. The main objective of the study was to know the prevalence of perinatal mental health disorders and it's risk factors in the community through structured questionnaires and interviews during the postpartum period. Edinburgh postnatal depression scale (EPDS) and Bebbington and Nayani questionnaire were used to screen for depression and postpartum psychosis, respectively.</p><p><strong>Results: </strong>A total of 526 eligible participants were screened, and the overall prevalence of perinatal mental health disorders in our study was 31% (163/525), with 16% (85/525) having postpartum blues and 15% (78/525) having postpartum depression. Among the obstetric factors, having a preterm delivery was found to be associated with increased chances of postpartum depression. (14% vs 8%, <i>P</i> = 0.250). None of the sociodemographic factors studied showed a significant association with postpartum depression.</p><p><strong>Conclusion: </strong>The study elaborates on the prevalence of perinatal mental illness in our community and various risk factors affecting the chances of women having these problems. Delivery of a preterm baby was found to be associated with increased chances of postpartum depression.<b>Key message:</b> Perinatal mental health is an important aspect of maternal and child health. Most perinatal mental problems remain undiagnosed and untreated, thus posing a serious hazard to maternal and neonatal health.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3497-3504"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The TPP (time, place, person) triad: A framework for compassionate end-of-life care.","authors":"Himanshu Prince, Namrata Yadav, Abhishek Kumar, Ajit Raj Verma, Brajesh Kumar Ratre, Mohit Kumar Saini","doi":"10.4103/jfmpc.jfmpc_219_25","DOIUrl":"10.4103/jfmpc.jfmpc_219_25","url":null,"abstract":"<p><strong>Background: </strong>Integrating the \"Time, Place, and Person\" (TPP) framework into palliative care has been shown to improve patient satisfaction and quality of life by addressing key aspects of end-of-life care. This approach considers the time remaining, preferred location for death, and the presence of loved ones, all of which contribute to a more holistic and compassionate care experience.</p><p><strong>Aim: </strong>To identify the most important factors in end-of-life care for palliative care patients, with a focus on the Time, Place, and Person (TPP) triad.</p><p><strong>Design: </strong>Analytical study using a survey method to gather data on patient preferences regarding key end-of-life care factors. Statistical analysis was performed using Chi-Square tests to assess the significance of responses.</p><p><strong>Setting/participants: </strong>The study was conducted at Kalyan Singh Super Specialty Cancer Institute in Uttar Pradesh, India, from January to November 2024 using convenience sampling. Fifty-three patients with confirmed malignancy who were enrolled in the Palliative Care Outpatient Department participated in the study.</p><p><strong>Results: </strong>The most frequently selected factors were \"Time remaining\" (23 responses), \"Place of death\" (21 responses), and \"Presence of loved ones\" (18 responses). Chi-square analysis (χ² =7.7, <i>P</i> = 0.0055) confirmed that these top three factors were significantly more important than the others.</p><p><strong>Conclusion: </strong>The Time-Place-Person (TPP) triad plays a crucial role in improving the quality of end-of-life care. Early discussions on time remaining, preferred place of death, and the presence of loved ones can help tailor care plans that enhance patient satisfaction and comfort during the final stages of life.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3305-3308"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213004","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":"Time-to-time changes in Aadhar-enabled biometric attendance system and medical colleges.","authors":"Sahjid Mukhida, Nikunja K Das","doi":"10.4103/jfmpc.jfmpc_1631_24","DOIUrl":"10.4103/jfmpc.jfmpc_1631_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3600-3601"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213015","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 cross-sectional study on long covid, cognition and neurasthenia-one year post covid.","authors":"Ajmal Anjum, Insha Rauf, Syed Mehvish, Shaheena Parveen, Arshad Hussain","doi":"10.4103/jfmpc.jfmpc_1313_24","DOIUrl":"10.4103/jfmpc.jfmpc_1313_24","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has led to long-term health effects in some patients, known as long COVID. This study aimed to delineate the symptoms of long COVID-19 and determine the presence of neurasthenia in patients one year after COVID-19 infection while excluding other potential causes of fatigue.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 512 RT-PCR-confirmed COVID-19 patients attending a follow-up clinic at least one year after infection. After excluding patients above 60 years, those with pre-existing psychiatric disorders, medical co-morbidities, and current psychiatric diagnoses, 87 patients were included in the final analysis. Patients were evaluated using the Schedule for Clinical Assessment in Neuropsychiatry (SCAN), Fatigue Severity Scale (FSS), and memory scale of PGI-BBD. A semi-structured questionnaire assessed changes in activities of daily living.</p><p><strong>Results: </strong>Of the 87 patients, 43 (49.4%) fulfilled the ICD-10 criteria for neurasthenia. Fatigue interfering with daily activities was reported by 41.3% of patients, with a mean FSS score of 6.1 in those with neurasthenia. Other symptoms included muscular aches (35.6%), tension headaches (27.5%), and weakness (31%). Cognitive difficulties, specifically problems with attention and concentration, were observed in 8% of patients. The severity of the initial COVID-19 infection did not correlate with the risk of developing neurasthenia.</p><p><strong>Conclusion: </strong>Long COVID symptoms, particularly those resembling neurasthenia, persist in a significant proportion of patients one year after infection. The syndrome of long COVID shows similarities to the ICD-10 diagnosis of neurasthenia, suggesting a potential link between post-COVID symptoms and chronic low-grade inflammation. These findings highlight the need for recognition and management of long-term COVID-19 effects in public health policies.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3205-3210"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212446","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":"Clinical characteristics and prognosis of lichen planus: An experience from a teaching Hospital of Pakistan.","authors":"Sadia Tabassum, Khadija Bano, Maria Khan, Noor Sahar, Shaheen Naveed, Uzma Ahsan, Sadia Masood","doi":"10.4103/jfmpc.jfmpc_1635_24","DOIUrl":"10.4103/jfmpc.jfmpc_1635_24","url":null,"abstract":"<p><strong>Background: </strong>Lichen planus (LP) is an inflammatory skin disease, characterized by pruritic, violaceous papules with adnexal involvement in some patients. There is scarce literature about clinical presentations of LP in Pakistan and south Asian region.</p><p><strong>Objective: </strong>We aimed to assess the clinical characteristics and prognosis of LP in outpatients of a tertiary-care hospital in Karachi, Pakistan.</p><p><strong>Materials and methods: </strong>A retrospective file review was conducted, from January 2017 to December 2020. Data were retrieved from coded dermatology outpatients' database. All files with clinical and/or histopathological diagnosis of LP were included in the study. While collecting data, we found missing information, in these cases, telephonic calls were made. Data were analyzed using IBM SPSS version 2 (Armonk, NY).</p><p><strong>Results: </strong>A total of 185 records were reviewed, with mean age of 40.5 ± 17.52 years (0.07), and female predominance of 64.3% (<i>P</i> value 0.002). The most common comorbidity was hypertension, found in 14.8% (<i>n</i> = 28), followed by diabetes mellitus in 11.1% (<i>n</i> = 21) patients. A positive family history for LP was found in 4.8% (<i>n</i> = 4). The mean duration of lesions was 3.61 ± 4.43 years, with a maximum of 28 years (<i>P</i> value 0.07). The most common type of LP was cutaneous, in 51.8% (<i>n</i> = 72). The most common site of lesions was the legs (22.2%, <i>n</i> = 42). Fifty-five patients had HCV screening which was negative. Among topical medications, corticosteroids were the most commonly prescribed medications (<i>n</i> = 109, 57.6%) followed by Tacrolimus (<i>n</i> = 58.29%).</p><p><strong>Conclusion: </strong>Cutaneous LP without adnexal involvement was found to be the most common type with female predominance. The most frequent comorbidity seen was hypertension and diabetes. There was no association found in patients whose HCV status was known with LP. Duration of disease was variable with maximum 28 years.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3275-3278"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212777","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":"Comparative study of effect of high intensity interval training and playing mobile games on reaction time in young adults using a Stroop test.","authors":"Arun Chutani, Sonali S Pande","doi":"10.4103/jfmpc.jfmpc_266_25","DOIUrl":"10.4103/jfmpc.jfmpc_266_25","url":null,"abstract":"<p><strong>Background and aim: </strong>Enhanced cognitive abilities are imperative across all facets of life, right from decision making, hazard avoidance to athletic performance and procedural efficiency. The impact of mobile technology on cognition has been an area of profound scientific inquiry. The present study aimed to examine and compare the effects of high-intensity interval training (HIIT) and playing endless running mobile games on cognitive functions in 60 young adults, aged 18-25 years. They were divided into two groups, Group 1 practiced HIIT alone for 4 weeks, while Group 2 practiced HIIT coupled with playing mobile game, during the same period. Stroop Colour and Word test, a widely used test in cognitive psychology, was used to assess the cognitive performance which efficaciously measures selective attention, processing speed, and interference resolution.</p><p><strong>Materials and methods: </strong>ANOVA, <i>post hoc</i> range tests and pairwise comparisons were used for analyses of Stroop test scores and <i>P <</i> 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Significant improvements in reaction time, at the end of 4 weeks was observed in the complete study group, suggesting positive effects of practicing HIIT on cognitive domain. However, comparing the reaction time scores between the two test groups, HIIT-only (group 1) and HIIT-plus-mobile game (group 2) exhibited no significant differences suggesting no added benefits of adding mobile games to practicing HIIT.</p><p><strong>Conclusion: </strong>This novel study demonstrates that high-intensity interval training (HIIT) by itself, is an effective method for augmenting cognitive performance indices, like reaction time, in young adult population of 18-25 years, with mobile games providing no additional benefits. Limitation: Further study is indicated in a larger cohort to explore the long-term impact of HIIT on broader range of cognitive abilities.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3368-3375"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212826","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":"Identification of <i>Pantoea agglomerans</i> in a patient with chronic abdominal sinus.","authors":"Krati Agarwal, Kumari N Singh, Atul R Rukadikar, Vivek Hada, Aroop Mohanty, Parul Singh, Vinayak Agrawal","doi":"10.4103/jfmpc.jfmpc_109_25","DOIUrl":"10.4103/jfmpc.jfmpc_109_25","url":null,"abstract":"<p><strong>Introduction and importance: </strong><i>Pantoea agglomerans</i>, a yellow-pigmented, gram-negative aerobic non-sporing bacillus belonging to the family Enterobacteriaceae, is an opportunistic pathogen often associated with infections in immunocompromised individuals. This report highlights a case of <i>P. agglomerans</i> identified in the peritoneal fluid of a 35-year-old female with a chronic abdominal sinus. The organism was sensitive to most antibiotics, and the patient responded well to empirical treatment with cefoperazone/sulbactum. This case underscores the importance of accurate microbial identification in guiding effective treatment strategies. The patient was well managed at a tertiary care setting in an academic institute.</p><p><strong>Clinical presentation: </strong>A 35-year-old female with a history of abdominal tuberculosis diagnosed 1.5 years ago and treated with anti-tubercular therapy (ATT) presented to the OPD with persistent lower abdominal pain, high-grade fever, and distension for two months. She later developed an inflammatory umbilical lesion with fever, followed by a discharging sinus in the left lower abdomen. Her medical history is unremarkable, with no significant past surgical interventions, smoking, alcohol use, or comorbidities.</p><p><strong>Case discussion: </strong><i>Pantoea agglomerans</i>, an environmental organism commonly found in plants, soil, and water, is a low-virulence pathogen that can cause infections in immunocompromised individuals or after invasive procedures. It has been associated with wound infections, abscesses, pneumonia, urinary tract infections, septic arthritis, and osteomyelitis. In this case, the patient's history of abdominal tuberculosis likely created a favourable environment for secondary infection, potentially facilitated by gastrointestinal translocation. Accurate identification using the VITEK system and successful treatment with cefoperazone/sulbactam highlight the importance of advanced diagnostics and appropriate antibiotic therapy.</p><p><strong>Conclusion: </strong>This case highlights the importance of considering opportunistic pathogens like <i>Pantoea agglomerans</i> in chronic infections, emphasizing accurate microbial identification and susceptibility testing for effective therapy and optimal outcomes.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3589-3591"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212891","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":"Effectiveness of pressure swing adsorption oxygen plants: A scoping review in Indian context.","authors":"Pankaj Bhardwaj, Nitin Kumar Joshi, Yashika Bhati, Akhil Dhanesh Goel, Yogesh Kumar Jain, Jitendra Kumar Soni, Prem Singh","doi":"10.4103/jfmpc.jfmpc_1907_24","DOIUrl":"10.4103/jfmpc.jfmpc_1907_24","url":null,"abstract":"<p><strong>Context: </strong>Pressure swing adsorption (PSA) is a gas separation technique that separates some gas species from a mixture of gases under pressure based on the species' molecular characteristics and affinity for an adsorbent material. During the peak of the coronavirus pandemic, the need for medical oxygen was critical due to the overwhelming surge in respiratory-related cases. The establishment of PSA plants across the country was a strategic move to ensure a continuous and reliable supply of oxygen to healthcare facilities.</p><p><strong>Objectives: </strong>The objective of this review was to systematically collect and assess evidence regarding the effectiveness of PSA.</p><p><strong>Design: </strong>A scoping review was carried out using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist.</p><p><strong>Study selection: </strong>Studies, reports, review articles, and gray literature that addressed the economic viability, ease of operation, overall feasibility, and reliability of PSA plants in the Indian context were particularly considered for inclusion.</p><p><strong>Main outcome measures: </strong>This review aims to assess the effectiveness of PSA technology, focusing on its cost efficiency, user-friendliness, overall feasibility, and reliability. The goal is to offer a clear understanding of the practical implications and outcomes related to the adoption of PSA plants in the Indian context.</p><p><strong>Results: </strong>Sixty-four relevant records were reviewed and analyzed. After considering all the eligibility criteria 33 records were included. The scoping review revealed the different characteristics of PSA plant. A total of six studies from the reviewed literature collectively state that this advancement marks a significant progress toward establishing a dependable and renewable supply of medical-grade oxygen, eliminating the dependency on external sources, and thereby enhancing hospital security.</p><p><strong>Conclusion: </strong>This review showed that properly maintained, and operated, PSA oxygen plants can be highly effective in providing a reliable source of medical-grade oxygen, especially in higher level of health facility where patient load is more.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3179-3185"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212957","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}