Journal of Family Medicine and Primary Care最新文献

{"title":"Bridging the final mile: Translating adult immunization knowledge into consistent clinical practice.","authors":"Divya Madamanchi, Pratap B Kaushik","doi":"10.4103/jfmpc.jfmpc_265_26","DOIUrl":"10.4103/jfmpc.jfmpc_265_26","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"2165-2166"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549264","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":"\"Hallucinations\" of artificial intelligence tools misleading patients and families.","authors":"Zvi Weizman","doi":"10.4103/jfmpc.jfmpc_262_26","DOIUrl":"10.4103/jfmpc.jfmpc_262_26","url":null,"abstract":"<p><p>Large Language Models offer significant benefits in healthcare, including guidance for patients and families. One of the risks associated with these tools is the presentation of inaccurate information, known as \"Hallucinations.\" This study highlights three cases where these tools misled patients and families by providing false information, which could cause harm. Therefore, physicians must review and verify any Artificial intelligence (AI)-generated content, as these tools cannot reliably differentiate between accurate and false information.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"2130-2132"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549338","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":"Etiological background of osteoporosis in Khamis Mushait General Hospital: A descriptive study assessing risk factors, symptoms, and complications.","authors":"T K Abins, Ravi Gaur, Nagma Sheenam","doi":"10.4103/jfmpc.jfmpc_139_26","DOIUrl":"10.4103/jfmpc.jfmpc_139_26","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"2175-2176"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549244","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":"Choking in children: Investigating parental readiness and reaction in Saudi Arabia.","authors":"Sultan Alwehaibi, Meshal Alzakari, Faisal Alzkari, Hessah Almojel, Abdulrahman Almahmoud, Sarah Bin Mawash, Ali Alhazmi, Reema Alqahtani, Abdullah Alhassoun, Ziyad Alsulami, Yara Abdullah Alamri, Renad Fawaz Alreshoud, Maan Almuzaini, Nasser Al-Tayar, Ahmed Almutairi","doi":"10.4103/jfmpc.jfmpc_365_26","DOIUrl":"10.4103/jfmpc.jfmpc_365_26","url":null,"abstract":"<p><strong>Background: </strong>One of the most serious medical conditions in children is choking. It is a critical pediatric emergency caused by foreign objects obstructing the airway, posing a serious threat to children's lives and representing a significant public health concern. Parental readiness and proper reaction are crucial to solving choking incidents in children.</p><p><strong>Objective: </strong>To investigate parental readiness and reaction toward choking in children in Saudi Arabia.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in Saudi Arabia with a sample of 530 participants. The study employed an online survey to gather data from parents of children aged 0-6 years. The survey aimed to evaluate various factors, including knowledge and awareness regarding choking in children, parental practices, readiness, and reactions toward choking in children.</p><p><strong>Results: </strong>Among 530 participants, over half (57.9%) had a good overall knowledge level about choking in children. The majority reported that children aged 1-5 years (73.8%) are most at risk for choking. In identifying choking hazards, parents showed high awareness, with 82.8% correctly identifying small pieces as dangerous. When asked about their immediate response to a choking incident, 70.2% reported they would attempt appropriate first aid measures.</p><p><strong>Conclusion: </strong>While most parents showed a basic understanding of choking risks, such as the dangers posed by small objects and the importance of supervision during eating, there remain notable gaps that could compromise child safety. Health campaigns teaching first aid and cardiopulmonary resuscitation for parents are essential to help parents treat choking conditions in children and potentially save lives.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"2025-2033"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549234","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":"Recurrent hyperammonemic encephalopathy involving urease-producing and nonurease-producing bacteria.","authors":"Jura Oshida, Hiroshi Ito, Daiki Kobayashi","doi":"10.4103/jfmpc.jfmpc_271_25","DOIUrl":"10.4103/jfmpc.jfmpc_271_25","url":null,"abstract":"<p><p>While hyperammonemic encephalopathy (HAE) is commonly associated with hepatic dysfunction or urease-producing bacterial infections, its occurrence in the absence of urease-producing bacteria is rarely reported. An 85-year-old woman with neurogenic bladder developed two episodes of HAE. In the first episode, <i>Morganella morganii</i>, a urease-producing bacterium, was identified as the causative pathogen. Despite successful treatment, the patient developed a second episode of HAE caused by nonurease-producing <i>Escherichia coli</i>. No significant hepatic dysfunction or other metabolic disorders were identified, and both episodes resolved with appropriate antibiotic therapy and urinary catheterization. This case highlights the potential for HAE to develop even when urease-producing bacteria are not detected in culture tests, particularly in patients with underlying urinary dysfunction such as neurogenic bladder.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"2150-2152"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549227","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":"Parents' knowledge, awareness, and practices towards children with epilepsy in the Riyadh Region, Saudi Arabia: A cross-sectional study.","authors":"Khalid A Bin Abdulrahman, Abdulaziz M Alghanim, Ayad A Bagazi, Yazeed B ElShidi, Mohammed H Alshelaiel, Ammar S Algezlan, Khalid A Alsalem, Thamer M Almunif","doi":"10.4103/jfmpc.jfmpc_195_26","DOIUrl":"10.4103/jfmpc.jfmpc_195_26","url":null,"abstract":"<p><strong>Background: </strong>Epilepsy (EP) is among the most common neurological disorders in children globally, with a notably high prevalence in Saudi Arabia, partly due to elevated consanguinity rates. Despite substantial research, limited data exist on parental knowledge, awareness, and practices (KAP) regarding childhood epilepsy in Riyadh. This study assessed parents' understanding and attitudes towards epilepsy.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 455 parents residing in Riyadh using a newly developed 27-item online questionnaire. Statistical analysis was performed using SPSS, with significance at <i>P</i> < 0.05.</p><p><strong>Results: </strong>Many parents lacked sufficient knowledge about epilepsy. About 37.6% believed epilepsy was curable, and 25.85% attributed it to possession by demons. Convulsions (38.54%) and loss of consciousness (31.67%) were the most recognized symptoms. Awareness of treatment options was low, with only 21.5% knowing about surgical interventions. While 64.2% of parents believed children with epilepsy could succeed academically and professionally, 51.9% preferred not to disclose the diagnosis to friends and family. Regarding practices, 62.6% had witnessed a seizure, but 67% reported fear when encountering one. First-aid responses varied: 31.7% prioritized removing the patient from danger, while 23.7% would call an ambulance.</p><p><strong>Conclusion: </strong>Parental knowledge and awareness remain moderate, with persistent misconceptions and social stigma. Targeted educational programs are urgently needed to correct misunderstandings, promote effective first-aid responses, and foster community support for children with epilepsy. Enhancing public awareness could significantly improve epilepsy management and outcomes for affected families.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"1999-2007"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549251","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":"Employment following recovery from substance use disorder: A demographic analysis of the CORE Program.","authors":"Lyn O'Connell, Kendell McNeely, Ashley Shaw, Sherrie Myers, Alperen Korkmaz, Adam M Franks","doi":"10.4103/jfmpc.jfmpc_2005_25","DOIUrl":"10.4103/jfmpc.jfmpc_2005_25","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals recovering from substance use disorder face employment barriers. Vocational rehabilitation assists individuals through education, skill development and connection creation to employers and community resources. Participant characteristics correlating with success or failure lack clarity.</p><p><strong>Methods: </strong>Deidentified demographic data were retrospectively collected from 2020 and 2021 calendar years, including gender, race, ethnicity, county of residence, and referral source. Information left blank was termed non-designated data. Data were analyzed for correlation of being enrolled vs unenrolled and discharged from the program (voluntarily or involuntarily) vs attaining employment. Calculations were with <i>t</i>-test, Chi-square, or Fisher's exact tests, using a <i>P</i> value < 0.05 for significance.</p><p><strong>Results: </strong>Referred participants (<i>n</i> = 1273) enrolled at a 53.34% rate. No differences were seen in race (<i>P</i> = 0.75) or ethnicity (<i>P</i> = 0.31). Enrolled patients (<i>n</i> = 679) had twice as long a recovery time (1.19 vs 0.528 years), were more male (53.62% vs 47.57%; <i>P</i> = 0.03), and self-referred (9.72% vs 5.11%; <i>P</i> = 0.002). They had a 35.35% employment rate with average wages of $10.69/hour (122% of minimum wage). No differences were found between discharged and employed groups for gender (<i>P</i> = 0.14), race (<i>P</i> = 0.85) and ethnicity (<i>P</i> = 0.63). Employed participants were self-referred more (13.75% vs 7.52%; <i>P</i> = 0.009). Non-designated demographic data did not correlate with the discharged cohort for gender (<i>P</i> = 0.66), but did for race (<i>P</i> < 0.00001), ethnicity (<i>P</i> = 0.01), and county of residence (<i>P</i> < 0.00001).</p><p><strong>Discussion: </strong>Occupational readiness can be identified by the completeness of demographic data upon program enrollment. Identifying reasons for non-designation and impacting individuals at risk for failing to gain employment early is essential to optimize vocational rehabilitation.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"1969-1974"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549265","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":"Delayed diagnosis of metastatic melanoma reoccurrence: Case report.","authors":"Samuel W Berg, Suzanne E Munns","doi":"10.4103/jfmpc.jfmpc_2186_25","DOIUrl":"10.4103/jfmpc.jfmpc_2186_25","url":null,"abstract":"<p><p>This case report describes a 72-year-old patient with delayed diagnosis of metastatic melanoma reoccurrence. The original case of melanoma was excised from his left knee, arm, and torso in 2012. 2016 found the patient with metastatic melanoma biopsy positive to his back, to which the patient trialed pembrolizumab therapy but was unable to tolerate the gastrointestinal side effects. 2019 saw another reoccurrence of metastatic melanoma with CT CAP positive left inguinal lymphadenopathy and MRI positive intraosseous mass of the left calcaneus, both biopsy-proven melanoma. Due to these findings, the patient was started on encorafenib and binimetinib April of 2019, and by December of 2019, PET scan showed near complete resolution of the mass. Prior to seeing a new PCP, the patient attested that the leg growth had occurred and been increasing in size for 6 months. His oncologist did not comment on the nodular lesion at any point in his notes from visits during the same 6-month period, and a prior ER physician prescribed doxycycline to treat presumed cellulitis versus malignancy. The current PCP sent the patient for CT of the left leg in November of 2023; the patient was then sent to his oncologist where FNA was performed and supported the diagnosis of metastatic melanoma. Verily, this case report brings light to the notion that providers should have a high degree of suspicion of metastasis in patients such as this one and not delay definitive diagnosis, especially when there are obvious cutaneous manifestations.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"2147-2149"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549275","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":"Maternal satisfaction with childbirth services among postnatal mothers at selected primary health centers (PHCs) of Western Rajasthan.","authors":"Himanshu Vyas, Odathakkal J Mariam, Pankaj Bhardwaj","doi":"10.4103/jfmpc.jfmpc_1847_25","DOIUrl":"10.4103/jfmpc.jfmpc_1847_25","url":null,"abstract":"<p><strong>Introduction: </strong>Primary health centers (PHCs) serve as the first point of contact between the general public and the organized healthcare system in India. Maternal satisfaction serves as a key indicator of the quality of services provided at the PHC.</p><p><strong>Objective: </strong>The objective of the study was to assess the maternal satisfaction with childbirth services at selected PHCs of Rajasthan, India.</p><p><strong>Method: </strong>This cross-sectional study was conducted at PHCs in the Jodhpur district of Rajasthan that were providing 24-hour delivery services and conducted more than 20 deliveries per month. Ten PHC's fulfilling the inclusion criterion were selected by using total enumerative sampling. Three hundred sixty mothers who delivered at the selected primary health center were interviewed to explore their satisfaction with childbirth services. A standardized tool, Hindi-translated SMMS-normal birth scale, was used to assess maternal satisfaction.</p><p><strong>Results: </strong>Majority of mothers (91%) were satisfied (SMMS score ≥105.5) with the childbirth services they received at the primary health center. The mean score of the SMMS-Normal birth was 120.86 (SD 9.18 and range 96-142). Only age and number of antennal visits were found to be significantly associated with maternal satisfaction at a <i>P</i> < 0.05 level of significance.</p><p><strong>Conclusion: </strong>This study assessed maternal satisfaction with childbirth services at selected PHCs in Rajasthan and found that most mothers were satisfied with the care received. Age and number of antenatal visits were significantly associated with satisfaction levels. These findings highlight the importance of strengthening antenatal services and tailoring care to meet individual needs. Continuous monitoring of maternal satisfaction can contribute to improving the quality and utilization of maternal health services at the primary care level and reduce the burden on referral and tertiary care centers.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"1994-1998"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549219","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 and awareness of female genital cosmetic surgery among healthcare providers: A cross-sectional study.","authors":"Fahad M Algreisi, Hattan A Bajahmom, Nada S AlHarbi, Leena S Abdulbadie, Ruzanah A Almarzugi","doi":"10.4103/jfmpc.jfmpc_1880_25","DOIUrl":"10.4103/jfmpc.jfmpc_1880_25","url":null,"abstract":"<p><strong>Background: </strong>Female genital cosmetic surgery (FGCS) became popular in recent decades. Many patients worldwide consider these procedures for medical or esthetic reasons. Previous literature indicates a significant gap in public understanding of the risks, benefits, and recovery processes associated with FGCS. This study aims to assess the knowledge and attitudes of healthcare providers in Makkah clusters regarding FGCS.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 142 participants from Makkah cluster facilities, including general practitioners (GPs), gynecologists, surgeons, nurses, medical interns, and medical students, from July to September 2025. Data was analyzed using SPSS software. Descriptive statistics and Chi-square tests were used to measure knowledge and awareness levels, and to assess the associations between cultural beliefs and awareness.</p><p><strong>Results: </strong>Most of the respondents were females and residents. Consultants and specialists showed a lower agreement on having adequate knowledge of FGCS. About 78.2% of workers felt they lacked adequate knowledge of FCGS. Only 26.8% felt confident about labiaplasty, and <10% in other procedures. Nearly half of the participants were not sufficiently aware of the procedures' risks. During GPs' consultations of FGCS, the most used information sources were anatomy books. Relationship difficulties and body dysmorphia were the most common identified psychological issues by GPs. Partners' comments were the most significant social factor influencing women's decisions in these procedures. Furthermore, GPs were often seen as educators.</p><p><strong>Conclusion: </strong>The study reveals a significant gap in knowledge and confidence among healthcare providers in FGCS. Creating accessible materials and educating healthcare providers can raise awareness and the quality of care.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"15 5","pages":"1981-1986"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549318","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}