Journal of Family Medicine and Primary Care最新文献

{"title":"Exclusive breastfeeding practices and factors affecting them in urban areas of Uttar Pradesh.","authors":"Prakhar Sharma, Neha Bansal, Abha Kaul","doi":"10.4103/jfmpc.jfmpc_1873_23","DOIUrl":"10.4103/jfmpc.jfmpc_1873_23","url":null,"abstract":"<p><strong>Background: </strong>Exclusive breastfeeding for the first 6 months is the recommended infant feeding practice, with established benefits. In India, exclusive breastfeeding rates have seen some improvement, but Uttar Pradesh has experienced a decline. Various factors influence breastfeeding practices, such as socio-cultural beliefs, maternal knowledge, and support. Considering urbanization, industrialization, and a significant migrant population, it is crucial to understand the determinants of breastfeeding practices in urban Uttar Pradesh. This study aimed to fill these knowledge gaps by examining factors influencing breastfeeding practices in the region.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at Sharda Hospital's Pediatrics Outpatient Department (OPD) in Uttar Pradesh over 1.5 years from January 1, 2019 to June 30, 2020. The minimum sample size of 96 was determined for the study. Study participants included 200 mothers with children aged 6 months to 2 years attending the Pediatrics OPD. Data were collected through a 42-item questionnaire administered by trained interviewers who ensured privacy and comfort. Data analysis was performed using Statistical Package for Social Sciences, including descriptive statistics and the Chi-square test for categorical variables (<i>P</i> < 0.05).</p><p><strong>Results: </strong>The study involved 200 mothers with children aged 6 months to 2 years attending a Pediatrics OPD in Uttar Pradesh. Mothers aged 21-30 years (78%) were predominant. Among the children, 62.5% were male. Colostrum was given by 86% of mothers, and 40% introduced pre-lacteal feeds. Exclusive breastfeeding was practiced by 60% of mothers. The analysis did not show statistically significant differences based on socio-economic status, maternal education, or occupation (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>In conclusion, the findings from this study provide a comprehensive understanding of feeding practices among mothers in urban areas of Uttar Pradesh. While many mothers adhere to recommended practices, there is room for improvement in reducing pre-lacteal feeding and promoting exclusive breastfeeding.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"38-44"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483368","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":"Pattern of edible oil consumption and practice of reuse: A health concern.","authors":"Ajeet Saoji, Prachi Saoji, Shilpa Hajare, Pranita Dharmadhikari","doi":"10.4103/jfmpc.jfmpc_325_24","DOIUrl":"10.4103/jfmpc.jfmpc_325_24","url":null,"abstract":"<p><strong>Background: </strong>The per capita consumption of edible oil in Indian households has risen substantially in the last decade contributing to the rising incidence of non-communicable diseases (NCDs). Increasing prevalence of reuse of edible oil for frying is an unhealthy practice, as it gives rise to formation of free radicals and other harmful agents. Hence, present study highlights the pattern of edible oil consumption and practice of reuse among the families along with the influencing factors while purchasing edible oil.</p><p><strong>Methodology: </strong>A cross sectional study was conducted among 172 families of third year MBBS students belonging to different socio-demographic and cultural background. A predesigned pretested questionnaire was administered to the families preferably to the mother. The details regarding consumption and reuse of the edible oil were asked.</p><p><strong>Result: </strong>A total of 172 families of third year MBBS students participated in the study which comprised of 672 family members. The quantity of oil consumed was estimated to be 13.64 kg/capita/year. Majority 80% of the respondents revealed that they reuse leftover oil after frying for other cooking purposes. Groundnut and soybean were the most preferred edible oil.</p><p><strong>Conclusion: </strong>According to study findings, consumption of edible oil at domestic level has increased along with the reuse of leftover oil. The increased consumption can be one of the important risk factors for increase in prevalence of non-communicable diseases which is a health concern. There is a need for the increase in awareness about use of edible oil through promotional activities for effective education of general public regarding prevention of NCDs.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"322-326"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483375","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 study on awareness regarding cigarettes and other tobacco products act (COTPA Act) among hospital staff of medical college, Kanpur: A mixed method study.","authors":"Aradhana Yadav, Sonam, Samarjeet Kaur, Santosh K Barman, Seema Barman","doi":"10.4103/jfmpc.jfmpc_1185_24","DOIUrl":"10.4103/jfmpc.jfmpc_1185_24","url":null,"abstract":"<p><strong>Context: </strong>In 2003, the government of India formulated \"the cigarettes and other tobacco products Act (prohibition of advertisement and regulation of trade and commerce, production, supply, and distribution) (COTPA)\". The aim of the study is to evaluate hospital staff's knowledge of the COTPA Act and their enablers and hurdles using qualitative analysis.</p><p><strong>Settings and design: </strong>This study was conducted in GSVM Medical College, and this was a convergent parallel mixed-methods study, with a quantitative component (cross-sectional survey) complemented by a qualitative component (descriptive study).</p><p><strong>Methods and material: </strong>A pre-tested, semi-structured, face-validated questionnaire was incorporated into the Epicollect5 application for data collection. The qualitative study was conducted among 11 hospital staff.</p><p><strong>Statistical analysis used: </strong>The collected data were imported into a Microsoft Excel spreadsheet and analysed with Jamovi version 2.0. To determine associations between variables, appropriate tests of significance were applied. For qualitative analysis, an interview guide was prepared.</p><p><strong>Results: </strong>On quantitative analysis, hospital personnel's overall awareness of any tobacco control law was 59.4%, with 56.6% being tobacco abusers and 69.5% being non-abusers. On qualitative analysis by in-depth interview framework analysis, decalogues were taken from the responses provided by the participants. After that, the decalogues were divided into three keynotes which were openers, hurdles, and recommendations.</p><p><strong>Conclusions: </strong>Study demonstrates that more than half of the employees are already aware of COTPA Act but still need more coordinated effort from all responsible authorities of medical institute to increase COTPA Act awareness.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"240-246"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483376","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":"An unusual presentation of rhinosporidiosis in the lacrimal sac - A case report and a literature review.","authors":"Raja Ayyakutti Muni, Harikrishnan Marappan, Najma Asim","doi":"10.4103/jfmpc.jfmpc_1271_24","DOIUrl":"10.4103/jfmpc.jfmpc_1271_24","url":null,"abstract":"<p><p>Rhinosporidiosis is a rare granulomatous disease affecting the nasal mucosa, nasopharynx, skin and eyes due to Rhinosporidium seeberi. Lacrimal Sac involvement is very rare. Hence, we report an unusal presentation of rhinosporidiosis in lacrimal sac area in an adult male patient who presented with painless boggy swelling in lacrimal sac area with positive history of bath in pond and diagnosis was confirmed with histopathological examination. To prevent the recurrence, the patient was treated with 5% Povidone Iodine intra operatively and use of oral Dapsone (100 mg/day) for three months post-operatively.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"491-493"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483475","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":"Perceptions of healthcare workers on implementing the 2022 WHO verbal autopsy instrument in rural India through the existing public health system.","authors":"Stuti Tripathi, Shefali Gupta, Sandeep Sharma, Saritha Nair, Geetha Menon, Bal Kishan Gulati, Jeetendra Yadav, Manjeet Singh Chalga, Chalapati Rao, Saurabh Sharma","doi":"10.4103/jfmpc.jfmpc_969_24","DOIUrl":"10.4103/jfmpc.jfmpc_969_24","url":null,"abstract":"<p><strong>Background: </strong>Cause-of-death (CoD) information is crucial for health policy formulation, planning, and program implementation. Verbal Autopsy (VA) is an approach employed for the collection and analysis of CoD estimates at the population level where medical certification of cause of death is low and, secondly, for integrating it with the existing public health system by utilizing the grassroots level workforce.</p><p><strong>Objective: </strong>The study aims to understand the field perspectives on implementing the 2022 WHO VA instrument in rural India through the existing public health system.</p><p><strong>Methods: </strong>This article is derived from a qualitative arm of study that was conducted in one of the blocks of Kanpur district, Uttar Pradesh. Frontline health workers (FHWs), as well as Medical Officers (MOs) serving in the Community Health Centre (CHC) area, were selected as study participants. A 5-day training and orientation workshop was conducted to train the FHWs to conduct computer-assisted personal interview VA using the 2022 WHO VA instrument. MOs have been trained to assign the CoD via Physician-Certified VA (PCVA). In-depth interviews (IDIs) were conducted with FHWs involved in conducting VA and physicians involved in conducting PCVA within the field practice area.</p><p><strong>Results: </strong>A total of 13 IDIs were conducted, consisting of 10 FHWs and 3 MOs, within the selected CHC area of Ghatampur. Based on the responses received, five major themes were identified. Although VA is being used to collect CoD information from the community in India through a Sample Registration Survey (SRS), the key findings suggest that this activity could be scaled up by utilizing the existing public health system. However, additional manpower may be required for constant monitoring and evaluation of the program. Incentivization of FHWs would aid in the timely completion of VAs and coordination with local and higher health authorities.</p><p><strong>Conclusion: </strong>The perception of healthcare workers about the feasibility and acceptability of VA in this study highlighted some of the challenges and possible solutions that could aid in developing a comprehensive model to improve CoD information at the population level through the existing public health system.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5840-5846"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949971","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":"Doctors' knowledge, practices, challenges, and limitations regarding disclosure of bad news: A multicentre study from Pakistan.","authors":"Asma Usman, Sameena Shah, Samar Zaki, Kashmira Nanji, Sobiya Sawani, Saher Naseeb Uneeb, Naseem Bari, Obaid Ullah, Sumera Abid","doi":"10.4103/jfmpc.jfmpc_374_24","DOIUrl":"10.4103/jfmpc.jfmpc_374_24","url":null,"abstract":"<p><strong>Background: </strong>Breaking bad news is one of the most difficult tasks for practicing doctors, especially for those working in health care specialties where life-threatening diseases are diagnosed and managed routinely. Our aim was to elicit the knowledge and practices of doctors and identify barriers faced by them in disclosure of bad news across the provinces of Pakistan.</p><p><strong>Methods: </strong>Cross-sectional, multi-centered study supported by an external grant in 15 Government and Private Hospitals across Pakistan. A total of 1185 doctors were surveyed. Responses were compared across provinces.</p><p><strong>Results: </strong>80% of doctors across all specialties considered life-threatening diagnoses like cancer and stroke as equivalent to bad news, whereas less than 50% perceived conditions like malaria and typhoid as bad news. Regarding the level of difficulty encountered in giving bad news on a scale of 0 to 6, over 57% doctors rated it 4 and above. The reasons identified were lack of confidentiality, lack of privacy, lack of time, lack of training, fear of patients' and family reactions, not wanting to hurt the patient or causing more distress, concern of having failed the patient, and their own reactions among others.</p><p><strong>Conclusions: </strong>Technical proficiency, training, good patient-centered communication, and incorporating socio-cultural aspects are essential for effective disclosure of bad news.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5491-5499"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950060","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":"Evaluation of medicine use behaviors of adult patients in a rural area: A cross-sectional study from Turkey.","authors":"Hakan Alan, Mahcube Cubukcu, Eda C Guzel, Latife M Yildiz","doi":"10.4103/jfmpc.jfmpc_53_24","DOIUrl":"10.4103/jfmpc.jfmpc_53_24","url":null,"abstract":"<p><strong>Background/purpose: </strong>This study aimed to determine the medicine usage behaviors of patients (>65 years) registered to the family health care center (FHCC) in a rural area.</p><p><strong>Methods: </strong>This cross-sectional and descriptive study was performed on 224 geriatric patients admitted to the FHCC in Terme town of Samsun between January 2018 and March 2018. The questionnaire consisting of 29 questions about sociodemographic characteristics, knowledge of drugs, and usage habits was applied to the participants by using the face-to-face interview technique. SPSS (version 23.0. SPSS Inc. Chicago. IL. USA) program was used in the analysis. <i>P</i> values of less than 0.05 were considered significant.</p><p><strong>Results: </strong>The mean age was 73.01± 0.3.14 years, 53.19% were male, 87.4% were married, and 52.9% had chronic diseases. Of all participants, 56% stated that they visited physicians when they got ill; 22% used drugs at home without consulting a physician. The presence of chronic disease appears to be associated with keeping drugs at home (<i>P</i> = 0.023). The most common medicines consumed without a prescription were painkillers; 67.6%. 20.9% of the participants stated recommending medication to their surroundings related to their level of education (<i>P</i> = 0.011). Furthermore, 24.9% stated that they had stopped their medications before the recommended time. Moreover, 82.9% of the group read the instructions before use. Those signs were more significant in males and in those >75 years old (<i>P</i> = 0.001 and <i>P</i> = 0.024, respectively).</p><p><strong>Conclusion: </strong>Rational use of medicine was associated with gender, chronic disease, and educational level in geriatric patients. The importance of rational drug use in society should be explained by individual characteristics.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5506-5511"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950068","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 systemic evaluation of COVID-19 vaccination drives in LICs, LMICs, UMICs, and HICs: Preparedness for future pandemics.","authors":"Pratyush Kumar, Manali Sarkar, Vishnu B Unnithan, Daniel J G Martínez, Maximiliano E Arlettaz, Ramya Gnanaraj, M Miguel F Júarez, Suhrud Panchawagh, Kumar Abhishek, Poonam Agrawal, G P Kaushal, Mathew Mbwogge, Yurkina F Morales, Muhannad Alnaasan, Reem Kozum, Yhojar Pisfil-Farroñay, Asmitha P Reddy, Rushikesh Shukla","doi":"10.4103/jfmpc.jfmpc_594_24","DOIUrl":"10.4103/jfmpc.jfmpc_594_24","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has significantly impacted global healthcare systems. Vaccination is an effective strategy to battle the disease. Policies and distribution frameworks have varied widely across countries. The paper aims to highlight the global vaccination trends in these nations, based on their economic classification, which will illuminate key takeaways that will allow for better pandemic management policies.</p><p><strong>Methods: </strong>A list of the most populated countries across each income slab was drawn up, and information on their vaccination campaigns was collected from national government portals and official health department websites of these countries in a structured manner. Data collected for the attributes was qualitatively described and converted into binary responses for quantitative analysis. ANOVA test, Chi-square test, and regression models were employed.</p><p><strong>Results: </strong>A consistent decreasing trend was noted in the percentage of the population vaccinated as the spectrum from higher-income countries to lower-income countries was traversed for all dose statuses. Fewer types of vaccines were available in the lower-income countries. Though compliance with the CDC vaccination strategies guide was largely noted, a linear regression univariate analysis of vaccination drive parameters carried out for single-dose vaccination yielded statistically significant results for medical provider vaccine standardization (<i>P</i>-value = 0.002), vaccination requirements (<i>P</i>-values <0.001), and provider recommendation. (<i>P</i>-values <0.001) Vaccine hesitancy was not dependent on economic status.</p><p><strong>Conclusion: </strong>Concerted global initiatives like vaccine donation would assist efforts in mitigating disease spread. Prompt busting of baseless anti-vaccine narratives and strengthening healthcare infrastructure to meet national requirements should be given due importance.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5680-5688"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950100","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":"Size estimation and vulnerability assessment of transgender people in Manipur, North-east India: A cross-sectional study.","authors":"Phanjoubam Suriya, Bishwalata Rajkumari, Choudhurimayum Robedi Sharma","doi":"10.4103/jfmpc.jfmpc_1251_24","DOIUrl":"10.4103/jfmpc.jfmpc_1251_24","url":null,"abstract":"<p><strong>Context: </strong>Transgender people commonly faced stigma which has been linked to violence, abuse, and discrimination, often forcing them to remain hidden.</p><p><strong>Objectives: </strong>This study plans to estimate the size of the transgender population and to assess the vulnerability and risk of transgender people in the society.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among 171 transwomen aged 18 years and above residing in two districts in Manipur recruited using the respondent-driven sampling (RDS) method. Interviews were conducted using a semistructured questionnaire, and the multiplier method was applied for the size estimation. Descriptive statistics were generated. Ethical approval for the study was obtained from the institutional ethics committee.</p><p><strong>Results: </strong>The mean ± SD age of realization of their sexual identity and age of expressing gender identity was 9.06 ± 2.9 and 17.3 ± 2.7 year, respectively. The reported network size was found to be 40.37 ± 38.7, and the estimated size of the transgender population was found to be 2201 (95% CI 1987.6-2403.1). Most of the respondents (157, 91.8%) had 'Ever experienced harassment due to their sexual identity', with the majority (138, 87.9%) reporting 'verbal abuse', while (108, 63.1%) reported 'sexual abuse' and 43.9% of them said they had a 'psychological effect' due to the abuse.</p><p><strong>Conclusion: </strong>The majority of the respondents had faced some form of harassment or abuse due to their gender identity, leading to the psychological effect on them. There is an urgent need for developing a comprehensive measure focusing on mainstreaming the transgender persons by creating an enabling environment for their holistic development.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5853-5860"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950120","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":"Unsupported walking with only half of the brain due to severe porencephaly.","authors":"Josef Finsterer","doi":"10.4103/jfmpc.jfmpc_1839_23","DOIUrl":"10.4103/jfmpc.jfmpc_1839_23","url":null,"abstract":"<p><p>A patient with a history of Asian flu, mumps meningo-encephalitis, and skull-base fracture and severe porencephaly who was able to walk without assistance, has not been reported. The patient is a 65 year-old male with a history of Asian flu at 6 months of age, Mumps meningoencephalitis at 6 years of age, structural epilepsy since 15 years of age, traumatic brain injury with skull-base fracture at 51 years of age, arterial hypertension, diabetes, hyperlipidemia, previous alcoholism, and polyneuropathy. He presented with only mild right-sided spastic hemiparesis, dysarthria, decreased tendon reflexes in the lower limbs, spastic-ataxic gait, but he was able to walk unassisted. Cerebral MRI showed massive porencephaly with left lateral and third ventricular hydrocephalus. It was concluded, that patients with severe hemihydrocephalus since childhood may still be able to walk without support.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"13 12","pages":"5917-5919"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11709058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950130","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}