Anatolian Journal of Family Medicine最新文献

{"title":"Family Functionality after Covid-19","authors":"Laillete Gld, Francisco Arj","doi":"10.26420/jfammed.2022.1308","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1308","url":null,"abstract":"General Objective: To evaluate family functionality after the health emergency at the first level of care. Material and Methods: A prospective, non-comparative cross-sectional study was carried out through studies of family functionality with the ff-sil instrument and evaluation of the marital subsystem with the Chavez-Velasco marital subsystem instrument applied to the families assigned to the unit of family medicine No. 32 of the IMSS of Guadalupe, Nuevo León. Through nonprobabilistic convenience sampling. Results: 609 participants were included, of which 30.24% had some degree of family dysfunction, this was identified as 19.58% of dysfunction at the marital subsystem level. A 32.73% of family functionality alterations were found in the families that had Home office X2:13 and a p of 0.01. Conclusion: The health contingency is a watershed of the need to interact more as a family, due to social isolation the family lives more, however there is the presence of family dysfunction and it is important to identify it for its timely management.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78069474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Different Kind of Parkinson: Case Report","authors":"C. E, D. J, S. M., B. P, Jaqua Ee","doi":"10.26420/jfammed.2022.1307","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1307","url":null,"abstract":"Lightheadedness and dizziness are common chief complaints in a primary care clinic. These symptoms affect a person’s life in multiple ways and have a wide range of differential. We present a case of a teen female with these symptoms whom we diagnosed with having Wolff-Parkinson-White Syndrome, but we could not pinpoint whether this entirely caused her symptoms. Wolff- Parkinson-White Syndrome-associated dysrhythmias remain a significant differential amongst people presenting with lightheadedness.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73215953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated Tuberculous Epididymitis: A Case Report and Review of the Literature","authors":"Vanoverschelde G, Ward S, D. P, D. L, V. J","doi":"10.26420/jfammed.2022.1306","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1306","url":null,"abstract":"In 2021, tuberculosis remains a world health problem. It is still the first cause of mortality by infectious disease in the world [1]. Fortunately, in developed countries, tuberculosis is a very rare pathology. Genitourinary tuberculosis has been reported to account for 20% to 73% of all cases of extrapulmonary tuberculosis in the general population [2]. The epididymal involvement accounts for only about 20% of the genitourinary tuberculosis [3]. Isolated genitourinary tuberculosis (GUTB) is a rare and unusual presentation of tuberculosis that occurs in young male or female adults and that can cause infertility [4]. Most of the time, infertility is due to the inflammation and scarring that follow the infection, resulting in distortion of the normal anatomy and causing obstruction of the excretory tract [5]. The disease typically develops slowly. Early diagnosis is difficult, therefore delayed diagnosis and misdiagnosis are common [6].","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80809714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peripheral Resistance to Arginine Vasopressin and Its Relationship with Plasmaosmolarityinaged Population","authors":"S. M, Lorenzo I, Pérez-Cordon L, C. L., Palomera E, R. A, Cabré M, Pleguezuelos E","doi":"10.26420/jfammed.2022.1305","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1305","url":null,"abstract":"Background: The causes of age-related poor urine concentration capacity favouring low-grade chronic dehydration in aged populations are not well understood. Objectives: To explore links between age and plasma and urine osmolarity levels and a possible picture of peripheral resistance to arginine vasopressin (R-AVP) in an aged population. Design: observational cross-sectional study. Study population: communitydwelling subjects aged 70 years and older. Data collection: Blood and urine samples collected after 10 hours night fasting were analysed for osmolarity and copeptin levels (AVP surrogate). R-AVP was established based on a urinary osmolarity/copeptin ratrio<35. Results: 237 subjects were recruited (mean age 75.7 years, 52.7% women). Plasma osmolarity was similar between the sexes and age groups (70-79 and ≥80 years); whereas urine osmolarity was lower in women and in the older age group. Plasma hyperosmolarity (>295 mOsm/L) was present in no women and in 4.5% of men, and was significantly 14 times greater in the older group. R-AVP prevalence was 12.7% in the younger group vs 20.7% in the older group (p=0.252). Subjects with R-AVP, compared to without R-AVP, presented higher plasma osmolarity (287.6 vs 285.4 mOsm/L; p=0.023) and higher prevalence of plasma hyperosmolarity (8.7% and 0.7%; p=0.053). R-AVP was also related with IL-6 and creatinine levels and with loop diuretic use. Conclusions: Urine concentration capacity decreases and plasma hyperosmolarity increases after the age of 80 years. Fourteen percent of ≥70 year’s old population present R-AVP, which greatly increases the risk of plasmahyperosmolarity and is related with loop diuretic use, and IL-6 and creatinine levels.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73718975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Malaria Infection in Rwanda 2010: A Cross-Sectional Survey Study Using Generalized Structural Equation Modeling","authors":"Valdez-Gil Ig, Corral-Castillo Ja","doi":"10.26420/jfammed.2022.1304","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1304","url":null,"abstract":"Background: Chronic diseases are one of the main causes of dependency and disability, which will cause the patient to require a caregiver at some point, consequently the prevalence of caregiver syndrome will increase. Caregiver syndrome is defined as the multidimensional response of negative appraisal and perceived stress as a result of caring for an individual with a medical condition. Objective: To determine the factors associated with caregiver syndrome in patients with chronic kidney disease on peritoneal dialysis. Methods: Cross-sectional analytical study. The variables collected were: sex, age, marital status, relationship, socioeconomic level, and hours of care per day, months of patient care, occupation, caregiver syndrome and anxiety. To know the caregiver syndrome, the questionnaire \"Zarit Caregiver Scale\" was applied. To establish symptoms of anxiety, the \"Beck Anxiety Inventory\" was used. In the bivariate analysis, odds ratio and Chi-Square with a confidence interval of 95% was implemented, a p <0.05 was considered significant. Results: Of the 69 patients in the population, 44 suffered caregiver syndrome. The grade of caregiver syndrome was: intense overload 42% and light overload 21%. Caregiver profile: 49 (71%) women with a mean age of 44 years, married. 33 (47%) caregivers are sons/daughter of the patient, 34 (49%) were working, 44 (63%) were work active, 42 (60%) caregivers spent more than 10 hours with the patient, 28 (40%) had between 1 and 6 months in this activity. 42 (60%) presented symptoms of anxiety. A significant association (p<0.05) was found between caregiver syndrome and the variables marital status, socioeconomic level, kinship, occupation, anxiety and time in care. Conclusions: The prevalence of caregiver syndrome is higher in the state of Sonora compared to the Northeast and Southeast of Mexico. The profile of the caregiver has not changed much despite the evolution over time, but the prevalence of caregiver syndrome is increasing.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86479211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Handgrip Strength and the Perceived Risk of Institutionalization, Hospitalization and Death","authors":"S. Santos, C. Paúl","doi":"10.26420/jfammed.2022.1302","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1302","url":null,"abstract":"Background: Handgrip strength assessment is a simple, quick and lowcost measure, and the presence of low values is predictive of adverse health outcomes such as institutionalization, hospitalization, and death. Weakness and frailty are two intrinsically linked concepts. The need to identify the older adults at risk, living in the community, has led to the development of multidimensional instruments for use in primary health care. The identification of predictors of adverse events is an added value for the referral, development, and planning of appropriate and prompt interventions. Aim: This study aimed to 1) explore the associations between the HGS and the different variables studied and 2) verify whether the HGS assessment is sufficiently robust to be systematically and routinely used in PHC to identify older people potentially at risk of adverse events over one year. Methods: 71 men and 103 women aged ≥65 years, community residents and primary health care users, were assessed on different anthropometric parameters, muscle strength and performance, and the perceived risk of institutionalization, hospitalization, and death at one year using the Community Risk Assessment Instrument. T-Test and Spearman correlation were used to identify the relations between variables. To identify the relationship between HGS and the presence or absence of concerns and the perceived risk of institutionalization, hospitalization, and death, an age-adjusted analysis of variance was performed. Results: Handgrip strength shows significant negative correlations with age, number of diseases, and muscle performance assessed by TUG for both genders. It presents a significant association with problems in Mental State for women (p=0.004), Medical State for men (p=0.025), and ADLs for both genders (Men p=0.001; Women p=0.037). General practitioner perceived risk shows a significant association with the risk of institutionalization (p=0.001) and hospitalization (p=0.004) in women. Conclusions: The associations found, lead us to suggest the use of handgrip strength measurement as a routine assessment in primary health care services, for preventively identifying people at risk of adverse events. Those assessed as 'weak', taking into account the HGS value, would be targeted for a more in-depth assessment and then referred to interventions designed to respond to the identified problems.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82658730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Premenstrual Syndrome and Its Effect on Academic Performance among Taibah University Student in Al Madinah","authors":"Alhawsawi Nm, Shiekh W","doi":"10.26420/jfammed.2022.1301","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1301","url":null,"abstract":"Background: Premenstrual syndrome is one of the common problems affecting female in different age groups and could affects the academic performance of students. Aims of this study were to estimate the prevalence of premenstrual syndrome and determine its effect on school performance among university medical students. Material and Methods: It was a cross-sectional study done in Al-Madinah city, Saudi Arabia including all female medical students from level 2 to 5, enrolled at Taibah University. Data were collected through self-administrated questionnaire. It contains 4 main parts: socio demographic characters of the students, menstrual and premenstrual characteristics, and premenstrual syndrome scale. Results: The study included 257 students, with a response rate of 70.8%. Their age ranged between 18 and 29 years with an arithmetic mean of 21.8 years and a Standard Deviation (SD) of 1.8 years. According to the premenstrual syndrome scale score with a cut-off level of 111, the prevalence of PMS among female medical students was 65.4%. PMS was not significantly associated with students` academic performance. However, it is associated with premenstrual or menstrual pain (p<0.001), family history of premenstrual syndrome (p=0.016), dysmenorrhea (p=0.002) and severe back pain or cramps (p<0.001 and p=0.007, respectively). Conclusion: Premenstrual tension syndrome is a prevalent alarming health problem affecting a great sector of female medical University students, Taibah University, Al-Madinah, Saudi Arabia. It affected the daily work of a considerable proportion of students. However, it did not impact their academic performance.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90268211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are Chronic Pain Syndromes the Reason for Statin-Associated Muscle Symptoms?","authors":"S. R, Nogueira Ar, Bragazzi Nl, Watad A, Tiosano S, Gonen T, Yavne Y, S. K., Kameri Y, A. D., Amital H, Cohen H","doi":"10.26420/jfammed.2022.1300","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1300","url":null,"abstract":"Background: Statin induced myalgia is defined as muscle pain without elevation of serum creatine phosphokinase levels, and is a well-known complaint among statin users. Chronic pain syndromes affect a high percentage of the population; and it may be possible that these pain syndromes confound the reports of statin induced myalgia. We sought to compare the occurrence of chronic pain among patients on statin therapy who developed myalgia with those who did not. Methods: This study included 112 statin-treated patients, followed up at the clinic of the Lipid Center in Sheba Medical Center. Fifty-six of the subjects had a diagnosis of statin associated muscle symptoms (SAMS) and 56 did not. Verified questionnaires were used to assess the diagnoses of fibromyalgia, pain intensity, functional impairment, anxiety and depression in the study population. Results: Patients with statin myalgia were more likely to fulfil the diagnostic criteria for fibromyalgia than patients without statin myalgia (11 (19.6%) vs. zero, respectively). Patients in the SAMS group also exhibited higher levels of anxiety and depression in comparison with the control group. Female sex, higher scores on the Brief Pain Inventory pain intensity scale, and a Hamilton rating scale level indicative of an anxiety disorder were found to be significant predictors for fibromyalgia in patients suffering from statin myalgia. Conclusion: A significant percentage of patients, diagnosed with statin myalgia actually fulfilled the diagnostic criteria for fibromyalgia, depression or anxiety disorder. Detection of these patients and treatment of their primary pain disorder or psychiatric illness has the potential to prevent unnecessary cessation of effective statin therapy.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"165 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73478572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes and Practices towards Human Papillomavirus (HPV) Vaccine & Prevention of Cervical Cancer among Women Attending Primary Health Care","authors":"A. A., A. R.","doi":"10.26420/jfammed.2022.1299","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1299","url":null,"abstract":"Background: Cervical cancer is projected to affect 528,000 people worldwide each year. It is the third leading cause of mortality from cancer in developing nations. HPV vaccination was first introduced in 2006, targeting females between the ages of 9-14 years with the aim of preventing HPV that cause cervical precancerous lesions and cancer. Methods: A cross-sectional descriptive study Among Females Attending Primary Health care in AL-Madina AL-Munawarah. All females attending primary health care centers aged 21-65 years or Al-Madina Al-Munawarah. Sample size was 375. The sample size calculated By using Epi-Info version 3.5.1. The study was started after the approval comes from the research committee at Al-Madina region. The researcher took a consent form from the program director of joint program of family medicine and taken it to MOH in Al-Madina City. One primary healthcare center was chosen from each sector. Results: In this study 400 questionnaires were distributed in which 345 participants and response rate was 86.25%, all of them were female and ranged in age from 14 to 65 years. The majority of participants, 112 (32.5%), were between the ages of 26 and 35 years. The majority of participants 222 (64%) were married, Inquiring as to whether you've heard that HPV can cause cervical cancer. 253 respondents said that they had not heard of it. 17% were unaware that HPV is a virus that is transmitted by sexual contact. 7.8% feel it is widespread in Saudi Arabia. 11.9% believe that both men and women are susceptible to infection. 22% that risky sex can raise one's risk of contracting HPV. The majority of individuals expressed concern about the vaccination's negative effects. 250 out of 388 respondents expressed concern about the immunizations' negative effects. Concerning vaccination decisions, 196 believe they should be decided by the individual concerned, while 92 believe they should be made jointly by parents and the individual. Conclusion: Funding for volunteer groups/non-governmental organizations working in the health sector to raise awareness about cervical cancer among healthcare practitioners and the general public might contribute to further reduce the disease's incidence. Public health education is urgently required on the safety and effectiveness of HPV vaccination.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"120 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81784149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Assessment of the Well-Being of Physicians Working in a Family Physician’s Team During the COVID-19 Pandemic in Lithuania","authors":"B. A, R. G, P. R, V. L","doi":"10.26420/jfammed.2022.1298","DOIUrl":"https://doi.org/10.26420/jfammed.2022.1298","url":null,"abstract":"Purpose: Improving the well-being of physicians and the level of trust in their work are key aspects in ensuring their motivation and satisfaction during the anxious and uncertain times of the COVID-19 pandemic. The aim of this study is to investigate the links between different dimensions of the well-being of physicians during the pandemic. Methods: An anonymous survey of physicians (n=191) working in a family physician’s team was carried out from June 21, 2021 to September 17, 2021. The data analysis involved the X2 homogeneity criterion with Yates correction, the Mann-Whitney criterion, and the Kruskal-Wallis criterion. Results: The majority of physicians indicated the following issues: concern about the pandemic (91.1%); a decrease in their quality of life as a result of the pandemic (83.3%); professional burnout (75.7%); and dissatisfaction with the management of the pandemic (55%). It was observed that the duration of employment in their current institution is related to the physicians’ emotional well-being, quality of life, professional burnout, and satisfaction. Emotional wellbeing was found to depend on the form of ownership of their current health care institution. Quality of life and professional burnout were found to be dependent on the respondent’s number of years of work experience, whilst their assessment of personal well-being was dependent on the respondent’s age and gender. Conclusions: Physicians’ assessment of their well-being depends on certain sociodemographic characteristics. In critical situations, intervention measures for improving their well-being should focus on improving emotional well-being and quality of life, reducing the occurrence of professional burnout, and increasing satisfaction.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78768516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}