Anatolian Journal of Family Medicine最新文献_第9页

A Critical Appraisal of Malnutrition in Ayurveda 对阿育吠陀营养不良的批判性评价

Anatolian Journal of Family Medicine Pub Date : 2021-11-06 DOI: 10.26420/jfammed.2021.1276

Yadav Ak, Singh Hk, Vyas Pp

{"title":"A Critical Appraisal of Malnutrition in Ayurveda","authors":"Yadav Ak, Singh Hk, Vyas Pp","doi":"10.26420/jfammed.2021.1276","DOIUrl":"https://doi.org/10.26420/jfammed.2021.1276","url":null,"abstract":"Ayurveda the science of life, focus on various modalities of health and wellness through proper diet, digestion and nutrition. Acharya Kashyap says Ahara is Mahabhaisajya. If the Ahara is proper and full of nutrition then it brings arogya (health) and if it is improper and lack of nutrients then it causes disease in healthy individual. That’s a good diet is always required that not only maintain all three doshas in equilibrium but also provide complete nourishment to whole body and brain for different activities. Food is made up of essential, natural complex chemical substances called nutrients. There are six major classes of nutrients viz carbohydrates, proteins, fats, minerals, vitamins and water. These nutrients are classified into macro and micronutrients. The Macronutrients are the building blocks of the body. The micronutrients are crucial for their role in metabolic pathways and in enhancing immunity. Balanced diet provides all nutrients in required amounts and proper proportion. According to Acharya Kashyap, proper ahara helps to improve kanti, bala, smriti, medha, satwasthiti (stability) and angavriddhi. Abnormal nutrition causes over nutrition or under nutrition both. Malnutrition i.e. impaired nutrition leads to growth retardation, low resistance to infections and many other health problems. Malnutrition leads to a variety of disorders like Karshya, Sthaulya, Phakka, Balashosha, Parigarbhika etc. The Ayurvedic explanation of Ahara according to Gunas, Satmya, Dosha, Kala etc. seems to be more logical & scientific as compared to the modern aspect. All factor described in Ahara Vidhi Vidhana has a functional logic and is responsible for maintaining health. In this manuscript author, make an effort to explore various aspects in reference of malnutrition mentioned in ancient Ayurvedic literature.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79960897","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}

引用次数: 0

SARS-Cov-2 Infection after Vaccination in Health Care Workers-Moffitt Cancer Center, Florida 佛罗里达州莫菲特癌症中心医护人员接种疫苗后的SARS-Cov-2感染

Anatolian Journal of Family Medicine Pub Date : 2021-10-26 DOI: 10.26420/jfammed.2021.1275

Chaudhary N, Greene Jn

引用次数: 0

Addison’s Disease: A Case Report in Primary Care 阿狄森氏病:1例初级保健报告

Anatolian Journal of Family Medicine Pub Date : 2021-10-18 DOI: 10.26420/jfammed.2021.1274

Tham Csw, Sim Sz

引用次数: 0

Healthcare Practitioner Diagnosing and Recommending Vitamin D: a Comparative Survey of Attitudes and Practices 保健医生诊断和推荐维生素D:态度和做法的比较调查

Anatolian Journal of Family Medicine Pub Date : 2021-10-18 DOI: 10.26420/jfammed.2021.1273

Alschuler Ln, Chiasson Am, B. A., Chen Mk, Marshall K

{"title":"Healthcare Practitioner Diagnosing and Recommending Vitamin D: a Comparative Survey of Attitudes and Practices","authors":"Alschuler Ln, Chiasson Am, B. A., Chen Mk, Marshall K","doi":"10.26420/jfammed.2021.1273","DOIUrl":"https://doi.org/10.26420/jfammed.2021.1273","url":null,"abstract":"Background: It is estimated that over 1/3 of the world’s population and 18% of the US population is deficient in vitamin D. Currently, Healthcare Practitioners’ (HCPs) vitamin D testing and recommending beliefs and behaviors are poorly understood. This study aims to evaluate beliefs and practice regarding vitamin D among U.S. HCPs with an interest in nutrition, specifically assessing impact of Integrative Medicine (IM) fellowship training on these practice beliefs and behaviors. Methods: An Internet-based 62-item survey was electronically provided to HCPs identified through the Andrew Weil Center for Integrative Medicine database that includes non-Fellows and Fellows of IM. Results: Of 3,984 recipients of the survey, a total of 361 (9.1%) completed the survey. Of respondents, 221 (61.2%) completed an IM Fellowship. The vast majority of respondents (332, 93.5%) believe that vitamin D deficiency is widespread and affects the majority of the population. Three of four HCPs indicate that vitamin D status can be accurately assessed by measuring serum 25-hydroxyvitamin D (262; 74%), and that vitamin D supplementation improves overall health of patients (277; 77.4%). Most respondents, especially those with fellowship training in integrative medicine, both test and recommend vitamin D3 (cholecalciferol) for various chronic conditions and in at-risk populations. Conclusions: There is widespread understanding of the role of vitamin D in health maintenance and in specific health conditions. Overall, primary care, physician-level training, length of time in practice, and IM fellowship training are the most significant predictors of beliefs and practices regarding vitamin D.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83151840","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}

引用次数: 0

Knowledge and Awareness of Topical Steroid Phobia in Atopic Dermatitis: Pre and Post Education of Family Medicine Providers, Pharmacist Interns and Dermatology Residents 特应性皮炎患者局部类固醇恐惧的知识和意识:家庭医学提供者、实习药师和皮肤科住院医师的前后教育

Anatolian Journal of Family Medicine Pub Date : 2021-10-05 DOI: 10.26420/jfammed.2021.1272

Berce Pc, D. J, Kaupla G, Wanat Ka

{"title":"Knowledge and Awareness of Topical Steroid Phobia in Atopic Dermatitis: Pre and Post Education of Family Medicine Providers, Pharmacist Interns and Dermatology Residents","authors":"Berce Pc, D. J, Kaupla G, Wanat Ka","doi":"10.26420/jfammed.2021.1272","DOIUrl":"https://doi.org/10.26420/jfammed.2021.1272","url":null,"abstract":"Purpose: Treatment nonadherence is a primary barrier in the management of Atopic Dermatitis (AD) and often attributed to Topical Corticosteroid (TCS) phobia. Misinformation of TCS safety and utility among providers perpetuates TCS phobia. We aimed to assess provider knowledge of TCS in AD and determine the feasibility of educational interventions in modifying their beliefs and practices. Methods: Pharmacy interns and family medicine providers (nondermatology clinicians) in attendance of virtual education sessions were evaluated before and after an evidence-based lecture on the use of TCS in AD. Dermatology residents were evaluated pre-lecture. All responses were recorded via electronic questionnaires. Results: Response rates for the pre- and post-questionnaires were 50% and 26%, respectively. Dermatology residents were more likely to believe that TCS used appropriately are safe for patients and scored higher on the pre-lecture evaluation compared to non-dermatology clinicians (62 vs. 27%, p=0.036). Non-dermatology clinicians also scored higher in overall knowledge after attending the evidence-based lecture (68 vs. 27%, p<0.001). Conclusions: There may be beliefs and knowledge gaps among nondermatologist clinicians in the treatment of AD that perpetuate TCS phobia. These beliefs and counseling practices appear modifiable, however, through post-graduate educational interventions. Collaboration of healthcare providers involved in the treatment of AD is important for the dissemination of reliable information to patients.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83637122","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}

引用次数: 0

Acute Fibrinous and Organizing Pneumonia Case Report and Review: Distinguishing AFOP from Similar Organizing Pneumonias 急性纤维性和组织性肺炎病例报告及综述:区分AFOP与类似组织性肺炎

Anatolian Journal of Family Medicine Pub Date : 2021-10-01 DOI: 10.26420/jfammed.2021.1271

Chaudhary Nm, C. W., Katz Jh, Klinkova O, Greene J

引用次数: 0

To Study the Practices and Life Style Skills Management and Its Impact among Diabetic Patients to Prevent Its Complications in the Field Practice Area of Government Medical College, Amritsar 阿姆利则政府医学院实习区糖尿病患者的生活方式、生活技能管理及其对预防并发症的影响

Anatolian Journal of Family Medicine Pub Date : 2021-09-16 DOI: 10.26420/jfammed.2021.1270

Soni A

{"title":"To Study the Practices and Life Style Skills Management and Its Impact among Diabetic Patients to Prevent Its Complications in the Field Practice Area of Government Medical College, Amritsar","authors":"Soni A","doi":"10.26420/jfammed.2021.1270","DOIUrl":"https://doi.org/10.26420/jfammed.2021.1270","url":null,"abstract":"Aims: 1) To assess the regularity to check the RBS and treatment among diabetic patients (>10 years). 2) To assess the life style skills management among Diabetics (>10 years). 3) To study the impact of practices and life style skills management among Diabetics (>10 years). Settings and Design: A community based cross-sectional study was conducted in rural and urban field practice areas of Government Medical College, Amritsar. Methods and Materials: A total of 200 diabetic patients who had diabetes equal to or more than 10 years of duration were interviewed using pretested and predesigned questionnaire. Results: Out of 200 respondents, 50% (100/200) were from urban area and 50% (100/200) were from the rural area. Out of total, 65(65%), 86(86%) diabetic respondents from rural and urban areas were on regular treatment (p<0.05) and 28(28%), 68(68%) diabetic respondents from rural and urban areas had glucometer, from which 39(39%), 57(57%) diabetic respondents from rural and urban areas checked their RBS regularly (P<0.05). Out of total, 2(1%) respondents were doing physical activity before and 53 (26%) after the disease. 1(1%) had quit smoking before and 2 (1%) after the disease and 2(1%) had avoided selected food items before and 134(67%) after the disease. Out of total 47 diabetic respondents who were without complications -20(95%), 24(92%) from rural and urban areas were doing life style modifications, R-19(90%), U-25(96%) were on regular treatment.R-18(86%), U-24(92%) were doing regular check up and R-18(86%), U-26(100%) were monitoring blood glucose level on regular basis. Conclusions: The practice to check the RBS on regular basis and regular treatment and life style skill management was poor among diabetic patients which leads to development of complications at early stage among diabetics (>10 years).","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89229385","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}

引用次数: 0

Improving Management of Osteoarthritis: Patients’ Perceptions of a Surgical Readiness Interview Tool 改善骨关节炎的管理:患者对手术准备访谈工具的看法

Anatolian Journal of Family Medicine Pub Date : 2021-09-07 DOI: 10.26420/jfammed.2021.1268

Barton Ki, Hewison Ce, Kania-Richmond A

{"title":"Improving Management of Osteoarthritis: Patients’ Perceptions of a Surgical Readiness Interview Tool","authors":"Barton Ki, Hewison Ce, Kania-Richmond A","doi":"10.26420/jfammed.2021.1268","DOIUrl":"https://doi.org/10.26420/jfammed.2021.1268","url":null,"abstract":"Almost half of patients referred to orthopedic surgeons for Total Joint Arthroplasty (TJA) do not require TJA at that time or are not appropriate surgical candidates. The objective was to explore patients’ perspectives of a Surgical Readiness Interview Tool and its potential utility in the Osteoarthritis (OA) management process. Semi-structured qualitative interviews were conducted with a convenience sample of patients from arthroplasty clinics in Alberta. All interviews were digitally recorded and transcribed verbatim. Analysis was conducted iteratively, applying a constant comparison method. Nine patients were interviewed. Participants found the interview tool to be relevant and comprehensible. Suggestions were made on how to improve tool clarity and administration processes. Patient orientation versus that of the doctor, and expectation management emerged as salient factors in the meaningful application of the tool. As a result of the interviews, a revised tool was developed which incorporated the participant suggestions. Patients were positive about the interview tool and felt that it would lead to better care provision, particularly with incorporation of participants’ suggestions. The data suggest that the interview tool could improve the conversation on surgical readiness, conservative management, and addressing modifiable risk factors prior to TJA.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82212890","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}

引用次数: 0

Delivering Bad News: Should Physicians Express their Emotions? 传递坏消息:医生应该表达他们的情绪吗?

Anatolian Journal of Family Medicine Pub Date : 2021-09-07 DOI: 10.26420/jfammed.2021.1269

V. H, J. M., Belakere R

引用次数: 0

Anatolian Journal of Family Medicine Pub Date : 2021-08-18 DOI: 10.26420/jfammed.2021.1267

Linlin Zhang, Xiaodong Wu, Miaomiao Xu, W. Guan, Zhi-Zhang Cui, Hui Wang

{"title":"Related Adverse Events after Immunotherapy in Patient with NK/T-Cell Lymphoma: a Case Report","authors":"Linlin Zhang, Xiaodong Wu, Miaomiao Xu, W. Guan, Zhi-Zhang Cui, Hui Wang","doi":"10.26420/jfammed.2021.1267","DOIUrl":"https://doi.org/10.26420/jfammed.2021.1267","url":null,"abstract":"A 29-year-old male with pathologically confirmed extranodal NK/T cell lymphoma of the tonsil, nasal type was admitted to Xinhua hospital affiliated to Shanghai Jiao Tong University School of Medicine. The patient was provided with several cycles of anti-PD-1 immunotherapy and obtained a Complete Response (CR) outcome. Despite the response, the patient also suffered from severe adverse effects, including a worsening pulmonary inflammation and severe laryngeal edema. A tracheotomy was performed to remove the white pseudo-membrane of laryngeal. via pathological analysis, necrosis of granuloma lymphoid cells and rhabdomous granuloma was found in this removed section. Meantime, a large amount of Candida nivaria, Klebsiella pneumoniae, and carbapenem-resistant Enterobacter was present in the patient’s sputum culture. The level of inflammatory cytokines (e.g., TNF-a, IL-1, IL-6, IL-17 and IFN-γ,) also increased significantly, indicating immune-related adverse events. Subsequently, the doctors adjusted immunotherapy to single-agent chemotherapy with additional anti-fungal and anti-bacterial infection treatment. The infection was well under control after these adjustments. 18F-FDG PET/ CT recorded the series of changes in the course of the patient from the start of immunotherapy.","PeriodicalId":33070,"journal":{"name":"Anatolian Journal of Family Medicine","volume":"T151 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82634885","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}

引用次数: 0