Family Medicine and Medical Science Research最新文献_第10页

Pneumothorax and Subcutaneous Emphysema Caused by Intrathoracic Migration of aKirschner Wire 胸内克氏针移位致气胸及皮下肺气肿

Family Medicine and Medical Science Research Pub Date : 2014-07-17 DOI: 10.4172/2327-4972.1000126

C. Tseng, H. Chan, K. Wong, Shih-Hau Fu, Wei-Ting Lin, Chung-Da Wu

引用次数: 0

Management of Infected Orthopedic Joint Implants: Pertinent Information for Family Medicine Physicians 感染骨科关节植入物的处理:家庭医学医生的相关信息

Family Medicine and Medical Science Research Pub Date : 2014-06-16 DOI: 10.4172/2327-4972.1000125

Gómez Mm, J. Manrique, Antonia F. Chen

{"title":"Management of Infected Orthopedic Joint Implants: Pertinent Information for Family Medicine Physicians","authors":"Gómez Mm, J. Manrique, Antonia F. Chen","doi":"10.4172/2327-4972.1000125","DOIUrl":"https://doi.org/10.4172/2327-4972.1000125","url":null,"abstract":"Periprosthetic joint infections (PJIs) are one of the most devastating complications after total joint replacement. An early diagnosis can improve the outcome of treating PJI, and the first steps for diagnosing PJI are often conducted by a family doctor or a general practitioner. \u0000When a patient presents with a suspicion for PJI, the steps that must be followed are based on the clinical practice guideline by the American Academy of Orthopedic Surgeons (AAOS). Clinical symptoms, such as pain, are the main complaint that alerts physicians to a potential PJI, along with other symptoms such as erythema, warmth and tenderness around the surgical wound. These patients should receive x-rays of the affected joint, and laboratory tests such as erythrocyte sedimentation rate and C-reactive protein should be drawn. Physicians should actively avoid starting antibiotic therapy, obtaining nuclear medicine imaging, sending patients to infectious disease, or prescribing physical therapy. Finally, patients with a suspicion for PJI must be referred to an orthopedic surgeon who can establish the final diagnosis and conduct appropriate treatment.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115719699","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: 2

Visual Impairement and Blindness in the Rural Population of Western Rajasthan: Effort of a Dutch Foundation to Address the Problem 拉贾斯坦邦西部农村人口的视力障碍和失明:荷兰基金会解决这一问题的努力

Family Medicine and Medical Science Research Pub Date : 2014-06-15 DOI: 10.4172/2327-4972.1000124

Shivan, Pronker Es

引用次数: 2

Alcoholic Beverages in Bangladesh-How Much We Know? 孟加拉国的酒精饮料——我们知道多少?

Family Medicine and Medical Science Research Pub Date : 2014-06-04 DOI: 10.4172/2327-4972.1000123

N. Md.Islam, N. Ferdous, Karimon Nesha, J. Rasker

{"title":"Alcoholic Beverages in Bangladesh-How Much We Know?","authors":"N. Md.Islam, N. Ferdous, Karimon Nesha, J. Rasker","doi":"10.4172/2327-4972.1000123","DOIUrl":"https://doi.org/10.4172/2327-4972.1000123","url":null,"abstract":"Objectives: This study was aimed to determine the names and alcohol content or strength of different alcoholic beverages used in different parts of Bangladesh and also to determine contamination with heavy metals and bacteria in some samples. Methods: Eight different types of alcoholic beverages consumed in different parts of Bangladesh were collected and studied in the laboratory of Bangladesh Council of Scientific and Industrial Research (BCSIR). Before sending to the laboratory, samples were stored in a refrigerator at temperature 4-8 degree Celsius. In all samples, strength of ethanol content was studied. Among the samples, Dochuani and Tari was tested for heavy metal, Chubichi and Pochani studied for total viable micro-bacterial contamination. Results: In this study one sample was from Khagrachari (Hilly area) not been reported as manufacture site by the Department of narcotics control of Bangladesh before. Out of eight samples, one was of a Brand company (Keru & Co) and others homemade. Highest concentration, 81.56% was observed in Spirit followed by 37.7% in Dochuani and lowest 2.2% in Tari. Insignificant amount of heavy metal detected in Dochuani and Tari. There was no viable micro-bacterial contamination in samples tested. Conclusions: Without knowing the strength, people are using different types of homemade alcoholic beverages as such in a risk of health hazards as well as death. A national survey need to be conducted to obtain how many types of alcoholic beverages being manufactured, their strength and true picture of alcohol use so that strategy plan can be developed of its healthy use if needed at all.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131511799","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: 4

Family Physicians as Clinical Trial Investigators? - A Qualitative Study of Physicians’ Experiences with a Double-Blind Clinical Trial 家庭医生作为临床试验调查员?-双盲临床试验对医师经验的定性研究

Family Medicine and Medical Science Research Pub Date : 2014-06-04 DOI: 10.4172/2327-4972.1000122

J. Bleidorn, C. Költzsch, E. Hummers-Pradier, I. Gágyor, G. Theile

{"title":"Family Physicians as Clinical Trial Investigators? - A Qualitative Study of Physicians’ Experiences with a Double-Blind Clinical Trial","authors":"J. Bleidorn, C. Költzsch, E. Hummers-Pradier, I. Gágyor, G. Theile","doi":"10.4172/2327-4972.1000122","DOIUrl":"https://doi.org/10.4172/2327-4972.1000122","url":null,"abstract":"Background: Clinical (drug) trials are known as \"gold standard\" to provide evidence on therapy, but have rarely been undertaken in German family practices. The pilot study HWI-01 \"Antibiotic vs Ibuprofen for uncomplicated urinary tract infection\" was a noncommercial, double-blind clinical trial, assessing the clinical equivalence of a symptomatic treatment with ibuprofen compared to antibiotic treatment for uncomplicated urinary tract infection (UTI), and was conducted in 2007/08 according to current good clinical practice-guidelines in German family practices. Due to extensive regulatory requirements, a clinical drug trial is a great challenge for participating physicians and their teams. To optimize the planning and implementation of further randomized- controlled drug trials in a family medicine setting, views and experiences of participating family practitioners (FP) were explored subsequently in this qualitative interview study. Methods: After close- out of the HWI-01 study, semi-structured interviews were conducted with the FPs who acted as trial investigators. The interview guideline included the areas of general motivation for participation, experience with patient recruitment as well as with study procedures in the practice. Interviews were digitally recorded and transcribed verbatim. The evaluation was carried out by content analysis. Results/ Conclusions: Interviews were conducted with 20 family physicians in Lower Saxony, Germany. Aspects concerning physicians´ motivation to participate, patient recruitment and practical aspects of trial implementation could be elucidated. For successful implementation of further clinical trials in family medicine one should consider that a) relevant study themes facilitate research participation, b) a \"full waiting room\" always has priority, c) procedures should be as simple as possible and d) patients expectations should be minded.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114474976","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: 2

Positive Effects of Acupuncture on Menstrual Irregularity and Infertility in a Patient with Polycystic Ovary Syndrome 针刺对多囊卵巢综合征患者月经紊乱和不孕的积极影响

Family Medicine and Medical Science Research Pub Date : 2014-04-30 DOI: 10.4172/2327-4972.1000121

Sahin Ae, Y. Çayır, F. Akçay

{"title":"Positive Effects of Acupuncture on Menstrual Irregularity and Infertility in a Patient with Polycystic Ovary Syndrome","authors":"Sahin Ae, Y. Çayır, F. Akçay","doi":"10.4172/2327-4972.1000121","DOIUrl":"https://doi.org/10.4172/2327-4972.1000121","url":null,"abstract":"Introduction: Polycystic Ovary Syndrome (PCOS) is an important health problem seen in fertile women. Treatment in women with PCOS is commonly symptomatic. Positive effects of acupuncture on menstrual frequency and androgenic hormone levels have been demonstrated, as well as in some diseases with endocrinological disorders such as PCOS. Here, a patient who had presented with menstrual irregularity and infertility and had regular menstruations and pregnancy after acupuncture treatment is presented. \u0000Case Report: A 32-year-old female presented to receive acupuncture treatment for menstrual irregularity, obesity, and infertility. She was diagnosed with PCOS ten years ago. The patient had menstrual irregularity for five years and amenorrhea for the last one year, and discontinued using combined oral contraceptives due to weight gain. Her body mass index (BMI) was 32.9 kg/m2. Her laboratory values were FSH: 4.34 mIU/ml, LH: 5.15 mIU/ml, and TSH:1.87 uIU/ml. Patient was given 24 acupuncture treatment sessions twice a week in three months. Bilateral we selected LI4, ST36, SP6, GB34, CV5, CV6, CV12, GV4, Yintang, Taiyang acupuncture points, also ear shenmen, ear gastric point. The patient started to have regular menstruation during her follow-up. She lost 8 kg in three months and her BMI was 29.7 kg/m2. She became pregnant after two months and could not continue acupuncture treatment. \u0000Discussion: Acupuncture is thought to provide ovulation through its effects on the neuroendocrine system, metabolism, and ovarian blood flow in anovulatory conditions, such as PCOS. In addition, it provides good results for infertility through its effects on immune function and mood. Our patient, who was infertile, got pregnant after acupuncture. \u0000Conclusion: This case demonstrated that the use of acupuncture seemed to be helpful for menstrual irregularity and infertility in a patient with PCOS.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129049667","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: 8

Fatal Nitrofurantoin-Induced Pulmonary Toxicity: A Potentially Preventable Medical Error 致命的呋喃妥因引起的肺毒性:一个潜在的可预防的医疗错误

Family Medicine and Medical Science Research Pub Date : 2014-03-23 DOI: 10.4172/2327-4972.1000118

C. Chaulagain

引用次数: 0

Hepatosplenic T-Cell Lymphoma Mimicking Infiltrative Chronic Myelomonocytic Leukemia 模拟浸润性慢性髓细胞白血病的肝脾t细胞淋巴瘤

Family Medicine and Medical Science Research Pub Date : 2014-03-22 DOI: 10.4172/2327-4972.1000119

Suneetha Amara, V. Tiriveedhi, K. Tiriveedhi

引用次数: 2

Clinical and Socio Demographic Profiles of Complementary and Alternative Medicine Users among Outpatient Clinic Attendees in Uyo, South-South Nigeria 临床和社会人口统计资料的补充和替代药物使用者门诊参加在Uyo，南尼日利亚

Family Medicine and Medical Science Research Pub Date : 2014-03-03 DOI: 10.4172/2327-4972.1000117

I. Udo, Okokon, I. Bassey, Udoh Sunday Bassey, I. Akpan

{"title":"Clinical and Socio Demographic Profiles of Complementary and Alternative Medicine Users among Outpatient Clinic Attendees in Uyo, South-South Nigeria","authors":"I. Udo, Okokon, I. Bassey, Udoh Sunday Bassey, I. Akpan","doi":"10.4172/2327-4972.1000117","DOIUrl":"https://doi.org/10.4172/2327-4972.1000117","url":null,"abstract":"Background: Complementary and alternative medicine (CAM) is a growing area of Primary care globally. This study aimed at assessing the extent of the use of CAM among adult patients attending the Family Medicine Clinic of University of Uyo Teaching Hospital, Uyo, Nigeria. \u0000Methods: This was a cross sectional descriptive study involving 574 consenting adult subjects aged 18-69 years, recruited over a 6-month period, using a systematic sampling method. An Interviewer administered Questionnaire was used for data collection. Data was analyzed using the 17th version of the Statistical Package for Social Sciences. \u0000Results: Of the 574 subjects studied, two thirds were female 62.9% (n=361). A total of 19.5% men (n=112) and 44.3% (n=254) women respondents respectively, were found in this study to have used CAM (p=0.000). Married respondents used CAM remedies more frequently than the non-married (p=0.000). There were no statistically significant relationships between place of residence (p=0.007), level of education (p=0.052) and CAM use. Low and middle level income earners constituted the majority of CAM users here in this study (p=0.000). Herbal remedies were the most frequently used preparations among the respondents accounting for 61.7%. There was statistically significant relationship between CAM use and the presence of hypertension (p=0.001), diabetes mellitus (p=0.001) and osteoarthritis (p=0.001) among respondents in this study. \u0000Conclusion: CAM use is common among middle aged respondents especially the women, married and in middle and low income groups. Lack of standardization of herbal preparation as well as the potential for hazardous drug-drug interactions constitutes the major drawback regarding this choice of therapy. Physicians are encouraged to cultivate interest in interviewing their patients on CAM use to avert any serious adverse reactions arising from the combination of CAM and orthodox drugs.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116827818","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: 8

A Crossed Length Diagnostic by the Way of Spiegel’s Hernia 交叉长度法诊断Spiegel疝

Family Medicine and Medical Science Research Pub Date : 2014-02-04 DOI: 10.4172/2327-4972.1000116

J. LopezGomez, V. Mv, R. CidCastro, L. SanchoLozano, R. Sanjuán, P. Palacios

{"title":"A Crossed Length Diagnostic by the Way of Spiegel’s Hernia","authors":"J. LopezGomez, V. Mv, R. CidCastro, L. SanchoLozano, R. Sanjuán, P. Palacios","doi":"10.4172/2327-4972.1000116","DOIUrl":"https://doi.org/10.4172/2327-4972.1000116","url":null,"abstract":"Spiegel hernias are process of low incidence that represents less than 2% of abdominal hernias. Diagnosis is often complex and in some cases is purely casual discovery. In cases in which these are symptomatic is postural abdominal pain located it´s first expression. After the anamnesis facing possible predisposing factors such as trauma or the concurrence of processes involving increased abdominal pressure and palpation is the main diagnostic instrument. Ultrasound or tomographies are useful to diagnose when tenderness is not enough. The request for additional tests without a diagnosis or suspicion can result in false negatives that slow down the diagnostic process. Strangulation and subsequent surgical intervention was the reason that changes the diagnostic process after months of study and high direct and indirect costs. In recent years the approach by laparoscopic way has shown comparable performance and shorter hospital stay. Successful diagnostic and therapeutic action, by doctor the emergency room, helped the patient returning to work in just two weeks; recovering completely the quality of life that had before trauma. All pitting the immediate cessation of the frequentation of the health system and the removal of the stigma sometimes unavoidable in some of these cases be regarded as a “hyperfrequenter” both patient the urgent field as in primary care.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"484 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125087284","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