Family Medicine and Medical Science Research最新文献_第3页

Practice Management Role in Monitoring Family Medicine Residents Adherence to ACGME-I Standards in Qatar 在卡塔尔监测家庭医学居民遵守ACGME-I标准的实践管理作用

Family Medicine and Medical Science Research Pub Date : 2016-05-30 DOI: 10.4172/2327-4972.1000202

M. Saleh, Amal Al-Ali, Zeliakha Alwahedi, Mona Taher, Ahmed Mostafa

{"title":"Practice Management Role in Monitoring Family Medicine Residents Adherence to ACGME-I Standards in Qatar","authors":"M. Saleh, Amal Al-Ali, Zeliakha Alwahedi, Mona Taher, Ahmed Mostafa","doi":"10.4172/2327-4972.1000202","DOIUrl":"https://doi.org/10.4172/2327-4972.1000202","url":null,"abstract":"Background: Practice Management Report is a tool used to describe the practice activity and productivity for each resident. The aim of this study is to monitor resident adherence to ACGME-I performance standards. \u0000Methods: Data was extracted and analyzed from practice management reports of all family medicine residents for the period from July 2014 to June 2015. Total number of residents was 31 residents. \u0000Results: Residents reached the target of total number of patient visits by 43% while reached the target of male/ female ratio by 62%. Residents reached the target of hospital admission visits by 27%. Residents reached the target of seeing patients less than 19 years by 87% while reached the target of seeing patients more than 60 years by 22%. Residents reached the target of patients visit distribution by 21%. Residents completed their chart audit by 97% and achieved patient satisfaction by 99%. The most deficient cases seen by residents were high risk pregnancy by 43%, well baby cases by 20%, eye problems by 16% and Asthma by 11%. \u0000Conclusion: Practice management report is of considerable importance to monitor and assess resident performance according to ACGME-I standards. Despite some difficulties in its application and analysis process, it will guide improving deficiencies in areas as antenatal and well-baby care and physician alert system.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121086912","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: 1

Recurrent Hydatiform Mole: A Rare Case Report 复发性葡萄胎1例报告

Family Medicine and Medical Science Research Pub Date : 2016-04-27 DOI: 10.4172/2327-4972.1000201

Z. Kh, A. Kh, H. Hala, Salem Kh

引用次数: 1

Methodological and ethical quality checklist assessment in issues of Annals of Family Medicine Clinical Trials (2010-2013) 《家庭医学临床试验年鉴》(2010-2013)各期方法学和伦理质量检查表评价

Family Medicine and Medical Science Research Pub Date : 2016-02-29 DOI: 10.4172/2327-4972.1000200

Castaño García, Guillen Grima, Leon Sanz

{"title":"Methodological and ethical quality checklist assessment in issues of Annals of Family Medicine Clinical Trials (2010-2013)","authors":"Castaño García, Guillen Grima, Leon Sanz","doi":"10.4172/2327-4972.1000200","DOIUrl":"https://doi.org/10.4172/2327-4972.1000200","url":null,"abstract":"Introduction: At present, the quality of the publication of Control Trials (CTs) in medicaljournals improved due to the inclusion of the CONSORT (CONsolidated Standards of Reporting Trials) standards and the Declaration of Helsinki. The aim is to analyse methodological and ethical quality of published CTs in Annals of Family Medicine journal. \u0000Material and methods: We use a 133-item checklist divided into 11 sections based on CONSORT and the Declaration of Helsinki. The Confidence Interval of 95% (95% CI) of Clopper-Pearson for κ average is calculated. \u0000Results: We found 35 CTs in a literature review (2010-2013) on March 25, 2014 according to PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analysis). CT was mentioned in all heading/subheadings; CT controlled parallels in 80%; cluster type 45.7%. The most observed method was masked, active-controlled, decentralized randomization. The most frequently found category was an open CT assessing a medical intervention, with a positive significant result surveyed. The most common Informed Consent (IC) was in writing, not clearly voluntary, without prior knowledge and doubtful. It was not withdrawn in 45.7% of cases. A grant/scholarship was found to be the most frequent incentive for researchers. In 28 CTs there was no conflict of interest. The κ average was 0.93 (95% CI, 0.90-0.96). \u0000Conclusions: CT published “standard” characteristic are indicated. Following the CONSORT standards publication, it has increased the overall quality of the CTs published. But there are some areas for improvement in the methodological and ethical quality of the CTs published from 2010 to 2013 in Annals of Family Medicine.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132878917","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: 1

Assessing the Utilization of Needle-Stick Injury Protocols by General Practices in Liverpool 评估在利物浦的一般做法针刺伤协议的使用

Family Medicine and Medical Science Research Pub Date : 2016-02-17 DOI: 10.4172/2327-4972.1000199

C. Ifediora, D. Pope

{"title":"Assessing the Utilization of Needle-Stick Injury Protocols by General Practices in Liverpool","authors":"C. Ifediora, D. Pope","doi":"10.4172/2327-4972.1000199","DOIUrl":"https://doi.org/10.4172/2327-4972.1000199","url":null,"abstract":"Background: Needle-Stick Injuries (NSIs) incur huge financial, emotional, social and economic costs, and therefore constitute a serious global burden of disease. Protocols to manage NSIs at the primary care level are in place to ensure both staff and the public are well protected. \u0000Aim: This study aims to assess the utilization of NSI Protocols by General Practices in Liverpool, with respect to the North-West of England regional guidelines. \u0000Design and Setting: This is a cross-sectional survey, focusing on 77 general practices in Liverpool, North-west of England. \u0000Methods: Self-administered, pre-piloted questionnaires were distributed by post, email, and personal delivery to Practice Managers in the GP Surgeries. Completed forms were analyzed. \u0000Results: The study achieved an 82% response rate (63 responses out of 77). Eight (12.9%) of the Surgeries \u0000witnessed NSI cases in the preceding 12 months. Five (62.5%) of these Surgeries reported cases among the public, while the rest were among Practice staff. About 90% of the practices were aware of the regional NSI Policy, though 87.3% actually possess it. Less than 14% had difficulties adopting or implementing recommended guidelines, mostly from not knowing who to contact if help is needed. There was no association between Practice Size and the Possession of Policy (χ2 = 0.002; P = 0.99). \u0000Conclusion: The awareness, adoption and implementation of the recommended NSI policy among Surgeries in Liverpool are quite high. However, efforts should be made to maximize possession and limit difficulties in the implementation of the policies.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128334740","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

Factors Influencing Accessibility of Maternal & Child Health Information on Reproductive Health Practices among Rural Women in Kenya 影响肯尼亚农村妇女获得生殖健康实践妇幼保健信息的因素

Family Medicine and Medical Science Research Pub Date : 2016-01-14 DOI: 10.4172/2327-4972.1000198

Maurice B. Silali, D. Owino

{"title":"Factors Influencing Accessibility of Maternal & Child Health Information on Reproductive Health Practices among Rural Women in Kenya","authors":"Maurice B. Silali, D. Owino","doi":"10.4172/2327-4972.1000198","DOIUrl":"https://doi.org/10.4172/2327-4972.1000198","url":null,"abstract":"Maternal and child health information forms cradle human right, that allow mothers to access quality and reliable health care hence, decrease morbidity and mortality rates, aimed to be achieved in global goals number 3 and 17 of 2015 by 2030. Globally over 80% of community households have limited access to effective, reliable, efficiency and quality Maternal & child health information, especially in Sub Saharan Africa ( SSA), and depends solely on health professionals and community health workers (CHWs), as their main sources of health information, with large diversified society of demographic, socio-economic and socio-cultural factors. The aim of this study was to determine factors influencing accessibility of maternal & child health information. Specifically to determine how health professions and community health workers influence accessibility of maternal health information, investigate association that exists between source of maternal & child health information received and health practices and establish how demographic and social cultural factors influence utilization of maternal health & Child information among rural women in Kenya, using cross sectional and descriptive design. Cluster sampling design was used to identify study participants, mothers with children aged 0-11 months. Results showed that, health professionals remain main source of health information (46.2%) followed by community health workers (32.9%), in Kenya However, since CHWs are accessible and reliable sources in rural areas, they form most efficient community health linkages with health facilities, so it’s important to empower them for sustainable healthcare at community level.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129872523","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: 7

Increasing Physician Earnings through Bundled Payments 通过捆绑支付增加医生收入

Family Medicine and Medical Science Research Pub Date : 2016-01-11 DOI: 10.4172/2327-4972.1000195

K. Giles

引用次数: 0

Rectosigmoid Endometriosis Mimicking Cancer: Presenting with IntestinalObstruction 模拟癌症的直肠乙状结肠子宫内膜异位症:表现为肠梗阻

Family Medicine and Medical Science Research Pub Date : 2016-01-11 DOI: 10.4172/2327-4972.1000197

Ying-li Lin, Chao-Hung Yu

引用次数: 0

Alcohol Use by Brazilian College Students 巴西大学生饮酒情况

Family Medicine and Medical Science Research Pub Date : 2016-01-06 DOI: 10.4172/2327-4972.1000194

M. D. C. C. Martins, Camila Vilanova, Ingrid Lara do N. F. de Carvalho, Manoel Dias de Souza Filho, Liliana Sousa, Francisco Teixeira Andrade, Thiago Santos, Regina Célia de Assis

{"title":"Alcohol Use by Brazilian College Students","authors":"M. D. C. C. Martins, Camila Vilanova, Ingrid Lara do N. F. de Carvalho, Manoel Dias de Souza Filho, Liliana Sousa, Francisco Teixeira Andrade, Thiago Santos, Regina Célia de Assis","doi":"10.4172/2327-4972.1000194","DOIUrl":"https://doi.org/10.4172/2327-4972.1000194","url":null,"abstract":"During college, there is an increase in alcohol consumption by students. \u0000Objective: The aim of this study is to draw an epidemiologic profile of university students who consume alcohol and identify the prevalence of alcohol abuse among them through CAGE questionnaire. \u0000Methods: This study was a descriptive, cross-sectional study with a sample of students enrolled at the Federal University of Piaui-Brazil. \u0000Results: The prevalence of alcohol consumption was very high (91.1%), as well as the prevalence of alcohol abuse evaluated through the CAGE-questionnaire. The age group that had the highest ratio of alcohol consumers was between 20 and 24 years old, and students of the agriculture sciences center had the highest ratio of alcohol consumption (95%). The main reasons to drink, reported by the students, were their curiosity and influence of friends. Furthermore, 33.9% of the university students drink alcoholic beverage before reaching sixteen years old. \u0000Conclusion: The high prevalence of alcohol consumption was alarming and claims to the attention of the government. It should be drawn an educational program regarding the danger of alcohol use.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134374740","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: 3

Chemerin Relationship with Glucose and Lipid Metabolism in ClinicallyAsymptomatic Patients 趋化素与临床无症状患者糖脂代谢的关系

Family Medicine and Medical Science Research Pub Date : 2015-12-28 DOI: 10.4172/2327-4972.1000193

I. Skuja, I. Stuķēna, A. Lejnieks

{"title":"Chemerin Relationship with Glucose and Lipid Metabolism in ClinicallyAsymptomatic Patients","authors":"I. Skuja, I. Stuķēna, A. Lejnieks","doi":"10.4172/2327-4972.1000193","DOIUrl":"https://doi.org/10.4172/2327-4972.1000193","url":null,"abstract":"Study background: Chemerin is one of the recently discovered adipocytokines, a chemoattractant protein consisting of 131 to 137 amino acids expressing mostly in adipocytes. Chemerin affects adipogenesis and glucose homeostasis, have a direct or indirect impact on the inflammatory response. International scientific literature studies the relationship between chemerin and diabetes, obesity and metabolic syndrome markers. \u0000Methods: The study included 159 clinically asymptomatic patients (age 30-45) with an average age of 37.3 ± 4.0 years, in total 79 women. The following anthropometric measurements and biochemical parameters were measured: weight, height, BMI and fasting glucose, insulin, glycated hemoglobin, total cholesterol with its fractions, liver enzymes and immunological marker-serum chemerin. All patients underwent a CT examination of the liver with multilayer spiral computer tomograph. The density of the liver and spleen, liver index and liver/spleen index was determined. \u0000Results: Increased BMI correlates with an increased chemerin level, HOMA-IR value and TG level. A chemerin level raise also elevates the ALT and GGT blood levels, as well as the mean liver density among all three groups. The liver index and the liver/spleen index is greater in the normal weight group compared with the overweight and obese groups. HOMA-IR has a medium close-correlation with the chemerin level in the total group and overweight group. CTderived liver indicators (mean liver density, liver index, liver/ spleen index) have a statistically significant but weak correlation with chemerin level both in the total group and overweight group. \u0000Conclusion: Chemerin is adipokine, which has a significant, but not yet unambiguous role in the metabolic process. Chemerin correlation with almost all MS criteria show that even asymptomatic patients should pay attention even if only one MS criterion is increased, focusing on checking other criteria.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133535340","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: 5

A Health Clinic for the Severely Mentally Ill at a Community Mental Health Centre: A Danish Pilot Study 在社区精神健康中心为严重精神病患者设立的健康诊所:丹麦的一项试点研究

Family Medicine and Medical Science Research Pub Date : 2015-12-23 DOI: 10.4172/2327-4972.1000192

B. Hansen, A. Ellegaard, B. Nielsen

{"title":"A Health Clinic for the Severely Mentally Ill at a Community Mental Health Centre: A Danish Pilot Study","authors":"B. Hansen, A. Ellegaard, B. Nielsen","doi":"10.4172/2327-4972.1000192","DOIUrl":"https://doi.org/10.4172/2327-4972.1000192","url":null,"abstract":"Aim: In this study it was aimed to pilot testing a Danish health clinic in a community mental health centre where patients with severe mental illness (SMI) and increased risk of developing fatal coronary heart disease are offered screening and prevention by a primary care physician and nurse. \u0000Methods: 19 patients (16 with schizophrenia and 3 with affective illnesses) out of a total of 22 fulfilled the inclusion criteria. In all, 15(79%) patients were included in the project, which encompassed four consultations over a 12-week period. At each of the four consultations, lifestyle interventions were performed. A total of 12(63%) patients completed all four consultations. Reasons for dropout were investigated. At the first and last consultation, data were collected in order to assess the risk of developing fatal cardiovascular disease. \u0000Results: All patients attending the health clinic were screened. Among the 12 patients who completed, several known risk factors for the development of fatal cardiovascular disease were reduced, including a reduction in smoking. Other effects were increased physical activity and a healthier diet. Two patients received medical treatment for hypertension and hypercholesterolemia, respectively. \u0000Conclusions: On-site, integrated primary care in a community mental health clinic was associated with improved quality of medical care for SMI patients. It was possible to recruit and retain the patients in a health clinic. There was a positive effect on risk factors for the development of cardiovascular disease, but the results must be interpreted with caution as it is a pilot study.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128563652","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