Family Medicine and Medical Science Research最新文献

{"title":"The Link between Uncontrolled Asthma and Sensitization to Inhalant Allergens: Evidence from Jeddah, Saudi Arabia","authors":"M. Qutub, E. Koshak, Moufag Tayeb","doi":"10.4172/2327-4972.1000191","DOIUrl":"https://doi.org/10.4172/2327-4972.1000191","url":null,"abstract":"Background: For optimal asthma control, current guidelines recommend the assessment of allergy phenotype. This study investigates the relationship between asthma control and sensitization to inhalant allergens. \u0000Methods: A cross-sectional study was conducted over a one year period since January 2011. Asthmatics were sequentially selected from allergy clinic at King Abdulaziz University Hospital in Jeddah. Evaluation of asthma control was based on GINA guideline. Assessment of the sensitization towards inhalant allergens was measured in-vivo by wheal size and number of positive reactions on the standard skin prick test (SPT). SPSS was used to analyse any statistical correlation. \u0000Results: A total of 110 asthmatics with a mean age of 34 ± 14 years were included, 63.6% being females. Asthma was predominantly uncontrolled in 68 cases (61.8%), partly controlled in 26 cases (23.6%) and controlled in 16 cases (14.5%). SPT to common inhalant allergens was positive in 76 asthmatics (77.6%); of which 54 (55.1%) were uncontrolled, 13 (13.3%) partly controlled and only 9 (9.2%) were controlled asthmatics. The predominant allergens were Dermatophagoides pteronyssinus in 57 cases (54.8%), Dermatophagoides farinae in 49 cases (47.1%), cat epithelia in 35 cases (33.7%) and cockroach in 23 cases (22.1%). Uncontrolled asthma was correlated significantly with positive SPT (p=0.038). \u0000Conclusions: More than half of the uncontrolled asthmatics population is sensitized to indoor inhalant allergens. This clinically favours the assessment of allergic status in any asthmatic, whose symptoms are not controlled. This is one of the early studies exploring the potential link between asthma control and sensitization to inhalant allergens.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"424 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116005084","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":"Privacy of Health Information in Telemedicine on Private Cloud","authors":"V. Arun, S. Padma, Shyam","doi":"10.4172/2327-4972.1000189","DOIUrl":"https://doi.org/10.4172/2327-4972.1000189","url":null,"abstract":"Telemedicine involves many people at many levels with potential access to health records or medical data or the health details of a particular person. Privacy and security have always been an issue in telemedicine. In order to overcome this problem, cloud has been adopted to store and securely access data. Cloud offers a way to allow medical data and images to be transferred from patient to medical clinicians providing security. But individual patient data is not provided with privacy when it is outsourced to public cloud. In this paper, using a case study of screening the masses for early detection of non-communicable diseases at Sri Kshetra Suttur, privacy is built into telemedicine or mobile health care system with the help of the private cloud. Efficient key generation, Encryption, Decryption and analysis of health data misuse by authenticating authorized Clinicians to access patient records using Paillier Cryptosystem and Searchable Symmetric Encryption are some of the salient features introduced in this paper.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"62 15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114852890","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":"Impact of Community Based Management of Acute Malnutrition Integrated Nutrition Education on Infant and Young Child Feeding Knowledge and Practice of Mothers or Caregivers in Dilla Zuria Woreda, Southern Ethiopia: A Quasi Experimental Study","authors":"A. K. Daba, Mastewal Erango Ersado","doi":"10.4172/2327-4972.1000190","DOIUrl":"https://doi.org/10.4172/2327-4972.1000190","url":null,"abstract":"Background: Adequate nutrition during infancy and early childhood is fundamental to the growth, health and development of each child’s to full human potential. Severe acute malnutrition(SAM) affects approximately 20 million children under five years of age, contributes to more than 1 million child deaths worldwide each year and being treated with community based management of acute malnutrition (CMAM) program. So that this study aimed of assessing the effect of CMAM integrated nutrition education on infant and young child feeding (IYCF) knowledge and practice of mothers/caregivers. Method: A quasi experimental study design was employed on a total of 100 mother/caregivers and acutely malnourished child pairs enrolled in outpatient treatment program (OTP) of CMAM. A nutrition education intervention comprising 8 specific messages held twice a month for 6 continuous months. A pre-tested semi-structured questionnaire was used to collect three phase (Baseline, Follow-up and End line) data. Collected data entered to SPSS and descriptive statistics was computed. Paired t-test and independent sample t-test were used to check within and between group change on mean knowledge and practice score of mothers/caregivers. Result: At the end of the intervention period mean knowledge score of mothers/caregivers was statistically significantly (p-value<0.001) improved within intervention group and between intervention and control group. At baseline (p-value=0.42) and follow up (p-value=0.44) between groups mean practice score of mothers/caregivers was not statistically significant different. Between group mean practice score comparison come up with statistically significant (p-value<0.001) difference. By the end of the study within group comparison for mean practice score showed significant difference both for intervention and control. Conclusion: IYCF focused nutrition education improved knowledge and practice of mothers/caregivers of children on medical and nutrition treatment. Further study can be done with large sample size, longer intervention period and more strong design to check consistency of result. Since mothers’/caregivers’ knowledge and practice of IYCF is crucial to sustain positive clinical outcomes of OTP management of acute malnutrition stakeholders better give due emphasis to mothers/care givers IYCF focused nutrition education in line with the clinical management.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130487338","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 that Influence the Counselling of Family Members in Out-of-Hospital Emergency Medical Care","authors":"Mari Salminen-Tuomaala, Päivi Leikkola, Riitta Mikkola, E. Paavilainen","doi":"10.4172/2327-4972.1000188","DOIUrl":"https://doi.org/10.4172/2327-4972.1000188","url":null,"abstract":"Background: Counselling family members of acutely ill patients has not been studied from the perspective of out-of-hospital emergency care. The purpose of this study was to fill the research gap by describing care providers’ experiences of factors that influence counselling and supporting family members in out-of-hospital emergency care. Methods: The data were collected by semi-structured interviews of emergency care providers (N=15) in Finland in 2014 and analysed using content analysis. Results: Factors that influence the counselling aimed at family members in out-of-hospital emergency care can depend on the patient, family member, emergency care provider or context. Patient-dependent factors involve the patient’s personality, severity of physical and psychological symptoms, criticality of the situation, the patient’s memory, responses, behaviour and cognitive abilities and emotional resources. Family member-dependent factors include the family members’ needs and responses, fears, anxiety, feelings of not having control, needs for support, cognitive and emotional preparedness to commit themselves to help and support the patient and willingness to engage in supporting the patient. Care provider-dependent factors include the care provider’s personality, clinical expertise, theoretical and practical competence, work and life experience and attitudes. Context-dependent factors include time, degree of urgency, safety of the environment and the circumstances. Conclusions: Care providers must gain an overall idea of the family’s function and their ability to endure stress in acute situations, so that counselling can be founded on the family’s strengths and limitations regarding the patient’s follow-up care and coping at home. Ability to differentiate between various factors in counselling situations helps care providers concentrate on factors that they can affect. The results can be used in the education of health carestudents and professionals and in developing the quality of counselling.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126957290","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":"Effectiveness of Continuing Education in Motivational Interviewing for Health Professionals Working with Families and Pediatric Patients: Results of a Skills-Based Assessment","authors":"Amy Whittle, Jennifer E. Hettema, Jennifer K Manuel, Carrie Cangelosi, Diana A. Coffa, Sarah de la Cerda, Matt Tierney, Paula J Lum","doi":"10.4172/2327-4972.1000187","DOIUrl":"https://doi.org/10.4172/2327-4972.1000187","url":null,"abstract":"Introduction: Motivational interviewing (MI) is an evidence-based practice with many applications for healthcare providers who work with families and pediatric patients. Few studies have evaluated MI training efforts with providers who work with pediatric patients using objective treatment integrity tools. This pilot study aims to test the effectiveness of a four-hour continuing education workshop, plus performance feedback and coaching, on MI skillfulness among family and pediatric health professionals. Materials and methods: Participants completed standardized patient (SP) practice samples at baseline (BL), received written performance feedback, attended an MI workshop, provided a one-week SP practice sample (FU1), received written feedback and a coaching call, and provided a final SP practice sample at two months (FU2). All practice samples were coded using the Motivational Interviewing Treatment Integrity Code (MITI 3.1.1). Results: Participants showed improvements in MI skillfulness between BL and FU1 that were associated with moderate to large effect sizes. Despite feedback and coaching, some deterioration in skillfulness was seen between FU1 and FU2. Few providers met beginning proficiency or competency standards at either follow-up point. Discussion: While the tested training model led to improvement in skillfulness, and telephone feedback was feasible, additional training is likely needed to meaningfully impact behavior.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122171925","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":"Family Health History: An Entry for Personalized Medical Practice in Primary Care","authors":"V. Henrich, Lori A Orl","doi":"10.4172/2327-4972.1000185","DOIUrl":"https://doi.org/10.4172/2327-4972.1000185","url":null,"abstract":"The successful practice of personalized medicine in primary care depends upon understanding a patient’s individual disease risk and anticipating the best course of treatment with the goal of maintaining good health. A personalized disease risk assessment leads to recommendations for evidence-based interventions that can delay/prevent disease onset or reduce the severity of disease. As the sophistication of medical diagnoses develops and new interventions become available, the value of collecting and analyzing family health history (FHH) for maintaining patient wellness by determining ‘the right treatment, at the right time, for the right patient’ is more apparent than ever. FHH remains underutilized in primary care, however, because of numerous barriers. Ironically, the introduction of genetic tests and genomic methods that identify carriers who might be vulnerable to a variety of medical conditions and diseases has simply raised the importance of collecting and utilizing FHH to guide patient management in primary care.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117040429","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":"The Effect of Socioeconomic Status, Number of Siblings and Parental of Education on Children Body Mass Index at Jeddah, Saudi Arabia: Cross Sectional Study","authors":"A. Al-Agha, Bara’ah O Tatwany, Duaa A Aiash, M. LobnaA, ourah, Nisreen T Abukhalil","doi":"10.4172/2327-4972.1000184","DOIUrl":"https://doi.org/10.4172/2327-4972.1000184","url":null,"abstract":"Objective: To assess the effect of socioeconomic status, number of family members and parental educational level on children’s body mass index (BMI). Methods: A cross-sectional survey was conducted in 2014-2015 among children and adolescents aged 2-18 years old, in Jeddah, Saudi Arabia. They were visiting an ambulatory clinic at King Abdulaziz University Hospital. A representative sample of 521 children was collected using questionnaires completed by health personnel. Height and weight of the children were measured by trained health personnel and BMI was calculated. Results: The prevalence rates of overweight, obese and severely obese children were 36, 154, and 162 respectively. Children were more to be obese if they had families with low income (P-value=0.015), compared to families with high income. Obesity rates decrease when the family consists of four or less members. In contrast, the BMI increases when the family members are more than four (P-value= .0001). Also, we found that BMI increases with low parents educational level (P-value=0.0001 for father’s educational level) (p-value=002 for mothers educational level) Conclusion: Overweight and obesity among children living in Jeddah, Saudi Arabia is associated with low family income, low educational levels of both parents and increases the number of family members.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121325119","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":"Does Self-measurement of Blood Pressure (SMBP) Contribute to Improve the Degree of Hypertension Control?","authors":"Angel Rodríguez, Ana Beatriz de Abajo Larriba, E. Rodríguez, B. Cobo, O. M. Atoui, R. López, S. A. Olea, J. Álvarez, M. J. López","doi":"10.4172/2327-4972.1000I183","DOIUrl":"https://doi.org/10.4172/2327-4972.1000I183","url":null,"abstract":"Background and objectives: Self-measurement of blood pressure can be associated with a better control of blood pressure. The objectives of this study were to determine the degree of control with two measuring methods (clinical blood pressure measure and self-measurement of blood pressure) and determine the factors associated with poor control. Methods: Multicenter randomized cross-sectional Study in Hypertensive patients diagnosed and treated at Primary Care. Recollected data included: socio-demographic profiles, personal history, standard blood tests and arterial pressure measure by self-measurement of blood pressure and clinical blood pressure measure. Control objectives included for self-measurement of blood pressure (<135/85 mmHg) and for clinical blood pressure measure (<140/90 mmHg). Data are expressed in percentages and averages with a CI of 95%. Results: 514 patients where included (59.3% female) with a mean age of 70.84 (80.01-61.67) years old and 10.37 (14.87-5.62) years of hypertensive disease evolution. The degree of control was 84.67% (83.58-85.76) with self-measurement of blood pressure and 68.54% (67.31-69.77); p<0.0001. Patients controlled by self-measurement of blood pressure took 2.58 (1.65-3.51) versus 2.97 (2.11-3.83) with clinical blood pressure measure; p<0.001. Being more frequent the use of fixed combinations. Obesity, diabetes, hyperlipidemia, cardiovascular disease, severity of hypertension, measurement method, number of drugs and age were associated with poorer control of the blood pressure; p<0.001. Conclusions: The degree of control with self-measurement of blood pressure is very high, compared with ambulatory monitoring, with important clinical significance. Although the characteristics of this study can not infer causality, this finding reinforces the recommendations of the Clinical Practice Guidelines for the regularly use of the self-measurement of blood pressure in our daily practice.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123882082","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":"Stress Hyperglycemia and its Relation to Acute Coronary Syndrome Complications","authors":"H. Mirghani, O. Mohammed, Abdullah Abdulkhalig Alyoussuf","doi":"10.4172/2327-4972.1000I182","DOIUrl":"https://doi.org/10.4172/2327-4972.1000I182","url":null,"abstract":"Introduction: Stress hyperglycemia has been associated with increased acute coronary syndrome complications. Objectives: We aimed to study the relationship between stress hyperglycemia and myocardial infarction complications. Methods: Demographic and cardiovascular risk factors were obtained from ninety-nine patients with acute coronary syndrome admitted to the coronary care unit at King Khalid Hospital during the period from June 2014 to April 2015. Tests included plasma glucose estimation, post-admission plasma sugar, Glycosylated haemoglobin, electrolytes, and lipid profile. Diabetic patients with high admission plasma sugar (known or newly discovered) were excluded. Results: Stress hyperglycemia was present in 24.4% of patients, of whom ventricular arrhythmia was detected in 33.3% and low ejection fraction in 50%, while in non-stress hyperglycemia, ventricular arrhythmia and low ejection fraction patient was detected in 12.2%, and 16.2% respectively. A significant statistical correlation was found between stress hyperglycemia and coffee intake, method of transportation to the hospital, and thrombolysis administration. No significant correlation was evident between hyperglycemia and acute coronary risk factors and complications. Conclusion: A significant statistical correlation was found between stress hyperglycemia and coffee intake, method of transportation to the hospital, and thrombolysis administration. There was no evident correlation between stress hyperglycemia and myocardial infarction complications.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133814398","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":"Barriers of Parent-Adolescent Communication on Sexual and ReproductiveHealth Issues among Secondary and Preparatory School Students inYirgalem, Town, South Ethiopia","authors":"Zemenu Yohannes, Berhan Tsegaye","doi":"10.4172/2327-4972.1000I181","DOIUrl":"https://doi.org/10.4172/2327-4972.1000I181","url":null,"abstract":"Background: Nowadays sexuality and reproduction are the most fundamental parts of life, but because of cultural and political sensitivities, they often get little attention in public policy discussion. Parent-adolescent communication about sexual issues remains a challenging issue in Ethiopia as the social banned in many traditional communities still limit such communication. This study assessed factors to hinder adolescent-parent communication on sexual and reproductive health issues among high school students in Yirgalem town, South Ethiopia, 2015. Methods: Institution based cross sectional study was conducted among high school students in Yirgalem town Sidama Zone from February to March 2015. Simple random sampling technique was used to select 684 students from 9–12 grades. Qualitative data were collected through focus group discussion separately for female and male parents. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of adolescent- parent communications. Results: Three hundred ninety (59.1%) respondents discussed sexual and reproductive health issues with parents. Adolescents who preferred mother to communicate 3.7 times more likely unwanted pregnancy than father [AOR=3.797, 95% CI: 1.109, 8.434]. Parents 2.6 times didn’t discuss on unwanted pregnancy because of shameful than others [AOR=2.677, 95% CI: 1.095-6.545]. Conclusion and recommendation: In this study parent-adolescent communications on sexual and reproductive health issues were low. So that it is crucial to build up a nationwide adolescent sexual and reproductive health and improvement strategy to implement in school, family and community level to increase parent-adolescent communication","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"30 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113965369","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}