Family Medicine and Medical Science Research最新文献_第7页

Asymmetrical Hilar Enlargement in an Asymptomatic Patient 无症状患者的不对称肺门增大

Family Medicine and Medical Science Research Pub Date : 2015-02-18 DOI: 10.4172/2327-4972.1000I102

F. Poh, M. B. Chow

引用次数: 0

Skin Testing for IgE Mediated Disease can be Done Safely in The Family Practice Office IgE介导性疾病的皮肤试验可以在家庭诊所安全地进行

Family Medicine and Medical Science Research Pub Date : 2015-02-14 DOI: 10.4172/2327-4972.1000164

Larry M. Garner, Andrew R. Naples, M. Ebeling, T. Hulsey, F. Schaffer

{"title":"Skin Testing for IgE Mediated Disease can be Done Safely in The Family Practice Office","authors":"Larry M. Garner, Andrew R. Naples, M. Ebeling, T. Hulsey, F. Schaffer","doi":"10.4172/2327-4972.1000164","DOIUrl":"https://doi.org/10.4172/2327-4972.1000164","url":null,"abstract":"Background: Aeroallergen skin testing for assessing allergic disease has been in use for well over 100 years. Initially, trepidation to the use of skin puncture testing (SPT) occurred because of reported morbidity and mortality. SPT has most frequently been utilized in the specialist office due to fear of adverse reactions. \u0000Methods: Analysis of 156,335 SPT tests (morbidity and mortality) allowed equivalency testing versus superiority testing to show 95% confidence level. The ninety-five percent confidence interval around the 11.5/100,000 SPT is (11.3-11.7/100,000). \u0000Results: The literature documents 1 death from SPT from 1990 to 2001 and 1 death from 1945 to 1987. These 2 reported deaths have been contrasted with 0 deaths in 125,295 SPT patients reviewed in a primary care setting utilizing United Allergy Service protocols (UAS). Systemic reactions (SR) occurred in only 18 patients. The SR rate amongst subspecialists has been reported as a 0.015-0.023% SR per 100,000 SPT. Statistically, this result is not significantly different from the UAS SR rate of 0.0115% without associated anaphylaxis or deaths. \u0000Conclusion: Based on the findings evident in this study, SPT is safely performed in the primary care (PC) office and allows for a larger percentage of the symptomatic population to be assessed. The observed SR rate of 11.5/100,000 SPT was statistically similar to the lowest published rate of 15/100,000 SPT (p=0.45) and statistically lower than the highest published rate of 23/100,000 SPT (p=0.02). These data suggest that SPT is as safe in the (PC) office as it is in the specialist office.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114696459","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

Pattern of Acute Adult Poisoning at a Tertiary Care Hospital in the Western Province Sri Lanka: A Retrospective Study 斯里兰卡西部省三级医院急性成人中毒的模式:一项回顾性研究

Family Medicine and Medical Science Research Pub Date : 2015-02-14 DOI: 10.4172/2327-4972.1000163

Inoka Wijegoonawardene, T. Kodikara, Jayaratne Sd, P. Jayawardane

{"title":"Pattern of Acute Adult Poisoning at a Tertiary Care Hospital in the Western Province Sri Lanka: A Retrospective Study","authors":"Inoka Wijegoonawardene, T. Kodikara, Jayaratne Sd, P. Jayawardane","doi":"10.4172/2327-4972.1000163","DOIUrl":"https://doi.org/10.4172/2327-4972.1000163","url":null,"abstract":"Background: Epidemiology of acute poisoning has been extensively studied in agricultural areas of Sri Lanka. It has not been well documented in the other parts of the country. The objective of this study was to describe the pattern of acute poisoning in a Tertiary Care Teaching Hospital in urban Sri Lanka to describe the difference of poisoning patterns in different areas of a country. \u0000Methods: This study was performed as a retrospective study in Colombo South Teaching Hospital (CSTH), Sri Lanka. The bed head tickets (BHTs) of the patients admitted to the medical units of CSTH from 1st January 2009 to 31st December 2009 were retrieved. Patients admitted to pediatric units and with snake bites and food poisoning were excluded. \u0000Results: From 1st of January 2009 to 31st of December 2009, 92668 patients were admitted to CSTH and 1.27% (1178) was admitted following acutehttps://www.omicsonline.org/open-access/current-trends-of-poisoning-an-experience-at-a-tertiary-care-hospitalhadoti-region-rajasthan-india-2161-0495-1000298.php?aid=74588www.omicsonline.org/open-access/current-trends-of-poisoning-an-experience-at-a-tertiary-care-hospitalhadoti-region-rajasthan-india-2161-0495-1000298.php. Of those patients we were able to collect data on 70.46% (828). Male to female ratio was 37:63. The commonest cause of poisoning was due to medicinal drug overdose 63.52% (526) of which paracetamol overdose accounted for 37.6% (311). Organoposphate (OP) accounted for 11.11% (92) of the admissions. Mean duration of hospital stay was 3.49 (SD4.97) days. \u0000Discussion: The pattern of poisoning observed in CSTH is significantly different to the pattern seen in agricultural areas of the country.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121487435","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

Innovations in Family Medicine Education: Getting Students Involved and Training Young Family Doctors in Private Practice 家庭医学教育的创新:让学生参与并培养年轻家庭医生从事私人执业

Family Medicine and Medical Science Research Pub Date : 2015-02-11 DOI: 10.4172/2327-4972.1000159

P. G. Blasco, G. Moreto, M. Levites, M. A. Janaudis, Rosana Irie

{"title":"Innovations in Family Medicine Education: Getting Students Involved and Training Young Family Doctors in Private Practice","authors":"P. G. Blasco, G. Moreto, M. Levites, M. A. Janaudis, Rosana Irie","doi":"10.4172/2327-4972.1000159","DOIUrl":"https://doi.org/10.4172/2327-4972.1000159","url":null,"abstract":"Our experience in Brazil shows that when medical students get in contact with family medicine in medical schools –which usually lacks the academic component of the discipline and the real practice of a family doctor in private practice- they don’t want to be part of it. Thus innovation is required to bring new leaders for our specialty, something that the private medical market is asking for. In this paper, the authors relate their experience in two different subjects. First, how to involve medicals students in the family medicine scenario. The value of exposing medical students to the real world of family practice (particularly in a country with little formal medical school experience in the discipline), demonstrates the broad perspective family doctors have and the basket of services they could be in charge. Students realize how family medicine core values, when put into practice, are good resources to become better physicians. Despite the specialty they will choose in the future, they consider family doctors as remarkable teachers who make the difference in their education. Second, how to prepare the young doctors who join SOBRAMFA staff for the growing opportunities in private practice in Sao Paulo (Brazil). They describe an innovative learning agenda composed by an assorted routine of regular meetings which permits to combine a busy work schedule with scientific learning, and develop competences, professionalism and perceive personal success in their lives.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133787616","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 Affecting Intention to Use Long Acting and Permanent Contraceptive Methods among Married Women of Reproductive Age Groups in Western Ethiopia: A Community Based Cross Sectional Study 影响埃塞俄比亚西部育龄已婚妇女使用长效和永久性避孕方法的因素:一项基于社区的横断面研究

Family Medicine and Medical Science Research Pub Date : 2015-01-31 DOI: 10.4172/2327-4972.1000158

T. Tekelab, Alemu Sufa, Desalegn Wirtu

{"title":"Factors Affecting Intention to Use Long Acting and Permanent Contraceptive Methods among Married Women of Reproductive Age Groups in Western Ethiopia: A Community Based Cross Sectional Study","authors":"T. Tekelab, Alemu Sufa, Desalegn Wirtu","doi":"10.4172/2327-4972.1000158","DOIUrl":"https://doi.org/10.4172/2327-4972.1000158","url":null,"abstract":"Background: Long-acting and permanent contraceptive methods are the most effective methods for preventing unintended pregnancies. In Ethiopia majority of married women practiced predominantly short acting contraceptive methods, whereas the proportion of women who were using long acting and permanent contraceptive methods were only 4%. \u0000Method: A community based cross- sectional study design was used . Multi stage sampling procedure was used to select 802 married women. Data collection was carried out from April 10 to April 25, 2014 using a pre- tested structured questionnaire. The data were entered into a computer using Epi-info 3.5.1 and then exported to SPSS for Windows version 20 for analysis. Bivariate and multivariate logistic regression analysis were done, odds ratio and 95% confidence interval were calculated. \u0000Result: Intention to use long acting and permananet contraceptive methods was 18.2%. The majority of women intended to use implant (51.4%). The finding showed that a significant positive association between intention to use long acting and permanent contraceptive methods and women’s education (AOR=1.82, 95%CI = 1.09 – 3.04), women’s occupation (AOR = 2.56, 95% CI = 1.47-4.46), joint fertility related decision (AOR = 2.76, 95% CI: 1.40-5.42), and discussion with health care provider about long acting and permanent contraceptive methods (AOR = 2.08, 95% CI: 1.40-3.09). \u0000Conclusion and Recommendation: In this study prevalence of intention to use LAPMs was (18.2%). Thus program manager and stakeholders should empower women through education, create awerness on LAMPs and adress misconceptions and fears of clients on LAPMs . Every woman who seeks family planning information or services should be counseled on LAMPs of contraceptives to enable informed choice.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130760330","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: 31

External Ear Canal Folliculitis: A Frequently Under-Diagnosed Infectious Disease 外耳道毛囊炎:一种常被误诊的传染病

Family Medicine and Medical Science Research Pub Date : 2015-01-28 DOI: 10.4172/2327-4972.1000156

Alex, er Kiderman, T. Sabag, R. Dressler

引用次数: 1

Diarrheal Epidemic Grips Ghallour Sub-centre, Jawalamukhi Block, Kangra District, Himachal Pradesh, India 腹泻疫情在印度喜马偕尔邦康格拉区贾瓦拉穆基街区加洛尔分中心肆虐

Family Medicine and Medical Science Research Pub Date : 2015-01-26 DOI: 10.4172/2327-4972.1000157

S. NikhilGupta

{"title":"Diarrheal Epidemic Grips Ghallour Sub-centre, Jawalamukhi Block, Kangra District, Himachal Pradesh, India","authors":"S. NikhilGupta","doi":"10.4172/2327-4972.1000157","DOIUrl":"https://doi.org/10.4172/2327-4972.1000157","url":null,"abstract":"Background: On 31st August, 2014, eighty cases of the gastroenteritis were reported in Ghallour sub-centre area. We investigated the outbreak to identify the source, propose control and preventive measures. \u0000Materials and methods: We defined a case as occurrence of three or more watery stools with or without vomiting, w.e.f 27 January, till 2nd Feb2014 in residents of Ghallour sub-centre area of Jawalamukhi Block. We hypothesized it as a water borne outbreak. We determined age and sex specific attack rate. We collected information about personal history on age, sex, residence, and date of onset of symptom from case patient and established line list. We collected 9 stool samples/rectal swabs from the cases; 3 pre and 4 post chlorination water samples and sent them for microbiological testing. We mapped water supply pipelines of the area and reviewed water chlorination record. \u0000Results: We identified 390 cases. The overall attack rate was 8% with range of 1.3% to 36%. The cases patients were reported from all age groups and both the genders with the youngest student; 1 year old to the oldest one as 88 years. Two thirds of the cases reported vomiting with some complaining of pain abdomen. Villages like Jathman, Khattni, Rajol Patta, Kohara has 100% case patients of loose motions while villages like Dhroli, (100%), Sasan (63%) and Ghallour (50%) etc have combined symptoms of loose motions and vomiting. No fatality was reported. Escherichia coli was detected in the samples from water samples. Records of chlorination were not properly maintained. \u0000Conclusion/recommendation: The outbreak was caused due to contamination of water at the source in Jolly Khad. Regular treatment of the water needs to be done right at the source before being lifted.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130980467","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

Adverse Health Effects of Khat: A Review 阿拉伯茶对健康的不良影响综述

Family Medicine and Medical Science Research Pub Date : 2015-01-24 DOI: 10.4172/2327-4972.1000154

Molla Abebe, Samuel Kindie, Kasaw Adane

{"title":"Adverse Health Effects of Khat: A Review","authors":"Molla Abebe, Samuel Kindie, Kasaw Adane","doi":"10.4172/2327-4972.1000154","DOIUrl":"https://doi.org/10.4172/2327-4972.1000154","url":null,"abstract":"Introduction: Khat refers to the leaves and the young shoots of the plant Catha edulis Forsk, which belonging to the plant family Celastraceae. Khat is an evergreen shrub or tree found growing wild or cultivated in the east of a region extending from Southern Africa to the Arabian Peninsula. The habit of khat chewing has prevailed for centuries in this part of the world. \u0000Objective: To summarize the potential adverse health effects of khat (Catha edulis). \u0000Methodology: We used 57 different published materials for the compilation of this review article. Google search engine was used for accessing published materials from databases like Google Scholar, PubMed and HINARI. \u0000Result: Khat induces disturbance of mood, hallucination, delusions and aggressive behavior. It may also cause elevation of arterial blood pressure and pulse rate with subsequent increase in cardiovascular risk. In addition, khat may be associated with increased risk of carcinoma of the mouth and oesophagitis, anorexia and constipation. It may also have a toxic effect on the liver and kidneys. \u0000Conclusion: Many literatures reported that Khat has potential adverse health effects on organs and systems of the body. It affects nervous system, cardiovascular system, reproductive system, gastrointestinal tract, liver, kidneys and others.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133398465","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: 20

Relationship between Health Related Quality of Life Determinants and Type of Delivery in Saudi Women 沙特妇女健康相关生活质量决定因素与分娩类型的关系

Family Medicine and Medical Science Research Pub Date : 2015-01-24 DOI: 10.4172/2327-4972.1000155

Nada Alshehri, Aiysha Q Alanazi, Mona Alanazi, Wafa Q Alanazi, J. Alanazi, Bady Q Alenazi, Fahad G. B. Alanazi, A. Q. Alanazi, A. Alanazi, F. Alenzi

{"title":"Relationship between Health Related Quality of Life Determinants and Type of Delivery in Saudi Women","authors":"Nada Alshehri, Aiysha Q Alanazi, Mona Alanazi, Wafa Q Alanazi, J. Alanazi, Bady Q Alenazi, Fahad G. B. Alanazi, A. Q. Alanazi, A. Alanazi, F. Alenzi","doi":"10.4172/2327-4972.1000155","DOIUrl":"https://doi.org/10.4172/2327-4972.1000155","url":null,"abstract":"Background: This study was designed to evaluate the health-related quality of life (HRQoL) of Saudi women who had undergone different types of delivery and to identify factors that significantly affect the HRQoL on these women. \u0000Materials and Methods: A comparative cross-sectional study was performed at Ministry of health (MOH) centers - Riyadh, Saudi Arabia. The Medical Outcome Study Short-Form 36-item survey (SF-36) was used to assess HRQoL. For comparison, the HRQoL in an equal number of healthy individuals was investigated; multivariate analysis of variance was used for comparisons between groups. \u0000Results: Results showed that delivered women (case group) had significantly higher mean scores in the physical functioning, role-physical, vitality, role-emotional and mental health subscales. As regarding body pain, delivered women (case group) reported a significantly lower mean score than controls (Comparator group). Women who underwent caesarean section had significantly worse mean scores for all HRQoL domains, except for body pain, while the normal delivery women reported the highest HRQoL scores. \u0000Conclusion: The overall test statistic was statistically significant for the eight subscales, indicating that there was a correlation between type of delivery and HRQoL. Further prospective studies are warranted to confirm these results owing to the inherent limitations of the cross-sectional design and backward analysis of this study.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131911715","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

Manifestations of Anxiety? Explaining Tachycardia and Hypertension in a patient with POTS 焦虑的表现?解释POTS患者的心动过速和高血压

Family Medicine and Medical Science Research Pub Date : 2015-01-11 DOI: 10.4172/2327-4972.1000153

B. Kincaid, A. Muzyk, R. Kanter, X. Preud’homme

{"title":"Manifestations of Anxiety? Explaining Tachycardia and Hypertension in a patient with POTS","authors":"B. Kincaid, A. Muzyk, R. Kanter, X. Preud’homme","doi":"10.4172/2327-4972.1000153","DOIUrl":"https://doi.org/10.4172/2327-4972.1000153","url":null,"abstract":"Background: Postural orthostatic tachycardia syndrome (POTS) is characterized by autonomic dysfunction causing orthostatic intolerance. Psychiatrists should be aware of POTS because the symptoms exhibited by patients, such as tachycardia, tremulousness, fatigue, and abdominal pain, may be misinterpreted as a primary anxiety disorder, in particular panic disorder, or even as one of the somatoform disorders. \u0000Objective: The authors review literature on POTS and highlight a case of a 23-year-old female with hyperadrenergic POTS, admitted for a recurrent tachycardiac and hypertensive crisis. \u0000Method: The authors present a case report of history, diagnosis, and treatment. After being treated in the medical intensive care unit, the patient was referred to the internal medicine psychiatry service (med-psych) for management because members of her medical team hoped her symptoms would be better treated by managing her anxiety. \u0000Results: The patient had a history of multiple referrals for anxiety in spite of a known diagnosis of POTS. She also had serum catecholamines showing a normal norepinephrine while supine and comfortable, but highly elevated during a tachycardiac and hypertensive crisis. \u0000Conclusion: This case highlights the need for a broader understanding of POTS. Patients with this syndrome have a primary autonomic dysfunction driving their symptoms, though anxiety can be a component. In addition, serum catecholamines drawn while supine and comfortable may lead to inaccurate judgments as to the etiology of the patients’ tachycardia and should only be interpreted in conjunction with catecholamines drawn while upright or during an orthostatic crisis.","PeriodicalId":356612,"journal":{"name":"Family Medicine and Medical Science Research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114778812","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: 10