International journal of family medicine最新文献_第5页

Knowledge, Attitude, Practice, and Perceived Barriers of Colorectal Cancer Screening among Family Physicians in National Guard Health Affairs, Riyadh. 利雅得国民警卫队卫生事务家庭医生中结直肠癌筛查的知识、态度、实践和感知障碍。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-09-28 DOI: 10.1155/2014/457354

Eyad Demyati

{"title":"Knowledge, Attitude, Practice, and Perceived Barriers of Colorectal Cancer Screening among Family Physicians in National Guard Health Affairs, Riyadh.","authors":"Eyad Demyati","doi":"10.1155/2014/457354","DOIUrl":"https://doi.org/10.1155/2014/457354","url":null,"abstract":"Objectives. The objective of this study is to explore the current knowledge, attitude, and practice of family physicians working in family medicine clinics in National Guard Health Affairs (NGHA), Riyadh, toward colorectal cancer (CRC) screening and to identify the barriers of the screening. Methods. Data were collected using a validated self-administered questionnaire adopted from the National Cancer Institute in USA, customized by adding and eliminating questions to be in line with the institution (NGHA) characteristics. Results. Of the 130 physicians, 56.2% of the physicians were not practicing CRC screening although 94.6% considered CRC screening effective. Board certified physicians had higher knowledge score and were practicing CRC screening more when compared to other physicians. Physicians who reported practicing CRC screening scored more on the knowledge score than those not practicing. Male physicians scored better on attitude score than female physicians. The study found that barriers were cited in higher rates among physicians not practicing CRC screening compared with practicing physicians. Lack of patients' awareness was the most cited barrier. Conclusion. Large percentage of family physicians in this study do not practice CRC screening, despite the knowledge level and the positive attitude. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"457354"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/457354","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32758390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 30

Attention-Deficit Hyperactive Disorder among Primary School Children in Menoufia Governorate, Egypt. 埃及Menoufia省小学生注意缺陷多动障碍

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-12-10 DOI: 10.1155/2014/257369

Taghreed Farahat, Mohammad Alkot, Afaf Rajab, Reda Anbar

{"title":"Attention-Deficit Hyperactive Disorder among Primary School Children in Menoufia Governorate, Egypt.","authors":"Taghreed Farahat, Mohammad Alkot, Afaf Rajab, Reda Anbar","doi":"10.1155/2014/257369","DOIUrl":"https://doi.org/10.1155/2014/257369","url":null,"abstract":"Background. Attention-deficit hyperactivity disorder (ADHD) is the most commonly diagnosed behavioral problem in children. Global variations in diagnostic criteria and rating scales of ADHD either by DSM-IV or ICD 10 may contribute to variations in its prevalence. Objectives. The study was conducted to estimate the prevalence of ADHD and to determine its risk factors. Methodology. A cross-section comparative study was conducted in a randomly selected four primary schools in Menoufia governorate, Egypt. All children after a valid consent of their parents (N. 1362) were subjected to complete history taking, medical and psychological assessment, and IQ estimation. Their parents and teachers were subjected to the corresponding Arabic forms of Conner's questionnaire. Suspected cases were confirmed and categorized by DSM-IV criteria. The sample was divided into cases and controls to study the risk factors. Results. Prevalence of ADHD was 6.9% and the male : female ratio was 3.5 : 1. The main risk factors were neonatal problems (OR = 4.3), family history of psychiatric and medical illnesses (OR = 3.5 and 2.8), and male gender (OR = 2.9). Conclusion. Prevalence of ADHD among Menoufia school children was 6.9%. Dealing with its risk factors is mandatory for prevention, early management, and better outcome. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"257369"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/257369","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32963684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 39

Clinical utility of cognistat in multiprofessional team evaluations of patients with cognitive impairment in Swedish primary care. 认知istat在瑞典初级保健中对认知障碍患者的多专业团队评估中的临床应用。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-03-23 DOI: 10.1155/2014/649253

Maria M Johansson, Anna S Kvitting, Ewa Wressle, Jan Marcusson

{"title":"Clinical utility of cognistat in multiprofessional team evaluations of patients with cognitive impairment in Swedish primary care.","authors":"Maria M Johansson, Anna S Kvitting, Ewa Wressle, Jan Marcusson","doi":"10.1155/2014/649253","DOIUrl":"https://doi.org/10.1155/2014/649253","url":null,"abstract":"Background. Diagnostic evaluations of dementia are often performed in primary health care (PHC). Cognitive evaluation requires validated instruments. Objective. To investigate the diagnostic accuracy and clinical utility of Cognistat in a primary care population. Methods. Participants were recruited from 4 PHC centres; 52 had cognitive symptoms and 29 were presumed cognitively healthy. Participants were tested using the Mini-Mental State Examination (MMSE), the Clock Drawing Test (CDT), and Cognistat. Clinical diagnoses, based on independent neuropsychological examination and a medical consensus discussion in secondary care, were used as criteria for diagnostic accuracy analyses. Results. The sensitivity, specificity, positive predictive value, and negative predictive value were 0.85, 0.79, 0.85, and 0.79, respectively, for Cognistat; 0.59, 0.91, 0.90, and 0.61 for MMSE; 0.26, 0.88, 0.75, and 0.46 for CDT; 0.70, 0.79, 0.82, and 0.65 for MMSE and CDT combined. The area under the receiver operating characteristic curve was 0.82 for Cognistat, 0.75 for MMSE, 0.57 for CDT, and 0.74 for MMSE and CDT combined. Conclusions. The diagnostic accuracy and clinical utility of Cognistat was better than the other tests alone or combined. Cognistat is well adapted for cognitive evaluations in PHC and can help the general practitioner to decide which patients should be referred to secondary care.","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"649253"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/649253","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32298602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Early COPD Diagnosis in Family Medicine Practice: How to Implement Spirometry? 家庭医学实践中COPD的早期诊断:如何实施肺量测定法?

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-04-03 DOI: 10.1155/2014/962901

Nathalie Saad, Maria Sedeno, Katrina Metz, Jean Bourbeau

{"title":"Early COPD Diagnosis in Family Medicine Practice: How to Implement Spirometry?","authors":"Nathalie Saad, Maria Sedeno, Katrina Metz, Jean Bourbeau","doi":"10.1155/2014/962901","DOIUrl":"https://doi.org/10.1155/2014/962901","url":null,"abstract":"Introduction. COPD is often diagnosed at an advanced stage because symptoms go unrecognized. Furthermore, spirometry is often not done. Methods. Study was conducted in diverse family medicine practice settings. Patients were targeted if respiratory symptoms were present. Patients had a spirometry to confirm the presence of airflow obstruction and COPD diagnosis. An evaluation of the process was done to better understand facilitating/limiting factors to the implementation of a primary care based spirometry program. Results. 12 of 19 primary care offices participated. 196 of 246 (80%) patients targeted based on the presence of smoking and respiratory symptoms did not have COPD; 18 (7%) and 32 (13%) had COPD, respectively, GOLD I and ≥II. There was no difference in the type and number of respiratory symptoms between non-COPD and COPD patients. Most of the clinics did not have access to a trained healthcare professional to accomplish spirometry. They agreed that giving access to a trained healthcare professional was the easiest and most reliable way of doing spirometry. Conclusion. Spirometry, a simple test, is recommended in guidelines to make the diagnosis of COPD. The lack of allocated time and training of healthcare professionals makes its implementation challenging in family medicine practices. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"962901"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/962901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32321443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Relevance of chronic lyme disease to family medicine as a complex multidimensional chronic disease construct: a systematic review. 慢性莱姆病作为一种复杂的多维慢性疾病结构与家庭医学的相关性:系统综述。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-11-24 DOI: 10.1155/2014/138016

Liesbeth Borgermans, Geert Goderis, Jan Vandevoorde, Dirk Devroey

引用次数: 25

The effect of economic, physical, and psychological abuse on mental health: a population-based study of women in the Philippines. 经济、身体和心理虐待对精神健康的影响:一项以菲律宾妇女为基础的研究。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-11-27 DOI: 10.1155/2014/852317

Diddy Antai, Ayo Oke, Patrick Braithwaite, Gerald Bryan Lopez

{"title":"The effect of economic, physical, and psychological abuse on mental health: a population-based study of women in the Philippines.","authors":"Diddy Antai, Ayo Oke, Patrick Braithwaite, Gerald Bryan Lopez","doi":"10.1155/2014/852317","DOIUrl":"https://doi.org/10.1155/2014/852317","url":null,"abstract":"Background. The comparative effect of economic abuse and other forms of abuse in predicting depression and other mental health disorders has not been previously investigated despite its relevance for mental illness prevention. Objective. To determine the differential association of economic abuse on psychological distress and suicide attempts. Study Design. We used cross-sectional data from women aged 15-49 years in the 2008 Philippines Demographic and Health Surveys (PDHS) (N = 9,316). Results. Adjusting for sociodemographic confounders revealed positive associations between economic, physical, or psychological abuse and suicide attempts and psychological distress. Psychological and economic abuse were the strongest predictors of suicide attempts and psychological distress, respectively. Economic abuse was also negatively associated with psychological distress. Comorbidity with one mental health disorder greatly increased the odds of reporting the other mental health disorder. Conclusion. Overall, the results elucidate the differential effects of these forms of abuse on women's mental health. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"852317"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/852317","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32921408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 52

Prescription Practice for Diabetes Management among a Female Population in Primary Health Care. 初级卫生保健中女性人群糖尿病管理的处方实践

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-03-20 DOI: 10.1155/2014/103853

Fouzia A Alhreashy, Abdulelah F Mobierek

{"title":"Prescription Practice for Diabetes Management among a Female Population in Primary Health Care.","authors":"Fouzia A Alhreashy, Abdulelah F Mobierek","doi":"10.1155/2014/103853","DOIUrl":"https://doi.org/10.1155/2014/103853","url":null,"abstract":"Introduction. Prescription for diabetes care is an important practice in primary care. Methods. This is a descriptive study carried out on at primary care clinics over a five-month period at Al Imam Medical Complex, Riyadh, Saudi Arabia. It was cross-sectional study of 160 female diabetic patients, who visited the services between January and May, 2012. Data were collected from the medical records on the clinical characteristics and drugs prescribed for their diabetic management. Results. The majority of the sample population (82%) was older than 40 years old. Half of them had concomitant hypertension, hyperlipidemia, and obesity. There were 500 prescriptions for diabetes management. More than 57% of participants were on two or more drugs for hyperglycemia. Metformin was the most common drug prescribed. Metformin and sulphonylurea were the most common combined medications. Most of cases ( 70%) were on a combination of antihypertensive drugs. ACE or ARBs and diuretic was the most common combined prescriptions. Statins and aspirin were used by 41% and 23.8% of the research population, respectively. Conclusion. Polypharmacy is a feature in diabetes care. Most of the prescription practice for diabetic care follows the recommended guidelines for hyperglycemia and hypertension. Management of dyslipidemia among diabetic patients, however, is an area that needs to be developed. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"103853"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/103853","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32298601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Effectiveness of Gatekeepers in Determining the Appropriate Use of Brain MRI/MRA Tests. 看门人在确定脑MRI/MRA测试的适当使用中的有效性。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-05-26 DOI: 10.1155/2014/670915

Seiji Bito, Shinji Matsumura, Kazuhiko Kotani, Shunichi Fukuhara

{"title":"Effectiveness of Gatekeepers in Determining the Appropriate Use of Brain MRI/MRA Tests.","authors":"Seiji Bito, Shinji Matsumura, Kazuhiko Kotani, Shunichi Fukuhara","doi":"10.1155/2014/670915","DOIUrl":"https://doi.org/10.1155/2014/670915","url":null,"abstract":"The purpose of the study is to examine whether, among patients who visited hospitals and underwent brain MRI or MRA scan tests, there was a relationship between the existence of clinically significant abnormal findings and the relevance of primary care physicians' referrals. A case-control study was carried out at six teaching hospitals in Japan. We identified cases with significant abnormal MRI/MRA findings from radiologists' reports based on certain explicit criteria and controls with outpatients who underwent MRI/MRA scans but did not have stroke. We also collected clinical data independently from medical records. The findings of 156 cases and 721 controls were collected for the analysis. A multivariate analysis adjusted by age group, sex, and the number of comorbidity factors showed that those who had visited the hospitals after referral were more likely to have significant abnormal findings in their MRI/MRA scan results (odds ratio [OR] = 1.6, 95% CI: 1.1 to 2.4). The present study suggests that referral from gatekeepers such as primary care physicians is effective in determining the appropriate use of brain MRI/MRA tests for hospital outpatients. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"670915"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/670915","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32459668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A web-based survey of residents' views on advocating with patients for a healthy built environment in Canada. 一项关于加拿大居民对与患者一起倡导健康建筑环境的看法的网络调查。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-11-11 DOI: 10.1155/2014/458184

Matthew Cruickshank, Marcus Law

{"title":"A web-based survey of residents' views on advocating with patients for a healthy built environment in Canada.","authors":"Matthew Cruickshank, Marcus Law","doi":"10.1155/2014/458184","DOIUrl":"https://doi.org/10.1155/2014/458184","url":null,"abstract":"Purpose. To determine family medicine residents' perceived knowledge and attitudes towards the built environment and their responsibility for health advocacy and to identify their perceived educational needs and barriers to patient education and advocacy. Methods. A web-based survey was conducted in Canada with University of Toronto family medicine residents. Data were analyzed descriptively. Results. 93% agreed or strongly agreed that built environment significantly impacts health. 64% thought educating patients on built environment is effective disease prevention; 52% considered this a role of family physicians. 78% reported that advocacy for built environment is effective disease prevention; 56% perceived this to be the family physician's role. 59% reported being knowledgeable to discuss how a patient's environment may affect his/her health; 35% reported being knowledgeable to participate in community discussions on built environment. 78% thought education would help with integration into practice. Inadequate time (92%), knowledge (73%), and remuneration (54%) were barriers. Conclusions. While residents perceived value in education and advocacy as disease prevention strategies and acknowledged the importance of a healthy built environment, they did not consider advocacy towards this the family physician's role. Barrier reduction and medical education may contribute to improved advocacy, ultimately improving physical activity levels and patient health outcomes. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"458184"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/458184","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32848780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lifestyle and Dietary Behaviors among Saudi Preschool Children Attending Primary Health Care Centers, Eastern Saudi Arabia. 沙特阿拉伯东部初级卫生保健中心的沙特学龄前儿童的生活方式和饮食行为。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-07-10 DOI: 10.1155/2014/432732

Magdy A Darwish, Ghadeer Al-Saif, Suha Albahrani, Amr A Sabra

{"title":"Lifestyle and Dietary Behaviors among Saudi Preschool Children Attending Primary Health Care Centers, Eastern Saudi Arabia.","authors":"Magdy A Darwish, Ghadeer Al-Saif, Suha Albahrani, Amr A Sabra","doi":"10.1155/2014/432732","DOIUrl":"https://doi.org/10.1155/2014/432732","url":null,"abstract":"Objective. To study life styles and dietary behaviors among Saudi preschool children (1-5 years) attending primary health care centers (PHCCs) in Dammam and Qatif areas, eastern province, Saudi Arabia. Material and Methods. Cross-sectional study. Data were collected using structured, interviewer-filled questionnaire. Children and their mothers were encountered during their well-baby clinic visits. A total number of 300 preschool children and their mothers were interviewed during study period. Results. Unsatisfactory areas include smoking fathers (32%), smoking in front of children (11.3%), overweight and obesity among mothers (60.3%), noncompliance using seat belts for both parents (56.3%) and children (68%), children watching television (T.V) more than 2 hours (50%), adherence to exclusive breast feeding (only 20.7%), and late solid food introduction (65.3%). Frequent intake of unhealthy food items was 26%, 25%, and 24% for pizza, burger, and soft drinks. Unfortunately frequent intake of the following unhealthy food items was high: biscuits, deserts/chocolates, and chips which was 78%, 67%, and 72%, respectively. Conclusion. This study provides benchmark about the current situation. It provides health care workers and decision makers with important information that may help to improve health services. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"432732"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/432732","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32578058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11