Journal of family medicine最新文献

Improving Skin Cancer and Sun Protective Counseling: Exploring Level of Knowledge and Risk Among Rural Patients 改善皮肤癌和防晒咨询：探索农村患者的知识水平和风险

Journal of family medicine Pub Date : 2024-04-17 DOI: 10.26420/jfammed.2024.1359

Maloney Me, Miller Tj

引用次数: 0

Primary Care as the Frontline: Strategies and Communication in Suicide Prevention 作为前线的初级保健：预防自杀的策略与沟通

Journal of family medicine Pub Date : 2024-01-20 DOI: 10.26420/jfammed.2024.1347

Victor Ajluni

引用次数: 0

Look and Listen: How the Coldness of Health Care Providers is Modifiable 看一看，听一听：医护人员的冷漠是如何改变的？

Journal of family medicine Pub Date : 2023-11-02 DOI: 10.26420/jfammed.2023.1339

Lafrenaye Sylvie, Depani Isabella, Vignone Amanda, Guay Hélène, Labbé Ismael, Léonard Guillaume

{"title":"Look and Listen: How the Coldness of Health Care Providers is Modifiable","authors":"Lafrenaye Sylvie, Depani Isabella, Vignone Amanda, Guay Hélène, Labbé Ismael, Léonard Guillaume","doi":"10.26420/jfammed.2023.1339","DOIUrl":"https://doi.org/10.26420/jfammed.2023.1339","url":null,"abstract":"Purpose: To explore how we can make Health Care Providers (HCP) more conscious of their gaze and to encourage HCPs to make more eye contact with their patients, making them better suited to promote meaningful lives for them, thus strengthening the patient-provider relationship. Methods: Mixed quantitative and qualitative descriptive experimental design with narrative data analysis. 40 participants (23 HCPs and 17 chronic pain patients) viewed standardized videos depicting a patient-provider interaction in which the HCP did not look at the patient. Self-assessments and reflections were obtained. Results: Most HCPs recognized the clinical approach in the videos as cold, whereas 41% of patients recognized it as “normal”. When looking into patient’s eyes, 44% of HCPs were unable to identify the patients’ emotions, nor their own feelings. Powerlessness and vulnerability were emotions often felt by the HCP. Patients and HCPs agree that better addressing meaningful activities in a patient’s life, as well as looking at the patient more, would positively impact patient outcomes and pain management. At the one-month follow-up, 74% of HCPs had increased the amount of eye-contact made during their encounters and paid more attention to the relational aspect of their care. Conclusion: We succeeded in making HCPs more aware of the gaze they hold onto their patients, thus encouraging them to change their actions. We attributed the lack of eye contact and lack of focus on meaningful activities to a sense of vulnerability felt by HCPs. We believe that non-verbal communications skills should be more overtly taught in medical school.","PeriodicalId":90896,"journal":{"name":"Journal of family medicine","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139290948","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

Recognizing Wellens Syndrome in a Family Practice Setting 在家庭医生的诊疗环境中识别韦伦斯综合征

Journal of family medicine Pub Date : 2023-10-24 DOI: 10.26420/jfammed.2023.1338

Soliman M, Voelckers A

引用次数: 0

Current Insights in The Barrier of Continuing Education for General Practitioners in China and Construction of A Novel Raining Model 中国全科医生继续教育障碍的现状与新型雨淋模式的构建

Journal of family medicine Pub Date : 2023-10-17 DOI: 10.26420/jfammed.2023.1337

Zhiheng Zhou, Jinghua He, Shenqing Zhou, Xianhui Chen, Yang Zhang, Shuangxi Wang, Jiangzhong Deng, Jiang Wu, Tianyuan Feng, Jiaji Wang

{"title":"Current Insights in The Barrier of Continuing Education for General Practitioners in China and Construction of A Novel Raining Model","authors":"Zhiheng Zhou, Jinghua He, Shenqing Zhou, Xianhui Chen, Yang Zhang, Shuangxi Wang, Jiangzhong Deng, Jiang Wu, Tianyuan Feng, Jiaji Wang","doi":"10.26420/jfammed.2023.1337","DOIUrl":"https://doi.org/10.26420/jfammed.2023.1337","url":null,"abstract":"Since 1997, China has been carrying out general practice education and has promulgated and implemented the “General Practitioner System”, conducting general practice job transfer training and “5+3” standardized training. However, the continuing education of general practitioners in China was the weakest. This study looked insights in the barrier of continuing education for General Practitioners in China: There was no unified mode and standard for continuing education for general practitioners, lacked of management system covering the entire practice cycle of general practitioners, the focus of post graduation training was unclear, the overall level of the teaching staff was not high, and the enthusiasm of general practitioners to participate in continuing education was poor. In response to these issues, the authors constructed and implemented a full cycle general practitioner continuing education model guided by job competence. Based on summarizing the 10 core job competencies of general practitioners, they constructed a general practitioner training faculty, established general practitioner related systems (continuing education system, practice management system, and professional title promotion system), designed training courses, and conducted hierarchical training, We organized multi-path scientific research training and conducted comprehensive quality management for the continuing education of general practitioners, achieving satisfactory results. Our raining model provided a useful reference for the current continuing education of general practitioners in China and is worth promoting and applying.","PeriodicalId":90896,"journal":{"name":"Journal of family medicine","volume":"87 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139317888","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

Anemia and Microvascular Complications in Type 2 Diabetes Mellitus 2 型糖尿病患者的贫血与微血管并发症

Journal of family medicine Pub Date : 2023-09-29 DOI: 10.26420/jfammed.2023.1336

Esquivel-Brambila Pa, Ramírez-Málaga Ur, Basurto-Acevedo Ml, Ortiz-Mesina Ms

{"title":"Anemia and Microvascular Complications in Type 2 Diabetes Mellitus","authors":"Esquivel-Brambila Pa, Ramírez-Málaga Ur, Basurto-Acevedo Ml, Ortiz-Mesina Ms","doi":"10.26420/jfammed.2023.1336","DOIUrl":"https://doi.org/10.26420/jfammed.2023.1336","url":null,"abstract":"Background: In Type 2 Diabetes Mellitus, anemia affects tissue oxygenation and glycemic homeostasis, which promotes the premature onset of microvascular damage. Objective: To determine the association between the degree of anemia and microvascular complications in patients with type 2 diabetes mellitus. Methods: This is a cross-sectional, analytical study. Patients with diabetes mellitus and any complications were included. A review of electronic medical records of patients who met the selection criteria was conducted. The information was captured in a database previously structured in the SPSS statistical software and analyzed using inferential statistics. Results: With a total of 113 patients, with an average age of 62.23±10.3 years. Of the patients with Type 2 Diabetes Mellitus, 54.9% (62) presented with anemia. Of these, 46.9% (53) presented with Grade I, 5.3% (6) with Grade II, and 2.7% (3) with Grade III anemia, according to the World Health Organization. In terms of microvascular complications, only 5.3% (6) of those with diabetic retinopathy presented with anemia, the most frequent being Grade I. In the group of patients with diabetic neuropathy, Grade I was found in 19.5% (22), and with nephropathy it was 35.4% (40), with 30.1% (34) being Grade I.","PeriodicalId":90896,"journal":{"name":"Journal of family medicine","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139334156","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

A Case Report of an Effective Treatment for Syndrome of Inappropriate Secretion of Antidiuretic Hormone with Integration of Western Medicine and Traditional Chinese Medicine 中西医结合有效治疗抗利尿激素分泌失调综合征的病例报告

Journal of family medicine Pub Date : 2023-09-29 DOI: 10.26420/jfammed.2023.1335

Jiaojiao Gu, Qing Kong, Huailin Gao

{"title":"A Case Report of an Effective Treatment for Syndrome of Inappropriate Secretion of Antidiuretic Hormone with Integration of Western Medicine and Traditional Chinese Medicine","authors":"Jiaojiao Gu, Qing Kong, Huailin Gao","doi":"10.26420/jfammed.2023.1335","DOIUrl":"https://doi.org/10.26420/jfammed.2023.1335","url":null,"abstract":"Background: Syndrome of Inappropriate secretion of Antidiuretic Hormone (SIADH) is a group of disorders in which free water excretion is impaired due to increased Arginine Vaso Pressin (AVP) secretion in the absence of renal or endocrine dysfunction, which in turn leads to hypotonic hyponatremia. In this case report, we describe the diagnostic process of a patient with SIADH and the treatment with integration of Western and Chinese medicine. Case Presentation: A 69-year-old man was admitted to our hospital for intermittent hand tremors. He was diagnosed with hyponatremia based on laboratory tests. However, after 2 weeks of sodium supplementation, his condition did not improve. Combined with Pituitary MRI, 24h urine sodium and other laboratory tests, he was diagnosed with SIADH. After taking oral tolvaptan and traditional Chinese medicine Rehmanniae Decoction of Six Ingredients granules, his symptoms were alleviated and the serum sodium normalized. Conclusion: SIADH could be as an etiology for hyponatremia that is difficult-to-correct, and traditional Chinese medicine may have some efficacy and advantages.","PeriodicalId":90896,"journal":{"name":"Journal of family medicine","volume":"197 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139334407","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

Impact of the COVID-19 Pandemic on Mortality and Health Resource Use in an Aged Population and Differences According to Frailty Status COVID-19 大流行对老年人群死亡率和医疗资源使用量的影响以及体弱状况的差异

Journal of family medicine Pub Date : 2023-06-20 DOI: 10.26420/jfammed.2023.1334

Mateu Serra Prat, Júlia Serra Colomer, Àngel Lavado, M. Cabré, E. Burdoy

{"title":"Impact of the COVID-19 Pandemic on Mortality and Health Resource Use in an Aged Population and Differences According to Frailty Status","authors":"Mateu Serra Prat, Júlia Serra Colomer, Àngel Lavado, M. Cabré, E. Burdoy","doi":"10.26420/jfammed.2023.1334","DOIUrl":"https://doi.org/10.26420/jfammed.2023.1334","url":null,"abstract":"Background: The COVID-19 pandemic severely affected the aged population and healthcare system functioning. Aim: To evaluate the impact of COVID-19 on mortality and health resource use in an aged population and to determine whether the impact differed according to frailty status. Methods: A population-based observational longitudinal study comparing pre-pandemic and pandemic variables was performed using data retrospectively collected from computerized clinical histories. The study population included all inhabitants aged =65 years corresponding to three primary care centres in Barcelona province (Spain). Data were collected on mortality, institutionalization, hospital admissions, emergency visits, outpatient visits, primary care visits, and day hospital sessions in the pre-pandemic (2018-2019) and pandemic (2020-2021) periods. Frailty status was established according to the Electronic Screening Index of Frailty (e-SIF). Results: 9315 individuals were included in the pre-pandemic cohort (75.4 years, 56% women) and 9774 in the pandemic cohort (73.3 years, 56% women). Compared with the pre-pandemic period, in the pandemic period, mortality overall increased by 21.7% (14.7% for non-frail and 33.0% for frail individuals); emergency visits, hospitalizations, and day hospital sessions decreased by 23.1%, 12.1%, and 3.7%, respectively, and primary care visits increased by 15.0%. Conclusions: For the population aged =65 years in the COVID-19 pandemic period, the mortality of frail individuals was greater than overall mortality for this population, and frailty prevalence overall decreased by 5%. In terms of resource use, use of hospital services decreased and of primary care services increased.","PeriodicalId":90896,"journal":{"name":"Journal of family medicine","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139369285","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

Early Identification of Type 2 Diabetes Using Glycated Haemoglobin in Primary Care Medical Offices as a Proof of Feasibility in Austria 奥地利利用基层医疗机构的糖化血红蛋白早期识别 2 型糖尿病的可行性证明

Journal of family medicine Pub Date : 2023-06-19 DOI: 10.26420/jfammed.2023.1333

Friedrich C Prischl, Erwin Rebhandl, Sonja Zehetmayer

引用次数: 0

Transverse Myelitis Caused by Spinal Dural Arteriovenous Fistula: A Case Report 脊髓硬膜动静脉瘘引发的横贯性脊髓炎：病例报告

Journal of family medicine Pub Date : 2023-06-14 DOI: 10.26420/jfammed.2023.1332

Fix Am, Happel R, Peterson B

引用次数: 0