Journal of family medicine and disease prevention最新文献

{"title":"Pharmacists as Members of the Multidisciplinary Care Team","authors":"Reyes Jacob","doi":"10.23937/2469-5793/1510147","DOIUrl":"https://doi.org/10.23937/2469-5793/1510147","url":null,"abstract":"","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47957689","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":"Addressing HIV Drug Shortage in Kenya: A Crucial Action","authors":"Abimbola Oladunni Amos, Olorunfemi Olajide Edward, Olayemi Alaka Hassan, Dara Odususi Oluwatomisin, Abubakar Haruna Usman, Olufunso Bamidele Opeyemi, Kilonzo Jackson Safari","doi":"10.23937/2469-5793/1510146","DOIUrl":"https://doi.org/10.23937/2469-5793/1510146","url":null,"abstract":"HIV/AIDS is one of the major public health concerns worldwide. The African region is the most affected worldwide, with Kenya being the joint sixth largest epidemic in the region. Kenya’s health system is characterized by donor reliance and donor concentration. As a result, key national strategic programs including HIV program are significantly funded by foreign aid. While the challenge of insufficient internal funding has relatively being cushioned by external support, Kenya’s transition from low income status to lower-middle-income status in 2015 has resulted to continued decline in donor funding. The recent stand-off between the United States agency (USAID) and the Kenyan government has further worsened the situation on account of concerns about mismanagement of funds by the Kenya Medical Supply Authority (KEMSA) and questionable tax policies. This situation has led to significant shortage of antiretroviral drugs in a subsector that is heavily dependent on donor funding, consequently posing significant threat to the lives of people who are dependent on the life-saving drugs. It is important for Kenyan government to implement well-planned strategies and informed decisions towards addressing acute shortages of HIV drugs in Kenya in order to prevent impending treatment failure and the emergence of drug resistance. This paper seeks to discuss the efforts and challenges faced in the fight against HIV in Kenya including potential challenges due to ARV drugsshortages. Thus, providing evidence for regional and global policymakers to take action on ARV shortage and foster sustainable solutions.","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41822201","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":"Patients' Satisfaction with Health Care Services in Selected Secondary Health Care Facilities in Ondo State, Nigeria","authors":"Oyebola Helen Babatola, R. O. Popoola, M. Olatubi, Folasade Rukayat Adewoyin","doi":"10.23937/2469-5793/1510145","DOIUrl":"https://doi.org/10.23937/2469-5793/1510145","url":null,"abstract":"Aim/Objective: This study assessed patient’s satisfaction with health care services, and identifies factors associated with the satisfaction of patients in selected health care facilities in Ondo State. Methods: Descriptive cross-sectional research design was utilized in three selected hospitals in Ondo State. Multi-stage random sampling was used to recruits 121 patients from three hospitals. Structured Questionnaire whose validity and reliability was established was used for data collection. Data were analyzed using Statistical Package for Social Sciences version 22. Both descriptive and inferential statistics were used. Results: More than half of the participants, (63.6%) were very satisfied health care services provided by the medical and nursing team with mean score of 32.63 ± 3.64. Only 53.7% of patients that participated in this study were very satisfied with their experience of nursing care. The strongest factor associated with satisfaction with health care was found to be clean hospital environment (3.45 ± 0.5), followed by electricity supply (3.18 ± 0.78), accessibility (3.16 ± 0.58), and availability of adequate seating facility (3.15 ± 0.76). There is a significant relationship between participants satisfaction with health care services and there level of education (f = 6.27; p = 0.01); and occupation (f = 9.80; p = 0.01)’. Urban dwellers (134.38 ± 10.40) were more satisfied than rural dweller (128.72 ± 11.8; t = 2.28; p = 0.02) (OR 3.171, 95% CI 1.33-7.55). Conclusion: Gender, level of education and occupation are predictors of satisfaction with health care services. Health care providers need to work on their health care delivery to improve care recipient satisfaction with care.","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44009474","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":"Neurological Localisation in Clinical Practice","authors":"Beran Roy G","doi":"10.23937/2469-5793/1510144","DOIUrl":"https://doi.org/10.23937/2469-5793/1510144","url":null,"abstract":"Neurological localisation is dependent on history and physical examination and demands that the clinician is aware of those features, encompassed within the clinical setting, that define the neuroanatomy and neurophysiology that defines the focus of any neurological lesion. The paper to follow provides an approach to the neurological evaluation of patients that employs the traditional methods of history, stylised physical examination, incorporating: Higher centres; cranial nerves; and peripheral neurological evaluation, and offers important features that define the focus and potential nature of pathology and relies on traditional clinical assessment rather than being dependent on adjunctive investigations. It offers insight into techniques that not only discuss novel approaches, to such areas as higher centre function testing, but also provides explanations as to the interpretation of the findings from an anatomical perspective and offers normative data to help with interpretation of the findings. It explores the anatomy of cranial nerve abnormalities and differentiates some of the findings from peripheral neurological examination to discern upper motor neurone pathology from lower motor pathology and extrapyramidal features from cranial nerve dysfunction. The paper also provides signs of unequivocal features of non-organic presentations to enable the clinician to determine a provisional diagnosis, of non-organic pathology, rather than relying on a diagnosis that is dependent on investigations that showed no abnormality thus leaving non-organic illness as a diagnosis of exclusion, which tends to undermine patient confidence in a situation where the patient is already vulnerable from functional illness.","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43126822","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":"Increasing HIV Knowledge among Community Workers: Optimizing the Continuum of Care in Davao, Philippines","authors":"W. Danielle A, Gambe Charlyn T., Ustach Carol J., Altamirano Kristianna, Templeton Sarah J., Mason Mackenna, Cruzen Abigail, Lee Yujin","doi":"10.23937/2469-5793/1510143","DOIUrl":"https://doi.org/10.23937/2469-5793/1510143","url":null,"abstract":"Background: Over 38 million individuals have been diagnosed with Human Immunodeficiency Virus (HIV) worldwide, and the Southeast Asia and Pacific region accounts for 5.8 million of those. Regional progress reduced transmission by 9%, but the Philippines' rising epidemic is largely overshadowed by other countries experiencing tremendous improvement. The Philippines has seen a 203% increase in new infections from 2010-2020, while studies suggest only 2.3% of the population has been tested. Before testing programs can expand, HIV education needs to be evaluated and improved to increase testing. The purpose of this study is to improve HIV knowledge among community workers, which will contribute to latter phases of reducing stigma and increasing testing to build the Davao HIV Continuum of Care. Methods: A single cohort quasi-experimental design was used with a preand post-test bivariate analysis. A convenience sample of 18 community workers, ages 18-54 years was used for HIV train-the-trainer sessions. The HIVKQ-18 instrument was integrated within training sessions to accurately measure HIV knowledge before and after the intervention. A total of eleven participants were retained for analysis after the exclusion criteria review. Data analysis was conducted with SPSS, and Wilcoxon Rank Sum Test was used to analyze statistical improvement. Results: Participants demonstrated low levels of HIV knowledge on the pre-test with an average score of 57.55% (SD = 17.99). Post-test scores (79.27%) showed substantial knowledge improvement with an average increase of 21.72 points. The standard deviation also drastically decreased on the post-test suggesting improvement as well (SD = 9.19). This increase was statistically significant as analyses confirmed that participants improved their HIV knowledge after the HIV education intervention (p = 0.003) Conclusion: This study provides a platform to begin to build the HIV Continuum of Care with a multi-phased approach in Davao.Now that HIV knowledge has been improved among clinic and community workers, the next phase of increasing the availability of HIV testing within a community setting can take place. Simultaneously, linkage to care and access to Antiretroviral Therapy (ART) will be integrated through partnership with the local Department of Health.","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41910421","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":"Adapting the Shared Medical Appointment Model for the Management of Anxiety in Primary Care","authors":"Frame Kara A, Tinajero Ruben, Raber Hanna, Fortenberry Katherine T","doi":"10.23937/2469-5793/1510142","DOIUrl":"https://doi.org/10.23937/2469-5793/1510142","url":null,"abstract":"Title: Adapting the shared medical appointment model for the management of anxiety in primary care. Background: Anxiety disorders are highly prevalent and negatively impact the health of millions of people worldwide. Primary care physicians are often the first providers who diagnose and treat anxiety disorders. Unfortunately, many patients lack access to mental healthcare services to address their difficulties with anxiety. Prior research indicates that the Shared Medical Appointment (SMA) model is highly effective in addressing chronic illnesses. This pilot study aimed to present one primary care clinic’s development of a Primary Care SMA for Anxiety Program, as well as results for its implementation. Methods: Patients were recruited from two family medicine resident training clinics. The anxiety SMA program consisted of six monthly sessions, each with a different primary topic. Participants completed the Generalized Anxiety Disorder-7 (GAD-7) scale before each session. Results: A total of 28 patients participated in the Primary Care SMA for Anxiety Program (75% Female; mean age = 40.85, SD = 19.04). Of those, eleven patients (39%) participated in more than one session. Paired samples t-test results indicated a significant reduction in pre-GAD-7 (M = 10.9, SD = 4.96) to post-GAD-7 (M = 7.72, SD = 5.2) scores, t = 2.68, p = 0.02. These results find that participants demonstrated a significant reduction in anxiety symptoms and this may be due to participation in the Primary Care SMA for Anxiety Program. Conclusions: The current study suggests that a SMA model may be effective in reducing anxiety symptoms for participants. This model may prove beneficial for effective anxiety treatment. Abbreviations SMA: Shared Medical Appointment; GAD-7: Generalized Anxiety Disorder-7 BRieF RePoRT","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43211795","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":"Educational Diabetic Care Program: Clinical and Biochemical Evaluation One Year after the End of the Program","authors":"González-Ballesteros Mario Alberto, TeresaReyes-Gabino Patricia, Espinoza-Rodriguez Juan Carlos, Jímenez-Báez María Valeria, Sandoval-Jurado Luis","doi":"10.23937/2469-5793/1510141","DOIUrl":"https://doi.org/10.23937/2469-5793/1510141","url":null,"abstract":"Introduction: Diabetes mellitus is a global public health problem, millions of deaths per year are directly related to this condition and it is the fourth leading cause of death from disease. The increase in causes for type 2 diabetes reflects a lifestyle adopted by people and without referred prevention strategies therefore constitute a priority objective of therapeutic and educational interventions Objective: To evaluate the clinical and biochemical parameters in the patients of the diabetic patient care program at the beginning, end and one year after completion. Material and methods: Retrospective cohort in a Primary Health Care Unit in Cancun, Mexico in adults who completed the diabetic patient care program called Diabet IMSS. Records of diabetic patients from the Diabet IMSS program were obtained and evaluated: Glucose, HbAc1, Total cholesterol, Triglycerides, Blood pressure and BMI at the beginning, end and one year after finished the program. The information was analyzed by t student for related samples Results: 195 records of patients with a mean age of 58 ± 10.5 years and 10 ± 5.8 years of diabetes evolution. At the end of the program, HbA1c, Glucose and triglycerides showed a decrease (p < 0.05) but, other evaluated parameters showed no difference. After one year of the end of the program, a significant increase (p < 0.05) was reported in all the clinical and biochemical parameters evaluated. Conclusions: The improvement reached at the end of the Diabet IMSS program corresponds to significant descends results in some variables; although finally, the control goals are not reached. However, the patients did not manage to maintain the improvements reached at the end of the program, registering a considerable increase of all clinical variables one year after finished","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49060447","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":"Cutaneous Rash: A Clinical Manifestation Prior to Respiratory Symptoms of Covid-19 Infection","authors":"Lee Cameron Y.S.","doi":"10.23937/2469-5793/1510137","DOIUrl":"https://doi.org/10.23937/2469-5793/1510137","url":null,"abstract":"","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44537017","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 Integration of Public Health and Primary Care: A Case Study of Nebraska","authors":"P. David, G. Brandon, P. Valerie","doi":"10.23937/2469-5793/1510122","DOIUrl":"https://doi.org/10.23937/2469-5793/1510122","url":null,"abstract":"Objectives: This study examined integration between local public health agencies and primary care clinics in Nebraska, highlighting progress to date, successes, opportunities, and barriers. Methods: The study included a survey of all 19 Local Health Departments (LHD) directors in Nebraska, and semistructured follow-up interviews with five LHD directors. Results: There is considerable evidence of integration activities between primary care clinics and LHDs. Current activities focus on care coordination for high-risk chronic care patients and promoting hypertension, diabetes, and cancer screening. Six LHDs have a formal contract or memorandum of understanding with one or more clinics, and at least two LHDs are embedding nurses within clinics. Although LHDs felt there were many benefits to integration and emerging opportunities, significant barriers persist, including funding, administrative capacity, and data sharing. Conclusions: Readiness to integrate public health and primary care services varies from one community to the next. Public health and primary care must continue to build partnerships and pilot new integration activities, while state agencies, universities, professional associations, and others must work to address funding and technical barriers. Public and private insurers should encourage clinics to screen patients for major risk factors, particularly social determinants of health, and provide incentives to improve individual and population health outcomes. More funding and technical assistance are needed to enhance integration activities. Future studies should evaluate the costs and benefits of integration projects from both the provider’s and the patient’s perspective, as well as organizational and systems perspectives.","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45957069","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":"Evidence-Based Health Policy Making: A Roadmap for Filling the Research and Decision-Making Gap","authors":"Aghakhani Nader, Mobaraki Kazhal, A. Jamal","doi":"10.23937/2469-5793/1510121","DOIUrl":"https://doi.org/10.23937/2469-5793/1510121","url":null,"abstract":"Citation: Aghakhani N, Mobaraki K, Ahmadzadeh J (2020) Evidence-Based Health Policy Making: A Roadmap for Filling the Research and Decision-Making Gap. J Fam Med Dis Prev 6:121. doi. org/10.23937/2469-5793/1510121 Accepted: June 16, 2020; Published: June 18, 2020 Copyright: © 2020 Aghakhani N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":91906,"journal":{"name":"Journal of family medicine and disease prevention","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46777621","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}