Family medicine and primary care -- open access最新文献_第7页

Prevalence, Underreporting and Barriers of Needle Stick and Sharps Injuries (NSSIs) among Nurses at Primary Healthcare Centers, Riyadh, Saudi Arabia 沙特阿拉伯利雅得初级卫生保健中心护士针刺和锐器伤害(nssi)的患病率、漏报和障碍

Family medicine and primary care -- open access Pub Date : 2021-12-24 DOI: 10.29011/2688-7460.100067

Sulaiman, Mohammed, Al-Qahtani, Yazeed, Rajab, Elzahrany, M. Alahmed, Rasmi Obaid Marei, Almutairi, Abdulrheem Dahman Alqhtani, R. S. Alqahtani

引用次数: 1

Prevalence of Gestational Diabetes Mellitus and Associated Risk Factors Among Pregnant Women Attending Antenatal Care in Primary Health Care Centers in Riyadh, Saudi Arabia 在沙特阿拉伯利雅得初级保健中心接受产前护理的孕妇中，妊娠期糖尿病患病率及相关危险因素

Family medicine and primary care -- open access Pub Date : 2021-11-26 DOI: 10.29011/2688-7460.100064

Turki J. Alharbi, Abdelmohsen Albogami, Abdullah Allhuaidan, Saleh Alfawaz, Shatha Murad, Mostafa Kofi

{"title":"Prevalence of Gestational Diabetes Mellitus and Associated Risk Factors Among Pregnant Women Attending Antenatal Care in Primary Health Care Centers in Riyadh, Saudi Arabia","authors":"Turki J. Alharbi, Abdelmohsen Albogami, Abdullah Allhuaidan, Saleh Alfawaz, Shatha Murad, Mostafa Kofi","doi":"10.29011/2688-7460.100064","DOIUrl":"https://doi.org/10.29011/2688-7460.100064","url":null,"abstract":"Background: Pregnancy is a diabetogenic condition, with Gestational Diabetes Mellitus (GDM) developing in 3 to 25% of all pregnancies. GDM has unfavorable short- and long-term consequences for both mothers and their children. We conducted this study aiming to assess the prevalence of gestational diabetes and associated risk factors during pregnancy in Riyadh, Saudi Arabia. Methods: This was a retrospective cross-sectional survey study. GDM diagnosis was based on the universal two-hour 75 g OGTT. GDM cases were defined using the 75 g OGTT with at least one value of plasma glucose concentration equals to or exceeds the thresholds of 92 mg/dl, 180 mg/dl, and 153 mg/dl for fasting one-hour, and 2-hour post glucose, respectively. The data was collected by the study authors from patients’ files using a data collection form that included the oral glucose tolerance test results in addition to the participants’ socio-demographic data. Results : A total of 384 pregnant women were recruited, the highest percentage (29.7%) of them aged 26 to 30 years old, 35% were overweight and 24.5% were obese, and 72.4% were multi-parity. Based on the 2h OGTT, the prevalence of GDM was 32.6%. The univariate logistic regression analysis showed that old age, low educational level, higher BMI, family history of DM, higher rates of multi-parity, abortions, C-sections, and hypothyroidism were significant risk factors for GDM. On the other hand, there were no significant associations between occupational status, PCOS, preeclampsia, hypertension, asthma, and GDM. Conclusion: GDM diagnosed on basis of the OGTT criteria was very common among pregnant women in Saudi Arabia. Overweight and obesity as well as older age were associated with an increased risk of GDM. Also, low educational level, family history of DM, GDM history, history of abortion, and C-section were all significant risk factors of GDM.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47324072","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

Knowledge and Perception toward Menopause among Saudi Women Attending Primary Care Clinics; Riyadh, Saudi Arabia 参加初级保健诊所的沙特妇女对更年期的认识和看法；沙特阿拉伯利雅得

Family medicine and primary care -- open access Pub Date : 2021-11-22 DOI: 10.29011/2688-7460.100062

A. Alharthi, Yazeed Elzahrany, H. Alkhalifah

{"title":"Knowledge and Perception toward Menopause among Saudi Women Attending Primary Care Clinics; Riyadh, Saudi Arabia","authors":"A. Alharthi, Yazeed Elzahrany, H. Alkhalifah","doi":"10.29011/2688-7460.100062","DOIUrl":"https://doi.org/10.29011/2688-7460.100062","url":null,"abstract":"Background: Menopause is a period in woman life that characterized by the permanent cessation of menses. Several symptoms can be experienced by the female as a result of menses cessation including hot flushes and mood swings, these symptoms may affect her life. Objective: To assess the knowledge and perception toward menopause and to identify factors that may affect the knowledge and perception of Saudi women attending general clinics, Al Wazarat health center, Prince Sultan Military Medical City (PSMMC), Riyadh. Methods: A cross-sectional study was conducted in November 2017. In total, 374 women aged 20-60 years were randomly interviewed using questionnaire interviewer-administered. The interview was based on a validated Arabic translated version of the pre-designed and validated questionnaire used on a previous similar study with adoption to our setting. Results: Of the 374 women, a total of 362 questionnaires/interviews were completed with a response rate of 96%. About half of our population (51.38%) showed good knowledge. About ninety percent (89.2%) were not aware of any menopausal age diseases and (98.9%) were not aware of any treatments available for menopausal symptoms. Participants in their thirties and those who were married had more knowledge than other participants, also women with primary or intermediate education and housewives had more knowledge than other women. Regarding perception, 97.23% of participants had a positive perception. Conclusion: Level of knowledge is considered average compare to similar studies but there were areas that showed significate lack of knowledge, about ninety percent (89.2%) were not aware of any menopausal age-related diseases and (98.9%) were not aware of any treatments available for menopausal symptoms. We have much more positive perception than similar studies. Family Medicine and Primary Care: Open Access Alharthi AF, et al. J Family Med Prim Care Open Acc 5: 162. www.doi.org/10.29011/2688-7460.100062 www.gavinpublishers.com","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46839965","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

Trauma over the Life Course for Black Mothers in Chicago: Understanding Conditions, Meaning Making and Resiliency 芝加哥黑人母亲生命历程中的创伤:理解条件、意义创造和复原力

Family medicine and primary care -- open access Pub Date : 2021-10-11 DOI: 10.29011/2688-7460.100059

R. Mendenhall, Kristen L. Ethier, Meggan J. Lee, Kanesha Overton, Samantha, Houser, C. Roberts

{"title":"Trauma over the Life Course for Black Mothers in Chicago: Understanding Conditions, Meaning Making and Resiliency","authors":"R. Mendenhall, Kristen L. Ethier, Meggan J. Lee, Kanesha Overton, Samantha, Houser, C. Roberts","doi":"10.29011/2688-7460.100059","DOIUrl":"https://doi.org/10.29011/2688-7460.100059","url":null,"abstract":"Background: Scholars are increasingly linking Adverse Childhood Experiences (ACEs) to mental and physical health outcomes over the life course. However, the influence of ACEs and continuous traumatic stress on health outcomes is less understood, particularly in contexts with high concentrations of community and police violence. Methods: This study analyzes survey and interview data from 93 low-income Black mothers living in neighborhoods with high levels of violence on the South side of Chicago to better understand the life course consequences of ACEs and continuous traumatic stress exposure. Results: Our analysis demonstrates the conditions and events that give rise to trauma over the life course, participants’ layered meaning making about trauma at the intersections of stress and resilience, the consequences of trauma exposures in the lives of the mothers, and their culturally-rich healing resources. Discussion: The relationship between continuous traumatic stress exposure on physical and mental health outcomes are particularly relevant for physicians and other health providers serving populations dually impacted by racial health disparities and high levels of violence in their communities. Garnering deeper understandings of the impact of trauma will equip medical providers with tools to understand and support patients using a trauma and recovery informed lens. Conclusion: These findings showing the impact of ACEs and continuous traumatic stress are relevant in communities with high rates of community and police violence. These findings are also relevant due to the current COVID-19 pandemic with increased rates of stress, mental health challenges, child abuse and deaths from gun violence associated with the virus. Family Medicine and Primary Care: Open Access Mendenhall R, et al. J Family Med Prim Care Open Acc 5: 159. https://www.doi.org/ 10.29011/2688-7460.100059 www.gavinpublishers.com","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47185022","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

COVID-19 Pandemic Increased the Flu Vaccine Use: A Brief Report from the Campania Region COVID-19大流行增加了流感疫苗的使用:坎帕尼亚地区的简要报告

Family medicine and primary care -- open access Pub Date : 2021-01-01 DOI: 10.29011/2688-7460.100057

引用次数: 0

Role of Limited Hand Joint Mobility in Diabetic Type 1 Patients in Primary Health Care 1型糖尿病患者手部关节活动受限在初级卫生保健中的作用

Family medicine and primary care -- open access Pub Date : 2021-01-01 DOI: 10.29011/2688-7460.100055

引用次数: 0

Implementing an Exercise Evidence-Based Guideline for Type 2 Diabetes Mellitus Patients Using a Structured Referral Process 采用结构化转诊流程实施2型糖尿病患者运动循证指南

Family medicine and primary care -- open access Pub Date : 2021-01-01 DOI: 10.29011/2688-7460.100058

Victor Madrigal, M. Courtney

{"title":"Implementing an Exercise Evidence-Based Guideline for Type 2 Diabetes Mellitus Patients Using a Structured Referral Process","authors":"Victor Madrigal, M. Courtney","doi":"10.29011/2688-7460.100058","DOIUrl":"https://doi.org/10.29011/2688-7460.100058","url":null,"abstract":"Introduction: Type 2 Diabetes Mellitus (T2DM) is the seventh leading cause of death in the United States and affects 25.8 million Americans. Ninety to ninety-five percent of T2DM is manifested in adults and prevalence increases with age. Type 2 Diabetes Mellitus is a costly chronic disease that causes dysfunction in multiple organs. The incidence rate of T2DM continues to increase despite numerous efforts of by healthcare providers and politicians to halt this epidemic. New emerging research has shown that exercise in older adults is more effective in delaying and preventing negative healthcare outcomes than medications. Recently multiple healthcare associations have brought forth new Evidence-Base Guidelines (EBGs) on exercise for patients with T2DM: healthcare providers have been slow to respond to these current EBGs. The purpose of this project was to embed an EBG prescription for exercise and design a structured exercise referral process that incorporated a healthcare and community delivery system for patients with T2DM. Methods: The one-group pretest-posttest study design examined the healthcare providers’ knowledge, attitudes, and practices of EBGs before and after the implementation of the structured exercise referral process for patients with T2DM. Results: In this project, an increase in patient referrals was associated with the project’s intervention. In addition, 39% of patients who were referred attended structured exercise class and tended to remain involved in ongoing weekly sessions. Conclusions: Embedding EBGs into the daily clinical process with specific protocols, forms, and staff accountability can increase the likelihood of their use. Further investigation of the impact of structured exercise in older adults on diabetes control is recommended.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69481099","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

Involving Urban Single Low-Income African American Mothers in Genomic Research: Giving Voice to How Place Matters in Health Disparities and Prevention Strategies. 在基因组研究中涉及城市单身低收入非洲裔美国母亲:在健康差异和预防策略中如何发声。

Family medicine and primary care -- open access Pub Date : 2020-06-30 DOI: 10.29011/2688-7460.100048

R. Mendenhall, Loren Henderson, B. Scott, L. Butler, K. Turi, Andrew J. Greenlee, G. Robinson, B. Roberts, S. Rodriguez-Zas, James E. Brooks, Christy L. Lleras

{"title":"Involving Urban Single Low-Income African American Mothers in Genomic Research: Giving Voice to How Place Matters in Health Disparities and Prevention Strategies.","authors":"R. Mendenhall, Loren Henderson, B. Scott, L. Butler, K. Turi, Andrew J. Greenlee, G. Robinson, B. Roberts, S. Rodriguez-Zas, James E. Brooks, Christy L. Lleras","doi":"10.29011/2688-7460.100048","DOIUrl":"https://doi.org/10.29011/2688-7460.100048","url":null,"abstract":"This article describes the process of using principles from community-based participatory action research to involve low-income, single, African American mothers on the south side of Chicago in genomic research, including as citizen scientists. The South Chicago Black Mothers' Resiliency Project used a mixed methods design to investigate how the stress of living in neighborhoods with high levels of violence affects mothers' mental and physical health. This article seeks to serve as a model for physicians and scholars interested in successfully involving low-income African American mothers in genomic research, and other health-related activities in ways that are culturally sensitive and transformative. The lives of Black mothers who struggle under interlocking systems of oppression that are often hidden from view of most Americans are at the center of this article. Therefore, we provide extensive information about the procedures used to collect the various types of data, the rationale for our procedures, the setting, the responses of mothers in our sample and methodological challenges. This study also has implications for the current COVID-19 pandemic and the need to train a corps of citizen scientists in health and wellness to avoid future extreme loss of life such as the 106,195 lives lost in the United States as of June 1, 2020.","PeriodicalId":93553,"journal":{"name":"Family medicine and primary care -- open access","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76233271","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

Unilateral Purple Urine Bag Syndrome: A Case Report on a Nephrostomy Patient and Review of Literature 单侧紫尿袋综合征:肾造瘘患者1例报告并文献复习

Family medicine and primary care -- open access Pub Date : 2020-01-01 DOI: 10.29011/2688-7460.100051

引用次数: 1

Model of Transition from a Primary Health Care Provider to a Community Service Hub during COVID-19 Pandemic at Primary Health Care Corporation in Qatar 卡塔尔初级卫生保健公司在COVID-19大流行期间从初级卫生保健提供者过渡到社区服务中心的模式

Family medicine and primary care -- open access Pub Date : 2020-01-01 DOI: 10.29011/2688-7460.100052

引用次数: 0