Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care最新文献

Knowledge, attitude, and practices of patient relatives regarding face masks in COVID-19 pandemic: A single-center cross-sectional study COVID-19大流行患者家属对口罩的知识、态度和实践:一项单中心横断面研究

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_43_22

Anirban Das, Preetam Goswami, Pronoy Sen

{"title":"Knowledge, attitude, and practices of patient relatives regarding face masks in COVID-19 pandemic: A single-center cross-sectional study","authors":"Anirban Das, Preetam Goswami, Pronoy Sen","doi":"10.4103/jopcs.jopcs_43_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_43_22","url":null,"abstract":"Objective: Coronavirus disease (COVID-19) pandemic was declared as a global pandemic on the March 12, 2020. Face masks are recommended to control COVID-19 transmission, whose filtering capability depends on the different materials mask is made of and its structural design. The knowledge, attitudes, and practices (KAP) toward facemasks play an integral role to understand society's readiness to accept and follow preventive guidelines. The main objective was to estimate various factors affecting KAP in the study population and also to calculate the knowledge score (KS) from the data. Materials and Methods: A cross-sectional study was conducted using a questionnaire. The questionnaire consisted of 5, 3, and 5 questions on KAP, respectively. Score of 1 was assigned to the correct response and score of 0 for the incorrect response. Accordingly, score of <3 depicted that individual had poor knowledge, while ≥3 indicated good knowledge. Data were analyzed using appropriate descriptive statistical tests. An independent t-test was used to determine differences in groups concerning mask usage. Results: Out of total 110 participants, majority were males (53.6%). Majority (78.2%) had a good KS and the mean KS was 3.41. The KS was higher in the 18–40 years age group (P = 0.026), males (P = 0.030), literate people (P = 0.011), and in the urban population (P = 0.021). Majority (97.3%) knew that it is necessary to wear face mask during this pandemic. Participants with higher KS covered both their nose and mouth with face mask and also, they removed their mask completely while eating. Conclusions: Most of the patient's relatives had satisfactory knowledge, a positive attitude, and good practices toward the use of face masks to limit the spread of COVID-19 in the community.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"30 6 1","pages":"78 - 81"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83000706","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

Corticosteroid-induced avascular bone necrosis and possible association with prior COVID-19 infection 皮质类固醇诱导的无血管性骨坏死及其与既往COVID-19感染的可能关联

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_56_22

Kanisha Shah, D. Shukla, R. Khan, S. Malhotra

引用次数: 0

Are we missing giant cell arteritis? 我们错过巨细胞动脉炎了吗?

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_44_22

D. Chakraborty, K. Sundar, Khizar Syed

引用次数: 0

National medical commission and faculty evaluation – Aura of confusion 国家医学委员会和教员评价——混乱的光环

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_11_23

H. Gupta

引用次数: 0

A study on patients with pleural effusion with emphasis on pleural fluid adenosine deaminase and pleural biopsy 胸腔积液患者的研究，重点是胸膜液腺苷脱氨酶和胸膜活检

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_40_22

A. Mandal, P. Sardar, P. Bar, Anirban Das

{"title":"A study on patients with pleural effusion with emphasis on pleural fluid adenosine deaminase and pleural biopsy","authors":"A. Mandal, P. Sardar, P. Bar, Anirban Das","doi":"10.4103/jopcs.jopcs_40_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_40_22","url":null,"abstract":"Background: Evaluation of adenosine deaminase (ADA) has emerged as a potential biochemical marker for the diagnosis of tuberculosis (TB). An increased level of ADA in blood generally indicates the presence of TB. This study aimed to evaluate the ADA level in pleural fluid with diagnostic accuracy in histologically confirmed patients of pleural TB. Materials and Methods: This prospective observational study included patients with a confirmed diagnosis of pleural effusion. Data related to demographics, clinical characteristics, sputum status, predominant cells, ADA levels, and pleural biopsy reports were recorded. Results: Of the 82 patients of exudative pleural effusion, 65 (79.3%) were men. The most common presenting symptoms were cough (87.8%), chest pain (67.1%), fever (64.6%), and shortness of breath (56.1%). The average ADA level was 66.5 IU/L. Pleural biopsy showed that 45.1% of patients were tubercular etiology, 34.1% of patients were malignant, and 20.7% were of nonspecific inflammatory origin. Totally 59.8% of patients had right-sided pleural effusion, whereas 40.2% of patients had left-sided pleural effusion. Majority of the TB patients (81.1%) with ADA level > 40 U/L were diagnosed with tubercular granuloma, whereas 41 patients with malignancy and other patients had ADA level < 40 U/L (P < 0.001). Conclusion: Evaluation of ADA level along with histopathological examination can be easily performed as the routine test in the diagnosis of TB.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"5 1","pages":"57 - 61"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79826534","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

Holistic approach in managing tinnitus with yoga, naturopathy, and acupuncture interventions: A single-case report 整体方法在管理耳鸣与瑜伽，自然疗法和针灸干预:一个单一的案例报告

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_54_22

Maheshkannan Vanamoorthy, N. Mangaiarkarasi, N. Manavalan, Deenadayalan Boopalan

引用次数: 0

Cutaneous adverse drug reactions in a tertiary care setup: A cross-sectional observational single-center-based study in Eastern India 三级医疗机构的皮肤药物不良反应:印度东部的一项横断面观察性单中心研究

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_57_22

Ritika Singh, Nikhil Era, Shatavisa Mukherjee, P. Paul, S. Bordoloi

{"title":"Cutaneous adverse drug reactions in a tertiary care setup: A cross-sectional observational single-center-based study in Eastern India","authors":"Ritika Singh, Nikhil Era, Shatavisa Mukherjee, P. Paul, S. Bordoloi","doi":"10.4103/jopcs.jopcs_57_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_57_22","url":null,"abstract":"Background: Cutaneous adverse drug reactions (cADRs) constitute a significant cause of mortality and morbidity, adding to the economic burden for the patients. cADRs have varied and diverse presentations of morphology and severity. The present study aimed to explore the spectrum of cADRs reported in a tertiary care setup in Eastern India. Methods: A cross-sectional, single-center-based observational study was undertaken which included all the patients reporting with suspected cADRs. The patient details, ADR characteristics, and other relevant details were noted. Detailed pharmacovigilance workup, including causality, severity, and preventability assessment, was performed. Data were statistically analyzed. Results: 0.16% incidence of cADRs was observed, with the most common form being urticaria, followed by fixed drug eruption, maculopapular rash, and erythroderma. The most common drug class suspected to cause cADR was antimicrobials, followed by corticosteroids and nonsteroidal anti-inflammatory drugs. While most reactions were of moderate grade in severity, majority of the reactions were under “possible” causal category. 22.1% of the reported cADRs were not preventable. Conclusion: Proper diagnosis and optimum management of cutaneous ADRs are critically challenging and important.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"24 1","pages":"67 - 71"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72676911","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

Mediation effect of sleep quality and internet addiction on depression among indian medical graduate students: A cross-sectional study 睡眠质量和网络成瘾对印度医学研究生抑郁的中介作用:一项横断面研究

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_60_22

G. Meratwal, Praveena Tandon, Ashok Kumar

{"title":"Mediation effect of sleep quality and internet addiction on depression among indian medical graduate students: A cross-sectional study","authors":"G. Meratwal, Praveena Tandon, Ashok Kumar","doi":"10.4103/jopcs.jopcs_60_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_60_22","url":null,"abstract":"Introduction: There is a complex interaction between poor sleep quality, Internet addiction (IA), and depression. This study aimed to determine whether sleep quality or IA statistically mediates the association between the other two variables. Materials and Methods: This cross-sectional study was conducted from June 2022 to October 2022 in a medical college in Ajmer, Rajasthan. Data were collected from 400 undergraduate medical students. Data were collected using Depression, Anxiety, and Stress Scale-21, Pittsburgh Sleep Quality Index, and Young's IA tools. Data were analyzed by multivariate logistic regression and the PROCESS program in SPSS 20.0. Results: The mean (standard deviation) age of the students was 20.9 (1.68) years. About 43% of students (n = 174) had depression, 40.3% (n = 161) had poor sleep, and 54% (n = 216) had IA. The age of the students (adjusted odds ratio [aOR] = 1.92), screen time per day (aOR = 1.06), smoking (aOR = 13.20), sleep quality (aOR = 1.16), and IA (aOR = 11.64) were significantly associated with depression. IA mediated 30.55% of the indirect effect of sleep quality on depression, whereas sleep quality mediated 18.18% of the indirect effect of IA on depression. Conclusion: Sleep quality and IA have a differential independent indirect effect on the association between depression and the other variable. Programs and counseling sessions that promote mental health should also address the adverse impact of poor sleep and IA.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"121 1","pages":"72 - 77"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86290199","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

Assessment of perceived stress during corona (COVID-19) pandemic among health-care workers 冠状病毒(COVID-19)大流行期间卫生保健工作者感知压力的评估

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_38_22

Akhilesh K. Jain, Naman Jain, Manish Goyal, A. Goyal, K. Yadav, Rakshit Yadav

{"title":"Assessment of perceived stress during corona (COVID-19) pandemic among health-care workers","authors":"Akhilesh K. Jain, Naman Jain, Manish Goyal, A. Goyal, K. Yadav, Rakshit Yadav","doi":"10.4103/jopcs.jopcs_38_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_38_22","url":null,"abstract":"Introduction: The pandemic of COVID-19 has caused both physical and psychological suffering not only to the general population but also to health-care workers (HCWs). Assessment of mental stress in HCWs is important as they have played a crucial role during this pandemic. Hence, this study was planned to assess the level of stress in HCWs during the COVID-19 pandemic. Materials and Methods: A total of 312 subjects were included by purposive sampling method in this cross-sectional study. A self-designed pro forma was used to collect sociodemographic details of subjects. The Hindi version of the perceived stress scale (PSS)-10 was used to assess stress. The data were analyzed using IBM SPSS version 28. Results: The level of perceived stress was significantly higher in HCWs working in government hospitals and quarantine services. Similarly, paramedical personnel and nursing staff were found to have more median PSS levels (18 and 16, respectively) as compared to doctors and others (15 and 16, respectively), and this observation was also significant in our study (P = 0.007). Although not statistically significant, stress was more among female HCWs, those from nuclear family, younger age group, and those who had been taking treatment for some psychiatric illness. Conclusion: There is a need to assess the ongoing stress among HCWs and address the contributing factors, thus enabling them to perform their duties more effectively and optimally.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"28 1","pages":"52 - 56"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84970768","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

Acute undifferentiated fever presenting as multi-organ dysfunction: Narrowing the differential diagnosis 以多器官功能障碍为表现的急性未分化发热:缩小鉴别诊断范围

Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care Pub Date : 2023-05-01 DOI: 10.4103/jopcs.jopcs_36_22

Monica Gupta, Sanjana Sharma, S. Lehl, N. Singla

{"title":"Acute undifferentiated fever presenting as multi-organ dysfunction: Narrowing the differential diagnosis","authors":"Monica Gupta, Sanjana Sharma, S. Lehl, N. Singla","doi":"10.4103/jopcs.jopcs_36_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_36_22","url":null,"abstract":"Introduction: Acute undifferentiated fever (AUF) in India is highly prevalent in the monsoon and postmonsoon periods. AUF may trigger potentially fatal illnesses with acute-onset complications; therefore, this study was carried out to recognize the common forms of organ dysfunction in tropical vector-borne diseases which present as AUF. Materials and Methods: A 20-month prospective study was conducted to estimate the incidence of multi-organ dysfunction syndrome (MODS) among the common causes of AUF. The association of mortality with MODS patterns was also determined. All nonparametric variables were compared using Chi-square and Kruskal–Wallis. Bivariate as well as multivariate logistic regression analyses were performed to find the predictors of mortality/poor outcome. Results: Scrub typhus had the highest incidence of MODS and highest mortality with simultaneous hepatic and renal involvement in 35.8%, followed by hepatic involvement with acute respiratory distress syndrome (ARDS) in 33.9% and hepatic involvement with shock in 32%. Patients of MODS with acute kidney injury (AKI), shock, or sepsis had higher mortality rates. Conclusion: AUF presents with multiple overlapping manifestations which are difficult to discern clinically into specific etiologies, especially once MODS sets in. However, we observed statistically higher odds of the patient having scrub typhus as the cause of AUF when simultaneous hepatitis, AKI, ARDS, and shock were present.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"71 1","pages":"62 - 66"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79579248","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