Neha Chaurasia, Anup Singh, Indramani L Singh, Tara Singh, Trayambak TiwariJournal of Family Medicine and Primary Care 2020 9(5):2219-2225 Rheumatoid Arthritis (RA) is a form of arthritis characterized by joint pain, stiffness, swelling and deformity. There has been plethora of researches in the area of rheumatoid arthritis which focused on immune system, genetic predisposition and newer treatment modalities. Researchers have also examined the cognitive decline, physical deficits and their interrelationship...
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Aroop Mohanty, Puneet K Gupta, Priyanka Gupta, Neelam Kaistha, Pratima Gupta, Ravi Shankar, Pradeep KumarJournal of Family Medicine and Primary Care 2020 9(5):2460-2464 Background: Hand hygiene plays a crucial role in preventing health-care-associated infections (HCAIs) by reducing the spread of antimicrobial resistance. But, its compliance with optimal practices usually remains low at most of our health-care settings. Aim: This study focused on one of the primordial, basic and low-cost practice...
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Amir Maroof Khan, Piyush Gupta, Navjeevan Singh, Upreet Dhaliwal, Satendra SinghJournal of Family Medicine and Primary Care 2020 9(5):2226-2231 Introduction: Faculty development to implement competency-based medical education (CBME) is urgently needed as the Medical Council of India has implemented the competency-based curriculum this year onwards. Objectives: To evaluate a 2-day faculty development workshop in terms of: (a) increase in knowledge about CBME terminology and concepts, (b) self-reported...
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Ravi Kant, Poonam Yadav, Surekha Kishore, Rajesh Kumar, Neetu KatariaJournal of Family Medicine and Primary Care 2020 9(5):2480-2486 Background and Objectives: Patient-centered care refers to the provision of care for patients' comprehensive needs, perspectives, and preferences. In health security, communication between patient and physician is the main key through which we plan and implement to threats that can affect huge population. Aim: The aim of this study was to assess the patient-centered...
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Vempalli N Subramanyam, Nidhi Kaeley, Manish Kumar, Subodh K Pandey, Bharat B Bhardwaj, Konda S ReddyJournal of Family Medicine and Primary Care 2020 9(5):2232-2236 Fever accounts for around 15% of emergency visits in elderly age group and around 5% in adults. The spectrum of etiologies ranges from non-infectious to infectious etiologies. There are very few studies done in the past highlighting the approach of patients with acute febrile illness without any localizing signs and symptoms. Objectives:...
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Alexandra Targan, Morteza KhodaeeJournal of Family Medicine and Primary Care 2020 9(5):2500-2501 Epidermoid cysts are very common and therefore relevant to Family Medicine physicians in the primary care setting. Epidermoid cysts can undergo transformation if they become infected or ruptured, resulting in keratin granulomas. Importantly, these may be misdiagnosed or confused with malignancy and should be differentiated histologically after excision if a presumed epidermal cyst has an atypical...
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Sam M David, Ruby A Pricilla, Sherin S Paul, Kuryan George, Anuradha Bose, Jasmin H PrasadJournal of Family Medicine and Primary Care 2020 9(5):2237-2243 Background: Malnutrition plays an important role in the economic burden of society as well as the country. This study aimed to identify the various risk factors and determinants of severe acute malnutrition (SAM) as defined by WHO growth reference standards in children aged 6 months to 59 months living in Vellore. Methods: A community-based...
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UR Raaju, Siddharth Gosavi, K SriharshaJournal of Family Medicine and Primary Care 2020 9(5):2511-2513 Allopurinol is a xanthine oxidase inhibitor used in management of chronic gout. It acts by reducing the amount of uric acid by inhibiting purine metabolism. A middle-aged hypertensive female who was on allopurinol for 7 months presented with generalized weakness and exertional dyspnea. Investigations revealed pancytopenia: normocytic normochromic anemia (Hb-3.2g/dL, TLC-3400/mm3) and severe...
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Vidya Kadashetti, KM Shivakumar, Minal Choudhary, Swati Patil, Madhuri GawndeJournal of Family Medicine and Primary Care 2020 9(5):2244-2247 Introduction: Cancer is considered as a serious health problem in public with an increasing number of cancer patients reported every year hence public health awareness/knowledge on oral cancers oral potentially malignant disorders (OPMDs) and their risk factors is crucial for prevention and early detection of OPMD and it is important to prevent transformation...
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Karthika Panneerselvam, B Kavitha, Elavenil Panneerselvam, Anantanarayanan ParameswaranJournal of Family Medicine and Primary Care 2020 9(5):2524-2527 Unicystic ameloblastoma is considered a less aggressive variant of ameloblastoma with clinical and radiographic features mimicking a cyst. Herein, we present a case of unicystic ameloblastoma in a 20-year-old female who was clinically and radiographically diagnosed as an odontogenic cyst. Unicystic ameloblastoma and its subtypes are reviewed with...
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M Roshni, A RahimJournal of Family Medicine and Primary Care 2020 9(5):2248-2252 Teaching methodology has a great impact on the learning outcomes in an undergraduate's education. Objectives: 1. To assess the effectiveness of small group discussions (SGD) over lecture in learning the principles of family medicine among 2nd-year MBBS students. 2. To assess the perception of students on SGD over lecture in learning principles of family medicine among 2nd-year MBBS students. Materials and Methods:...
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Ahmad Ozair, Vivek Kumar, D Himanshu, Vivek BhatJournal of Family Medicine and Primary Care 2020 9(5):2538-2540 Scrub typhus (ST), a zoonotic disease, is currently being recognized as a significant contributor to the changing landscape of infectious diseases in India. As one of the important causes of febrile illness, in many parts of the country, general practitioners need to include it as part of the workup for cases of fever of unknown origin. While very amenable to early treatment with a...
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Anju Dinkar, Jitendra SinghJournal of Family Medicine and Primary Care 2020 9(5):2253-2257 Objectives: The present study was aimed to find seroprevalence in different age group population to explore the burden of TORCH (toxoplasma, rubella virus, cytomegalovirus [(CMV] and herpes simplex virus [HSV]) infection in the North Indian Population. Materials and Methods: It is a retrospective study carried out in the Microbiology Department, Institute of Medical Science, Banaras Hindu University (IMS,...
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Prabhat K Agrawal, Ashish K Gautam, Nikhil Pursnani, Akankshi AgarwalJournal of Family Medicine and Primary Care 2020 9(5):2552-2554 Diabetes mellitus (DM) refers to a group of common metabolic disorders that share the common phenotype of hyperglycemia secondary to various pathophysiologic mechanisms that include reduced insulin secretion, decreased glucose utilization, and increased glucose production. Individuals suffering from Type 2 DM (T2DM) tend to be at a higher risk for the development...
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Rashmi Pandey, Ved PrakashJournal of Family Medicine and Primary Care 2020 9(5):2258-2263 Introduction: Asthma being a chronic inflammatory disease concerning to the airways involves genetic and environmental factors. It is known to develop a clinical condition of airway hyper-responsiveness, which induces frequent symptoms in patients such as breathlessness, chest congestion, coughing, and wheezing, particularly during night hours or during early morning hours. The cytokine, Interleukin 17F...
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Akhilesh Jain, Aditi Agrawal, Anil K Tripathi, Roovendra K Bansod, Garima Jain, Kuldeep S YadavJournal of Family Medicine and Primary Care 2020 9(5):2566-2568 Trichophagia is a compulsive condition characterized by eating hair, mostly seen in adolescent females. Persistence of ingestion of hair over many years results in the formation of trichobezoar. Surgical intervention is often needed in the management of large trichobezoars. We present a case of a 23 year old female with trichophagia which...
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Lokesh Sharma, Devina Pradhan, Rahul Srivastava, Manas Shukla, Omveer Singh, Pratik Journal of Family Medicine and Primary Care 2020 9(5):2264-2268 Aim: To assess the oral health status and inflammatory markers in end stage chronic kidney disease (CKD) patients. Objectives: To study and compare oral health status of end stage CKD patients with the control group (matched health individuals) and to study and compare inflammatory biomarkers in study and control groups. Materials and Methods: A cross-sectional...
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Souvik Dubey, Subhankar Chatterjee, Debaleena Mukherjee, Ritwik Ghosh, Samya Sengupta, Durjoy Lahiri, Alak PanditJournal of Family Medicine and Primary Care 2020 9(5):2580-2582 Movement disorder, although rare, is increasingly being recognized as the initial presenting sign of the hyperglycemic state. Although chorea-ballism has frequently been reported among diabetics, monoballism is a very rare phenomenon. While myoclonus is common, diaphragmatic myoclonus is extremely rare. Moreover, diaphragmatic...
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Dhilip Kumar, Sunil Kumar Rao, Tej Bali SinghJournal of Family Medicine and Primary Care 2020 9(5):2269-2272 Objective: Severe acute malnutrition (SAM) classified as edematous and marasmus, however, Kwashiorker represents the most severe phenotype of edematous malnutrition. The aim of this study was to describe the clinico-biochemical profile in sick children with severe acute malnutrition. Materials and Methods: This is a descriptive cross-sectional study, which included children aged 6 to 60...
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Rohit Kumar, Nitin Gupta, Parul Kodan, Ankit Mittal, Manish Soneja, Naveet WigJournal of Family Medicine and Primary Care 2020 9(5):2589-2590
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Sulaiman A Alshammari, Hanan A Alenazi, Hotoon S AlshammariJournal of Family Medicine and Primary Care 2020 9(5):2273-2280 Background and Aims: Colorectal cancer (CRC) is a common cause of mortality worldwide. It is preventable, treatable when detected early. The aim of this study is to assess knowledge, attitude and practice (KAP) of the participants toward CRC and its early screening, and identify the sources of information on the subjects. Methods: We conducted a cross-sectional study on...
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Moawia Gameraddin, Walaa Ismail Musa, Suzan Abdelmaboud, Sultan Alshoabi, Kamal Dahan Alsultan, Bushra A AbdelmalikJournal of Family Medicine and Primary Care 2020 9(5):2411-2415 Background: Hypertension is one of the major world health problems. Ultrasonography plays a useful role in the assessment of morphologicalchanges at the kidneys in hypertensive patients. Aim: To assess sonographic findings of the kidneys in hypertensive patients’ co-morbidities with type 2 diabetes mellitus and ischemic...
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Amal S Alhejaili, Riyadh A Alghamdi, Sami A R Al-DubaiJournal of Family Medicine and Primary Care 2020 9(5):2281-2285 Background and Objectives: Basic life support (BLS) is the care provided by first responders in case of cardiac or respiratory arrest in order to save someone's life. This study aimed to assess the knowledge and attitude of BLS skills among female school teachers in Al-Madinah. Materials and Methods: This cross-sectional study was conducted among 302 female teachers in 24 governmental...
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Purvita Chowdhury, Subrata Baidya, Debosmita Paul, Biraj Kalita, Gunendra Saikia, Sanjoy Karmakar, Sanghita PaulJournal of Family Medicine and Primary Care 2020 9(5):2420-2425 Introduction: This study was conducted to compare and evaluate the knowledge as well as the practice of community health volunteers, Accredited social health activists (ASHAs) in low and high malaria-endemic regions of Tripura, Northeast India. Materials and Methods: In this descriptive cross-sectional study, all ASHAs...
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Arezou Kiani, Behzad Behzadnia, Hossein JafarizadehJournal of Family Medicine and Primary Care 2020 9(5):2286-2290 Background: Individuals who have completed cancer treatment may have psychological and physical challenges. Participating in regular physical activity is considered as one of the most important factors for improving postcancer experience. Aims: The aim of this study was to examine the effect of participating in physical activities on hedonism and eudaimonia among breast cancer...
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Puneeta Vohra, Sharayu Nimonkar, Vikram Belkhode, Suraj Potdar, Rishabh Bhanot, Izna , Rahul V C. TiwariJournal of Family Medicine and Primary Care 2020 9(5):2431-2436 Purpose: To evaluate the correlation between CD4+ cells count with orofacial and systemic manifestations in newly diagnosed HIV seropositive patients and comparison of results with the previous studies. Materials and Methods: Hundred (100; 57 males and 43 females) newly diagnosed HIV seropositive patients, before starting antiretroviral...
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Diganta Saikia, RK Sharma, Kole V JanardhanJournal of Family Medicine and Primary Care 2020 9(5):2291-2296 Background: Majority of childhood poisonings are unintentional. The incidence of poisoning in children has been shown to be reduced by a significant amount. But to develop effective prevention strategies, the state health care planners need better information on the number and types of poisonings, circumstances in which they occur, and how serious the problem is. Objective: To study the...
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Mohammed Lafi Shaher Al-Otaibi, Sultan Abdulrahman Alyali, Turki Khalid Alshehri, Abdullah Khalid Alshehri, Abdulrahman Abdulelah Alshahrani, Abdualaziz Ghazi Banah, Rishi K BhartiJournal of Family Medicine and Primary Care 2020 9(5):2442-2447 Background: Burnout is known as result of long term exposing to stress. There are some factors that may cause stress in physicians: nature of work, their training, their public image, their families and themselves. The person who has burnout syndrome (BOS)...
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BS Balaji, Tarun John K. Jacob, MS GowriJournal of Family Medicine and Primary Care 2020 9(5):2297-2302 Aim: Understanding the Indian perspective, effectiveness, and acceptability of prepuce conservation in children with phimosis. Circumcision is performed and recommended far too often for nonphysiological phimosis. Will a less radical approach be acceptable in the subcontinent? Method: A two-arm study with the first arm as KAP (knowledge, attitude, and practice) study (n = 502). The second...
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S Sreesha, M Ummar, S Sooraj, Sachin Aslam, A Roshni, K JabirJournal of Family Medicine and Primary Care 2020 9(5):2454-2459 Background: Third molar surgey always needs primary intervention as it can lead to various complications and pathologies. Considering other ways for postoperative anesthesia it was infered that submucosal group which showed simple injection technique and direct surgical site administration is more beneficial. It was noticed as a patient comfort method which can be the preferred...
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Arvind Mengi, Abhishek Singh, Vikas GuptaJournal of Family Medicine and Primary Care 2020 9(5):2303-2308 Background: Inappropriate usage of mobile phones is very hazardous for school and college students as it results in poor academic performance due to the poor concentration during classes or lectures over use of mobile phones, accidents due to reduced concentration while driving, and poor social relations due to preference for mobile usage and avoiding nearby people. Aim: Considering the above...
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Mahendra Lodha, Mayank Badkur, Pavan Garg, Ashok Puranik, Ramkaran Chaudhary, Mahaveer S Rodha, Satya PrakashJournal of Family Medicine and Primary Care 2020 9(5):2465-2468 Context: Laparoscopic hernia repair, despite its safety and effectivity is related to some drawbacks. Testicular complications are uncommon but serious among them. Testicular atrophy occurs in 0% to 2% of patients after hernioplasty. Aim: In this study, we tried to evaluate the effects of laparoscopic total extraperitoneal...
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Sandip Kumar, Nivedita Mahto, Anju Bharti, Lalit P MeenaJournal of Family Medicine and Primary Care 2020 9(5):2309-2312 Background: There has been enormous progress in the diagnosis and treatment modalities of leukemia, but its pattern and prevalence vary throughout India. This inter-regional variation may be due to geographic, cultural or racial variation or maybe due deficiency in case of notification, especially in rural areas. Objective: The aim of our study is to determine the prevalence...
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Sunita Grover, Gopal Chawla, HL Parihar, Ram Niwas, Anil Saxena, Suman Khangarot, Naresh Kumar, Rajani KumawatJournal of Family Medicine and Primary Care 2020 9(5):2475-2479 Background: Since time immemorial tuberculosis (TB) has been and continues to be one of the most significant infections causing human disease. In tropical countries, TB remains a leading cause of death. Human immunodeficiency virus (HIV) epidemic continues to fuel this global TB epidemic. The rapid growth of the HIV epidemic...
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Urfi , Najam Khalique, Anees Ahmad, Syed Taheer AhmadJournal of Family Medicine and Primary Care 2020 9(5):2313-2318 Context: Road traffic injuries is estimated to be the ninth leading cause of death across all age groups globally. People in need of trauma care, after a road crash, are most likely to survive if they receive definitive care within the first hour (Golden hour) after the crash. Essential prehospital care includes prompt communication, treatment, and transport of injured people...
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Pooja Sharma, Divya KajariaJournal of Family Medicine and Primary Care 2020 9(5):2487-2491 Lynch syndrome (hereditary non-polyposis colorectal cancer) is an autosomal dominant condition and it is caused by germline mutations in the DNA mismatch repair genes. The present case report was conducted to evaluate the efficacy of Madhuyasti (Glycyrrhiza glabra) Ksheerpaka kalpa in Lynch syndrome. A 28-year-old male was diagnosed with Lynch syndrome in 2016. The patient was operated three times followed...
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Shruthi K Patil, Mukund R Nair, AB Manjunath, B R Ahmed MujibJournal of Family Medicine and Primary Care 2020 9(5):2319-2323 Context: In recent years, a new concept has emerged at the forefront of slide-based diagnosis and telepathology. This is the concept of whole slide imaging. This has very recently also been tried with smartphones using complex software for photo analysis and stitching. This study is aimed to evaluate and compare the use of Jenoptik photomicrograph camera and smartphone...
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Sandip Kumar, Sunil Kumar Rao, Parul KhannaJournal of Family Medicine and Primary Care 2020 9(5):2496-2499 Autoimmune polyendocrine syndrome (APS) is a constellation of multiple endocrine and various autoimmune diseases. The hallmark features of APS are gradual onset, circulating autoantibodies, and tissue or organ infiltration by lymphocytes. There are genetic basis and failure of the immune system to maintain self-tolerance to a variety of molecules, which manifest as autoimmunity over a period...
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Mohammed Ahmed Aljunaid, Hussain Hassan Jamal, Anas Ahmed Mubarak, Wedad BardisiJournal of Family Medicine and Primary Care 2020 9(5):2324-2331 Background: Chronic migraine (CM) poses a significant burden for patients, and it has multiple diagnostic and managemental challenges, particularly among primary health-care physicians (PCPs). Objectives: The objective of this study is to assess the levels of knowledge regarding CM diagnosis and management among PCPs and to explore the factors associated...
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