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Unsettling trend: The alarming rise of human abuse of veterinary drugs and its consequences 令人不安的趋势:人类滥用兽药的惊人增长及其后果
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_165_24
Ambika Sharma, Chahat Choudhary, Gyan Vardhan, Vikas Kumar, P. Dhamija, Ashish Kumar
ABSTRACT Veterinary practitioners often prescribe many controlled drugs to animals that may include sedatives, tranquilizers, and painkillers. Unfortunately, many of these drugs are drugs that can be abused by humans, especially among the pet owners. Adequate measures are required to prevent or detect the misuse of veterinary drugs. In this article, the phenomenon of the rising misuse of veterinary medications by humans and their potential health hazards which can accompany the unsettling trends in society has been highlighted. This article aims to shed light on the extent of issues, exploring reasons behind human abuse and its consequences.
摘要 兽医经常给动物开许多受管制的药物,其中可能包括镇静剂、安定剂和止痛药。不幸的是,这些药物中有许多可能被人类滥用,尤其是宠物主人。必须采取适当措施,防止或发现滥用兽药的现象。本文重点阐述了人类滥用兽药现象日益严重的问题,以及伴随这一令人不安的社会趋势而产生的潜在健康危害。本文旨在揭示问题的严重程度,探讨人类滥用背后的原因及其后果。
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引用次数: 0
A retrospective study of prostate-specific antigen and international prostate symptoms scores from participants at a men’s health screening initiative in Trinidad 特立尼达男性健康检查计划参与者的前列腺特异性抗原和国际前列腺症状评分回顾性研究
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_1895_23
Raveed Khan, Ramona St. Hill, Olusegun Awe, O’Reon Bhola, Osayimwense Orumwense, Pavitra Deosaran, Priya Seecharan, Puneeth Avula, Rafiah Mohammed, Ashni Terapalli, Rebecca M. Jardine
ABSTRACT This study describes the characteristics of men attending a primary health care screening initiative, determines the proportion of men who have elevated International Prostate Symptom Score (IPSS) scores and prostate-specific antigen (PSA) levels, and determines any correlation between these scores as indicators for benign prostatic hyperplasia (BPH) or prostate cancer. Data were collected from all patient records during men’s health screening initiatives that occurred in December 2018, January 2019, and March 2019 in Trinidad and Tobago. A total of 350 medical records were analyzed to record patient demographics, PSA levels, and IPSS scores. Analysis of the data was performed with the use of Statistical Package for the Social Sciences software (version 27). Most men who attended the screening initiative belonged to the 61–65 age group (20.57%), with more than half of the men being married (57.71%) and employed (52.57%) and of patients with comorbidities (17%), the most prevalent included hypertension (6%) and diabetes mellitus (3.7%). A mean PSA level of 2.94 ng/ml and a mean IPSS of 7.62 were recorded. Moreover, 11.5% of the males had elevated PSA levels (>4 ng/ml) and 32.9% had elevated IPSS levels (>8). There were correlations between PSA and IPSS values (r = 0.161 and P = 0.006). Age was a predictor of both IPSS and PSA values (r = 0.214, P = 0.000 and r = 0.192, P = 0.000, respectively). Among diabetic participants, a small but significant correlation between IPSS and diabetes was shown (r = 0.223, P = 0.028). As a predictor of elevated IPSS, diabetes had an odds ratio of 1.132 (95% confidence interval (CI): 1.021–1.255). Our findings are similar to those described in previous studies; however, further investigations are required to fully describe the relationship between PSA and IPSS. This may assist in advancing screening measures and improving health outcomes for men with BPH and prostate cancer. Primary care physicians should recognize the possible association between BPH and diabetes mellitus and offer appropriate screening where indicated.
摘要 本研究描述了参加初级保健筛查活动的男性特征,确定了国际前列腺症状评分(IPSS)和前列腺特异性抗原(PSA)水平升高的男性比例,并确定了这些评分作为良性前列腺增生(BPH)或前列腺癌指标之间的相关性。 数据收集自特立尼达和多巴哥于 2018 年 12 月、2019 年 1 月和 2019 年 3 月开展的男性健康筛查活动期间的所有患者记录。共分析了 350 份病历,记录了患者的人口统计学特征、PSA 水平和 IPSS 评分。数据分析采用社会科学统计软件包(27 版)进行。 大多数参加筛查的男性属于 61-65 岁年龄组(20.57%),一半以上的男性已婚(57.71%)并有工作(52.57%),在有合并症的患者中(17%),最常见的疾病包括高血压(6%)和糖尿病(3.7%)。平均 PSA 水平为 2.94 纳克/毫升,平均 IPSS 为 7.62。此外,11.5%的男性PSA水平升高(>4纳克/毫升),32.9%的男性IPSS水平升高(>8)。PSA 和 IPSS 值之间存在相关性(r = 0.161,P = 0.006)。年龄是 IPSS 和 PSA 值的预测因子(分别为 r = 0.214,P = 0.000 和 r = 0.192,P = 0.000)。在糖尿病患者中,IPSS 与糖尿病之间存在微小但显著的相关性(r = 0.223,P = 0.028)。作为 IPSS 升高的预测因素,糖尿病的几率比为 1.132(95% 置信区间 (CI):1.021-1.255)。 我们的研究结果与之前的研究结果类似;但是,要全面描述 PSA 与 IPSS 之间的关系,还需要进一步的研究。这可能有助于推进筛查措施,改善前列腺增生症和前列腺癌男性患者的健康状况。初级保健医生应认识到良性前列腺增生症与糖尿病之间可能存在的联系,并在必要时提供适当的筛查。
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引用次数: 0
Mental health during COVID-19 times COVID-19 期间的心理健康
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_391_24
Harish Gupta
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引用次数: 0
India’s union budget 2023–24 and health care allocation 印度 2023-24 年联邦预算与医疗保健拨款
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_1688_23
Harish Gupta
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引用次数: 0
Psychological impact of COVID-19 lockdown period on students of healthcare colleges: Comment COVID-19 封锁期对医疗保健学院学生的心理影响:评论
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_214_24
Vikas V. Pawar, Safia Farooqui
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引用次数: 0
Prevalence and influencing factors of metabolic syndrome among rural adult population in a district of South India 印度南部一个地区农村成年人代谢综合征的患病率和影响因素
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_1929_23
P. S. Latha, S. Sangeetha, M. Vijayakarthikeyan, R. Shankar
ABSTRACT Metabolic syndrome has increased globally due to sedentary lifestyles, unhealthy diets and obesity, which is posing a substantial burden on healthcare systems. Understanding the determinants of metabolic syndrome like lifestyle factors, socioeconomic status and the environment are vital for devising effective prevention and management. Research into these determinants helps to identify high-risk populations and develop interventions to reduce its occurrence. i. To estimate the prevalence of metabolic syndrome among the adult population. ii. To determine the factors associated with metabolic syndrome among the adult population. A cross-sectional study was carried out among 410 adults (≥18 years). A semi-structured questionnaire was used to collect data and National Cholesterol Education Program’s Adult Treatment Panel III criteria was used to diagnose metabolic syndrome. Continuous and categorical data were represented as mean and proportion, respectively. The strength of the association was determined using the prevalence ratio and adjusted prevalence ratio. The mean age of the participants was 44.97 ± 14.7, about 58.3% of them were females. Metabolic syndrome prevalence was 39.8%. Multivariate regression analysis demonstrated that being over 40 years old, marital status, higher socioeconomic status, skilled workers, physical inactivity and obesity were independently linked to metabolic syndrome. The burden can be reduced by identifying the risk factors at the early stage through screening and by adopting a healthy lifestyle.
摘要 由于久坐不动的生活方式、不健康的饮食和肥胖,代谢综合征在全球范围内呈上升趋势,给医疗保健系统带来了沉重负担。了解代谢综合征的决定因素,如生活方式因素、社会经济地位和环境,对于制定有效的预防和管理措施至关重要。对这些决定因素的研究有助于确定高危人群,并制定干预措施来减少代谢综合征的发生。 i. 估计代谢综合征在成年人群中的流行率。确定成人代谢综合征的相关因素。 对 410 名成年人(≥18 岁)进行了横断面研究。研究采用半结构式问卷收集数据,并使用美国国家胆固醇教育计划成人治疗小组 III 标准诊断代谢综合征。连续数据和分类数据分别以平均值和比例表示。使用患病率比值和调整后患病率比值来确定关联的强度。 参与者的平均年龄为(44.97 ± 14.7)岁,其中女性约占 58.3%。代谢综合征患病率为 39.8%。多变量回归分析表明,40 岁以上、婚姻状况、社会经济地位较高、技术工人、缺乏运动和肥胖与代谢综合征有独立联系。 通过筛查及早发现风险因素,并采取健康的生活方式,可以减轻代谢综合征的负担。
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引用次数: 0
Long-term outcome of patients with diabetic-range hyperglycemia first detected during admission for COVID-19: A single-center observational study COVID-19 入院时首次发现的糖尿病范围高血糖患者的长期预后:单中心观察研究
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_140_24
Ketan Agarwal, Ravi Kirti, Shyama Shyama, Pragya Kumar, Ratnadeep Biswas, V. Ojha
ABSTRACT Diabetic-range hyperglycemia has been reported for the first time in many patients during their hospitalization with coronavirus disease 2019 (COVID-19). This study was undertaken to determine the proportion of such patients who actually have new-onset diabetes mellitus rather than transient hyperglycemia during acute illness. This descriptive study included patients with diabetic-range hyperglycemia first detected at or during admission for COVID-19 but no prior history of diabetes. The study protocol involved patient identification, data recording from the case-notes, and telephonic follow-ups. Blood sugar levels done at least two weeks after discharge or the last dose of steroids, whichever was later, were recorded, and patients were categorized as diabetic, pre-diabetic, or non-diabetic accordingly Out of 86 patients, ten (11.6%) were found to have developed diabetes, and 13 (15.1%) had pre-diabetes on follow-up. About 63 (73.3%) patients had become normoglycemic. Eight (80%) out of the ten patients with new-onset diabetes were on treatment, with five (50%) achieving the target glycemic levels. The associations of new-onset diabetes with age, gender, comorbidities, intensive care stay, and steroid administration were not found to be statistically significant (p-values 0.809, 0.435, 0.324, 0.402, and 0.289, respectively). While a majority of post-COVID patients with diabetic-range hyperglycemia returned to a normoglycemic state after the acute illness had settled down, one in ten developed new-onset diabetes, and an additional one in seven had impaired glucose tolerance. Thus, regular glucose screening is crucial for such patients and lifestyle modifications should be encouraged to reduce the risk of diabetes. Loss to follow-up and reliance on a single set of blood sugar readings for classification were some of the limitations of this study.
摘要 据首次报道,许多 2019 年冠状病毒病(COVID-19)患者在住院期间出现了糖尿病范围的高血糖。本研究旨在确定这类患者中真正患有新发糖尿病而非急性病期间一过性高血糖的比例。 这项描述性研究包括在因 COVID-19 入院时或入院期间首次发现糖尿病范围内的高血糖,但之前没有糖尿病病史的患者。研究方案包括患者身份识别、病例记录数据和电话随访。记录患者出院至少两周后或最后一次服用类固醇(以较晚者为准)时的血糖水平,并将患者分为糖尿病患者、糖尿病前期患者和非糖尿病患者。约 63 名(73.3%)患者血糖正常。在 10 名新发糖尿病患者中,有 8 人(80%)正在接受治疗,其中 5 人(50%)达到了目标血糖水平。研究发现,新发糖尿病与年龄、性别、合并症、重症监护住院时间和类固醇用量的关系没有统计学意义(P 值分别为 0.809、0.435、0.324、0.402 和 0.289)。 虽然大多数患有糖尿病范围高血糖的后 COVID 患者在急性病缓解后血糖恢复正常,但每 10 人中就有 1 人发展为新发糖尿病,另外每 7 人中就有 1 人糖耐量受损。因此,对这类患者进行定期血糖筛查至关重要,同时应鼓励他们改变生活方式,以降低罹患糖尿病的风险。这项研究存在一些局限性,如失去随访和依赖单组血糖读数进行分类。
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引用次数: 0
Falling into complexity: A case of digitalis-induced fall, trauma, symptomatic bradycardia, and syncope 陷入复杂局面:一例洋地黄引发的跌倒、外伤、症状性心动过缓和晕厥病例
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_1850_23
R. H. Ravikumar, Baby Pegu, Himanti Bansal, K. Soni
ABSTRACT Digoxin, a cardiac glycoside, functions by inhibiting the sodium potassium ATPase pump. It’s crucial to note that digoxin has a very narrow therapeutic range. Its serum level vary due to changes in body weight, age, renal function, hepatic impairment and concomitant drug therapy. Chronic toxicity can lead to different types of arrrythmia,which span from heart blocks to ventricular tachycardia.This report present a case of an elderly male, where Digoxin toxicity resulted in syncope and mild traumatic brain injury. Initially upon patient’s presentation ECG indicated myocardial infarction, subsequently bradycardia and complete heart block. The patient had a known history of chronic kidney disease and was prescribed 0.25mg of digoxin regularly without dose adjustment, which might have resulted in reduced digoxin elimination, leading to toxicity. Thus this case demonstrates a classic presentation of digoxin toxicity. Multiple risk factor such as old age, impaired renal function with continued digoxin treatment without dose adjustment was likely the cause of toxicity.
摘要 地高辛是一种强心苷,通过抑制钠钾 ATP 酶泵发挥作用。值得注意的是,地高辛的治疗范围很窄。其血清水平会因体重、年龄、肾功能、肝功能损害和伴随药物治疗的变化而变化。慢性中毒可导致不同类型的心律失常,包括心脏传导阻滞和室性心动过速。本报告介绍了一例老年男性地高辛中毒导致晕厥和轻度脑外伤的病例。患者最初的心电图显示为心肌梗死,随后出现心动过缓和完全性心脏传导阻滞。患者已知有慢性肾脏病史,且定期服用 0.25 毫克地高辛而未调整剂量,这可能导致地高辛排出减少,从而导致中毒。因此,本病例是地高辛中毒的典型表现。多种危险因素(如高龄、肾功能受损、持续服用地高辛而不调整剂量)可能是导致中毒的原因。
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引用次数: 0
Empowering nursing research: Overcoming challenges and embracing opportunities to improve patient care 增强护理研究能力:克服挑战,抓住机遇,改善患者护理
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_243_24
Amol S. Dhane
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引用次数: 0
Strengthening millet promotion: A path for addressing malnutrition and fostering sustainable food system 加强小米推广:解决营养不良问题和促进可持续粮食系统的途径
IF 1.1 Q4 PRIMARY HEALTH CARE Pub Date : 2024-07-26 DOI: 10.4103/jfmpc.jfmpc_232_24
Sana Ahmed, Sonali G. Choudhari, Ansar Ahamed, A. Gaidhane
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引用次数: 0
期刊
Journal of Family Medicine and Primary Care
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