Pub Date : 2024-04-01DOI: 10.4103/jfmpc.jfmpc_1616_23
Binu Areekal, Nayana K. Thumbayil, T. E. F. Thasleema, Akshay Hareesh, Nidhinraj Parambath, N. Rithu, Betsy Varghese
ABSTRACT The coronavirus disease 2019 (COVID-19) infection has affected millions of people worldwide in the last 4 years. Among those infected, the long-term COVID-19 syndrome, in which symptoms of COVID-19 persist for a variable period, is posing new challenges to the health system, but few studies are available in India that examine the post-COVID-19 syndrome, that is, 6 months and beyond COVID-19 infection. This study aimed to find the prevalence and determinants of post-COVID-19 syndrome among patients 6 months and beyond their infection. This cross-sectional study was conducted among 300 patients who were admitted and discharged from Government Medical College, Thrissur, at least 6 months before with a diagnosis of COVID-19 infection. The data collection was performed using a semi-structured interview schedule through a telephonic interview. The analysis was performed using the Statistical Package for the Social Sciences (SPSS) software. 21% of the patients studied had at least one persistent symptom at the end of 6 months, and 4.1% had more than one symptom. Among the symptoms persisting most commonly were fatigue (11%) and dyspnea (7.7%). Other than persisting symptoms, 21% of patients developed exertional dyspnea and 19% developed sleep disturbances during the 6 months after discharge. The factors that were associated with persistent symptoms in univariate analysis were increasing age, presence of chronic obstructive pulmonary disease (COPD), presence of chronic kidney disease (CKD), and admission to the intensive care unit (ICU). The study concludes that one-fifth of the patients still suffer from post-COVID-19 syndrome even 6 months after the COVID-19 infection. Our health systems should be prepared for the long-term management of COVID-19-infected people and prepare policies for the same.
{"title":"Prevalence and determinants of post-COVID-19 syndrome among patients 6 months post-discharge from a teaching hospital in South India","authors":"Binu Areekal, Nayana K. Thumbayil, T. E. F. Thasleema, Akshay Hareesh, Nidhinraj Parambath, N. Rithu, Betsy Varghese","doi":"10.4103/jfmpc.jfmpc_1616_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1616_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 The coronavirus disease 2019 (COVID-19) infection has affected millions of people worldwide in the last 4 years. Among those infected, the long-term COVID-19 syndrome, in which symptoms of COVID-19 persist for a variable period, is posing new challenges to the health system, but few studies are available in India that examine the post-COVID-19 syndrome, that is, 6 months and beyond COVID-19 infection. This study aimed to find the prevalence and determinants of post-COVID-19 syndrome among patients 6 months and beyond their infection.\u0000 \u0000 \u0000 \u0000 This cross-sectional study was conducted among 300 patients who were admitted and discharged from Government Medical College, Thrissur, at least 6 months before with a diagnosis of COVID-19 infection. The data collection was performed using a semi-structured interview schedule through a telephonic interview. The analysis was performed using the Statistical Package for the Social Sciences (SPSS) software.\u0000 \u0000 \u0000 \u0000 21% of the patients studied had at least one persistent symptom at the end of 6 months, and 4.1% had more than one symptom. Among the symptoms persisting most commonly were fatigue (11%) and dyspnea (7.7%). Other than persisting symptoms, 21% of patients developed exertional dyspnea and 19% developed sleep disturbances during the 6 months after discharge. The factors that were associated with persistent symptoms in univariate analysis were increasing age, presence of chronic obstructive pulmonary disease (COPD), presence of chronic kidney disease (CKD), and admission to the intensive care unit (ICU).\u0000 \u0000 \u0000 \u0000 The study concludes that one-fifth of the patients still suffer from post-COVID-19 syndrome even 6 months after the COVID-19 infection. Our health systems should be prepared for the long-term management of COVID-19-infected people and prepare policies for the same.\u0000","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"284 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140778479","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}
Pub Date : 2024-04-01DOI: 10.4103/jfmpc.jfmpc_587_24
Raman Kumar
ABSTRACT Dr. Prakash Chand (PC) Bhatla MBBS was one of the illustrious past presidents (1975–76) of Indian Medical Association (IMA). He was a General Practitioner by vocation and a towering professional leader. He made an immense contribution to the discipline of Family Medicine – the academic discipline, medical specialty, and the knowledge domain of Family Physicians/Family Doctors within India as well as the global level. He was a brilliant human being and professional par excellence. He was probably one of the greatest leaders of the medical profession in India and a rightful successor to Dr BC Roy’s legacy. As a rare achievement, he received the Dr BC Roy National Award from the President of India twice. He received this prestigious recognition award in 1977 for socio-medical relief in India and again in 1982 for the promotion of Specialty of General Practice. He founded IMA CGP (Indian Medical College of General Practitioners), and his foundational work led to the recognition of Family Medicine as a specialty in India. Due to his efforts, Family Medicine was included in the list of recognized specialties by the National Board of Examinations (NBE) as well by the Medical Council of India (MCI). His contribution to medicine at a global level is also remarkable. He is also considered one of the founding forefathers of WONCA – World Organization of Family Doctors. He was associated with the foundation process of WONCA from the beginning (1964). The International Liaison Committee organized the first World meeting of General Practice in Montreal (Canada) in 1964 and the second meeting in Salsburg in 1966. Dr Bhatla was the convenor of the Third World Conference on General Practice in New Delhi, India, in 1968. A global representative body of Family Medicine/General Practice was launched in 1972 in Melbourne, Australia. Due to contribution to WONCA, he was elected for the first ever WONCA fellowship, the most prestigious global Family Medicine award. He was contemporary to other world leaders of Family Medicine and Primary Care such as Ian McWhinney and Barbara Starfeild. He is rightfully recognized and remembered as Father of Family Medicine. Dr Bhatla’s intellectual, professional, and administrative contribution laid down the sound background for the foundation of a Specialty body of Family Medicine in India called the Academy of Family Physicians of India. Life and work of Dr PC Bhatla continues to inspire family doctors, family physicians, general practitioners, and Family Medicine specialists across India, South Asia, and the World in the 21st century.
{"title":"Dr. Prakash Chand (PC) Bhatla: Father of Family Medicine","authors":"Raman Kumar","doi":"10.4103/jfmpc.jfmpc_587_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_587_24","url":null,"abstract":"ABSTRACT\u0000 \u0000 Dr. Prakash Chand (PC) Bhatla MBBS was one of the illustrious past presidents (1975–76) of Indian Medical Association (IMA). He was a General Practitioner by vocation and a towering professional leader. He made an immense contribution to the discipline of Family Medicine – the academic discipline, medical specialty, and the knowledge domain of Family Physicians/Family Doctors within India as well as the global level. He was a brilliant human being and professional par excellence. He was probably one of the greatest leaders of the medical profession in India and a rightful successor to Dr BC Roy’s legacy. As a rare achievement, he received the Dr BC Roy National Award from the President of India twice. He received this prestigious recognition award in 1977 for socio-medical relief in India and again in 1982 for the promotion of Specialty of General Practice. He founded IMA CGP (Indian Medical College of General Practitioners), and his foundational work led to the recognition of Family Medicine as a specialty in India. Due to his efforts, Family Medicine was included in the list of recognized specialties by the National Board of Examinations (NBE) as well by the Medical Council of India (MCI). His contribution to medicine at a global level is also remarkable. He is also considered one of the founding forefathers of WONCA – World Organization of Family Doctors. He was associated with the foundation process of WONCA from the beginning (1964). The International Liaison Committee organized the first World meeting of General Practice in Montreal (Canada) in 1964 and the second meeting in Salsburg in 1966. Dr Bhatla was the convenor of the Third World Conference on General Practice in New Delhi, India, in 1968. A global representative body of Family Medicine/General Practice was launched in 1972 in Melbourne, Australia. Due to contribution to WONCA, he was elected for the first ever WONCA fellowship, the most prestigious global Family Medicine award. He was contemporary to other world leaders of Family Medicine and Primary Care such as Ian McWhinney and Barbara Starfeild. He is rightfully recognized and remembered as Father of Family Medicine. Dr Bhatla’s intellectual, professional, and administrative contribution laid down the sound background for the foundation of a Specialty body of Family Medicine in India called the Academy of Family Physicians of India. Life and work of Dr PC Bhatla continues to inspire family doctors, family physicians, general practitioners, and Family Medicine specialists across India, South Asia, and the World in the 21st century.","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"328 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780924","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}
Pub Date : 2024-04-01DOI: 10.4103/jfmpc.jfmpc_1629_23
Priyanka K. Meshram, Rainita R. Pise, Abhishek Joshi
{"title":"Assessment of Vaccine Storage and Cold Chain Management Practices in India","authors":"Priyanka K. Meshram, Rainita R. Pise, Abhishek Joshi","doi":"10.4103/jfmpc.jfmpc_1629_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1629_23","url":null,"abstract":"","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"61 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795367","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}
Pub Date : 2024-04-01DOI: 10.4103/jfmpc.jfmpc_1717_23
S. Shrivastava, P. Shrivastava, Rainita R. Pise, Abhishek Joshi
ABSTRACT In the process of producing competent and efficient medical graduates, clinical teaching is an integral component of undergraduate training. Even though clinical training has been linked with multiple benefits and plays a defining role in transforming a medical student into a competent doctor, it has some inherent challenges. The learner–doctor method emphasizes learning by doing and has the potential to counter the identified challenges in the traditional mode of clinical training. The learner–doctor method places emphasis on collaborative learning, wherein students learn by experiential learning and active participation in patient care. This method not only fosters the development of clinical skills but also cultivates critical thinking, teamwork, empathy, and effective communication. A number of activities or strategies must be planned and implemented to ensure that the set objectives of the learner–doctor method are accomplished by the medical institutions. In conclusion, as medical education continues to evolve, the learner–doctor method of clinical training is a dynamic approach to bridging the gap between theoretical knowledge and practical skills. As this method enables medical students to actively engage in patient care and improve their critical thinking, it becomes the need of the hour that every medical institution should explore the opportunity to effectively implement the same in their settings.
{"title":"Practice makes perfect: The learner–doctor blueprint for proficient physicians","authors":"S. Shrivastava, P. Shrivastava, Rainita R. Pise, Abhishek Joshi","doi":"10.4103/jfmpc.jfmpc_1717_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1717_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 In the process of producing competent and efficient medical graduates, clinical teaching is an integral component of undergraduate training. Even though clinical training has been linked with multiple benefits and plays a defining role in transforming a medical student into a competent doctor, it has some inherent challenges. The learner–doctor method emphasizes learning by doing and has the potential to counter the identified challenges in the traditional mode of clinical training. The learner–doctor method places emphasis on collaborative learning, wherein students learn by experiential learning and active participation in patient care. This method not only fosters the development of clinical skills but also cultivates critical thinking, teamwork, empathy, and effective communication. A number of activities or strategies must be planned and implemented to ensure that the set objectives of the learner–doctor method are accomplished by the medical institutions. In conclusion, as medical education continues to evolve, the learner–doctor method of clinical training is a dynamic approach to bridging the gap between theoretical knowledge and practical skills. As this method enables medical students to actively engage in patient care and improve their critical thinking, it becomes the need of the hour that every medical institution should explore the opportunity to effectively implement the same in their settings.","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"49 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795914","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}
ABSTRACT The SERQUAL model is a model that measures quality by comparing the level of expectations and perceptions of service recipients to identify gaps. Since students are the main recipients of services in universities, this study was conducted with the aim of the measurement of educational services from the viewpoint of medical students of Semnan University of Medical Sciences based on the SERQUAL model. The present study was based on a cross-sectional study, and its statistical population included 180 medical students. The SERQUAL questionnaire has two parts; the first part has demographic information including gender and age, and the second part has 24 questions with two parts (including the performance part and the importance part) about the quality of educational services in the form of a 5-item Likert rating list. The obtained data were analyzed using SPSS-24 software. In all five evaluated areas, the scores of the male group were significantly higher than the scores of the female group (P < 0.05). In all five evaluated areas, the scores of the age group less than 25 years old were significantly higher than the scores of the 25–30-year-old group (P < 0.05). The results of the present study showed that in general, according to the points of view of students of all different educational levels, there is a gap between the student’s perception and their expectations of quality in all five dimensions of educational services. Based on this issue, it seems that educational services need to be revised and reviewed in all studied courses and in all dimensions.
{"title":"The measurement of the quality of educational services provided to medical students of Semnan University of Medical Sciences based on the SERQUAL model","authors":"Shaghayegh Pazoki, Maryam Hajiahmadi, Elham Saffarieh","doi":"10.4103/jfmpc.jfmpc_1007_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1007_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 The SERQUAL model is a model that measures quality by comparing the level of expectations and perceptions of service recipients to identify gaps. Since students are the main recipients of services in universities, this study was conducted with the aim of the measurement of educational services from the viewpoint of medical students of Semnan University of Medical Sciences based on the SERQUAL model.\u0000 \u0000 \u0000 \u0000 The present study was based on a cross-sectional study, and its statistical population included 180 medical students. The SERQUAL questionnaire has two parts; the first part has demographic information including gender and age, and the second part has 24 questions with two parts (including the performance part and the importance part) about the quality of educational services in the form of a 5-item Likert rating list. The obtained data were analyzed using SPSS-24 software.\u0000 \u0000 \u0000 \u0000 In all five evaluated areas, the scores of the male group were significantly higher than the scores of the female group (P < 0.05). In all five evaluated areas, the scores of the age group less than 25 years old were significantly higher than the scores of the 25–30-year-old group (P < 0.05).\u0000 \u0000 \u0000 \u0000 The results of the present study showed that in general, according to the points of view of students of all different educational levels, there is a gap between the student’s perception and their expectations of quality in all five dimensions of educational services. Based on this issue, it seems that educational services need to be revised and reviewed in all studied courses and in all dimensions.\u0000","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"135 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140768842","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}
Pub Date : 2024-04-01DOI: 10.4103/jfmpc.jfmpc_589_23
C. A. Jayashankar, Bhanu Prakash, Seetha Venkata Sai Raghava Prashanthi, N. Bhat, Amey Joshi, Girish Narayanaswamy
ABSTRACT Leprosy is a chronic granulomatous infection that primarily affects developing and underdeveloped countries. Co-infection with the hepatitis B virus can complicate its natural course by altering the host immune system response and thereby the disease outcomes. Early detection and treatment of the disease is thus imperative for preventing debilitating deformities. Several studies have shown positive viral markers for human immunodeficiency virus (HIV) and hepatitis B in patients with leprosy. However, in the Indian subcontinent, we have limited evidence highlighting this correlation. We present a case of a 42-year-old male with chronic hepatitis B infection presenting with new-onset lepromatous leprosy. The patient was successfully managed with a multibacillary multidrug regimen. In patients with hepatitis B co-infection, clinicians must be vigilant about the higher risk of complications and poorer patient outcomes. Extensive longitudinal studies assessing the correlation between leprosy and hepatitis B in India can help tailor future guidelines for management.
{"title":"A case of lepromatous leprosy in a background of chronic hepatitis B infection","authors":"C. A. Jayashankar, Bhanu Prakash, Seetha Venkata Sai Raghava Prashanthi, N. Bhat, Amey Joshi, Girish Narayanaswamy","doi":"10.4103/jfmpc.jfmpc_589_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_589_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 Leprosy is a chronic granulomatous infection that primarily affects developing and underdeveloped countries. Co-infection with the hepatitis B virus can complicate its natural course by altering the host immune system response and thereby the disease outcomes. Early detection and treatment of the disease is thus imperative for preventing debilitating deformities. Several studies have shown positive viral markers for human immunodeficiency virus (HIV) and hepatitis B in patients with leprosy. However, in the Indian subcontinent, we have limited evidence highlighting this correlation. We present a case of a 42-year-old male with chronic hepatitis B infection presenting with new-onset lepromatous leprosy. The patient was successfully managed with a multibacillary multidrug regimen. In patients with hepatitis B co-infection, clinicians must be vigilant about the higher risk of complications and poorer patient outcomes. Extensive longitudinal studies assessing the correlation between leprosy and hepatitis B in India can help tailor future guidelines for management.","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"294 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140757703","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}
ABSTRACT Understanding and dealing with chronic nonspecific pain (CNP) is the important entity at primary care hospital. Chronic nonspecific multiple-site pain [CNMSP] of unknown etiology creates diagnostic and therapeutic challenges for primary care physicians due to lack of guidance regarding evaluation and treatment. To classify and formulate the evaluation, treatment strategies, and prediction of prognosis of patients with CNMSP of unknown etiology. Patients present with CNMSP of more than 3-month duration without any obvious medical cause. The biopsychosocial [BPS] model with 3P model was applied to see the biological, psychological, and social factors behind persistence. Finally, patients were classified into four groups for evaluation response to treatment and relapse rates in 12-month follow-up. Of the total 243 patients of CNMSP, 243 [96.3%] were females. Sixty [24.7%] patients had short duration, and 183 [75.3%] had long duration. Headache was in 115 [47%], low back pain ± leg pain in 96 [39.4%], cervical pain ± shoulder/arm pain in 83 [34.1%], and diffuse body pain in 50 [20.5%] in various combinations. A total of 155 [63.8%] patients had high somatization–sensitization index (SSI), and 144 [59.3%] had low ferritin level. Group 1 [high SSI and low ferritin] had 37.9% of patients, group 2 [high SSI and normal ferritin] had 25.9% of patients, group 3 [low to medium SSI with low ferritin] had 21.4% of patients, and group 4 [low to medium SSI with normal ferritin] had 14.8% of patients. Response to pain symptoms was better in group 1, and relapse rate was higher in group 2. CNMSP of unknown etiology itself is a heterogeneous entity, and assessment based on the BPS model can be very useful to understand the treatment plan and outcome of these patients.
{"title":"Chronic nonspecific multiple-sites pain [CNMSP] of unknown etiology: Biopsychosocial method of evaluation for the primary care level","authors":"Deepak Goel, Priya R. Avinash, Sushant Shangari, Malini Srivastav, Ashwani Pundeer","doi":"10.4103/jfmpc.jfmpc_722_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_722_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Understanding and dealing with chronic nonspecific pain (CNP) is the important entity at primary care hospital. Chronic nonspecific multiple-site pain [CNMSP] of unknown etiology creates diagnostic and therapeutic challenges for primary care physicians due to lack of guidance regarding evaluation and treatment.\u0000 \u0000 \u0000 \u0000 To classify and formulate the evaluation, treatment strategies, and prediction of prognosis of patients with CNMSP of unknown etiology.\u0000 \u0000 \u0000 \u0000 Patients present with CNMSP of more than 3-month duration without any obvious medical cause. The biopsychosocial [BPS] model with 3P model was applied to see the biological, psychological, and social factors behind persistence. Finally, patients were classified into four groups for evaluation response to treatment and relapse rates in 12-month follow-up.\u0000 \u0000 \u0000 \u0000 Of the total 243 patients of CNMSP, 243 [96.3%] were females. Sixty [24.7%] patients had short duration, and 183 [75.3%] had long duration. Headache was in 115 [47%], low back pain ± leg pain in 96 [39.4%], cervical pain ± shoulder/arm pain in 83 [34.1%], and diffuse body pain in 50 [20.5%] in various combinations. A total of 155 [63.8%] patients had high somatization–sensitization index (SSI), and 144 [59.3%] had low ferritin level. Group 1 [high SSI and low ferritin] had 37.9% of patients, group 2 [high SSI and normal ferritin] had 25.9% of patients, group 3 [low to medium SSI with low ferritin] had 21.4% of patients, and group 4 [low to medium SSI with normal ferritin] had 14.8% of patients. Response to pain symptoms was better in group 1, and relapse rate was higher in group 2.\u0000 \u0000 \u0000 \u0000 CNMSP of unknown etiology itself is a heterogeneous entity, and assessment based on the BPS model can be very useful to understand the treatment plan and outcome of these patients.\u0000","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"78 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140768082","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}
Pub Date : 2024-04-01DOI: 10.4103/jfmpc.jfmpc_1659_23
Husam S. Alsulaihebi, Amjad S. Alsulaihebi, Ziyad K. Alsaedi, Saud Y. Alsharif, Anis W. Mahamid, Omar M. Babateen
ABSTRACT The study aimed to evaluate musculoskeletal disorder (MSD) prevalence and its correlation with stress in medical students at Umm Al-Qura University (UQU) in Saudi Arabia. A total of 416 participants participated in this study by answering an online questionnaire. We included medical students from UQU of both genders, ranging from the first year to the sixth year. A questionnaire was used to capture sociodemographic data. The data were collected using the Kessler Psychological Distress Scale (K-10) and Standardized Nordic questionnaire. Among 416 medical students surveyed, 219 (52.60%) were males. A significant proportion of participants, 294 (70.70%), reported experiencing pain during the last 12 months. Female students exhibited significantly higher scores of MSDs compared to their male counterparts. Students who reported working between 51–90 hours per week had a significantly higher MSD score than those who worked 0–50 hours or 91 or more hours. The findings of this study indicated that the most prevalent MSDs were low back pain (50.20%), followed by neck pain (31.70%), and female medical students exhibited significantly higher stress levels than male medical students. Musculoskeletal disorders represent a prevalent health issue among medical students, there is a significant association between factors such as being a female and body mass index. Additionally, psychological stress is a widespread concern among medical students, given the demanding nature of their lifestyle. Interestingly, our findings revealed that there exists a moderately positive relationship between musculoskeletal disorders and stress in this particular population.
{"title":"Musculoskeletal disorder prevalence and its correlation with stress in medical students: A cross sectional survey","authors":"Husam S. Alsulaihebi, Amjad S. Alsulaihebi, Ziyad K. Alsaedi, Saud Y. Alsharif, Anis W. Mahamid, Omar M. Babateen","doi":"10.4103/jfmpc.jfmpc_1659_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1659_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 The study aimed to evaluate musculoskeletal disorder (MSD) prevalence and its correlation with stress in medical students at Umm Al-Qura University (UQU) in Saudi Arabia.\u0000 \u0000 \u0000 \u0000 A total of 416 participants participated in this study by answering an online questionnaire. We included medical students from UQU of both genders, ranging from the first year to the sixth year. A questionnaire was used to capture sociodemographic data. The data were collected using the Kessler Psychological Distress Scale (K-10) and Standardized Nordic questionnaire.\u0000 \u0000 \u0000 \u0000 Among 416 medical students surveyed, 219 (52.60%) were males. A significant proportion of participants, 294 (70.70%), reported experiencing pain during the last 12 months. Female students exhibited significantly higher scores of MSDs compared to their male counterparts. Students who reported working between 51–90 hours per week had a significantly higher MSD score than those who worked 0–50 hours or 91 or more hours. The findings of this study indicated that the most prevalent MSDs were low back pain (50.20%), followed by neck pain (31.70%), and female medical students exhibited significantly higher stress levels than male medical students.\u0000 \u0000 \u0000 \u0000 Musculoskeletal disorders represent a prevalent health issue among medical students, there is a significant association between factors such as being a female and body mass index. Additionally, psychological stress is a widespread concern among medical students, given the demanding nature of their lifestyle. Interestingly, our findings revealed that there exists a moderately positive relationship between musculoskeletal disorders and stress in this particular population.\u0000","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"855 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772987","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}
Pub Date : 2024-04-01DOI: 10.4103/jfmpc.jfmpc_1533_23
Ranjani Kanakaraj, R. Umamaheswari, S. Subramaniam
ABSTRACT The AIDS epidemic has drastically reduced in India since it was first identified in 1986, largely due to the widespread availability of anti-retroviral treatment (ART). Management of HIV is currently more focussed on long term morbidities, including mental health. Depression is the most common co-morbidity seen in people living with HIV. Depression is found to negatively affect patient adherence to ART. Poor adherence to ART leads to drug resistance and susceptibility to opportunistic infections. The purpose of this study is to find the prevalence of depression among people living with HIV and to study the correlation between depression and adherence to ART. The study was conducted in the ART centre at Rajiv Gandhi Government General Hospital in Chennai, between August and October 2022. Patient health questionnaire-9 (PHQ-9) was used to identify depression, and the Adult AIDS clinical trials group (AACTG) questionnaire was used to identify adherence. Data were entered in MS Excel and were analysed using Statistical Package for Social Science (SPSS) Version 16. The association between categorical data were analysed using Chi-square and Fisher exact test. The correlation between adherence and depression was done using the Spearman correlation. The prevalence of depression was found to be 20.2%. A mild negative correlation was found between depression and adherence. Depression was found to have a significant correlation with women, unemployed, widowed, divorced individuals, and those with diabetes mellitus and tuberculosis. Depression is an important risk factor for adherence to ART. Though severe depression was not found in this study, mild and moderate depression was associated with reduced adherence to ART. Treating depression is likely to improve adherence and the overall wellbeing of patients with HIV and AIDS.
{"title":"Depression and its role in adherence to anti-retroviral treatment in people living with HIV and AIDS in Chennai","authors":"Ranjani Kanakaraj, R. Umamaheswari, S. Subramaniam","doi":"10.4103/jfmpc.jfmpc_1533_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1533_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 The AIDS epidemic has drastically reduced in India since it was first identified in 1986, largely due to the widespread availability of anti-retroviral treatment (ART). Management of HIV is currently more focussed on long term morbidities, including mental health. Depression is the most common co-morbidity seen in people living with HIV. Depression is found to negatively affect patient adherence to ART. Poor adherence to ART leads to drug resistance and susceptibility to opportunistic infections.\u0000 \u0000 \u0000 \u0000 The purpose of this study is to find the prevalence of depression among people living with HIV and to study the correlation between depression and adherence to ART.\u0000 \u0000 \u0000 \u0000 The study was conducted in the ART centre at Rajiv Gandhi Government General Hospital in Chennai, between August and October 2022.\u0000 \u0000 \u0000 \u0000 Patient health questionnaire-9 (PHQ-9) was used to identify depression, and the Adult AIDS clinical trials group (AACTG) questionnaire was used to identify adherence.\u0000 \u0000 \u0000 \u0000 Data were entered in MS Excel and were analysed using Statistical Package for Social Science (SPSS) Version 16. The association between categorical data were analysed using Chi-square and Fisher exact test. The correlation between adherence and depression was done using the Spearman correlation.\u0000 \u0000 \u0000 \u0000 The prevalence of depression was found to be 20.2%. A mild negative correlation was found between depression and adherence. Depression was found to have a significant correlation with women, unemployed, widowed, divorced individuals, and those with diabetes mellitus and tuberculosis.\u0000 \u0000 \u0000 \u0000 Depression is an important risk factor for adherence to ART. Though severe depression was not found in this study, mild and moderate depression was associated with reduced adherence to ART. Treating depression is likely to improve adherence and the overall wellbeing of patients with HIV and AIDS.\u0000","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"75 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794327","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}
Pub Date : 2024-04-01DOI: 10.4103/jfmpc.jfmpc_1615_23
Maham Arshad, Shyamkumar Sriram, Saira Khan, Pavan Kumar Gollapalli, M. Albadrani
ABSTRACT Physician communication is vital for an effective physician-patient relationship. Physician empathy is crucial to patient communication. The relationship between physician empathy, physician communication, and patient satisfaction is not very clear. This study aims to study the mediating role of physician’s empathy between physician’s communication, physician’s empathy, and patient’s satisfaction. A cross-sectional study was conducted at the National Institute of Psychology, Quaid-i-Azam University, during the time period of December 2018 to February 2019. Employing the technique of purposive convenience sampling, data were collected (N = 238) from psychiatric, cardiology, and dermatology wards of public and private sector hospitals of Islamabad and Rawalpindi. The Communication Assessment Tool, specifically the Patient’s Perception of Physician’s Empathy and Patient Satisfaction Scale, was used to assess study variables. The measures used in the research assess the patient’s perception of the physician’s communication, empathy, and patient’s satisfaction. Formal permission for the research was taken from the hospital administration with approval from the institutional review boards. Participants were briefed about the purpose of the research. Both verbal and written informed consent was taken from them. The result shows that a physician’s empathy plays a mediating role between the physician’s communication skills and patient satisfaction. Moreover, Pearson product-moment correlation indicated a significant positive relationship between doctors’ communication skills, doctors’ empathy, and patients’ satisfaction. Building a positive doctor-patient relationship would not only lead to improved patient satisfaction but also reduce the likelihood of medical malpractice. Therefore, steps should be taken to enforce trust, interaction, and empathy in doctor-patient relationships, with patient-centered services. Physician’s empathy plays a mediating role between physician’s communication skills and patient’s satisfaction.
{"title":"Mediating role of physician’s empathy between physician’s communication and patient’s satisfaction","authors":"Maham Arshad, Shyamkumar Sriram, Saira Khan, Pavan Kumar Gollapalli, M. Albadrani","doi":"10.4103/jfmpc.jfmpc_1615_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1615_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Physician communication is vital for an effective physician-patient relationship. Physician empathy is crucial to patient communication. The relationship between physician empathy, physician communication, and patient satisfaction is not very clear. This study aims to study the mediating role of physician’s empathy between physician’s communication, physician’s empathy, and patient’s satisfaction.\u0000 \u0000 \u0000 \u0000 A cross-sectional study was conducted at the National Institute of Psychology, Quaid-i-Azam University, during the time period of December 2018 to February 2019. Employing the technique of purposive convenience sampling, data were collected (N = 238) from psychiatric, cardiology, and dermatology wards of public and private sector hospitals of Islamabad and Rawalpindi. The Communication Assessment Tool, specifically the Patient’s Perception of Physician’s Empathy and Patient Satisfaction Scale, was used to assess study variables. The measures used in the research assess the patient’s perception of the physician’s communication, empathy, and patient’s satisfaction. Formal permission for the research was taken from the hospital administration with approval from the institutional review boards. Participants were briefed about the purpose of the research. Both verbal and written informed consent was taken from them.\u0000 \u0000 \u0000 \u0000 The result shows that a physician’s empathy plays a mediating role between the physician’s communication skills and patient satisfaction. Moreover, Pearson product-moment correlation indicated a significant positive relationship between doctors’ communication skills, doctors’ empathy, and patients’ satisfaction.\u0000 \u0000 \u0000 \u0000 Building a positive doctor-patient relationship would not only lead to improved patient satisfaction but also reduce the likelihood of medical malpractice. Therefore, steps should be taken to enforce trust, interaction, and empathy in doctor-patient relationships, with patient-centered services. Physician’s empathy plays a mediating role between physician’s communication skills and patient’s satisfaction.\u0000","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"841 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774941","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}
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