A study on prevalence of diabetic peripheral neuropathy in diabetic patients attending a rural health and training centre
CONCLUSION: A high proportion of diabetics were screened positive for peripheral neuropathy, and many of them were unaware of having the complication. Many risk factors associated with DPN were reported in this study. Thus, early diagnosis and management with MNSI or any other validated screening tool in health care institutions is essential.PMID:38605777 | PMC:PMC11006058 | DOI:10.4103/jfmpc.jfmpc_709_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: K Karthiksaravanan A S Meriton Source Type: research

Pre-term labour: A study on evaluation of causes and outcome
CONCLUSION: Pre-maturity is a huge health and financial burden in rural and semi-urban central Gujarat. Pre-mature rupture of membranes, previous MTP, extreme physical activity, and maternal anaemia were the major risk factors linked with pre-term labour. Poor neonatal outcomes like LBW, IUGR, and a low Apgar score were significantly associated with the babies delivered pre-mature in our study.PMID:38605778 | PMC:PMC11006067 | DOI:10.4103/jfmpc.jfmpc_2411_22 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Rumi S Bhattacharjee Riya J Shah Nitin S Raithatha Mamta R Patel Source Type: research

Comparison of the efficacy of propranolol versus amitriptyline as monotherapy for prophylaxis of migraine
CONCLUSION: The average number of migraine attacks reduced in the amitriptyline and propranolol groups as the treatment duration increased. Amitriptyline is a popular medication with established effectiveness and manageable levels of negative side effects. It is the tricyclic antidepressant that is most frequently used to prevent headaches. When administered for migraine prevention, it generates a quick response within 3 months. Propranolol is less effective than amitriptyline at reducing the frequency, length, and severity of episodes.PMID:38605779 | PMC:PMC11006045 | DOI:10.4103/jfmpc.jfmpc_927_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Krinaben M Patel Kachhadia M Popatbhai Roshni Xavier Mohammed A S Aramin Khalid J F Faris Mohammed A Mateen Priyadarshi Prajwal Mohammed D M Marsool Hafsa Sheikh Esra H A G Mohamed Source Type: research

Community-based Advocacy Communication Social Mobilization (ACSM) intervention by empowering key community leaders: Evaluation using the RE-AIM framework
CONCLUSION: This study was community led and involved leaders from diverse backgrounds, optimizing the chance of success. For sustainability, we have initiated TB support group.PMID:38605780 | PMC:PMC11006061 | DOI:10.4103/jfmpc.jfmpc_772_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Reenaa Mohan Ganapathy Kalaiselvan Source Type: research

Anisocoria in patients with hyperhidrosis: A case series for the primary care physician
We present two cases of pharmacologic anisocoria from Qbrexza (glycopyronnium), a wipe used in the treatment of hyperhidrosis. Identifying this medication as a cause of anisocoria in patients with hyperhidrosis can reduce costs and unnecessary testing. Furthermore, physician education about safer usage can be provided.PMID:38605781 | PMC:PMC11006025 | DOI:10.4103/jfmpc.jfmpc_698_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Tianna Sasher Parker Bomar Daniel Feuer Lauren McDonald Source Type: research

Depression and anxiety among patients with epilepsy: A cross-sectional study from Riyadh, Saudi Arabia
CONCLUSION: This study found that PWE had a higher prevalence of MDD and GAD than the general population. However, this accepted paradigm has yet to reflect a meaningful change in constructing condition-specific recommendations for PWE. Our study revealed that the presence of subjectively recognized signs of an impending ictal episode was significantly associated with a higher risk of moderate and severe depression and anxiety. Furthermore, factors that increase the susceptibility to seizures were associated with a higher risk of depression and anxiety. Irregular medication use was associated with a higher risk of moderate...
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Abdullah M Shadid Naif Alsaber Reema A Aldawish Hameed M Humaid Faris AlMubarak Leenah S Alazwari Nourah S Alosaimi Danah Alkhaldi Mohammed H Alhumud Abdulrahman M Shadid Nourah Al Zahrani Source Type: research

Case report: The role of hypertension retinopathy graduation in the management of systemic cardiovascular disease
J Family Med Prim Care. 2024 Feb;13(2):787-791. doi: 10.4103/jfmpc.jfmpc_1772_22. Epub 2024 Mar 6.ABSTRACTModerate to severe hypertensive retinopathies are more likely to correlate with uncontrolled blood pressure in all ages. Mild microvascular changes are expected with natural aging and are therefore more concerning in patients younger than 40. Risk assessment is subsequently determined based on blood pressure measurements and patient symptoms. The goal of this paper is to discuss current opinions regarding the role of grading hypertensive retinopathy in the risk assessment of systemic cardiovascular disease in the conte...
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Kathryn Kosteva Evan J Kaufman Alicia Kinch Source Type: research

Levels of work stress among information technology professionals during COVID-19 pandemic in an Indian metropolis
CONCLUSION: The prevalence of work stress among IT professionals was 17.7% during the COVID19 pandemic, with higher rates among employees aged 31 years and above, among female employees, and among employees with 4-7 years of work experience. More than 80% of the professionals experienced deadline pressures, long working hours, regular multi-tasking, and difficulty in maintaining work-life balance. Based on the results, it is recommended to integrate work-stress assessment in periodical medical examination of IT employees from a health promotion and productivity improvement perspective.PMID:38605784 | PMC:PMC11006029 | DOI:...
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Ojaswini Trivedi Runalika Roy Gautham M Sukumar Mariamma Philip Gopalkrishna Gururaj Source Type: research

Prevalence of nasal obstruction and its impact on quality of life in Saudi Arabia
CONCLUSIONS: Quality of life is affected by nasal obstruction. The subjective assessment is essential in evaluating the severity of nasal obstruction disease. It is recommended that healthcare providers use subjective tools combined with objective tools to assess the degree of nasal obstruction severity.PMID:38605785 | PMC:PMC11006041 | DOI:10.4103/jfmpc.jfmpc_482_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Yahya Ahmed Fageeh Mohammed Abdullah Basurrah Khalid Dhaifallah ALAzwari Mohammed Awadh AlAmri Waleed Mohammed AlJuaid Abdulaziz Abdullah AlHumaidi Mohammed Hamad AlFaqih Osama Mohammed AlAlyani Source Type: research

Endobronchial growth: Tumor or tuberculosis
J Family Med Prim Care. 2024 Feb;13(2):792-796. doi: 10.4103/jfmpc.jfmpc_1204_23. Epub 2024 Mar 6.ABSTRACTEndobronchial tuberculosis (EBTB) is characterized by tuberculosis infection of the tracheobronchial tree. It has variable presentation but tumorous growth-like presentation in bronchus is very rare. The clinical and radiological features are non-specific, which creates a diagnostic dilemma. Bronchoscopy and biopsy of the lesion are mandatory to confirm the diagnosis. In this case series, we are presenting three unique cases of endobronchial growth diagnosed as EBTB after biopsy and evaluation of bronchoalveolar lavage...
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Zuber Ahmad Imrana Masood Ummul Baneen Saima Ejaz Suhailur Rehman Source Type: research

Explaining ethical challenges and practical solutions from a nursing managements' perspective: A phenomenological study
CONCLUSION: Nurse managers are always faced with ethical challenges in their daily activities. To deal with these challenges, they must be familiar with the rules and principles of professional ethics, practical standards, and laws related to patients' rights. Ethical principles and awareness of the ethical decision-making process are useful and effective in having capable and ethical nurses who provide competent care. To deal with ethical challenges, it is suggested to consider self-care strategies and structural and specialized support in each center, which will ultimately lead to the improvement of service quality and t...
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Mahboobeh Khosravani Majid Taheri Nazanin Amini Nasrin Babaeian Saeed Lak Nazi Nejat Source Type: research

A systematic literature review for evaluation of knowledge, attitude, and self-care practice regarding common eye diseases in the healthy general population
CONCLUSION: Based on this, it can be concluded that as glaucoma is one of the most important causes of blindness worldwide, it is necessary to plan to increase the level of public knowledge to recognize the symptoms and complications of this disease. In addition to that, it is necessary to increase people's advertisement by ophthalmology centers and eye specialists about the use of glasses and also to encourage people to visit the eye physician regularly.PMID:38605788 | PMC:PMC11006079 | DOI:10.4103/jfmpc.jfmpc_1295_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Abdulrahman Alamri Atheer Saud Nasser Alshahrani Saud Qasem A Alshabab Shatha Mohammed Alshehri Raghad Yahya Saeed Alasiri Shuruq Zafer A Alshehri Hamad Khalid Faya Mohammed Saeed M Almousa Mohammad Abdulrahman Hassan Ogran Bandar Mohammed Mushabbab Asiri Source Type: research

Effect of a two-only-meals-a-day and exercise lifestyle on HbA1c and anti-diabetic medication in a follow-up study of subjects with type 2 diabetes attending a free clinic in a north Maharashtra city
CONCLUSIONS: The 2-OMEX lifestyle showed a sizeable, favorable, and significant change in HbA1c, body weight, ADMC use in five months, and subjective benefits. Studies are necessary for remission impact and pathways.PMID:38605789 | PMC:PMC11006040 | DOI:10.4103/jfmpc.jfmpc_795_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Shyam V Ashtekar Ratna S Ashtekar Pradeep R Deshmukh Jagdish D Powar Source Type: research

Correlation between acne and insulin resistance; experience from central India
CONCLUSION: Our study suggests the prevalence of insulin resistance in 42.67% of patients with acne, thereby providing the possibility of use of insulin modifiers as an adjunct acne treatment and stratifying the possible risk of metabolic syndrome in patients with acne. Also recommended is the control of dietary factors and lifestyle modification for the management of acne with insulin resistance.PMID:38605790 | PMC:PMC11006054 | DOI:10.4103/jfmpc.jfmpc_1232_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Prachi R Srivastava Jaideep Khare Animesh Saxena Sushil Jindal Source Type: research

Preparing and evaluating the anti-microbial effect of < em > Allium jesdianum < /em > mouthwash on some of the most common oral microorganisms
CONCLUSION: Our results showed a promising anti-fungal-anti-bacterial effect of A. jesdianum extract. A. jesdianum extract may be used as an alternative to chemical mouthwashes.PMID:38605791 | PMC:PMC11006033 | DOI:10.4103/jfmpc.jfmpc_855_23 (Source: Primary Care)
Source: Primary Care - April 12, 2024 Category: Primary Care Authors: Fereshteh Golfakhrabadi Donyasadat Mansouri Effat Abbasi Montazeri Anayatollah Salimi Fatemeh Babadi Vahid Rakhshan Source Type: research