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A case of ischemic stroke and transient thrombocytopenia in a young female following adenoviral vector-based COVID-19 vaccination: Was the association incidental or causal?
We report a 23-year-old healthy female who developed seizures, altered sensorium, and left hemiparesis, 20 days after receiving the first dose of adenoviral vector-based COVID-19 vaccine "Covishield™." The patient had transient thrombocytopenia. The D-dimer level was 2460 ng/mL. Magnetic resonance imaging (MRI) demonstrated occlusion of M2 segment of the middle cerebral artery and cerebral infarction. Platelet factor-4 antibodies level was normal. Treatment with aspirin and antiepileptic drugs resulted in a remarkable recovery. This is the first Indian case report of ischemic stroke and transient thrombocytopenia followi...
Source: Primary Care - January 9, 2023 Category: Primary Care Authors: Shweta Pandey Ravindra Kumar Garg Pooja Tripathi Hardeep S Malhotra Neeraj Kumar Source Type: research

Assessment of National Program for Prevention and Control of Cancer, Diabetes, CVD and Stroke (NPCDCS): An observational study in rural Jaipur, Rajasthan
CONCLUSION: The study concludes that the implementation of NPCDCS program activities is not in synch with the health staff awareness level. IEC activities were deficient and no work was done for adoption of behavioural change and healthy lifestyle. Actual cases of hypertension were more while cases of diabetes were less than the reported cases found on cross-check survey.PMID:36387714 | PMC:PMC9648218 | DOI:10.4103/jfmpc.jfmpc_2281_21
Source: Primary Care - November 17, 2022 Category: Primary Care Authors: Sadhana Meena Monika Rathore Ajay Gupta Pragya Kumawat Arpit Singh Source Type: research

A cross sectional study to assess tobacco use and its correlates among patients attending non-communicable disease clinics of a Northern Jurisdiction in India
CONCLUSION: Higher tobacco use among the NCD clinic attendees with increasing age predisposes them to develop grave complications. This calls for the need to administer intensive behaviour change interventions for tobacco cessation at the existing NCD clinics. This could further strengthen existing health systems and thereby improving health outcomes followed by achieving Sustainable Development Goals.PMID:34660424 | PMC:PMC8483119 | DOI:10.4103/jfmpc.jfmpc_2471_20
Source: Primary Care - October 18, 2021 Category: Primary Care Authors: Garima Bhatt Sonu Goel Sandeep Grover Nirlep Kaur Sandeep Singh Source Type: research

Efficacy of a family-based cardiovascular risk reduction intervention in individuals with a family history of premature coronary heart disease in India (PROLIFIC): an open-label, single-centre, cluster randomised controlled trial
Lancet Glob Health. 2021 Oct;9(10):e1442-e1450. doi: 10.1016/S2214-109X(21)00319-3.ABSTRACTBACKGROUND: Coronary heart disease, a leading cause of death globally, is amenable to lifestyle interventions. The family environment can affect the ability or willingness of individuals to make lifestyle changes. We aimed to investigate the efficacy of a targeted family-based intervention for reduction of total cardiovascular risk in individuals with a family history of premature coronary heart disease.METHODS: We did an open-label, cluster randomised controlled trial (PROLIFIC) in the families (first-degree relatives and spouses, o...
Source: Australian Family Physician - September 17, 2021 Category: Primary Care Authors: Panniyammakal Jeemon Sivadasanpillai Harikrishnan Sanjay Ganapathi Sivasubramonian Sivasankaran Bhaskarapillai Binukumar Sandosh Padmanabhan Nikhil Tandon Dorairaj Prabhakaran Source Type: research

Optimizing the impact of health and related programmes / policies to address the issue of Childhood Obesity in India----A narrative review
J Family Med Prim Care. 2021 Apr;10(4):1554-1561. doi: 10.4103/jfmpc.jfmpc_2008_20. Epub 2021 Apr 29.ABSTRACTNon-communicable diseases are already acknowledged as a double burden, and now childhood obesity is putting extra strain on our health system. The current paper aimed to analyze the ongoing health and related programmes/policies in India, and we discussed the existing opportunities in the programmes to address the issue of childhood obesity in India. We searched the "MEDLINE," "PsycINFO," "Scopus," "Web of Science," and "Google Scholar" databases using the following keywords: ("overweight") and ("obesity"), ("childh...
Source: Primary Care - June 14, 2021 Category: Primary Care Authors: Om Prakash Bera Sheikh Mohd Saleem Dhananjay Kumar Singh Ozden Gokdemir Shailesh Tripathi Nishantadeb Ghatak Md Mahbub Hossain Sudip Bhattacharya Source Type: research

Community-based longitudinal follow-up of Stroke patients discharged from a tertiary care center in Central India
CONCLUSIONS: Quantitative scales largely showed on a primary basis that on the physical dimension of the disease, the effects of Stroke were affecting the functioning of the body at optimum capacity and harmony.PMID:33681047 | PMC:PMC7928101 | DOI:10.4103/jfmpc.jfmpc_1196_20
Source: Primary Care - March 8, 2021 Category: Primary Care Authors: Sharad Tiwari Ankur Joshi Nirendra Rai Afrah Misbah Parmeshwar Satpathy Source Type: research

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