journal
MENU ▼
Read by QxMD icon Read
search

Journal of Family Medicine and Primary Care

journal
https://www.readbyqxmd.com/read/29302568/severe-hyponatremia-associated-with-escitalopram
#1
Gautam Rawal, Raj Kumar, Sankalp Yadav
Hyponatremia is a rare but potentially fatal complication of selective serotonin reuptake inhibitor (SSRI) therapy with only limited cases of escitalopram as the causative drug. We report the case of a 54-year-old hypertensive female who was admitted to the hospital with seizure episode and subsequently diagnosed to have severe hyponatremia due to SSRI-induced syndrome of inappropriate antidiuretic hormone (SIADH) with the cause attributed to the short history of intake of escitalopram for depression. All SSRIs, including escitalopram, can cause SIADH and should be used with caution in the depressive patients with regular monitoring of electrolytes, especially in the elderly...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302567/a-rare-case-of-schizencephaly-in-an-adult-with-late-presentation
#2
Vijaya Kamble, Amol Madanlal Lahoti, Avinash Dhok, Abhijeet Taori, Nilufer Pajnigara
Schizencephaly, i.e., split brain, is a rare, congenital cerebral malformation. Magnetic resonance imaging is the best neuroimaging modality for its diagnosis. In literature, only few cases have been reported causing symptoms in adults. Symptomatic patients present as hemiparesis, developmental deficits to seizures. This condition is usually found at birth and presents during early years. Appropriate diagnosis of the disease is necessary to avoid incorrect treatment. Here, we present a rare case of left, unilateral, open lip schizencephaly in an adult patient presenting with partial seizures but with an asymptomatic childhood...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302566/bridging-the-gap-between-observation-and-brace-treatment-for-adolescent-idiopathic-scoliosis
#3
Eric Chun Pu Chu, Kevin Hsu Kai Huang
Adolescent idiopathic scoliosis (AIS) remains the most common and potentially severe form of scoliosis during the rapid growth period. It is generally accepted that AIS is a multifactorial disease controlled by genetic, hormonal, neuromuscular, and environmental factors. Herein, we describe a case of 12-year-old scoliotic girl with a double curve of initially 26° thoracic and 23° lumbar, seeking chiropractic care. The therapy was provided three times/twice a week for 6 months. Adjustments of the spine through chiropractic, both soreness and mobility, were shown to improve...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302565/candidate-for-a-live-vaccine
#4
Justin Ralph Abbatemarco, Alan Taege
Immune dysfunction is a well-known phenomenon in end-stage liver disease (ESLD). The pretransplant period offers a unique window for primary care physicians to optimize the transplant's vaccine protection before antirejection medications are initiated. Live vaccinations are selected cautiously but the varicella-zoster virus (VZV) vaccine, Zostavax, is recommended for pretransplant candidates. This case highlights an ESLD patient who developed disseminated cutaneous VZV within 30 days of vaccination.
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302564/caseous-mitral-annular-calcification-mimicking-a-lung-tumor-on-chest-x-ray
#5
Philip Dingli, Herbert Felice, Adrian Mizzi, Stephen Montefort
Mitral annular calcification (MAC) is a common condition of the mitral valve apparatus. A case involving caseous calcification, a rare variant of MAC is presented. This variant which has a benign course can present as an intracardiac mass and needs to be differentiated from more sinister causes of calcified cardiac masses such as tumor, abscess, and infective vegetation. Often, this requires multimodality imaging with echocardiography, computed tomography, and magnetic resonance imaging. Features of caseous calcification of the mitral valve on these imaging modalities are reviewed as the associations and clinical features...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302563/hemiplegia-as-a-presentation-of-hiv-infection-in-children-a-report-of-3-cases
#6
Ira Shah, Sneha Nandy, Renu Kumari
Strokes are a rare neurological manifestation of HIV infection in children with multifactorial etiologies. We present three HIV-infected children who presented to us with stroke out of which two had cerebral infarcts and who responded to antiretroviral therapy (ART). Third patient had tuberculous meningitis who was lost to follow-up before ART could be initiated.
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302562/idiopathic-palatal-palsy
#7
Saud Ahmed, Altaf Hussain, Tejaswini Patel, Husna Rafeeq Ahmed, Mohammed Idris Shariff, Mohammed Yunus Kafil
We report a case of isolated palatine paralysis in a 10-year-old boy. This kid presented with complaints of nasal regurgitation of liquids with nasal speech. Brain magnetic resonance imaging was done which was normal. The patient recovered in 10 days without any residual paralysis. Various causes which include infections, trauma, tumor, and brainstem lesions were investigated, but no predisposing factor was found. The patient responded well to conservative management and had been asymptomatic for 3 months.
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302561/low-backache-in-adults-as-an-initial-presentation-of-acute-lymphoblastic-leukemia
#8
Gunjan Garg, Naveen Chawla, Atul Gogia, Atul Kakar
Low backache as an initial manifestation of acute lymphoblastic leukemia (ALL) in adults has been rarely reported. In this hematological disorder, although bone marrow is replaced by malignant cells, not many cases of low backache as an initial presentation of ALL are reported. We present a series of clinical cases with low backache, which on evaluation found to have ALL.
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302560/benzodiazepine-maintenance-for-alcohol-dependence-a-case-series
#9
Shivanand Kattimani, Balaji Bharadwaj, Anand Babu Arun
Alcohol addiction is a chronic relapsing syndrome. Benzodiazepines remain as the mainstay for detoxification, taking care of the acute withdrawal syndrome. There is fear of dependence and abuse of benzodiazepines on prolonged use. Here, we selectively interviewed ten cases who were on longer duration of benzodiazepines to elicit their potential perceived benefits, attitudes, and any adverse effect. Three patients experienced adverse effects. None of them had features of benzodiazepine dependence. We opine that in select cases, benzodiazepine use should persist beyond detox period, and its benefits continue beyond the acute withdrawal phase while monitoring their safety/adverse effects...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302559/peripheral-t-cell-lymphoma-not-otherwise-specified
#10
Kunal Kishor Jha, Suresh K Gupta, Harpreet Saluja, Nuwadatta Subedi
The peripheral T-cell lymphoma, not otherwise specified (PTCL, NOS) belongs to a heterogeneous class of aggressive neoplasms. Although several morphologic subtypes of this tumor have been described, no particular genetic, immunological, or distinct clinical features define this disease. Patients can experience night sweats, fever, lymphadenopathy, weight loss, splenomegaly, and/or skin changes. Common laboratory tests reveal that patients have anemia, thrombocytosis, lymphocytosis, eosinophilia, hypergammaglobulinemia, or increased lactate dehydrogenase...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302558/report-on-a-rare-single-coronary-artery-anomaly-need-for-comprehensive-investigations
#11
Rishi Tuhin Guria, Utkarsh Gupta
Single coronary artery anomaly (SCAA) is a very rare disorder with an incidence of about 0.024%-0.066% which presents with the diverse feature but is mostly asymptomatic. It has found to be one of the pathological states to cause sudden death. We report a case of R-III type of SCAA as classified by Lipton et al. which is only about 15% of all the cases of SCAA which makes it even rarer. Hypoxic environment is thought to be an important cause for the development of such anomalies which gives us clues to determine the predisposing factors to be ruled out in patient's history...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302557/a-comparative-study-on-the-level-of-satisfaction-among-regular-and-contractual-health-care-workers-in-a-northern-city-of-india
#12
Jyoti Dixit, Sonu Goel, Vijaylakshmi Sharma
Introduction: Job satisfaction greatly determines the productivity and efficiency of human resources for health. The current study aims to assess the level of satisfaction and factors influencing the job satisfaction among regular and contractual health-care workers. Materials and Methods: A cross-sectional quantitative study was conducted from January to June 2015 among health care workers (n = 354) at all levels of public health-care facilities of Chandigarh. The correlation between variables with overall level of satisfaction was computed for regular and contractual health-care workers...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302556/process-evaluation-of-child-health-services-at-outreach-sites-during-health-and-nutrition-day-mamta-day-in-urban-slums-of-western-india
#13
Kedar Mehta, Chandresh Pandya, Paragkumar Chavda, Dipak Solanki
Introduction: Health indicators of rural and urban India show a wide variation. Rural areas have received large focus in child health services, but on the flip side, urban areas have been the last to receive such attention. Materials and Methods: A cross-sectional study was conducted to include one randomly selected outreach session from all the 19 urban primary health centers of Vadodara city from April 2013 to May 2014. Nineteen session sites were observed for the process evaluation of three components of child health care, namely, "planning of Health and Nutrition Day," "availability of vaccines/logistics," and "direct observation of actual immunization process" at the site using a structured checklist...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302555/prevalence-of-depression-anxiety-and-stress-among-school-going-adolescent-in-chandigarh
#14
Raman Kumar Sandal, Naveen Krishan Goel, Manoj Kumar Sharma, Ravleen Kaur Bakshi, Navpreet Singh, Dinesh Kumar
Context: Depressive disorders often start at a young age. There is a need for early identification of depression, anxiety, and stress (DAS) and prevention. The present study was undertaken to find the magnitude of DAS among adolescents. Aims: To find the mental health status of school going adolescents in Chandigarh. The objectives were (i) to study the prevalence of DAS among school going adolescents and (ii) to study the correlates of DAS. Settings and Design: A Cross-sectional survey of students of four classes from 9th to 12th studying in government schools...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302554/sexual-behavior-of-adolescent-students-in-chandigarh-and-their-perceptions-regarding-family-life-education
#15
Dinesh Kumar, Naveen Krishan Goel, Ravleen Kaur Bakshi, Manoj Kumar Sharma, Abhik K Ghosh
Background: With rapidly changing lifestyle and exposure to the Internet and mass media, lifestyle and sexual behavior of adolescent students are also changing rapidly. Objectives: To investigate the sexual behavior of adolescent students and to study misconceptions prevailing among them. Methods: A cross-sectional survey of 1022 adolescent students aged 14-19 years as a part of an Indian Council of Medical Research sponsored survey. Sexual behavior explored by interview method...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302553/breastfeeding-practice-and-knowledge-among-women-attending-primary-health-care-centers-in-riyadh-2016
#16
Norah Faleh Al-Mutairi, Yousef Abdullah Al-Omran, P J Parameaswari
Introduction: Breast milk is the best natural essential nutrition to newborns and infants. However, the practice of breastfeeding (BF) has declined in Saudi Arabia. Objective: The objective of this study was to assess the knowledge and practice of BF with their determinants among mothers in Riyadh. Materials and Methods: In this cross-sectional study, 252 mothers attending the well-baby clinics in Riyadh from March 2016 to May 2017 were selected randomly with their consent and studied by a standardized questionnaire...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302552/complementary-feeding-practices-among-children-aged-6-23-months-in-aligarh-uttar-pradesh
#17
Istiyaq Ahmad, Najam Khalique, Salman Khalil, Urfi, Mohd Maroof
Context: Complementary feeding practices play an important role in the growth and development of the children. Aims: The aim of this study is to determine the prevalence of complementary feeding practices among children aged 6-23 months and its association with various sociodemographic factors. Settings and Design: The study was a community-based, cross-sectional study conducted at field practice area of Urban Health Training Centre and Rural Health Training Centre, Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302551/prevalence-of-severe-acute-malnutrition-and-associated-sociodemographic-factors-among-children-aged-6-months-5-years-in-rural-population-of-northern-india-a-population-based-survey
#18
Ajeet Singh Bhadoria, Umesh Kapil, Rahul Bansal, R M Pandey, Bhawana Pant, Amit Mohan
Introduction: National Family Health Survey (NFHS)-3 documented that nearly 57 million children are undernourished in India, which is one-third of the world's share. We planned a study to identify the prevalence of severe acute malnutrition (SAM) among children aged <5 years in a rural population of Northern India. Materials and Methods: A cross-sectional study was conducted at 2 blocks of District Meerut during 2012-2014. A total of 70 villages were identified and all children in the age group 6-60 months were approached through house-to-house visits...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302550/metabolic-control-targets-in-sudanese-adults-with-type-1-diabetes-a-population-based-study
#19
Ahmed O Almobarak, Sufian K Noor, Wadie M Elmadhoun, Sarra O Bushara, Reham S Salim, Sittana A Forawi, Heitham Awadalla, Einas S Elwali, Mohamed H Ahmed
Background: Type 1 diabetes is a challenging metabolic disorder for health authorities in Sudan. The objective of this study was to assess the level of glycemic control and to determine the prevalence of dyslipidemia and complications among individuals with type 1 diabetes in Sudan. Materials and Methods: Individuals with type 1 diabetes, who were having the disease for at least 1 year, were invited to participate in this study. Data were collected from two diabetes centers, in the Capital Khartoum and Atbara City, North of Sudan...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29302549/validity-of-indian-diabetes-risk-score-and-its-association-with-body-mass-index-and-glycosylated-hemoglobin-for-screening-of-diabetes-in-and-around-areas-of-lucknow
#20
Mohammad Mustufa Khan, Gyanendra Kumar Sonkar, Roshan Alam, Sudhir Mehrotra, M Salman Khan, Ajay Kumar, Satyendra Kumar Sonkar
Objectives: The present study aimed to assess the validity of Indian Diabetes Risk Score (IDRS) and its association with body mass index (BMI) and glycosylated hemoglobin (HbA1c) for screening of diabetes and obesity. Methodology: A cross-sectional study was designed, and samples were randomly enrolled from Lucknow and its adjoining areas. Totally, 405 subjects were included in the study. We used diabetes risk factors (age, waist circumference, physical activity, and family history of diabetes) for screening of diabetes and abdominal obesity (AO) and BMI for screening of general obesity...
April 2017: Journal of Family Medicine and Primary Care
journal
journal
48213
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"