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Journal of Family Medicine and Primary Care

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https://www.readbyqxmd.com/read/28349019/acute-disseminated-encephalomyelitis-after-mumps-infection
#1
Kunal Kishor Jha, Durgesh Prasad Chaudhary, Semanta Dahal, Sabina Desar
No abstract text is available yet for this article.
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349018/bodybuilders-pneumonia
#2
Abhinav Bhanot, Arjun Khanna, Dev Rahul, Deepak Talwar
No abstract text is available yet for this article.
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349017/psychological-symptoms-predicted-chest-pain-intensity-and-discomfort-in-cardiac-rehabilitation-patients
#3
Saeid Komasi, Ali Soroush, Mozhgan Saeidi
No abstract text is available yet for this article.
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349016/screening-of-tuberculosis-patients-for-diabetes-mellitus-is-feasible-with-the-existing-health-system-in-india
#4
Janmejaya Samal
No abstract text is available yet for this article.
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349015/smoke-on-a-white-coat
#5
Immad Arif, Salman Assad, Touqeer Sulehria
No abstract text is available yet for this article.
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349014/sertraline-induced-mandibular-dystonia-and-bruxism
#6
N A Uvais, V S Sreeraj, S V Sathish Kumar
Specific serotonin reuptake inhibitors have been associated with the occurrence of drug-induced parkinsonism, dystonia, dyskinesia, and akathisia. Here, we describe a young female patient with a diagnosis of the moderate depressive episode who developed mandibular dystonia and bruxism with sertraline in the absence of concurrent prescription of medications, which have potential action on the dopaminergic system.
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349013/an-unusual-case-of-sustained-ventricular-tachycardia-following-a-wasp-bite
#7
Tarun Sharma, Aradhna Sharma, Mukul Bhatnagar
Sustained ventricular tachycardia (VT) is a life-threatening condition which requires immediate intervention. We report a case of unusual etiology of sustained VT in a 42-year-old male after a wasp bite in the absence of anaphylaxis. The patient was treated with amiodarone and improved within 48 h. Thus, wasp stings can lead to serious tachyarrhythmias which can be life-threatening. Emergency care physicians should be aware of such arrhythmias in the setting of wasp bites which can be fatal.
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349012/low-dose-methotrexate-induced-acute-interstitial-pneumonitis-report-of-two-cases-from-south-india-and-review-of-literature
#8
Ramya Iyyadurai, Ronald Albert Benton Carey, Sowmya Satyendra
Methotrexate (MTX) is an antimetabolite used as a disease-modifying agent for various rheumatological conditions. We report two patients who were treated with daily low-dose MTX and developed acute interstitial pneumonitis requiring hospital admission. MTX-induced pneumonitis is a rare life-threatening side effect, high index of clinical suspicion is required, treatment is mainly withdrawal of MTX, supportive therapy, and adjunctive steroids, outcome is good if condition is recognized early, and appropriate treatment is given...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349011/late-onset-hydrocephalus-in-children-with-tuberculous-meningitis
#9
Disha Sharma, Ira Shah, Sharad Patel
Hydrocephalus is a known complication of tuberculous meningitis (TBM). It is almost always present in patients who have had the disease for four to six weeks. However, hydrocephalus can also develop later in the disease course as seen in our 3 patients. All 3 patients had multi-drug resistant (MDR) tuberculosis (TB) and developed hydrocephalus after variable time after starting second line anti-tuberculous therapy (ATT). A 7 years old girl had hydrocephalus at onset of TBM and was shunted but the hydrocephalus increased in size after 6 months of being on second line ATT in spite of a patent ventricular peritoneal (VP) shunt...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349010/tuberculosis-in-a-case-of-hyper-immunoglobulin-e-syndrome
#10
Renuka Ashtekar, Ira Shah
Hyper immunoglobulin E syndrome (HIES) is a rare primary immunodeficiency disorder characterized by elevated serum IgE, dermatitis, and immunodeficiency that predisposes to multiple skin and lung infections. The most frequent pathogen responsible for infections in these patients is Staphylococcus aureus. Tuberculosis (TB) in patients with HIES is an uncommon finding, and there are only a few reports of mycobacterial infections in known cases of HIES. We present a case of abdominal TB that developed in a 15-year-old boy who also had HIES...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349009/an-atypical-presentation-of-infiltrating-ductal-carcinoma
#11
Kunal Kishor Jha, Suresh Kumar Gupta
A 64-year-old African-American female presented with nonbloody nipple discharge. Clinical and cytological examination of the discharge was normal. The mammography suggested pleomorphic calcification in the left breast. A stereotactic biopsy showed ductal carcinoma in situ and her estrogen receptor/progesterone receptor/human epidermal growth factor receptor 2-neu receptor were negative. We removed the tumor tissue through lumpectomy and found that the mass was invasive ductal carcinoma. This case report highlights invasive ductal carcinoma, presenting with unilateral nipple discharge...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349008/a-case-of-hard-palate-perforation
#12
Atul Saroch, Ashok Kumar Pannu
Tuberculosis (TB) is a major public health problem in developing countries. Lung is most common affected organ, however extra pulmonary tuberculosis (EPTB) is also not uncommon. The clinical manifestations of EPTB may be non-specific that mimics other diseases and is usually misdiagnosed. Therefore, high clinical suspicion of EPTB infection is important, especially in endemic areas. Here, we present a case of hard palate perforation that proved to be tuberculous in origin. The diagnosis was made by histo-pathological examination and positive TB Polymerase chain reaction (PCR)...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349007/neonatal-cholestasis-due-to-primary-sclerosing-cholangitis
#13
Naman Sadanand Shetty, Ira Shah
Neonatal cholestasis is rarely caused due to primary sclerosing cholangitis, which is an inflammatory disease of the bile ducts, which results in obstructive fibrosis of the ducts. A 7-month-old male child presented with jaundice along with high-colored urine and clay-colored stools since birth. Liver biopsy showed mild bile duct proliferation with cholangioles showing bile and thrombi suggestive of primary sclerosing cholangitis.
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349006/immediate-access-to-antiretroviral-therapy-is-important-in-children-living-with-hiv
#14
Sangeeta Das Bhattacharya, Bikas K Arya
This article reviews a case of a child with perinatal HIV followed for 30 months during a prospective cohort study on pneumonia prevention in HIV-infected children. The point of this case report is to illustrate how delayed access to antiretroviral therapy (ART) in HIV-infected children impacts immunization response and growth. Given the WHO's early release guideline changes on ART recommendations and the expected full revised guidelines coming out this year, this article is a timely discussion on the need for access to ART for HIV infected Indian children regardless of CD4 count...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349005/multidrug-resistant-acinetobacter-meningitis-in-children
#15
Ira Shah, Muznah Kapdi
Acinetobacter species have emerged as one of the most troublesome pathogens for healthcare institutions globally. In more recent times, nosocomial infections involving the central nervous system, skin and soft tissue, and bone have emerged as highly problematic. Acinetobacter species infection is common in intensive care units; however, Acinetobacter baumannii meningitis is rarely reported. Here, we report two cases of Acinetobacter baumannii meningitis which was multidrug resistance and ultimately required the carbapenem group of drugs for the treatment...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349004/assessment-of-physical-disability-using-barthel-index-among-elderly-of-rural-areas-of-district-jhansi-u-p-india
#16
Shubhanshu Gupta, Rashmi Yadav, Anil Kumar Malhotra
INTRODUCTION: The health of the elderly will be an important issue defining the health status of a population. With the rise in aged population, there is a greater need to look into their physical disability aspects, which is otherwise neglected. The rationale behind the study is to assess the physical disability of the elderly living in rural area of Jhansi. The aims of the study were to study the prevalence of physical disability among the elderly of rural area, and to find out the factors and association affecting the physical disability...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349003/knowledge-and-self-care-practices-regarding-diabetes-among-patients-with-type-2-diabetes-in-rural-sullia-karnataka-a-community-based-cross-sectional-study
#17
Peraje Vasu Dinesh, Annarao Gunderao Kulkarni, Namratha Kurunji Gangadhar
INTRODUCTION: Diabetes is a lifestyle disease which requires a multipronged approach for its management, wherein patient has an important role to play in terms of self-care practices, which can be taught to them by educational programs. To develop such an educational program, a baseline assessment of knowledge and self-care practices of patients, needs to be made. The two objectives of the study were to estimate the knowledge of diabetic patients regarding the disease and its complications, and to estimate the knowledge and adherence to self-care practices concerned with Type 2 diabetes mellitus...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349002/family-physicians-attitude-and-interest-toward-participation-in-urban-family-physician-program-and-related-factors
#18
Masoumeh Sadeghi, Mohsen Dehghani, Monavar Afzal Aghaee
INTRODUCTION: Every family physician has a key role in achieving the goals of the family physician program (FPP). Low satisfaction of physicians in certain areas of Iran and their low maintenance level in the program is quite challenging. The aims of the present study were; (1) to assess the attitude of rural/rural-urban family physicians about FPP and (2) to investigate their interest toward participation in urban FPP and (3) to explore the influencing factors. METHODS: This cross-sectional study was performed on 137 family physicians who were working in rural/rural-urban FPP in Mashhad University of Medical Sciences (Iran)...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349001/environmental-correlates-of-undernutrition-among-children-of-3-6-years-of-age-rajkot-gujarat-india
#19
Zalak Rameshbhai Matariya, Kaushik Kishorbhai Lodhiya, Rajkumar G Mahajan
INTRODUCTION: There are lots of studies focusing on the role of reproductive and child health factors and dietary factors on the nutrition status of the child. The present study is an attempt to highlight the role of macro- and micro-environmental factors in predicting the occurrence of undernutrition in children. METHODS: This was a cross-sectional study conducted in field practice area of Community Medicine Department, PDU Medical College, Rajkot. The nutrition status of children was assessed using the weight for age WHO reference standards, 2006...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28349000/oral-health-of-preschool-children-in-dhanbad-district-jharkhand-a-gander-into-the-maternal-behavior-and-practices
#20
Gunjan Kumar, C L Dileep, Ravish Ahuja
INTRODUCTION: Mothers have an important role in taking decisions about their children's oral health. The study assessed the echelon of oral health behavior and practices of the mothers in relation to their preschool-aged children, which could possibly influence their oral health. METHODS: A cross-sectional study was carried out among 312 mothers, selected randomly from eight blocks of Dhanbad District, Jharkhand State, by administering a structured questionnaire on oral health behavior and practices regarding oral health...
October 2016: Journal of Family Medicine and Primary Care
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