Journal of Family Medicine and Disease Prevention is an open access peer reviewed journal that focuses on all primary aspects of family health, medicine and disease prevention. JFMDP concentrates on wide range of clinical, medical, health Care Research, Therapies of Diseases, Evaluation of health care, Behavioral Change Communication, Behavioral Medicine, Concepts in Public Health, Demography, Documentation and Dissemination, Education Technology, Environmental Health, Environmental Sanitation, Epidemiology and Biostatistics, Epidemiology of Specific Diseases, Family and Public Nutrition, Family Health, Family Health Administration, Family Planning, Family Practice, Health Care Delivery, Health Planning, Health Policy, Leadership and Management, Health Promotion and Disease Prevention, Mental Health and Education Technology, Occupational Health, Public Health, Public Health Administration, Public Health Law, Public Health Management, Reproductive and Child Health, Research Methodology, School Health, Social and Behavioral Science, etc.

Journal of Family Medicine and Disease Prevention is a great platform for family physicians, practitioners, researchers in the field of health care, medicine and general practice. All articles published in the journal are subject to a stringent peer review process.

Journal Information

Title: Journal of Family Medicine and Disease Prevention

ISSN: 2469-5793

Editor-in-chief: Giangaspero Massimo, Hui Rutai

NLM title abbreviation: J Fam Med Dis Prev

ICV: 89.99

ISO abbreviation: J Fam Med Dis Prev

Other titles: JFMDP

Category: Family Medicine/Treatment

DOI: 10.23937/2469-5793

Peer review: Double blind

Review speed: 3 weeks

Fast-track review: 10 days

Publication format (s): Electronic and print

Publication policy: Open Access; COPE guide

Publication type(s): Periodicals

Publisher: ClinMed International Library

Country of publication: USA

Language: English

Contact email:

Articles Search by   Keyword   |   Journal title   |   Author name   |   DOI


 Open Access DOI:10.23937/2469-5793/1510159

Benign Prostatic Hyperplasia: Personalizing Medical Management

Gary N. Elsasser, Pharm.D, BCPS, Michael Greene, MD, FAAFP, NaureenB Rafiq, MD, FAAFP and Ravneet Kaur, MD

Article Type: Review Article | First Published: 2023/12/7

Benign prostatic hyperplasia (BPH) is a prevalent condition among elderly men, impacting their quality of life. Traditional treatments primarily targeted bladder outlet obstruction (BOO) through alpha-blockers and 5-alpha reductase inhibitors. Recent additions, such as muscarinic receptor antagonists and phosphodiesterase-5 inhibitor (PDE-5I) tadalafil, provide more options. The 2021 American Urological Association (AUA) guidelines emphasize individualized management. ...

 Open Access DOI:10.23937/2469-5793/1510158

The Effect of Psyco-Education Applied in Primiparal Pregnancy on Birth Fear, Prenatal Attachment and Anxiety

Tuğba SARI and Nermin GÜRHAN

Article Type: Original Article | First Published: 2023/11/02

Fear of childbirth during pregnancy is considered normal up to a certain level. It is important when it is experienced in a discomfortingly and affects daily life. Psychological problems such as fear of childbirth and related anxiety cause deterioration of prenatal attachment. Therefore, psychological interventions in the antenatal period are gaining more and more importance in order to protect the mental health of women....

 Open Access DOI:10.23937/2469-5793/1510157

The Impact of Pharmacists Satisfying Quality Measures to Increase CMS Star Ratings

Ashani McDonald, PharmD, AAHIVP, Raechel Moore, PharmD, BCACP, Kim Finley, PharmD, BCACP, Bailey Scism, PharmD, BCACP and John Handshaw, PharmD

Article Type: Commentary Article | First Published: 2023/07/14

Quality, cost, and access are the three primary metrics of the healthcare system. In recent years, the healthcare system has begun to feel a greater push to provide a higher quality of care as payors have adopted Quality-Based metrics and incentive measures. With an expected shortage of up to 48,000 physicians by 2034 [1], a multidisciplinary approach will be crucial in continuing the push to provide high quality care. As the role of a pharmacist continues to evolve towards direct patient care, ...

 Open Access DOI:10.23937/2469-5793/1510156

The Role of Stigma and Revenge in HIV Prevalence

Moslem Ghaseminia

Article Type: Review Article | First Published: 2023/06/30

Many people are infected with human immunodeficiency virus (HIV) every year. Due to the unique properties of this virus, no effective vaccine has been approved to prevent this virus. HIV is transmitted to a healthy person in various ways, such as sex, using an infected syringe, etc. So far, various ways have been proposed to prevent the spread of this virus, however, the number of people infected with this virus continues to increase every year. Various factors play a role in this process of dis...

 Open Access DOI:10.23937/2469-5793/1510155

Role of LDL and Triglycerides in Hyperlipidemia in Diabetes Mellitus

Bethelli S and Oroszi T

Article Type: Review Article | First Published: 2023/06/25

Diabetes mellitus (DM) is one of the diseases affecting people worldwide, regardless of region, race, blood type, and many more. So, the management of DM has been a challenging issue all over. Hyperlipidemia or Dyslipidemia is one of the main root causes of DM, leading to severe cardiovascular diseases. Behavioral therapies like diet and exercise can improve diabetic Dyslipidemia; however, most patients require drug therapy to meet treatment objectives....

 Open Access DOI:10.23937/2469-5793/1510154

Sun Protection: A Comprehensive 2022 Dermatologic Review

Ida Orengo, MD, Usman Asad, MD and Leila Elserag

Article Type: Review Article | First Published: 2023/04/22

In 2018, the American Academy of Family Physicians (AAFP) published an abridged summary of the 2016 U.S. Preventive Services Task Force (USPSTF) recommendations on Skin Cancer Prevention: Behavioral Counseling. We believe that a contemporary review paper that helps to expand on those recommendations and explain nuanced options for patients and providers is timely and will prove valuable....

 Open Access DOI:10.23937/2469-5793/1510153

Perceptions, Gym Participation, and Motivators for Physical Activity in Older Ontario Males

M Felicia Cavallini, Abigail Tredway and David J Dyck

Article Type: Original Research | First Published: March 25, 2023

Sedentary behavior increases the risk of high blood pressure, obesity, and of particular concern in the elderly, a loss of muscle mass and decline in cognitive performance. Numerous risk factors are predictive of mortality rates in the elderly, including lack of moderate or vigorous exercise. The purpose of this study was to examine the perceptions of physical activity and exercise, participation and perceptions of traditional gyms, as well as motivators to be physically active in older males (6...

 Open Access DOI:10.23937/2469-5793/1510152

Anti-NMDA-Receptor Encephalitis: Case Report and Literature Review of a Frequently Misdiagnosed Condition

Anthony Daniels and Marshall Weber

Article Type: Case Report | First Published: December 01, 2022

Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is a potentially fatal autoimmune syndrome in which IgG antibodies target the NR1 subunit of the NMDA receptor resulting in profound dysregulation and neurotransmission. Since its discovery in 2005, the illness is becoming more widely recognized. Despite this uptick in recognition, few cases are published in journals pertinent to primary care providers. Patients typically present with acute behavioral disturbances and psychosis, which ...

 Open Access DOI:10.23937/2469-5793/1510151

Lack of Time is Still the Main Barrier to Exercise and Physical Activity in the Elderly, Although Less So than Younger and Middle-Aged Participants

M. Felicia Cavallini, Abigail Tredway, Austin J. Covan and David J. Dyck

Article Type: Review Article | First Published: November 10, 2022

The purpose of this study was to examine the main motivators and barriers to Physical Activity (PA) and Exercise (EX) of an elderly population in South Carolina compared to their younger and middle-aged counterparts. Males and females ages 18 years and older representing 13 diverse groups from Cherokee County, South Carolina participated in this study. Phase I of the research study concentrated on gathering data through facilitated focus group discussions. A survey was created to validate the fi...

 Open Access DOI:10.23937/2469-5793/1510150

Challenges Imposed by Online-Based Learning on Acquiring Clinical Knowledge and Skills

Firdous Jahan, Mohammed Al Azri, Arwa Hilal Salim Al Azri, Laila Alwahaibi and Muhammad Siddiqui

Article Type: Research Article | First Published: October 02, 2022

Medical students in clinical years are supposed to be independent, self-directed learner to motivate in depth learning. In response to COVID-19, medical education faculty have quickly transitioned to online formats that include COVID-19 crisis. The main purpose of this study was to assess the experience of clinical years’ students with online-based learning during the COVID19 pandemic....

 Open Access DOI:10.23937/2469-5793/1510148

Elderly Individuals have Similar Attitudes Towards Physical Activity and Exercise as the Young and Middle Aged, but are Less Likely to Seek Companionship or Gym Memberships

M. Felicia Cavallini, Abigail Tredway, Austin J. Covan and David J. Dyck

Article Type: Original Article | First Published: June 27, 2022

As our population continues to extend life expectancy, a central concern is the quality of life into old age. The purpose of this study was to examine the beliefs, outlooks, opinions, and perceptions on Physical Activity (PA) and exercise (EX) of an elderly population in South Carolina compared to their younger age counterparts. Males and females ages 18 years and older representing 13 diverse groups from Cherokee County, South Carolina participated in this study....

 Open Access DOI:10.23937/2469-5793/1510147

Pharmacists as Members of the Multidisciplinary Care Team

Jacob Reyes, PharmD

Article Type: Letter to Editor | First Published: May 18, 2022

The article by González-Ballesteros, et al. demonstrated improved diabetes control utilizing a multidisciplinary team. Although the results were positive, it would have been ideal to include a clinical pharmacist in the therapy program as well. Several publications illustrate that clinical pharmacists significantly benefit patient care, particularly in diabetes management. Clinical pharmacists are an important member of the care team. This was reiterated in an article by Halalau, et al. where a...

 Open Access DOI:10.23937/2469-5793/1510146

Addressing HIV Drug Shortage in Kenya: A Crucial Action

Oladunni Amos Abimbola, Olajide Edward Olorunfemi, Alaka Hassan Olayemi, Odususi Oluwatomisin Dara, Haruna Usman Abubakar, Bamidele Opeyemi Olufunso and Jackson Safari Kilonzo

Article Type: Commentary | First Published: April 24, 2022

HIV/AIDS is one of the major public health concerns worldwide. The African region is the most affected worldwide, with Kenya being the joint sixth largest epidemic in the region. Kenya’s health system is characterized by donor reliance and donor concentration. As a result, key national strategic programs including HIV program are significantly funded by foreign aid. While the challenge of insufficient internal funding has relatively being cushioned by external support, Kenya’s transition fro...

 Open Access DOI:10.23937/2469-5793/1510145

Patients' Satisfaction with Health Care Services in Selected Secondary Health Care Facilities in Ondo State, Nigeria

Oyebola Helen Babatola, MSc, Rabiu O. Popoola, PhD, Matthew Idowu Olatubi, MSc and Folasade Rukayat Adewoyin, MSc

Article Type: Original Article | First Published: April 07, 2022

This study assessed patient’s satisfaction with health care services, and identifies factors associated with the satisfaction of patients in selected health care facilities in Ondo State. Descriptive cross-sectional research design was utilized in three selected hospitals in Ondo State. Multistage random sampling was used to recruits 121 patients from three hospitals. Structured Questionnaire whose validity and reliability was established was used for data collection. Data were analyzed using ...

 Open Access DOI:10.23937/2469-5793/1510144

Neurological Localisation in Clinical Practice

Roy G Beran

Article Type: Research Article | First Published: March 16, 2022

Neurological localisation is dependent on history and physical examination and demands that the clinician is aware of those features, encompassed within the clinical setting, that define the neuroanatomy and neurophysiology that defines the focus of any neurological lesion. The paper to follow provides an approach to the neurological evaluation of patients that employs the traditional methods of history, stylised physical examination, incorporating: Higher centres; cranial nerves; and peripheral...

 Open Access DOI:10.23937/2469-5793/1510143

Increasing HIV Knowledge among Community Workers: Optimizing the Continuum of Care in Davao, Philippines

Danielle A. Walker, PhD, MA, CHES, Charlyn T. Gambe, RSW, MSSW, Carol J. Ustach, BA, Kristianna Altamirano, MS, Sarah J. Templeton, DNP, FNP-C, Mackenna Mason, BS, Abigail Cruzen, RN and Yujin Lee, RN

Article Type: Research Article | First Published: December 23, 2021

Over 38 million individuals have been diagnosed with Human Immunodeficiency Virus (HIV) worldwide, and the Southeast Asia and Pacific region accounts for 5.8 million of those. Regional progress reduced transmission by 9%, but the Philippines' rising epidemic is largely overshadowed by other countries experiencing tremendous improvement. The Philippines has seen a 203% increase in new infections from 2010-2020, while studies suggest only 2.3% of the population has been tested. Before testing prog...

 Open Access DOI:10.23937/2469-5793/1510142

Adapting the Shared Medical Appointment Model for the Management of Anxiety in Primary Care

Kara A Frame, MD, Ruben Tinajero, Ph.D, Hanna Raber, Pharm D and Katherine T Fortenberry, Ph.D

Article Type: Brief Report | First Published: October 30, 2021

Anxiety disorders are highly prevalent and negatively impact the health of millions of people worldwide. Primary care physicians are often the first providers who diagnose and treat anxiety disorders. Unfortunately, many patients lack access to mental healthcare services to address their difficulties with anxiety. Prior research indicates that the Shared Medical Appointment (SMA) model is highly effective in addressing chronic illnesses. This pilot study aimed to present one primary care clinic...

 Open Access DOI:10.23937/2469-5793/1510141

Educational Diabetic Care Program: Clinical and Biochemical Evaluation One Year after the End of the Program

Mario Alberto Gonzalez-Ballesteros, Patricia Teresa Reyes-Gabino, Juan Carlos Espinoza-Rodriguez, Maria Valeria Jimenez-Baez and Luis Sandoval-Jurado

Article Type: Research Article | First Published: June 30, 2021

Diabetes mellitus is a global public health problem, millions of deaths per year are directly related to this condition and it is the fourth leading cause of death from disease. The increase in causes for type 2 diabetes reflects a lifestyle adopted by people and without referred prevention strategies therefore constitute a priority objective of therapeutic and educational interventions. To evaluate the clinical and biochemical parameters in the patients of the diabetic patient care program at t...

 Open Access DOI:10.23937/2469-5793/1510140

Assessment of Student Knowledge and Opinions of Older Adults and Aging: A pilot Study

Amy K. Chesser, PhD, Jacie Green, MA, Marsha Norton, BA and Nicole L. Rogers, PhD

Article Type: Research Article | First Published: April 23, 2021

Population aging continues to be a global phenomenon. Those working in health professions will continue to provide care for the health and wellbeing of this growing population. Few studies have investigated the level of ageism and knowledge of older adults amongstudents pursuing health-related careers. This pilot study was designed to investigate the relationship between a student’s aging knowledge and ageist attitudes. A survey was distributed to a convenience sample of students enrolled at a...

 Open Access DOI:10.23937/2469-5793/1510139

Micronutrient Nutrition Perspectives for Low Income Countries in the Context of COVID-19

Edgar Okoth, Violet Wanjihia and Zipporah Bukania

Article Type: Review Article | First Published: April 03, 2021

The origin of COVID-19 originally named Novel coronavirus was Wuhan in China in December 2019. Renamed COVID-19 by the World Health Organization on February 11th 2020 the virus is severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (WHO. Novel Coronavirus-China, 2020). Investigations linked the virus to a local Huanan South China Seafood Market in Wuhan, Hubei Province, China in December 2019. Coronavirus is a major pathogen belonging to a family of viruses that target the human respira...

 Open Access DOI:10.23937/2469-5793/1510138

Lack of Primary Health Care Services in Developing Countries during Pandemic: An Urgent Reminder!

Sadat Muzammil, MBBS, MRCGP, MRCPEd, FRCP, (Glasg) CCFP and Georgina Lopes, MSc

Article Type: Review Article | First Published: February 28, 2021

As the world population is growing and health care resources are in high demand the pressure on medical services is becoming higher. Developing countries are already at a crisis point in health care provision, and time demands a new approach in structuring medical resources. Primary care is the vital pillar for fundamental health care at community level and has been deemed as a cost-effective modality. In the West the primary care physician manages chronic medical conditions in communities and t...

 Open Access DOI:10.23937/2469-5793/1510136

The Women’s Health Network: An Evaluation of a Community- Based Initiative

Inneké L. Vargas1, Nikki Keene Woods, Ph.D., MPH, Courtney Bennett, BA, Jessica Paluri, Melody McCray Miller and Amy K. Chesser, Ph.D.

Article Type: Brief Report | First Published: January 08, 2021

This study is an evaluation of the Women’s Health Network (WHN) program initiative. The WHN is a grant funded project aimed at creating and maintaining health equity for women in the state of Kansas in the United States. This qualitative study explores the efficacy of a community-based initiative to build trust among community members. The WHN gathered a group of professionals and community members to serve as the board of directors. In order to assess project value, WHN conducted a series of ...

 Open Access DOI:10.23937/2469-5793/1510135

Barriers to Self-Care among Diabetic Patients and Ways to Recognize and Address

Faris Matloub, MD

Article Type: Brief Report | First Published: January 04, 2021

Diabetes is an irreversible syndrome that has many complications. Although patients can lead a reasonably normal lifestyle, its late complications can reduce life expectancy and cause major financial burden. These include macrovascular conditions, leading to an increased prevalence of coronary artery disease, peripheral vascular disease, and stroke, in addition to microvascular damage which negatively affect the quality of life causing retinopathy, nephropathy and neuropathy. Newly diagnosed dia...

 Open Access DOI:10.23937/2469-5793/1510137

Cutaneous Rash: A Clinical Manifestation Prior to Respiratory Symptoms of Covid-19 Infection

Cameron Y.S. Lee, DMD, MD, PHD, MPH, MSEd

Article Type: Case Report | First Published: January 06, 2021

The novel coronavirus (SARS-CoV-2) pandemic continues to surge across the globe with no signs of slowing down. SARS-CoV-2 infections (Covid-19) affect multiple organ systems with varied clinical presentation. Common clinical respiratory signs and symptoms associated with Covid-19 include fever, cough and shortness of breath. However, clinicians should be aware that cutaneous rashes could be the only clinical sign and symptom. Recognition of cutaneous rashes without other symptoms should be consi...

 Open Access DOI:10.23937/2469-5793/1510132

Treatment of Warts in Pediatrics: A Review

Marisa Pope, Kalliope Kyriakides and Cindy Hoffman

Article Type: Literature Review | First Published: November 27, 2020

Cutaneous warts, or verruca vulgaris, are a viral skin condition caused by the Human Papilloma Virus (HPV) that are very common in children. Many physicians struggle with treatment of warts, due to the resistant nature of the lesions. There are a variety of treatment modalities that are offered. The goal of this paper is to review the different treatments that are beneficial and safe to use for warts in the pediatric population. We will break down the adverse effects, benefits, and efficacy of e...

 Open Access DOI:10.23937/2469-5793/1510131

Investigating the Relationship between Mental Health and Goal Attainment for Individuals Participating in a Healthy Lifestyles Program: A Pragmatic Randomized Pilot Trial

Arielle Sutton, Lawrence Mbuagbaw, Zainab Samaan, Japteg Singh and Elizabeth Alvarez

Article Type: Brief Report | First Published: November 21, 2020

The intervention group participated in weekly education and peer-support sessions and monthly visits with a healthcare team to develop health goals and action plans. The comparator arm met every three months to set goals and action plans with a research assistant. Mental health symptomology was measured with validated health scales. Goal attainment was measured on a 7-point Likert scale. Poor mental health is a barrier to achieving health goals. Partaking in a complex intervention helped partici...

 Open Access DOI:10.23937/2469-5793/1510129

Factors Affecting Initiation of Breast Feeding: A Cross Section Study

Mayasah A. Sadiq and Alaa A. Salih

Article Type: Research Article | First Published: October 19, 2020

Breastfeeding is the ideal and most natural way of nurturing infants. Mother’s milk is the most complete food in the first months of life. According to the American Association of Pediatrics (AAP) guidelines, mother's milk must be started immediately after delivery and it must be considered as the only food of baby in the first six months of life and then it should be preserved one year as one of the main components in the diet of a child. A cross-sectional study conducted from February to May...

 Open Access DOI:10.23937/2469-5793/1510128

Avoiding Food-Drug Interactions: A Proposal

Susan Drier-Jonas

Article Type: Patient Care | First Published: September 24, 2020

The treating physician has a great responsibility when prescribing medication. He must be aware of any situations that might interfere with his prescription. He checks current medications in order to avoid drug-drug interactions. However, other factors that may affect the effectiveness or clearance of the prescription are often overlooked, including food-drug and supplement-drug interactions. Even the healthiest and most desirable foods, such as leafy greens or fiber, can affect the medication, ...

 Open Access DOI:10.23937/2469-5793/1510127

Abdominal Pain, a Red Herring for Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report

Njideka Udochi, MD, MPH, FAAFP, AAHIVS, Hazel Jones Parker, DNP, CRNP, AAHIVS and Melonie Owusu, BSN, RN

Article Type: Case Report | First Published: September 17, 2020

In the United States (U.S.) beginning in late April to early May 2020, cases of severe illness and in rare cases death associated with SARS-CoV-2, the virus that causes COVID-19, were reported among previously healthy children and adolescents. Later named Multisystem Inflammatory Syndrome (MIS-C), this illness was initially described in the United Kingdom followed by Spain, Italy, and France, though the current characterization of MIS-C is limited. In the United States, over 200 patients with th...

 Open Access DOI:10.23937/2469-5793/1510126

Teenage Girl with Migraine Whose Symptoms Resolve with a Therapeutic Neck Exercise Program: A Case Report

Nasha Holt, MD and Codie Kurka, MS

Article Type: Case Report | First Published: August 03, 2020

A literature review reveals that neck pain is more commonly associated with migraine than is nausea, that reduced neck muscle function and reduced cervical range of motion is present in migraineurs that is not documented in those without migraine, and that there is pharmacological overlap in the treatment response of migraine and neck pain associated with migraine. We report the case of a teenage girl with right-sided migraines without aura whose symptoms resolve over a 3-month period in respons...

 Open Access DOI:10.23937/2469-5793/1510125

Exercise is Medicine! Why are People not Buying into the Prescription?

M Felicia Cavallini and David J Dyck

Article Type: Research Article | First Published: July 27, 2020

Despite decades of research documenting the numerous health benefits of exercise, most people are not buying into the “Exercise is Medicine” prescription and making the commitment to exercise regularly. The purpose of this study was to examine: 1) Participants’ perceptual association with descriptive statements and certain activities relating to exercise and physical activity (PA); 2) Participant’s attitudes towards the gym environment; and 3) The overall relationship between participant...

 Open Access DOI:10.23937/2469-5793/1510124

Back to School: Monitoring a COVID-19 Outbreak Using Routine Clinical Data

Hilde Philips, Stefan Morreel and Veronique Verhoeven

Article Type: Brief Report | First Published: July 20, 2020

After 5 weeks of lock-down during the COVID-19 pandemic in Belgium, the government considered reopening schools in the beginning of May 2020. Decisions were merely made, based on advices from epidemiologists and virologists. This study shows that by using routine data in primary care decisions can easily be supported and infections can be monitored in a valid way. In this manuscript we made a descriptive analysis of the respiratory and COVID-19 related illness burden in children aged 0 up to 19-...

 Open Access DOI:10.23937/2469-5793/1510123

Antiplasmodial Efficacy of Anacardium occidentale in Albino Mice Infected with Plasmodium berghei

Afolabi Olajide Joseph and Oluyi Timilehin Samson

Article Type: Original Article | First Published: July 11, 2020

Resistance of malaria parasites by most malarial drugs prompted the search for other drugs that are effective against the parasite. In endemic nations of the world, medicinal plants are often used to treat malaria. Among such plants is Anacardium occidentale which in addition to treating malaria, the plant has traditionally been used to treat diarrhoea, dysentery, colonic pains, genital problems, venereal diseases, impotence, bronchitis, cough and syphilis- related skin disorder. This research a...

 Open Access DOI:10.23937/2469-5793/1510122

The Integration of Public Health and Primary Care: A Case Study of Nebraska

David Palm, PhD, Brandon Grimm, PhD, MPH and Valerie Pacino, MPH

Article Type: Original Article | First Published: June 29, 2020

There is considerable evidence of integration activities between primary care clinics and LHDs. Current activities focus on care coordination for high-risk chronic care patients and promoting hypertension, diabetes, and cancer screening. Six LHDs have a formal contract or memorandum of understanding with one or more clinics, and at least two LHDs are embedding nurses within clinics. Although LHDs felt there were many benefits to integration and emerging opportunities, significant barriers persis...

 Open Access DOI:10.23937/2469-5793/1510121

Evidence-Based Health Policy Making: A Roadmap for Filling the Research and Decision-Making Gap

Nader Aghakhani, Kazhal Mobaraki and Jamal Ahmadzadeh

Article Type: Letter to the Editor | First Published: June 18, 2020

The ultimate aim of a health care system is progression of community health in an equal manner and various factors can be contributed in achieving it. Many health policy makers or managers try to produce evidences to be used in the health care system for this goal and they need many types of scientific documents to make well-informed decisions. For this reason, the importance of evidence-based health policy making as a complicated task that affects many various individual and organizational acti...

 Open Access DOI:10.23937/2469-5793/1510120

Primary Health Care: A Strategic Weapon in the Fight against the Coronavirus

Juan Solera Albero and Pedro Juan Tarraga Lopez

Article Type: Commentary | First Published: April 16, 2020

Primary Care (PHC) is the gateway to the National Health Service in Spain and waiting lists and hospital collapses, such as those currently seen in the different affected countries, will greatly depend on its operation. The main elements that characterize the comprehensive care model based on PHC (and that make them different from the other care models) are three. In a situation of health and social crisis such as the one we are experiencing due to the coronavirus pandemic, the health systems of...

 Open Access DOI:10.23937/2469-5793/1510119

Covid-19 Epidemic in Italy: Lesson Learning

Giangaspero M, DVM, MSc, PhD

Article Type: Editorial | First Published: March 30, 2020

2019 ended with the emergence of Covid-19 from China, a new zoonoses, possibly once again a virus from bats. Rapidly, the virus diffused in other countries. Italy was particularly affected, accounting for the highest number of cases and deaths in Europe. Stringent measures have been applied at national level to contain the health risk. In 2019, Europe was focused on various social, economic and political issues, as welcoming or not migrants, or contesting legal reforms as on retirement in France...

 Open Access DOI:10.23937/2469-5793/1510118

Prevalence of Hepatitis C Virus and Other Comorbidities in Dialysis Population of Elbasan City, Albania

Elezi Brunilda, Topi Skender, Abazaj Erjona, Bolleke Erjola and Kasa Marsida

Article Type: Research Article | First Published: January 27, 2020

Hepatitis C virus (HCV) infection is associated with increased morbidity and mortality among patients on dialysis (HD). The aims of this study were to estimate the presence of HCV and other comorbidities in the dialysis population of Elbasan city, and to compare the survival outcomes of those patients who started dialysis with haemodialysis and peritoneal dialysis. In the present study, we have used a socio-demographic questionnaire to collect data from HD patients. We studied 108 dialysis patie...

 Open Access DOI:10.23937/2469-5793/1510117

Community Mental Health Services in Developing Countries, Time to Think Outside the Box

Sadat Muzammil, MBBS, MRCGP, FRCP (Glasg), CCFP and Georgina Lopes, MSc

Article Type: Review Article | First Published: January 20, 2020

Developing countries are struggling to provide adequate mental health care to its citizens. One of the main reasons is the serious shortage of psychiatrists and trained Mental Health Nurses (MHNs). In many countries the quality of mental health nursing is less than satisfactory. Some Western countries have devised nurse led care models under the supervision of psychiatrists, which have shown improvement in patient waiting times and care delivery as compared to low-income countries. Nurses with p...

 Open Access DOI:10.23937/2469-5793/1510116

Client Satisfaction with Prevention of Mother to Child Transmission of HIV Services in Public Hospitals of Hadiya Zone, Southern Ethiopia

Bahailu Balcha, Desta Erkalo and Tilahun Beyene

Article Type: Research Article | First Published: December 12, 2019

Prevention of mother-to-child transmission is a term used to describe a comprehensive package of services intended to reduce the risk of mother-to-child transmission of HIV. The vertical virus transmission from mother to child accounts for more than 90% of pediatric Acquired Immunodeficiency Syndrome. Published studies on the client satisfaction with PMTCT services’ provision in Ethiopia are generally limited. Even fewer studies do examine client satisfaction with the PMTCT services. Therefore...

 Open Access DOI:10.23937/2469-5793/1510115

Demosthenes Lorandos, William Bernet & Richard Sauber (2013), Parental Alienation: Handbook for Mental Health and Legal Professionals

Wilfrid von Boch-Galhau, Christiane Forster and Jorge Guerra Gonzalez

Article Type: Book Review | First Published: November 11, 2019

Parental Alienation is an important mental condition that professionals in the field, especially those who work with children, adolescents and adults from divorced families should know. Although about thousand three hundred professional articles, book chapters and books, and also empirical studies, exist meanwhile (see website from all over the world, there is still considerable controversy about the existence of Parental Alienation. According to the Diagnostic and St...

 Open Access DOI:10.23937/2469-5793/1510114

Prevalence and Associated Factors of Using Tobacco Products (E- Cigarettes, Conventional Cigarettes and Water Pipe) among Healthcare Workers at the Prince Mohammed Bin Abdulaziz Hospital in Riyadh, Saudi Arabia, 2018-2019

Sumaya Shaikh and Ghadeer S Aljuraiban

Article Type: Research Article | First Published: September 21, 2019

Few studies have been published on the prevalence of smoking among healthcare workers and smoking triggers. This study sought to determine smoking prevalence and identify factors associated with the initiation of smoking. The pre-designed questionnaire in this cross-sectional study on healthcare workers at Prince Mohammed bin Abdulaziz Hospital in Riyadh, Saudi Arabia included items on demographics, smoking habits and smoking history, factors associated with smoking, and beliefs about smoking. ...

 Open Access DOI:10.23937/2469-5793/1510113

Barrier Contraceptive Methods Practice and its Predictors among Human Immunodeficiency Virus (HIV) Positive Women Attending Anti Retro Viral Therapy (ART) in Hadiya Zone Public Hospitals, South Ethiopia

Markos Selamu Jifar and Tilahun Beyene Handiso

Article Type: Research Article | First Published: September 14, 2019

Barrier contraceptive method is a strategy that prevents both unwanted pregnancy and sexually transmitted infections. Predictors for using barrier methods are not well studied in the area. A facility based cross-sectional study was employed. Data were collected through interviewer interview using structured and semi-structured questionnaires. Simple random sampling technique from patient registration book was used to select participants. Bivariate and multivariable logistic regression analysis ...

 Open Access DOI:10.23937/2469-5793/1510112

Odds of Meeting Physical Activity Guidelines by Cancer History: Updated Results from the Health Information National Trends Survey (HINTS)

Christine M. Swoboda, PhD, MS, Ann Scheck McAlearney, ScD, MS and Timothy Huerta, PhD, MS

Article Type: Research Article | First Published: September 13, 2019

Despite proven benefits of physical activity, adults in the United States may not be meeting activity guidelines for aerobic and strength exercise. There is an association between physical activity and reduced cancer risk, and reduced risk of reoccurrence among cancer survivors. This study aims to describe the odds of meeting aerobic, strength, and combined levels of physical activity based on the recommendations of the Physical Activity Guidelines for Americans among adults in the U.S., making ...

 Open Access DOI:10.23937/2469-5793/1510111

State Infant Mortality Rate Calculations Vary by Classification of Pre-Viable Infants

Christine M. Swoboda, PhD, MS, Jason A Benedict, MS, Courtney Hebert, MD, Ann Scheck McAlearney ScD, MS and Timothy R Huerta, PhD, MS

Article Type: Commentary | First Published: September 12, 2019

When these data are used as the basis for policy making, they could potentially result in the mistargeting of resources from states with the greatest need to states whose levels of need may be overinflated based on an artifact of the reporting standard. In addition, the definitions create challenges when developing and delivering targeted interventions because they obscure the line between those infants and mothers who would benefit from postnatal interventions to prevent infant mortality (e.g.,...

 Open Access DOI:10.23937/2469-5793/1510110

Limited Impact of Smoking Bans on Commercial Outdoor Dining Area in a Smoking Hot Spot: A Case Study

Stephanie Fletcher-Lartey, John Birkett, Sharon O’Regan, Angela Daly and Peter Cavagnino

Article Type: Research Article | First Published: September 06, 2019

An evaluation of the implementation of smokefree commercial outdoor dining was carried out to evaluate proprietors awareness and preparedness for the implementation of Smoke-Free Outdoor Dining regulations in Liverpool, Australia. The study found limited effectiveness of the smoking bans in the area, despite a high level of awareness of key changes required and high level of preparedness for the smoke-free COD regulations. The majority of COD operators chose to provide a designated smoking area ...

 Open Access DOI:10.23937/2469-5793/1510109

Factors Related to Disclosure and Nondisclosure of Dietary Supplements in Primary Care, Integrative Medicine, and Naturopathic Medicine

Jennifer R. Guzman, PhD, Debora A. Paterniti, PhD, Yihang Liu, MD, MA, MS and Derjung M. Tarn, MD, PhD

Article Type: Research Article | First Published: August 08, 2019

Mixed methods study combining qualitative content analysis of semi-structured interviews with statistical analyses to assess differences in identified factors by provider practice type and supplement type. Seventy-eight English-speaking patients who reported taking 466 dietary supplements in the previous 30 days were recruited from primary care and Complementary and Alternative Medicine (CAM), Integrative Medicine (IM), and naturopathic doctors' offices in Southern California....

 Open Access DOI:10.23937/2469-5793/1510108

A Minus That Makes the Difference

Vitale G, Vitale S, Pierini P and Visconti CL

Article Type: Research Article | First Published: June 28, 2019

Acute Coronary Syndromes include a wide variety of clinical scenarios. Coronary Angiography (CA) is a low-resolution imaging technique and its inability to provide a satisfactory tissue characterization of culprit lesions could be a concern in some cases. Optical Coherence Tomography (OCT) is an emergent intravascular high-resolution imaging modality which could be complementary to CA in challenging cases. We report a case of a young man in whom OCT had been determinant to understand the patholo...

 Open Access DOI:10.23937/2469-5793/1510107

Paraquat Poisoning: Survival after Oral Ingestion

Sarah Allen, MD, Mario Gomez, MD, Alice M. Boylan, MD, Kristin B. Highland, MD, Anthony Germinario, MD, Michelle McCauley, MD and Michael Malone, MD

Article Type: Case Report | First Published: July 20, 2019

A 52-year-old caucasian male farmer from Walterboro, South Carolina presented to the Medical University of South Carolina Health-University Medical Center in August, one hour after ingestion of 20 oz of a 50/50 water/paraquat preparation, with suicidal intent, complaining of nausea and emesis of blue colored fluid. His vital signs were normal on admission other than an increased blood pressure of 159/92 mmHg. Upon presentation, physical examination was within normal limits. Plasma levels of para...

 Open Access DOI:10.23937/2469-5793/1510106

Osteoporosis: Bisphosphonate Therapy in Postmenopausal Women

Amber Rowe, Erin Zamora and Tamera Pearson

Article Type: Case Report | First Published: July 19, 2019

Osteoporosis is the deterioration of bone tissue and strength, which leads to an increased risk of fractures. Postmenopausal women are at increased risk for osteoporosis. Bisphosphonates have long been the mainstay of osteoporosis treatment to prevent fractures, especially hip fractures by increasing bone mineral density. Extending treatment to up to 10 years is currently recommended. In lieu of possible adverse events such as atypical fractures and osteonecrosis of the jaw, drug holidays are an...

 Open Access DOI:10.23937/2469-5793/1510105

Critical Challenges of Economic and Social Issues in Secondary Prevention of Cardiovascular Disease

Rubina Barolia, Gina Higginbottom, Wendy Duggleby and Alexander M Clark

Article Type: Original Research | First Published: July 06, 2019

What we eat may cause Cardiovascular Disease (CVD), and a healthy diet is a key factor in the prevention of CVD. Promoting healthy diet is challenging, particularly for people with low Socioeconomic Status (SES), because poverty is linked with many risk behaviours such as smoking, unhealthy eating, and obesity. Multiple factors make healthy eating very challenging. Underpinned by critical realism, this study explores the factors that inform Pakistani people of low socio-economic status SES in ma...

 Open Access DOI:10.23937/2469-5793/1510104

How to Establish a Medical Ethics or Bioethics Committee?

Angel Velarde, MD, MSCE and Erwin Calgua, MD, MSCE

Article Type: Research Article | First Published: June 28, 2019

From the review of the literature, it was found that the ethics committees must be composed of at least 5 members, who are nominated by the director of the institution, with at least one member in the scientific area, a member in an area not scientific and a member not affiliated with the institution and each member must conduct ethics courses. The duration of the period will be for 3 years, and continuity may be given when so determined. Of the conflicts of interest, it was found that the last ...

 Open Access DOI:10.23937/2469-5793/1510103

Perspectives of Peers Experiences and Feeling About Termination of Pregnancy: A Focus Group Study in an Adolescent Population

Sunday Bassey Udoh, MBBS, FWACP, FMCFM, Victory Edet Iyanam, MBBS, FWACP and Oluyinka S Akinbami, MBBS, FWACP

Article Type: Research Article | First Published: June 27, 2019

Annually, over one million adolescent girls in Nigeria become pregnant. With active participation in decision making by their caregivers and peers, more than 60% of them end up in induced abortions. Generally, peers exert major social influence on adolescent sexual behavior by playing "role model" for others in their close contact. These "role models" are the first to be contacted when any problem such as unintended pregnancy occurs and most times they are involved in counseling as well as contr...

 Open Access DOI:10.23937/2469-5793/1510102

Quality Care and the Soul of the Physician

Stephen Muse, PhD

Article Type: Short Note | First Published: May 24, 2019

Quality care for the patient is the source of vocational satisfaction and also a measure of physician well-being. Both are impacted positively by the spiritual life of physicians which contributes significantly to resiliency in the midst of current stresses in medical care. Additionally, a majority of patients identify spiritually integrated care as desirable in their physician's treatment. The author examines qualities of vulnerability, humility and compassion integral to the person of the phys...

 Open Access DOI:10.23937/2469-5793/1510101

Inter-Arm Blood Pressure Difference in a Typical University Family Medicine Clinic

Kent H Do, MD, DPT, Capt, USAF, MSC, Sorana Raiciulescu MSc and Jeffrey C Leggit MD, CAQSM, Col (Ret), USA, MC

Article Type: Research Article | First Published: April 29, 2019

The purpose of this study was to determine the point prevalence of Inter-Arm Blood Pressure Difference (IAD) in a University Family Health Center (UFHC). 217 patients seen by the Uniformed Services University's (USU) UFHC were assessed in this non-randomized screening study. Blood pressure was measured simultaneously in both arms with automated sphygmomanometers in a seated position during normal scheduled appointment screening process after 5 minutes of sitting. The measure was repeated after o...

 Open Access DOI:10.23937/2469-5793/1510100

Overcoming Barriers to Improve HIV Education and Public Health Outcomes in the Democratic Republic of Congo

Danielle A Walker, Kyle L Johnson, Tara B Thomas, Sandor Dorgo and Jacen S Moore

Article Type: Research Article | First Published: March 13, 2019

Approximately 37 million people worldwide are infected with the Human Immunodeficiency Virus (HIV), with the majority located in sub-Saharan Africa. The relationship existing between HIV incidence and socioeconomic inequity confirms the critical need for programs promoting HIV education, prevention and treatment access. This literature review analyzed 36 sources with a specific focus on the Democratic Republic of Congo (DRC), whose critically low socioeconomic status and education rate have resu...

 Open Access DOI:10.23937/2469-5793/1510099

Stigma Related to Fear and Shame Restricts Access to HIV Testing and Treatment in Tanzania

Danielle A Walker, Kyle L Johnson and Jacen S Moore

Article Type: Review Article | First Published: February 22, 2019

Tanzania is one of 15 nations that share 75% of the HIV burden in sub-Saharan Africa, with a national prevalence of 5.3% and prevalence rates as high as 30% in special populations. Knowledge about HIV infection, testing, and treatment is low, especially in younger populations, suggesting a need for effective HIV educational programs. We sought to understand the impact of HIV-related stigma and gender roles in HIV education and knowledge in educational programs and explored methodologies that eff...

 Open Access DOI:10.23937/2469-5793/1510098

Genetic Counseling, Polymorphisms and Breast Cancer

Kleber Santiago Freitas e Silva

Article Type: REVIEW ARTICLE | First Published: January 21, 2019

Breast cancer, a highly penetrant hereditary disorder, is the most common cancer in women worldwide. Approximately 10% of breast cancer cases are hereditary and 15% of patients with invasive breast cancer have a first-degree relative with the same disorder. Genetic counseling has become an important tool of the health care system providing information and support to families at risk of a genetic disorder. Oncology research teams have designed breast cancer screening guidelines for high-risk pati...

 Open Access DOI:10.23937/2469-5793/1510097

Simple Protocol to Initiate and Intensify Insulin in Primary Care

Faris Matloub

Article Type: Review Article | First Published: January 21, 2019

The primary care physician often faced with type 2 diabetes that need insulin, usually when two or more oral hypoglycemic agents were tried and failed to maintain target glycemic control, owing to gradual decline in insulin secretion due to reduction of beta cell function. The likelihood for starting insulin is more the longer duration of diabetes. The United Kingdom Prospective Diabetes Study told us that 53% of patients initially treated with sulphonylureas required insulin therapy at 6 years,...

 Open Access DOI:10.23937/2469-5793/1510096

Stigma Remains a Significant Barrier to HIV Knowledge and Treatment in Zambia

Danielle A Walker, Kyle L Johnson and Jacen S Moore

Article Type: Research Article | First Published: January 21, 2019

Despite high HIV prevalence in Zambia, which lies within the heart of sub-Saharan Africa, early implementation of public policy and programs to effectively manage the burden of disease has insured consistently high testing rates. Zambian strategies to combat the HIV/AIDS crisis employ governmental support for HIV testing and public education and can serve as models for neighboring countries to advance the development of effective testing and treatment initiatives. Although these testing programs...

 Open Access DOI:10.23937/2469-5793/1510095

Miraculous Properties of Camel Milk and Perspective of Modern Science

Yaseen Galali and Hanee M Al-Dmoor

Article Type: Review Article | First Published: January 07, 2019

Camel has been mentioned in Quran in different places and described a miracle of almighty God. Also, prophet Muhammad (PBUH) has recommend camel in his speech (hadith). The prophet (PBUH) has recommended camel milk for some diseases such as skin disease as remedy. Camel plays in important livestock which produced milk longer than any other ruminant under harsh condition of desert ecosystem. Camel milk is different from other ruminant milk different ways. Camel milk is rich in vitamin C and prote...

 Open Access DOI:10.23937/2469-5793/1510094

Medical Student and Resident Burnout: A Review of Causes, Effects, and Prevention

Amir Mian, Dahye Kim, Duane Chen and Wendy L Ward

Article Type: Review Article | First Published: December 31, 2018

Professional burnout is a multi-dimensional phenomenon, which may result from prolonged unhealthy occupational stress. Symptoms in burnout cluster in three domains: emotional exhaustion, feeling isolated, and low work satisfaction. Medical students and residents are at particular risk because of their dual student pressures and in-training clinical care responsibilities. Common sources of personal and professional stressors include lack of time for leisure activities, inordinate workloads and sl...

 Open Access DOI:10.23937/2469-5793/1510093

Health Care Practitioners Level of Awareness on Antimicrobial Resistance in Grenada

Lindonne Glasgow, Stephanie Fletcher-Lartey, Owen Gabriel and Martin Forde

Article Type: Research Article | First Published: November 28, 2018

The study found that while most practitioners could correctly define AMR, there was variability in knowledge about the judicious use of antimicrobials. About one in four physicians (26.4%) did not know whether AMR was a significant problem in the institution(s) where they practiced, compared with the majority (61.7%) who said it was not a problem. However, 41.6% of pharmacists felt that AMR was a national problem; although all (100%) laboratory technicians reportedly did not know if AMR was a si...

 Open Access DOI:10.23937/2469-5793/1510092

Impact of Core Electronic Health Record Functionalities on Cardiovascular Disease Preventive Health Services for Underserved Patients

Christopher K Rogers

Article Type: Research Article | First Published: October 15, 2018

Examine differences in the associations between core Electronic Health Record (EHR) functionalities for public and population health, care coordination, patient engagement, and quality improvement on the provision of recommended Cardiovascular Disease (CVD) preventive health services provided at Primary Care Visits (PCVs) for CVD at-risk adults with Medicaid and those with private insurance. Utilizing a nationally representative survey of ambulatory care visits by patients at risk for CVD in 201...

 Open Access DOI:10.23937/2469-5793/1510091

Blue Finger Syndrome in an Elderly Patient

Castillo-Santizo JJ, Alvarez-Perez E, Gonzalez-Lopez A, Blanco-Rubio C, Ortega-Calvo M and Gabaldón-Rodriguez I

Article Type: Case Report | First Published: October 15, 2018

This article presents a case of an 88-year-old man who shows blue-violaceous discoloration on his fingers and toes, with a greater intensity on the third finger of right hand and the first, second and third toe of his right foot. The patient had been recently diagnosed with atrial fibrillation and met the criteria for oral anticoagulation with acenocoumarol, which had started two weeks earlier. When the treatment was discontinued, the bluish color of his fingers disappeared, for which reason the...

 Open Access DOI:10.23937/2469-5793/1510090

Why do Patients Miss their Appointments at Primary Care Clinics?

Saif Ullah, Sangeetha Rajan, Todd Liu, Ellen Demagistris, Regina Jahrstorfer, Swapna Anandan, Christina Gentile and Angad Gill

Article Type: Research Article | First Published: September 28, 2018

Missed appointments or no-shows are defined as "patients who neither kept nor canceled their scheduled appointments". Studies conducted previously in primary care settings found that the rates of missed appointments in the United States vary from 5% to 55%. We conducted a pilot study amongst the healthcare providers at Griffin Faculty Physicians (GFP) and Griffin Hospital Wellness Clinic (GHWC)....

 Open Access DOI:10.23937/2469-5793/1510089

Social Networking Sites (SNSs) Addiction

Basem Abbas Al Ubaidi

Article Type: REVIEW ARTICLE | First Published: September 10, 2018

Social Networking Sites (SNSs) in our lives are an essential computer-generated combination regarded as a 'global customer phenomenon'. In recent times, as statistics have shown, this phenomenon daily records a dramatic increase in its users. It is a state of mental addiction, an illness if you may so call it for some users. It has been noted that some extroverts use social networks for social augmentation, whereas introverts use it for social compensation. Addicted customers mostly deal with lo...

 Open Access DOI:10.23937/2469-5793/1510088

Control Excessive Anger before it Controls Your Life

Basem Abbas Al Ubaidi

Article Type: REVIEW ARTICLE | First Published: September 10, 2018

There is usually a public misconception between anger, aggression, and hostility. Anger is a sense of emotion that ranges from the standard reaction of mild irritation to the intense response of fury and rage. Anger becomes a dilemma if it felt too intensely, frequently, expressed inappropriately and associated with extreme physical/mental strain on the individual. On the other hand, aggression is an often-violent behavior that causes harm or injury to another person or property. While, hostilit...

 Open Access DOI:10.23937/2469-5793/1510087

The Reasons and Strategies of High Cesarean Section Rate from Chinese Obstetricians and Midwives Perspective in the Public Hospitals: An Interpretative Phenomenologic Analysis

Minjie Li, Wei Gu, Xiaomei Li and Xiaoqin Wang

Article Type: Research Article | First Published: August 13, 2018

Despite the ever-increasing rate of Cesarean Section (CS) in China, little is known about both the reasons and strategies of high Cesarean Section Rate (CSR) from the perceptions of obstetricians and midwives, who have great influence on deciding the delivery mode. The study aims to describe obstetricians and midwives' perceptions of the essence of the increasing CSR in the tertiary (city) and secondary (county) hospitals in China....

 Open Access DOI:10.23937/2469-5793/1510086

Individualized, Assessment-Based Manual Therapy to Reduce Chronic Pain and Increase Function: Case Study of a Patient with Fibromyalgia and Diabetes

Thuy Bowyer, Leena S Hiremath, Jennifer R Larson, Deborah M Grzybowski, Ann Scheck McAlearney and Brian L Bowyer

Article Type: Short Communication | First Published: August 10, 2018

Fibromyalgia is a medical condition characterized by chronic pain that is attributed to an imbalance in neurotransmitter function. It is now estimated to affect more than 10 million adults in the U.S. and 0.2-6.6% of the general population worldwide. Current treatment options include both pharmacological and nonpharmacological interventions, with massage therapy and physical therapy predominant among nonpharmacological approaches....

 Open Access DOI:10.23937/2469-5793/1510085

A Hidden Epidemic and What You Can Do About It

Robert M Post

Article Type: Research Article | First Published: July 28, 2018

In the United States ¾ of the children of a parent with a mood disorder will develop a major psychiatric diagnosis upon a 7 year follow up. Moreover, the earlier the onset of symptoms, the longer the delay to first treatment, and this is posing major short and long-term health threats for a sizable portion of the population....

 Open Access DOI:10.23937/2469-5793/1510084

Cytomegalovirus-Associated Pseudotumor of the Rectum in an Immunocompromised Patient

Lisa Marie Cannon and Steven Lee-Kong

Article Type: Case Report | First Published: July 28, 2018

A 46-year-old man with a history of anal condyloma and HIV infection presented with four years of bloody anal leakage with incontinence. Digital rectal examination revealed a palpable mass in the distal rectum. Index colonoscopy revealed a fungating, ulcerated mass in the distal rectum. Biopsies demonstrated inflammation with superficial erosion. He was lost to surgical follow-up over the ensuing months. In the interim, the patient was initiated on antiretroviral therapy and PCP prophylaxis for ...

 Open Access DOI:10.23937/2469-5793/1510083

Connecting Physician Preceptors with Medical Students in the Ambulatory Setting

Kristen Rundell, Diana Bahner, Deborah Lan, Victoria Cannon and Ann Scheck McAlearney

Article Type: Research Article | First Published: July 23, 2018

In 2012, the Ohio State University College of MEDICINE began implementing a new, competency based medical school curriculum. Early clinical service-learning experiences were one of the hallmarks of this new curriculum, giving first year students opportunities to work with real patients in clinical settings while meeting patient care learning objectives. Integration of the bioscience, clinical skills and social curriculum within a safe teaching environment helps to promote the professional identi...

 Open Access DOI:10.23937/2469-5793/1510082

How do the Psychosocial Factors Affect Blood Pressure in Patients with Hypertension? A Cross-Sectional Study

Emrah ERSOY and Esra SAATCI

Article Type: Original Research Article | First Published: July 16, 2018

Our sample was 305 hypertensives visiting a family physician in Rize, a city in the Black Sea (Northern part) Region of Turkey. The study was completed between December 2017 to April 2018. Participants completed a sociodemographic questionnaire including questions for sociodemographic characteristics, lifestyle behaviors, psychiatric complaints traumatic life events, and blood pressure control. Depression status was assessed using The Hospital Anxiety and Depression Scale (HAD). Data as analyzed...

 Open Access DOI:10.23937/2469-5793/1510081

Social and Demographics Factors Associated with the Breast Self-Examination (BSE) in Women in Primary Care

Ada Leticia Valderrama-Urreta, Maria Valeria Jimenez-Baez, Juan Carlos EspinozaRodriguez, Luis Sandoval-Jurado, Patricia Teresa Reyes-Gabino, Sergio Guerra-Renteria and Maria Margarita Chavez-Hernandez

Article Type: Research Article | First Published: July 14, 2018

According to the World Health Organization (WHO), its incidence is expected to increase by 50% by 2020. In Latin America and the Caribbean, breast cancer is the most prevalent among women according to the Pan American Health Organization (OPS). In 2012, this neoplasm was detected in more than 408,000 women, and by the year 2030, it is estimated that there is a 46% increase. In particular, Colombia, Costa Rica, Ecuador, Mexico, and Venezuela, which previously had relatively low rates, An increase...

 Open Access DOI:10.23937/2469-5793/1510080

Liver Metastases from Gists

Gargantilla Pedro, Martin Berta and Pintor Emilio

Article Type: Case Report | First Published: July 12, 2018

Gastrointestinal Stromal Tumors (GISTs) are rare tumors of the gastrointestinal tract, with an estimated incidence of 1.5/100000/year. GISTs are nonepithelial tumors originating in the interstitial Cajal's cells (cells of the autonomic nervous system). These cells express antigens for CD 177 and/or CD 34....

 Open Access DOI:10.23937/2469-5793/1510079

Rapidly Enlarging Thyroid Mass

Gargantilla Pedro, Martin Berta and Pintor Emilio

Article Type: Short Communication | First Published: July 11, 2018

An 83-year-old man come to our observation because of a rapidly enlarging anterior neck mass at the last two weeks, dysphagia, dysphonia and neck pain. Patient didn't mention about previous irradiations on the neck either familiarity with thyroid and neoplastic diseases. He had a past medical history of diabetes mellitus type 2. Physical examination revealed one palpable formation (7 × 5 cm) over the right lower neck....

 Open Access DOI:10.23937/2469-5793/1510078

Ferritin: Could be a Health Indicator

Loio M Noemia and Valls L Carmen

Article Type: Review Article | First Published: June 30, 2018

Health indicators show a health-related characteristic that allows the study, evaluation and conclusion of a health process. Therefore, it allows us to influence public health policies to obtain an improvement in the health status of the population....

 Open Access DOI:10.23937/2469-5793/1510077

Evolution of the World Bank Response to Infectious Disease Outbreaks:From a Reactive to a Proactive Approach

Willy De Geyndt

Article Type: Review Article | First Published: June 13, 2018

Six major infectious disease outbreaks have occurred in rapid succession in the twenty first century causing an estimated $80 billion in economic losses and many lives lost. The World Bank Group (WBG) was not prepared to respond quickly and effectively to contain the spread of these outbreaks. It reacted too late to the earlier outbreaks but slowly improved its response time and its coordination with major stakeholders. The response time of its financing contribution decreased across the six inf...

 Open Access DOI:10.23937/2469-5793/1510076

Association between Health Self Efficacy and African American Male Inmates Prior Substance Use Treatment History: Implications for STI Risk Reduction

Torrance Stephens, Ta-Kenda Holmes and Aniya Allen

Article Type: Research Article | First Published: June 07, 2018

African American men are disproportionately represented in the U.S. correctional system; evince exceptionally high rates of infectious diseases such as HIV/AIDS and like many inmate populations, problem behaviors associated with drug and alcohol use. According to the US Bureau of Justice Statistics (BJS) in in 2013 there were 2,220,300 adults incarcerated in US federal and state prisons, and county jails with 4,751,400 adults in 2013 being on probation or on parole....

 Open Access DOI:10.23937/2469-5793/1510075

Rediscover the Joy of Primary Care Practice

Basem Abbas Al Ubaidi

Article Type: Review Article | First Published: May 14, 2018

In this day and age, primary care worker burnout has been high, moral is low and work enjoyment is depleting consistently. It is important for healthcare leaders to understand these factors, nurture their team and spread joy at work....

 Open Access DOI:10.23937/2469-5793/1510074

Peripheral Angioedema and Upper Airway Edema in Young Woman

Gargantilla Madera P, Garcia Tobaruela A and Belda Bilbao L

Article Type: Short Communication | First Published: April 25, 2018

A 38-year-old woman, without family history of angioedema, suffered several self-limiting acute edema episodes (localized in upper/lower limbs). One month after, she presented an upper airway edema associated with glottis edema, which was treated in emergency department with corticosteroids, without improvement. ...

 Open Access DOI:10.23937/2469-5793/1510073

The Radiological Diagnosis of Pulmonary Tuberculosis (TB) in Primary Care

Basem Abbas Al Ubaidi

Article Type: Review Article | First Published: March 22, 2018

The Bahrain screening program depends mainly on chest x-ray and PPD, while not using both symptom inquiry and Xpert MTB/RIF (XP). The essential keys are to train all physicians about detection of early symptoms with x-ray findings of active, inactive and diagnose latent pulmonary tuberculosis....

 Open Access DOI:10.23937/2469-5793/1510072

Building a Dream vs. Destroying an Idea

Basem Abbas Al Ubaidi

Article Type: Review Article | First Published: March 05, 2018

Today, we are facing a challenging paradox: A shortage of Health-Care Workers (HCWs), as well as a rise in unemployed health professionals. It is either due to funding short falls, planning in adequacy, in addition to a weak organizational climate that contributes to unhealthy work environments. HCWs face various aspects of physical and psychological violence in the workplace which drastically affects productivity and performance, and ultimately has tremendous effects on the patient's outcome......

 Open Access DOI:10.23937/2469-5793/1510071

Is Emotional Intelligence a Need Skill for Health Care Provider?

Basem Abbas Al Ubaidi

Article Type: Review Article | First Published: February 23, 2018

Health care providers are interested in understanding and applying the principles associated with emotional intelligence. There is decisive impact role in the practice of emotional intelligence skills and enhance social relationships, as well as improve health care and health care education. There are various ways that emotional intelligence skill can be taught, learned, and changed medical care programs for a better patient-doctor relationship....

 Open Access DOI:10.23937/2469-5793/1510070

Tele-Transitions of Care: An Approach to Reduce 30-Day Readmission Using Tele-Health Technology; a Randomized Controlled Trial Study Protocol

Kimberly Noel, Shamuel Yagudayev, Catherine Messina, Elinor Schoenfeld, Wei Hou and Gerald Kelly

Article Type: Research Article | First Published: February 21, 2018

Avoidable hospital readmissions and medical errors are costly and dangerous. Many hospital systems have invested in various transitions of care models, health information systems and now increasingly, in telehealth, to help improve care after hospitalization. Although many models and strategies exist to improve care transitions, very few guidelines address the role of health technology, data analytics and health information exchanges within this process. Few studies have described an optimal wor...

 Open Access DOI:10.23937/2469-5793/1510069

Motivational Interviewing Skills: A tool for Healthy Behavioral Changes

Basem Abbas Al Ubaidi

Article Type: Review Article | First Published: November 13, 2017

Applying the principles and essence of motivational interviewing in every day primary care practice has been proven effective in prompting "behavioral change" which presents and improves positive health outcomes and enhances the patient-counsellor relationship....

 Open Access DOI:10.23937/2469-5793/1510068

Baseline Characteristics and Clinical Management of Patients Attended in Primary Care Setting According to the Presence of Cardiovascular Disease

Escobar C, Cinza S, Prieto MA, Llisterri JL, Barquilla A, Rodríguez L, Pallarés V, Vidal R, Miravet S, Rodríguez-Roca GC and Badimón JJ

Article Type: Original Article | First Published: October 18, 2017

IBERICAN is a longitudinal, observational, multicenter study that is currently including subjects aged 18 to 85 years attending primary care setting in Spain. The enrolled cohort will undergo an annual visit for at least 5 years. In this article, the baseline characteristics of the first 4,304 patients are reported....

 Open Access DOI:10.23937/2469-5793/1510067

Pregnancy Loss: One Woman's Story of a Common Tragedy

Ann Scheck McAlearney

Article Type: Opinion | First Published: October 09, 2017

Pregnancy and infant loss exact a devastating toll on the women and families who must endure this experience. Making the transition from a silent delivery room or nursery to a normal but changed life challenges the strongest among us....

 Open Access DOI:10.23937/2469-5793/1510066

Adolescent Sense of Coherence and Antidepressants Usage 11 Years Later

Else Toft Wurtz, Jens Tølboll Mortensen and Kirsten Fonager

Article Type: Letter To The Editor | First Published: October 26, 2017

Sense of Coherence (SOC) was introduced in 1979 by Aaron Antonovsky as a salutogenic concept that captured the strength and determinants in health from an orientation-to-life questionnaire....

 Open Access DOI:10.23937/2469-5793/1510065

Zika, Public Health, and Future Professionals: An Assessment of Student Knowledge, Media Utilization and Health Literacy Levels

Amy K. Chesser, Nikki Keene Woods, Jennifer Mattar and Lamin Barrow

Article Type: Research Article | First Published: September 27, 2017

Over the past year, there has been increased public attention focused on the continued spread of Zika worldwide. The origin of the Zika Virus (ZIKV) was the result of a flavivirus found in the blood of a rhesus monkey (isolated in 1947), found near the city of Entebbe, Uganda, in the Zika forest....

 Open Access DOI:10.23937/2469-5793/1510064

Empty-Nest Syndrome: Pathway to "Construction or Destruction"

Basem Abbas Al Ubaidi

Article Type: Review Article | First Published: September 27, 2017

Many friends I have between their early forties to late fifties seem to have a pessimistic view on their well being. They have the urge to make irrational and sudden changes in their lives, believing that such changes would result in an increase in their happiness....

 Open Access DOI:10.23937/2469-5793/1510062

Transitional Care to Reduce Cardiac Readmissions: 5-Year Results from the BRIDGE Clinic

Sherry M Bumpus, Rachel Krallman, Eva Kline-Rogers, Daniel Montgomery, Kim A Eagle and Melvyn Rubenfire

Article Type: Research Article | First Published: August 26, 2017

High hospital readmission rates contribute to rising health care costs and lower quality of care, particularly in cardiac patients. Transitional care programs that expedite post-discharge visits have the potential to improve this problem. This study examined the effectiveness of one such program, Bridging the Discharge Gap Effectively (BRIDGE), a single-visit, nurse-practitioner-led, cardiac transitional care program....

 Open Access DOI:10.23937/2469-5793/1510061

Terminal Cancer: Finding Hope in Truth

Ashley Nilsson, Humza Ahmed and Doug Dix

Article Type: Research Article | First Published: August 24, 2017

Death is, arguably, the single most important event in life. Yet it tends to be ignored until ignoring it is not longer possible. Death and dying are not components of the primary or secondary curriculum, and questions on these subjects are absent from standardized tests of academic achievement and aptitude. College electives may focus on death and dying, but, typically, from a distant perspective, rather than on preparing for one's own death....

 Open Access DOI:10.23937/2469-5793/1510060

The Psychological and Emotional Stages of Divorce

Basem Abbas Al Ubaidi

Article Type: Review Article | First Published: August 07, 2017

Divorce can have substantial effect on the life of every individual in the family; it has huge impact on socio-financial status of the families. Islamic religious consider the importance of marriage stability, but except divorce as last solution for irreparable or unsustainable couple relationship....

 Open Access DOI:10.23937/2469-5793/1510059

Cost of Growing up in Dysfunctional Family

Basem Abbas Al Ubaidi

Article Type: Review Article | First Published: July 31, 2017

The definition of a family dynamic is the scheme of family members' relations and interactions including many prerequisite elements (family arrangements, hierarchies, rules, and patterns of family interactions). Each family is unique in its characteristics....

 Open Access DOI:10.23937/2469-5793/1510058

How to Follow up on Unexplained Hyperferritinemia in Primary Care

Basem Abbas Al Ubaidi, and Noora Al Hamadi

Article Type: Case Study | First Published: June 01, 2017

50-years-old Bahraini male had an increased level of serum ferritin. The patient showed mildly high alanine aminotransferase and γ-glutamyltransferase and positive chronic hepatitis B....

 Open Access DOI:10.23937/2469-5793/1510057

Vitamin B12 for Diabetes Patients Treated with Metformin

Roman Pawlak

Article Type: Review Article | First Published: May 15, 2017

Metformin treatment, both duration and dose, is associated with increased risk of vitamin B12 (B12) deficiency. B12 deficiency causes Hyperhomocysteinemia (HHcy), which is associated with an increased risk of a variety of diabetic co-morbidities....

 Open Access DOI:10.23937/2469-5793/1510056

Integrate of Spiritual Needs into Patient Care

Basem Abbas Al Ubaidi

Article Type: Review Article | First Published: May 11, 2017

The World Health Organization identifies health as "a state of complete physical, mental, and social wellbeing", and views spirituality (a function of the soul) as an important factor in the quality of life and wellness of individuals regardless of their religious affiliations. Family medicine should validate comprehensive, holistic patient care, including spiritual health....

 Open Access DOI:10.23937/2469-5793/1510055

The Intervisions Cliniques Continuing Medical Education Program: A Forum for Exchange and Mutual Knowledge Development between General Practitioners and Psychiatrists

Catherine Briand, Nida Sieu, Éric Skulski, François Borgeat, Christo Todorov, François-Yve Prévost, Ghislaine O Roederer, André Luyet and Alain Lesage

Article Type: Original Research | First Published: May 09, 2017

This project is a case study, using qualitative methods. An operational model of Intervisions Cliniques was drawn for analysis. Data mainly come from the program-related literature, direct observation and interviews with 9 key actors, assembled in 2 groups of promoters and participants of the program. ...

 Open Access DOI:10.23937/2469-5793/1510054

Doppler Echocardiography Evaluation of the Relationship between Insulin Resistance and Early Diastolic Dysfunction in Prediabetes Patients

Ozgur Sirkeci, Emel Erkus Sirkeci and Ulvan Ozad

Article Type: Research Article | First Published: April 17, 2017

Diabetes mellitus (DM) is known to be associated with serious cardiovascular risk and the prevalence of DM amongst population is rapidly increasing. When important risk factors such as age, hypercholesterolemia, obesity and coronary artery disease are excluded, DM still continues to be an important risk factor for cardiovascular disease. Diastolic dysfunction is an early complication of type 2 diabetes and diabetic cardiomyopathy is known to be the first step of the process....

 Open Access DOI:10.23937/2469-5793/1510053

Towards Daily Function Homeostasis: A Conceptual Health Framework and Keys for Action

Sara Rosenblum

Article Type: Review Article | First Published: April 15, 2017

Homeostasis refers to the organism's internal self-regulation process that plays a major role in maintaining a balanced, harmonic and steady-state condition. The aim of this paper is to present a comprehensive conceptual framework for developing daily functional homeostasis, which illustrates the control, harmony and balance of daily life activities and routines....

 Open Access DOI:10.23937/2469-5793/1510052

Eighty-Eight Year-Old Demented Woman Lives Alone Independently: A Case Report

Koh Iwasaki and Shin Takayama

Article Type: Case Report | First Published: February 28, 2017

The care team discussed the reason of her independence and the plan on how to provide care for her. We concluded that she was independently capable of living in her own home in her small, very familiar community. She has three close, familiar friends nearby to frequently chat and drink tea with. Situated near the city of Ishinomaki - which was destroyed by the great tsunami in 2011 - her small community is safely located far from the city center and on a hilltop....

 Open Access DOI:10.23937/2469-5793/1510051

Impact of Physics in Family Health Care: Fluorescence Spectroscopy

Buttigieg JP, Helmerson K and Coventry BJ

Article Type: Opinion | First Published: January 31, 2017

New technologies in physics are developing and modes of medical care are poised to shift rapidly. Healthcare provision provides family physicians with a complex set of challenges ranging from mastering the early detection and prevention of disease to treating a diverse range of illnesses. For example, in 2016, it was predicted that more than 8.3 million people were expected to die from cancer while cancer accounts for about 13% of all deaths worldwide....

 Open Access DOI:10.23937/2469-5793/1510050

Lessons Learned from the State of Ohio H1N1 Influenza Outbreak After-Action Review

William A Mase, Shamika D Jones, Adam J Negley, Beth Bickford and Michael Bisesi

Article Type: Original Research | First Published: January 24, 2017

Findings demonstrate the effectiveness of community response strategies utilizing feedback from system stakeholders. After-action review processes are a critical part of all-hazards preparedness. This analysis of local health district response to the H1N1 influenza outbreak informs future public health service delivery.Results provide a synthesis of local health department's emergency response strategies, challenges encountered, and future-focused emergency response strategy implementation....

 Open Access DOI:10.23937/2469-5793/1510049

The Effect of Integrated TCM with Chemotherapy on Quality of Life and TCM Syndrome

Tsai-Ju Chien, Chung-Hua Hsu, Shang-Chih Chang, Yu-Yu Chang and Fang-Yu Li

Article Type: Original Article | First Published: January 23, 2017

Epidemiological studies have revealed that cancer incidence increases year by year, making cancer one of the leading causes of death globally. Thus, healthcare institutions and physicians are paying much attention to cancer-related issues. In recent decades, the treatment modalities for cancer have updated, although the primary treatments for cancer are still chemotherapy and radiotherapy....

 Open Access DOI:10.23937/2469-5793/1510048

Prenatal Vitamins Deficient in Recommended Choline Intake for Pregnant Women

Carl C Bell and Jessie Aujla

Article Type: Short Commentary | First Published: December 01, 2016

These findings indicate that currently pregnant women cannot get daily-recommended choline from prenatal vitamins. Accordingly, considering the general prevalence, and higher rates of fetal alcohol exposure in various communities, the authors suggest prenatal vitamin makers incorporate more choline into prenatal multivitamins in order to ensure unborn fetuses are guaranteed optimal development by preventing choline deficiency in pregnant women....

 Open Access DOI:10.23937/2469-5793/1510047

On the Tip of the Tongue: Tongue Necrosis as the Initial Presentation of Systemic Vasculitis in Adult and Pediatric Patients - Case Reports and a Literature Review

Reshmi Raveendran, Sharon Banks, Michael Beck, Shirley Albano-Aluquin, Shyam Sabat and Barbara Ostrov

Article Type: Case Report | First Published: November 28, 2016

Tongue necrosis is a rare manifestation of large to medium vessel vasculitis. It has rarely been reported in adults and children. We present two cases of tongue necrosis in adult and pediatric patients with pathologically different etiologies related to different subsets of vasculitis and review their clinical course. To our knowledge, this is the first comprehensive review of the literature on the vasculitides which cause tongue necrosis in adults and children which include giant cell arteritis...

 Open Access DOI:10.23937/2469-5793/1510046

Screening for Urethral, Rectal and Pharyngeal Gonorrhea & Chlamydia among Asymptomatic Male Adolescents and Young Men who have Sex with Men

Faiza Ali, Gaurav N Kaushik, Nicole D Carr, Ericka Hayes and Katie L Plax

Article Type: Original Article | First Published: November 08, 2016

Urban young men (13-25 years old) who have sex with men (YMSM) are at high risk for sexually transmitted infections (STIs). Centers for Disease Control and Prevention (CDC) recommendations are to screen asymptomatic MSM for Chlamydia trachomatis (CT) and Neiserria gonorrheae (GC) based on sexual history. However, this approach misses asymptomatic non-genital infections in men who do not disclose or are not asked about sexual behavior. Our study aimed to determine prevalence of asymptomatic phary...

 Open Access DOI:10.23937/2469-5793/1510045

Real-Data Comparison of Data Mining Methods in Early Detection of Chronic Obstructive Pulmonary Disease (COPD) in General Practice

Rodriguez-Alvarez Cristobalina, Ruperez Felix, Gonzalez-Davila Enrique, Gonzalez-Martin Isidro, Castro Beatrizand and Arias Angeles

Article Type: Original Research | First Published: November 07, 2016

Health authorities have increased the attention given to chronic obstructive pulmonary disease (COPD) in recent years. Even so, under-diagnosis and late diagnosis rates remain high. The aim of this study was to determine which factors allow to discriminate between people with COPD and which do not, trying to provide a simple tool that can be used by primary health care personnel....

 Open Access DOI:10.23937/2469-5793/1510044

Prolonged Esophageal Button Battery Impaction in a 15 Month-Old: A Case Report

Jennifer Marshalla and Kelly Williamson

Article Type: Case Report | First Published: September 13, 2016

A 15 month-old female was transferred to the emergency department from a gastroenterologist's office after a chest x-ray revealed an esophageal foreign body. The patient was undergoing evaluation for regurgitation of food and refusal to eat solid food for three months with their primary care physician. X-ray of the neck upon arrival in the emergency department revealed that the foreign body was consistent with a button battery. The button battery was likely lodged in the esophagus for the three ...

 Open Access DOI:10.23937/2469-5793/1510043

Improving Conceptual Clarity of Antenatal Interventions: A Scoping Review

Melissa Buultjens, Gregory Murphy, Jeannette Milgrom and Darren Poinen

Article Type: Review Article | First Published: September 02, 2016

There is increasing awareness of perinatal health as a public health issue, while the antenatal period is a transitional time for parents-to-be and presents various opportunities to maximize health outcomes. The objectives of this scoping review were to identify non-pharmacological interventions in antenatal care, to examine the health outcomes and reductions of perinatal morbidity occurring in childbearing women as a result of these interventions, to explore the mechanisms of intervention effec...

 Open Access DOI:10.23937/2469-5793/1510042

Implementation and Outcomes of a Community-Based Educational Program for Colorectal Cancer Prevention in Hispanics

Marcia Cruz-Correa, Frances Cordero, Jean Pierre Betancourt, Yaritza Diaz-Algorri, Sofia M. Lopez, Mirza Rivera, Rafael Mosquera, Victor Carlo-Chevere and Segundo Rodriguez-Quilichini

Article Type: Original Article | First Published: August 25, 2016

The TTT program consisted of didactics and seminars to capacitate participants to become trainers in CRC prevention. This project was evaluated using three components: (1) training workshops; (2) community educational sessions; and (3) the participant's experience as a trainer. Pre - and post-tests on CRC screening knowledge were given to TTT participants. Program effectiveness was determined by the pre- and post-tests, number of workshop participants completing a community educational session w...

 Open Access DOI:10.23937/2469-5793/1510041

Attitudes to Changes in Cervical Screening Guidelines: Preliminary Views of Australian General Practitioners and Nurse Practitioners

Olivia Denham, Suzanne M Garland, Alexandra Gorelik, Gina Ogilvie, Jeffrey Tan, Danielle Mazza, C David H Wrede, Barbara McBride and Yasmin Jayasinghe

Article Type: Research Article | First Published: August 22, 2016

GPs and nurse practitioners were invited to complete an online survey through advertisements in e-newsletters. The survey assessed participants' demographics, cervical screening practices and perceived barriers to screening according to the proposed new guidelines. Responses were on a 7-point Likert scale. Statistical analysis was performed using the chi-square for categorical variables and student T-test for continuous variables. Adjusted odds ratios were determined using multivariate logistic ...

 Open Access DOI:10.23937/2469-5793/1510040

Burnout in Families. The Emotional Burden of the 'Traumatized' Families

Francesco Franza, Gabriella Carpentieri, Serena De Guglielmo, Gianfranco Del Buono, Nicoletta Fiorentino, Mariangela Perito, Barbara Solomita and Vicenzo Fasano

Article Type: Original Article | First Published: August 02, 2016

Family members of people with chronic health problems can be affected by Burnout. A person who assists a suffering person, beyond the professional role, is indicated generally by the term 'caregiver'. The definition of Burnout in families is fairly recent, because the psychology of trauma has ignored a large segment of the traumatized and disabled subjects unwittingly, for a long time....

 Open Access DOI:10.23937/2469-5793/1510039

Prevalence of Burden, Family Dysfunction and Depression in Primary Caregiver of Pediatric Patients with Disabilities

Pineda-Frutos Maria Fernanda, Jimenez-Baez Maria Valeria, Marquez-Gonzalez Horacio, Jimenez-Marquez Abigail, Jaime-Gonzalez Hector, Sandoval-Jurado Luis and Medina-Andrade Luis Angel

Article Type: Original Article | First Published: July 18, 2016

Primary caregivers (PC) health and psychological well-being, in cases of children with disabilities must be studied for the high impact on life quality of both, caregivers and children. Our objective was to analyze the epidemiological profile of children with disabilities and their primary caregiver (PC), determine the presence and severity of depression in the PC, measures the burden degree of the PC and estimate the presence of family dysfunction....

 Open Access DOI:10.23937/2469-5793/1510038

Family Accommodation in the Different Dimensions of the Symptoms of Obsessive-Compulsive Disorder

Mariana Bonati de Matos, Andressa Jacondino Pires, Jessica Puchalski Trettim, Carolina Coelho Scholl, Viviane Porto Tabeleao, Rafaelle Stark Stigger, Mariane Lopez Molina, Ricardo Tavares Pinheiro and Luciana de Avila Quevedo

Article Type: Original Article | First Published: July 18, 2016

This was a cross-sectional study with patients and their family members diagnosed with OCD at a research clinic. The instruments used in this study were: the Mini International Neuropsychiatric Interview (MINI PLUS), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), the Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS) and the Family Accommodation Scale for Obsessive-Compulsive Disorder - Interviewer-Rated (FAS-IR)....

 Open Access DOI:10.23937/2469-5793/1510037

Examining Characteristics of Hospitalizations in Heart Failure Patients: Results from the 2009 All-payer Data

Lufei Young, Carol Gilbert, Jungyoon Kim, Yaewon Seo, Fernando A Wilson and Li-Wu Chen

Article Type: Original Article | First Published: June 28, 2016

Heart failure (HF) is one of the most common chronic and disabling illnesses, resulting in high morbidity and mortality. Readmission rate, one key indicator of healthcare quality and healthcare utilization, is prevalent in HF patients. Inconsistent evidences exist about the impact of rural health disparities on HF patients' readmissions. The purpose of this explorative study was to examine the characteristics of hospitalized HF patients and factors related to readmissions in 2009....

 Open Access DOI:10.23937/2469-5793/1510036

Globalization Challenges to Family Nutrition in the Caribbean: The Way Forward

Fitzroy J Henry

Article Type: Review Article | First Published: June 27, 2016

Good family nutrition is a major public health goal in the Caribbean but obesity is the dominant nutritional outcome in all age groups. Overweight/obesity prevalence in preschool children is up to 14%. For adolescents it is 30% and adults over 60%. Unfortunately, the region is far from where it needs to be in making major inroads into coping with this problem, particularly in children. Obesity reflects economically and culturally driven shifts in dietary practices towards over consumption of ene...

 Open Access DOI:10.23937/2469-5793/1510035

Microbiological Safety of Food, Particularly for Vulnerable People

Barbara M Lund

Article Type: Review Article | First Published: June 25, 2016

Foodborne illness affects about one in six Americans each year. Certain groups of people are particularly susceptible to foodborne illness, these include the very young, the elderly, pregnant women and people whose immune system is suppressed by disease or medication. These groups are most likely to incur infection and to suffer severe consequences. Major foodborne pathogens and foods that are particularly associated with hazards are outlined. Factors leading to outbreaks are described and illus...

 Open Access DOI:10.23937/2469-5793/1510034

Obesity and Lifestyle Recommendations in the Light of Islam

Rahila Iftikhar, Muhmmad Albar and Mahdi Qadi

Article Type: Review Article | First Published: June 20, 2016

The prevalence of obesity and, consequently, obesity-related disorders is increasing globally, imposing a burden on health care and costs. Lifestyle interventions are the mainstay of treatment owing to the risks associated with surgery and medications. Although Islam advocates a healthy lifestyle and dieting, Muslim countries are also plagued by a rise in the prevalence of obesity and its associated disorders due to substitution of the traditional diet for a Western diet, which is rich in fats a...

 Open Access DOI:10.23937/2469-5793/1510033

High Rates of Neurobehavioral Disorder Associated with Prenatal Exposure to Alcohol among African Americans Driven by the Plethora of Liquor Stores in the Community

Carl C Bell

Article Type: Short Communication | First Published: June 03, 2016

This short communication highlights the need to screen for and identify the new DSM-5 proposed criteria of Neurobehavioral Disorders associated with Prenatal Alcohol Exposure (ND-PAE). Emerging research has demonstrated that there are populations that at higher risk for this disorder owing to their social circumstances, i.e. the plethora of liquor stores in their community. One point prevalence study found that one low-income African-Americans have rates of ND-PAE at 388/1,000. Over the counter ...

 Open Access DOI:10.23937/2469-5793/1510032

Identifying Health Literacy in Kansas Using the Behavioral Risk Factor Surveillance System (BRFSS)

Amy K Chesser, Trisha V Melhado, Robert B Hines and Nikki Keene Woods

Article Type: Short Communication | First Published: June 02, 2016

Introduction: Despite the increasing recognition of the importance of health literacy, there is a lack of evidence regarding the use of a brief health literacy assessment for population-based, state-led surveys. The objective of this study was to examine the feasibility of adding a health literacy measurement tool to the Kansas Behavioral Risk Factor Surveillance System (BRFSS). Methods:A cross-sectional research design was used. Health literacy data were extracted from the state-specific module...

 Open Access DOI:10.23937/2469-5793/1510031

Perception and Practice of HIV/AIDS Prevention among Female Beauticians in Sagamu Local Government Area of Ogun State, Southwest Nigeria

Adekunle Durojaiye Alabi

Article Type: Original Article | First Published: April 11, 2016

Nigeria has the third highest number of people living with HIV and prevalence among young women 15-24 years is high. Beauticians constitute a high risk group since their work involves the use of sharp instruments. This study was carried out to assess how female beauticians perceive HIV and their prevention of the disease in Sagamu Local Government Area, Ogun State, Southwest Nigeria. A cross-sectional descriptive study was carried out using semi-structured, interviewer-administered questionnaire...

 Open Access DOI:10.23937/2469-5793/1510030

Family Resource and Health Perspective of Children with Turner Syndrome: A Model Testing

Jih Yuan Chen, Mei Chyn Chao, Sheng Yi Yang, Yea Hui Xiao and Ying Hui Lin

Article Type: Quantitative Research Article | First Published: April 08, 2016

The objectives of this study were to elucidate family interaction and psychophysical health among families with members who have Turner Syndrome (TS) through structural equation modeling (SEM), and to investigate differences among patients and their fathers and mothers related to family support, functioning, and hardiness, and mental and physical health. Subjects were recruited from a genetic disease section of a pediatric clinic in a southern Taiwan medical center. There were 59 subjects aged 2...

 Open Access DOI:10.23937/2469-5793/1510029

Prognosis of the Midlife-Elderly from ECG Testing to Gastroesophageal Reflux Disease and Coronary Artery Disease

Stephanie B Mohammed, Andanappa Gadad, B Shivananda Nayak and Vishi Beharry

Article Type: Original Research | First Published: April 01, 2016

We investigated midlife-elderly patients enrolled for echocardiography and the prevalence of gastroesophageal reflux disease (GERD) and coronary artery disease (CAD). This was a cross sectional study. Patients (n = 236) enrolled for echocardiography (ECG) over the age of 30 were selected regardless of their chief complaint and those presented with chest pain were a key feature in this study. Patients free from known disease of age below 30 were excluded from the study. We investigated consented ...

 Open Access DOI:10.23937/2469-5793/1510028

Cervicofacial Actinomycosis

Martin Cabrejas BM, Gargantilla Madera P and Pintor Holguin E

Article Type: Short Review | First Published: March 25, 2016

Actinomycosis is an infectious disease with a world-wide distribution caused by anaerobic and microaerophilic bacteria residing in the oral cavity. Actinomycosis is often difficult to diagnose as it can mimic numerous infectious and noninfectious diseases. It is nowadays uncommon in Europe and the possibility that we may face a patient with actinomycosis is therefore underestimated....

 Open Access DOI:10.23937/2469-5793/1510027

Update on Colorectal Cancer Prevention and Screening

Michael A Noll and Jeanne M Ferrante

Article Type: Review Article | First Published: March 14, 2016

Colorectal cancer (CRC), the 3rd most common cancer type worldwide, results in almost 700,000 deaths from cancer annually. In the United States, there are an estimated 134,490 new cases of CRC diagnosed in 2016, and approximately 49,190 Americans will die from CRC. Risk factors include: advancing age; male gender; Ashkenazi Jewish descent; African-American race; low socioeconomic status; inflammatory bowel disease; diabetes; personal or family history of adenomatous polyps, advanced serrated pol...

 Open Access DOI:10.23937/2469-5793/1510026

Social Ecology and Diabetes Self-Management among Pacific Islanders in Arkansas

Pearl Anna McElfish, Ramey Moore, David Woodring, Rachel S. Purvis, Gregory G. Maskarinec, WilliaminaIoanna Bing, Jonell Hudson, Peter O. Kohler and Peter A. Goulden

Article Type: Research Article | First Published: March 14, 2016

Chronic diseases disproportionately affect ethnic and racial minorities. Pacific Islanders, including the Marshallese, experience some of the highest documented rates of type 2 diabetes. Northwest Arkansas is home to the largest population of Marshallese outside of the Republic of the Marshall Islands, and many migrants are employed by the local poultry industry. This migrant population continues to increase because of climate change, limited health care and educational infrastructure in the Mar...

 Open Access DOI:10.23937/2469-5793/1510025

How can GPs Best Handle Social Determinants in Practice? Application in the Brussels Environment

Jean-Pierre Unger, Sarah Shelmerdine, Casper van der Veer and Michel Roland

Article Type: Review Article | First Published: March 10, 2016

Properly addressing patients' social problems in clinical decisions is central to the widely advocated delivery of bio-psychosocial care. Against the backdrop of a wealth of scientific studies describing social determinants acting upon health status, this position paper aims to orient general practitioners in the practical management of these determinants. This paper follows on from a previous one that dealt with the use of family therapy techniques in addressing interpersonal and emotional stre...

 Open Access DOI:10.23937/2469-5793/1510024

Acute Rhabdomyolysis and Acute Cocaine Intoxication

Gargantilla Madera P, Martin Cabrejas BM and Pintor Holguin E

Article Type: Short Commentary | First Published: January 21, 2016

Rhabdomyolysis is a condition resulting from the release of large quantities of myocyte breakdown products into the circulation, following injury to striated muscles. It is a clinical and biochemical syndrome, defined as an elevation of serum creatine kinasa activity (sCK) to at least 10 times the normal upper limit followed by a rapid decrease of the sCK level back to normal values....

 Open Access DOI:10.23937/2469-5793/1510023

Laennec and the Stethoscope

Gargantilla P, Martin BM and Pintor E

Article Type: Short Commentary | First Published: January 16, 2016

On the occasion of the bicentenary of the birth of the stethoscope we pay homage to this brilliant invention. The stethoscope may be the one instrument common to all doctors and also several health professionals, no other symbol so strongly identifies a doctor than a stethoscope dangling around the neck. Until 1816 physicians used direct auscultation (placing the ear on the chest wall), it was known to Hippocrates but little practiced. It was hard to perform this act on obese or endowed females....

 Open Access DOI:10.23937/2469-5793/1510022

Utilization of Post Abortion Contraceptive and Associated Factors among Women who Came for Abortion Service: a Hospital Based Cross Sectional Study

Lealm Kokeb, Endeshaw admassu, Hiwot Kassa and Tewodros Seyoum

Article Type: Original Article | First Published: December 14, 2015

Introduction: Worldwide as well as in Ethiopia abortion is one of the top lead causes of maternal death. Unwanted pregnancies which end up in abortion occur due to contraception method non use or misuse. To decrease unintended pregnancies and avoid repeated abortions advancing immediate post abortion contraception is crucial. Objective: To assess utilization of post abortion contraceptive and associated factors among women came for abortion service in health institutions at Debre Marcos town, No...

 Open Access DOI:10.23937/2469-5793/1510021

Preventing a Mass Disease: The Case of Gallstones Disease. Role and Competence for Family Physicians

Ignazio grattagliano

Article Type: Review Article | First Published: November 23, 2015

Gallstone formation is due to a complex interaction between genetic and nongenetic factors. Genes are estimated to account for only about one-fourth of the overall gallstone risk, while metabolic/environmental factors are at least partially modifiable in stone-free risk groups, acting by primary prevention measures on diet, lifestyle and/or the environment or, in selected patients (i.e. rapid weight loss, bariatric surgery, somatostatin or analogues therapy, transient gallbladder stasis, hormone...

 Open Access DOI:10.23937/2469-5793/1510020

California Physicians' Opinions of the Interface between Oral and Overall Health: A Preliminary Study

Paul Gavaza, Wonha Kim, Rashid Mosavin and Nguyen Ta

Article Type: Research Article | First Published: November 20, 2015

Background: Oral health is a significant health challenge in the United States. The aim of the study is to investigate California physicians' knowledge and opinion of the interface between oral and overall health as well as their recommendations for strengthening the oral and overall health interface. Method: The questionnaire, a self-addressed, postage paid return envelope and a cover letter explaining the purpose of the project was mailed to 1,000 California physicians. The survey had a total ...

 Open Access DOI:10.23937/2469-5793/1510019

Do Culturally Sensitive Psychological Support Interventions Reduce Stress in Black and Hispanic Professional Health Science Students: A Pilot Study

Samuel R Terrazas, Kathy Revtyak, Krizia Mendez, Marisela Padilla, Jacen S Moore and A Daniel Peralta

Article Type: Short Communication | First Published: November 13, 2015

Stress is a transactional process affected by psychological traits that commonly affect the performance of college students independent of nationality and race. However, Hispanic and Black students tend to perceive more stress in the academic context as a result of many factors, especially insitutional oppression. Many students, including minorities, lack sufficient stress management and coping skills. High levels of stress impact not only mental health, but can lead to physical complications fo...

 Open Access DOI:10.23937/2469-5793/1510018

Medical Student Health Literacy Perspectives and Experiences

Julienne K Kirk, Stephen W Davis, Jade Hairston, Kathryn Melius and Gail S Marion

Article Type: Research Article | First Published: November 09, 2015

Medical students described a variety of scenarios they experienced in their first two or three years of medical school and 17 quotes from the narratives were selected from 130 stories. There were four dominant themes identified from student narratives that were related to communication. These categories included information management, active listening, addressing feelings and reaching common ground. Results suggest that medical students can identify effective and ineffective communication and h...

 Open Access DOI:10.23937/2469-5793/1510017

Rethinking HIV Risks among Women on the US/Mexico Border: Alcohol and Latina Sex Behavior

Michael Parsa, Robert Woolard, Dustin Corgan, Susana Villalobos, Paul Chisolm, Lisa Montgomery, Jiayang Liu, Israel Alba and Patrick Tarwater

Article Type: Research Article | First Published: October 31, 2015

Most young Latina ED patients were unconcerned about risk of HIV infection in spite of their reports of HIV sex risk behavior. Latinas who were RAPS4 positive were more likely to report HIV sex risk behavior, but they had no greater concern about their HIV risk and no greater use of condoms. Preventive interventions should be developed to decrease alcohol use and to increase concern about HIV risk among Latinas....

 Open Access DOI:10.23937/2469-5793/1510016

Patient Health Literacy and Perception of Provider Communication: Is there a Link?

Erin Vaughn, Kristie Hadden and Benjamin Doolittle

Article Type: Research Article | First Published: October 21, 2015

Inadequate health literacy is a common problem that contributes to poor patient-provider communication. Health literacy screening and specific provider communication practices may be important in clinics where patients are at high risk for inadequate health literacy. This study assessed patients' health literacy and their perception of provider communication practices in a primary care residency program clinic serving an urban multi-ethnic population. A convenience sample of 324 patients in an u...

 Open Access DOI:10.23937/2469-5793/1510015

Safeguarding Public Health from Higher Education

Doug Dix

Article Type: Perspective | First Published: October 19, 2015

It is common to assume that colleges and universities provide service to the public. In the U.S., these institutions are granted tax-exemption on this assumption. In times long past, education, in itself, may have been a public service. But it isn't that anymore as the unintended consequences of progress degrade human habitat and social fabric. Education for progress could easily do more harm than good....

 Open Access DOI:10.23937/2469-5793/1510014

Getting them off the Path toward Chronic Disease: Understanding One NJ Community College Students' Food Choices and Eating Habits

Gustave Ado

Article Type: Review Article | First Published: October 15, 2015

Researchers has shown that dietary patterns of many college students predispose them to future health problems and the epidemic of overweight and obesity is prevalent among many students in the United States. Getting community college students off the path to diet related diseases such as type 2 diabetes, heart disease, stroke, some cancers and changing their lifestyle choices so they become generally more healthy requires that we understand how they eat, their levels of physical activity, as we...

 Open Access DOI:10.23937/2469-5793/1510013

Provider's Perspectives on Cultural Competence in Ethnically Diverse Primary Care Practices

Mary A Matteliano and Debra Street

Article Type: Research article | First Published: October 14, 2015

This study explores how frontline healthcare providers describe and understand the delivery of culturally competent care to underserved groups in three neighborhood primary health care practices. Data from fifty intensive interviews and observations at three field sites in a multi-year study are analyzed using grounded theory techniques. Findings show that providers used a range of deliberate strategies-from establishing provider/patient concordance, to finessing language issues, practicing cult...

 Open Access DOI:10.23937/2469-5793/1510012

The Availability of Ultrasound for Infants with Developmental Dysplasia of the Hip in Pennsylvania

Shane Lavin and William Hennrikus

Article Type: Original Research | First Published: October 13, 2015

Currently, The American Academy of Pediatrics (AAP) recommends that serial clinical examinations using the Ortolani and Barlow Technique be performed of the hips of all infants at birth and at well baby examinations until the child is of walking age-about 1 year of life. In addition, the AAP recommends hip imaging with ultrasound (U.S.) at six weeks of life for female infants born in the breech position despite a normal physical examination for hip instability. Lastly, the AAP recommends optiona...

 Open Access DOI:10.23937/2469-5793/1510011

Methamphetamine use Increases Chances of Preeclampsia

Kristina A. Roloff, Gohar Stepanyan, Guillermo Valenzuela

Article Type: Original Article | First Published: September 19, 2015

A single center, retrospective study was performed over an eighteen month period (January 2012 - June 2013) at a county hospital in San Bernardino, California. Methamphetamine use was defined as self-reported use or a positive urine drug screen (UDS) at admission for delivery. Preeclampsia was defined using the American College of Obstetricians and Gynecologists (ACOG) Task Force definition. 1 The incidence of preeclampsia among methamphetamine users was compared to non-users using inferential s...

 Open Access DOI:10.23937/2469-5793/1510010

Neonatal Outcomes of 26,331 Infants Delivered by Obstetrics Fellowship Trained Family Physicians and OB/Gyns

Daniel M. Avery, Karen Burgess, John T. McDonald, Susanna T. Raley, Catherine A. Skinner, Kristine R. Graettinger, Kelly Shoemake, Melanie T. Tucker and Jason M. Parton

Article Type: Original Research Article | First Published: September 06, 2015

Neonatal outcomes of infants delivered by family physicians practicing obstetrics and obstetricians/gynecologists have been studied for years. Most of the studies comparing deliveries of family physicians and OB/GYNs have been limited to low risk pregnancies. Family physicians practicing obstetrics are often the only obstetrics providers in rural, underserved areas. They need to be able to practice independently and manage more than just low risk pregnancies....

 Open Access DOI:10.23937/2469-5793/1510009

Family Oriented Care: Opportunities for Health Promotion and Disease Prevention

Diego Garcia-Huidobro and Tai Mendenhall

Article Type: Review Article | First Published: August 31, 2015

Even though life expectancy has increased in industrialized countries, chronic diseases and mental illnesses are continuous health challenges. Thus, new strategies to further improve health must be implemented. Because family contexts are where health behaviors are usually learned, developed, maintained and changed, targeting family systems (rather than individual patients) is an option to further improving the health status of individuals, families, and communities. This article will review pos...

 Open Access DOI:10.23937/2469-5793/1510008

Xerostomia: Understanding the Diagnosis and the Treatment of Dry Mouth

Ilina Ristevska, Rosaria S. Armata, Christina D'Ambrosio, Melissa Furtado, Leena Anand and Martin A. Katzman

Article Type: Review Article | First Published: August 23, 2015

Xerostomia, commonly referred to as dry mouth syndrome, is a result of reduced or absent salivary flow producing mucosal dryness. It can subsequently cause oral discomforts and alterations in taste, cracked and peeling lips, dry nasal passages, and a painful tongue. Its symptoms make tasks such as swallowing, speaking and sleeping difficult and painful, as well as increasing the risk of gum disease and tooth loss through increased formation of plaque and dental caries....

 Open Access DOI:10.23937/2469-5793/1510007

Expanding the Art-Science of Chronic Disease Management in Primary Care: A Lifestyle Medicine Perspective

Garry Egger

Article Type: Perspective | First Published: August 01, 2015

Changes in living patterns typically result in changes in disease structures within a society. The 'epidemiological transition', which describes the shift from infectious to chronic diseases for example, is common as countries shift from agrarian to industrial lifestyles. Population levels of obesity for example change as societies become more developed, with equivalent BMIs pre development apparently less dangerous than during or after development, as shown recently in China. Health practices t...

 Open Access DOI:10.23937/2469-5793/1510006

Family Therapy in Developing Countries Primary Care

Alain Quinet, Sarah Shelmerdine, Patrick Van Dessel and Jean-Pierre Unger

Article Type: Research Article | First Published: July 23, 2015

Purpose: Mental health and psychosomatic problems are both widespread and disabling in low and middle-income countries (LMIC). There is a clear need for strategies to strengthen first line services for their treatment. Family ('systemic') therapy has been shown to be effective in this setting but there is a dearth of research investigating its use. Methods: A family therapist, psychiatrist by training was interviewed by a public health doctor specialized in health services organization, to deriv...

 Open Access DOI:10.23937/2469-5793/1510005

Rationing of Healthcare Services: An Economic Critique

Peter Zweifel

Article Type: Orginal Research | First Published: June 06, 2015

The starting point of this contribution is the fact that budgets imposed by health policy makers induce rationing, causing inefficiencies in the market for medical services. In addition, inefficiencies spill over into the market for health insurance. In a second step, rationing itself is explained as the outcome of supply and demand for regulation. It is shown that the mere existence of health insurance creates a demand for rationing that increases over time....

 Open Access DOI:10.23937/2469-5793/1510004

Testosterone Effects on the Prostate Gland: Review of Pathophysiology and considerations in Prostate Cancer

Cory Wilczynski and Lily Agrawal

Article Type: Review Article | First Published: May 21, 2015

Testosterone replacement therapy is currently contraindicated in men with a history of prostate cancer. Despite this, new data is emerging in multiple retrospective studies and case reports of testosterone replacement therapy use after treatment for prostate cancer with results that call into question the contraindication. The goal of this paper is to review the association between androgens and the prostate gland physiology and pathology, and analyze the data available concerning the issue of t...

 Open Access DOI:10.23937/2469-5793/1510003

Barriers to Fresh Fruit and Vegetable intake among African Americans in a Southeastern City: Preventive Implications for Cardiovascular Disease

Torrance Stephens, Adewale Troutman, Larry Johnson and Tommy Taylor

Article Type: Research Article | First Published: May 11, 2015

This study summarizes the findings of the Centers for Disease Control and Prevention REACH 2010 intervention's impact on reducing risk for cardiovascular disease among racial and ethnic groups living in the Atlanta Empowerment Zone (AEZ). In Fiscal Year 1999, the Centers for Disease Control and Prevention (CDC) funded several health efforts to develop primary prevention programs for the reduction and elimination of racial and ethnic disparities in health targeting cardiovascular disease....

 Open Access DOI:10.23937/2469-5793/1510002

Becoming a Mom: Improving Birth Outcomes through a Community Collaborative Prenatal Education Model

Nikki Keene Woods and Amy Chesser

Article Type: Research Article | First Published: May 02, 2015

Purpose: Maternal/infant health outcome disparities continue to exist within the United States despite years of research and intervention. The need for collaborative community-based efforts was identified as an important strategy to improve birth outcomes. Objective: Evaluate the impact of a group prenatal education curriculum at increasing maternal health knowledge and decreasing negative maternal/infant health outcomes....

 Open Access DOI:10.23937/2469-5793/1510001

Family Medicine and Disease Prevention: Core Topics for Modern and Healthy Society

Massimo Giangaspero

Article Type: Editorial | First Published: May 02, 2015

Family medicine is expression of societal needs in terms of health and welfare standards. From newborn to elderly, all single members of the family are primary subjects for health strategies. Family physicians, practitioners, researchers in the field of healthcare, medicine and general practice are directly involved in first line to ensure adequate sanitary standards and promote preventive measures....


ClinMed Archive


Articles Published

All articles are fully peer reviewed, free to access and can be downloaded from our ClinMed archive.

Contact our editorial office

ClinMed Journals Index Copernicus Values

Clinical Medical Image Library: 93.51

International Journal of Critical Care and Emergency Medicine: 92.83

International Journal of Sports and Exercise Medicine: 91.84

International Journal of Womens Health and Wellness: 91.79

Journal of Musculoskeletal Disorders and Treatment: 91.73

Journal of Geriatric Medicine and Gerontology: 91.55

Journal of Infectious Diseases and Epidemiology: 91.55

Clinical Medical Reviews and Case Reports: 91.40

International Archives of Nursing and Health Care: 90.87

International Journal of Ophthalmology and Clinical Research: 90.80

International Archives of Urology and Complications: 90.73

Journal of Clinical Nephrology and Renal Care: 90.33

Journal of Family Medicine and Disease Prevention: 89.99

Journal of Clinical Gastroenterology and Treatment: 89.54

Journal of Dermatology Research and Therapy: 89.34

International Journal of Clinical Cardiology: 89.24

International Journal of Radiology and Imaging Technology: 88.88

Obstetrics and Gynaecology Cases - Reviews: 88.42

International Journal of Blood Research and Disorders: 88.22

International Journal of Diabetes and Clinical Research: 87.97

New Issues


International Journal of Clinical Cardiology

ISSN: 2378-2951 | ICV: 89.24



Obstetrics and Gynaecology Cases - Reviews

ISSN: 2377-9004 | ICV: 88.42



Journal of Hypertension and Management

ISSN: 2474-3690 | ICV: 87.69



International Journal of Diabetes and Clinical Research

ISSN: 2377-3634 | ICV: 87.97



Journal of Infectious Diseases and Epidemiology

ISSN: 2474-3658 | ICV: 91.55