Minor Medical Conditions Research Articles

Implementasi Sistem Antrian Pasien Berbasis Website Pada Klinik Sehat Tamba Kelurahan Cilangkap

Clinics are health facilities that provide basic medical services, diagnosis, treatment, and care to patients with minor or non-emergency medical conditions. The development of information technology has triggered the need for information systems in the medical field to improve health services. One important factor in increasing patient satisfaction is minimizing waiting time. Long queues can reduce clinic efficiency and affect patient satisfaction. This study aims to implement a website-based patient queue system at the Tamba Sehat Clinic, with the hope of increasing service efficiency and patient satisfaction. In implementing the website queuing system, researchers used qualitative methods to understand the effectiveness of health services and patient experiences. Data was collected through interviews, observations, and literature studies. The implementation of the Website-Based Patient Queuing System at the Tamba Sehat Clinic has had a significant impact. People can now easily get a queue number online via mobile phone or computer, eliminating the need to queue directly at the clinic location. Tamba Sehat Clinic, which was established in January 2023, has seen increased efficiency with this system. Patients can quickly and efficiently get a queue number, ensuring that their time is spent productively. Additionally, adopting this technology helps clinics improve the quality of service to prospective patients, creating a more comfortable and efficient experience for those in need of healthcare services. Thus, the implementation of a website-based patient queue system has brought real benefits to the community and clinics.

Assessment of Self-Medication Practices and its AssociatedFactors among First-Year Medical Students at Kampala International UniversityWestern Campus

Self-medication in Uganda is becoming alarming and 7 out of every 10 Ugandan students practice self-medication to assess self-medication practices and its associated factors among first-year medical students of KIU₋WC Bushenyi district western Uganda. This was a crosssectional study conducted among 196 registered first-year medical students of KIU-WC who consented to participate anonymously in the study. Data was collected from them with the help of questionnaires which were coded and entered in SPSS version 25 for analysis. Data was then presented in form tables. The majority 90(45.9%) were between the ages of 21 and 24, the majority 72 (36.5%) were Catholics, and the majority 96(56.5%) were males. The prevalence of self-medication was 98.5%. Many 95 (49.2%) got information about self-medication from family and friends, that the majority 86 (44.6%) used strong pain relievers to self-medicate, and that pharmacies/drug stores were the most common source of drugs used in selfmedication, as suggested by 143 (74.1%). The majority of 134 (69.4%) asked someone before self-medicating, with pharmacists being the most frequently questioned 60 (31.1%). Finally, many 99 (51.3%) of those respondents had no idea whether the drugs they purchased could treat their condition. Many 129 (65.8%) self-medicate only for minor medical conditions, the majority 129 (65.8%) say they get better when they self-medicate, many 72 (36.7%) say it is cheap, and the majority 85 (43.4%) say it is convenient. Of the 193 participants who have ever self-medicated, 62 (32.1%) experienced side effects from the drugs they self-medicated with, and the most common side effect was an allergic reaction, as reported by 26/62 (41.9%). The drugs that caused the most side effects were strong pain relievers and antimalarials, as indicated by 20/62 (32.3%) for each category of drugs. The prevalence of self-medication among first-year medical students at KIUWC Bushenyi in western Uganda is high. The common source of information were friends and family,analgesics or painkillers were commonly used drugs and they commonly asked pharmacists before self-medication. The factors associated with self-medication include being 21-24 years, being male, having easy access to drugs or cheap drugs, prior experience with the illness, medical knowledge as well as self-belief in drugs used. Keywords: Self-medication, First-year medical students, Pharmacists, Drugs, pain relievers and antimalarials.

An EMS Response to Refugees Arriving at an International Airport: A Report From the Field.

Following Afghanistan's fall in August 2021, many refugees were settled in the United States as part of Operation Allies Welcome. They were flown from Kabul to the Middle East and Europe before continuing to the U.S. By late September Philadelphia was the sole destination. From there refugees were transported to Safe Haven military bases around the country. Philadelphia International Airport became the site of a months-long operation involving city, state, federal, and private agencies engaged in processing, medical screening, and COVID-testing of arriving refugees. The Philadelphia Fire Department played an integral role. Minor medical conditions were treated onsite. Higher acuity patients were transported to nearby hospitals. The goal was to maintain flow of refugees to their next destination while addressing acute medical issues. Between August 28, 2021, and March 1, 2022, the airport processed 29,713 refugees. Philadelphia's experience may serve as a guide for planning future such refugee operations.

M-health services equipped with public sector community health centers (MH-PS-CHCs), an emerging public-private joint venture in China: adoption from M-health Users’ Perspective

ABSTRACT People with minor medical conditions in China tend to prefer healthcare consultation in the emergency department of tertiary hospitals and avoid public sector community health centers (PS-CHC). The reason behind this is the trust deficit in the quality of medical care at PS-CHC. On the other hand, Chinese m-health companies have a surprising number of registered users and daily healthcare queries. However, the lack of physical check-ups causes a lack of trust in the quality of prescribed treatments for m-health users. One such m-health company entered into a joint venture with a local government body. In this joint venture, the doctors from tertiary hospitals can provide healthcare consultation to m-health users at PS-CHC. This study investigates m-health users’ intention to use m-health services equipped with PS-CHC, an emerging public-private joint venture in China. We extended the technology acceptance model with government support and trust to predict the adoption of such technology-based public-private joint ventures in a better way. The data were collected from 432 m-health users in Hefei and analyzed using Smart-PLS. All eight direct, but only three mediating relationships were to be found significant. This study has implications for researchers, government healthcare authorities, and m-health service providers.

Emergency Department Visits Before Sudden Unexpected Infant Death: A Touchpoint for Unsafe Sleep Reduction.

Unsafe sleep remains a leading cause of preventable sudden unexpected infant death (SUID). Infants frequently visit emergency departments (EDs), but the frequency of visits before SUID is unknown. The objective of this study was to determine how often SUID infants visited a pediatric ED or urgent care (UC) before death. We performed a retrospective study of infant deaths in the county of a large, academic pediatric institution. We linked institutional records with coroner reports and death scene investigations. We excluded deaths associated with childbirth, prematurity, injury, or underlying medical condition. We characterized all SUID infants, focusing on unsafe sleep factors detailed in the medical record and scene reports. The main outcome was ED/UC visit(s) before the visit for SUID. Seventy-three of 122 infant deaths met inclusion criteria for SUID over 76 months (April 2014-July 2020). Median age at death was 87 days (IQR 58, 137); 68 (93%) died before 6 months-of-age. Twenty infants (27%) had an ED/UC visit before SUID; mean visits for these infants were 1.7 (SD 0.8). Median days between the last ED/UC visit and SUID was 39; five infants visited the ED/UC within 2 weeks of SUID. Most visits were for minor medical conditions. All 73 SUID infants had at least one unsafe sleep factor; 88% had ≥2 and 56% ≥3. Many SUID infants visited a pediatric ED/UC before death, and unsafe sleep factors were found in every case. Early infancy ED/UC visits may present an opportunity for targeted prevention efforts.

Enabling Cost-Effective and Secure Minor Medical Teleconsultation Using Artificial Intelligence and Blockchain

While the onset of the COVID-19 pandemic has increased the popularity of home-based consultations, worries over privacy, high consultations costs, slow response times, and the burden on doctors due to the overwhelming number of COVID-19 cases have made current in-person and online models ineffective. In this study, we present an advanced, privacy-protected, artificial intelligence and blockchain-based consultation framework for minor medical conditions. Patients can post their medical queries anonymously on the blockchain network, which may be answered by any available medical professionals. The queries are sorted into their respective domains using naive Bayes and logistic regression. The consultations provided by medical specialists are evaluated based on their reputation, expertise, detail orientation, and the use of supporting documents, and rewards are given in accordance with the evaluation scheme. This fair and incentivized system provides cheaper and more accessible healthcare to patients, which is the need of the hour.

Management of male pattern hair loss (androgenic alopecia) through Ayurveda multimodal approach

Male pattern hair loss or Androgenic Alopecia (AGA) is one of the most prevalent forms of hair loss among men. The general symptoms include progressive thinning of the scalp hair and reduction in hair density. Hair loss is typically seen as a receding front hairline or loss of hair on vertex of the scalp or a combination of both. Although considered a relatively minor medical condition, AGA can lead to cosmetic as well as psychosocial distress in a person. Even though many conventional therapies have been evolved, there is no satisfactory cure for this condition. In this study, a case of AGA managed by Ayurveda Shamana (∼pacification) therapy is being presented. The prescribed treatment protocol comprised the drugs having Keshya (∼drug or intervention good for hair), Rakta shuddhikara (∼drug or intervention having potency of purifying blood), and Rasayana (∼rejuvenation) properties. The criterion for assessment was based on the Severity of Alopecia Tool scale. The observations made before and after the treatment showed promising results in the management of AGA without causing any adverse effects.

A machine learning and blockchain based secure and cost-effective framework for minor medical consultations

With the ever-increasing awareness among people regarding their health, visiting a doctor has become quite common. However, with the onset of the COVID-19 pandemic, home-based consultations are gaining popularity. Nevertheless, the worries over privacy and the lack of willingness to assist patients by the medical professionals in the online consultation process have made current models ineffective. In this paper, we present an advanced protected blockchain-based consultation model for minor medical conditions. Our model not only ensures users’ privacy but by incorporating a calculation model, it also offers an opportunity for consulting end-users to voluntarily take part in the consultation process. Our work proposes a smart contract based on machine learning to be implemented for the prediction of a score of a professional who consults based on various prioritized parameters. This is done by using word2vec and TF-IDF weighting to classify the question and cosine similarity scores for detailed orientation analysis. Based on this score, the patient is charged, and simultaneously, the responder is awarded ether. An incentivized method leads to more accessible healthcare while reducing the cost itself.

Spiritual Well-being in Patients With Generalized Anxiety Disorder and General Medical Conditions: Demographics in Context

The purpose of current study was to examine the predictive role of various socio demographic variables for spiritual well-being among participants with Generalized Anxiety Disorder (GAD) and those with minor General Medical Conditions (GMC). Using purposive sampling technique, 90 participants including 40 (22 men, 18 women) with GAD and 50 (23 men, 27 women) with GMC with the age range of 18-58 years completed a socio-demographic questionnaire along with Spiritual Wellness Inventory (Ingersoll, 1998). The findings of the regression analysis revealed that for GAD group, age appeared to be the only significant predictor for spiritual well-being. Analyses on the subscales revealed that Concept of Hereafter was positively predicted by religious inclination, Conscientiousness was positively predicted by age, Mystery was predicted by age and gender for group with GAD; while, for GMC group, gender predicted Practicing Rituals. Furthermore, the findings of t-test revealed that women with GMC utilized more religious rituals than men; however, no such difference was found in the GAD group. The results have important implications to address the spiritual issues concerning anxiety problems during the course of therapy.

Judge Not the Play Before the Play Is Done: The Role of Creative Play in the Treatment of a Child with a History of Congenital Impairment

ABSTRACTThis paper explores the organizing effect of a relatively minor congenital medical condition on the development of an 8-year-old girl; the role of creative play in the integration of what she experienced as traumatic; and finally, the role of play as facilitating her progressive development. Despite full recovery from her medical condition, the patient’s limitations in mobility between the ages of 1 and 4 profoundly affected her image of herself and her sense of self-worth. The central character in her symbolic play also suffered from mobility restrictions and the changes in the doll’s capacity to use her legs closely corresponded to the changes in the patient’s self-representation. Detailed clinical material of the nine-year-long analysis focuses on the development-promoting role of creative play. It also features the transition from imaginative play to direct discourse, and the course of the successful termination of her analytic treatment. The interpretive work involving the patient’s neurotic conflicts is highlighted within this context.

Comparison of Spiritual Well-Being and Coping Strategies of Patients with Generalized Anxiety Disorder and with Minor General Medical Conditions

The purpose of the present study was to compare the spiritual well-being and coping strategies of patients with generalized anxiety disorder (GAD) and those with general medical conditions (GMC). The sample was comprised of 40 participants with GAD fulfilling the diagnostic criteria of DSM IV-TR and 50 participants with GMC. The descriptive statistics, correlation analysis and independent sample t test were used for data analysis. The results revealed the significant negative correlation of spiritual wellness with GAD symptoms and positive correlation between spiritual wellness, active practical and religious-focused coping strategies. The independent sample t test showed that spiritual wellness of participants with GMC was higher than participants with GAD. Moreover, out of 13 dimensions of spiritual wellness inventory, the scores of participants with minor general medical conditions in the dimensions of conception of divinity, present centeredness, hope, forgiveness, conscientiousness and spiritual freedom remained significantly higher than those with GAD. The participants with GMC used more active practical coping strategies and religious-focused coping strategies than participants with GAD. There was no difference between two groups of participants in using active distracting coping strategies, while avoidance-focused coping strategies were used by participants with GAD more than those with GMC.

Ronald Ogier Ward, urologist, hero & first president of BAUS

Ronald Ogier Ward, urologist, hero &amp; first president of <scp>BAUS</scp>

Parental Rejection, Personality Maladjustment and Depressive Symptoms in Female Adolescents in Pakistan

Depressive symptoms in adolescents are matter of concern because of its high prevalence and impairment of functioning in the affected individual. Present research was conducted to examine parental rejection effect on personality maladjustment and depressive symptoms in female adolescents in Pakistan. 100 female adolescents (M = 16.03, SD = 1.74) with minor medical conditions were recruited from thee different hospitals. Parental Acceptance-Rejection Questionnaire (Rohner 2005), Personality Assessment Questionnaire (Rohner, 2005) and Centre for Epidemiological Studies Depression Scale (CES-D; Radloff, 1977) were used to assess parental rejection, personality maladjustment and depressive symptoms respectively. Results revealed that parental rejection had significant positive correlation with personality maladjustment and depressive symptoms. Significant positive relationship was found between parental rejection, personality maladjustment and depressive symptoms in adolescents. Personality Maladjustment and parental rejection emerged as significant predictors of depressive symptoms in adolescents. Implications of the findings for parents, health professionals and policy makers are discussed in the context of Pakistani culture.

PS56 Risk Of Intentional Self-Harm In Young People With Selected Mental And Chronic Physical Conditions In England

BackgroundSelf-harm is a well recognised act of psychological distress in some young people. Children and young adults with chronic disease are known to have an increased risk of psychological distress,...

Medical Events During the 2009 Los Angeles County Station Fire: Lessons for Wildfire EMS Planning

Background. Little is known about the types of injuries and medical problems encountered by fire department personnel during suppression of large campaign-type wildland fires. Such information could help to plan for response to medical incidents during future wildfires. Objective. To describe the injuries and medical problems experienced by firefighters during the 2009 Los Angeles County Station Fire. Methods. This was a retrospective analysis of case records of patients treated during the Los Angeles County Station Fire. Data were abstracted from two sources: the incident command medical tracking sheet and prehospital patient care reports (PCRs). Results. The sample included 183 patient contacts, of which PCRs were available for 65. For the remaining 118 patients, data were abstracted from the incident command medical tracking sheet. The most common chief complaint was extremity injury, accounting for 44 patient contacts (24% of all patients), with smoke inhalation second, at 32 patient contacts (17%). Of the 65 patients with PCRs, 31 (52%) were treated with oxygen, 26 (40%) had intravenous (IV) lines started, and 15 (23%) received an IV fluid bolus. Half of the patients were transported to an emergency department (ED); the remainder were treated on scene or self-transported to a non–acute care facility. Conclusions. Most firefighter injuries and illnesses encountered during the Los Angeles Station Fire were minor. The prevalence of injuries observed should be taken into consideration in creation of protocols and mandatory equipment lists for fireline paramedics. Furthermore, advanced training for paramedics in the diagnosis and treatment of minor medical conditions may be useful.

Antidepressant Use and Cognitive Functioning in Older Medical Patients With Major or Minor Depression

The long-term cognitive effect of antidepressant medications in older persons is not well understood, especially in those with minor depression and complex medical conditions. The objective of this study is to examine this relationship in older medical patients with different depression diagnoses. 281 medical inpatients aged 65 years and older from 2 acute care hospitals in Montreal, Canada, were diagnosed as with major or minor depression or without depression according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria. They were followed up with the Mini-Mental State Examination for cognitive function and the Hamilton Depression Rating Scale for depressive symptoms at baseline and 3, 6, and 12 months after discharge. Antidepressant medication was ascertained from a provincial prescription database and quantified as cumulative exposures over each follow-up interval. During the 12-month follow-up period, 1027 antidepressant prescriptions were filled. The most frequently prescribed antidepressant agents were citalopram (0.81 prescriptions per person), sertraline (0.76), and paroxetine (0.66). Antidepressant use was not associated with cognitive changes among patients with major depression or without depression but was associated with an increased Mini-Mental State Examination score in patients with minor depression (1.4 points; 95% confidence interval, 0.1-2.6), independent of change in the severity of depression symptoms, concomitant benzodiazepine or psychotropic drug use, and other potentially important confounders. In this cohort of older medical patients, antidepressant use for 12 months did not lead to significant cognitive impairment. The small cognitive improvement among minor depression associated with antidepressant use deserves further investigation.

Interpersonal problems in alexithymia: A study in three primary care groups.

The present study investigated the relation between alexithymia and interpersonal problems in a sample of primary care patients with either chronic fatigue syndrome (CFS); a chronic cardiovascular or auto-immune disease; or a minor medical condition. It was hypothesized that the relation between cold interpersonal functioning would account for the differences in alexithymia scores between the patient groups. Participants were 155 primary care patients that were recruited through 52 general practitioners: 52 CFS patients; 52 patients with a chronic cardiovascular or auto-immune disease; 51 patients with a minor medical condition. Interpersonal problems were assessed by means of the Inventory of Interpersonal Problems and alexithymia was assessed by means of the Toronto Alexithymia Scale. CFS patients and patients with a chronic cardiovascular or auto-immune disease have substantially higher alexithymia scores than patients with a minor medical condition. Alexithymia is positively related to cold and distant interpersonal functioning; negatively related to self-sacrificing and overly accommodating in relation to others; and positively related to vindictiveness and self-centredness. The relation between alexithymia and these interpersonal problems accounts for the differences in alexithymia scores between the patient groups. Alexithymia and interpersonal problems should be considered together, in terms of one deficient affect regulatory system, and the relation between alexithymia and specific illness conditions is secondary to this. Clinical assessment of patients with problems in naming and discussing affective states should never be isolated from an examination of their interpersonal problems, and vice versa. Mentalization-based therapy is recommended for patients with problems in naming affective states, interpersonal problems, and concomitant CFS or other alexithymia-related diseases.

Hulpvraag en therapeutische relatie bij onverklaarde chronische vermoeidheid

Help-seeking preferences and therapeutic relationship in unexplained chronic fatigue Research indicates that in functional somatic disorders the request for therapeutic help is related to either medical symptoms or interpersonal problems. We test whether a specific type of request for help is present in a sample of primary care patients with either chronic fatigue syndrome; a chronic cardiovascular or auto-immune disease; or a minor medical condition. In this study 155 primary care patients were recruited through 52 primary care practitioners: 52 chronic fatigue syndrome (CFS) patients; 52 patients with a cardiovascular or auto-immune disease; 51 patients with a minor medical condition. Interpersonal problems were assessed by means of the Inventory for Patients’ Request for Help (HLV). Chronic Fatigue Syndrome was measured with the Checklist Individual Strength (CIS); alexithymia was assessed by means of the Toronto Alexithymia Scale (TAS-20); and the driven and impatient interpersonal functioning by the Jenkins Activity Survey (JAS). Results indicate that CFS patients have a significantly more consumer related request for help with the emphasis on symptom reduction. Prolonged and debilitating fatigue was significantly related to a request for medical and liaison-psychiatric help; a help request in a more impatient functioning is related to higher complaint behavior; and alexithymia was related to a request for specific medical aid. We found no specific therapeutic relationship in Chronic Fatigue Syndrome. We conclude that the exact status of the therapeutic relationship in CFS and cardiovascular or auto-immune disease remains undecided, but clearly the request for consumer help and symptom reduction is related to CFS as a population.

Unexplained Chronic Fatigue and Interpersonal Problems: A Study in a Primary Care Population

Unexplained fatigue syndromes are multidimensional phenomena that involve a constellation of symptoms. This article explores whether typical interpersonal problems are associated with self-reported and clinically-rated fatigue symptoms in chronically fatigued patients. We hypothesize that the severity of fatigue symptoms will be associated with a pattern of withdrawal from social interaction. Interpersonal problems were assessed by means of a self-report questionnaire. Chronic fatigue was assessed with a self-report questionnaire (both self-rated and clinically-rated) in a primary care Chronic Fatigue Syndrome (CFS) group (N = 52) and compared with two other clinical populations (minor medical condition: N = 51; chronic organic disease: N = 52). Compared to patients with a minor medical condition, CFS patients are substantially more fatigued and more socially withdrawn. Compared to patients with a chronic organic disease, somewhat more fatigue-related disability was observed in CFS patients, but no distinct interpersonal problems came to the fore. CFS patients and physicians proved to differ in their opinion on the patient's motivation. In line with the hypothesis, self-rated and clinically-scored fatigue problems proved to be related to a pattern of withdrawal from social interaction. Differences between physicians' and patients in how symptoms are interpreted might be related to patients feeling misunderstood and result in social withdrawal.

Chronic medical conditions and developmental psychopathology in preschool aged children

Curtis and Luby provide evidence from questionnaires completed by 273 parents, and then functional assessments of children, that preschool aged children with relatively minor but chronic medical conditions are at substantial risk for developmental psychopathology. The message is two-fold: 1) Clinicians, parents, and “teachers” should be aware of the risk and observe children's behavior for signs of troubled adjustment to illness, and 2) Investigators should study further the psychosocial consequences of chronic illness, as well as interventional strategies that are fine-tuned for preschool aged children. Curtis and Luby provide evidence from questionnaires completed by 273 parents, and then functional assessments of children, that preschool aged children with relatively minor but chronic medical conditions are at substantial risk for developmental psychopathology. The message is two-fold: 1) Clinicians, parents, and “teachers” should be aware of the risk and observe children's behavior for signs of troubled adjustment to illness, and 2) Investigators should study further the psychosocial consequences of chronic illness, as well as interventional strategies that are fine-tuned for preschool aged children.