Sunil Abraham
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View article: Large cohort study of postnatal events over 18 months in a not-for-profit referral centre in Vellore, South India
Large cohort study of postnatal events over 18 months in a not-for-profit referral centre in Vellore, South India Open
Objective To assess maternal medical conditions, physical and surgical ailments, contraceptive use and barriers to its use, maternal mental health, neonatal health, breastfeeding practices and available social support in the postpartum per…
View article: The landscape of family medicine in India – A cross-sectional survey study
The landscape of family medicine in India – A cross-sectional survey study Open
Family medicine was recognized as a distinct specialty in India in the early 1980s, but it is at an early stage of implementation. There are few training programs, and little is known about family physicians’ training, perceptions, and cur…
View article: A Survey on Factors Affecting Knowledge and Satisfaction with Care Among Persons with Diabetes Mellitus in an Urban Health Centre and its Outreach Clinics in South India
A Survey on Factors Affecting Knowledge and Satisfaction with Care Among Persons with Diabetes Mellitus in an Urban Health Centre and its Outreach Clinics in South India Open
Our study found better knowledge and satisfaction with diabetes care at the ORC than at the UHC. Whether or not the difference can be attributed to CHW-based clinics in the community needs to be further elucidated.
View article: Pioneering family physicians and the mechanisms for strengthening primary health care in India—A qualitative descriptive study
Pioneering family physicians and the mechanisms for strengthening primary health care in India—A qualitative descriptive study Open
India has one of the most unequal healthcare systems globally, lagging behind its economic development. Improved primary care and primary health care play an integral role in overcoming health disparities. Family medicine is a subset of pr…
View article: The emergence of family medicine in India–A qualitative descriptive study
The emergence of family medicine in India–A qualitative descriptive study Open
Countries globally are introducing family medicine to strengthen primary health care; however, for many, that process has been slow. Understanding the implementation of family medicine in a national context is complex but critical to uncov…
View article: Primary care for the urban poor in India during the pandemic: Uninterrupted management of non-communicable diseases and home-based care of patients with COVID-19 infection
Primary care for the urban poor in India during the pandemic: Uninterrupted management of non-communicable diseases and home-based care of patients with COVID-19 infection Open
Problem The two waves of COVID-19 severely affected the healthcare system in India. The government responded to the first wave with a strict nationwide lockdown which disrupted primary care, including the management of non-communicable dis…
View article: Primary care for India’s urban dwellers living in informal settlements during the COVID-19 pandemic: The experience of the Christian Medical College, Vellore, Department of Family Medicine
Primary care for India’s urban dwellers living in informal settlements during the COVID-19 pandemic: The experience of the Christian Medical College, Vellore, Department of Family Medicine Open
COVID-19 disproportionally affects India's 81 million people living in urban informal settlements, where inadequate housing, water and sanitation increase the risk and rate of infection.
View article: Early Symptoms of Patients With COVID-19 in Family Medicine Centers in South India: A Retrospective Study
Early Symptoms of Patients With COVID-19 in Family Medicine Centers in South India: A Retrospective Study Open
Introduction: A recent Cochrane review on the diagnostic accuracy of initial signs and symptoms of COVID-19 reported on the lack of evidence from studies conducted in community-based health-care settings. Since a broad spectrum of patients…
View article: Management of patients with obstructive lung disease in South India: a retrospective study of spirometry and bronchodilator use in an urban health centre
Management of patients with obstructive lung disease in South India: a retrospective study of spirometry and bronchodilator use in an urban health centre Open
Background: Based on the burden of obstructive lung diseases program (BOLD), the global prevalence of chronic obstructive pulmonary disease (COPD) was 11.7% in which 90% of the deaths occur in low- and middle-income countries. India and Ch…
View article: Management of diabetic ketosis and ketoacidosis with intramuscular regular insulin in a low-resource family medicine setting
Management of diabetic ketosis and ketoacidosis with intramuscular regular insulin in a low-resource family medicine setting Open
This study demonstrates that IM regular insulin is a safe alternative method in managing DK and DKA in a family medicine setting.
View article: Characteristics, types and causes of chest pain in an urban family practice secondary care center in South India
Characteristics, types and causes of chest pain in an urban family practice secondary care center in South India Open
Background . Chest pain is a common diagnostic problem faced by primary and emergency care physicians. We are taught to consider the cardiac cause of chest pain as the usual cause from our undergraduate textbooks. Though the cardiac cause …
View article: An uncommon cause for vomiting
An uncommon cause for vomiting Open
Thyrotoxicosis may present with a variety of non specific symptoms in elderly patients. Gastrointestinal symptoms such as nausea, vomiting and abdominal discomfort can occasionally be the presenting feature of thyrotoxicosis in this age gr…
View article: The value of an ENT specialist outreach service in a Family Medicine Unit for the urban poor in India
The value of an ENT specialist outreach service in a Family Medicine Unit for the urban poor in India Open
This study demonstrated that majority of the patients with ENT-related problems who presented to an FM Unit could be managed by the FM specialists. Of those patients who required the expertise of a specialist in ENT, the majority could be …