Intimate Partner Violence
IPV is a widespread and destructive public health problem that impacts women across the world and the lifespan. IPV encompasses a wide range of negative behaviors towards a person ’s romantic partner which include physical aggression, sexual violence, stalking, psychological torment, and coercive behaviors. Persons who experience IPV face a wide range of debilitating physical, mental health, and financial outcomes compared to those who have never experienced violence. Physi cians play an important role in caring for patients who have experienced violence; knowledge of IPV’s impact, consequences, treatment, and patient ...
Source: Medical Clinics of North America - December 26, 2022 Category: Primary Care Authors: Jillian Kyle Source Type: research
Abnormal Uterine Bleeding
Abnormal uterine bleeding is a common problem in premenopausal women and refers to uterine bleeding that is abnormal in frequency, duration, volume, and/or regularity. Etiologies can be classified using the PALM-COIEN system. Patients should receive a comprehensive history and physical with special attention to menstrual, sexual, and family history. Physical examination needs to include a pelvic examination with speculum and bimanual components. All patients need to have a pregnancy test and CBC with platelets. Treatments vary by etiology. Medical treatments include levonorgestrel intrauterine devices, oral contraceptive p...
Source: Medical Clinics of North America - December 26, 2022 Category: Primary Care Authors: Elena Lebduska, Deidra Beshear, Brielle M. Spataro Source Type: research
Disease-Related Malnutrition and Enteral Nutrition
There are many misconceptions surrounding the diagnosing and treatment of malnutrition and around feeding people with enteral nutrition (EN). Often the decisions made by clinicians are made from anecdote or guidelines that may be out of date or supported by low-quality evidence. In this article, we will discuss different aspects of diagnosing malnutrition and delve deeper into the science and evidence behind certain recommendations. Our goal is to better equip the reader with the most current data-supported recommendation, such as indications, contraindications, complications of EN, tube and ostomy complications, types and...
Source: Medical Clinics of North America - November 19, 2022 Category: Primary Care Authors: Wasay A. Mohajir, Stephen J. O ’keefe, David S. Seres Source Type: research
Psychiatric Issues Among Health Professionals
COVID-19 has increased the interest in the wellbeing of health professionals (HPs) as they have experienced stress, loss, and fatigue-related symptoms. Research evidence from previous epidemics points to an increase in the prevalence of affective, anxiety, and addictive disorders among them. HPs are trained to care for others and to recover from severe stressors. However, they tend to neglect self-care and have difficulties in seeking appropriate help when need it. This new scenario becomes an opportunity to promote a new culture of professionalism whereby caring for the caregivers becomes a priority both at a personal and...
Source: Medical Clinics of North America - November 17, 2022 Category: Primary Care Authors: Mar ía Dolores Braquehais, Sebastián Vargas-Cáceres Source Type: research
The Role of Inflammation in the Pathophysiology of Depression and Suicidal Behavior
Depression and suicidal behavior are 2 complex psychiatric conditions of significant public health concerns due to their debilitating nature. The need to enhance contemporary treatments and preventative approaches for these illnesses not only calls for distillation of current views on their pathogenesis but also provides an impetus for further elucidation of their novel etiological determinants. In this regard, inflammation has recently been recognized as a potentially important contributor to the development of depression and suicidal behavior. This review highlights key evidence that supports the presence of dysregulated...
Source: Medical Clinics of North America - November 17, 2022 Category: Primary Care Authors: Gianluca Serafini, Alessandra Costanza, Andrea Aguglia, Andrea Amerio, Alice Trabucco, Andrea Escelsior, Leo Sher, Mario Amore Source Type: research
CME Accreditation Page
(Source: Medical Clinics of North America)
Source: Medical Clinics of North America - November 17, 2022 Category: Primary Care Source Type: research
Clinical Psychiatry
MEDICAL CLINICS OF NORTH AMERICA (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - November 17, 2022 Category: Primary Care Authors: LEO SHER Source Type: research
Copyright
ELSEVIER (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - November 17, 2022 Category: Primary Care Source Type: research
Forthcoming Issues
Women ’s Health (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - November 17, 2022 Category: Primary Care Source Type: research
Contributors
JACK ENDE, MD, MACP (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - November 17, 2022 Category: Primary Care Source Type: research
Contents
Jack Ende (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - November 17, 2022 Category: Primary Care Source Type: research
Parenteral Nutrition
Parenteral nutrition (PN) is a therapy to nourish patients who cannot tolerate feeding via the gut. Though a life-saving intervention, it does have risks associated. In this article, we aim to dispel myths associated with PN. Practitioners who manage critically ill patients or patients with intestinal failure should be equipped with evidence-based knowledge of PN including the indications, contraindications, feasibility, complications, and long-term management of PN. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - November 15, 2022 Category: Primary Care Authors: Wasay A. Mohajir, Stephen J. O ’keefe, David S. Seres Source Type: research
Suicide
Most suicides have a diagnosable psychiatric disorder, most frequently, a mood disorder. Psychosocial issues and neurobiological abnormalities such as dysregulation in stress response systems contribute to suicidal behavior. All psychiatric patients need to be screened for the presence of suicidal ideation. Clinicians are expected to gather information about patient's clinical features and to formulate decisions about patient's dangerousness to self and the treatment plan. As psychiatric disorders are a major risk factor for suicide their pharmacologic and psychological treatment is of utmost importance to prevent suicide....
Source: Medical Clinics of North America - October 27, 2022 Category: Primary Care Authors: Leo Sher, Maria A. Oquendo Source Type: research
Fire and Darkness: On the Assessment and Management of Bipolar Disorder
We present an overview of bipolar disorder and its subtypes, including algorithms and suggestions for screening, assessment, and treatment. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - October 27, 2022 Category: Primary Care Authors: Katerina Nikolitch, Gayatri Saraf, Marco Solmi, Kurt Kroenke, Jess G. Fiedorowicz Source Type: research
Post-traumatic Stress Disorder
Post-traumatic stress disorder (PTSD) is characterized by symptoms of re-experiencing, avoidance, negative alterations in cognition and mood, and marked alterations in arousal and reactivity following exposure to a traumatic event. PTSD can be assessed by structured interviews and screening measures in psychiatric and nonpsychiatric settings. Evidence-based psychotherapies are the first-line treatment of PTSD, with cognitive behavioral therapies, such as prolonged exposure, cognitive processing therapy, and eye movement desensitization and reprocessing having the largest body and highest quality of evidence. Serotonin reup...
Source: Medical Clinics of North America - October 27, 2022 Category: Primary Care Authors: Addie N. Merians, Tobias Spiller, Ilan Harpaz-Rotem, John H. Krystal, Robert H. Pietrzak Source Type: research
