Healthcare worker engagement in federally qualified health centers and associations with confidence in making healthcare recommendations: Evidence from the Louisiana Community Engagement Alliance
Throughout the COVID-19 pandemic, there have been numerous demands on primary care practices and providers impacting work engagement and burnout, which can affect healthcare delivery and patient outcomes. We determined potentially modifiable factors associated with work engagement among employees of FQHCs throughout Louisiana. Resilient coping, spirituality, and social support were associated with being engaged at work. FQHC employees perceiving a more chaotic work environment and those with depressive or anxiety symptoms were less likely to be engaged at work. Being engaged was associated with confidence in COVID-19 vacci...
Source: Medical Clinics of North America - June 30, 2023 Category: Primary Care Authors: Erin Peacock, Leia Y. Saltzman, Joshua L. Denson, Sara Al-Dahir, Michelle Wilson, LaKeisha Williams, Marie Krousel-Wood, LA-CEAL FQHC Partners Source Type: research
Venous Thromboembolism
The Centers for Disease Control and Prevention estimates that approximately 900,000 patients are diagnosed with venous thromboembolism (VTE) annually in the United States leading to approximately 548,000 hospitalizations and 100,000 deaths. Approximately 274 people die daily in the United States from VTE. The numbers are staggering with 1 person dying every 5 minutes! There are more deaths annually in the United States from VTE than breast cancer (41,000), AIDS (16,000), and motor vehicle accidents (32,000) combined! VTE is recognized as a leading cause of preventable hospital deaths and a leading cause of maternal death...
Source: Medical Clinics of North America - June 26, 2023 Category: Primary Care Authors: Anthony Joseph Macchiavelli Source Type: research
Unprovoked Venous Thromboembolism
Venous thromboembolism (VTE) is a common vascular disorder encompassing deep vein thrombosis (DVT) and pulmonary embolism (PE). There is no data on global estimates of VTE prevalence and incidence. Most patients with unprovoked VTE require secondary thromboprophylaxis upon the completion of the primary treatment phase if they have no high bleeding risk. Risk prediction models can help identify patients at low VTE recurrence risk who may discontinue anticoagulation upon the completion of the primary treatment phase. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - June 26, 2023 Category: Primary Care Authors: Hunter Mwansa, Mohamed Zghouzi, Geoffrey D. Barnes Source Type: research
Varicose Veins
This article will review chronic venous disease, including its differential diagnosis, workup, and treatment. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - June 20, 2023 Category: Primary Care Authors: Viviane Seki Sassaki, Eri Fukaya Source Type: research
Vasculitis: When to Consider this Diagnosis?
This article aims to provide physicians with a diagnostic approach to vasculitis. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - June 17, 2023 Category: Primary Care Authors: Kunal Mishra, Randy K. Ramcharitar, Aditya M. Sharma Source Type: research
Acceptance of a Future Gonorrhea Vaccine in a Post –Coronavirus Disease 2019 World
Widespread uptake of a future gonorrhea vaccine could decrease the burden of disease and limit the spread of antibiotic resistance. However, gonorrhea vaccination will occur in the backdrop of the roll-out of the coronavirus disease 2019 (COVID-19) vaccine, which could have influenced parental perceptions about other, non –COVID-19 vaccines. In an internet-based cross-sectional survey, 74% of parents would get a gonorrhea vaccine for their child, and this was higher among those whose trust in pharmaceutical companies increased since the start of the COVID-19 pandemic. About 60% of adults aged 18 to 45 would receive a vac...
Source: Medical Clinics of North America - June 13, 2023 Category: Primary Care Authors: Abram L. Wagner, Ashley Lacombe-Duncan, Matthew L. Boulton Source Type: research
TEMPORARY REMOVAL: Acceptance of a Future Gonorrhea Vaccine in a Post-COVID-19 World
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies/article-withdrawal. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - June 13, 2023 Category: Primary Care Authors: Abram L. Wagner, Ashley Lacombe-Duncan, Matthew L. Boulton Source Type: research
Acceptance of a Future Gonorrhea Vaccine in a Post-COVID-19 World
Widespread uptake of a future gonorrhea vaccine could decrease the burden of disease and limit the spread of antibiotic resistance. In an Internet-based cross-sectional survey, 74% of parents would get a gonorrhea vaccine for their child, and this was higher among those whose trust in pharmaceutical companies increased since the start of the COVID-19 pandemic. About 60% of adults, 18 to 45 years would receive a vaccine for themselves. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - June 13, 2023 Category: Primary Care Authors: Abram L. Wagner, Ashley Lacombe-Duncan, Matthew L. Boulton Source Type: research
Acceptance of a future gonorrhea vaccine in a post-COVID-19 world: impact of type of recommendation and changing levels of trust in health institutions and authorities
Widespread uptake of a future gonorrhea vaccine could decrease the burden of disease and limit the spread of antibiotic resistance. In an internet-based cross-sectional survey, 74% of parents would get a gonorrhea vaccine for their child, and this was higher among those whose trust in pharmaceutical companies increased since the start of the COVID-19 pandemic. About 60% of adults 18-45 years would receive a vaccine for themselves. Acceptance was higher among those with higher risk sexual behaviors, such as having multiple sexual partners, and among those who expressed increased trust in pharmaceutical companies and scienti...
Source: Medical Clinics of North America - June 13, 2023 Category: Primary Care Authors: Abram L. Wagner, Ashley Lacombe-Duncan, Matthew L. Boulton Source Type: research
Lower-Extremity Vascular Ulcers
Healing of skin wounds of the lower extremities can be complicated by concomitant vascular disease. Dysfunction of the arterial, venous, and/or lymphatic systems can compromise the healing of skin ulcers of the legs, creating a burden for patients from painful, draining wounds and placing patients at risk for infection, amputation, and even death. Insights into vascular pathophysiology and an understanding of the processes of wound healing permit an evidence-based approach to patients with vascular leg ulcers. Clinical trials have demonstrated opportunities to improve the care of patients with vascular leg ulcers, thereb...
Source: Medical Clinics of North America - June 11, 2023 Category: Primary Care Authors: James B. Alexander Source Type: research
Cold Hands or Feet
Raynaud ’s phenomenon is an exaggerated response to cold stimuli that may be primary or secondary. The diagnosis relies on patient history and physical examination to distinguish RP from other vasomotor dysfunction (e.g. acrocyanosis, pernio, small fiber neuropathy with vasomotor symptoms, and complex reg ional pain syndrome). Achenbach syndrome, or spontaneous venous hemorrhage, may also be mistaken for RP but is a self-limiting phenomenon. Laboratory evaluation and vascular diagnostic testing may identify SRP causes. Regardless of etiology, treatment includes warming with trigger avoidance, and con sideration of vasodi...
Source: Medical Clinics of North America - June 4, 2023 Category: Primary Care Authors: Daniella Kadian-Dodov Source Type: research
Atherosclerotic Disease
Atherosclerotic disease, including stroke and myocardial infarction, is the leading cause of morbidity and mortality worldwide. Atherosclerotic plaque formation occurs in the setting of excess oxidative and hemodynamic stress and is perpetuated by smoking, poor diet, dyslipidemia, hypertension, and diabetes. Plaque may rupture, resulting in acute thrombotic events. Smoking cessation, lifestyle modification, risk factor optimization, and antithrombotic therapies are the mainstays of atherosclerotic disease management and are the cornerstones to reduce morbidity and mortality in this high-risk patient population. Novel thera...
Source: Medical Clinics of North America - June 1, 2023 Category: Primary Care Authors: Amanda M. Morrison, Alexander E. Sullivan, Aaron W. Aday Source Type: research
CME Accreditation Page
(Source: Medical Clinics of North America)
Source: Medical Clinics of North America - May 30, 2023 Category: Primary Care Source Type: research
An Update in Nephrology
MEDICAL CLINICS OF NORTH AMERICA (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - May 30, 2023 Category: Primary Care Authors: Jeffrey M. Turner, Ursula C. Brewster Source Type: research
Copyright
ELSEVIER (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - May 30, 2023 Category: Primary Care Source Type: research
