Medication abortion for adolescents in the United States: Strengthening the role of pediatric primary care providers
ConclusionIn light of the current legal landscape, the role of pediatric primary care providers in ensuring adolescent access to abortion care is ever more critical. Although many pediatric and adolescent providers already provide this important care, we, a team of obstetricians/gynecologists and adolescent medicine physicians, echo prior calls for improved training and institutional support for pediatric providers to counsel about and provide abortion-related care. We hope that highlighting the role of pediatric providers in this sphere will help center the needs of adolescent patients and help them fulfill their family p...
Source: Perspectives on Sexual and Reproductive Health - April 26, 2024 Category: Sexual Medicine Authors: Anabel Starosta, Julen Harris, Aileen Gariepy, Shefali Pathy, Julia Cron Tags: COMMENT Source Type: research

Impact of the COVID-19 era on preventative primary care for children 0 –5 years old: a scoping review protocol
The objective of this scoping review is to characterise the utilisation of preventative primary care and its association with child development for children ages 0 –5 years old during the COVID-19 era. In addition, we will determine if specific groups of children are at greater risk for reduced access to care.MethodsA systematic search will be conducted for studies published between March 11, 2020, and October 2023 in the following databases: MEDLINE (Ovid), Embase (Ovid), Cochrane Library (CENTRAL and CDSR), Web of Science, and CINAHL (EBSCOhost). This scoping review will follow the methodological framework developed b...
Source: Systematic Reviews - April 26, 2024 Category: International Medicine & Public Health Source Type: research

Effect of switch from flash glucose monitoring to flash glucose monitoring with real-time alarms on hypoglycaemia in people with type 1 diabetes mellitus
We aimed to evaluate the utility of the FreeStyle Libre 2 device for reducing time below range level 1 and level 2 compared with the Freestyle Libre device (without alarms) in people with type 1 diabetes mellitus. We conducted longitudinal observational follow-up study of a cohort of 100 people with type 1 diabetes mellitus who had switched from FreeStyle Libre to FreeStyle Libre 2 as part of routine clinical practice. Three months after switching to FreeStyle Libre 2, compared with results with FreeStyle Libre, there were a significant improvements in time below range level 1 (p = 0.02) and level 2 (p (Source: Primary Care Diabetes)
Source: Primary Care Diabetes - April 26, 2024 Category: Primary Care Authors: A. Guti érrez-Pastor, JA Quesada, MM Soler-Martínez, C. Carratalá Munuera, FJ Pomares-Gómez Source Type: research

IJERPH, Vol. 21, Pages 551: Consensus Panel Recommendations for the Pharmacological Management of Breastfeeding Women with Postpartum Depression
Conclusions: The ensuing recommendations were as follows: Recommendation 1: Depressive and anxiety disorders, as well as their pharmacological treatment, are not contraindications for breastfeeding. Recommendation 2: The Panel advocates for the continuation of medication that has demonstrated efficacy during pregnancy. If initiating an antidepressant during breastfeeding is necessary, drugs with a superior safety profile and substantial epidemiological data, such as SSRIs, should be favored and prescribed at the lowest effective dose. Recommendation 3: For the short-term alleviation of anxiety symptoms and sleep disturbanc...
Source: International Journal of Environmental Research and Public Health - April 26, 2024 Category: Environmental Health Authors: Georgios Eleftheriou Riccardo Zandonella Callegher Raffaella Butera Marco De Santis Anna Franca Cavaliere Sarah Vecchio Cecilia Lanzi Riccardo Davanzo Giovanna Mangili Emi Bondi Lorenzo Somaini Mariapina Gallo Matteo Balestrieri Guido Mannaioni Guglielmo Tags: Review Source Type: research

Polygenic scores for longitudinal prediction of incident type 2 diabetes in an ancestrally and medically diverse primary care physician network: a patient cohort study
ConclusionsGenetic information can help identify high-risk patients even among those perceived to be low risk in a clinical evaluation. (Source: Genome Medicine)
Source: Genome Medicine - April 26, 2024 Category: Genetics & Stem Cells Source Type: research

How to make Asthma Right Care ‘easy’ in primary care: learnings from the 2023 Asthma Right Care Summit
npj Primary Care Respiratory Medicine, Published online: 26 April 2024; doi:10.1038/s41533-024-00366-xHow to make Asthma Right Care ‘easy’ in primary care: learnings from the 2023 Asthma Right Care Summit (Source: npj Primary Care Respiratory Medicine)
Source: npj Primary Care Respiratory Medicine - April 26, 2024 Category: Primary Care Authors: Si ân Williams Jaime Correia de Sousa Ee Ming Khoo Habib Ghedira Vincent Mak Mar Mart ínez Vázquez Cl áudia Vicente Darush Attar-Zadeh Source Type: research

Maternal awareness, acceptability and willingness towards respiratory syncytial virus (RSV) vaccination during pregnancy in Ireland
ConclusionsDespite low levels of maternal awareness of RSV, pregnant women in Ireland are open to availing of antenatal vaccination. Maternal immunization strategies need to focus on infant's protection from RSV-associated ALRI along with vaccine safety, and build on an interdisciplinary collaboration of maternal, neonatal, primary care and public health services. (Source: Immunity, Inflammation and Disease)
Source: Immunity, Inflammation and Disease - April 25, 2024 Category: Allergy & Immunology Authors: Siobhan McCormack, Claire Thompson, Miriam Nolan, Mendinaro Imcha, Anne Dee, Jean Saunders, Roy K Philip Tags: ORIGINAL ARTICLE Source Type: research

Bridging the Gap: Addressing Immigrant Health Through Community-initiated Screening Events
CONCLUSIONS: Working directly with the community, we designed and implemented health prevention events which served to meet a growing need and to identify and address health concerns among the Hispanic immigrant community.PMID:38661823 (Source: Progress in Community Health Partnerships)
Source: Progress in Community Health Partnerships - April 25, 2024 Category: International Medicine & Public Health Authors: Sally Moyce Nathaniel Sisson Madeline Metcalf Source Type: research

Community Health Workers Deliver Mental Health Intervention to Uninsured Latinx in Baltimore: Evaluation and Lessons Learned in a Pilot Program
CONCLUSIONS: Further implementation studies of depression care interventions using CHWs for underserved Latinx is needed.PMID:38661831 (Source: Progress in Community Health Partnerships)
Source: Progress in Community Health Partnerships - April 25, 2024 Category: International Medicine & Public Health Authors: Monica Guerrero Vazquez Jin Hui Joo Suzanne M Dolwick Grieb Marzena Maksym Katherine Phillips Rheanna Platt Rohanit Singh Cecilia Suarez Veronica Torres SangEun Yeom Sarah Polk Source Type: research

Viral Myositis in an Eight-Year-Old
Cureus. 2024 Mar 25;16(3):e56887. doi: 10.7759/cureus.56887. eCollection 2024 Mar.ABSTRACTBenign acute childhood myositis (BACM) is a pediatric syndrome characterized by mild self-limiting sudden onset of muscle pain during or following recovery from a viral illness. The case discussed in this report is of an eight-year-old female diagnosed with the common cold after presenting to her primary care physician. Five days later, the patient presented to the emergency department with lower extremity pain. The patient was sent home with supportive care and mild analgesics. Twelve hours later, the patient was seen again in the em...
Source: Pain Physician - April 25, 2024 Category: Anesthesiology Authors: Micah Pippin William Stansbury Praveen Budde Source Type: research

Evaluation and Management of Testicular Cancer After Late Relapse
Oncology (Williston Park). 2024 Apr 11;38(4):142-146. doi: 10.46883/2024.25921018.ABSTRACTA 41-year-old man presented to his primary care physician with a 1-month history of left neck adenopathy in the context of a history of nonseminomatous germ cell tumors (NSGCTs). In 2011, the patient was treated for stage IB (T2N0M0S0) right-sided NSGCTs of the testis, which were 95% embryonal and 5% yolk sac tumors. He underwent a right radical orchiectomy and was followed until 2022 without recurrence. In the work-up for his adenopathy, laboratory results for human chorionic gonadotropin, lactate dehydrogenase, and α-fetoprotein we...
Source: Oncology (Williston Park, N.Y.) - April 25, 2024 Category: Cancer & Oncology Authors: Joanna L Langner Frederick Millard Vera Vavinskaya Haiyan Zhang Nuphat Yodkhunnatham Aditya Bagrodia Source Type: research

'Does it matter how old I feel?' The role of subjective age in a psychosocial intervention for improving depressive symptomatology among older adults in Brazil (PROACTIVE)
CONCLUSION: Our findings emphasize the importance of investigating possible underlying mechanisms that can help clarify the impact of mental health interventions.PMID:38660984 | DOI:10.1080/13607863.2024.2342959 (Source: Aging and Mental Health)
Source: Aging and Mental Health - April 25, 2024 Category: Geriatrics Authors: M Clara de Paula Couto Klaus Rothermund Carina A Nakamura Nadine Seward Pepijn van de Ven William Hollingworth Tim J Peters Ricardo Araya Marcia Scazufca Source Type: research

Mind the Gap in Kidney Care: Translating What We Know  Into What We Do
Iran J Kidney Dis. 2024 Mar;18(2):68-86. doi: 10.5254/sqbbj216.ABSTRACTHistorically, it takes an average of 17 years to move new treatments from clinical evidence to daily practice. Given the highly effective treatments now available to prevent or delay kidney disease onset and progression, this is far too long. The time is now to narrow the gap between what we know and what we do. Clear guidelines exist for the prevention and management of common risk factors for kidney disease, such as hypertension and diabetes, but only a fraction of people with these conditions worldwide are diagnosed, and even fewer are treated to tar...
Source: Iranian Journal of Kidney Diseases - April 25, 2024 Category: Urology & Nephrology Authors: Valerie A Luyckx Katherine R Tuttle Dina Abdellatif Ricardo Correa-Rotter Winston W S Fung Agn ès Haris Li-Li Hsiao Makram Khalife Latha A Kumaraswami Fiona Loud Vasundhara Raghavan Stefanos Roumeliotis Marianella Sierra Ifeoma Ulasi Bill Wang Siu-Fai Lu Source Type: research

A mixed-methods evaluation of patients' views on primary care multi-disciplinary teams in Scotland
CONCLUSION: MDT-care has expanded in Scotland with limited patient awareness. Although patients understand its potential value, many patients are unhappy with reception signposting to first-contact MDT care, especially those in deprived-urban areas living with multimorbidity. This represents a barrier to the aims of the new GP contract.PMID:38663983 | DOI:10.3399/BJGPO.2023.0200 (Source: Rural Remote Health)
Source: Rural Remote Health - April 25, 2024 Category: Rural Health Authors: Kieran D Sweeney Eddie Donaghy David Henderson Harry Hx Wang Andrew Thompson Bruce Guthrie Stewart W Mercer Source Type: research

Immigrant Mothers' Perspectives on Pediatric Primary Care: Challenges and Solutions to Improve Medical Home Use
J Health Care Poor Underserved. 2024;35(1):299-315.ABSTRACTChildren in immigrant families (CIF) constitute 25% of all children in the United States. Known barriers to accessing and navigating the health care system for immigrants (i.e., poverty, fear, limited English proficiency, lack of insurance) lead to decreased medical home establishment among CIF, although the ways in which these obstacles affect medical home access are less studied. With a focus on Congolese, Afghan, Syrian/Iraqi, and Central American immigrants, key informant interviews and focus groups were conducted to identify mothers' perceptions of and experie...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Tricia Francisco Wagner Allison Olmsted Kimberly Kay Lopez Karla Fredricks Source Type: research