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Management: Family Practices
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Early Life Nutrition and the Developing Brain
J Fam Pract. 2023 Jul;72(6 Suppl):S25-S30. doi: 10.12788/jfp.0619.ABSTRACTThe developmental origins of health and disease (DOHaD) hypothesis suggests prenatal nutrition sets the stage for the developing brain, with effects that last into adulthood. Macronutrient and micronutrient requirements increase in pregnancy and deficiencies can influence fetal neurodevelopment and cognition. Foods such as eggs, meat, and seafood contain many of the nutrients needed for healthy neurodevelopment and intake should be encouraged among women of reproductive age. Family practice clinicians play an important role in providing nutrition rec...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Danielle Christifano Lara Bennett Source Type: research
Acute Pain in Perspective
J Fam Pract. 2023 Jul;72(6 Suppl):S7-S12. doi: 10.12788/jfp.0617.ABSTRACTAcute pain is a common and nearly universal experience that usually has a sudden onset and is limited in duration. It is a normal physiologic response to a noxious stimulus that can become pathologic if untreated or not treated effectively. Acute pain has a limited duration (<1 month) and often is caused by injury, trauma, or medical treatments such as surgery. Primary care practitioners (PCPs) who encounter patients with acute pain can help preserve function and quality of life and prevent progression to chronic pain by implementing appropriate ma...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Bill McCarberg Source Type: research
Just a simple country doctor
J Fam Pract. 2023 Jul;72(6):232-243. doi: 10.12788/jfp.0635.NO ABSTRACTPMID:37549409 | DOI:10.12788/jfp.0635
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Anthony J Viera Source Type: research
Reducing Ischemic Stroke in Diabetes: The Role of GLP-1 RAs
J Fam Pract. 2023 Jul;72(6 Suppl):S55-S60. doi: 10.12788/jfp.0624.ABSTRACTStroke is a significant cause of mortality worldwide, and diabetes is an independent risk factor for ischemic stroke occurrence and recurrence. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) lower the risk of ischemic stroke through beneficial effects on traditional stroke risk factors such as hyperglycemia, hypertension, and dyslipidemia. Primary care practitioners (PCPs) can play a substantial role in reducing ischemic stroke; studies have indicated that patients who have a PCP at the time of first stroke have a lower risk of stroke recurren...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: John E Anderson Javed Butler Andrei V Alexandrov Source Type: research
Does use of continuous or flash glucose monitors decrease hypoglycemia episodes in T2D?
J Fam Pract. 2023 Jul;72(6):271-275. doi: 10.12788/jfp.0643.ABSTRACTNO. In adults with insulin-treated type 2 diabetes (T2D), continuous glucose monitoring (CGM) and flash glucose monitoring (FGM) do not decrease symptomatic hypoglycemia episodes (strength of recommendation [SOR], B) but do lower time in hypoglycemia (SOR, C; disease-oriented evidence).CGM, in which glucose levels are sent automatically in numeric and graphic format to a patient's smart device for their potential action, did not change the hypoglycemic event rate (SOR, B; 2 prospective studies). CGM significantly reduced hypoglycemia duration in an 8-month...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Frances K Wen Simone Bigelow Kimberly Crosby Raye Reeder Toni Hoberecht Emrys Moreau Source Type: research
Use of ICS and Fast-Acting Bronchodilators in Asthma: Past, Present, and Future
J Fam Pract. 2023 Jul;72(6 Suppl):S61-S70. doi: 10.12788/jfp.0625.ABSTRACTPrimary care practitioners (PCPs) play a key role in asthma management since most patients with asthma are treated in primary care settings. Despite continual advances in asthma care, important practice gaps remain, and the high burden of asthma exacerbations persists, with 43% of children with asthma and 41% of adults with asthma in the United States experiencing an asthma exacerbation in 2020. Uncontrolled asthma, incomplete assessment of exacerbation and asthma control history, reliance on systemic corticosteroids (SCS) or short-acting beta2-agoni...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Neil Skolnik Marissa Norden Njira Lugogo Wendy Wright Source Type: research
Knee pain and injury: When is a surgical consult needed?
J Fam Pract. 2023 Jul;72(6):253-259. doi: 10.12788/jfp.0629.ABSTRACTThis review identifies clinical scenarios-such as unstable or displaced fractures, major tendon ruptures, and significant mechanical issues-that likely warrant surgical consultation.PMID:37549407 | DOI:10.12788/jfp.0629
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: David M Siebert Christopher Kweon Source Type: research
30-year-old woman • progressive dyspnea and peripheral edema • 35th week of gestation with a history of mild preeclampsia • Dx?
J Fam Pract. 2023 Jul;72(6):266-268. doi: 10.12788/jfp.0633.ABSTRACT► progressive dyspnea and peripheral edema ► 35th week of gestation with a history of mild preeclampsia.PMID:37549406 | DOI:10.12788/jfp.0633
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Neal Robert Abarbanell Anqi Abarbanell Source Type: research
Generalized maculopapular rash and fever
J Fam Pract. 2023 Jul;72(6):273-275. doi: 10.12788/jfp.0640.ABSTRACTWas this a case of the "great masquerader"? Or was it something else?PMID:37549405 | DOI:10.12788/jfp.0640
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Alexandra Verdieck Eric Ardman Nicholas Defelice Source Type: research
Rapid-onset ulcerative hand nodule
J Fam Pract. 2023 Jul;72(6):269-270. doi: 10.12788/jfp.0634.ABSTRACTWas this an infectious abscess, or something less common?PMID:37549404 | DOI:10.12788/jfp.0634
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Madelaine Fritsche Christopher Bazewicz Matthew Helm Source Type: research
Squamous cell carcinoma
J Fam Pract. 2023 Jul;72(6):E13-E15. doi: 10.12788/jfp.0644.NO ABSTRACTPMID:37549403 | DOI:10.12788/jfp.0644
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Candrice R Heath Richard P Usatine Source Type: research
Screening for hepatitis B: Where the CDC and USPSTF diverge
J Fam Pract. 2023 Jul;72(6):260-263. doi: 10.12788/jfp.0642.ABSTRACTThe CDC recently issued guidance on screening for hepatitis B infection. Here's a look at how (and why) these recommendations differ from those of the USPSTF.PMID:37549402 | DOI:10.12788/jfp.0642
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Doug Campos-Outcalt Source Type: research
Is injectable PrEP superior to oral therapy for HIV protection?
J Fam Pract. 2023 Jul;72(6):264-265. doi: 10.12788/jfp.0630.ABSTRACTAn RCT of HIV preexposure prophylaxis compared long-acting injectable cabotegravir with traditional daily oral tenofovir-emtricitabine-with clear results.PMID:37549401 | PMC:PMC10410461 | DOI:10.12788/jfp.0630
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: David Kriegel Anthony Daniels Dean A Seehusen Source Type: research
Prescribing DOACs with specific patient populations in mind
J Fam Pract. 2023 Jul;72(6):244-252. doi: 10.12788/jfp.0631.ABSTRACTWhat prescribing considerations should be top of mind when obesity, renal disease, cancer, or thrombophilia are at play?PMID:37549400 | DOI:10.12788/jfp.0631
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Kevin Schleich Brigit E Ray Source Type: research
An STI upsurge requires a nimble approach to care
J Fam Pract. 2023 Jul;72(6):E1-E12. doi: 10.12788/jfp.0641.ABSTRACTBeing fluent in new guidelines helps you meet the challenges of changing disease prevalence, rising antibiotic resistance, and evolving social patterns.PMID:37549399 | DOI:10.12788/jfp.0641
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Kelsie Kelly Michelle Sommer Belinda Vail Source Type: research