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Management: Family Practices

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Total 15008 results found since Jan 2013.

Hybrid Schedules Are Key to Physician Recruitment and Retention
Fam Pract Manag. 2023 Sep;30(5):7-8.NO ABSTRACTPMID:37699132
Source: Family Practice Management - September 12, 2023 Category: Practice Management Authors: Natasha Bhuyan Source Type: research

Testing a single item screener to support family doctors in identifying patients with limited health literacy: convergent validity of the SILS and the HLS-EU-Q16
CONCLUSIONS: The SILS provided an acceptable initial assessment of HL limitations among a heterogeneous population of mainly chronically ill patients in a primary care setting. With only one item, the SILS can be a short and effective tool for routine use in primary care and specialized care settings. Future research should test the SILS in other populations and pilot applications of the SILS in routine care.PMID:37559006 | DOI:10.1186/s12875-023-02112-7
Source: Primary Care - August 9, 2023 Category: Primary Care Authors: Stephanie Stock Arim Shukri Sibel Altin Farah Nawabi Daniele Civello Marcus Reda èlli Adrienne Alayli Source Type: research

Web-based interventions to improve blood pressure control in patients with hypertension: a protocol for a systematic review
Introduction Hypertension is the major cause of cardiovascular disease and mortality in the world. Blood pressure control (BPC) is recognised as a key measure in the management of hypertension. Several studies have been conducted assessing the impact of specific web-based interventions in improving BPC. Our systematic review intends to identify all the available web-based interventions and determine if and which are more effective than usual care in improving BPC. Methods and analysis We will include randomised control trials completed until April 2023 including patients diagnosed with hypertension comparing the effect of...
Source: BMJ Open - August 9, 2023 Category: General Medicine Authors: Bernardes, M. L., Rosendo-Silva, B., Rosendo, I., Monteiro-Soares, M. Tags: Open access, General practice / Family practice Source Type: research

Pain management in indigenous and tribal peoples: a scoping review protocol
Introduction Effective and culturally safe pain management can facilitate analgesia and improve the quality of life. Individualised, multimodal and multidisciplinary approaches are highly recommended. There exist gaps in the knowledge on pain management, in terms of the assessment and/or treatment, in indigenous peoples and the currently available information is scattered in the literature. A scoping review will provide an overview or evidence map on the variety of approaches used in different cultures, in different parts of the world. Methods and analysis The search strategy comprises three stages. The first stage identi...
Source: BMJ Open - August 9, 2023 Category: General Medicine Authors: Oliveira, P. R. d., Pereira, L. V., da Silva Carvalho Vila, V., Guimaraes Lemes, A., da Rocha, E. M., Ferreira, A. B., Borges, M. D. Tags: Open access, General practice / Family practice Source Type: research

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

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

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

Reducing Cardiopulmonary Risk and Exacerbations in COPD
J Fam Pract. 2023 Jul;72(6 Suppl):S49-S54. doi: 10.12788/jfp.0623.ABSTRACTNew updates in the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023 report include major changes to initial disease assessment and pharmacologic therapy, highlighting the clinical relevance of exacerbations. The updated GOLD 2023 algorithms offer a shorter path to consideration of triple therapy, including both initial and follow-up treatment. Most mild- or moderate-severity chronic obstructive pulmonary disease (COPD) exacerbations can be successfully managed in outpatient settings; primary care clinicians have many opportunities t...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Barbara Yawn Source Type: research

Early Intervention by Family Physicians to Delay Type 1 Diabetes
J Fam Pract. 2023 Jul;72(6 Suppl):S19-S24. doi: 10.12788/jfp.0618.ABSTRACTType 1 diabetes (T1D) is an autoimmune disease mediated by T cells that target and destroy insulin-producing beta cells. Individuals with genetic risk of T1D will progress at variable rates through 3 stages of immune activation and development of islet autoimmunity. Measuring pancreatic islet cell autoantibodies predicts risk for progression that can take weeks to years before the onset of T1D. Screening options available to family physicians can identify persons at risk or in the early stages of T1D, such as first- and second-degree relatives or tho...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Steven Edelman Source Type: research

A Patient-Centered Approach to Managing IBS-C and CIC
J Fam Pract. 2023 Jul;72(6 Suppl):S1-S6. doi: 10.12788/jfp.0514.ABSTRACTAt the end of the activity, participants will be able to: Implement a staged strategy for the diagnostic evaluation of irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) based on history and physical examination, including the Rome IV criteria. Discuss the evidence and guideline recommendations for self-care as well as over-the-counter (OTC) and prescription therapies to treat IBS-C and CIC, Individualize treatment for IBS-C and CIC emphasizing patient-centered care to address patient concerns, improve outcomes...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Brian E Lacy Source Type: research

New Paradigms for CKD Management in Patients With T2D
J Fam Pract. 2023 Jul;72(6 Suppl):S37-S42. doi: 10.12788/jfp.0621.ABSTRACTAt the end of the activity, participants will be able to: Identify the risks of kidney disease and their consequences in patients with type 2 diabetes (T2D). Appropriately screen for the presence of chronic kidney disease (CKD) in patients with T2D. Initiate evidence-based therapy to slow the progression of kidney disease in patients with T2D and CKD. Become familiar with the novel nonsteroidal mineralocorticoid receptor antagonist finerenone and its role in the treatment of patients with T2D and CKD.PMID:37549415 | DOI:10.12788/jfp.0621
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Joshua J Neumiller Stephen A Brunton Source Type: research

Insomnia Management: A Review and Update
J Fam Pract. 2023 Jul;72(6 Suppl):S31-S36. doi: 10.12788/jfp.0620.ABSTRACTInsomnia is a distinct disorder that is common, yet underrecognized and undertreated in primary care. Treating insomnia has been shown to improve outcomes, including reduced risk of developing cardiovascular and mental health disorders. Insomnia is influenced by the brain's regulation of sleep and wake, which are mutually exclusive events. Insomnia should be treated as a distinct condition, even when occurring with a comorbid diagnosis such as depression or anxiety. Clinicians should implement a multimodal approach to insomnia management, including n...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: David P Shaha Source Type: research

Continuous Glucose Monitoring in Practice
J Fam Pract. 2023 Jul;72(6 Suppl):S13-S18. doi: 10.12788/jfp.0568.ABSTRACTAfter reading this review article, participants should be able to: Prepare the practice for continuous glucose monitoring (CGM). Understand options available to the practice for professional (practice-owned) and personal (patient-owned) CGM. Locate and interpret CGM data, using the ambulatory glucose profile (AGP), to determine if the patient is achieving targets established by the International Consensus on Time in Range. Modify a patient's treatment plan based on CGM data to improve patient outcomes.PMID:37549413 | DOI:10.12788/jfp.0568
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Eden M Miller Source Type: research