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Management: Family Practices
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Total 14999 results found since Jan 2013.
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
Optimized Management of Cardio-Renal-Metabolic (CRM) Conditions in Patients With T2D
J Fam Pract. 2023 Jul;72(6 Suppl):S43-S48. doi: 10.12788/jfp.0622.ABSTRACTDescribe cardio-renal-metabolic (CRM) conditions and their impact on health and patient-centered outcomes. Recognize current gaps in screening, risk factor management, and utilization of guideline-directed therapies in patients with CRM conditions. Select appropriate guideline-directed therapies for patients with type 2 diabetes, atherosclerotic cardiovascular disease, heart failure, and/or chronic kidney disease based on current guidelines and clinical evidence. Recognize the importance of multidisciplinary care when managing patients with CRM condi...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Jay H Shubrook Joshua J Neumiller 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
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
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
