Atopic Dermatitis (AD) is a chronic inflammatory disease of the skin characterized by cutaneous findings of dry skin, erythematous scaly papules, or plaques, and lichenification. The hallmark of AD is pruritis, which drives most of the disease burden. While this disease is thought to primarily affect children, it commonly affects adults as well [ 1 ]. In the adult population, AD may be persistent from childhood, relapsing AD that was thought to be resolved, or adult-onset AD. Although AD is commonly seen in the adult population and is associated with a significant disease burden, many providers are inadequately educated about the recognition and treatment of AD in adults. This paper will review the clinical features, pathophysiology, diagnosis, treatment, and management of AD in the adult population. Working to better understand AD and its impact on patients may be beneficial in minimizing the burden of this disease on the adult population
{"title":"Atopic Dermatitis in the Adult Population","authors":"Baumann John R, Groneck Andrew D, Martin Kari L","doi":"10.36959/577/508","DOIUrl":"https://doi.org/10.36959/577/508","url":null,"abstract":"Atopic Dermatitis (AD) is a chronic inflammatory disease of the skin characterized by cutaneous findings of dry skin, erythematous scaly papules, or plaques, and lichenification. The hallmark of AD is pruritis, which drives most of the disease burden. While this disease is thought to primarily affect children, it commonly affects adults as well [ 1 ]. In the adult population, AD may be persistent from childhood, relapsing AD that was thought to be resolved, or adult-onset AD. Although AD is commonly seen in the adult population and is associated with a significant disease burden, many providers are inadequately educated about the recognition and treatment of AD in adults. This paper will review the clinical features, pathophysiology, diagnosis, treatment, and management of AD in the adult population. Working to better understand AD and its impact on patients may be beneficial in minimizing the burden of this disease on the adult population","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115768312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wade Ann, Callen Elisabeth, Hester Christina M, Carroll Jennifer K, Filippi Melissa K
{"title":"How COVID-19 Reaffirmed Our Commitment to Primary Care","authors":"Wade Ann, Callen Elisabeth, Hester Christina M, Carroll Jennifer K, Filippi Melissa K","doi":"10.36959/577/506","DOIUrl":"https://doi.org/10.36959/577/506","url":null,"abstract":"","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133483838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acceptance of COVID-19 Vaccination: Cross-Sectional Survey of Adults with Nonadherence to Physician-Recommended Statin Medications","authors":"Tarn Derjung M., Shih Kevin, Schwartz Janice B.","doi":"10.36959/577/503","DOIUrl":"https://doi.org/10.36959/577/503","url":null,"abstract":"","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114709904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Three- Skill Approach to Leadership","authors":"Jaqua Ecler, Jaqua Terry","doi":"10.36959/577/502","DOIUrl":"https://doi.org/10.36959/577/502","url":null,"abstract":"","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114215814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
By January 2021, sections of scientific community started to believe that India had overcome the pandemic and acquired herd immunity [1]. In March, 2021 the Indian government cited results from serological surveys and India’s main computer model predicting disease spread in the “endgame” of the pandemic [2]. It was followed by national negligence of social-distancing norms, non-compliance of personal protective measures, mass political and social congregations. Double mutant SARS-CoV-2 virus variant and systemic shortfalls in immunization program emerged as unfortunate and man-made crises respectively. As a result, by August, 2021 India is expected to witness 1 million deaths from CoVID-19 [3].
{"title":"Pediatric SARS-CoV-2 Infection in India: Expert Opinion without Evidence Leading to Public Health Policy Paralysis","authors":"Shanker Varnit, Shanker Pooja","doi":"10.36959/577/501","DOIUrl":"https://doi.org/10.36959/577/501","url":null,"abstract":"By January 2021, sections of scientific community started to believe that India had overcome the pandemic and acquired herd immunity [1]. In March, 2021 the Indian government cited results from serological surveys and India’s main computer model predicting disease spread in the “endgame” of the pandemic [2]. It was followed by national negligence of social-distancing norms, non-compliance of personal protective measures, mass political and social congregations. Double mutant SARS-CoV-2 virus variant and systemic shortfalls in immunization program emerged as unfortunate and man-made crises respectively. As a result, by August, 2021 India is expected to witness 1 million deaths from CoVID-19 [3].","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124831416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ronald R. O'Donnell, Shiyou Wu, Jennifer Rolfes, P. Tungpunkom, Hoang Nguyen
1Clinical Professor, College of Health Solutions, Arizona State University, USA 2Assistant Professor, School of Social Work, Arizona State University, USA 3Chief Data and Research Officer, Cornerstone Whole Healthcare Organization, Inc, USA 4Associate Professor & Director, The Thailand Center for Evidence-Based Health Care, Faculty of Nursing, Chiang Mai University, Thailand 5Assistant Professor, School of Computing Science, University of Glasgow, Singapore Short Review
{"title":"Integrated Behavioral Health Model for COVID-19 Patients","authors":"Ronald R. O'Donnell, Shiyou Wu, Jennifer Rolfes, P. Tungpunkom, Hoang Nguyen","doi":"10.36959/577/500)","DOIUrl":"https://doi.org/10.36959/577/500)","url":null,"abstract":"1Clinical Professor, College of Health Solutions, Arizona State University, USA 2Assistant Professor, School of Social Work, Arizona State University, USA 3Chief Data and Research Officer, Cornerstone Whole Healthcare Organization, Inc, USA 4Associate Professor & Director, The Thailand Center for Evidence-Based Health Care, Faculty of Nursing, Chiang Mai University, Thailand 5Assistant Professor, School of Computing Science, University of Glasgow, Singapore Short Review","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116109901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The experience of the disease has a complex structure where there is a biological and a psychosocial moment form a plot. A biological moment, partly conscious (post-infectious immunity and allergy) that marks the whole experience of life, and also partly subconscious: The individual temperament, education, etc., that direct our behaviors. And a psychosocial moment of intra-psychic elaboration of the feeling of illness, where general or basic components intervene (the psychic consequences of the biological or somatic alterations), and the personal ones as the constitution of the individual, the type of illness (acute, where predominate feelings of affliction and threat; or chronic, where the feelings are more biographical), the social-historical situation, sex, race, etc., which are both conscious (changes in the feeling of one’s life: Distress, threat, solitude, and resource), and subconscious (phenomenon of transference), and interpretative (punishment, chance, challenge, test). The fact of contracting a disease is not always pure incomprehensible chance; it influences a conscious and subconscious disposition of a human person in front of his own biography; “The patient does not have a disease, but he does his illness”. Consequently, the disease, both acute and chronic, gives rise to lasting biopsychosocial functional experiences or mutations (immunity and allergy, pathobiographical modification, changes in the feeling of own life and in the way of living). Studies are recommended to evaluate how patients experience a long-term illness to begin to build an experience-based and patient-centered medicine.
{"title":"Notes for Experience-Based Medicine: The Disease Origins Permanent Biopsychosocial Changes in the Person","authors":"Turabian Jose Luis","doi":"10.36959/577/489","DOIUrl":"https://doi.org/10.36959/577/489","url":null,"abstract":"The experience of the disease has a complex structure where there is a biological and a psychosocial moment form a plot. A biological moment, partly conscious (post-infectious immunity and allergy) that marks the whole experience of life, and also partly subconscious: The individual temperament, education, etc., that direct our behaviors. And a psychosocial moment of intra-psychic elaboration of the feeling of illness, where general or basic components intervene (the psychic consequences of the biological or somatic alterations), and the personal ones as the constitution of the individual, the type of illness (acute, where predominate feelings of affliction and threat; or chronic, where the feelings are more biographical), the social-historical situation, sex, race, etc., which are both conscious (changes in the feeling of one’s life: Distress, threat, solitude, and resource), and subconscious (phenomenon of transference), and interpretative (punishment, chance, challenge, test). The fact of contracting a disease is not always pure incomprehensible chance; it influences a conscious and subconscious disposition of a human person in front of his own biography; “The patient does not have a disease, but he does his illness”. Consequently, the disease, both acute and chronic, gives rise to lasting biopsychosocial functional experiences or mutations (immunity and allergy, pathobiographical modification, changes in the feeling of own life and in the way of living). Studies are recommended to evaluate how patients experience a long-term illness to begin to build an experience-based and patient-centered medicine.","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"227 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133571349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. S. Haro, S. Molina, J. Ruiz, Bueno García, E. G. Morata, A. F. Heredia, M. B. Lopez, A. R. Ponferrada, M. R. Aliaga, J. J. E. Belmonte, J. L. G. Orriach, J. C. Mañas
A difficult airway is defined as a clinical situation in which a trained anesthesiologist has difficulties to ventilate a patient with a face mask, difficulties for endotracheal intubation, or both. Intubation with a double lumen tube (DLT) may be more difficult than an equivalent intubation with a single-lumen tracheal tube because of its greater external diameter, stiffness and concavity, so its use is not recommended as a technique of initiation in patients with VAD.
{"title":"Clinical Case: Casual Finding of Part of an Intubation Guide after its Use for Exchange and Placement of Double Light Tube","authors":"E. S. Haro, S. Molina, J. Ruiz, Bueno García, E. G. Morata, A. F. Heredia, M. B. Lopez, A. R. Ponferrada, M. R. Aliaga, J. J. E. Belmonte, J. L. G. Orriach, J. C. Mañas","doi":"10.36959/577/488","DOIUrl":"https://doi.org/10.36959/577/488","url":null,"abstract":"A difficult airway is defined as a clinical situation in which a trained anesthesiologist has difficulties to ventilate a patient with a face mask, difficulties for endotracheal intubation, or both. Intubation with a double lumen tube (DLT) may be more difficult than an equivalent intubation with a single-lumen tracheal tube because of its greater external diameter, stiffness and concavity, so its use is not recommended as a technique of initiation in patients with VAD.","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124710464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An effective patient-doctor communication and trust become especially important in managing patients with two or more chronic conditions. Multimorbidity, which, moreover, is more frequent in the elderly patient, is one of the many factors that affect doctor-patient communication and trust. Older patients care with multimorbidity implies the creation of a different type of doctor-patient relationship.
{"title":"Doctor-Patient Relationship and Multimorbidity: The More Extraordinary a Case Seems, the Easier it is to Solve it","authors":"T. Jl","doi":"10.36959/577/487","DOIUrl":"https://doi.org/10.36959/577/487","url":null,"abstract":"An effective patient-doctor communication and trust become especially important in managing patients with two or more chronic conditions. Multimorbidity, which, moreover, is more frequent in the elderly patient, is one of the many factors that affect doctor-patient communication and trust. Older patients care with multimorbidity implies the creation of a different type of doctor-patient relationship.","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"353 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115922691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hardee Sk, Gary Sanford, D. Burnes, Stephanie K Hardee, Gary Sanford, Donald W. Burnes
This paper discusses improvements that health care providers can integrate into their practices to better serve individuals and families experiencing homelessness. To begin, the past and present methods of care for the homeless population are described, including the government's role in shaping the issue. Homeless individuals face immense barriers to receiving care, including fear of the health care establishment and the likelihood of judgement and disrespect. Next, methods to ease these fears and frustrations to create the optimal environment for building trust, demonstrating empathy, and providing clear communication are given.
{"title":"Historic and Current Health Care Struggles for the Homeless and Skills for Providers to Improve Care","authors":"Hardee Sk, Gary Sanford, D. Burnes, Stephanie K Hardee, Gary Sanford, Donald W. Burnes","doi":"10.36959/577/486","DOIUrl":"https://doi.org/10.36959/577/486","url":null,"abstract":"This paper discusses improvements that health care providers can integrate into their practices to better serve individuals and families experiencing homelessness. To begin, the past and present methods of care for the homeless population are described, including the government's role in shaping the issue. Homeless individuals face immense barriers to receiving care, including fear of the health care establishment and the likelihood of judgement and disrespect. Next, methods to ease these fears and frustrations to create the optimal environment for building trust, demonstrating empathy, and providing clear communication are given.","PeriodicalId":260221,"journal":{"name":"Archives of Family Medicine and General Practice","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130774553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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