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Journal of Family Practice最新文献

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24-year-old woman • large joint arthralgias • history of type 1 diabetes, seizures, migraines • Dx? 24岁女性•大关节关节痛•有1型糖尿病、癫痫发作、偏头痛病史•Dx？
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-09-01 DOI: 10.12788/jfp.0651
Asher George, Stephen Rayborn, Peyton Herrington, Svenja Albrecht, Adrian Billings

► large joint arthralgias ► history of type 1 diabetes, seizures, migraines.

► 大关节痹► 有1型糖尿病、癫痫发作、偏头痛病史。
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引用次数: 0
Tools-and rules-to support behavior change. 支持行为改变的工具和规则。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-09-01 DOI: 10.12788/jfp.0660
Anthony J Viera
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引用次数: 0
Should you treat prediabetes? It's complicated. 你应该治疗糖尿病前期吗？这很复杂。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-09-01 DOI: 10.12788/jfp.0652
Daniel Holligan, Roxanne Radi, Corey Lyon

While treatment with metformin or lifestyle modification reduces risk for T2D in patients with prediabetes, neither intervention ultimately offers a mortality benefit.

虽然二甲双胍治疗或改变生活方式可以降低糖尿病前期患者患T2D的风险，但这两种干预措施最终都不会带来死亡率的益处。
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引用次数: 0
49-year-old woman • headache and neck pain radiating to ears and eyes • severe hypertension • Dx? 49岁女性•头痛和颈部疼痛，辐射到耳朵和眼睛•严重高血压•Dx？
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-09-01 DOI: 10.12788/jfp.0659
Christian Saleh, Muhannad Seyam, Kristine A Blackham, Anna Walter, Philippe Lyrer

► headache and neck pain radiating to ears and eyes ► severe hypertension.

► 头痛和颈部疼痛辐射到耳朵和眼睛► 严重高血压。
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引用次数: 0
Migraine headache: When to consider these newer agents. 偏头痛：什么时候考虑这些新的药物。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-09-01 DOI: 10.12788/jfp.0657
Emily Peterson, Allison Bernard, Robert A Beck

These agents are as effective as traditional acute and preventive treatments, cause fewer adverse effects, and can simplify regimens.

这些药物与传统的急性和预防性治疗一样有效，不良反应较少，并且可以简化治疗方案。
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引用次数: 0
Persistent 'postherpetic neuralgia' and well-demarcated plaque. 持续的“带状疱疹后神经痛”和界限清晰的斑块。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-09-01 DOI: 10.12788/jfp.0648
Alli J Blumstein, Rachel Fayne, Milad Eshaq

Extended treatment for a previous condition provided a key to the diagnosis.

对先前疾病的长期治疗是诊断的关键。
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引用次数: 0
Is the Altman Rule a proxy for glycemic load? 奥特曼规则是血糖负荷的代表吗？
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-09-01 DOI: 10.12788/jfp.0656
Kimberly R Dong, Sarah Eustis, Kerri Hawkins, Wayne Altman

The evidence supports patient use of this simple equation to evaluate the nutrition labels of packaged carbohydrate foods in the grocery aisle in order to make healthier decisions.

有证据支持患者使用这个简单的等式来评估食品杂货货架上包装碳水化合物食品的营养标签，以便做出更健康的决定。
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引用次数: 0
A worthwhile tool in evaluating worrisome lesions. 评估令人担忧的病变的一个有价值的工具。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-09-01 DOI: 10.12788/jfp.0655
Shayan Owji, Chibuzo Aguwa, Joseph Han, Daniel Yassky, Yen Luu, Margaret Glausser, Nicholas Gulati, Benjamin Ungar, Daniel Napolitano, Jonathan Ungar

This study demonstrated the value of using electrical impedance spectroscopy in primary care to manage and diagnose pigmented skin lesions.

这项研究证明了在初级保健中使用电阻抗谱来管理和诊断色素性皮肤病变的价值。
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引用次数: 0
Does use of continuous or flash glucose monitors decrease hypoglycemia episodes in T2D? 使用连续血糖监测仪或瞬时血糖监测仪能减少t2dm低血糖发作吗?
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-07-01 DOI: 10.12788/jfp.0643
Frances K Wen, Simone Bigelow, Kimberly Crosby, Raye Reeder, Toni Hoberecht, Emrys Moreau

NO. 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 randomized controlled trial (RCT; SOR, C) but not in a 1-year prospective study (SOR, C).FGM, in which glucose levels are sent on demand to a device, did not significantly reduce hypoglycemic episodes (SOR, B; 1 small RCT and 1 prospective study). Hypoglycemia duration was reduced significantly with FGM in a 6-month RCT (SOR, B) but not in a 1-year prospective study (SOR, B).

不。在接受胰岛素治疗的成人2型糖尿病(T2D)患者中，持续血糖监测(CGM)和瞬时血糖监测(FGM)并不能减少症状性低血糖发作(推荐强度[SOR]， B)，但可以缩短低血糖发作时间(SOR, C;面向疾病的证据)。在CGM中，血糖水平以数字和图形格式自动发送到患者的智能设备，以了解他们的潜在行动，但没有改变低血糖事件发生率(SOR, B;2项前瞻性研究)。在一项8个月的随机对照试验中，CGM显著降低了低血糖持续时间(RCT;在一项为期1年的前瞻性研究中(SOR, C)，女性生殖器切割并没有显著减少低血糖发作(SOR, B;1项小型随机对照试验和1项前瞻性研究)。在一项为期6个月的随机对照研究(SOR, B)中，女性生殖器切割显著降低了低血糖持续时间，但在一项为期1年的前瞻性研究中却没有这样的结果。
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引用次数: 0
Squamous cell carcinoma. 鳞状细胞癌。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Journal of Family Practice
Pub Date : 2023-07-01 DOI: 10.12788/jfp.0644
Candrice R Heath, Richard P Usatine
Simultaneously published in Cutis and The Journal of Family Practice. Cutaneous squamous cell carcinoma (SCC) develops from a malignant tumor of the keratinocytes, eccrine glands, or pilosebaceous units that invades the dermis. Risk factors include lighter skin tone, higher cumulative sun exposure, human papillomavirus (HPV) infection, hidradenitis suppurativa (HS), lichen sclerosus, family history of skin cancer, and immunosuppression. It typically affects sun-exposed areas of the body such as the face, scalp, neck, and extensor surfaces of the arms (FIGURE A). However, in those with darker skin tones, the most common anatomic sites are those that are not exposed to the sun (FIGURE B). SCC is diagnosed via skin biopsy. Treatment options include surgical excision, destructive methods such as electrodesiccation and curettage, and Mohs micrographic surgery. Cutaneous SCC has a cure rate of more than 95% and a mortality rate of 1.5% to 2% in the United States.
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引用次数: 0
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