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Journal of Family Practice最新文献

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Frontline STI Screening Starts with Primary Care. 一线性传播感染筛查从初级保健开始。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-01 DOI: 10.12788/jfp.0571
Heather M Territo, Gale R Burstein

In this supplement to Family Practice, Heather M. Territo, MD, and Gale R. Burstein, MD, MPH discuss how primary care physicians play an essential role in screening for STIs in young patients.

在《家庭实践》的增刊中,Heather M. Territo医学博士和Gale R. Burstein医学博士讨论了初级保健医生如何在年轻患者的性传播感染筛查中发挥重要作用。
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引用次数: 0
Is combination pharmacotherapy effective for patients with acute depression? 联合药物治疗对急性抑郁症患者有效吗?
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-01 DOI: 10.12788/jfp.0579
Brock Cardon, Stephanie Schirding

A systematic review and meta-analysis found that these combinations were superior to monotherapy and had comparable tolerability.

一项系统评价和荟萃分析发现,这些联合治疗优于单药治疗,耐受性相当。
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引用次数: 0
Is self-administered DMPA an answer to contraception access in the post-Roe era? 自我服用DMPA是后罗伊案件时代避孕途径的答案吗?
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-01 DOI: 10.12788/jfp.0558
Lindsay Nakaishi, Gregory Castelli

Compared with provider-administered depot medroxyprogesterone acetate, a prefilled formulation may offer patients improved access to effective contraception.

与供应商给药的醋酸甲孕酮相比,预充制剂可能为患者提供更有效的避孕方法。
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引用次数: 0
Catheterized urine color change. 尿色改变。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-01 DOI: 10.12788/jfp.0569
Russ Blackwelder, Jessica Li Eason, Ruth Weber, Alexander W Chessman

What caused the abrupt change in color of catheterized urine after several days of Foley catheter placement?

是什么原因导致Foley导尿管放置几天后尿的颜色突然改变?
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引用次数: 0
Evolution and Revolution-Our Changing Relationship With Insulin. 进化与革命——我们与胰岛素关系的变化。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-01 DOI: 10.12788/jfp.0532
John Anderson, Mary Van Doorn, Jodi Strong

Type 2 diabetes is a progressive condition with a complex pathophysiology. Over time, additional therapies are needed to maintain glycemic control. It is well known that, by the time of diagnosis, beta cell function has already declined by 50% to 80%. When the body is no longer able to make enough insulin to control blood glucose levels, insulin replacement therapy is needed. However, barriers to initiation of insulin therapy are multifactorial and contribute to delays in treatment and consequent uncontrolled glycemia; this leads to an increased risk of disease complications. In this roundtable discussion, the authors review how people living with type 2 diabetes and their healthcare providers view the initiation of insulin. Other topics include the benefits of longer-acting basal insulin analogs compared with long-acting analogs. The authors emphasize the importance of early and positive conversations about insulin therapy, as well as the benefits of shared decision-making and the use of the wider medical team for the timely initiation of basal insulin therapy.

2型糖尿病是一种具有复杂病理生理的进行性疾病。随着时间的推移,需要额外的治疗来维持血糖控制。众所周知,到诊断时,β细胞功能已经下降了50%至80%。当身体不再能够产生足够的胰岛素来控制血糖水平时,就需要胰岛素替代疗法。然而,开始胰岛素治疗的障碍是多因素的,并导致治疗延误和随后的血糖不受控制;这导致疾病并发症的风险增加。在这次圆桌讨论中,作者回顾了2型糖尿病患者和他们的医疗保健提供者如何看待胰岛素的开始。其他主题包括长效基础胰岛素类似物与长效类似物相比的益处。作者强调了关于胰岛素治疗的早期和积极对话的重要性,以及共同决策和使用更广泛的医疗团队及时开始基础胰岛素治疗的好处。
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引用次数: 0
Isolated third nerve palsy: Lessons from the literature and 4 case studies. 孤立性第三神经麻痹:来自文献和4例病例研究的经验教训。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-01 DOI: 10.12788/jfp.0563
Lim Yi Wen, Lott Pooi Wah, Nor Fadhilah Mohamad, Sujaya Singh, Liew Yew Toong

A patient's age, clinical presentation, medical history, and circumstances at time of palsy onset suggest likely underlying causes and help prioritize choice of imaging.

患者的年龄、临床表现、病史和麻痹发作时的情况提示可能的潜在原因,并有助于优先选择影像学检查。
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引用次数: 1
Tips for treating patients with late-life depression. 治疗老年抑郁症的小贴士。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-01 DOI: 10.12788/jfp.0539
Raymond Pary, Steven Lippmann

Zeroing in on the right drug regimen requires a look at an agent's clinical benefits, tolerability profile, and risk of drug interactions, as well as the patient's comorbidities.

确定正确的药物治疗方案需要考虑药物的临床疗效、耐受性、药物相互作用的风险以及患者的合并症。
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引用次数: 0
Painful blue fingers. 手指疼得发紫。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-01 DOI: 10.12788/jfp.0557
Arissa Young, Marian Kaldas, Yaqoot Khan

The patient's history of lupus held the clue to the diagnosis.

病人的狼疮病史为诊断提供了线索。
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引用次数: 0
5 non-COVID vaccine recommendations from ACIP. ACIP提出的5项非covid疫苗建议。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-01 DOI: 10.12788/jfp.0559
Doug Campos-Outcalt

Although COVID-19 vaccination remains at the forefront, ACIP has offered guidance on MMR, pneumococcal, influenza, and travel vaccines. Here's a round-up.

尽管COVID-19疫苗接种仍处于最前沿,但ACIP已就MMR、肺炎球菌、流感和旅行疫苗提供了指导。这里有一个总结。
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引用次数: 0
Pulmonary hypertension: An update of Dx and Tx guidelines. 肺动脉高压:Dx和Tx指南的更新。
4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-01 DOI: 10.12788/jfp.0561
Madhavi Singh, Franklin Berkey, Jason Fragin, Kristen Grine

Here is how to reduce risk factors that can lead to pulmonary hypertension; play a pivotal role in diagnosis; and know when disease requires a referral.

以下是如何减少可能导致肺动脉高压的危险因素;在诊断中起关键作用;知道什么时候需要转诊。
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引用次数: 0
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Journal of Family Practice
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