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Recommandations rapides: Mises à jour des lignes directrices en 2023 : partie 2. 快速建议：2023 年指南更新：第二部分。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010e152
Danielle O'Toole
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引用次数: 0
Approach to otitis externa. 外耳道炎的治疗方法
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010617
Janjulee Ellis, Allison De La Lis, Emily Rosen, Matthew T W Simpson, Michael M Beyea, Jason A Beyea

Objective: To provide family physicians with a practical evidence-based approach to management of otitis externa.

Sources of information: The approach described is based on MEDLINE and PubMed literature published between 1993 and 2023.

Main message: Otitis externa is diffuse inflammation of the external auditory canal and typically occurs from moisture exposure and trauma. Management focuses on eliminating infection, pain management, education, and preventing recurrence. The primary treatment of uncomplicated otitis externa is topical. Complicated presentations may require additional systemic therapy.

Conclusion: History taking and physical examination can help differentiate among acute, chronic, and necrotizing otitis externa. At-risk populations, typically those who are immunosuppressed, are more likely to develop necrotizing otitis externa and should be carefully monitored.

目的为家庭医生提供实用的循证外耳道炎治疗方法：所述方法基于 1993 年至 2023 年间发表的 MEDLINE 和 PubMed 文献：主要信息：外耳道炎是外耳道的弥漫性炎症，通常由暴露于潮湿环境和外伤引起。治疗重点是消除感染、止痛、教育和预防复发。无并发症的外耳道炎主要采用局部治疗。并发症可能需要额外的系统治疗：病史采集和体格检查有助于区分急性、慢性和坏死性外耳道炎。高危人群（通常是免疫抑制人群）更容易患坏死性外耳道炎，因此应仔细监测。
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引用次数: 0
Where preparation meets opportunity: Mentors supported Dr Brian Rowe's development as a researcher. 准备与机遇并存：导师支持布赖恩-罗博士发展成为一名研究人员。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010666
Brian Hutchison, Brian Rowe
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引用次数: 0
Family and medicine in the North: Separated by geography. 北方的家庭与医学：因地理位置而分离。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010661
David Ponka
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引用次数: 0
Approche pour les cas d’otite externe. 外耳道炎的治疗方法
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010e140
Janjulee Ellis, Allison De La Lis, Emily Rosen, Matthew T W Simpson, Michael M Beyea, Jason A Beyea
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引用次数: 0
Toward a universal definition of provider-patient attachment in primary care. 为初级医疗服务提供者与患者之间的依恋关系制定通用定义。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010634
Monica Aggarwal, Richard H Glazier

Objective: To explore definitions of provider-patient attachment in primary care (PC) and help inform a universal definition of provider-patient attachment.

Data sources: Comprehensive searches were conducted using the electronic databases MEDLINE (Ovid), PubMed, CINAHL (EBSCO), PsycInfo (Ovid), Social Sciences Abstracts (EBSCO), Cochrane Library, Scopus, Embase (Ovid), Google Scholar, and ResearchGate.

Study selection: A scoping review was conducted. Articles focusing on PC setting, provider-patient attachment, and attachment approaches (enrolment, rostering, registration, empanelment) were included. All articles were from English-language publications and were available in full text in or after 2005. Of the 5955 unique titles, 97 peer-reviewed articles and 45 gray literature sources were included.

Synthesis: The term attachment is sometimes used interchangeably with enrolment and empanelment. Provider-patient attachment is a confirmed affiliation between a patient and a regular primary care provider (PCP). This affiliation can be formal or informal. The goals are to deliver longitudinal care and establish a therapeutic relationship (relational continuity). Enrolment and empanelment are mechanisms that enable the affiliation of a patient with a PCP. Enrolment is a formal process of provider-patient affiliation, while empanelment is the assignment of a patient to a PCP.

Conclusion: A universal definition of provider-patient attachment is provided: the confirmed and documented affiliation between a patient and a regular PCP (a clinician, ie, a family physician or nurse practitioner, etc), or a combination of clinician and care team or practice in which the PCP is responsible for providing longitudinal and continuous care to the patient via any delivery channel (ie, in person, remotely, or both), enabled by provider access to patient health information.

目的探讨初级保健（PC）中医患依恋的定义，并帮助提供医患依恋的通用定义：使用电子数据库 MEDLINE (Ovid)、PubMed、CINAHL (EBSCO)、PsycInfo (Ovid)、Social Sciences Abstracts (EBSCO)、Cochrane Library、Scopus、Embase (Ovid)、Google Scholar 和 ResearchGate 进行了全面检索：研究筛选：进行了范围界定审查。纳入的文章主要涉及 PC 设置、医疗服务提供者与患者之间的依恋关系以及依恋关系的方法（注册、名册、登记、授权）。所有文章均来自 2005 年或之后出版的英文刊物，且有全文。在 5955 篇文章中，97 篇为同行评审文章，45 篇为灰色文献：挂靠一词有时与注册和授权交替使用。医疗服务提供者与患者之间的隶属关系是指患者与固定的初级医疗服务提供者（PCP）之间已确认的隶属关系。这种隶属关系可以是正式的，也可以是非正式的。其目的是提供纵向护理并建立治疗关系（关系连续性）。注册和授权是使患者与初级保健医生建立联系的机制。登记是医疗服务提供者与患者建立联系的正式程序，而授权则是将患者指派给初级保健医生：结论：提供了医疗服务提供者与患者隶属关系的通用定义：患者与固定的初级保健医生（临床医生，即家庭医生或执业护士等）或临床医生与护理团队或实践的组合之间确认并记录在案的隶属关系，其中初级保健医生负责通过任何提供渠道（即亲自、远程或两者兼有）为患者提供纵向和持续的护理，并通过医疗服务提供者访问患者的健康信息来实现。
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引用次数: 0
Clarity in the centre of the storm. 风暴中心的清澈
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010672
Michael Allan
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引用次数: 0
Simple tool for teaching patient safety through incident analysis. 通过事故分析教授患者安全知识的简单工具。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010662
Margarita Lam-Antoniades, Nick Petten, Joyce Nyhof-Young
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引用次数: 0
Preventing respiratory syncytial virus in infants. 预防婴儿感染呼吸道合胞病毒。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010e155
Samantha S Moe, Sam Wong, Michael R Kolber
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引用次数: 0
Principe de la contention minimale dans les soins hospitaliers. 医院护理中的最低限制原则。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2024-10-01 DOI: 10.46747/cfp.7010e148
Miriam Thake, Frank Molnar, Chris Frank
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引用次数: 0
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