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Canadian Family Physician最新文献

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Soft bandages in buckle fracture treatment. 软性绷带在屈曲骨折治疗中的应用。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720141
Jennifer Young, Émélie Braschi
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引用次数: 0
Ian McWhinney, art, and the liminal space between medicine and society. Ian McWhinney，艺术，以及医学和社会之间的界限空间。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.72018
David Ponka
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引用次数: 0
Ten tips for supporting clinical teachers' motivation to teach: A self-determination theory perspective. 支持临床教师教学动机的十条建议：自我决定理论视角。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720151
Cesar Orsini, Adam Neufeld
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引用次数: 0
Bandages souples pour traiter une fracture en motte de beurre. 用于处理黄油裂缝的柔性胶带。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.7201e15
Jennifer Young, Émélie Braschi
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引用次数: 0
Family Medicine Matters: Real stories, real solutions. 家庭医学重要：真实的故事，真实的解决方案。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720169
Sarah Cook
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引用次数: 0
Finding safe harbour: reassessing 9 principles of family medicine in difficult times: Part 1 of the 10-part series, "Foundations for tomorrow". 寻找安全港：在困难时期重新评估家庭医学的9条原则：由10部分组成的系列“明天的基础”的第1部分。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720120
Thomas R Freeman, David Ponka, Nicholas Pimlott
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引用次数: 0
Generalism as a cross-disciplinary practice in medicine: Mixed-studies systematic review. 作为医学跨学科实践的通才：混合研究系统回顾。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720142
Martina Ann Kelly, Sarah Cheung, Agalya Ramanathan, Anna Stevenson, Surinder Singh, Sophie Park

Objective: To clarify who generalist physicians are and what characterizes their practice.

Data sources: MEDLINE, PsycInfo, SocINDEX, Embase, Ovid HealthSTAR, Scopus, and Web of Science.

Study selection: Empirical studies (quantitative, qualitative, mixed methods) that described the attributes of generalist physicians across various disciplines in the clinical literature.

Synthesis: A total of 262 studies from 25 countries met inclusion criteria. Forty-seven percent of studies lacked essential participant information. The remaining studies primarily framed generalism in terms of an absence of specialist training, reflecting a "deficit model" of care. We identified 4 archetypes of generalist practice: broad-based knowledge, generalism as adaptive expertise, generalism as integrative expertise, and generalism as interpretive expertise.

Conclusion: Generalism lacks a consistent meaning across clinical disciplines in medicine. Four archetypes of practice are proposed to promote cross-disciplinary dialogue and guide the design of future health care systems and professional roles.

目的：明确谁是全科医生及其执业特点。数据来源：MEDLINE， PsycInfo, SocINDEX, Embase, Ovid HealthSTAR， Scopus和Web of Science。研究选择：经验研究（定量、定性、混合方法），描述临床文献中不同学科的全科医生的属性。综合：来自25个国家的262项研究符合纳入标准。47%的研究缺乏必要的参与者信息。其余的研究主要从缺乏专业培训的角度来描述全面性，反映了护理的“缺陷模式”。我们确定了通才实践的4种原型：基础广泛的知识、适应性专业知识的通才、综合专业知识的通才和解释性专业知识的通才。结论：泛论在医学临床学科中缺乏一致的意义。提出了四种实践原型，以促进跨学科对话并指导未来卫生保健系统和专业角色的设计。
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引用次数: 0
Primary care guidelines should be written by primary care physicians. 初级保健指南应由初级保健医生撰写。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720110
David M Allen
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引用次数: 0
Les lignes directrices sur l’hypertension échouent à l’évaluation G-Trust. 高血压指南没有通过G-Trust评估。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720111
Rémy Boussageon
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引用次数: 0
Approach to obstructive sleep apnea: Interdisciplinary considerations for optimal management. 阻塞性睡眠呼吸暂停的方法：最佳管理的跨学科考虑。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720125
Philippe Harris, Gilles Lavigne, Pierre Mayer, René Wittmer

Objective: To provide primary care physicians with up-to-date information on obstructive sleep apnea (OSA) and current management options.

Sources of information: Reviews of relevant literature retrieved via the PubMed and MEDLINE databases with no date limitations. Searches for the impact on OSA of dentures with implant oral restoration.

Main message: A narrowing of the upper airway axial surface due to fat deposition or hypertrophic tonsils and upper airway neuromuscular pathology can cause OSA. OSA can be asymptomatic, but most patients develop a variety of symptoms, including nocturnal awakenings, nocturia, unrefreshing sleep, daytime sleepiness and fatigue, impaired concentration, and chronic morning headaches. Several screening tools exist, including the Berlin Questionnaire. Laboratory polysomnography (level 1) is the accepted standard for the evaluation of sleep-disordered breathing. Addressing modifiable risk factors can help control OSA. Obesity and overweight status in the adult population, which can be addressed with behavioural interventions, are associated with severity of OSA. Medical options include positive airway pressure (PAP) therapy. Mandibular advancement devices are an alternative for patients with mild or moderate OSA or those who cannot tolerate PAP therapy. Surgical options can address both the biomechanical aspects of OSA and patients' overweight status.

Conclusion: Careful history-taking and understanding of the underlying biomechanical pathophysiology can orient physicians to consider OSA. Personalized and interdisciplinary approaches should be considered when prescribing OSA treatment and during follow-up assessments.

目的：为初级保健医生提供阻塞性睡眠呼吸暂停（OSA）的最新信息和当前的管理方案。信息来源：通过PubMed和MEDLINE数据库检索的相关文献综述，无日期限制。研究种植口腔修复义齿对OSA的影响。主要信息：由于脂肪沉积或扁桃体肥大和上气道神经肌肉病理引起的上气道轴面狭窄可导致OSA。OSA可以是无症状的，但大多数患者会出现各种症状，包括夜间醒来、夜尿、睡眠不清新、白天嗜睡和疲劳、注意力不集中和慢性早晨头痛。有几种筛选工具，包括柏林问卷。实验室多导睡眠图（1级）是评估睡眠呼吸障碍的公认标准。解决可改变的风险因素有助于控制OSA。成年人的肥胖和超重状况与阻塞性睡眠呼吸暂停的严重程度有关，这可以通过行为干预来解决。医疗选择包括气道正压（PAP）治疗。下颌推进装置是轻度或中度OSA患者或不能耐受PAP治疗的患者的替代选择。手术选择可以解决OSA的生物力学方面和患者的超重状态。结论：仔细的病史记录和对潜在的生物力学病理生理学的了解可以指导医生考虑OSA。在处方阻塞性睡眠呼吸暂停治疗和随访评估时，应考虑个性化和跨学科的方法。
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引用次数: 0
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