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Canadian Family Physician最新文献

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Le Canada à la tête d’un mouvement international en faveur de services d’avortement accessibles et sécuritaires. 加拿大正在领导一场国际运动,争取获得和安全的堕胎服务。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112e258
Martha Paynter, Wendy V Norman
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引用次数: 0
Récupérer du temps en médecine familiale: Les tâches cliniques inutiles comme déclencheurs cachés de la surcharge de travail. 在家庭医疗中争取时间:不必要的临床任务是工作超负荷的潜在触发因素。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112e275
Brianna Cheng, René Wittmer, Guylène Thériault, Amanda Try, Janet Reynolds
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引用次数: 0
Le tirzépatide pour la perte pondérale. 减肥的方法。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112e278
Kim Ann Cheung, Adrienne J Lindblad, Jen Potter, Samantha S Moe
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引用次数: 0
The CFPC welcomes its 2025-2026 President, Dr Sarah Cook. CFPC欢迎2025-2026年度主席莎拉·库克博士。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112757
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引用次数: 0
Le CMFC accueille sa présidente pour 2025-2026, la Dre Sarah Cook. CFPC欢迎Sarah Cook博士担任其2025- 26年的主席。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112758
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引用次数: 0
Une suture dans le temps. 时间上的一针。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112683
David Ponka
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引用次数: 0
Équité, lignes directrices et appareils respiratoires: Appel à l’action pour le système de santé canadien. 公平、指南和呼吸设备:加拿大卫生系统的行动呼吁。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112e263
Christopher A Gerdung, Michelle Pemberton, Oliver David, Maria Castro-Codesal, Andrea Loewen, Sachin R Pendharkar, Douglas Woodhouse, Reshma Amin, Adetayo Adeleye
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引用次数: 0
Approach to pelvic venous disorders: Primer for family physicians. 骨盆静脉疾病的方法:家庭医生入门。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112699
Andrew D Brown

Objective: To provide a practical guide to help family physicians recognize, diagnose, and manage patients with pelvic venous disorders (PeVDs), often overlooked as causes of chronic pelvic pain and varicose veins.

Sources of information: This review is based on guidelines from the American Venous Forum, the Society for Vascular Surgery, the American Vein and Lymphatic Society, the Society of Interventional Radiology, and the European Society for Vascular Surgery.

Main message: PeVDs are common, though frequently misdiagnosed, causes of chronic pelvic pain and varicose veins predominantly in female patients. These conditions arise from venous reflux or obstruction, which can cause varicose veins and venous hypertension in the renal hilum, pelvis, perineum, and lower extremities. Family physicians should recognize the clinical signs of PeVDs and use appropriate imaging to confirm diagnoses. Interventional treatments, including embolization and stenting, are effective for symptom management and improving patient outcomes.

Conclusion: Early recognition of patients with PeVDs by family physicians is crucial for timely and effective treatment. By using appropriate diagnostic tools and making timely referrals, physicians can substantially improve patients' quality of life.

目的:为家庭医生识别、诊断和治疗盆腔静脉疾病提供实用指南,盆腔静脉疾病常被忽视为慢性盆腔疼痛和静脉曲张的原因。信息来源:本综述基于美国静脉论坛、血管外科学会、美国静脉和淋巴学会、介入放射学会和欧洲血管外科学会的指南。主要信息:pevd是常见的,尽管经常误诊,导致慢性盆腔疼痛和静脉曲张主要发生在女性患者中。这些疾病由静脉回流或阻塞引起,可引起肾门、骨盆、会阴和下肢静脉曲张和静脉高压。家庭医生应认识到pevd的临床症状,并使用适当的影像学检查来确诊。介入治疗,包括栓塞和支架植入,对症状管理和改善患者预后是有效的。结论:家庭医生对pevd患者的早期识别是及时有效治疗的关键。通过使用适当的诊断工具和及时转诊,医生可以大大提高患者的生活质量。
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引用次数: 0
Adaptation, prevention urged to address administrative burden. 适应,预防,敦促解决行政负担。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112687
Jessica A Otte, Katie Bowers, Deborah Viccars
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引用次数: 0
Prophylactic salbutamol use for pediatric exercise-induced bronchoconstriction. 预防性沙丁胺醇用于小儿运动性支气管收缩。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2025-11-01 DOI: 10.46747/cfp.711112723
Connor L Flynn, Wallace B Wee, Ran D Goldman

Question: An 8-year-old child was seen in our clinic for shortness of breath and wheezing after running at school. He was clinically healthy with no other symptoms consistent with asthma. His parents read that in adults, salbutamol could be taken before exercise to prevent shortness of breath and wheezing, but were unsure whether this also applied to children. Is salbutamol safe and effective for preventing exercise-induced bronchoconstriction (EIB) in pediatric patients?

Answer: Effective management of EIB in children supports greater participation in physical activity, which is important for physical and emotional well-being. Pediatric studies found salbutamol is safe and effective for preventing EIB in children when administered 15 to 30 minutes before exercise. Children can develop a tolerance to salbutamol if used frequently; therefore, salbutamol should be used less than once per day to maintain effectiveness. If children require salbutamol more often, additional therapies to manage airway inflammation can be considered.

问:一名8岁儿童在学校跑步后出现呼吸急促和喘息。临床表现健康,无其他哮喘症状。他的父母读到,沙丁胺醇可以在成人运动前服用,以防止呼吸短促和喘息,但不确定这是否也适用于儿童。沙丁胺醇对预防小儿运动性支气管收缩(EIB)安全有效吗?回答:对儿童的EIB进行有效管理,有助于儿童更多地参与体育活动,这对身心健康都很重要。儿科研究发现,在运动前15到30分钟服用沙丁胺醇对预防儿童EIB是安全有效的。如果经常使用沙丁胺醇,儿童会对其产生耐受性;因此,沙丁胺醇的使用应少于一天一次,以保持有效性。如果儿童更经常需要沙丁胺醇,可以考虑额外的治疗方法来控制气道炎症。
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引用次数: 0
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Canadian Family Physician
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