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Abdominal Massage for Functional Constipation in Adults. 腹部按摩治疗成人功能性便秘。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
Miriam Odurukwe, Gavriel Shimonov, Ashley Lovenduski, Danielle Carcia, Rebecca Shipkin
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引用次数: 0
Calcium Supplementation for Improving Pregnancy and Infant Outcomes (Other Than for Preventing or Treating Hypertension). 补钙改善妊娠和婴儿结局(预防或治疗高血压除外)。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
Tara Devaraj, Bernadatte G Gilbert
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引用次数: 0
2025 Recommended Immunization Schedules: Updated Recommendations From the AAFP. 2025推荐免疫接种时间表:AAFP的最新建议。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
Michelle Nelson
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引用次数: 0
Correction. 修正。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
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引用次数: 0
Four Effective Treatments for Endometriosis-Associated Pain. 子宫内膜异位症相关疼痛的四种有效治疗方法。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
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引用次数: 0
Sublingual Buprenorphine for Opioid Use Disorder Treatment. 舌下丁丙诺啡治疗阿片类药物使用障碍。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
Brendan Jackson-Fowl, Agnes Kim, Vivian Cheng
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引用次数: 0
Recurrent Ischemic Stroke: Prevention Strategies. 复发性缺血性卒中:预防策略。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
Brian Ford, Michael M Dore, Tyler R Koehn

Ischemic strokes account for 87% of acute strokes, and 12% of patients with acute ischemic stroke have recurrence within 5 years. After an acute ischemic stroke is identified, several tools can be used to help detect the likely cause. Controlling cardiovascular risk factors with antihypertensive therapy (with a goal of 130/80 mm Hg), statin therapy, blood glucose control, healthy diet, regular exercise, avoidance of substance use, treatment of obstructive sleep apnea, if present, and care based on the cause of stroke reduces the risk of recurrence. Antithrombotic therapy with anticoagulants is recommended for embolic stroke due to atrial fibrillation; antiplatelet therapy is more commonly used for the treatment of nonembolic stroke. Procedural management for those with carotid stenosis or closure of patent foramen ovale may be indicated. Additional evaluation, such as long-term cardiac monitoring to identify initially undetected atrial fibrillation, may be required if the cause of stroke is unclear.

缺血性脑卒中占急性脑卒中的87%,急性缺血性脑卒中患者5年内有12%复发。急性缺血性中风确诊后,可以使用几种工具来帮助发现可能的病因。通过降压治疗(目标为130/80毫米汞柱)、他汀类药物治疗、血糖控制、健康饮食、定期运动、避免药物使用、治疗阻塞性睡眠呼吸暂停(如果存在)以及基于中风原因的护理来控制心血管危险因素,可降低复发风险。房颤引起的栓塞性中风推荐使用抗凝剂进行抗血栓治疗;抗血小板治疗更常用于治疗非栓塞性中风。对于颈动脉狭窄或卵圆孔未闭的患者,可能需要手术治疗。如果中风的原因尚不清楚,可能需要进行额外的评估,如长期心脏监测以确定最初未发现的房颤。
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引用次数: 0
Newborn Respiratory Distress: Evaluation and Management. 新生儿呼吸窘迫:评估和管理。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
Katie L Buel, Emily Gould

Newborn respiratory distress is one of the most common reasons for neonatal intensive care admission at birth. If not diagnosed and managed appropriately, newborn respiratory distress can progress to cardiopulmonary collapse and death. Presenting symptoms of respiratory distress consist of increased work of breathing (eg, grunting, nasal flaring, cyanosis, retractions, respiratory rate greater than 60 breaths/min [tachypnea]). The most common cause of respiratory distress at term is transient tachypnea of the newborn. Other causes include respiratory distress syndrome, meconium aspiration syndrome, pneumonia, and sepsis. Less common causes are pneumothorax, congenital heart disease, and congenital diaphragmatic hernia. Physicians attending deliveries should be familiar with current neonatal resuscitation guidelines. If respiratory distress does not resolve after stabilization in the delivery room, chest radiography, supplemental oxygen, and appropriate laboratory tests (eg, complete blood cell count, blood cultures, C-reactive protein, blood gas measurement) should be considered. The Early-Onset Sepsis Calculator can help guide decision-making for neonates who may require antibiotic therapy.

新生儿呼吸窘迫是新生儿出生时接受重症监护的最常见原因之一。如果诊断和处理不当,新生儿呼吸窘迫可发展为心肺衰竭和死亡。呼吸窘迫的症状包括呼吸功增加(例如,咕噜声、鼻胀、发绀、内缩、呼吸频率大于60次/分钟[呼吸急促])。足月呼吸窘迫最常见的原因是新生儿短暂性呼吸急促。其他原因包括呼吸窘迫综合征、胎粪吸入综合征、肺炎和败血症。较不常见的原因是气胸、先天性心脏病和先天性膈疝。接生的医生应该熟悉当前的新生儿复苏指南。如果在产房稳定后呼吸窘迫仍未缓解,应考虑胸片、补充氧气和适当的实验室检查(如全血细胞计数、血培养、c反应蛋白、血气测量)。早发脓毒症计算器可以帮助指导可能需要抗生素治疗的新生儿的决策。
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引用次数: 0
Buprenorphine Initiation in the Era of Fentanyl. 芬太尼时代的丁丙诺啡起始。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
Julie Garchow, Benjamin Oldach
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引用次数: 0
Varicose Veins and Swelling After Pacemaker Placement. 心脏起搏器放置后静脉曲张和肿胀。
IF 3.5 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2026-01-01
Allison Coy, David M Brown
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引用次数: 0
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American family physician
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