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Preexposure prophylaxis for preventing HIV infection: Routine practice in primary care. 预防艾滋病毒感染的三暴露预防法：初级保健的常规做法。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-06-03 DOI: 10.3949/ccjm.91a.23079
Amy L Wiser
{"title":"Preexposure prophylaxis for preventing HIV infection: Routine practice in primary care.","authors":"Amy L Wiser","doi":"10.3949/ccjm.91a.23079","DOIUrl":"10.3949/ccjm.91a.23079","url":null,"abstract":"<p><p>An estimated 1.2 million people in the United States have human immunodeficiency virus (HIV) infection per US Centers for Disease Control and Prevention 2021 data. The highest risk of HIV transmission occurs during injection drug use with needle sharing and during sexual activity, most significantly in condomless, receptive anal intercourse. Preexposure prophylaxis (PrEP) for the prevention of HIV infection is part of a larger biobehavioral strategy that uses antiretroviral medication, an oral formulation taken daily or during anticipated exposure events, or an injectable formulation administered every 8 weeks. PrEP consists of 3 possible regimens: emtricitabine/tenofovir disoproxil fumarate, emtricitabine/tenofovir alafenamide, or injectable cabotegravir. Primary care clinicians are strategically positioned to provide PrEP education and access.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 6","pages":"361-371"},"PeriodicalIF":6.1,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should an NPO order be placed for my patient with acute pancreatitis? 是否应为急性胰腺炎患者开具 NPO 订单？
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-06-03 DOI: 10.3949/ccjm.91a.24009
Aaron Pathak, Siena Blackwell, Robert Jay Sealock
{"title":"Should an NPO order be placed for my patient with acute pancreatitis?","authors":"Aaron Pathak, Siena Blackwell, Robert Jay Sealock","doi":"10.3949/ccjm.91a.24009","DOIUrl":"https://doi.org/10.3949/ccjm.91a.24009","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 6","pages":"341-343"},"PeriodicalIF":6.1,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does every patient with lactational mastitis require antibiotic treatment? 是否每位哺乳期乳腺炎患者都需要接受抗生素治疗？
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23080
Abigail Wink, Jameson A Mitchell, Suet Kam Lam, Heidi Szugye
{"title":"Does every patient with lactational mastitis require antibiotic treatment?","authors":"Abigail Wink, Jameson A Mitchell, Suet Kam Lam, Heidi Szugye","doi":"10.3949/ccjm.91a.23080","DOIUrl":"10.3949/ccjm.91a.23080","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 5","pages":"283-285"},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Functional dyspepsia: How to manage the burn and the bloat. 功能性消化不良：如何处理烧灼感和腹胀。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23062
Scott Gabbard, Nina Vijayvargiya
{"title":"Functional dyspepsia: How to manage the burn and the bloat.","authors":"Scott Gabbard, Nina Vijayvargiya","doi":"10.3949/ccjm.91a.23062","DOIUrl":"10.3949/ccjm.91a.23062","url":null,"abstract":"<p><p>Functional dyspepsia is defined as persistent symptoms of postprandial bloating, early satiety, or pain in the center of the upper abdomen, without findings on upper endoscopy such as peptic ulcer disease to explain these symptoms. It is common, affecting up to 30% of the global population, but it often goes undiagnosed for years. There are 2 subtypes: epigastric pain syndrome (burning and pain) and postprandial distress syndrome (bloating and satiety). The authors discuss how to diagnose and treat both subtypes.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 5","pages":"301-307"},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gingival overgrowth in acute monocytic leukemia. 急性单核细胞白血病的牙龈增生。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23087
Lex Leonhardt, John Harcha, Alejandro Calvo
{"title":"Gingival overgrowth in acute monocytic leukemia.","authors":"Lex Leonhardt, John Harcha, Alejandro Calvo","doi":"10.3949/ccjm.91a.23087","DOIUrl":"10.3949/ccjm.91a.23087","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 5","pages":"267-268"},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New CCJM faces and features. 新的 CCJM 面孔和功能。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91b.05024
Brian F Mandell
{"title":"New <i>CCJM</i> faces and features.","authors":"Brian F Mandell","doi":"10.3949/ccjm.91b.05024","DOIUrl":"https://doi.org/10.3949/ccjm.91b.05024","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 5","pages":"263"},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Providing comfort: Caring for patients who wish to die in their home country. 提供安慰：照顾希望在本国去世的病人。
IF 3.4 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23095
Kelly Ferraro, Sandhya Sharma, Kimberly A Indovina
{"title":"Providing comfort: Caring for patients who wish to die in their home country.","authors":"Kelly Ferraro, Sandhya Sharma, Kimberly A Indovina","doi":"10.3949/ccjm.91a.23095","DOIUrl":"10.3949/ccjm.91a.23095","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 5","pages":"270-272"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perspectives on travel and healthcare. 关于旅行和医疗保健的观点。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.24018
Maan Fares
{"title":"Perspectives on travel and healthcare.","authors":"Maan Fares","doi":"10.3949/ccjm.91a.24018","DOIUrl":"https://doi.org/10.3949/ccjm.91a.24018","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 5","pages":"275-276"},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Simultaneous hemorrhage and venous thrombosis in a patient with systemic lupus erythematosus. 一名系统性红斑狼疮患者同时出现出血和静脉血栓。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23059
Binoy Yohannan, Natalie A Montanez, Miguel A Escobar
{"title":"Simultaneous hemorrhage and venous thrombosis in a patient with systemic lupus erythematosus.","authors":"Binoy Yohannan, Natalie A Montanez, Miguel A Escobar","doi":"10.3949/ccjm.91a.23059","DOIUrl":"10.3949/ccjm.91a.23059","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 5","pages":"308-317"},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing the risks when using benzodiazepines to treat insomnia: A public health approach. 降低使用苯并二氮杂卓治疗失眠症的风险：公共卫生方法。
IF 6.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2024-05-01 DOI: 10.3949/ccjm.91a.23061
Vania Modesto-Lowe, Margaret M Chaplin, Roberto León-Barriera, Lakshit Jain
{"title":"Reducing the risks when using benzodiazepines to treat insomnia: A public health approach.","authors":"Vania Modesto-Lowe, Margaret M Chaplin, Roberto León-Barriera, Lakshit Jain","doi":"10.3949/ccjm.91a.23061","DOIUrl":"10.3949/ccjm.91a.23061","url":null,"abstract":"<p><p>Benzodiazepines are widely used but can cause considerable harm, including sedation, addiction, falls, fractures, and cognitive impairment, especially with long-term use and in elderly patients. The authors propose a public health approach to reduce the potential for harm when using benzodiazepines to treat insomnia. Primary prevention involves judicious patient selection and patient education. Secondary prevention requires keeping the duration of use as short as possible according to guidelines. Tertiary prevention, for patients who have been taking a benzodiazepine for a long time, uses shared decision-making to introduce a gradual and carefully monitored taper.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"91 5","pages":"293-299"},"PeriodicalIF":6.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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