{"title":"Should antenatal testing be performed in patients with a pre-pregnancy BMI ≥ 35?","authors":"Lee Dresang, Lia Vellardita","doi":"10.12788/jfp.0560","DOIUrl":"https://doi.org/10.12788/jfp.0560","url":null,"abstract":"<p><p>Possibly. Elevated BMI is associated with an increased risk for stillbirth (strength of recommendation [SOR], B; cohort studies and meta-analysis of cohort studies). Three studies found an association between elevated BMI and stillbirth and one did not. However, no studies demonstrate that antenatal testing in pregnant people with higher BMIs decreases stillbirth rates, or that no harm is caused by unnecessary testing or resultant interventions.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 2","pages":"95-96"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9336411","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}
{"title":"Meaningful improvement for patients like Tante Ilse.","authors":"Henry C Barry","doi":"10.12788/jfp.0562","DOIUrl":"10.12788/jfp.0562","url":null,"abstract":"","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 2","pages":"54-55"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9202365","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}
{"title":"Basal Insulin/GLP-1 RA Fixed-Ratio Combinations as an Option for Advancement of Basal Insulin Therapy in Older Adults With Type 2 Diabetes.","authors":"Mark Corriere, Brian Burtch, Naushira Pandya","doi":"10.12788/jfp.0515","DOIUrl":"https://doi.org/10.12788/jfp.0515","url":null,"abstract":"<p><p>The prevalence of type 2 diabetes (T2D) is increasing, and owing to the aging population, the number of older adults with T2D is growing rapidly. By virtue of their age, older adults are likely to have been living with the disease longer than their younger counterparts. This, coupled with differences in T2D pathophysiology between younger and older patients, means that older adults often require advancement of treatment from basal insulin. However, older adults with T2D represent a heterogeneous population, for whom the goals of treatment are complex, and overtreatment can increase the risk of complications. These factors highlight the need for individualized glycemic targets and therapeutic strategies. In this roundtable, the authors discuss the management of older adults with T2D--a large patient population who often require treatment simplification.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 1 Suppl","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10785894","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}
{"title":"Shared decision-making (when you're wearing the paper gown).","authors":"Kate Rowland","doi":"10.12788/jfp.0546","DOIUrl":"https://doi.org/10.12788/jfp.0546","url":null,"abstract":"","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 1","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9348118","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}
Kayla Hatchell, Emily Chin, Brian Vukelic, Katherine Fortenberry, Dominick Ose, Eliza Taylor, Rachel Goossen
{"title":"Does regular walking improve lipid levels in adults?","authors":"Kayla Hatchell, Emily Chin, Brian Vukelic, Katherine Fortenberry, Dominick Ose, Eliza Taylor, Rachel Goossen","doi":"10.12788/jfp.0547","DOIUrl":"https://doi.org/10.12788/jfp.0547","url":null,"abstract":"<p><p>Minimally. Regular moderate-intensity walking for a period of 4 or more weeks minimally decreased total cholesterol (TC) and low-density lipoprotein (LDL) levels by about 7 mg/dL in women with overweight or obesity (strength of recommendation [SOR]: C, systematic review and meta-analysis on disease-oriented evidence). For adults ages 40 to 65 years, regular walking for 3 or more months inconsistently affected cholesterol and triglyceride levels (SOR: C, based on 3 randomized controlled trials [RCTs] with disease-oriented evidence).</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 1","pages":"E23-E24"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10785895","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}
{"title":"Infant with red eyelid lesion.","authors":"Jimena G Cervantes, Richard P Usatine","doi":"10.12788/jfp.0549","DOIUrl":"https://doi.org/10.12788/jfp.0549","url":null,"abstract":"<p><p>The rapid growth of this lesion provided an important clue in the diagnosis.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 1","pages":"45-47"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10785897","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}
{"title":"Consider this tool to reduce antibiotic-associated adverse events in patients with sepsis.","authors":"Timothy Mott, Zachary Orme","doi":"10.12788/jfp.0538","DOIUrl":"https://doi.org/10.12788/jfp.0538","url":null,"abstract":"<p><p>Predictive biomarker procalcitonin can aid clinical decision-making on continued antibiotic treatment in this patient population.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 1","pages":"E13-E15"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9909738/pdf/0720e13.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10785901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"14-year-old boy • Aching midsternal pain following a basketball injury • Worsening pain with direct pressure and when the patient sneezed • Dx?","authors":"Catherine Romaine, Alyssa Heinrich, Megan Ferderber","doi":"10.12788/jfp.0537","DOIUrl":"https://doi.org/10.12788/jfp.0537","url":null,"abstract":"<p><p>Aching midsternal pain following a basketball injury ►Worsening pain with direct pressure and when the patient sneezed.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 1","pages":"E16-E18"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9348119","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}
Matthew Brian Mackwood, Inger Imset, Cathleen Morrow
{"title":"How to integrate shared decision-making into your practice.","authors":"Matthew Brian Mackwood, Inger Imset, Cathleen Morrow","doi":"10.12788/jfp.0536","DOIUrl":"https://doi.org/10.12788/jfp.0536","url":null,"abstract":"<p><p>Despite the many benefits of shared decision-making, uptake of its practices is low. These tools and frameworks can help you to engage patients in their care decisions.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 1","pages":"7-17"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10785900","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}