Canadian Family Physician最新文献

{"title":"Soins du prépuce: Hygiène, importance du counseling et prise en charge des complications courantes.","authors":"Cale Leeson, Humberto Vigil, Luke Witherspoon","doi":"10.46747/cfp.7102105","DOIUrl":"10.46747/cfp.7102105","url":null,"abstract":"<p><strong>Objectif: </strong>Mettre en évidence la nécessité grandissante d'une meilleure éducation sur les soins du prépuce chez les patients et les professionnels de la santé, surtout à la lumière du déclin des taux de circoncisions néonatales.</p><p><strong>Sources de l'information: </strong>Cette révision se fonde sur les constatations tirées d'une recension dans la base de données MEDLINE des ouvrages sur les soins du prépuce pénien, les complications au prépuce et leur prise en charge. Les articles ont été passés en revue pour évaluer leur pertinence, et la qualité des données probantes a été indiquée entre parenthèses dans la révision. Lorsqu'elles étaient disponibles, les données probantes tirées des revues systématiques, des lignes directrices de pratique clinique et des essais randomisés contrôlés étaient incorporées. En l'absence de données probantes de haut niveau, l'opinion d'experts était mentionnée.</p><p><strong>Message principal: </strong>Étant donné le déclin des taux de circoncisions néonatales, l'importance de renseigner les patients sur les soins appropriés du prépuce devient de plus en plus essentielle pour éviter des complications plus tard dans la vie. Cette révision met en évidence le rôle des cliniciens de soins primaires à titre de ressources essentielles dans l'éducation des patients. En se fondant sur les données probantes disponibles, les éléments suivants sont examinés : les taux de circoncisions au Canada et les pratiques actuelles en la matière; les recommandations sur les soins routiniers du prépuce; et les complications courantes au prépuce, y compris les infections des voies urinaires, le phimosis pathologique, le balanoposthite, le lichen scléroatrophique pénien (balanite xérotique oblitérante) et le cancer du pénis.</p><p><strong>Conclusion: </strong>Cette révision a exploré les tendances et les pratiques courantes entourant la circoncision, les soins de routine du prépuce et les complications courantes observées chez les patients non circoncis. Une meilleure éducation est nécessaire et elle doit être élargie aux autres professionnels de la santé qui travaillent avec des patients dans des établissements de santé. Les cliniciens des soins primaires jouent un rôle important pour éduquer les patients et donner des recommandations sur l'hygiène appropriée du pénis.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 2","pages":"105-111"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450992","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":"Reducing the environmental burden of unnecessary investigations.","authors":"Ilona Hale, Samantha Green","doi":"10.46747/cfp.710280","DOIUrl":"10.46747/cfp.710280","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 2","pages":"80-84"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450964","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":"Vitamine D et prévention des fractures.","authors":"Jennifer Young, Émélie Braschi","doi":"10.46747/cfp.7102e33","DOIUrl":"10.46747/cfp.7102e33","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 2","pages":"e33-e34"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450999","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":"Idées audacieuses: Les 4 meilleures propositions présentées au Forum en médecine familiale 2024.","authors":"Princess Ruhama Acheampong, Kofi Akohene Mensah, Ellis Owusu-Dabo, Jamie Rodas, Katherine Rouleau, Jennifer Wilson, Olivia Wilson, Joel Wohlgemut, Jasmine Pawa, Triti Khorasheh, Jennifer Campbell, Elissa Noah, Audrey Campbell, Carolyn Pim, Angie Mullen, Nicole Blackman, Rashaad Bhyat","doi":"10.46747/cfp.7102e26","DOIUrl":"10.46747/cfp.7102e26","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 2","pages":"e26-e28"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450954","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":"Having hard conversations: Advance care planning, serious illness conversations, and goals of care discussions with oncology patients.","authors":"Leah O'Shea, Anna N Wilkinson","doi":"10.46747/cfp.7102117","DOIUrl":"10.46747/cfp.7102117","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 2","pages":"117-120"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450953","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":"All-terrain vehicle injuries in children and adolescents.","authors":"Isabelle Hadad, Ran D Goldman","doi":"10.46747/cfp.7102112","DOIUrl":"10.46747/cfp.7102112","url":null,"abstract":"<p><strong>Question: </strong>I know that all-terrain vehicles (ATVs) are commonly used for recreational purposes, and that recently an adolescent was injured while driving one. What are the dangers of ATV use among adolescents, and what are some preventative measures to recommend to families in my clinic to reduce ATV-related injuries in children?</p><p><strong>Answer: </strong>There is a disproportionately high rate of ATV accidents in children compared with adults, and the safety of ATVs has become a public health concern in recent years because of their association with increased pediatric morbidity and mortality. Children account for more than one-third of ATV-related hospitalizations and they are at an increased risk of head injuries compared with adults. Orthopedic injuries are the most common injuries sustained by children as a result of ATV use. The most common causes of injury include inexperience, inadequate physical size and muscle strength to handle the vehicle, not wearing a helmet, poor judgment, loss of control, immature motor and cognitive development, and (in older children) substance use. Medical providers should recommend ATVs be limited to those over 16 years of age and that any adolescent using an ATV wears an appropriate helmet.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 2","pages":"112-114"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450922","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":"Approach to cervical polyps in primary care.","authors":"Elizabeth Baker, Andrea MacDonald, Sarah Tennant","doi":"10.46747/cfp.710126","DOIUrl":"10.46747/cfp.710126","url":null,"abstract":"<p><strong>Objective: </strong>To provide primary care providers (PCPs) with an approach for diagnosing and managing endocervical polyps, detailing a procedural technique for cervical polypectomy and outlining key information on when to refer to a gynecologist.</p><p><strong>Sources of information: </strong>This review and approach are based on the second author's clinical practice and available literature from 1994 to 2023.</p><p><strong>Main message: </strong>Cervical polyps are commonly asymptomatic and benign, but can cause intermenstrual and postcoital bleeding. Cervical polyps alone are unlikely to be associated with dysplasia or malignancy; routine Papanicolaou and human papillomavirus tests remain the most important factors in identifying cervical dysplasia. For symptomatic patients, the lack of available literature to guide PCPs can result in unnecessary referrals to gynecology, long wait times, and associated costs to the health care system. Symptomatic endocervical polyps can be easily and painlessly removed by primary care clinicians in office using a ring-forceps polypectomy technique.</p><p><strong>Conclusion: </strong>Cervical polyps are common and generally do not require intervention if asymptomatic. Patients with cervical polyps should still participate in routine cervical cancer screening. Symptomatic cervical polyps in appropriate patients can be removed by PCPs and sent for histologic examination to avoid long wait times and unnecessary referrals to gynecology.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 1","pages":"26-30"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025868","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":"Ne nous laissons pas briser par un système défaillant.","authors":"Michael Allan","doi":"10.46747/cfp.710171","DOIUrl":"10.46747/cfp.710171","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 1","pages":"71"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026080","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":"Améliorer les rapports de recherche en soins primaires: Présentation de la Liste de vérification des éléments de rapport d’études en soins primaires établis par consensus.","authors":"Nicholas Pimlott","doi":"10.46747/cfp.7101e19","DOIUrl":"10.46747/cfp.7101e19","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 1","pages":"e19"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025864","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":"Not letting a broken system break us.","authors":"Michael Allan","doi":"10.46747/cfp.710172","DOIUrl":"10.46747/cfp.710172","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 1","pages":"72"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026083","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}