Canadian Family Physician最新文献

{"title":"Recommandations rapides: Mises à jour des lignes directrices en 2024 : partie 1.","authors":"Danielle O'Toole","doi":"10.46747/cfp.710708e192","DOIUrl":"10.46747/cfp.710708e192","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"e192-e194"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746035","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":"Imagerie avancée appropriée dans les cas de lésion cérébrale traumatique mineure: Chez des patients adultes en milieu clinique.","authors":"Brian H Rowe, Esther Yang, Kevin Skoblenick","doi":"10.46747/cfp.710708e188","DOIUrl":"10.46747/cfp.710708e188","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"e188-e191"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746031","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":"Percevoir l’invisible pour défendre la profession.","authors":"Michael Allan","doi":"10.46747/cfp.710708527","DOIUrl":"10.46747/cfp.710708527","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"527"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746033","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":"Guide de pratique clinique en soins de première ligne d'Hypertension Canada pour le diagnostic et le traitement de l'hypertension artérielle chez les adultes.","authors":"Rémi Goupil, Ross T Tsuyuki, Nancy Santesso, Kristin A Terenzi, Jeffrey Habert, Gemma Cheng, Stephanie C Gysel, Jill Bruneau, Alexander A Leung, Norman R C Campbell, Ernesto L Schiffrin, Gregory L Hundemer","doi":"10.46747/cfp.710708e167","DOIUrl":"10.46747/cfp.710708e167","url":null,"abstract":"<p><strong>Contexte: </strong>Le Canada a longtemps figuré parmi les leaders mondiaux de la prise en charge de l'hypertension artérielle (HTA), mais ses taux de traitement et de maîtrise de l'HTA ont régressé ces dernières années. Le présent guide de pratique clinique vise à fournir des recommandations pragmatiques axées sur les soins de première ligne afin d'améliorer la prise en charge de l'HTA chez les adultes à l'échelle de la population. MÉTHODES: Conformément aux normes de qualité et de présentation du guide AGREE II (Appraisal of Guidelines for Research and Evaluation), nous avons utilisé la méthode GRADE (Grading of Recommendations Assessment, Development and Evaluation) et le processus ADAPTE pour formuler des recommandations sur la prise en charge de l'HTA chez les adultes de 18 ans et plus. Nous avons ensuite intégré ces recommandations dans des algorithmes simplifiés, pragmatiques et fondés sur les données probantes en nous appuyant sur le guide technique HEARTS - un modèle de soins mis au point par l'Organisation mondiale de la Santé (OMS) afin d'améliorer la maîtrise de l'HTA et de réduire le fardeau des maladies cardiovasculaires (MCV). Le comité qui a préparé ce guide de pratique clinique se composait principalement de prestataires de soins de première ligne, mais aussi de patients et patientes, de spécialistes de la méthodologie et de spécialistes de l'HTA. Notre processus de gestion des intérêts concurrents a respecté les principes du Guidelines International Network.</p><p><strong>Recommandations: </strong>Les 9 recommandations pour la prise en charge de l'HTA chez les adultes sont regroupées sous les rubriques « Diagnostic » et « Traitement ». Les recommandations diagnostiques comportent une méthode standardisée de mesure de la pression artérielle (PA) et de confirmation de l'HTA, ainsi qu'une définition uniforme de l'HTA, soit une PA ≥130/80 mm Hg. Les recommandations thérapeutiques comprennent l'établissement d'une cible de pression artérielle systolique (PAS) <130 mm Hg, l'adoption de saines habitudes de vie, de même qu'une démarche par étapes pour guider un choix optimal de médicaments lorsqu'une pharmacothérapie est nécessaire. INTERPRÉTATION: Notre objectif consiste à améliorer la norme de soins de l'HTA en soins de première ligne au Canada. Un diagnostic exact et un traitement optimal de l'HTA peuvent réduire le nombre d'événements cardiovasculaires indésirables ainsi que le risque de décès.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"e167-e184"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746030","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":"Advance care planning and goals of care discussions with patients living with dementia.","authors":"Frank Molnar, Chris Frank, Rebekah Murphy, Daniel Kobewka, Peter Munene","doi":"10.46747/cfp.710708494","DOIUrl":"10.46747/cfp.710708494","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"494-495"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746023","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":"Seeing the invisible in defense of the profession.","authors":"Michael Allan","doi":"10.46747/cfp.710708528","DOIUrl":"10.46747/cfp.710708528","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"528"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746039","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":"Topical minoxidil for androgenetic alopecia: When blood pressure agents make you hairy.","authors":"Émélie Braschi, Alexander Kiciak, Jennifer Young","doi":"10.46747/cfp.710708499","DOIUrl":"10.46747/cfp.710708499","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"499"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746042","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":"Un nouveau chapitre: Réflexions sur mon expérience avec le <i>Médecin de famille canadien</i>.","authors":"Sarah Fraser","doi":"10.46747/cfp.710708449","DOIUrl":"10.46747/cfp.710708449","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"449"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746043","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 lubricant use for sexual activity.","authors":"Ryleigh Vanderschee, Sanja Kostov","doi":"10.46747/cfp.710708e158","DOIUrl":"10.46747/cfp.710708e158","url":null,"abstract":"<p><strong>Objective: </strong>To present health care providers with an inclusive, evidence-based framework to identify patients who may benefit from lubricant use during sexual activity, and assist patients in selecting a lubricant tailored to their specific needs.</p><p><strong>Sources of information: </strong>A MEDLINE, PubMed, Google Scholar, and Google search was performed for white and grey literature published from 2003 to 2024. Interdisciplinary experts in sexual health also conducted an iterative review.</p><p><strong>Main message: </strong>Lubricant use during sexual activity has numerous benefits, minimal harms, and can play a role in managing many common sexual health concerns encountered in primary care. However, counselling on lubricant use can be challenging due to a lack of accessible, evidence-based clinical tools. Consequently, clinicians are often hesitant to discuss lubricant use and can only offer anecdotal advice. Lubricant use is especially beneficial for patients using condoms or experiencing dryness, pain (eg, dyspareunia), or dysfunction during sex. There are 3 main types of lubricants available: oil-, silicone-, and water-based products. For patients who use condoms or who experience recurrent vaginal infections or irritation, silicone- or water-based lubricants are recommended, which are free of harmful ingredients and are within recommended osmolality and pH ranges.</p><p><strong>Conclusion: </strong>Lubricant use during sexual activity can enhance sexual well-being across diverse patient populations. This review summarizes evidence and provides practical tools to help clinicians integrate counselling on lubricant use into routine sexual health discussions.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"e158-e166"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746025","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":"La <i>Mycoplasma pneumoniae</i> résistante chez l’enfant.","authors":"Caeleigh Smith, Karin Ng, Kendra Sih, Alastair Mcalpine, Ran D Goldman","doi":"10.46747/cfp.710708e185","DOIUrl":"10.46747/cfp.710708e185","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"e185-e187"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746032","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}