American family physician最新文献

Sudden Infant Death Syndrome: Common Questions and Answers.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Hillary J Darrow, Kayla A Carman, Vernon Wheeler

{"title":"Sudden Infant Death Syndrome: Common Questions and Answers.","authors":"Hillary J Darrow, Kayla A Carman, Vernon Wheeler","doi":"","DOIUrl":"","url":null,"abstract":"Sudden unexpected infant death is an umbrella term that describes death that occurs in infants younger than 12 months that does not have an immediately obvious cause. Sudden infant death syndrome (SIDS) is diagnosed when there is no other explanation for the death after a detailed investigation. Despite a decrease in the incidence of SIDS after instituting the Back to Sleep campaign in 1992, sudden unexpected infant death remains a leading cause of infant death, and rates have plateaued. Although there has been a decrease in the incidence of SIDS, these numbers likely reflect improved investigations because rates of sudden unexpected infant death have remained stable. Recommended risk reduction strategies include promotion of a supine sleep position, safe sleep surfaces, room sharing, breast milk feeding, and pacifier use. Families should be counseled to avoid sharing sleep surfaces, overheating, loose bedding and inclined surfaces, and parental use of tobacco or alcohol. Infant swaddling without hats is recommended until they are attempting to roll over, after which appropriate clothing or wearable blankets can be worn. Family physicians should prioritize early education and consistent messaging to promote SIDS risk reduction.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 2","pages":"164-170"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143447883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Diary of a Family Physician.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Seiji Hayashi, Justin Bailey

引用次数: 0

Ceramide Testing for Major Adverse Cardiovascular Events.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Ashley Koontz Sturts, Nathan Borrero, Kilash Anthraper

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Interventions for Fatigue in Patients With Kidney Failure Who Are Receiving Dialysis.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Meera Sunder

引用次数: 0

Gastric Cancer: Rapid Evidence Review.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Timothy Mott, Carrie Gray

{"title":"Gastric Cancer: Rapid Evidence Review.","authors":"Timothy Mott, Carrie Gray","doi":"","DOIUrl":"","url":null,"abstract":"Gastric cancer is one of the deadliest and most diagnosed cancers, although the annual incidence has been steadily decreasing. Gastric cancer risk is multifactorial with a clear association with Helicobacter pylori infection. In the United States, the age-adjusted annual incidence is 4.1 per 100,000 people with a mortality rate of 1.6; the global adjusted annual incidence is roughly twice as much with a mortality rate four times higher. No randomized controlled trials have demonstrated the benefit of endoscopy or serum pepsinogen measurement in screening for gastric cancer. Patients are often asymptomatic or have general symptoms such as weight loss, abdominal pain, nausea, and anorexia, which can preclude an early diagnosis. When gastric cancer is suspected, the recommended initial test is upper gastrointestinal endoscopy with multiple tissue biopsies. A multidisciplinary treatment team should be assembled, and shared decision-making should occur with consideration of cancer staging, comorbidities, and available treatments. Treatment is guided by extent of disease, histopathology, and tumor biomarkers. Chemotherapy and radiation, in addition to various targeted therapies, may be treatment options for tumors regardless of resectability. Prognosis is directly related to the extent of disease at diagnosis; the 5-year survival rate of treated localized disease is more than 70% vs less than 10% for distant metastatic disease.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 2","pages":"140-145"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143447778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Management of Atrial Fibrillation: Guidelines From the American College of Cardiology and American Heart Association.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Michael J Arnold

引用次数: 0

SGLT-2 for Diabetes, Biliary Pain, Depression in Adolescents, Intermittent Catheterization, Labor Induction, Umbilical Hernias, Multivitamins.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

引用次数: 0

Advancing Risk Prediction for Cardiovascular Disease: the AHA PREVENT Equations.

IF 3.8 3区医学