American family physician最新文献_第2页

Doxy PEP and Anal Cancer Screening for Men Who Have Sex With Men.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Rayyan Quip, Joshua St Louis

引用次数: 0

Limited, Low-Quality Data Suggest Antibiotics Given to Adults With Asymptomatic Pyuria or Bacteriuria Do Not Improve Delirium Outcomes.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Henry C Barry

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Oral Minoxidil, 5 mg Once Daily, Is Similarly Effective as Topical Minoxidil.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Mark H Ebell

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Plantar Fasciitis: Guidelines From the American Physical Therapy Association.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Michael J Arnold, Christopher Beaumont, Lindsay Savage

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e-Cigarettes (Vaping) Can Help People Quit Smoking, Although the Effect May Decrease Over Time.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Allen F Shaughnessy

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Acid-Base Interpretation: A Practical Approach.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Masahiro J Morikawa, Prakash R Ganesh

{"title":"Acid-Base Interpretation: A Practical Approach.","authors":"Masahiro J Morikawa, Prakash R Ganesh","doi":"","DOIUrl":"","url":null,"abstract":"Acid-base disorders are prevalent in critically ill patients, and a systematic approach is essential for evaluation. The first step is to determine the primary process based on a patient's pH, partial pressure of carbon dioxide, and bicarbonate measurements. After this is complete, the next step is to evaluate for respiratory or metabolic compensation. Deviations from expected compensation may indicate additional acid-base processes. For metabolic acidosis, anion gap calculation distinguishes between anion gap metabolic acidosis and non-anion gap metabolic acidosis. The evaluation for anion gap metabolic acidosis includes calculating the osmolal gap and conducting a gap-gap analysis. Evaluating non-anion gap metabolic acidosis involves urine anion gap calculation. These analyses identify potential etiologies and additional acid-base disturbances. Metabolic alkalosis assessment begins with measuring urine chloride levels to determine whether the process is a result of chloride depletion. Respiratory acidosis, caused by hypoventilation, often results from chronic lung disease or neuromuscular dysfunction. Respiratory alkalosis, due to hyperventilation, is common in sepsis, chronic liver disease, and acute pulmonary embolism.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 2","pages":"148-155"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143447844","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

Alpha-Lipoic Acid for Diabetic Peripheral Neuropathy.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Sarah M Abuali, D Jason Frasca

引用次数: 0

Among Psychedelics, Only Psilocybin Has Demonstrated Benefit to Treat Depression.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Allen F Shaughnessy

引用次数: 0

Genital Warts: Rapid Evidence Review.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Richard W Temple, Jackeline C L Larker, Janelle M Brus

{"title":"Genital Warts: Rapid Evidence Review.","authors":"Richard W Temple, Jackeline C L Larker, Janelle M Brus","doi":"","DOIUrl":"","url":null,"abstract":"Genital warts (also referred to as anogenital warts and condyloma acuminatum) are caused by human papillomavirus types 6 and 11 in 90% of cases. They are transmitted primarily through anogenital contact and penetrative and non-penetrative sex. Transmission can be effectively prevented with vaccination. Current evidence regarding the effects of condom use on the prevalence of genital warts is conflicting. In the United States from 2013-2016, the prevalence of genital warts among individuals ages 18 to 59 years was 1.3% in men and 3.1% in women. The diagnosis is made clinically by the appearance of single or multiple lesions that may coalesce or be the same color as surrounding skin, cauliflower-like, flat, papular, or keratotic. Biopsy is indicated in some cases, such as for atypical lesions. Treatment may be patient- or physician-administered, with choice of treatment informed by shared decision-making. Treatment options may be limited by physician skills and clinic availability. Podofilox 0.5% solution is the most effective patient-administered therapy and carbon dioxide laser therapy, surgery, and electrosurgery are the most effective for wart removal at the end of treatment. All treatment strategies are associated with some recurrence, but most successfully treated warts do not recur. Use of podofilox, imiquimod, and sinecatechins should be avoided in pregnancy.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 2","pages":"156-162"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143447782","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

Questionnaires Enrich Care Conversations.

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Mark H Hyman, Douglas W Martin

引用次数: 0