American family physician最新文献_第2页

Routine Imaging Is Not Needed for Groin Hernia Diagnosis. 腹股沟疝气诊断无需常规成像。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

Dimitrios Moris, Theodore Pappas, Jacob Greenberg

引用次数: 0

Blood Pressure Control for Patients With Diabetic Retinopathy. 糖尿病视网膜病变患者的血压控制。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

Leesha Helm, Mary Joyce Green

引用次数: 0

Management of Obesity: Office-Based Strategies. 肥胖症管理：办公室策略。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

Michelle K Keating, Rachel K Woodruff, Erin M Saner

{"title":"Management of Obesity: Office-Based Strategies.","authors":"Michelle K Keating, Rachel K Woodruff, Erin M Saner","doi":"","DOIUrl":"","url":null,"abstract":"Obesity in the United States is increasing, with the most recent national data indicating a prevalence of 41.9%. Obesity is generally considered a body mass index (BMI) of 30 kg per m2 or greater; however, increased waist circumference (female: 35 inches or greater; male: 40 inches or greater) may be a more accurate indicator of obesity, particularly in older adults. For patients who are overweight or obese, the history should include whether patients are taking medications that can increase weight and identifying comorbid conditions contributing to or resulting from obesity. Clinicians should also ask about previous weight-management strategies and whether they were effective. Initial laboratory testing includes a complete blood count, metabolic profile, lipids, thyroid-stimulating hormone and A1C levels, and additional testing as needed. The Obesity Medicine Association recommends that weight management incorporate five pillars: behavioral counseling, nutrition, physical activity, pharmacotherapy, and, when appropriate, bariatric procedures. Pharmacotherapy with anti-obesity medications such as glucagon-like peptide-1 receptor agonists, sympathomimetics, and others should be considered for any patient with a BMI of 30 kg per m2 or greater and for any patients who are overweight (i.e., BMI of 27 kg per m2 or greater) with metabolic comorbidities. Referral for bariatric surgery should be considered for patients who meet the criteria. Successful management requires individualized support systems with periodic follow-ups through each phase of treatment.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035007","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 Patients With Aneurysmal Subarachnoid Hemorrhage: Guidelines From the AHA and ASA. 动脉瘤性蛛网膜下腔出血患者的管理：AHA 和 ASA 的指南。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

Michael J Arnold

引用次数: 0

Tirzepatide (Zepbound) for the Treatment of Obesity. 治疗肥胖症的 Tirzepatide（Zepbound）。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

Valerie Coppenrath, Beth Mazyck

引用次数: 0

Conjunctivitis: Diagnosis and Management. 结膜炎：诊断与处理。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

Stella Winters, Winfred Frazier, Jacob Winters

引用次数: 0

Chronic Cough: Evaluation and Management. 慢性咳嗽：评估与管理》。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

Kento Sonoda, Ravi Nayak

{"title":"Chronic Cough: Evaluation and Management.","authors":"Kento Sonoda, Ravi Nayak","doi":"","DOIUrl":"","url":null,"abstract":"Chronic cough is a cough lasting longer than 8 weeks in adults and 4 weeks in children. In the United States, more than 12.3 million individuals are estimated to have chronic cough. The most common causes of chronic cough in adults are upper airway cough syndrome, asthma, nonasthmatic eosinophilic bronchitis, gastroesophageal reflux disease, and laryngopharyngeal reflux. The initial assessment of chronic cough should include cost-effective diagnostic tests, such as chest radiography and spirometry, and empiric and targeted treatment for the most common etiologies. An assessment of medications (e.g., angiotensin-converting enzyme inhibitors), environment, occupation, and potential chemical triggers should be conducted. For chronic refractory cough, physiotherapy and speech and language therapy combined with a trial of gabapentin or amitriptyline can be considered. When initial test findings are unremarkable, further diagnostic tests, such as bronchoscopy and nasendoscopy, are often warranted through referral to a pulmonologist and otolaryngologist. Common etiologies in children include protracted bacterial bronchitis, asthma, bronchiectasis, upper airway cough syndrome, and gastroesophageal reflux disease. Because of the high likelihood of spontaneous resolution, children with a dry cough without wheezing or exertional dyspnea may be observed for 2 weeks.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142034997","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

Corrections. 更正。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

引用次数: 0

Rethinking Breastfeeding Guidelines for People Living With HIV. 重新思考艾滋病病毒感染者母乳喂养指南。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

Lealah Pollock, Christopher M Bositis, Christine Chang Pecci

引用次数: 0

Supporting the Paradigm Shift: Watchful Waiting for Lactational Mastitis. 支持范式转变：哺乳期乳腺炎的观察等待。

IF 3.8 3区医学

American family physician Pub Date : 2024-08-01

Kelley V Lawrence

引用次数: 0