American family physician最新文献_第4页

Decision Aids for Patients Facing Health Treatment or Screening Decisions. 为面临健康治疗或筛查决定的患者提供决策辅助工具。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Kento Sonoda, Jiti Uppugunduri

引用次数: 0

Resmetirom (Rezdiffra) for the Treatment of Noncirrhotic Nonalcoholic Steatohepatitis With Moderate to Advanced Fibrosis. 用于治疗中晚期纤维化的非肝硬化性非酒精性脂肪性肝炎的雷美替罗 (Rezdiffra)。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Smriti Ohri, Maria Summa

引用次数: 0

Alzheimer Disease: Treatment of Cognitive and Functional Symptoms. 阿尔茨海默病：认知和功能症状的治疗。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Ecler Ercole Jaqua, Mai-Linh N Tran, Mary Hanna

{"title":"Alzheimer Disease: Treatment of Cognitive and Functional Symptoms.","authors":"Ecler Ercole Jaqua, Mai-Linh N Tran, Mary Hanna","doi":"","DOIUrl":"","url":null,"abstract":"Alzheimer disease is a progressive, neurodegenerative disorder characterized by the accumulation of amyloid beta plaques and hyperphosphorylated tau proteins. Alzheimer disease affects cognitive function, leading to memory loss and impairment in activities of daily living. Approximately 6.9 million people in the United States 65 years and older live with Alzheimer disease, a number expected to double by 2060. Although there is no cure for Alzheimer disease, treatments are available to manage symptoms. Tools such as the Diagnostic and Statistical Manual of Mental Disorders, 5th ed., criteria aid in identifying major neurocognitive disorders. The evaluation involves a comprehensive medical history, cognitive examinations, and collateral information. Nonpharmacologic interventions focus on psychosocial approaches, with music, sensory stimulation, and validation therapies showing some evidence of reducing responsive behaviors. Pharmacologic management, such as acetylcholinesterase inhibitors (donepezil, galantamine, rivastigmine) and the N-methyl-d-aspartate receptor antagonist memantine, targets symptom relief and disease progression. Vitamin E does not improve cognition but may mitigate functional decline. Brexpiprazole has been approved in the United States for treating agitation associated with Alzheimer disease. Anti-amyloid monoclonal antibody treatments are approved for mild cognitive impairment and mild Alzheimer disease, but they are controversial and safety concerns exist. Ineffective therapies include ginkgo biloba, nonsteroidal anti-inflammatory drugs, omega-3 fatty acids, and statins.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279145","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

Ultrasonography and CRP (Rule Out Only) Are the Most Useful Tools for Diagnosing Acute Diverticulitis That Are Feasible in Primary Care. 超声波检查和 CRP（仅排除）是诊断急性憩室炎最有用的工具，在初级保健中也是可行的。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Mark H Ebell

引用次数: 0

Palpitations: Evaluation, Management, and Wearable Smart Devices. 心悸：评估、管理和可穿戴智能设备。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Robert L Gauer, Melanie F Thomas, Ryan A McNutt

{"title":"Palpitations: Evaluation, Management, and Wearable Smart Devices.","authors":"Robert L Gauer, Melanie F Thomas, Ryan A McNutt","doi":"","DOIUrl":"","url":null,"abstract":"Palpitations are a common symptom described by patients as a feeling of a racing or fluttering heart, a pounding chest, irregular or skipped heartbeats, or a pounding sensation in the neck. They are associated with a low mortality rate; however, recurrent palpitations have been shown to impair quality of life and increase health care use. Common triggers are cardiac disorders, endocrine and metabolic disorders, medication or illicit drug use, or psychosomatic disorders. A detailed history, physical examination, directed laboratory studies, and 12-lead electrocardiography are often sufficient to identify the etiology of palpitations. Additional testing may be indicated to include echocardiography, cardiac stress testing, electrocardiogram monitoring, or electrophysiologic studies to distinguish whether symptoms correlate with cardiac arrhythmia or structural or ischemic heart disease. Management of palpitations is based on the suspected etiology. In most cases of cardiac-induced palpitations, the treatment can include reassurance, education, trigger avoidance, or use of atrioventricular nodal blockers. Tachyarrhythmias may require cardiac ablation. Patients who have palpitations with no arrhythmia causality and no cardiac disease should be reassured; however, screening for psychosomatic disorders should be considered. Wearable smart devices with ambulatory electrocardiogram monitoring technologies are currently available to consumers; these tools have shown diagnostic accuracy for detection of arrhythmias, allowing patients to have greater participation in their health care. Am Fam Physician. 2024; 110(3):259-269.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279160","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

Low Incidence of Pregnancy With Same-Day-Start Contraception. 同日开始避孕的怀孕发生率低。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Linda Speer

引用次数: 0

Surgical vs. Nonsurgical Treatment for Carpal Tunnel Syndrome. 腕管综合症的手术治疗与非手术治疗。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Bless Jung, Jeffrey Leggit, John James

引用次数: 0

Testing Infants and Children With Perinatal Exposure to Hepatitis C Virus. 检测围产期暴露于丙型肝炎病毒的婴儿和儿童。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Amy L Sandul, Carolyn Wester, Lakshmi Panagiotakopoulos

引用次数: 0

Urinary Catheter Management. 导尿管管理。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Kyle J Fletke, Dae Hyoun Jeong, Alexander V Herrera

{"title":"Urinary Catheter Management.","authors":"Kyle J Fletke, Dae Hyoun Jeong, Alexander V Herrera","doi":"","DOIUrl":"","url":null,"abstract":"Family physicians often treat patients who require urinary management with the use of external urinary devices, clean intermittent catheterization, or indwelling urinary catheterization. External urinary devices are indicated for urinary incontinence (postvoid residual less than 300 mL), urine volume measurement for hospitalized patients, nonsterile urine diagnostic testing, improved comfort for patients in hospice or palliative care, and fall prevention for high-risk patients. Indwelling urinary catheterization is indicated for severe urinary retention or bladder outlet obstruction; wound healing in the sacrum, buttocks, or perineal area; prolonged immobilization; and as a palliative measure for patients who are terminally ill. Clean intermittent catheterization is an alternative to indwelling urinary catheterization for acute or chronic urinary retention (postvoid residual greater than 300 mL) without bladder outlet obstruction, sterile urine testing, postvoid residual volume assessment, and wound healing. Suprapubic catheter placement is considered when long-term catheterization is needed or urethral catheterization is not feasible. Urinary catheters should not be used solely for staff or caregiver convenience, incontinence-related dermatitis, urine culture procurement from a voiding patient, or initial incontinence management. Common complications of urinary catheter use include obstruction, bladder spasm, urine leakage, and skin breakdown of the sacrum, buttocks, or perineum. The risk of catheter-associated urinary tract infections increases with the duration of catheter use. Urologist referral is indicated for patients requiring urinary management who have recurrent urinary tract infections, acute infectious urinary retention, suspected urethral injury, or substantial urethral discomfort or if long-term catheterization is being considered.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279169","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

Opioid Prescriptions After Cesarean Delivery Can Be Reduced While Maintaining Satisfactory Pain Control. 剖腹产后可减少阿片类药物处方，同时保持满意的疼痛控制效果。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Linda Speer

引用次数: 0