American family physician最新文献_第8页

Acute Bronchitis: Rapid Evidence Review. 急性支气管炎：快速证据回顾。

IF 3.8 3区医学

American family physician Pub Date : 2025-03-01

Elie Mulhem, Erwin Patalinghug, Hany Eraqi

{"title":"Acute Bronchitis: Rapid Evidence Review.","authors":"Elie Mulhem, Erwin Patalinghug, Hany Eraqi","doi":"","DOIUrl":"","url":null,"abstract":"Acute bronchitis is a clinical diagnosis and accounts for more than 3 million outpatient office visits in the United States annually. The differential diagnosis includes exacerbations of preexisting conditions, such as asthma, chronic obstructive pulmonary disease, and heart failure or other causes of acute cough, including pertussis, COVID-19, influenza, and community-acquired pneumonia. Acute cough may present with or without sputum production. Diagnostic testing is not indicated unless there is concern for other potential causes, such as community-acquired pneumonia, influenza, or COVID-19. Acute bronchitis is a self-limiting disease. Evidence does not support the use of antitussives, honey, antihistamines, anticholinergics, oral nonsteroidal anti-inflammatory drugs, or inhaled or oral corticosteroids. Antibiotics do not contribute to the overall improvement of acute bronchitis; although they may decrease the duration of cough by approximately 0.5 days, their use exposes patients to antibiotic-related adverse effects. Therefore, symptom relief and patient education regarding the expected duration of cough (2-3 weeks) are recommended for the management of acute bronchitis. Strategies shown to decrease antibiotic prescribing include delayed antibiotic prescriptions and describing acute bronchitis as a chest cold.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 3","pages":"214-217"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143661910","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

The Empowerment of Consumers for Health: AI Accelerates a Long-Standing Trend. 赋予消费者健康权力：人工智能加速了一个长期趋势。

IF 3.8 3区医学

American family physician Pub Date : 2025-03-01

Joel Selanikio

引用次数: 0

Mineralocorticoid Receptor Antagonists Associated With Reductions in Hospitalizations and Death Among Patients With Heart Failure. 矿皮质激素受体拮抗剂与心力衰竭患者住院和死亡减少相关

IF 3.8 3区医学

American family physician Pub Date : 2025-03-01

Linda Speer

引用次数: 0

High-Flow Nasal Cannula Therapy for Infants With Bronchiolitis. 高流量鼻插管治疗婴儿毛细支气管炎。

IF 3.8 3区医学

American family physician Pub Date : 2025-03-01

Ryan Paulus, Anne Mounsey, Wesley Roten

引用次数: 0

Updates to Management of Adults With Chronic Kidney Disease. 成人慢性肾脏疾病管理的最新进展。

IF 3.8 3区医学

American family physician Pub Date : 2025-03-01

Stephanie Toth-Manikowski, Howard Shaps, John Danziger

引用次数: 0

Pacifiers: Common Questions and Answers. 安抚奶嘴：常见问题和答案。

IF 3.8 3区医学

American family physician Pub Date : 2025-03-01

David S Garcia, Kara W Garcia

{"title":"Pacifiers: Common Questions and Answers.","authors":"David S Garcia, Kara W Garcia","doi":"","DOIUrl":"","url":null,"abstract":"Patients commonly seek guidance about the risks and benefits of pacifiers as well as when and how to wean children from them. Various types of pacifiers appear to have similar risks and benefits. The benefits of pacifier use include reduced risk of sudden infant death syndrome, decreased discomfort during air travel, and pain control during intramuscular injections, venipuncture, and heel sticks. Associated risks include potential negative effects on the initiation of breastfeeding, dental malocclusion, dental caries (when sugar is added), and otitis media. To mitigate the risk of dental caries, caregivers should avoid adding sugar to pacifiers. The American Academy of Pediatrics recommends using a single-piece pacifier with a soft nipple and a shield at least 1.5 inches in diameter with ventilation holes. The American Academy of Pediatrics also recommends delaying pacifier use until breastfeeding is well established, offering a pacifier when putting an infant to sleep, not reinserting pacifiers once an infant is asleep, and not forcing an infant to use a pacifier. The American Academy of Pediatrics recommends weaning pacifier use during the second 6 months of life to decrease the risk of otitis media. The optimal time to wean a child from a pacifier is unknown, but health risks appear to increase after 12 months of age.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 3","pages":"230-235"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143661988","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

The Pretravel Consultation. 旅行前咨询。

IF 3.8 3区医学

American family physician Pub Date : 2025-03-01

Jedda Rupert, Timothy Groh, Rebecca Allen

{"title":"The Pretravel Consultation.","authors":"Jedda Rupert, Timothy Groh, Rebecca Allen","doi":"","DOIUrl":"","url":null,"abstract":"Patients who will be traveling internationally should be advised to schedule dedicated pretravel assessments with their primary care physicians. The pretravel consultation is a vital opportunity for physicians to review preventive and risk-reduction strategies with travelers. Critical components of the patient interview include travel itinerary, anticipated high-risk activity, and medical history. This information affects subsequent recommendations for immunizations, malaria chemoprophylaxis, personal protective measures, and risk-reduction measures. Physicians should review whether routine and seasonal immunizations, including those for COVID-19 and influenza, are up to date and determine whether location-specific immunizations are warranted. Malaria prophylaxis and counseling on personal protective measures, including minimizing skin exposure and using insect repellant, permethrin-treated clothing, bed nets, and screens, are recommended for travelers visiting endemic areas. A single dose of antibiotics may be considered for self-treatment of traveler's diarrhea without features of dysentery. Travelers with chronic medical conditions, such as diabetes, should carry documentation of medical issues and enough medications and supplies to last for the duration of travel. Activity-specific concerns include sunburn, motor vehicle crashes, water safety, altitude sickness, and risks associated with sexual behaviors.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 3","pages":"245-253"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662025","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

Sudden Infant Death Syndrome: Common Questions and Answers. 婴儿猝死综合症：常见问题与答案。

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. 《一个家庭医生的日记》

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. 神经酰胺检测主要不良心血管事件。

IF 3.8 3区医学

American family physician Pub Date : 2025-02-01

Ashley Koontz Sturts, Nathan Borrero, Kilash Anthraper

引用次数: 0