American family physician最新文献

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Consider a Formal Exercise Prescription as Initial Therapy for Patients With Symptoms of Depression. 考虑为有抑郁症状的患者开具正式的运动处方,作为初始疗法。
IF 3.8 3区 医学
American family physician Pub Date : 2024-06-01
Allen F Shaughnessy
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引用次数: 0
Gestational Diabetes Mellitus, Acetaminophen Overdose, Congenital Syphilis, e-Cigarettes, Acne Vulgaris, Newborn Birthmarks. 妊娠糖尿病、对乙酰氨基酚过量、先天性梅毒、电子烟、痤疮、新生儿胎记。
IF 3.8 3区 医学
American family physician Pub Date : 2024-06-01
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引用次数: 0
Testosterone Replacement Therapy for Male Hypogonadism. 男性性腺功能减退症的睾酮替代疗法。
IF 3.8 3区 医学
American family physician Pub Date : 2024-06-01
Joel J Heidelbaugh, Aleksandr Belakovskiy
{"title":"Testosterone Replacement Therapy for Male Hypogonadism.","authors":"Joel J Heidelbaugh, Aleksandr Belakovskiy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Testosterone deficiency, or male hypogonadism, is a clinical syndrome that can be defined as persistently low serum testosterone levels in the setting of symptoms consistent with testosterone deficiency. Studies suggest that testosterone replacement therapy may improve sexual function, depressive symptoms, bone density, and lean body mass. Evidence is conflicting regarding its effect on cardiovascular events and mortality. Although prior studies suggested that testosterone replacement therapy increased the risk of cardiovascular disease, a large, randomized trial showed that it does not increase the risk of myocardial infarction or stroke, even in patients at high risk. After a detailed discussion of the potential benefits and risks through shared decision-making, testosterone replacement therapy should be considered for men with testosterone deficiency to correct selected symptoms and induce and maintain secondary sex characteristics. Treatment method should take into consideration patient preference, pharmacokinetics, potential for medication interactions, formulation-specific adverse effects, treatment burden, and cost. Clinicians should monitor men receiving testosterone replacement therapy for symptom improvement, potential adverse effects, and adherence. Serum testosterone, hematocrit, and prostate-specific antigen levels should be measured at baseline and at least annually in men 40 years or older receiving testosterone replacement therapy. (Am Fam Physician. 2024;109(6):543-549.</p>","PeriodicalId":7713,"journal":{"name":"American family physician","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141436610","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
Single Intramuscular Dose of Nirsevimab Reduces Likelihood of Hospitalization Due to RSV in Average-Risk Infants During First Year of Life. 单次肌肉注射 Nirsevimab 可降低出生后第一年平均风险婴儿因 RSV 而住院的可能性。
IF 3.8 3区 医学
American family physician Pub Date : 2024-05-01
Mark H Ebell
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引用次数: 0
Red, Verrucous Plaque on the Forearm. 前臂上的红色疣状斑块
IF 4 3区 医学
American family physician Pub Date : 2024-05-01
Melinda Jean Gruber, Zachary Britstone, Katherine Schaefer
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引用次数: 0
Baclofen for Alcohol Use Disorder. 巴氯芬治疗酒精使用障碍。
IF 4 3区 医学
American family physician Pub Date : 2024-05-01
Elin Kondrad, Abria Bonner, Stephanie Sandhu, Kathryn Seitz, Stephanie Weldon
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引用次数: 0
Role of sFlt-1/PlGF Ratio in Diagnosing Preeclampsia. sFlt-1/PlGF 比率在诊断子痫前期中的作用。
IF 3.8 3区 医学
American family physician Pub Date : 2024-05-01
Vidya Lala, Samone Franzese
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引用次数: 0
Falls in Older Adults: Approach and Prevention. 老年人跌倒:方法与预防。
IF 4 3区 医学
American family physician Pub Date : 2024-05-01
Jessica S Coulter, Jessica Randazzo, Erinn E Kary, Haroon Samar
{"title":"Falls in Older Adults: Approach and Prevention.","authors":"Jessica S Coulter, Jessica Randazzo, Erinn E Kary, Haroon Samar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Falls are a major public health problem, occurring in more than 27% of adults 65 years and older and costing the U.S. health care system tens of billions of dollars each year. The most common risk factors are prior falls, balance disorders, fear of falling, and dementia. Regular physical activity reduces fall risk. Identifying injuries is the first step in evaluating older adults who have fallen. The patient's history may be inaccurate if they have cognitive impairment, and the physical examination can result in false-negative findings. If injury status cannot be determined and suspicion for injury remains high, clinicians can consider whole-body computed tomography (i.e., pan-scan) to evaluate the head, cervical spine, chest, abdomen, and pelvis. After addressing injuries, the next steps are to identify the cause of the fall and implement measures to reduce future fall risk. The Centers for Disease Control and Prevention has developed an easy-to-use tool to screen for and reduce fall risk, known as STEADI (Stopping Elderly Accidents, Deaths, and Injuries). An affirmative answer to any of the three STEADI screening questions indicates further evaluation with a timed up and go test, 30-second chair stand test, and four-stage balance test. If results of these tests are abnormal, multicomponent interventions are indicated to reduce future fall risk. These components include evaluating environmental and home safety factors and optimizing care of chronic medical conditions, such as diabetes mellitus, hypertension, osteoporosis, pain, urinary urgency and incontinence, and depression. Polypharmacy and drugs that increase risk of falls should be avoided, when possible. Optimization of vision and hearing correction, podiatry care, and appropriate use of ambulation devices are also important.</p>","PeriodicalId":7713,"journal":{"name":"American family physician","volume":null,"pages":null},"PeriodicalIF":4.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157557","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
Persistent Pink Nodules and Hyperpigmented Plaques on Trunk and Extremities. 躯干和四肢出现持续性粉红色结节和色素沉着斑。
IF 4 3区 医学
American family physician Pub Date : 2024-05-01
Daniela M Mendez, Shayna C Rivard
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引用次数: 0
Management of First-Episode Psychosis and Schizophrenia: Guidelines From the VA/DoD. 首发精神病和精神分裂症的管理:退伍军人事务部/国防部指南》。
IF 4 3区 医学
American family physician Pub Date : 2024-05-01
Michael J Arnold
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引用次数: 0
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