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https://read.qxmd.com/read/30704665/perspectives-on-prevention-and-screening
#1
EDITORIAL
Joanna L Drowos
No abstract text is available yet for this article.
March 2019: Primary Care
https://read.qxmd.com/read/30704664/prevention-into-practice-practicing-prevention
#2
EDITORIAL
Joel J Heidelbaugh
No abstract text is available yet for this article.
March 2019: Primary Care
https://read.qxmd.com/read/30704663/breast-cancer-screening-why-can-t-everyone-agree
#3
REVIEW
Veronica Jordan, Muneeza Khan, Donna Prill
Screening mammography and evolving treatments have improved mortality over the last 25 years. However, breast cancer remains the second leading cause of cancer-related mortality for women in the United States. There are several contradictory recommendations regarding breast cancer screening. Familiarity with these recommendations will allow physicians to counsel their patients and ensure well-informed shared decision making.
March 2019: Primary Care
https://read.qxmd.com/read/30704662/geriatrics-screening-and-assessment
#4
REVIEW
Mandi Sehgal, Elizabeth Hidlebaugh, Matthew G Checketts, Bernardo Reyes
Geriatric screening and assessment allows clinicians to care for older patients in an efficient, patient-centered manner. This framework includes standard screening questions that may trigger the use of standard geriatric assessment tools and/or other interventions. Additionally, it serves to complement the history and physical examination, and is critical for maximizing the health, function, safety, and quality of life of older patients.
March 2019: Primary Care
https://read.qxmd.com/read/30704661/pediatric-screening-development-anemia-and-lead
#5
REVIEW
Sarah K Wood, Randi Sperling
Screening and prevention are important components of general pediatric health care. Infants and young children should be screened for iron deficiency anemia, lead poisoning, and developmental disorders as essential parts of the well-child visit. Developmental and behavioral screening early in childhood is necessary to identify developmental delays and facilitate timely treatment. Lead screening is recommended for at-risk pediatric patients to treat children with elevated lead levels. Infants and children are also at risk for iron deficiency anemia and must be screened appropriately...
March 2019: Primary Care
https://read.qxmd.com/read/30704660/immunizations
#6
REVIEW
Benjamin B Wilde, David J Park
Vaccination is one of the most effective preventative health measures in modern times. It has positively affected the incidence and prevalence of a myriad of diseases, as well as improved both their morbidity and mortality. It is essential that health care providers understand the value of this intervention, promote comprehensive immunization coverage within their community, and recognize the underlying principles that guide decisions regarding vaccination. Factors important to consider before immunization administration include the type of vaccination, its recommended timing and intervals, and the presence of contraindications, precautions, or other special considerations...
March 2019: Primary Care
https://read.qxmd.com/read/30704659/the-screening-and-prevention-of-diabetes-mellitus
#7
REVIEW
Lisa C Martinez, Dawn Sherling, Allison Holley
Type 2 diabetes mellitus is among the most common diseases seen in primary care practices and can lead to significant complications. Furthermore, more than 7 million Americans are unaware that they even have the disease. This article reviews the screening guidelines and prevention strategies for type 2 diabetes mellitus and discusses the risks and benefits of screening.
March 2019: Primary Care
https://read.qxmd.com/read/30704658/prevention-of-hypertension-related-to-cardiovascular-disease
#8
REVIEW
Parvathi Perumareddi
Hypertension, among the common conditions encountered in primary care, is known to have a causal link with cardiovascular disease. With new thresholds for diagnosing hypertension, its prevalence is expected to increase. Currently, a high percentage of patients have suboptimal or inadequately controlled blood pressure, thus placing them at risk for cardiovascular disease. Among the best strategies for improved outcomes are inclusion of the patient in decision-making as well as provision of individualized treatment plans...
March 2019: Primary Care
https://read.qxmd.com/read/30704657/update-on-osteoporosis
#9
REVIEW
Srikala Yedavally-Yellayi, Andrew Manyin Ho, Erwin Matthew Patalinghug
Osteoporosis is often a silent disease that reveals itself at the time of a fracture. Assessing risk factors and applying appropriate screening guidelines in the population at risk can potentially decrease the looming high disease burden in the United States. FRAX is a validated tool that can be used to determine 10-year fracture risk to assist in medical decision making. Bone mineral density testing of the hip or spine using DEXA can be used alone or in combination with FRAX to determine patients' risk for fracture and determine if patients are candidates for treatment of osteoporosis...
March 2019: Primary Care
https://read.qxmd.com/read/30704656/screening-for-sexually-transmitted-diseases
#10
REVIEW
Shoshana B Levy, Jyothi Gunta, Peter Edemekong
This article discusses sexually transmitted infections (STI) screening and focuses on reportable STIs. This includes gonorrhea, chlamydia, syphilis, and human immunodeficiency virus. Hepatitis B and C, trichomonas, and herpes are covered as well. Recommendations are summarized from the various organizations that produce screening recommendations. These screening recommendations only apply to asymptomatic individuals. Once an individual has symptoms, testing becomes diagnostic. It is important to know the prevalence of STIs within your population...
March 2019: Primary Care
https://read.qxmd.com/read/30704655/prostate-cancer-screening-shared-decision-making-for-screening-and-treatment
#11
REVIEW
Russ Blackwelder, Alexander Chessman
Prostate cancer screening has generated immense interest and controversy in recent years. This article evaluates issues in current prostate cancer pathologic patterns, epidemiology, and screening.
March 2019: Primary Care
https://read.qxmd.com/read/30704654/colorectal-cancer-screening
#12
REVIEW
Nikerson Geneve, Daniel Kairys, Bralin Bean, Tyler Provost, Ron Mathew, Nergess Taheri
This article focuses on programmatic and opportunistic colorectal cancer screening. The pathogenesis and risk factors for colon cancer are discussed. Specific screening tests, screening in high-risk groups, and surveillance recommendations are reviewed. Important considerations for office practice, including improving screening implementation and cost issues, are addressed.
March 2019: Primary Care
https://read.qxmd.com/read/30704653/prescription-of-aspirin-and-statins-in-primary-prevention
#13
REVIEW
Charles H Hennekens, Nicole Schuttenberg, Marc A Pfeffer
The increasing burden of cardiovascular disease worldwide, including the United States, underscores the need for the more widespread use of adjunctive drug therapies of proven net benefit in the primary prevention of cardiovascular disease. These include aspirin to reduce mortality from cardiovascular disease, statins to lower LDL-cholesterol levels, appropriate use of multiple antihypertensive drug therapies to lower blood pressure, and aggressive multifactorial management of diabetes. This article reviews randomized evidence to provide guidance to primary care providers regarding the use of adjunctive drug therapies...
March 2019: Primary Care
https://read.qxmd.com/read/30704652/cervical-cancer-and-its-precursors-a-preventative-approach-to-screening-diagnosis-and-management
#14
REVIEW
Sarah E Stumbar, Maria Stevens, Zoe Feld
Cervical cancer affects the cells lining the cervix, most commonly occurring in the cells of the transformation zone. Screening for cervical cancer looks to detect preinvasive disease, allowing for intervention before invasive disease develops. an assessment of individual risk factors, Selection of screening method depends on patient age, her screening history and results, and resources available. Screening has resulted in well-documented declines in cervical cancer incidence and mortality in the United States...
March 2019: Primary Care
https://read.qxmd.com/read/30704651/lifestyle-changes-for-disease-prevention
#15
REVIEW
Joanna Petrides, Philip Collins, Alexander Kowalski, Jennifer Sepede, Meagan Vermeulen
In primary care, physicians have the opportunity to address preventative causes of morbidity and mortality. Primary care physicians have a distinct opportunity to provide counseling regarding lifestyle changes and disease prevention in a variety of settings, both during the treatment of acute illnesses and with wellness examinations. Questions from patients regarding specific recommendations and interventions are common. In this article, we address barriers to and tools to encourage lifestyle changes in the areas of smoking cessation, weight loss, physical activity, mental health, and substance abuse/misuse...
March 2019: Primary Care
https://read.qxmd.com/read/30401355/optimizing-women-s-health-in-primary-care
#16
EDITORIAL
Diane M Harper, Emily M Godfrey
No abstract text is available yet for this article.
December 2018: Primary Care
https://read.qxmd.com/read/30401354/emerging-challenges-and-opportunities-in-women-s-health
#17
EDITORIAL
Joel J Heidelbaugh
No abstract text is available yet for this article.
December 2018: Primary Care
https://read.qxmd.com/read/30401353/medication-assisted-treatment-considerations-for-women-with-opiate-addiction-disorders
#18
REVIEW
Alicia A Jacobs, Michelle Cangiano
Opioid addiction rates are at a national high, with significant morbidity and mortality. In women, rates have been steadily increasing to be at par with addiction rates in men. Women tend to have quicker addiction and shorter duration to adverse outcomes. Treatment of women has the best outcomes when it is gender-specific, trauma-informed, connected with access to psychiatric services, and integrated into the medical home. Improved outcomes can be achieved with coordinated systems of care based on the harm-reduction model, with integration of medication-assisted therapy in a patient-centered medical home...
December 2018: Primary Care
https://read.qxmd.com/read/30401352/integrative-health-for-women
#19
REVIEW
Jennifer K Phillips, Stephanie A Cockrell, Alisha N Parada
Integrative Medicine is a model of health care that combines both conventional and unconventional therapies that serve the whole person and focus on prevention and whole health. Women are the highest utilizers of health care and Integrative Medicine for a variety of reasons. Integrative Medicine represents a more "female energy" in the field of medicine, which is needed even more today as health care moves toward value-based care and out of high-cost and high-harm care. Integrative Medicine can be incorporated into medical practice and into health workers' lives for wellness...
December 2018: Primary Care
https://read.qxmd.com/read/30401351/plastic-surgery-for-women
#20
REVIEW
Michelle M De Souza, Andrea D Jewell, Samuel N Grief, Belinda A Vail
Plastic surgery is a broad field, including maxillofacial surgery, reconstruction after injuries, hand surgery, and skin flaps and grafts, but the most common procedures for women are liposuction and body contouring, breast surgery, and facial cosmetic procedures. Techniques of face and brow lifts, blepharoplasty, and rhinoplasty are discussed as well as botulinum toxin and filler injections, and laser and pulsed light techniques that may delay or eliminate the need for surgery. Comparison of the surgeries for breast reconstruction, reduction, augmentation, and mastopexy is discussed...
December 2018: Primary Care
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