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Journal of Family Practice

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https://www.readbyqxmd.com/read/28087879/management-of-daily-glycemic-fluctuations-in-patients-with-type-2-diabetes
#1
Pamela R Kushner
Traditional measures of overall glucose control, such as glycated hemoglobin (A1C), may not fully capture short-term, rapid changes in blood glucose. With the availability of multiple options to control A1C, glycemic fluctuations have emerged as an additional therapeutic goal for the management of type 2 diabetes (T2D).
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087878/notice-of-retraction
#2
Luke A Stephens, Nina Rogers, James J Stevermer
According to JAMA's retraction statement, the first author of the article admitted to data fabrication following an internal investigation.² The source article does not provide subgroup analysis to determine how much of an effect the fabricated data may have had on the final reported outcome.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087877/erratum
#3
Heather Nyman, Karly Pippitt, Alisyn Hansen, Karen Gunning
The article incorrectly stated: "Elevations of both fibroblast growth factor 23 (FGF23) and parathyroid hormone (PTH) lead to hyperphosphatemia and hypocalcemia because of decreased urinary excretion of phosphorus." In fact, FGF23 normally acts to lower blood phosphate levels. Furthermore, an elevated phosphorus level causes an increase in serum calcium levels and not hypocalcemia. This information has been corrected in the online version of the article.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087876/a-tricky-interplay-indeed
#4
LETTER
Roy N Morcos
Despite the lack of evidence, some providers are still prescribing native vitamin D for their patients with chronic kidney disease for reasons unrelated to parathyroid hormone suppression.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087875/what-can-we-do-about-the-zika-virus-in-the-united-states
#5
LETTER
Hema Madhuri Mekala, Priyanga Jayakumar, Rajashekar Reddy Yeruva, Steven Lippmann
Control measures include using insect repellents, aerial spraying of insecticides, eliminating mosquito breeding sites, covering water tanks, and using mosquito nets or door and window screens. Infection during pregnancy is the greatest concern because of congenital anomalies (including microcephaly) that negatively affect brain development.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087874/two-cases-of-asymmetric-papules
#6
Celia Horcajada-Reales, Laura Gómez-Recuero Muñoz, Ricardo Suárez-Fern Ández, Minia Campos-Dominguez
Both of these young patients presented with rashes that had spread from their abdomen to their arms and legs--but only on one side.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087873/clinical-inquiry-which-treatments-are-safe-and-effective-for-chronic-sinusitis
#7
REVIEW
Darrell R Over
For adults with chronic rhinosinusitis (CRS), intranasal steroid (INS) therapy is more likely than placebo to improve symptoms.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087872/clinical-inquiry-how-do-clinical-prediction-rules-compare-with-joint-fluid-analysis-in-diagnosing-gout
#8
Katie L Westerfield, Anne Mounsey, Joan Nashelsky
Clinical prediction rules effectively diagnose gout without joint fluid analysis. The American College of Rheumatology clinical prediction rules, the most accurate rules developed for research purposes, have a sensitivity of 92%, specificity of 89%, positive likelihood ratio of 8.36, and negative likelihood ratio of 0.09.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087871/poison-ivy-how-effective-are-available-treatments
#9
Cara K Vaught, James W Mold
In this study, only one treatment approach significantly reduced pruritus. Three approaches were often associated with recurrences of rash or symptoms.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087870/purls-deliver-or-wait-with-late-preterm-membrane-rupture
#10
Keri Bergeson, Shailendra Prasad
While ACOG recommends delivery for all women with ruptured membranes after 34 weeks' gestation, a new study finds expectant management may be the way to go.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087869/clinical-inquiry-which-patients-with-metabolic-syndrome-benefit-from-metformin
#11
Liz Stover, Jessica Chi, Gary Kelsberg, Sarah Safranek
In patients with metabolic syndrome who are in the highest-risk quartile for progression to diabetes (predicted mean 3-year risk, 60%), metformin, 850 mg twice daily, reduces the absolute risk by about 20% over a 3-year period. Metformin doesn't reduce the incidence in patients at lower risk of progression.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087868/mildly-pruritic-palmar-rash
#12
Amanda Gawin, Corey Lyon, Morteza Khodaee
After taking azithromycin and prednisone for lower respiratory symptoms, this patient developed a rash. The way it spread provided a diagnostic clue.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087867/persistent-fever-investigation-saves-patient-s-life
#13
Megan Busch, Priya Priyambada, Tina Wells, Diane Jarrett, Shashank Kraleti
A 47-year-old woman had been hospitalized one month earlier for lupus nephritis with a hypertensive emergency that led to a seizure. During this earlier hospitalization, she was given a diagnosis of posterior reversible encephalopathy syndrome.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087866/when-can-infants-and-children-benefit-from-probiotics
#14
Paul Dassow, Steven Fox
The latest studies indicate that probiotics can help with colic, eczema, and certain types of diarrhea. They may also help with upper respiratory infections and IBS pain.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087865/recreational-cannabinoid-use-the-hazards-behind-the-high
#15
REVIEW
Steven Wright, Julius Metts
Marijuana use can cause concerning physical, psychomotor, cognitive, and psychiatric effects, not to mention a near-doubling of car accidents.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087864/drug-induced-weight-gain-rethinking-our-choices
#16
REVIEW
Katherine H Saunders, Leon I Igel, Alpana P Shukla, Louis J Aronne
Weight gain secondary to medications is a potentially modifiable risk. Here's how to optimize drug choices for patients with several common conditions.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087863/hiv-update-which-single-tablet-regimens-and-when
#17
REVIEW
Jeffrey T Kirchner
With the approval of single-tablet regimens that contain 3 or 4 drugs, many patients take just one pill a day. So what are the options and what's on the horizon?
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28087862/is-the-rx-to-blame-for-the-patient-s-weight-gain
#18
EDITORIAL
John Hickner
Avoid prescribing medications that can cause weight gain in overweight and obese patients when possible, use the lowest effective dose when such agents are necessary, and warn patients of this adverse effect so that they can take precautions, such as walking an extra mile a day or giving up that high-calorie latte in the morning.
November 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/27846339/an-evolutionary-perspective-on-basal-insulin-in-diabetes-treatment-innovations-in-insulin-insulin-glargine-u-300
#19
John E Anderson
Rates of confirmed and severe, as well as nocturnal, hypoglycemia are generally lower with insulin glargine U-300 than insulin glargine U-100, thereby reducing an important concern of providers and patients regarding insulin therapy. Although a higher dose of insulin glargine U-300 than U-100 is required in most patients, the observed increase in body weight is small and less than with insulin glargine U-100.
October 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/27846338/an-evolutionary-perspective-on-basal-insulin-in-diabetes-treatment-innovations-in-insulin-insulin-degludec-u-100-and-u-200
#20
Athena Philis-Tsimikas
Insulin degludec (IDeg) is a long-acting basal human insulin analog produced using recombinant DNA technology. The insulin structure is modified at the B30 position to allow a di-hexamer conformation in the presence of phenol and zinc.
October 2016: Journal of Family Practice
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