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Primary Care

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https://www.readbyqxmd.com/read/30401355/optimizing-women-s-health-in-primary-care
#1
EDITORIAL
Diane M Harper, Emily M Godfrey
No abstract text is available yet for this article.
December 2018: Primary Care
https://www.readbyqxmd.com/read/30401354/emerging-challenges-and-opportunities-in-women-s-health
#2
EDITORIAL
Joel J Heidelbaugh
No abstract text is available yet for this article.
December 2018: Primary Care
https://www.readbyqxmd.com/read/30401353/medication-assisted-treatment-considerations-for-women-with-opiate-addiction-disorders
#3
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://www.readbyqxmd.com/read/30401352/integrative-health-for-women
#4
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://www.readbyqxmd.com/read/30401351/plastic-surgery-for-women
#5
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
https://www.readbyqxmd.com/read/30401350/best-practices-in-transgender-health-a-clinician-s-guide
#6
REVIEW
Jessica Lapinski, Tiffany Covas, Jennifer M Perkins, Kristen Russell, Deanna Adkins, Melanie Camejo Coffigny, Sharon Hull
Providing culturally competent and medically knowledgeable care to the transgender community is increasingly falling within the realms of practice for primary care providers. The purpose of this article is to provide an overview of best practices as they relate to transgender care. This article is by no means a comprehensive guide, but rather a starting point for clinicians as they provide high-quality care to their transgender patients.
December 2018: Primary Care
https://www.readbyqxmd.com/read/30401349/women-s-health-and-the-military
#7
REVIEW
Carissa van den Berk Clark, Jennifer Chang, Jessica Servey, Jeffrey D Quinlan
Approximately 1.8 million American women are veterans of the Armed Services, and an additional 200,000 women are currently serving on active duty. With the increasing number of women in the military, there has been an increase in the number of women who have faced prolonged deployment in combat environments. This article discusses reproductive health concerns, family planning and contraceptive considerations, intimate partner violence and military sexual assault, posttraumatic stress disorder, and postdeployment health issues...
December 2018: Primary Care
https://www.readbyqxmd.com/read/30401348/cancer-survivor-health-needs-for-women
#8
REVIEW
Jamal Islam, George D Harris
As a result of better diagnostics and treatment of cancer, the number of survivors is on the rise. Health care needs for female cancer survivors encompass several domains that include surveillance, prevention, management of short/long-term side effects of cancer, and cancer therapy. Primary care health providers (PCHPs) can play an important role in their health care. There is a need for PCHPs to acquire knowledge and understand the complexity involved in caring for this population. They also should be familiar with the guidelines for following cancer survivor patients...
December 2018: Primary Care
https://www.readbyqxmd.com/read/30401347/bone-health-in-women
#9
REVIEW
Jaividhya Dasarathy, Hallie Labrador
Bone health is critical to overall health and quality of life. Although genetic factors play a key role in bone formation, there are several external factors that can be modified to preserve bone health. Diet, exercise, menstrual irregularities, medications, disease states, weight, and environmental factors can all affect fracture risk. Osteoporosis is characterized by decrease in bone mass and microarchitectural changes in the bone that increases fracture risk. Screening for osteoporosis may help facilitate treatment before fractures occur...
December 2018: Primary Care
https://www.readbyqxmd.com/read/30401346/menopause
#10
REVIEW
Beth Potter, Sarina Schrager, Jessica Dalby, Emily Torell, Adrienne Hampton
The menopausal transition is a time when many physical and psychological changes are occurring for women. Women may experience irregular menses, vasomotor symptoms, sleep disruption, mood disorders as well as genitourinary symptoms. Despite irregular menstrual cycles, some women can still conceive. It is important to understand what is within normal physiologic changes and what may represent pathologic changes and how to further evaluate this. There are many options available to manage menopausal symptoms when they are impacting quality of life...
December 2018: Primary Care
https://www.readbyqxmd.com/read/30401345/female-athlete-triad
#11
REVIEW
Jennifer P Daily, Jessica R Stumbo
The female athlete triad is a condition seen in physically active female athletes, consisting of low energy availability, menstrual dysfunction, and low bone mineral density. The condition should be viewed as a metabolic injury. It can have an impact on female athletes at any age or level. Activities at highest risk are those emphasizing leanness, aesthetics, and endurance. The cornerstone of treatment is improving mismatched energy balance. A multidisciplinary team, including health care providers, dieticians, and mental health professionals, is vital in caring for female athlete triad patients...
December 2018: Primary Care
https://www.readbyqxmd.com/read/30401344/providing-abortion-services-in-the-primary-care-setting
#12
REVIEW
Jennifer R Amico, Terri L Cheng, Emily M Godfrey
Patients commonly present with unintended pregnancy in the primary care setting, and 1 in 4 women has an abortion in her lifetime. Early abortion services can be safely provided in the primary care setting. Abortion options provided in primary care settings include both medication abortion and early uterine aspiration abortion. Medication abortion, provided up to 10 weeks' gestational age, includes mifepristone (a progestin antagonist) and misoprostol (a prostaglandin). Uterine aspiration can be provided via manual or electronic vacuum in the first trimester...
December 2018: Primary Care
https://www.readbyqxmd.com/read/30401343/being-reproductive
#13
REVIEW
Kristen Rundell, Bethany Panchal
Women's reproductive health maintenance begins in the early years of growth and development. Routine care is the basis for early detection of menstrual dysfunction and delays or acceleration of physical development. Patients and their families may not address menstruation concerns because of the sensitive nature of the topic, the patient's self-conscious attitudes, and the parent's apprehension. Providers should be able to provide early detection of menstrual abnormalities, which may uncover underlying health concerns and structural abnormalities...
December 2018: Primary Care
https://www.readbyqxmd.com/read/30115344/infectious-disease-topics-for-primary-care
#14
EDITORIAL
Michael A Malone
No abstract text is available yet for this article.
September 2018: Primary Care
https://www.readbyqxmd.com/read/30115343/-tick-tick-tick%C3%A2
#15
EDITORIAL
Joel J Heidelbaugh
No abstract text is available yet for this article.
September 2018: Primary Care
https://www.readbyqxmd.com/read/30115342/infections-during-pregnancy
#16
REVIEW
Connie Leeper, Andrew Lutzkanin
Several infections have unique consequences or considerations in pregnancy. Some common infections such as urinary tract infections, influenza, sexually transmitted diseases, and vaginitis affect pregnant women differently than the general population, can cause pregnancy complications, and require treatments that are safe in pregnancy. Infections such as hepatitis B and C and human immunodeficiency virus can be transmitted vertically and therefore management focuses on decreasing perinatal transmission. Certain infections can be transmitted in utero and cause congenital infections...
September 2018: Primary Care
https://www.readbyqxmd.com/read/30115341/approach-to-aquatic-skin-infections
#17
REVIEW
Brintha Vasagar, Vasudha Jain, Anthony Germinario, Heber J Watson, Michael Ouzts, Richard John Presutti, Salvador Alvarez
Aquatic-based infections can present a treatment challenge for primary care physicians because of the likely polymicrobial nature of the infection and the possibility of uncommon pathogenic organisms. Although Staphylococcus and Streptococcus species that colonize the skin are the most common etiologic agents associated with saltwater and freshwater skin and soft tissue infections, other significant pathogens can include Vibrio, Aeromonas, Edwardsiella, Erysipelothrix, and Mycobacterium. Early detection and appropriate management of aquatic infections can significantly decrease morbidity and mortality...
September 2018: Primary Care
https://www.readbyqxmd.com/read/30115340/health-guidelines-for-travel-abroad
#18
REVIEW
Jason Lohr, Norman Benjamin Fredrick, Leesha Helm, Jeffrey Cho
Most travel medical care is provided by patients' primary care physicians; only 10% of international travelers visit a travel clinic. The main purposes for travel include vacationing, visiting friends and family, business, and for educational purposes. The purposes of the pretravel consultation are to estimate risk and provide recommendations to mitigate risk.
September 2018: Primary Care
https://www.readbyqxmd.com/read/30115339/role-of-complementary-and-alternative-therapies-in-infectious-disease
#19
REVIEW
Jeffrey H Baker, Juan Qiu, Kristen Grine
Complementary and alternative medicine (CAM) is increasingly being used in Western countries despite the lack of conclusive research studies. Several CAM modalities have only shown variable therapeutic efficacy in infectious disease management. Clinicians should be familiar with these therapies in order to advise patients about alternative therapeutic options when treating infections.
September 2018: Primary Care
https://www.readbyqxmd.com/read/30115338/common-gastrointestinal-infections
#20
REVIEW
Jarrett Sell, Bevin Dolan
Gastrointestinal infections account for a large burden of acute and chronic disease, with diarrhea being the most common manifestation. Most cases are due to viruses, with norovirus being the most common, whereas bacteria and parasites are also important contributors to acute and chronic gastrointestinal infections and their sequelae. Nontyphoidal Salmonella species cause the most hospitalizations and deaths in the United States. This article reviews an evidence-based approach to diarrhea evaluation with a focus on pathogen-specific testing and management for the most common viral, bacterial, and parasitic causes in the United States...
September 2018: Primary Care
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