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Primary Care Reports

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Articles

  • Medication Therapy Management: Partnering with Clinical Pharmacists to Improve Patient Outcomes

    The majority of American adults have at least one chronic disease, often requiring the use of multiple chronic medications. Unfortunately, adherence to chronic medications often is suboptimal, leading to inadequate management of chronic conditions and the risk for morbidity and mortality. This review discusses the foundation of medication therapy management, a service that pharmacists and other healthcare professionals provide to optimize therapeutic outcomes via a patient-centered approach.

  • Long-Term Air Pollution Exposure Could Raise Risk for Depression, Anxiety

    Two research groups reported on breathing dirty air and how that affects mental health.

  • Approach and Treatment of Patients with Somatic Symptom and Related Disorders

    The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, nomenclature and diagnostic criteria deemphasize “medically unexplained symptoms” and instead focuses on the presence of unexpected, magnified, or disproportionate physical symptoms, with or without an underlying known medical condition. Given that symptoms are physical in nature, patients with somatic disorders are more likely to present to a primary medical provider than to a mental health provider. Thus, developing a better understanding of this often-perplexing condition has clinical relevance for clinicians on the front lines of medical care.

  • A Review of Insulin Transition

    Diabetes mellitus is a collection of chronic metabolic diseases that occur either as the result of insulin deficiency or insulin resistance. One of the primary goals in diabetes treatment includes lowering blood glucose levels sufficiently to prevent microvascular and macrovascular complications. The type of insulin prescribed depends on multiple factors, and insulins frequently are interchanged. Before choosing or transitioning to an appropriate insulin, consider all social determinants and individualize the treatment regimen as “one size does not fit all.”

  • Pediatric Exposures to Toxic Substances in the Home

    A high percentage of calls to poison centers each year are for exposures in children younger than the age of 6 years. Many of these calls are prompted by exposures to substances commonly found in the home and can lead to significant morbidity and mortality even when the result of a small, exploratory exposure. An index of suspicion and a knowledge of toxidromes is critical to make an accurate diagnosis in cases of pediatric toxic exposures. Consultation with a medical toxicologist or poison control center is recommended for all suspected toxic ingestions, both for management recommendations and for reporting purposes.

  • Concerns and Complications of Measles and Mumps and the Increasing Threat of Monkeypox

    Measles and mumps, while clinically dissimilar, share important characteristics that are valuable to discuss in tandem. This review will seek to inform the practitioner about current outbreak concerns regarding measles and mumps, clinical manifestations and complications of each, diagnostic and treatment options, and prevention of further exposures. The emerging threat of monkeypox also is discussed.

  • CDC: U.S. Adult Obesity Rate Up Sharply

    At least 35% of adults are obese in 19 states and two territories.

  • A Guide to Change: Modifying Unhealthy Behaviors in Patients

    Motivational interviewing is an evidence-based, empathic approach to the patient interview incorporating techniques that encourage patients to self-reflect and voice reasons for change, while recognizing underlying ambivalence. This article presents approaches recommended for use in a primary care office when the clinical interview indicates a need for behavioral change.

  • Identifying and Treating Non-COVID Viral Respiratory Infections

    Respiratory viruses are omnipresent and can cause a variety of clinical manifestations, from asymptomatic infections to life-threatening illnesses with multi-organ failure. About 25 million people visit their primary care physician every year with uncomplicated upper respiratory infections in the United States. Viral respiratory infections are recognized as key triggering factors in exacerbations of chronic respiratory diseases, such as bronchiectasis, asthma, and chronic obstructive pulmonary disease (COPD).

  • Answering Patient Questions About COVID-19

    Wright State University Boonshoft School of Medicine formed an educational task force to educate clinicians and answer community members’ questions about all things COVID-19. Easily referenced resources on COVID-19 are essential for healthcare professionals in speaking with patients. Easy-to-navigate, dependable, up-to-date sources of information help serve patients requiring specific and timely answers to questions. Having a “go-to” list of resources can reduce confusion about COVID-19, making vaccination updates and other conversations more productive.