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Primary Care Reports

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Articles

  • Managing Complications of New-Age Cancer Therapy

    Cancer patients undergoing treatment are immunocompromised and at high risk for developing early complications leading to critical illness. Compared to complications encountered with conventional chemotherapy, new-generation immunotherapies pose unique diagnostic challenges because their presentation can be vague and nonspecific or can mimic autoimmune diseases.

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  • Melancholia: A Review of Depression

    Depression is a multifaceted recurrent disease of growing prevalence. The World Health Organization reports that depression will be the second leading cause of disability worldwide by 2020.

  • Osteoporosis Review

    Osteoporosis is a skeletal disorder in which bone density and quality are reduced. Patients experience loss of bone mass, deterioration of bone tissue, and a decline in bone quality, which leads to increased bone fragility and a higher risk of fractures. It is imperative that primary care providers address this challenge by implementing practices to screen patients for onset of osteoporosis to prevent and/or treat the disorder.

  • Deciphering Medical Marijuana

    The expansion of the sanctioned use of marijuana for recreational and medical purposes has exploded in recent years and warrants a critical appraisal of the primary care physician’s role in providing advice to and counseling patients.

  • Common Foot Problems in Primary Care

    Foot problems are a common complaint to primary care physicians and often mirror the patient’s general health, such as autoimmune disorders, endocrine disorders, neuropathies, and vasculopathies.

  • Lifestyle Modification for the Prevention and Reversal of Cardiovascular Disease

    Lifestyle is a critical determinant of the common risk factors for cardiovascular disease (hypertension, diabetes, hyperlipidemia, and smoking) that have been well-known to predict disease outcomes. Lifestyle medicine can be used in conjunction with traditional medications to provide the best care to patients. Clinicians need to act now to prevent being overwhelmed with the eventual increase in coronary artery disease following the obesity/diabetes epidemic.

  • Influenza Cases Rising: What Clinicians Need to Know

    The burden of influenza is significant. So far in the current 2018-2019 season, about 7 million Americans have been affected, with half of those people seeing a physician. Between 69,000 and 84,000 people have been hospitalized for flu-related illness.

  • Insulin Therapy for Type 2 Diabetes: Social, Psychological, and Clinical Factors

    The choices for insulin therapy are ever increasing with the development of new products that provide greater flexibility, greater range of effectiveness, lower risk of hypoglycemia, and lower pharmacokinetic and pharmacodynamic variability. These allow for individualization of treatment to match a patient’s daily life but typically at greater cost. This article will review the psychological, social, and clinical factors pertaining to the various insulin products, as well as strategies to initiate and intensify insulin therapy, to help clinicians supplement and enhance their clinical practices in diabetes management.

  • Homeopathic Remedies and Dietary Supplements in 2018: Weighing Benefits and Risks

    More than half of Americans are using supplements or over-the-counter medications. Practitioners need to understand how their patients are using supplements and be able to provide accurate, factual advice on dietary supplements and homeopathic preparations. This article will evaluate each category for benefits and risks and provide details on how to research each product for available information. In addition, the article will assess various recommendations, including examples in weight loss, energy enhancement, and performance products.