scholarly journals Collaboration between Family Physicians and Specialists in the Diagnosis and Management of Familial Hypercholesterolemia

2021 ◽  
Vol 11 (2) ◽  
pp. 94-95
Author(s):  
Kazuhiko Kotani
Author(s):  
Sanjay Kalra ◽  
Zhenyue Chen ◽  
Chaicharn Deerochanawong ◽  
Kou-Gi Shyu ◽  
Ru San Tan ◽  
...  

Author(s):  
Ángela Milán-Tomás ◽  
Michelle Persyko ◽  
Martin del Campo ◽  
Colin M. Shapiro ◽  
Karl Farcnik

AbstractThe purpose of this review is to provide an update of the research regarding the etiology, diagnosis and management of psychogenic non-epileptic seizures (PNES). A literature search using Pubmed, Ovid MEDLINE and EMBASE database was performed from 2000 up to August 2017. We have evaluated the different factors leading to PNES as well as the diagnostic approach and management of this disorder which continue to be very difficult. The coexistence of epilepsy and PNES poses special challenges and requires the coordinated efforts of the family physicians, psychiatrists, psychologists and neurologists. Although this condition has an overall poor prognosis, a multidisciplinary approach in the diagnosis and management of this disorder would likely improve the outcomes. We have proposed a diagnostic and treatment algorithm for PNES and suggested a national registry of patients suffering from this condition. The registry would contain data regarding treatment and outcomes to aid in the understanding of this entity.


2011 ◽  
Vol 5 (6) ◽  
pp. S2-S3 ◽  
Author(s):  
Samuel S. Giddings ◽  
Anne C. Goldberg ◽  
Matthew K. Ito ◽  
Jennifer G. Robinson ◽  
Peter P. Toth

2021 ◽  
Author(s):  
Brooklynn Fernandes ◽  
Zahra Goodarzi ◽  
Jayna Holroyd-Leduc

Abstract Background: To understand how best to approach dementia care within primary care and its challenges, we examined the evidence related to diagnosing and managing dementia within primary care.Methods: Databases searched include: MEDLINE, Embase, PsycINFO and The Cochrane Database of Systematic Reviews from inception to 11 May 2020. English-language systematic reviews were included if they described interventions involving the diagnosis, treatment and/or management of dementia within primary care/family medicine and outcome data was available. The risk of bias was assessed using AMSTAR 2. The review followed PRISMA guidelines and is registered with Open Science Framework.Results: Twenty-one articles are included. The Mini-Cog and the MMSE were the most widely studied cognitive screening tools. The Abbreviated Mental Test Score (AMTS) achieved high sensitivity (100%, 95% CI: 70%-100%) and specificity (82%, 95% CI: 72%-90%) within the shortest amount of time (3.16 to 5 minutes) within primary care. Five of six studies found that family physicians had an increased likelihood of suspecting dementia after attending an educational seminar. Case management improved behavioural symptoms, while decreasing hospitalization and emergency visits. The primary care educational intervention, Enhancing Alzheimer's Caregiver Health (Department of Veterans Affairs), was successful at increasing carer ability to manage problem behaviours and improving outcomes for caregivers.Conclusions: There are clear tools to help identify cognitive impairment in primary care, but strategies for management require further research. The findings from this systematic review will inform family physicians on how to improve dementia diagnosis and management within their primary care practice.


2011 ◽  
Vol 5 (3) ◽  
pp. S1-S8 ◽  
Author(s):  
Anne C. Goldberg ◽  
Paul N. Hopkins ◽  
Peter P. Toth ◽  
Christie M. Ballantyne ◽  
Daniel J. Rader ◽  
...  

Author(s):  
Christine Rivet ◽  
Farhad Motamedi ◽  
Joseph Burns ◽  
Douglas Archibald

Implication Statement Melanoma is a potentially deadly type of skin cancer that has been increasing in incidence but is curable if found in the early stages. Family physicians are in an ideal situation to examine the skin during routine visits, but studies indicate they are not well trained to detect or treat skin cancers. We piloted a structured, longitudinal, hands-on procedural curriculum to improve family medicine residents’ ability to identify and manage skin cancers. Family medicine residency programs wishing to improve the diagnosis and management of skin cancer by family physicians might consider trialing our structured curriculum and procedure clinic.


2021 ◽  
Vol 12 (3) ◽  
pp. 73-76
Author(s):  
Abdulrahman Abdulsalam Alharbi ◽  
Saud Muhaisin Altalhi ◽  
Mahmoud Emadfahmi Shurrab ◽  
Sohaib Ibrahim Alsaigh ◽  
Omar Saeed Babkair ◽  
...  

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