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Implementation of Pharmacist Driven Gabapentinoid Titration for Diabetic Peripheral Neuropathy in a Primary Care Setting.
J Pain Palliat Care Pharmacother
November 2024
Department of Pharmacy, The Johns Hopkins Hospital, Baltimore, MD, USA.
Previous studies suggest that patients with diabetic peripheral neuropathy (DPN) frequently do not receive the minimum effective doses of a gabapentinoid according to guidance from national organizations. There is opportunity to assess the implementation of pharmacist intervention for patients not meeting minimum effective gabapentinoid dosing for DPN. This prospective, single site quality improvement project was conducted at a primary care clinic and included patients with DPN prescribed a gabapentinoid by their primary care provider (PCP) at a dose lower than minimum effective dosing.
View Article and Find Full Text PDFFinite element analysis of two-level discontinuous cervical hybrid revision surgery strategy to reduce biomechanical responses of adjacent segments.
JOR Spine
December 2024
Department of Orthopedic Surgery, Beijing Chaoyang Hospital Capital Medical University Beijing China.
Article Synopsis
- This study investigates the biomechanical effects of hybrid surgery (HS) combining cervical disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF) for revision surgery (RS) in patients with adjacent segment disease (ASD).
- Researchers created finite element models to analyze different RS approaches and their impact on spinal mechanics, specifically examining range of motion and stress on spinal discs.
- The findings recommend using the Bryan disc (D-C-D) for the best reduction of biomechanical responses in nearby spinal segments, while also providing insights for surgical decision-making to prevent ASD recurrence.
US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040.
J Gen Intern Med
October 2024
Center for Professionalism and Value in Healthcare, 1016 16th St NW Suite 700, Washington, DC, 20036, USA.
Background: Despite efforts to mitigate a projected primary care physician (PCP) shortage required to meet an aging, growing, and increasingly insured population, shortages remain, compounded by the COVID-19 pandemic, growing inequity, and persistent underinvestment.
Objective: We examined primary care workforce trends over the past decade and revisited projected primary care clinician workforce needs through the year 2040.
Design And Participants: Using data from the AMA Masterfile and Medical Expenditure Panel Survey (MEPS), we analyzed trends in the number of primary care physicians (PCPs) and in outpatient PCP visits by age and gender over the past decade.
Adapting the cystic fibrosis care model: Perspectives from people with CF, caregivers, and members of CF care teams.
J Cyst Fibros
November 2024
Cystic Fibrosis Foundation, Bethesda, MD, USA; Advanced Lung Disease and Transplant Program, Inova Fairfax Hospital, Falls Church, VA, USA.
Article Synopsis
- A national survey was conducted to assess perspectives on cystic fibrosis (CF) care, focusing on potential adjustments to the care model to better meet patient needs.
- Results showed that while in-person visits are important, patients in stable health favored reducing the frequency of these visits, especially among younger patients on modulators.
- Support for integrating telehealth and enhancing communication between CF teams and other medical providers was emphasized, indicating a need for adaptable care strategies tailored to individual patient circumstances.
A European Consensus on the Consistent Use of the Term "Keratinocyte Cancer".
Acta Derm Venereol
August 2024
Klinikum Vest GmbH, Knappschaftskrankenhaus Recklinghausen, Germany.
Keratinocyte-derived skin cancers comprise basal cell carcinoma, squamous cell carcinoma, its precursor actinic keratosis, and Bowen's disease. Historically, this group of neoplasms has been subsumed under the term non-melanoma skin cancer. However, the term non-melanoma skin cancer can be misleading and lacks precision.
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