[ev_big_heading big_heading_text_align=”center” secondary_head=”Your Community for Issues that Matter in Primary Care” secondary_head_font_size=”” secondary_head_color=”” primary_head=”WELCOME TO PRIMARY ISSUES” primary_head_font_size=”35″ primary_head_color=”” remove_line=”” css_animation=”bottom-to-top”]Primary Care Network’s online publication dedicated to providing primary care clinicians with the tools to help improve patient outcomes and their practices through patient-focused content and exceptional resources.[/ev_big_heading]

Reduce Progression of Kidney Disease in Patients with Diabetes

In this CME activity, Dr. Javier Morales discusses the therapeutic interventions that will delay progression of diabetic kidney disease, as well as early screening utilizing UACR, eGRF and the KDIGO heat map. The association of medical renal disease and cardiovascular risk will be addressed as well.

Evaluation and Management of IBS and CIC

This CME activity, “Evaluation and Management of IBS and CIC”, was originally presented live in San Antonio, TX on November 12, 2021 at the 2021 Best Practices in Primary Care CME conference. During this activity, faculty will discuss the role of Rome-IV criteria and other tests used for diagnosing IBS, as well as differentiating the different subtypes of IBS. The faculty reviews the benefits and limitations of IBS and CIC prescription medications and how to individualize treatment based on current evidence-based guidelines.

Immunizing Your Adult Patients

This CME activity, “Immunizing Your Adult Patients”, was originally presented live in San Antonio, TX on November 12, 2021 at the 2021 Best Practices in Primary Care CME conference. During this activity, the faculty reviews the different types of immunizations, discusses the importance of shared clinical decision-making, and reviews the current Advisory Committee on Immunization Practices (ACIP) recommendations for adult immunizations.

Menopause: A Review of Systemic Impact and Current Treatment Guidelines

This CME activity, “Menopause: A Review of Systemic Impact and Current Treatment Guidelines”, was originally presented live in San Antonio, TX on November 13, 2021 at the 2021 Best Practices in Primary Care CME conference. During this activity, the faculty explains the biological, physiological, and psychological impact of menopause, reviews the current guidelines for hormone replacement therapy, and discusses non hormonal alternatives to menopausal associated conditions.

Identifying and Managing Sleep Issues in Primary Care

It is estimated that about 70 million people in the United States suffer from chronic sleep problems. Lack of sleep is associated with injuries, chronic and mental illnesses, lower quality of life, loss of productivity, and higher economic burden. This complimentary activity will help clinicians recognize, diagnose, and treat the different sleep-related problems that might affect their patient’s quality of life and reduce the chronic consequences of these disorders.

Anxiety and the Amygdala

Lily came in complaining of chest pains. After a thorough work-up produced negative findings, it was time for a face-to-face discussion of the problem. “At times, I get panicky and just can’t function. My mother did the same and so did my grandmother. I guess I just inherited it but I wanted to make sure […]

Expert Views

Expert Views® is a white paper-like publication that is designed to provide a valuable, scientific tool to enhance understanding of the terminology, definitions, patient management practices, and overall health and wellness across multiple therapeutic areas. Each publication is developed by health care professionals for health care professionals.

[ev_big_heading big_heading_text_align=”left” secondary_head=”Thomas MS Wolever, MS, PhD” secondary_head_font_size=”14″ secondary_head_color=”#f2a100″ primary_head=”Exploring the Health Benefits Different Types of Fiber” primary_head_font_size=”28″ primary_head_color=”#008af4″ remove_line=”true” css_animation=”right-to-left”]Fiber has long been heralded as an important component of a healthy diet. High-fiber diets have been associated with a number of health benefits, including cholesterol lowering, maintaining healthy glycemic control, maintaining a healthy weight, lowering the risk of heart disease, and helping maintain bowel regularity. Despite these benefits, however, fiber intake in the United States remains low, leading the United States Department of Agriculture (USDA) to consider it a “nutrient of concern.” Further, because not all fibers deliver the same health benefits, the availability of various types of dietary fibers and supplements can lead to confusion when trying to tailor a fiber regimen to address specific health needs. In order to achieve specific health benefits from fiber, healthcare professionals and patients should consider the types of fiber in their diets, as well as the role different fiber supplements can play in helping them achieve their health goals.[/ev_big_heading]
[ev_big_heading big_heading_text_align=”left” secondary_head=”Leonard Fromer, MD” secondary_head_font_size=”14″ secondary_head_color=”#f2a100″ primary_head=”Answering Frequently Asked Questions About Probiotics” primary_head_font_size=”28″ primary_head_color=”#008af4″ remove_line=”true” css_animation=”right-to-left”]With the growing appreciation for the role of the human microbiota in health, a diverse range of health benefits have been increasingly recognized.1 The intestinal flora, in particular, may impact human health through various protective, structural, and metabolic functions. Although these mechanisms have not been fully characterized, probiotic bacteria are believed to confer health benefits by bolstering these effects. Research regarding probiotics has exploded over the past decade, with the volume of medical literature involving these agents increasing more than 10-fold in the past decade, compared to the previous decade. Probiotics are a growing trend in the marketplace, attributable to increasing consumer education and awareness as well as new product introductions.[/ev_big_heading]
[ev_big_heading big_heading_text_align=”left” secondary_head=”Mary Ellen Sanders, PhD” secondary_head_font_size=”14″ secondary_head_color=”#f2a100″ primary_head=”Demystifying Probiotics” primary_head_font_size=”28″ primary_head_color=”#008af4″ remove_line=”true” css_animation=”right-to-left”]Human bodies are highly colonized, with the number of microbial cells outnumbering human cells by a factor of 10 to 1. Recognizing the profound impact of microbes to human health, global initiatives are currently underway to study native microbial communities and how they correlate with human health and disease. A key effort in this respect is the National Institutes of Health (NIH)-funded Human Microbiome Project, which is utilizing metagenomics to characterize human microbial communities and make this information available as a comprehensive, publicly available data set for international research efforts to understand and improve health. It is likely that such research efforts will also contribute much to our understanding of probiotic bacteria, live microorganisms which have the potential of providing a diverse range of health benefits.[/ev_big_heading]
[ev_big_heading big_heading_text_align=”left” secondary_head=”Darren M. Brenner, MD” secondary_head_font_size=”14″ secondary_head_color=”#f2a100″ primary_head=”Facts and Fiction: Dispelling the Myths and Misconceptions of Probiotics” primary_head_font_size=”28″ primary_head_color=”#008af4″ remove_line=”true” css_animation=”right-to-left”]The complex microbial communities of the gastrointestinal tract—by far the most densely colonized human organ—are now appreciated to play an important role in human health. Although not fully characterized, probiotic bacteria are believed to confer health benefits by bolstering the myriad protective, structural, and metabolic functions of the normal intestinal microbiota. With the recognition of these potential benefits, there has been increasing interest in probiotic products within the scientific community, with consumers, and in the food industry. Despite expanding knowledge, however, many questions about probiotics remain unanswered, and misinformation and misconceptions are common.[/ev_big_heading]
[ev_big_heading big_heading_text_align=”left” secondary_head=”Thomas Roth, Ph.D.” secondary_head_font_size=”14″ secondary_head_color=”#f2a100″ primary_head=”Optimizing Self-Treatment of Occasional Sleep Disturbances/Sleeplessness” primary_head_font_size=”28″ primary_head_color=”#008af4″ remove_line=”true” css_animation=”right-to-left”]Throughout recorded history, philosophers, poets and scientists around the world have mused over the origins of sleep and its importance to physical and mental health. Indeed, people have pursued remedies to manage sleep for as long as sleep has been recognized as a priority for humans. As far back as 2800 B.C., the Chinese used ginseng root for its sedative properties, while the ancient Greeks used remedies made from geese and snakes, as well as opiates from poppies for sleep therapy.[/ev_big_heading]
[ev_big_heading big_heading_text_align=”left” secondary_head=”Philip O. Katz, MD” secondary_head_font_size=”14″ secondary_head_color=”#f2a100″ primary_head=”Optimizing the Over-the-Counter Management of Heartburn” primary_head_font_size=”28″ primary_head_color=”#008af4″ remove_line=”true” css_animation=”right-to-left”]Heartburn is an extremely prevalent condition, affecting 44% to 60% of all Americans at least once monthly, nearly 30% two or more days per week, and up to 7% daily. Indeed, more than 50 million Americans are believed to experience the condition of frequent heartburn, defined as occurring at least 2 days a week. For these millions of heartburn sufferers, the availability of over-the-counter (OTC) heartburn medications offers the potential for effective patient-directed management and substantial symptom improvement when used appropriately.[/ev_big_heading]
[ev_big_heading big_heading_text_align=”left” secondary_head=”Philip O. Katz, MD, Leonard Fromer, MD, Catherine Cone, PharmD, BCPS, PhC” secondary_head_font_size=”14″ secondary_head_color=”#f2a100″ primary_head=”Optimizing the Treatment of Frequent Heartburn in the Primary Care Setting” primary_head_font_size=”28″ primary_head_color=”#008af4″ remove_line=”true” css_animation=”right-to-left”]Heartburn is a very prevalent condition with approximately 44% of all Americans experiencing heartburn at least once a month,1 and nearly 70 million Americans are believed to experience frequent heartburn, which is defined as heartburn that occurs two or more days a week. For the millions of frequent heartburn sufferers, over-the-counter (OTC) proton pump inhibitors (PPIs) may be appropriate therapies when antacids or histamine2 receptor antagonists (H2RAs) are not providing the needed efficacy. PPIs offer the potential for effective patient-directed management and substantial symptom improvement when used appropriately.[/ev_big_heading]

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