Canadian family physician Médecin de famille canadien
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To help make diagnosis and treatment of scaphoid fracture more precise by review of published evidence. ⋯ Evidence found in the literature can be used to improve diagnostic accuracy for scaphoid fractures, to optimize treatment for these injuries, and to reduce unnecessary immobilization and disability for patients.
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To inform primary care physicians about current issues around generalized convulsive status epilepticus (GCSE) emphasizing definition, pathophysiology, treatment, and prognosis. ⋯ Intravenous lorazepam and phenytoin are currently the most effective drugs for initial management of GCSE. Timely administration of antiepileptic medication can prevent development of GCSE in some patients with known epilepsy. Main differential diagnosis is nonepileptic status.
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To highlight recent empirical evidence for effective interventions that can guide family physicians in managing patients after suicide attempts. ⋯ Family physicians have a crucial role in preventing suicide through aftercare and ongoing monitoring of patients who have attempted suicide.
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Editorial Comment Review
Taking on diabetes. Family doctors on the front lines of the battle against diabetes.