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July 2020 - Volume 45 - Issue 7
pp: 6-56

Editor's Memo


Medication Update



GASTROINTESTINAL DISORDERS: CE Connection


Dysphagia: A review

Skarbinski, Kristina F.; Glennon, Elizabeth

The Nurse Practitioner. 45(7):9-16, July 2020.

Dysphagia is a common symptom with several differential diagnoses ranging from benign and functional to life threatening. Given the potential severity, it is essential to obtain an accurate and pointed history to dictate appropriate diagnostic testing. This article differentiates between oropharyngeal and esophageal dysphagia before outlining a systematic approach to subsequent testing, including when to refer to a specialist.

WOMEN'S HEALTH: CE Connection


Asymptomatic GBS bacteriuria during antenatal visits: To treat or not to treat?

Rosenberger, Kelly D.; Seibert, Amy; Hormig, Sara

The Nurse Practitioner. 45(7):18-25, July 2020.

Inconsistencies persist regarding the efficacy of treating asymptomatic group B Streptococcus bacteriuria in pregnant individuals with colony counts below 105 (100,000) CFU/mL. Despite these discrepancies, treatment still occurs. This article examines the role of screening and treatment, evidence-based guidelines, and practice patterns to provide clarification and resolve local practice disparities.

ORAL HEALTH


Implementation science: Changing practice in oral health

Berger, Carol; Tokac, Umit; Fish, Anne F.; More

The Nurse Practitioner. 45(7):27-34, July 2020.

Caries remain the most common preventable chronic childhood disease. One state oral health program including fluoride varnish showed a decrease in presence of decay and improvement in overall oral health; however, early childhood caries did not improve. Implementation of an oral health preventive program during well-child medical visits may address this gap.

MOST BILLED DIAGNOSES SERIES: ATHEROSCLEROSIS


Understanding the most commonly billed diagnoses in primary care: Atherosclerotic cardiovascular disease

Rogers, Julia; Baker, Manisa

The Nurse Practitioner. 45(7):35-41, July 2020.

Atherosclerotic cardiovascular disease (ASCVD) contributes to acute coronary syndrome, angina, stroke, transient ischemic attack, and peripheral arterial disease. This second article describes the pathophysiologic processes of ASCVD as well as how the clinical manifestations and treatments are linked to the pathogenesis of the disease.

DISASTER RESPONSE SERIES: PART 5


Disaster response resources and research goals for NPs

Wood, Laura; Zak, Concetta; Adelman, Deborah S.; More

The Nurse Practitioner. 45(7):42-47, July 2020.

This final installment presents an overview of the series and calls for NPs to become more educated in disaster response planning, more involved in disaster response research, and better trained to lead in disaster response.

AUTISM SPECTRUM DISORDER SERIES: PART 3


Primary care of children with autism spectrum disorder: Pilot program results

Kilmer, Michele

The Nurse Practitioner. 45(7):48-55, July 2020.

The conclusion of this series outlines a research pilot program testing the usability of an author-developed clinical practice guideline for the initial management of pediatric patients with ASD.