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Should You Use Budesonide-Formoterol as Needed for Mild Asthma? - Frankly Speaking EP 83

In this episode, we will discuss using an inhaled steroid twice a day to control mild asthma symptoms, versus using the combination budesonide and formoterol. Guest: Jill Terrien PhD, ANP-BC

Mild persistent asthma is traditionally treated with a single preventative agent, like a medium dose inhaled.


More Than Beauty: Length and Quality of Sleep and Its Impact on CV Risk Factors in Teens - Frankly Speaking EP 82

It has been fairly established that short duration of sleep is associated with obesity in teens and adults; however, the impact of quantity and quality of sleep has not been as well established. A cross-sectional study by Feliciano et al. found that longer and better sleep was associated with better cardiometabolic profiles in early adolescence – independent of other factors. Guest: Susan Feeney, DNP, FNP-BC

It has been fairly established that short duration of sleep is associated with obesity in teens and adults; however, the impact of quantity and quality of sleep has not been as well established. A cross-sectional study by Feliciano et al. found that longer and better sleep was associated with better cardiometabolic profiles in early adolescence – independent of other factors.


Gabapentinoid Drugs Off-Label Use: Stay in Your Lane! - Frankly Speaking EP 127

Guest: Jill Terrien PhD, ANP-BC Music Credit: Richard Onorato

Join us as we discuss the increased off-label use of gabapentinoids most likely in response to the treatment of pain.


Fear Not the Fungus Treatment - Frankly Speaking EP 122

Guest: Susan Feeney, DNP, FNP Music Credit: Richard Onorato

Since their arrival, oral anti-fungal agents have been thought to induce liver disease. Often, these medications are avoided or used with caution and frequent laboratory testing. Join us in a discussion of a recent study that builds on previous work showing the risk of using these agents is extremely small.


Reading to young children is a well-established activity that can impact neuro-cognitive and emotional development in children. Since many parents use E-readers and other digital platforms to read to their kids, in this episode we will explore whether there is a difference or benefit to using a particular type of book. Join us as we discuss the recent findings on parent-toddler interactions when reading from a print book versus an E-reader.


According to the latest data, 1 in 7 US women experience perinatal depression, described as depression occurring during pregnancy and up to one year after childbirth. There is compelling evidence that perinatal depression can have short and long-term effects on both women and their children. The USPSTF has published new recommendations encouraging clinicians to screen pregnant and postpartum persons for depression and provide those who are at increased risk of perinatal depression with counseling interventions. (Grade B recommendation).


Barriers to Physical Activity: Women's Breast Size - Frankly Speaking EP 125

Guest: Jill Terrien PhD, ANP-BCMusic Credit: Richard Onorato

Join us as we discuss barriers to physical activity and how providers can help to address these issues, particularly in women with large breast size.


In a recent study of postmenopausal women in the WHI Observational Study who consumed > 2 ASB per day, there appeared to be an association between increased intake of ASB with increased risk of ischemic stroke, CVD, and all cause mortality. Join us as we discuss these findings, what it adds to our knowledge about ASB, and potential strategies to apply this new evidence into your practice.


Contraceptive Education: Educate Your Patients While They Wait - Frankly Speaking EP 123

Guest: Jill Terrien PhD, ANP-BC Music Credit: Richard Onorato

Join us as we discuss decision aids used to assess contraceptive knowledge and intentions that can be easily incorporated in primary care practice.


0.25 CME CREDIT

Fever Free: Acetaminophen or Ibuprofen? - Frankly Speaking EP 266

Guest: Jillian Joseph, MSPAS, PA-CMusic Credit: Richard Onorato

0.25 CME

‘Tis the season for pediatric fevers! Join us to review a recent meta-analysis looking at 18 studies with patients younger than 2 years old who received acetaminophen or ibuprofen for fever or pain to determine if one medication should be recommended first, before the other. After this session, you’ll be able to confidently advise parents of young children on how best to manage fever and/or pain at home with over-the-counter medications.


0.25 CME CREDIT

Using DOACs for Valvular Atrial Fibrillation - Frankly Speaking EP 249

Guest: Alan M. Ehrlich, MD, FAAFPMusic Credit: Richard Onorato

0.25 CME

For non-valvular atrial fibrillation, physicians, patients, and guideline organizations all prefer direct oral anticoagulants (DOACs) over vitamin K antagonists, such as warfarin, for thromboembolic prophylaxis. For those with valvular atrial fibrillation, the data for safety and efficacy have been limited because randomized trials comparing DOACs to warfarin often exclude patients with valvular atrial fibrillation. Join us to explore new data that sheds light on the use of DOACs in valvular atrial fibrillation.


0.25 CME CREDIT

Fluvoxamine as a Treatment for COVID-19 - Frankly Speaking EP 265

Guest: Alan M. Ehrlich, MD, FAAFPMusic Credit: Richard Onorato

0.25 CME

Most cases of COVID-19 will resolve without interventions, but some patients are at high risk for complications. Several treatment options for high-risk patients are now available to help prevent the need for hospitalization. Join us to review a recent large, randomized trial evaluating fluvoxamine as a treatment for high-risk patients who were diagnosed with COVID-19.