Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Hepatic Portal System01:21

Hepatic Portal System

4.7K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
4.7K
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

290
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
290
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

1.3K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.3K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

785
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
785
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow01:26

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow

152
Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug...
152
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

947
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
947

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Reclaiming the Clinical Story: Ambient AI and the Future of Documentation.

Family practice management·2026
Same author

ACR Appropriateness Criteria Imaging After Shoulder Arthroplasty: Updated 2026.

Journal of the American College of Radiology : JACR·2026
Same author

Applying Implementation Science Principles to Systematize Supplemental Breast Cancer Screening for Women with Dense Breast Tissue.

Journal of the American College of Radiology : JACR·2025
Same author

Nodule on the Chin.

American family physician·2025
Same author

ACR Appropriateness Criteria® Stress (Fatigue-Insufficiency) Fracture Including Sacrum Excluding Other Vertebrae: 2024 Update.

Journal of the American College of Radiology : JACR·2024
Same author

Of a "certain age" - Menopause in Native American women: A cultural perspective.

Maturitas·2024
Same journal

Characteristics of Children Seeking Care at School-Based Health Centers.

Journal of the American Board of Family Medicine : JABFM·2026
Same journal

An Analysis of Common Questions and Concerns of Older Adults with Multiple Chronic Conditions.

Journal of the American Board of Family Medicine : JABFM·2026
Same journal

Primary HPV Testing for Cervical Cancer Screening Among Family Medicine Educators.

Journal of the American Board of Family Medicine : JABFM·2026
Same journal

"Hard Fork" for Family Medicine - Artificial Intelligence Will Change the Way We Experience Practice.

Journal of the American Board of Family Medicine : JABFM·2026
Same journal

The Importance of Primary Care Subject Matter Experts: Output Quality in Large Language Models Prompt Engineering.

Journal of the American Board of Family Medicine : JABFM·2026
Same journal

Daily Nutrient Intake and Inflammation Among US Adults.

Journal of the American Board of Family Medicine : JABFM·2026
See all related articles

Related Experiment Video

Updated: Dec 21, 2025

Invasive Hemodynamic Characterization of the Portal-hypertensive Syndrome in Cirrhotic Rats
09:37

Invasive Hemodynamic Characterization of the Portal-hypertensive Syndrome in Cirrhotic Rats

Published on: August 1, 2018

15.4K

High Volume Portal Usage Impacts Practice Resources.

Augustine Chavez1, Jesse Bracamonte2, Molly Kresin2

  • 1From Mayo Clinic Arizona, Scottsdale (AC, JB, MK, MG); Mayo Clinic Minnesota, Rochester (MY). Chavez.Augustine@mayo.edu.

Journal of the American Board of Family Medicine : JABFM
|May 21, 2020
PubMed
Summary
This summary is machine-generated.

Implementing patient portals offers benefits but requires practice adaptations. A team approach and dedicated staff are crucial for managing increased secure messaging volume effectively.

Keywords:
Fee-for-Service PlansPatient PortalsPatient-Centered Care

More Related Videos

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
08:45

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation

Published on: June 27, 2025

1.2K
Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy ALPPS Procedure
07:29

Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy ALPPS Procedure

Published on: August 14, 2017

15.3K

Related Experiment Videos

Last Updated: Dec 21, 2025

Invasive Hemodynamic Characterization of the Portal-hypertensive Syndrome in Cirrhotic Rats
09:37

Invasive Hemodynamic Characterization of the Portal-hypertensive Syndrome in Cirrhotic Rats

Published on: August 1, 2018

15.4K
New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
08:45

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation

Published on: June 27, 2025

1.2K
Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy ALPPS Procedure
07:29

Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy ALPPS Procedure

Published on: August 14, 2017

15.3K

Area of Science:

  • Health Informatics
  • Primary Care Medicine

Background:

  • Patient portals provide patient-centered benefits.
  • Successful patient portal implementation necessitates a comprehensive team approach.
  • Increased patient portal usage leads to a high volume of secure patient messages.

Purpose of the Study:

  • To describe the impact of high patient secure message volume on a fee-for-service academic family medicine practice.
  • To identify necessary practice adaptations for managing increased patient messaging.

Main Methods:

  • Descriptive analysis of patient secure message volume in an academic family medicine setting.
  • Evaluation of practice adaptations to manage message characteristics (volume, length, complexity).

Main Results:

  • High patient message volume presents challenges to practice workflow.
  • Practice adaptations are essential for managing message volume, length, and complexity.
  • Dedicated, trained staff and protected provider time are key to minimizing clerical burden.

Conclusions:

  • Effective management of patient portals requires strategic practice adaptations.
  • A dedicated support staff and protected provider time are vital for sustainable patient portal use.
  • Team-based approaches are critical for optimizing patient portal integration in primary care.