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Medicine by the numbers

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Colorectal Cancer: Risk Factors and Recommendations for Early Detection - American ...

Jun 1, 1999 - Spurred by mounting evidence that the detection and treatment of early-stage colorectal cancers and adenomatous polyps can reduce mortality, Medicare and some other payors recently authorized reimbursement for colorectal cancer screening in persons at average risk for this malignancy. A...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3083.html

Graham Center Policy One-Pagers Department Collection - American Family Physician

These reports offer succinct summaries of research and perspectives pertinent to family practice advocacy and are produced by the Robert Graham Center: Policy Studies in Family Medicine and Primary Care in Washington, DC.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=3&page=0

Graham Center Policy One-Pagers Department Collection - American Family Physician

These reports offer succinct summaries of research and perspectives pertinent to family practice advocacy and are produced by the Robert Graham Center: Policy Studies in Family Medicine and Primary Care in Washington, DC.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=3

Appropriate Use of Antibiotics for URIs in Children: Part II. Cough, Pharyngitis and ...

Oct 15, 1998 - This article summarizes the principles of judicious antimicrobial therapy for three of the five conditions--cough, pharyngitis, the common cold--that account for most of the outpatient use of these drugs in the United States. The principles governing the other two conditions, otitis ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1335.html

Challenges in Pain Management at the End of Life - American Family Physician

Oct 1, 2001 - Effective pain management in the terminally ill patient requires an understanding of pain control strategies. Ongoing assessment of pain is crucial and can be accomplished using various forms and scales. It is also important to determine if the pain is nociceptive (somatic or visceral ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1001/p1227.html

Evaluation of Asymptomatic Microscopic Hematuria in Adults - American Family Physician

Sep 15, 1999 - In patients without significant urologic symptoms, microscopic hematuria is occasionally detected on routine urinalysis. At present, routine screening of all adults for microscopic hematuria with dipstick testing is not recommended because of the intermittent occurrence of this finding ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1143.html

Management of Carpal Tunnel Syndrome - American Family Physician

Jul 15, 2003 - Carpal tunnel syndrome affects approximately 3 percent of adults in the United States. Pain and paresthesias in the distribution of the median nerve are the classic symptoms. While Tinel's sign and a positive Phalen's maneuver are classic clinical signs of the syndrome, hypalgesia and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0715/p265.html

Increasing Potassium Intake May Help Mitigate Cardiovascular Risk - Letters to the ...

Sep 15, 2015 - ...Persons at risk of hyperkalemia, such as those who have chronic kidney disease or take medicines that inhibit the renin-angiotensin-aldosterone system, should use caution in increasing their dietary potassium intake. However, for other patients with hypertension, increasing dietary...

American Family Physician : Letter

https://www.aafp.org/afp/2015/0915/p430.html

Evaluation and Treatment of Childhood Obesity - American Family Physician

Feb 15, 1999 - The prevalence of childhood obesity in the United States has risen dramatically in the past several decades. Although 25 to 30 percent of children are affected, this condition is underdiagnosed and undertreated. Hormonal and genetic factors are rarely the cause of childhood obesity; ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p861.html

Hantavirus Pulmonary Syndrome: A Zebra Worth Knowing About - American Family Physician

Sep 15, 2002 - Hantavirus pulmonary syndrome (HPS) is a severe cardiopulmonary illness most often caused by the Sin Nombre virus, which is transmitted to humans by inhalation of aerosolized particles of rodent excreta or direct rodent contact. Although HPS is more common in the western United States, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0915/p1015.html

Dapagliflozin in High-Risk Type 2 Diabetes Reduces Hospitalization for Heart Failure ...

Aug 1, 2019 - The only cardiovascular benefit to treatment with dapagliflozin was a reduction in the likelihood of hospitalization; 125 patients would need to be treated for 10 years to prevent one hospitalization.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0801/p184.html

Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older: A Guideline ...

May 1, 2017 - A high standard must be met when guidelines recommend lifelong preventive medications, knowing that at best, a small minority of patients will benefit and that all are risking harm.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0501/p547.html

Pseudoneurologic Syndromes: Recognition and Diagnosis - American Family Physician

May 15, 1998 - Physicians may encounter patients with a collection of psychologic disorders that present with neurologic symptoms or signs, yet have no identifiable structural or functional etiology within the nervous system. These disorders comprise the so-called pseudoneurologic syndromes, which can...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2485.html

Vulvar Cancer - American Family Physician

Oct 1, 2002 - Vulvar cancer was reported in 3,200 women in 1998, resulting in 800 deaths. Recent evidence suggests that vulvar cancer comprises two separate diseases. The first type may develop from vulvar intraepithelial neoplasia caused by human papillomavirus infection and is increasing in ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1001/p1269.html

Topical Therapies for Glaucoma: What Family Physicians Need to Know - American Family ...

Apr 1, 1999 - Medication classes historically used in the management of glaucoma include beta blockers, miotics, sympathomimetics and carbonic anhydrase inhibitors. Because topically applied medications are more site specific, they are preferred in the treatment of glaucoma. Compared with oral ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1871.html

An Office-Based Approach to Influenza: Clinical Diagnosis and Laboratory Testing - ...

Jan 1, 2003 - Vaccination is the primary measure for preventing morbidity and mortality from influenza. During the influenza season, family physicians must distinguish influenza from the common cold and other flu-like illnesses. Signs and symptoms of influenza include abrupt onset of fever, severe ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0101/p111.html

Interstitial Cystitis: Urgency and Frequency Syndrome - American Family Physician

Oct 1, 2001 - Interstitial cystitis is a chronic, severely debilitating disease of the urinary bladder. Excessive urgency and frequency of urination, suprapubic pain, dyspareunia, chronic pelvic pain and negative urine cultures are characteristic of interstitial cystitis. The course of the disease is...

American Family Physician : Article

https://www.aafp.org/afp/2001/1001/p1199.html

Autism: A Medical Primer - American Family Physician

Nov 1, 2002 - Autistic disorder, a pervasive developmental disorder resulting in social, language, or sensorimotor deficits, occurs in approximately seven of 10,000 persons. Early detection and intervention significantly improve outcome, with about one third of autistic persons achieving some degree ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1101/p1667.html

How Do Clinical Practice Guidelines Go Awry? - AFP Journal Club - American Family ...

Sep 15, 2012 - Many guidelines are dominated by recommendations from experts and are not based on sound clinical studies. The development of clinical practice guidelines needs to be transparent and devoid of commercial, financial, and political influences. Physicians should also be wary of outdated ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/0915/p514.html

Recognition and Management of Acute Pesticide Poisoning - American Family Physician

Apr 15, 2002 - Most poisonings from pesticides do not have a specific antidote, making decontamination the most important intervention. For maximal benefit to the patient, skin, eye, and gastric decontamination should be undertaken while specifics of the poisoning are being determined. As in most ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1599.html

Financial Incentives for Improving the Quality of Primary Care - Cochrane for ...

Apr 1, 2012 - Financial incentives are associated with minimal, if any, improvements in quality of care provided by primary care physicians. It is uncertain whether financial incentives are cost-effective relative to other types of quality-improvement interventions.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0401/p690.html

Oral Poisonings: Guidelines for Initial Evaluation and Treatment - American Family ...

Jan 1, 1998 - The initial evaluation and management of poisoned patients should be comprehensive and include an accurate history whenever possible, stabilization of the patient's condition, a physical assessment to evaluate the extent of poisoning and the presence of concurrent conditions, ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0101/p85.html

Managing Menopause - American Family Physician

Mar 1, 2000 - Many women will spend one third of their lifetime after menopause. A growing number of options are available for the treatment of menopausal symptoms like vasomotor instability and vaginal atrophy, as well as the long-term health risks such as cardiovascular disease and osteoporosis ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1391.html

Sarcoidosis: A Primary Care Review - American Family Physician

Dec 1, 1998 - Sarcoidosis is a multisystemic disorder of unknown etiology that most commonly affects adults between 20 and 40 years of age. Patients with sarcoidosis frequently present with bilateral hilar lymphadenopathy and pulmonary infiltration, and often with ocular and skin lesions. The ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2041.html

Diagnosis and Management of Malignant Melanoma - American Family Physician

Apr 1, 2001 - The incidence of malignant melanoma has increased in recent years more than that of any other cancer in the United States. About one in 70 people will develop melanoma during their lifetime. Family physicians should be aware that a patient with a changing mole, an atypical mole or ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0401/p1359.html

Spironolactone in Left-Sided Heart Failure: How Does It Fit In? - American Family ...

Oct 15, 2001 - The familiar diuretic spironolactone has taken on new life as a treatment for left-sided congestive heart failure. Spironolactone has been shown to decrease mortality in such patients who are New York Heart Association class IV. It can be used in addition to agents such as ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1015/p1393.html

Are Neuraminidase Inhibitors Effective for Preventing and Treating Influenza in Healthy...

Oct 1, 2012 - Treating previously healthy patients with oseltamivir (Tamiflu) reduces the duration of influenza symptoms by approximately 21 hours, but it does not reduce the risk of hospitalization in this population.1 The data are insufficient to determine whether oseltamivir reduces the ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/1001/p624.html

No Difference Between Oxycodone/Acetaminophen and Hydrocodone/Acetaminophen for Acute ...

Mar 1, 2016 - This study found no significant difference in the management of acute musculoskeletal extremity pain, including fractures, with oxycodone/acetaminophen vs. hydrocodone/acetaminophen. Adverse events, including nausea and dizziness, occurred significantly more often with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0301/p411.html

Identification and Management of Tuberculosis - American Family Physician

May 1, 2000 - Although the resurgence of tuberculosis in the early 1990s has largely been controlled, the risk of contracting this disease remains high in homeless persons, recent immigrants and persons infected with the human immunodeficiency virus (HIV). Purified protein derivative testing should ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2667.html

Treatment of Cholesterol Abnormalities - American Family Physician

Mar 15, 2005 - Cardiovascular disease and its subset coronary heart disease are leading causes of morbidity and mortality in the United States and worldwide. In general, higher levels of low-density lipoprotein cholesterol are associated with an increased risk of coronary heart disease, myocardial ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1137.html

Antiviral Drugs in the Immunocompetent Host: Part II. Treatment of Influenza and ...

Feb 15, 2003 - Family physicians should be familiar with the various drugs available for treating and preventing viral infections. Part II of this two-part article focuses on agents used to manage influenza and respiratory syncytial virus. Rimantadine and amantadine traditionally have been used to ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0215/p763.html

Health Literacy: What Do You Need to Do? - Editorials - American Family Physician

Jul 15, 2015 - What can physicians do to address limited health literacy and be sure that patients understand health information? The answer is twofold: practicewide changes and individual communication changes.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0715/p84.html

Calcium Channel Antagonists: Morbidity and Mortality - What's the Evidence? - American ...

Apr 1, 1998 - Recent studies have shown an association between the use of calcium channel antagonists for the treatment of hypertension and an increased risk of myocardial infarction, gastrointestinal hemorrhage and cancer. The interpretation of the results of these studies and their application to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1551.html

Clinical Practice Guidelines for Chronic Kidney Disease in Adults: Part II. Glomerular ...

Sep 15, 2004 - The Kidney Disease Outcome Quality Initiative of the National Kidney Foundation published clinical practice guidelines on chronic kidney disease in February 2002. Of the 15 guidelines, the first six are of greatest relevance to family physicians. Part II of this two-part review covers ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1091.html

Polycystic Ovarian Syndrome: It's Not Just Infertility - American Family Physician

Sep 1, 2000 - Recent diagnostic and pharmacologic developments have focused renewed attention on polycystic ovary syndrome. Clinical features of the syndrome include anovulation, hyperandrogenism and menstrual dysfunction, but several other abnormalities, including hyperinsulinemia, luteinizing ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1079.html

Exercise and Pregnancy Loss - FPIN's Clinical Inquiries - American Family Physician

Apr 1, 2015 - Regular exercise for up to seven or more hours per week (including low-intensity and high-intensity aerobics, jogging, cycling, and swimming) is not associated with increased rates of miscarriage in the first to mid-second trimesters. Patients may continue bending and lifting at work, ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0401/p437.html

Assessment and Treatment of Bulimia Nervosa - American Family Physician

Jun 1, 1998 - Bulimia nervosa is characterized by binge eating and inappropriate compensatory behaviors, such as vomiting, fasting, excessive exercise and the misuse of diuretics, laxatives or enemas. Although the etiology of this disorder is unknown, genetic and neurochemical factors have been ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2743.html

Depression in Women: Diagnostic and Treatment Considerations - American Family Physician

Jul 1, 1999 - Women experience depression twice as often as men. The diagnostic criteria for depression are the same for both sexes, but women with depression more frequently experience guilt, anxiety, increased appetite and sleep, weight gain and comorbid eating disorders. Women may achieve higher ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p225.html

Recognition and Management of Hereditary Hemochromatosis - American Family Physician

Mar 1, 2002 - Hereditary hemochromatosis is the most common inherited single-gene disorder in people of northern European descent. It is characterized by increased intestinal absorption of iron, with deposition of the iron in multiple organs. Previously, the classic description was combined diabetes ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0301/p853.html

Chronic Insomnia: A Practical Review - American Family Physician

Oct 1, 1999 - Insomnia has numerous, often concurrent etiologies, including medical conditions, medications, psychiatric disorders and poor sleep hygiene. In the elderly, insomnia is complex and often difficult to relieve because the physiologic parameters of sleep normally change with age. In most ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1431.html

Immediate-Release Methylphenidate for the Treatment of ADHD in Adults - Cochrane for ...

Apr 1, 2015 - In adults with ADHD, immediate-release methylphenidate improves symptoms of hyperactivity, impulsiveness, and inattentiveness compared with placebo. Short-term adverse effects such as weight loss and decreased appetite do not appear to be serious. However, larger studies of longer ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0401/p445.html

How to Counsel Men About PSA Screening - Editorials - American Family Physician

Nov 15, 2016 - For family physicians to put PSA screening guidance into practice, they must elicit patients' preferences and provide accurate, understandable information about the benefits and harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/1115/p782.html

Recognition and Treatment of Obsessive-Compulsive Disorder - American Family Physician

Apr 1, 1998 - Obsessive-compulsive disorder is relatively common; however, its actual incidence has only recently become clear. The neurotransmitter serotonin appears to have a central role in this disorder. Males and females are affected equally, with onset usually occurring in late adolescence. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1623.html

Evaluation and Management of Nonulcer Dyspepsia - American Family Physician

Jul 1, 2004 - When no organic cause for dyspepsia is found, the condition generally is considered to be functional, or idiopathic. Nonulcer dyspepsia can cause a variety of symptoms, including abdominal pain, bloating, nausea, and vomiting. Many patients with nonulcer dyspepsia have multiple somatic ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p107.html

Combination Vaccines for Childhood Immunization - American Family Physician

May 1, 1999 - An increasing number of new and improved vaccines to prevent childhood diseases are being introduced. Combination vaccines represent one solution to the problem of increased numbers of injections during single clinic visits. This statement provides general guidance on the use of ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2565.html

For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred Over PCI - POEMs... Restricted content. Login required.

Jun 1, 2020 - For patients with left main disease, PCI with a drug-eluting stent and CABG had similar all-cause mortality rates at 10 years. For those with three-vessel disease, CABG is associated with lower 10-year mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p698.html

Home Health Care - American Family Physician

Nov 1, 1998 - Home health care is the fastest-growing expense in the Medicare program because of the aging population, the increasing prevalence of chronic disease and increasing hospital costs. Patients and families are choosing the option of home care more frequently. Medicare's regulations are ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1101/p1608.html

Lowering the Age for Routine Influenza Vaccination to 50 Years: AAFP Leads the Nation ...

Nov 1, 1999 - The American Academy of Family Physicians now recommends that all persons 50 years of age and older receive an annual influenza vaccination, because the rates of morbidity and mortality associated with influenza are high and vaccination is cost-effective. Reasons for lowering the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p2061.html

Update on Parkinson's Disease - American Family Physician

Apr 15, 1999 - Parkinson's disease is a progressive degenerative disorder of the central nervous system. The hallmark physical signs are tremor, rigidity and bradykinesia. Idiopathic Parkinson's disease is caused by the progressive loss of dopaminergic neurons in the substantia nigra and nigrostriatal...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2155.html

Heat-Related Illnesses - American Family Physician

Sep 1, 1998 - Heat-related illnesses cause 240 deaths annually. Although common in athletes, heat-related illnesses also affect the elderly, persons with predisposing medical conditions and those taking a variety of medications. Symptoms range from mild weakness, dizziness and fatigue in cases of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p749.html

Prevention and Early Detection of Malignant Melanoma - American Family Physician

Nov 15, 2000 - In addressing the problem of malignant melanoma, family physicians should emphasize primary prevention. This includes educating patients about the importance of avoiding excessive sun exposure and preventing sunburns, and advising them about the importance of prompt self-referral for ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2277.html

Primary Dysmenorrhea - American Family Physician

Aug 1, 1999 - Primary dysmenorrhea is defined as cramping pain in the lower abdomen occurring just before or during menstruation, in the absence of other diseases such as endometriosis. Prevalence rates are as high as 90 percent. Initial presentation of primary dysmenorrhea typically occurs in ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p489.html

Evaluation of Constipation - American Family Physician

Jun 1, 2002 - Constipation is the reason for 2.5 million physician visits per year in the United States, with more than one half of these visits to primary care physicians. Patients and physicians frequently define constipation differently. To determine the underlying cause of constipation, it is ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0601/p2283.html

Phentermine/Topiramate (Qsymia) for Chronic Weight Management - STEPS - American Family...

Oct 15, 2014 - Phentermine/topiramate has been shown to be a good option for sustained weight loss in patients who are unable to lose weight with diet and exercise alone. It should not be given to patients with a history of significant heart disease, and women of childbearing age should use ...

American Family Physician : STEPS

https://www.aafp.org/afp/2014/1015/p576.html

Corrections - Jun 15, 2017 - American Family Physician

Jun 15, 2017 - ...Incorrect Number. The Medicine by the Numbers, Valproate for Adult Migraine Prophylaxis (November 1, 2016, online only) incorrectly defined the Study Population inclusion criteria as Patients 16 years or older with episodes of migraine headache on at least 15 days of every month...

American Family Physician : Corrections

https://www.aafp.org/afp/2017/0615/p758b.html

Conjugated Estrogens/Bazedoxifene (Duavee) for Menopausal Symptoms - STEPS - American ...

Feb 15, 2016 - Conjugated estrogens/bazedoxifene is effective for the treatment of menopausal symptoms and may be better tolerated than conjugated estrogens/medroxyprogesterone. It will maintain bone mineral density in the lumbar spine and hip, but its effect on fractures is not known. Cardiovascular ...

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0215/p307.html

Cholesterol Treatment Guidelines Update - American Family Physician

Mar 1, 2002 - Hypercholesterolemia is one of the major contributors to atherosclerosis and coronary heart disease in our society. The National Cholesterol Education Program of the National Institutes of Health has created a set of guidelines that standardize the clinical assessment and management of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0301/p871.html

Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI ...

May 15, 2019 - Among patients using oral anticoagulants alone, the risk of hospitalization for upper GI tract bleeding is highest with rivaroxaban (Xarelto) and lowest with apixaban (Eliquis).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od4.html

Opioid Antagonists for the Treatment of Alcohol Dependence - Cochrane for Clinicians - ...

Nov 1, 2011 - Although it does not improve overall alcohol abstinence rates, the oral formulation of the opioid antagonist naltrexone (Revia) is moderately effective in decreasing the amount and frequency of alcohol consumption in patients with alcohol dependence.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/1101/p990.html

Management of Female Sexual Assault - American Family Physician

Sep 15, 1998 - A sexual assault occurs once every 6.4 minutes in the United States. One in every six women will be raped during her lifetime. Although a woman is four times more likely to be assaulted by someone she knows than by someone she does not know, the majority of these crimes go unreported ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0915/p920.html

Alcohol-Related Problems: Recognition and Intervention - American Family Physician

Jan 15, 1999 - Early identification of alcohol-related problems is important because these problems are prevalent, pose serious health risks to patients and their families, and are amenable to intervention. Physicians may be able to help patients change their drinking behaviors. The most effective ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0115/p361.html

Disability Certifications in Adult Workers: A Practical Approach - American Family ...

Nov 1, 2001 - Family physicians are frequently asked to complete disability certification forms for workers. The certification process can be contentious because of the number of stakeholders, the varying definitions of disability and the nature of the administrative systems. Insufficient training on...

American Family Physician : Article

https://www.aafp.org/afp/2001/1101/p1579.html

Diagnosis and Management of Common Tinea Infections - American Family Physician

Jul 1, 1998 - The estimated lifetime risk of acquiring a dermatophyte infection is between 10 and 20 percent. Recognition and appropriate treatment of these infections reduces both morbidity and discomfort and lessens the possibility of transmission. Dermatophyte infections are classified according ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p163.html

New Tests for Cervical Cancer Screening - American Family Physician

Sep 1, 2001 - The Papanicolaou (Pap) smear has been used to screen women for cervical cancer since 1940. Recently, a number of new technologies have been developed to improve the detection of cervical cancer and its precursors. However, there is substantial controversy about whether the new tests ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p780.html

Gastroesophageal Reflux Disease: Diagnosis and Management - American Family Physician

Mar 1, 1999 - Gastroesophageal reflux disease (GERD) is a chronic, relapsing condition with associated morbidity and an adverse impact on quality of life. The disease is common, with an estimated lifetime prevalence of 25 to 35 percent in the U.S. population. GERD can usually be diagnosed based on ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1161.html

Corrections - Sep 15, 2016 - American Family Physician

Sep 15, 2016 - ...The Medicine by the Numbers Tap Water vs. Sterile Saline for Wound Irrigation (August 1, 2015, online only) incorrectly calculated a number needed to treat statistic for decreasing wound infection with tap water. This error stemmed from the Medicine by the Numbers being...

American Family Physician : Corrections

https://www.aafp.org/afp/2016/0915/p419.html

The Effects of Combination Contraceptives on Weight - Cochrane for Clinicians - ...

Dec 1, 2012 - Compared with placebo or no intervention, the use of combination contraceptives was not associated with weight gain. Most studies comparing different types of combination contraceptives showed no statistically significant effects on weight.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/1201/p1009.html

Pulmonary Embolism Rule-Out Criteria: A Clinical Decision Rule That Works - AFP Journal...

Jul 15, 2013 - A number of clinical decision rules have been released recently. The PERC rule is an example of one that works well because it was derived from a large number of patients, and it was internally and externally validated.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2013/0715/p98.html

Cutaneous Sarcoidosis: A Dermatologic Masquerader - American Family Physician

Apr 15, 2002 - Sarcoidosis is a multisystem disease that may involve almost any organ system; therefore, it results in various clinical manifestations. Cutaneous sarcoidosis occurs in up to one third of patients with systemic sarcoidosis. Recognition of cutaneous lesions is important because they ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1581.html

Increased Daily Steps Associated with Reduced All-Cause Mortality - POEMs - American ... Restricted content. Login required.

Oct 15, 2020 - This study found that a greater number of daily steps was significantly associated with lower all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od4.html

Rationale for a 39-Week Elective Delivery Policy - Editorials - American Family Physician

Dec 15, 2011 - Several organizations have called for obstetric care professionals to decrease the number of elective (non-medically indicated) deliveries before an estimated gestational age of 39 weeks to prevent iatrogenic neonatal harm. Approximately one out of every three births in the United ...

American Family Physician : Editorials

https://www.aafp.org/afp/2011/1215/p1335.html

Evaluation and Treatment of Urinary Tract Infections in Children - American Family ...

Apr 1, 1998 - Urinary tract infections (UTIs) are among the most common bacterial infections encountered by primary care physicians. Although UTIs do not occur with as great a frequency in children as in adults, they can be a source of significant morbidity in children. For reasons that are not yet ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1573.html

Hand and Wrist Injuries: Part II. Emergent Evaluation - American Family Physician

Apr 15, 2004 - Primary care physicians must be able to recognize wrist and hand injuries that require immediate attention. A complete history and physical examination, including assessment of distal limb function, are essential. Hemorrhage control is necessary in patients with vessel lacerations and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0415/p1949.html

Raloxifene: A Selective Estrogen Receptor Modulator - American Family Physician

Sep 15, 1999 - Raloxifene is a selective estrogen receptor modulator that produces both estrogen-agonistic effects on bone and lipid metabolism and estrogen-antagonistic effects on uterine endometrium and breast tissue. Because of its tissue selectivity, raloxifene may have fewer side effects than are...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1131.html

Can CPOE Systems Decrease Use of Laboratory Studies and Control Costs? - AFP Journal ...

Sep 15, 2014 - Can computerized physician order entry systems decrease the use of laboratory studies? An intervention's durability (ability to provide sustained results) is important to consider before implementing the intervention based on a study's results.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2014/0915/p409.html

Herbal Remedies: Adverse Effects and Drug Interactions - American Family Physician

Mar 1, 1999 - A growing number of Americans are using herbal products for preventive and therapeutic purposes. The manufacturers of these products are not required to submit proof of safety and efficacy to the U.S. Food and Drug Administration before marketing. For this reason, the adverse effects ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1239.html

Latex Allergy - American Family Physician

Jan 1, 1998 - Natural latex from the rubber tree Hevea brasiliensis is an allergen in persons with significant cumulative latex exposure, such as those in the health care and rubber industries, as well as those undergoing repeated surgeries, especially if they undergo surgeries early in life. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0101/p93.html

Health Care Screening for Men Who Have Sex with Men - American Family Physician

May 1, 2004 - Men who have sex with men often do not reveal their sexual practices or sexual orientation to their physician. Lack of disclosure from the patient, discomfort or inadequate training of the physician, perceived or real hostility from medical staff, and insufficient screening guidelines ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2149.html

Stroke: Part II. Management of Acute Ischemic Stroke - American Family Physician

May 15, 1999 - Optimal treatment of the patient who has sustained an acute ischemic stroke requires rapid assessment and early intervention. The leisurely approach to acute stroke management sometimes taken in the past should be replaced by an approach that treats stroke as a true medical emergency. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2828.html

Putting Choosing Wisely into Practice - Editorials - American Family Physician

Apr 1, 2018 - It is our responsibility as physicians to help our patients avoid interventions that are not helpful or, worse, potentially harmful.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0401/p432.html

ACIP Releases 2015 Childhood Immunization Schedules - Practice Guidelines - American ...

Feb 15, 2015 - The 2015 immunization schedule for children and the catch-up schedule from the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) have a few changes that are pertinent for family physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0215/p265.html

Blunt Trauma in Pregnancy - American Family Physician

Oct 1, 2004 - Trauma is the most common cause of nonobstetric death among pregnant women in the United States. Motor vehicle crashes, domestic violence, and falls are the most common causes of blunt trauma during pregnancy. All pregnant patients with traumatic injury should be assessed formally in a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1303.html

Choosing Wisely: Top Interventions to Improve Health and Reduce Harm, While Lowering ...

Jul 15, 2012 - Initially sponsored by nine medical specialty societies, the campaign consists of specialty-specific top-five lists of common tests and procedures that are often performed unnecessarily, when they are not likely to improve a patient's health. The primary focus of the campaign is to ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0715/p128.html

Contemporary Management of Angina: Part I. Risk Assessment - American Family Physician

Dec 1, 1999 - Ischemic heart disease is one of the most common disorders managed by family physicians. Stratifying patients according to risk is important early in the course of the disease to identify patients who require invasive (percutaneous or surgical) treatment. Physical examination, clinical ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2543.html

Endogenous Endophthalmitis: Case Report and Brief Review - American Family Physician

Aug 1, 1999 - Endogenous endophthalmitis is a potentially blinding ocular infection resulting from hematogenous spread from a remote primary source. The condition is relatively rare but may become more common as the number of chronically debilitated patients and the use of invasive procedures ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p510.html

Medicine by the Numbers

...November 1, 2015 ◆ Volume 92, Number 9 www.aafp.org/afp American Family Physician 772A ➤ Effectiveness of Selective Serotonin Reuptake Inhibitors for Irritable Bowel Syndrome THAD WILKINS, MD; EDWARD AGABIN, MD; and LINDSAY BLAKE, MLIS Details for This Review Study Population:...

American Family Physician

https://www.aafp.org/afp/2015/1101/afp20151101od1.pdf

Work-Related Asthma - American Family Physician

Dec 1, 2001 - Work-related asthma accounts for at least 10 percent of all cases of adult asthma. Work-related asthma includes work aggravation of preexisting asthma and new-onset asthma induced by occupational exposure. Occupational exposure to very high concentrations of an irritant substance can ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1201/p1839.html

Childhood Bullying: Implications for Physicians - American Family Physician

Nov 1, 2004 - Childhood bullying has potentially serious implications for bullies and their targets. Bullying involves a pattern of repeated aggression, a deliberate intent to harm or disturb a victim despite the victim's apparent distress, and a real or perceived imbalance of power. Bullying can ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1723.html

Perioperative Management of Diabetes - American Family Physician

Jan 1, 2003 - Maintaining glycemic and metabolic control is difficult in diabetic patients who are undergoing surgery. The preoperative evaluation of all patients with diabetes should include careful screening for asymptomatic cardiac or renal disease. Frequent self-monitoring of glucose levels is ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0101/p93.html

A Practical Approach to Uncomplicated Seizures in Children - American Family Physician

Sep 1, 2000 - Uncomplicated seizures and epilepsy are common in infants and children. Family physicians should be aware of certain epilepsy syndromes that occur in children, such as febrile seizures, benign focal epilepsy of childhood, complex partial epilepsy, juvenile myoclonic epilepsy and video ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1109.html

Depression in Later Life: A Diagnostic and Therapeutic Challenge - American Family ...

May 15, 2004 - Depression in elderly persons is widespread, often undiagnosed, and usually untreated. The current system of care is fragmented and inadequate, and staff at residential and other facilities often are ill-equipped to recognize and treat patients with depression. Because there is no ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2375.html

Medicine by the Numbers

October 1, 2016:

American Family Physician

https://www.aafp.org/afp/2016/1001/afp20161001od1.pdf

Chronic Fatigue Syndrome: Evaluation and Treatment - American Family Physician

Mar 15, 2002 - Severe fatigue is a common complaint among patients. Often, the fatigue is transient or can be attributed to a definable organic illness. Some patients present with persistent and disabling fatigue, but show no abnormalities on physical examination or screening laboratory tests. In ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1083.html

Liraglutide (Saxenda) for Weight Loss - STEPS - American Family Physician

Jul 15, 2016 - Liraglutide, combined with lifestyle counseling, produces a clinically significant and sustained weight loss that continues as long as it is used. Nausea and vomiting, however, are common adverse effects, and about one in 10 patients will discontinue treatment.

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0715/p161.html

Guidelines for the Use of Opioid Therapy in Patients with Chronic Noncancer Pain - ...

Dec 1, 2009 - The American Pain Society and American Academy of Pain Medicine recently released a guideline for the use of opioids in patients with chronic noncancer pain. Chronic opioid therapy is controversial because of the potential for adverse effects and abuse.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1201/p1315.html

Hepatitis C: Part I. Routine Serologic Testing and Diagnosis - American Family Physician

Jan 1, 1999 - Hepatitis C, which is caused by the hepatitis C virus (HCV), is a major public health problem in the United States. HCV is most efficiently transmitted through large or repeated percutaneous exposures to blood. Most patients with acute HCV infection develop persistent infection, and 70 ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p79.html

New Drugs for Alzheimer's Disease - American Family Physician

Oct 1, 1998 - Alzheimer's disease is characterized by degeneration of various structures in the brain, with development of amyloid plaques and neurofibrillary tangles. Deficiencies of acetylcholine and other neurotransmitters also occur. Pharmacologic treatment of the disease generally seeks to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1175.html

Educational Guidelines for Achieving Tight Control and Minimizing Complications of Type...

Nov 1, 1999 - Tight glucose control with intensive therapy in patients with type 1 diabetes (formerly known as juvenile-onset or insulin-dependent diabetes) can delay the onset and slow the progression of retinopathy, nephropathy and neuropathy. Optimal blood glucose control is defined by a target ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p1985.html

Screening for Genetic Risk of Breast Cancer - American Family Physician

Jan 1, 1999 - Approximately 10 to 15 percent of all breast cancers are thought to be familial and about one third of these cases are due to an inherited mutation in a BRCA1 or BRCA2 breast cancer-susceptibility gene. The lifetime incidence of breast cancer in mutation carriers is above 50 percent, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p99.html

AAN, AANEM, and AAPMR Publish Guideline for Treatment of Painful Diabetic Neuropathy - ...

Sep 1, 2012 - Painful diabetic neuropathy is a chronic disease that affects approximately 16 percent of patients who have diabetes mellitus. The American Academy of Neurology (AAN), the American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM), and the American Academy of Physical ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0901/p469.html

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