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Medicine by the numbers

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Cyclooxygenase-2 Enzyme Inhibitors: Place in Therapy - American Family Physician

Jun 15, 2000 - Nonsteroidal anti-inflammatory drugs (NSAIDs) play a major role in the management of inflammation and pain caused by arthritis. A new class of NSAIDs that selectively inhibit the cyclooxygenase-2 (COX-2) enzyme has been developed. The first COX-2 inhibitors, celecoxib and rofecoxib, are...

American Family Physician : Article

https://www.aafp.org/afp/2000/0615/p3669.html

Assessment and Treatment of Depression Following Myocardial Infarction - American ...

Aug 15, 2001 - Approximately 65 percent of patients with acute myocardial infarction report experiencing symptoms of depression. Major depression is present in 15 to 22 percent of these patients. Depression is an independent risk factor in the development of and mortality associated with ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0815/p641.html

Unstable Angina and Non-ST- Segment Elevation Myocardial Infarction: Part I. Initial ...

Aug 1, 2004 - Each year, more than 1 million patients are admitted to U.S. hospitals because of unstable angina and non-ST-segment elevation myocardial infarction (UA/NSTEMI). To help standardize the assessment and treatment of these patients, the American College of Cardiology and the American Heart...

American Family Physician : Article

https://www.aafp.org/afp/2004/0801/p525.html

Linagliptin and Glimepiride Equally Effective for Adults with Type 2 Diabetes Mellitus ... Restricted content. Login required.

Mar 1, 2020 - This study found that linagliptin is noninferior to glimepiride for reducing the risk of cardiovascular death, myocardial infarction, and stroke in adults with type 2 diabetes at an increased risk of cardiovascular disease.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p309a.html

Refocusing Geriatricians' Role in Training to Improve Care for Older Adults - Graham ...

Jan 1, 2012 - The current number of geriatricians cannot keep up with the health care needs of the growing number of older adults. To fill the gap, more geriatricians should focus on training primary care and other specialty physicians to care for older adults.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2012/0101/p59.html

Effect of Dietary Changes on IBS Symptoms - FPIN's Help Desk Answers - American Family ...

Sep 1, 2018 - A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FOD-MAPs) decreases IBS symptoms and improves quality of life compared with usual diet.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0901/od1.html

How to Write an Evidence-Based Clinical Review Article - American Family Physician

Jan 15, 2002 - Traditional clinical review articles, also known as updates, differ from systematic reviews and meta-analyses. Updates selectively review the medical literature while discussing a topic broadly. Non-quantitative systematic reviews comprehensively examine the medical literature, seeking ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p251.html

Genitourinary Infections and Their Association with Preterm Labor - American Family ...

Jan 15, 2002 - Genitourinary tract infections are one cause of preterm delivery. Prematurity is one of the leading causes of perinatal mortality in the United States. Uterine contractions may be induced by cytokines and prostaglandins, which are released by microorganisms. Asymptomatic bacteriuria, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p241.html

Quinupristin-Dalfopristin: A New Antibiotic for Severe Gram-Positive Infections - ...

Dec 1, 2001 - The steady increase in resistant organisms is related to the widespread use of antibiotics in community and hospital settings. New therapeutic options are needed, including treatments for infections caused by antibiotic-resistant gram-positive organisms. Quinupristin-dalfopristin, the ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1201/p1863.html

Effective Use of Statins to Prevent Coronary Heart Disease - American Family Physician

Jan 15, 2001 - Primary and secondary prevention trials have shown that use of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (also known as statins) to lower an elevated low-density lipoprotein cholesterol level can substantially reduce coronary events and death from coronary heart ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p309.html

Screening for Ovarian Cancer - Putting Prevention into Practice - American Family ...

Jun 15, 2018 - A 61-year-old woman presents to your office for a well-woman examination. She had a normal Papanicolaou (Pap) test last year and has no medical problems. She quit smoking 10 years ago, reports a family history significant only for cardiovascular disease, and is sexually active with her ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0615/p813.html

Prevention of Neonatal Group B Streptococcal Infection - American Family Physician

Jun 1, 1998 - Neonatal group B streptococcal infection is the primary cause of neonatal morbidity related to infection. It can often be prevented by identifying and treating pregnant women who carry group B streptococci or who are at highest risk of transmitting the bacteria to newborns. Increasing ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2713.html

Breast Cancer in Older Women - American Family Physician

Oct 1, 1998 - The American Geriatric Society currently recommends screening mammography for women up to 85 years of age whose life expectancy is three years or longer. The value of clinical breast examinations in older women needs further study. Total mastectomy and partial mastectomy with ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1163.html

Health Issues in Men: Part II. Common Psychosocial Disorders - American Family Physician

Jul 1, 2000 - During screening examinations and, when appropriate, other health-related visits, family physicians should be alert for signs and symptoms of common psychosocial disorders in men. Health issues of concern include alcohol and substance abuse, domestic violence, midlife crisis and ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0701/p117.html

Recognizing Problem Sleepiness in Your Patient - American Family Physician

Feb 15, 1999 - Normal sleep is required for optimal functioning. Normal wakefulness should be effortless and free of unintended sleep episodes. Problem sleepiness is common and occurs when the quantity of sleep is inadequate because of primary sleep disorders, other medical conditions or lifestyle ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p937.html

Contemporary Management of Angina: Part II. Medical Management of Chronic Stable Angina...

Jan 1, 2000 - Except for a small subset of patients with angina whose survival is improved with coronary artery bypass surgery, chronic stable angina can be appropriately managed with medical therapy in the vast majority of patients. Drug therapy includes aspirin, beta-adrenergic blockers, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p129.html

Hypnosis for Surgical Pain - FPIN's Help Desk Answers - American Family Physician

Dec 15, 2017 - Hypnosis provides small to moderate improvements in surgical pain and burn debridement pain in adults.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1215/od2.html

Pruritic Erythematous Plaques - Photo Quiz - American Family Physician

Sep 1, 2014 - A woman presented with erythematous, pruritic skin patches on her trunk and extremities that were slowly increasing in size and number.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2014/0901/p319.html

Sporotrichoid Lymphocutaneous Infections: Etiology, Diagnosis and Therapy - American ...

Jan 15, 2001 - Sporotrichoid lymphocutaneous infection is an uncommon syndrome that is often misdiagnosed and improperly treated. Of the several hundred cases seen each year in the United States, the majority are caused by Sporothrix schenckii, Nocardia brasiliensis, Mycobacterium marinum or ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p326.html

Newer Intranasal Migraine Medications - American Family Physician

Jan 1, 2000 - Two new intranasal migraine medications, sumatriptan and dihydroergotamine mesylate, may offer specific advantages for patients who are seeking alternatives to various oral or parenteral migraine abortive therapies. Placebo-controlled clinical studies demonstrate that both intranasal ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p180.html

Sickle Cell Disease in Childhood: Part I. Laboratory Diagnosis, Pathophysiology and ...

Sep 1, 2000 - Over the past 25 years, morbidity and mortality have decreased significantly in children with sickle cell disease, and screening tests are now available to diagnose the disease in newborns. The incidence of sepsis caused by pneumococcal and Haemophilus influenzae infections has declined...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1013.html

Cardiovascular Effects of NSAIDs - FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2014 - Aspirin does not elevate blood pressure. Among nonselective NSAIDs, ibuprofen increases the risk of hypertension and stroke. Diclofenac does not increase the risk of hypertension, but does increase the risk of stroke. Naproxen (Naprosyn) does not increase the risk of hypertension or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0815/od2.html

Dietary Therapy for Children with Hypercholesterolemia - American Family Physician

Feb 1, 2000 - Accumulating evidence clearly shows that atherosclerosis begins in youth. The National Cholesterol Education Program (NCEP) has recommended that children at high risk of developing coronary artery disease as adults be screened so that those with elevated low-density lipoprotein (LDL) ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p675.html

Corrections - Feb 1, 2017 - American Family Physician

Feb 1, 2017 - ...Incorrect wording. The Medicine by the Numbers Controlled Cord Traction During the Third Stage of Labor (March 1, 2016, [online only]) incorrectly stated that the Advanced Life Support in Obstetrics (ALSO) program did not support the use of controlled cord traction in the third...

American Family Physician : Corrections

https://www.aafp.org/afp/2017/0201/p142a.html

Somatizing Patients: Part II. Practical Management - American Family Physician

Mar 1, 2000 - Somatization is the experiencing of physical symptoms in response to emotional distress. It is a common and costly disorder that is frustrating to patients and physicians. Successful treatment of somatization requires giving an acceptable explanation of the symptoms to the patient, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1423.html

Electronic Cigarettes for Smoking Cessation - FPIN's Help Desk Answers - American ...

Mar 15, 2016 - Nicotine-containing e-cigarettes may be more effective than placebo devices for smoking cessation. They may also aid in smoking reduction, but the quality of available evidence is low. Little is known about their safety.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0315/p492.html

Prevention and Treatment of Overweight in Children and Adolescents - American Family ...

Jun 1, 2004 - Overweight in childhood and adolescence is an important public health issue because of its rapidly increasing prevalence and associated adverse medical and social consequences. Recent studies have estimated that 15 percent of children in the United States are at risk for overweight, and...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2591.html

Calcium Supplementation for Preventing Hypertensive Disorders in Pregnancy - Cochrane ...

Oct 1, 2015 - High-dose calcium supplementation (i.e., at least 1,000 mg per day) during pregnancy reduces the risk of developing hypertension and preeclampsia. The most significant risk reduction occurs in women at risk of hypertensive disorders and those with low-calcium diets.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/1001/p570.html

As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients...

Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p646a.html

Micronutrient Supplementation During Pregnancy - FPIN's Clinical Inquiries - American ...

Aug 1, 2015 - A multimicronutrient supplement is an oral tablet containing the recommended daily allowance of several vitamins and minerals. The World Health Organization does not recommend multimicronutrient supplementation because of the potential for increased neonatal mortality in some situations.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0801/p222.html

Acute Sinusitis: A Cost Effective Approach to Diagnosis and Treatment - American Family...

Nov 15, 1998 - Acute bacterial sinusitis usually occurs following an upper respiratory infection that results in obstruction of the osteomeatal complex, impaired mucociliary clearance and overproduction of secretions. The diagnosis is based on the patient's history of a biphasic illness (

American Family Physician : Article

https://www.aafp.org/afp/1998/1115/p1795.html

Omega-3 Oil Does Not Reduce Serious Cardiovascular Events for Patients with Diabetes ...

Jul 15, 2019 - In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p120.html

Diethylstilbestrol Exposure - American Family Physician

May 15, 2004 - Diethylstilbestrol is a synthetic nonsteroidal estrogen that was used to prevent miscarriage and other pregnancy complications between 1938 and 1971 in the United States. In 1971, the U.S. Food and Drug Administration issued a warning about the use of diethylstilbestrol during pregnancy...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2395.html

Antidepressants for Initial Treatment of Depression - AFP Journal Club - American ...

May 15, 2010 - Which antidepressants should be used for the initial treatment of depression? This quality multiple-treatment meta-analysis gives physicians a good starting point for choosing an antidepressant. Sertraline and escitalopram should be considered first-line agents whereas bupropion, ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2010/0515/p1205.html

Withholding and Withdrawing Life-Sustaining Treatment - American Family Physician

Oct 1, 2000 - Withholding or withdrawing life-sustaining therapies is ethical and medically appropriate in some circumstances. This article summarizes the American Medical Association's Education for Physicians on End-of-life Care (EPEC) curriculum module on withholding or withdrawing therapy. Before...

American Family Physician : Article

https://www.aafp.org/afp/2000/1001/p1555.html

Glycopyrrolate (Seebri Neohaler) for Maintenance Therapy in Patients with COPD - STEPS ...

Sep 15, 2017 - Glycopyrrolate is a safe option for maintenance treatment to prevent moderate to severe exacerbations in patients with moderate to severe COPD, with only mild and rare adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2017/0915/p395.html

Hepatitis B - American Family Physician

Jan 1, 2004 - Hepatitis B causes significant morbidity and mortality worldwide. More than 400 million persons, including 1.25 million Americans, have chronic hepatitis B. In the United States, chronic hepatitis B virus infection is responsible for about 5,000 annual deaths from cirrhosis and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p75.html

Screening for Syphilis Infection in Nonpregnant Adults and Adolescents - Putting ...

Sep 15, 2017 - R.J. is a 27-year-old man who presents for a well-patient visit. He always keeps his appointments and likes to make sure he is healthy. R.J. has started a new relationship and asks if he should be screened for syphilis.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0915/p393.html

Interventional Radiology in Cancer Patients - American Family Physician

Jul 1, 2000 - Procedures performed by an interventional radiology specialist are becoming increasingly important in the management of patients with cancer. Although general interventional radiology procedures such as angiography and angioplasty are used in patients with and without cancer, certain ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0701/p95.html

Topical Fluoroquinolones for Eye and Ear - American Family Physician

Oct 15, 2000 - Topical fluoroquinolones are now available for use in the eye and ear. Their broad spectrum of activity includes the common eye and ear pathogens Staphylococcus aureus and Pseudomonas aeruginosa. For the treatment of acute otitis externa, these agents are as effective as previously ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1870.html

Should We Treat Moderately Elevated Triglycerides? No: Reducing Moderately Elevated ...

Feb 1, 2011 - Moderately elevated triglyceride levels have not been established as an independent risk factor for CHD. More importantly, the lowering of moderately elevated triglyceride levels with drug therapy has not been shown to decrease the rate of CHD for primary prevention in otherwise healthy...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0201/p246.html

Mifepristone Pretreatment Improves Success Rate of Misoprostol for Early Pregnancy Loss...

Dec 1, 2018 - In women with early pregnancy loss between five and 12 weeks' gestation, pretreatment with 200 mcg of oral mifepristone before 800 mcg of vaginal misoprostol increases the likelihood of successful expulsion of the gestational sac.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p683a.html

Neurologic Complications of Prostate Cancer - American Family Physician

May 1, 2002 - Neurologic complications continue to pose problems in patients with metastatic prostate cancer. From 15 to 30 percent of metastases are the result of prostate cancer cells traveling through Batson's plexus to the lumbar spine. Metastatic disease in the lumbar area can cause spinal cord ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0501/p1834.html

Effectiveness of Acamprosate in the Treatment of Alcohol Dependence - Cochrane for ...

Mar 1, 2011 - When used in conjunction with detoxification and psychosocial interventions for treating alcohol dependence, acamprosate can reduce the risk of any return to drinking and improve cumulative abstinence rates.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0301/p522.html

Impact of Breastfeeding Support - Cochrane for Clinicians - American Family Physician

Feb 1, 2013 - Proactive support in many forms, provided by health care professionals or laypersons, increases the duration of any breastfeeding (including partial and exclusive) and exclusive breastfeeding. Face-to-face support is superior to telephone-based interventions. Support for continued ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0201/p176.html

Diagnosis of Eating Disorders in Primary Care - American Family Physician

Jan 15, 2003 - Eating disorders, particularly anorexia nervosa and bulimia nervosa, are significant causes of morbidity and mortality among adolescent females and young women. Eating disorders are associated with devastating medical and psychologic consequences, including death, osteoporosis, growth ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p297.html

Evidence to Guide Measles Immunization Recommendations - AFP Journal Club - American ...

May 15, 2014 - Although measles vaccination is rarely associated with fever and seizures in children, the benefits of immunization outweigh the risks. Parents should be encouraged to follow recommended immunization schedule and avoid the MMR and varicella combination vaccine.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2014/0515/p786.html

Common Overuse Tendon Problems: A Review and Recommendations for Treatment - American ...

Sep 1, 2005 - There is a common misconception that symptomatic tendon injuries are inflammatory; because of this, these injuries often are mislabeled as tendonitis. Acute inflammatory tendinopathies exist, but most patients seen in primary care will have chronic symptoms suggesting a degenerative ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0901/p811.html

Asthma Update: Part I. Diagnosis, Monitoring, and Prevention of Disease Progression - ...

Sep 1, 2004 - Despite increased scientific knowledge about asthma and improved therapeutic options, the disease continues to cause significant morbidity and mortality. The National Asthma Education and Prevention Program Expert Panel has updated its clinical guidelines on asthma medications, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0901/p893.html

Ambulatory Management of Burns - American Family Physician

Nov 1, 2000 - Burns often happen unexpectedly and have the potential to cause death, lifelong disfigurement and dysfunction. A critical part of burn management is assessing the depth and extent of injury. Burns are now commonly classified as superficial, superficial partial thickness, deep partial ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1101/p2015.html

Hip Fractures in Adults - American Family Physician

Feb 1, 2003 - Patients with hip fracture typically present to the emergency department or their physician's office after a fall. They are often unable to walk, and they may exhibit shortening and external rotation of the affected limb. Frequently, they have hip pain. In some instances, however, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p537.html

Antiviral Drugs in Healthy Children - American Family Physician

Mar 1, 1998 - Several antiviral agents are available to treat viral illnesses in healthy children. In some children, treatment with acyclovir is an alternative to vaccination for the treatment and prevention of chickenpox. Acyclovir also can be useful in the treatment or prevention of herpes simplex ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0301/p1073.html

Beyond Analgesia in Palliative Care and End-of-Life Interventions - Editorials - ...

Jul 1, 2014 - Family physicians need a basic skill set that includes facilitating discussions on advance planning and goals, identifying and treating depression and anxiety, and managing pain and symptoms at the end of life.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0701/p20.html

Evaluation and Treatment of ADHD - American Family Physician

Sep 1, 2001 - Symptoms of attention-deficit/hyperactivity disorder (ADHD) are present in as many as 9 percent of school-age children. ADHD-specific questionnaires can help determine whether children meet diagnostic criteria for the disorder. The recommended evaluation also includes documenting the ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p817.html

Daily Multivitamins Have Minimal, if Any, Effect on Preventing Cancer in Men and Do Not...

Mar 15, 2013 - Daily multivitamin supplementation results in a minimal, if any, reduction in epithelial cell cancers in men. This study found no significant benefit to multivitamin supplementation in reducing the risk of prostate, colorectal, lung, or bladder cancers. The risks of cancer-related ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0315/p444.html

Recognition of Common Childhood Malignancies - American Family Physician

Apr 1, 2000 - Although cancer has an annual incidence of only about 150 new cases per 1 million U.S. children, it is the second leading cause of childhood deaths. Early detection and prompt therapy have the potential to reduce mortality. Leukemias, lymphomas and central nervous system tumors account ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2144.html

Topical Preparations for Wound Healing - FPIN's Clinical Inquiries - American Family ...

Jun 15, 2014 - Topical silver should not be used for treatment of nonburn wounds because it does not hasten healing. Medical-grade topical honey can be used to reduce healing time for partial-thickness burns, but it produces no effect on lacerations, surgical wounds, chronic wounds, or vascular ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0615/p978.html

Management of Withdrawal Syndromes and Relapse Prevention in Drug and Alcohol Abuse - ...

Jul 1, 1998 - The primary care physician is in a good position to diagnose, manage and intervene with patients who are undergoing the process of treatment and recovery from alcohol and drug disorders. Medications such as benzodiazepines are effective in the treatment of withdrawal syndromes, and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p139.html

Simple Clinical Prediction Rule Determines Risk of Heart Failure with Preserved ...

May 15, 2019 - A simple clinical prediction rule using noninvasive data can identify patients at low, moderate, and high risk for HFPEF.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od3.html

Controlled-Release Oxycodone for Neuropathic Pain and Fibromyalgia in Adults - Cochrane...

Mar 1, 2015 - Oxycodone CR has limited effectiveness for the treatment of diabetic neuropathy or postherpetic neuralgia. Evidence is lacking regarding treatment benefit for other neuropathic pain syndromes or fibromyalgia. Adverse effects of oxycodone CR therapy are common.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0301/p286.html

Preventive Strategies in Chronic Liver Disease: Part II. Cirrhosis - American Family ...

Nov 15, 2001 - Cirrhosis is a diffuse process characterized by fibrosis and the conversion of normal liver architecture into structurally abnormal nodules. The modified Child-Pugh score, which ranks the severity of cirrhosis based on signs and liver function test results, has been shown to predict ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1115/p1735.html

Mammography Screening for Breast Cancer: Recommendation of the U.S. Preventive Services...

Sep 15, 2010 - The November 2009 U.S. Preventive Services Task Force (USPSTF) recommendation for breast cancer screening, while sparking much controversy, was not a radical departure from the previous 2002 recommendation. The USPSTF approached the recommendation update with the basic questions of what...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0915/p602.html

Case Report: Risk of Uterine Perforation from IUDs Is Greatest During Postpartum Period...

Nov 15, 2013 - ...A 31-year-old woman (two pregnancies, one full-term delivery, one miscarriage, one living child) presented to a family medicine clinic 12 months after insertion of a levonorgestrel-releasing IUD with frequent, irregular, and increasingly heavy menstrual bleeding. She requested that...

American Family Physician : Letter

https://www.aafp.org/afp/2013/1115/p634.html

Acute and Post-traumatic Stress Disorder After Spontaneous Abortion - American Family ...

Mar 15, 2000 - When a spontaneous abortion is followed by complicated bereavement, the primary care physician may not consider the diagnosis of acute stress disorder or post-traumatic stress disorder. The major difference between these two conditions is that, in acute stress disorder, symptoms such as...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1689.html

Complex Care: Treating an Older Patient with Multiple Comorbidities - Curbside ...

Mar 1, 2014 - Although there are guidelines for management of single chronic illnesses, the evidence base for management of multiple comorbidities is lacking. The American Geriatrics Society described a clinical approach to managing patients with multiple comorbidities in 2012.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2014/0301/p392.html

Antiretroviral Preexposure Prophylaxis for Preventing HIV Infection in High-Risk ...

Aug 1, 2013 - For some groups of patients at greater risk of HIV infection (e.g., serodiscordant partners, men who have sex with men and engage in high-risk behaviors, persons with multiple concurrent sex partners, persons who exchange sex for money), preexposure prophylaxis decreased the risk of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0801/p172.html

Vitamin D Does Not Reduce the Incidence or Severity of URIs in Healthy Adults - POEMs -...

Feb 15, 2013 - Vitamin D supplementation, at a dosage of 100,000 IU per month for 18 months, did not reduce the incidence or severity of URIs in healthy adults. This is the third randomized controlled trial that showed no relationship between vitamin D levels and acute URIs.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0215/p288.html

Cognitive Rest in Concussion Management - Editorials - American Family Physician

Jan 15, 2012 - In recent years, there have been significant and progressive changes in the evaluation, management, and return-to-play principles of sports concussions. Today, the medical community manages each case individually by applying guidelines that are based on the best scientific evidence.

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0115/p100.html

Screening for Obstructive Sleep Apnea in Adults - Putting Prevention into Practice - ...

Jul 15, 2017 - R.K. is a 52-year-old white man who presents to your office for a preventive health visit. He is overweight and has a history of hypertension and hyperlipidemia, which are stable and well controlled with medication. One of his coworkers was recently diagnosed with obstructive sleep ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0715/p123.html

Smoking Cessation: Integration of Behavioral and Drug Therapies - American Family ...

Mar 15, 2002 - Family physicians should take advantage of each contact with smokers to encourage and support smoking cessation. Once a patient is identified as a smoker, tools are available to assess readiness for change. Using motivational interviewing techniques, the physician can help the patient ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1107.html

New AHA Recommendations for Blood Pressure Measurement - Practice Guidelines - American...

Oct 1, 2005 - The American Heart Association (AHA) has published a new set of recommendations for the measurement of blood pressure to increase accuracy of clinic readings, and in recognition of major changes over the past 10 years (including the prohibition of mercury in many countries).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1001/p1391.html

<27A4> Oral NSAIDs for Perineal Pain in the Early Postpartum Period

May 1, 2017: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2017/0501/afp20170501od1.pdf

Alpha-adrenergic Agonists for the Management of Opioid Withdrawal

January 1, 2017: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2017/0101/afp20170101od1.pdf

Ivermectin Lotion (Sklice) for Head Lice - STEPS - American Family Physician

Jun 15, 2014 - Topical ivermectin is safe, effective, and easy to administer because it involves only a single application-rinse cycle and does not require nit combing. However, it is significantly more expensive than nonprescription treatments and its benefits may not be worth the cost for most ...

American Family Physician : STEPS

https://www.aafp.org/afp/2014/0615/p984.html

Viral Croup - American Family Physician

Feb 1, 2004 - Viral croup is the most common form of airway obstruction in children six months to six years of age. The frightening nature of croup often prompts parents and caregivers to seek physician consultation. For children with mild croup, symptomatic care and mist therapy may be all that is ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p535.html

Diagnosis and Treatment of Cutaneous Vascular Lesions - American Family Physician

Feb 15, 1998 - Cutaneous vascular lesions are the most common pediatric birthmarks. Flat vascular malformations tend to persist, but raised vascular lesions, known as hemangiomas, generally involute. Although not always necessary, treatment of flat lesions, if desired, is best accomplished with ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0215/p765.html

Third-Generation Oral Contraceptives Associated with Greater Risk of PE, Stroke, and MI...

Oct 15, 2016 - Although there is risk with any current oral contraceptive combination, those that contain lower doses of estrogen, and levonorgestrel instead of desogestrel or gestodene, are associated with the least risk of ischemic stroke, myocardial infarction (MI), or pulmonary embolism (PE). ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1015/p663.html

Chronic Sinusitis: Saline Irrigation Helps Somewhat; Steroid Does Not Add More Benefit ...

Feb 1, 2019 - This study showed that patients with chronic rhinosinusitis who continue to use a saline nasal wash (NeilMed) will often experience an improvement in symptoms that can be clinically meaningful, but the addition of the corticosteroid budesonide has yet to show an extra benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188.html

Management of Common Arrhythmias: Part I. Supraventricular Arrhythmias - American ...

Jun 15, 2002 - Family physicians frequently encounter patients with symptoms that could be related to cardiac arrhythmias, most commonly atrial fibrillation or supraventricular tachycardias. The initial management of atrial fibrillation includes ventricular rate control to provide adequate cardiac ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0615/p2479.html

Exercise Programs for Older Patients with Dementia - Cochrane for Clinicians - American...

Sep 1, 2014 - There is some evidence that exercise improves cognitive function and the ability to perform activities of daily living in patients with dementia.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0901/p287.html

Dermatomyositis - American Family Physician

Nov 1, 2001 - Dermatomyositis is an idiopathic inflammatory myopathy with characteristic skin manifestations. Although the disorder is rare, with a prevalence of one to 10 cases per million in adults and one to 3.2 cases per million in children, early recognition and treatment are important ways to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1101/p1565.html

Attenuating Cardiovascular Risk Factors in Patients with Type 2 Diabetes - American ...

Dec 15, 2000 - Patients with type 2 diabetes (formerly known as non-insulin-resistant diabetes) have a significantly increased risk of developing cardiovascular disease. Once clinical cardiovascular disease develops, these patients have a poorer prognosis than normoglycemic patients. By inducing ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1215/p2633.html

A Simple Cough Algorithm for Children with Chronic Cough - POEMs - American Family ...

Nov 15, 2013 - In children with chronic cough, a simple approach of ruling out specific indicators of cause, followed by treating a wet cough with antibiotics, results in a significant decrease in the duration of cough. Some of the causes of chronic cough were reactive airway disease, bronchiectasis, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1115/od1.html

Should We Screen Patients for Barrett's Esophagus? Yes: Men with Long-standing Reflux ...

May 15, 2011 - Although screening and surveillance for Barrett's esophagus is controversial, the latest evidence supports this approach to decrease morbidity and mortality. Carefully evaluating patients with reflux symptoms and stratifying them based on known risk factors has the potential to result ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0515/p1140.html

LABA Plus Inhaled Corticosteroid Reduces Exacerbations, But Not Hospitalizations - ...

Jan 1, 2019 - Adding a LABA to an inhaled corticosteroid is safe but does not reduce the likelihood of a serious exacerbation requiring hospitalization. There is a small reduction in nonsevere asthma exacerbations, with one fewer exacerbation for every 53 patients treated for six months.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0101/p53.html

Combination Therapy with ACE Inhibitors and Angiotensin-Receptor Blockers in Heart ...

Nov 1, 2003 - Angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers have different pharmacologic mechanisms for blocking the effect of the renin-angiotensin-aldosterone system on the cardiovascular system. Pharmacologically, the combination of these drug classes completely blocks...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1795.html

Physicians Need More Education About Natural Family Planning - Letters to the Editor - ...

Aug 1, 2013 - ...that only one-half of physicians would provide information about NFP to patients who wish to prevent pregnancy. Our survey of 120 family medicine residency programs found that more than one-half of women's health faculty members were not familiar with modern methods of NFP, and 25%...

American Family Physician : Letter

https://www.aafp.org/afp/2013/0801/p158.html

Transcervical Amnioinfusion - American Family Physician

Feb 1, 1998 - Amnioinfusion is being used to treat intrapartum problems known to be associated with fetal compromise, including prophylactic treatment of oligohydramnios during labor and after premature rupture of the membranes, treatment of severe variable decelerations during labor and reducing the...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p504.html

Witnessing Domestic Violence: the Effect on Children - Medicine and Society - American ...

Dec 1, 2002 - ...Medicine and Society Witnessing Domestic Violence: The Effect on Children MELISSA M. STILES, M.D., University of Wisconsin-Madison Medical School, Madison, Wisconsin Am Fam Physician. 2002 Dec 1;66(11):2052-2067. Domestic violence is an ongoing experience of physical, psychologic,...

American Family Physician : Medicine and Society

https://www.aafp.org/afp/2002/1201/p2052.html

Niacin Does Not Decrease Mortality in Patients with Coronary Artery Disease or Low HDL ...

Jul 15, 2017 - We are now flush with data about the effects of niacin in patients with elevated cholesterol levels. Despite its ability to raise high-density lipoprotein (HDL) serum cholesterol levels, it does not add additional mortality or morbidity benefit to statin treatment. Patients with ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0715/p129.html

Effects of Altered Dietary Salt Intake in Patients with Chronic Kidney Disease - ...

Apr 1, 2017 - Reducing salt intake lowers blood pressure and reduces proteinuria in patients with CKD, but there is no evidence to determine whether lowering salt consumption leads to clinically significant reductions in end-stage renal disease, cardiovascular events, or all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0401/p423.html

The Importance of Touch - Close-ups - American Family Physician

May 15, 2007 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2007/0515/p1482.html

Bicycle-Related Injuries - American Family Physician

May 15, 2001 - Bicycle riding is a popular form of recreation among persons of all ages, and related injuries cause significant morbidity and mortality. Most injuries occur in males and are associated with riding at high speed; most serious injuries and fatalities result from collisions with motor ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0515/p2007.html

Family Physicians Help Meet the Emergency Care Needs of Rural America - Graham Center ...

Apr 1, 2006 - Ensuring access to emergency care in rural areas remains a challenge. High costs and low patient volumes make 100 percent staffing of rural emergency departments (EDs) by emergency medicine residency-trained physicians (EPs) unlikely. As rurality increases, so does the dependence on ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0401/p1163.html

A Fall in the Dark - Close-ups - American Family Physician

Apr 15, 2007 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2007/0415/p1177.html

Short-Term Antipsychotics for Alzheimer Disease - FPIN's Help Desk Answers - American ...

Apr 1, 2018 - Physicians should consider not using antipsychotics in patients with dementia. Patients with dementia, including Alzheimer disease, who are treated with antipsychotics for any length of time have a higher mortality rate than those not taking antipsychotics.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od2.html

Opioids for Osteoarthritis of the Knee or Hip - Cochrane for Clinicians - American ...

May 1, 2010 - Compared with placebo, the benefits achieved from opioid therapy are modest in terms of pain relief and improvement in function, and do not outweigh the increase in adverse effects. No single opioid stands out as more effective or safer than the rest.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0501/p1094.html

Effectiveness of Bronchodilators for Bronchiolitis Treatment - Cochrane for Clinicians ...

May 1, 2011 - Bronchodilators may transiently improve the clinical status of infants with bronchiolitis and no prior history of wheezing. However, moderately strong evidence shows that key outcomes such as oxygen saturation, need for hospitalization, length of hospitalization, and duration of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0501/p1045.html

Choosing Wisely: More Good Clinical Recommendations - American Family Physician

Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and Reduce Harm

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/search.htm

Diagnostic Evaluation of Erectile Dysfunction - American Family Physician

Jan 1, 2000 - Erectile dysfunction, the persistent inability to attain or maintain penile erection sufficient for sexual intercourse, affects millions of men to various degrees. The majority of cases have an organic etiology, most commonly vascular disease that decreases blood flow into the penis. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p95.html

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