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Counseling for Physical Activity in Overweight and Obese Patients - American Family ...

Mar 15, 2003 - Obesity has reached epidemic proportions in the United States. More than 60 percent of U.S. adults are now overweight or obese (defined as at least 30 lb [13.6 kg] overweight), predisposing more than 97 million Americans to a host of chronic diseases and conditions. Physical activity ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1249.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

FPs Lower Hospital Readmission Rates and Costs - Graham Center Policy One-Pagers - ...

May 1, 2011 - Hospital readmission after discharge is often a costly failing of the U.S. health care system to adequately manage patients who are ill. Increasing the numbers of family physicians (FPs) is associated with significant reductions in hospital readmissions and substantial cost savings.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/0501/p1054.html

Prevention of Malaria in Travelers - American Family Physician

Aug 1, 2003 - Malaria is a major international public health problem, responsible for considerable morbidity and mortality around the world each year. As travel to tropical locations increases, U.S. physicians are being asked more frequently to provide recommendations for malaria prevention. An ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p509.html

NPs, Shorter Training Needed to Fix Workforce Shortage in Primary Care - Letters to the...

Jan 15, 2014 - ...The Institute of Medicine supports the idea of NPs providing aspects of primary care within the scope of their training and education.1 Furthermore, the National Committee for Quality Assurance recognizes patient-centered medical homes that are led by NPs.2 The increasing burden of...

American Family Physician : Letter

https://www.aafp.org/afp/2014/0115/p74.html

Some Benefit to Treating Mild Hypertension to Prevent Stroke, CV Deaths, and Overall ...

Dec 1, 2015 - Treating mild hypertension over five years decreases the risk of stroke, cardiovascular (CV) death, and overall mortality in a small proportion of patients.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1201/p1020.html

Smallpox Vaccine: Contraindications, Administration, and Adverse Reactions - American ...

Sep 1, 2003 - Since the terrorist attacks of September 11, 2001, and the anthrax exposures in the following weeks, concern that smallpox could be used as a biologic weapon has increased. Public health departments and the U.S. military have begun the process of vaccinating soldiers and civilian ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p889.html

Does Metformin Increase the Risk of Fatal or Nonfatal Lactic Acidosis? - Cochrane for ...

Nov 1, 2010 - In patients without standard contraindications to metformin therapy, metformin does not increase the risk of lactic acidosis.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/1101/p1068.html

The Physician's Role in Efforts to Slow Global Warming - Editorials - American Family ...

Aug 1, 2011 - Global warming will directly affect the health of our patients, communities, and planet; therefore, physicians and other health care professionals have a critical role in addressing the issue.

American Family Physician : Editorials

https://www.aafp.org/afp/2011/0801/p256.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

Diagnosis and Classification of Diabetes Mellitus: New Criteria - American Family ...

Oct 15, 1998 - New recommendations for the classification and diagnosis of diabetes mellitus include the preferred use of the terms

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1355.html

Recognition and Management of Tourette's Syndrome and Tic Disorders - American Family ...

Apr 15, 1999 - Tic disorders and Tourette's syndrome are conditions that primary care physicians are likely to encounter. Up to 20 percent of children have at least a transient tic disorder at some point. Once believed to be rare, Tourette's syndrome is now known to be a more common disorder that ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2263.html

Treatments for Urinary Incontinence in Women - Implementing AHRQ Effective Health Care ...

May 15, 2013 - What are the effectiveness, benefits, and adverse effects of options for diagnosis and treatment of urinary incontinence (UI) that are available in primary care?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2013/0515/p726.html

Metformin Associated with Less Need for a Second Medicine - POEMs - American Family ...

Feb 15, 2015 - n this retrospective analysis, which benefits from large numbers of patients but suffers from possible biases, patients who initially took an oral hypoglycemic other than metformin (Glucophage) were significantly more likely to require a second oral agent.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0215/p261.html

Osteopath Is Incorrect Term for Osteopathic Physicians - Letters to the Editor - ...

Aug 15, 2013 - ...term for these physicians is doctor of osteopathic medicine. Physicians with doctor of osteopathic medicine (DO) degrees are fully credentialed, U.S.-trained physicians who undergo equivalent training as those with doctor of medicine (MD) degrees, but also learn a form of manual...

American Family Physician : Letter

https://www.aafp.org/afp/2013/0815/p222.html

A Case of Medical Uncertainty - Curbside Consultation - American Family Physician

Mar 1, 2012 - Medical uncertainty (i.e., not knowing how to proceed with a patient-related problem) can stem from any number of potential situations in daily clinical practice. The causes of uncertainty are many, but the feeling of stress or discomfort it creates is a familiar constant, though it may...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2012/0301/p501.html

Does Delaying Complementary Foods Protect Children Against Allergic and Atopic ...

Dec 15, 2013 - Breastfeeding duration, rather than exclusivity, may be the most important factor in prevention of atopic diseases. Earlier introduction of foods commonly associated with allergies may help prevent allergic and atopic diseases, but these data are inconclusive.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2013/1215/p818.html

Imaging of Abdominal Aortic Aneurysms - American Family Physician

Apr 15, 2002 - Given the high rate of morbidity and mortality associated with abdominal aortic aneurysms (AAAs), accurate diagnosis and preoperative evaluation are essential for improved patient outcomes. Ultrasonography is the standard method of screening and monitoring AAAs that have not ruptured. ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1565.html

Bronchodilators for Bronchiolitis - Cochrane for Clinicians - American Family Physician

Nov 1, 2014 - Albuterol does not improve any clinical outcomes in the outpatient or inpatient setting and should not be used in the treatment of bronchiolitis in a child 24 months or younger.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/1101/p622.html

Reducing Readmissions for Congestive Heart Failure - American Family Physician

Apr 15, 2001 - Hospital admission for congestive heart failure is extremely common and quite expensive, although it is frequently preventable. New drugs and therapies have been reported to reduce admissions, decrease morbidity and mortality, and improve the quality of life for these patients. Patients...

American Family Physician : Article

https://www.aafp.org/afp/2001/0415/p1593.html

Obstructive Sleep Apnea - American Family Physician

Nov 15, 1999 - Obstructive sleep apnea is a significant medical problem affecting up to 4 percent of middle-aged adults. The most common complaints are loud snoring, disrupted sleep and excessive daytime sleepiness. Patients with apnea suffer from fragmented sleep and may develop cardiovascular ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2279.html

IOM Releases Report on Dietary Refernce Intakes for Calcium and Vitamin D - Practice ...

Jun 1, 2011 - The Institute of Medicine (IOM) assessed current information on potential health outcomes associated with calcium and vitamin D.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0601/p1352.html

Groin Injuries in Athletes - American Family Physician

Oct 15, 2001 - Groin injuries comprise 2 to 5 percent of all sports injuries. Early diagnosis and proper treatment are important to prevent these injuries from becoming chronic and potentially career-limiting. Adductor strains and osteitis pubis are the most common musculoskeletal causes of groin pain...

American Family Physician : Article

https://www.aafp.org/afp/2001/1015/p1405.html

Screening for Breast Cancer - Putting Prevention into Practice - American Family Physician

Jul 15, 2016 - S.O. is a 47-year-old woman who presents to your office for a well-woman visit. She is healthy, takes no medications, and has no health concerns. She has never been diagnosed with breast cancer, nor have any of her first-degree relatives. Her digital mammography two years ago was ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0715/p143.html

Acute Bronchitis - American Family Physician

Mar 15, 1998 - Acute bronchitis is a lower respiratory tract infection that causes reversible bronchial inflammation. In up to 95 percent of cases, the cause, is viral. While antibiotics are often prescribed for patients with acute bronchitis, little evidence shows that these agents provide ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1270.html

Antenatal Perineal Massage to Prevent Birth Trauma - Cochrane for Clinicians - American...

Mar 1, 2014 - Antenatal digital perineal massage in the final month of pregnancy is safe and well tolerated. Women who have not had a previous vaginal delivery and perform digital perineal massage in the final month of pregnancy experience less perineal birth trauma, mostly through fewer ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0301/p335.html

Social Anxiety Disorder: A Common, Underrecognized Mental Disorder - American Family ...

Nov 15, 1999 - Social phobia is a highly prevalent yet often overlooked psychiatric disorder that can cause severe disability but fortunately has shown responsiveness to specific pharmacotherapy and psychotherapy. Recognition of its essential clinical features and the use of brief, targeted screening ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2311.html

Ticagrelor (Brilinta) for Secondary Prevention of Thrombotic Events Following Acute ...

Dec 15, 2013 - Ticagrelor is an alternative to clopidogrel for secondary prevention of cardiovascular death in patients with acute coronary syndrome. In an international study it was found to be more effective, but patients in the United States did not experience superior outcomes.

American Family Physician : STEPS

https://www.aafp.org/afp/2013/1215/p821.html

Overview of Histoplasmosis - American Family Physician

Dec 15, 2002 - Histoplasmosis is an endemic infection in most of the United States and can be found worldwide. The spectrum of this illness ranges from asymptomatic infection to severe disseminated disease. Life-threatening illness is usually associated with an immunocompromised state; however, 20 ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1215/p2247.html

Does Screening Mammography Lead to Overdiagnosis of Invasive Breast Cancer? - AFP ...

Mar 15, 2013 - Implementation of a universal mammographic screening program leads to an increase in the diagnosis of invasive breast cancer, because of improved detection of clinically significant cancer and overdiagnosis.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2013/0315/p408.html

Daily Colchicine Post-MI Reduces Strokes and Recurrent Hospitalizations for Angina - ... Restricted content. Login required.

Aug 15, 2020 - Daily colchicine after MI reduces cardiovascular events, specifically strokes and hospitalizations for angina. It is inexpensive and well-tolerated and should be considered for patients with recent MIs who are already using guideline-directed therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p248.html

Medical Treatments for Balding in Men - American Family Physician

Apr 15, 1999 - Two drugs are available for the treatment of balding in men. Minoxidil, a topical product, is available without a prescription in two strengths. Finasteride is a prescription drug taken orally once daily. Both agents are modestly effective in maintaining (and sometimes regrowing) hair ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2189.html

Osteoarthritis: Current Concepts in Diagnosis and Management - American Family Physician

Mar 15, 2000 - Most patients with osteoarthritis seek medical attention because of pain. The safest initial approach is to use a simple oral analgesic such as acetaminophen (perhaps in conjunction with topical therapy). If pain relief is inadequate, oral nonsteroidal anti-inflammatory drugs or ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1795.html

Omega-3 Fatty Acid Supplementation Does Not Decrease CVD-Related Outcomes - POEMs - ...

Nov 1, 2014 - Omega-3 fatty acid supplementation does not decrease the risk of cardiovascular outcomes in this older population. Although the numbers are small, supplementation may prevent heart disease in patients already at low risk; that is, patients without a history of cardiovascular disease ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1101/p662.html

Low-Molecular Weight Heparin in Preventing and Treating DVT - American Family Physician

Mar 15, 1999 - Low-molecular-weight heparin is a relatively recent addition to the list of therapies for prophylaxis and treatment of deep venous thrombosis (DVT). As a prophylactic, low-molecular-weight heparin is as effective as standard heparin or warfarin and does not require monitoring of the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1607.html

Is Rivaroxaban Noninferior to Standard Warfarin Therapy in Preventing Recurrent PE and ...

Jun 15, 2013 - A trial showing that one drug is noninferior to another does not mean that these drugs are equivalent. The noninferiority margin allows researchers to choose their own benchmark for what is considered a clinically significant difference between two drugs.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2013/0615/p872.html

Acute Migraine Treatment in Emergency Settings - Implementing AHRQ Effective Health ...

May 1, 2014 - What are the comparative benefits and adverse effects of parenteral treatments for adults who present to the emergency department with migraine headaches?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2014/0501/p742.html

Benefits and Risks of Psychiatric Medications During Pregnancy - American Family Physician

Aug 15, 2002 - Traditionally, psychiatric medications were withheld during pregnancy because of fear of teratogenic and other effects. The emergence of evidence of the safety of most commonly used psychiatric medications, the availability of this information in the form of online databases, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0815/p629.html

Depression in Children and Adolescents - American Family Physician

Nov 15, 2000 - Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents. The clinical spectrum of the disease can range from simple sadness to a major depressive or bipolar disorder. Risk factors ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2297.html

Post-Myocardial Infarction Beta Blockers Do Not Decrease Mortality - POEMs - American ...

Mar 15, 2015 - Although recommended by guidelines and used as a so-called quality indicator of hospital care, the use of beta blockers following myocardial infarction, when combined with optimal acute and chronic treatment, does not provide a further survival benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0315/p402a.html

Can ECG Rule Out ACS if Performed While the Patient Is Having Chest Pain? - AFP Journal...

Nov 15, 2010 - Is negative ECG performed while the patient is having chest pain good at ruling out acute coronary syndrome? Although this study says yes, other higher-quality studies say it does not rule out cardiac disease. Observational studies are not ideal for testing some hypotheses.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2010/1115/p1185.html

Common Infections in Older Adults - American Family Physician

Jan 15, 2001 - Infectious diseases account for one third of all deaths in people 65 years and older. Early detection is more difficult in the elderly because the typical signs and symptoms, such as fever and leukocytosis, are frequently absent. A change in mental status or decline in function may be ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p257.html

Maternal Serum Triple Analyte Screening in Pregnancy - American Family Physician

Mar 1, 2002 - According to the American College of Obstetricians and Gynecologists, it has become standard in prenatal care to offer screening tests for neural tube defects and genetic abnormalities. There have been some changes in the recommended method of prenatal screening over the past few years,...

American Family Physician : Article

https://www.aafp.org/afp/2002/0301/p915.html

Qualitative Benefits of Screening for Intimate Partner Violence - Letters to the Editor...

May 15, 2012 - ...An important supplement to the USPSTF guidelineswas recently published by the Institute of Medicine(IOM). The U.S. Department of Health and HumanServices commissioned the IOM to review health servicesthat should be considered in the development ofcomprehensive guidelines for...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0515/ol2.html

A Practical Guide to Caring for Caregivers - American Family Physician

Dec 15, 2000 - Patients who provide care to family members or friends with dementia are likely to be in a family physician's practice. The caregiver role can be stressful, and identifying these patients can give the family physician opportunities to help patients cope with the challenges of the ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1215/p2613.html

Update on Colorectal Cancer - American Family Physician

Mar 15, 2000 - An estimated 129,400 new cases of colorectal cancer occurred in the United States during 1999. The lifetime risk of developing this cancer is 2.5 to 5 percent in the general population but two to three times higher in persons who have a first-degree relative with colon cancer or an ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1759.html

Restless Legs Syndrome: Detection and Management in Primary Care - American Family ...

Jul 1, 2000 - Restless legs syndrome (RLS) is a neurologic movement disorder that is often associated with a sleep complaint. Patients with RLS have an irresistible urge to move their legs, which is usually due to disagreeable sensations that are worse during periods of inactivity and often interfere...

American Family Physician : Article

https://www.aafp.org/afp/2000/0701/p108.html

Vitamin D Is Not Effective as Primary Prevention of Cardiovascular Disease or Cancer - ...

Sep 15, 2019 - Vitamin D supplementation does not prevent cardiovascular events or cancer in mostly nondiabetic adults (men 50 years and older, women 55 years and older).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p374.html

Insomnia: Assessment and Management in Primary Care - American Family Physician

Jun 1, 1999 - Patients with insomnia may experience one or more of the following problems: difficulty falling asleep, difficulty maintaining sleep, waking up too early in the morning and nonrefreshing sleep. In addition, daytime consequences such as fatigue, lack of energy, difficulty concentrating ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3029.html

Steroids at 34 to 36 Weeks’ and Before Term Cesarean Decrease Respiratory Distress ...

Feb 15, 2017 - For women admitted for imminent premature delivery at 34 to 36 weeks of gestation, one or two doses of betamethasone or dexamethasone (8 to 12 mg) decrease the likelihood of neonatal respiratory distress syndrome and shorten lengths of stay in the intensive care unit.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0215/od2.html

Statins Ineffective for Primary Prevention of Cardiovascular Disease in Patients 75 ...

Apr 1, 2019 - In this retrospective study, statin treatment in patients 75 years or older without preexisting CVD did not change the likelihood of developing CVD or reduce any-cause mortality. However, patients 75 to 84 years of age with diabetes mellitus benefitted from treatment. These results ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p461.html

Ethical Use of Diagnostic Technology: Balancing What's New and What's Necessary - ...

Jul 1, 2014 - This case boils down to being realistic about what new screening tools and techniques can and can't do, and understanding their actual value in diagnoses. I'd argue that it is not unethical to accommodate a patient's requests, as long as the physician's approach to the patient, the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2014/0701/p53.html

When to Suspect and How to Monitor Babesiosis - American Family Physician

May 15, 2001 - In the past decade, cases of babesiosis in humans have been reported with increasing frequency, especially in the northeastern United States. Babesia microti (in the United States) and bovine strains (in Europe) cause most infections in humans. Most cases are tick-borne, although cases ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0515/p1969.html

Indacaterol (Arcapta) for COPD - STEPS - American Family Physician

Aug 15, 2014 - Indacaterol provides a similar benefit to other long-acting bronchodilators for the treatment of moderate to severe COPD, with once-daily dosing. As with other LABAs, it should be used only as add-on therapy in patients already taking inhaled corticosteroids.

American Family Physician : STEPS

https://www.aafp.org/afp/2014/0815/p252.html

Caring for Older Patients Who Have Significant Hearing Loss - Curbside Consultation - ...

Mar 1, 2013 - This scenario illustrates issues related to end-of-life care and placement in a long-term care facility for older individuals with significant hearing loss. An analysis of data from the 1999 to 2006 cycles of the National Health and Nutrition Examination Survey, and statistics from the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2013/0301/p360.html

Continuing Warfarin for 18 Months After Unprovoked PE Reduces Risk of Recurrent VTE - ...

Nov 1, 2015 - Continuing warfarin therapy for 18 months after an unprovoked PE reduces the risk of recurrent symptomatic venous thromboembolism (VTE). However, benefit beyond 18 months is not maintained after the warfarin is discontinued.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1101/p814.html

Managing Issues Related to Antiretroviral Therapy - American Family Physician

Aug 15, 2003 - Antiretroviral regimens are complicated and difficult for patients to follow, and they can have serious side effects, such as osteonecrosis and bone demineralization. Protease inhibitor therapy has been associated with hyperlipidemia, hyperglycemia, gastrointestinal symptoms, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0815/p675.html

Case Studies in Partner Violence - American Family Physician

Dec 1, 1999 - Interpersonal violence and abuse, especially between relatives and domestic partners, are leading causes of morbidity and mortality. Family physicians and other professionals who provide primary care health services must deal with acute presentations and chronic sequelae of this ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2569.html

Osteoporosis: Part I. Evaluation and Assessment - American Family Physician

Mar 1, 2001 - Osteoporosis afflicts 75 million persons in the United States, Europe and Japan and results in more than 1.3 million fractures annually in the United States. Because osteoporosis is usually asymptomatic until a fracture occurs, family physicians must identify the appropriate timing and ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0301/p897.html

Assessment of Abnormal Growth Curves - American Family Physician

Jul 1, 1998 - An important part of well-child care is the assessment of a child's growth. While growth in the vast majority of children falls within normal percentile ranges on standard growth curves, an occasional child demonstrates worrisome deviations in weight, height or head size. A single ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p153.html

Primary Prevention of Child Abuse - American Family Physician

Mar 15, 1999 - In 1993, the U.S. Advisory Board on Child Abuse and Neglect declared a child protection emergency. Between 1985 and 1993, there was a 50 percent increase in reported cases of child abuse. Three million cases of child abuse are reported in the United States each year. Treatment of the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1577.html

ACIP Releases 2014 Child and Adolescent Immunization Schedules - Practice Guidelines - ...

Feb 1, 2014 - There are a few changes to the 2014 immunization schedule for children and adolescents, as well as the catch-up schedule, from the Advisory Committee on Immunization Practices (ACIP) that are pertinent for family physicians.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0201/p229.html

AAFP Recommends Universal Screening for HIV Infection Beginning at 18 Years of Age - ...

Apr 15, 2014 - The AAFP recommends delaying the start of routine HIV screening until 18 years of age, and screening all patients 18 to 65 years of age. The AAFP notes that screening younger patients may still be beneficial based on high-risk behaviors.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0415/p614.html

Statins for Primary Cardiovascular Prevention - Cochrane for Clinicians - American ...

Oct 1, 2011 - Trials to date have found that statins reduce all-cause mortality, composite cardiovascular outcomes, and revascularization. However, most trials included large numbers of persons with known CVD. Clear evidence of the effectiveness of statins to prevent a first cardiovascular event is ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/1001/p767.html

Responses to Article on Benefits of Slowing Global Warming - Letters to the Editor - ...

Mar 1, 2012 - ...grade.2 It disturbs me greatly that my Academy would publish an article with this low quality of evidence and pass it off as clinical medicine. JOHN SEALANDER, MD Madison, Va. E-mail: Dux4susi@aol.com Author disclosure: No relevant financial affiliations to disclose. to the editor:...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0301/p427.html

Spinosad (Natroba) for Head Lice - STEPS - American Family Physician

Jun 15, 2013 - Spinosad is safe and effective for the treatment of head lice; most patients will be lice-free after a single treatment. Nit combing following treatment is not necessary. These benefits must be weighed against its prescription-only status and higher cost compared with nonprescription ...

American Family Physician : STEPS

https://www.aafp.org/afp/2013/0615/p874.html

Preventing Stroke in Patients with Transient Ischemic Attacks - American Family Physician

Nov 15, 1999 - Stroke is the third most common overall cause of death and the leading cause of adult disability in the United States. New therapeutic interventions instituted in the period immediately after a stroke have revolutionized the approach to ischemic cerebrovascular disease. Recognition of a...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2329.html

Guidelines for Managing Alzheimer's Disease: Part I. Assessment - American Family ...

Jun 1, 2002 - Family physicians play a key role in assessing and managing patients with Alzheimer's disease and in linking the families of these patients to supportive services within the community. As part of comprehensive management, the family physician may be responsible for coordinating ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0601/p2263.html

Atopic Eczema and Early Introduction of Solid Foods - FPIN's Clinical Inquiries - ...

Sep 15, 2015 - In most children, solid foods may be introduced before four to six months of age without increasing the risk of atopic eczema.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0915/p523.html

Antiemetics for Acute Gastroenteritis–Related Vomiting in Children and Adolescents - ...

Jun 1, 2012 - Ondansetron (Zofran) given orally can reduce rates of vomiting, improve short-term tolerance of oral fluids, and reduce short-term rates of hospital admission and the need for intravenous hydration. Metoclopramide (Reglan) and ondansetron can reduce episodes of vomiting when given ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0601/p1054.html

Using Medications Appropriately in Older Adults - American Family Physician

Nov 15, 2002 - Older Americans comprise 13 percent of the population, but they consume an average of 30 percent of all prescription drugs. Every day, physicians are faced with issues surrounding appropriate prescribing to older patients. Polypharmacy, use of supplements, adherence issues, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1115/p1917.html

Prevention of Herpes Zoster in Older Adults - Cochrane for Clinicians - American Family...

Nov 1, 2013 - The herpes zoster (shingles) vaccine has demonstrated effectiveness in preventing shingles in older adults. Vaccination benefit was greater in persons 60 to 69 years of age than in those 70 years and older. Local injection site reactions were common.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1101/p578.html

Hyperparathyroidism - American Family Physician

Apr 15, 1998 - Hyperparathyroidism is a common cause of hypercalcemia. The hypercalcemia usually is discovered during a routine serum chemistry profile. Often, there has been no previous suspicion of this disorder. In most patients initially believed to be asymptomatic, previously unrecognized ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1795.html

Preventive Strategies in Chronic Liver Disease: Part I. Alcohol, Vaccines, Toxic ...

Nov 1, 2001 - Chronic liver disease is the 10th leading cause of death in the United States. Hepatitis C virus infection is the most frequent cause of chronic liver disease and the most common indication for liver transplantation. Preventive care can significantly reduce the progression of liver ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1101/p1555.html

Fishhook Removal - American Family Physician

Jun 1, 2001 - Fishing is a common recreational sport. While serious injuries are uncommon, penetrating tissue trauma involving fishhooks frequently occurs. Most of these injuries are minor and can be treated in the office without difficulty. All fishhook injuries require careful evaluation of ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0601/p2231.html

Treatment of Type 2 Diabetes Mellitus - American Family Physician

May 15, 1999 - Type 2 diabetes mellitus (formerly called non-insulin-dependent diabetes) causes abnormal carbohydrate, lipid and protein metabolism associated with insulin resistance and impaired insulin secretion. Insulin resistance is a major contributor to progression of the disease and to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2835.html

Bioterrorism and the Vital Role of Family Physicians - Editorials - American Family ...

Jul 1, 2011 - Family physicians and other primary care physicians have a vital role in protecting our patients and our nation against bioterrorism. Passive surveillance is the early warning system for naturally occurring outbreaks, and for bioterrorism events. An astute physician who diagnoses a ...

American Family Physician : Editorials

https://www.aafp.org/afp/2011/0701/p18.html

Care of Cancer Survivors - American Family Physician

Feb 15, 2005 - Cancer survivors are at increased risk for recurrence of their original malignancy; development of second primary malignancies; and medical, developmental, and psychologic problems resulting from cancer therapy, genetic predisposition to cancer, and other risk factors. Surveillance ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0215/p699.html

When to Discontinue Antiepileptic Drug Therapy for Patients in Remission - Cochrane for...

Jun 1, 2016 - Children with epilepsy should be seizure-free for at least two years before stopping antiepileptic drug therapy, especially those who have partial seizures or a history of abnormal electroencephalography (EEG) results.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0601/p914.html

Procalcitonin Guidance Safely Decreases Antibiotic Use in Critically Ill Patients - ...

Oct 15, 2016 - For patients in the intensive care unit (ICU) who receive antibiotics for presumed or proven bacterial infections, the use of procalcitonin levels to determine when to stop antibiotic therapy results in decreased duration and consumption of antibiotics without increasing mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1015/p663a.html

Alternative Therapies for Traditional Disease States: Osteoarthritis - American Family ...

Jan 15, 2003 - Americans spend more on natural remedies for osteoarthritis than for any other medical condition. In treating osteoarthritis, glucosamine and chondroitin sulfate, two of the molecular building blocks found in articular cartilage, are the most commonly used alternative supplements. In ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p339.html

Fluoride Varnish for Preventing Dental Caries in Children and Adolescents - Cochrane ...

May 1, 2016 - Topically applied fluoride varnishes are safe and effective in preventing dental caries in children and adolescents. There is little information about adverse effects or treatment acceptability. Family physicians should consider incorporating fluoride varnish into childhood preventive ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0501/p743.html

Colchicine for Acute Gout - Cochrane for Clinicians - American Family Physician

Jun 1, 2015 - Low-quality evidence shows that low-dose colchicine (up to 1.8 mg over one hour) is an effective therapy for acute gout.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0601/p759.html

Newer Pharmacologic Alternatives for Erectile Dysfunction - American Family Physician

Sep 15, 1999 - With the introduction of effective pharmacologic therapies for erectile dysfunction, more men are seeking treatment. The underlying cause of erectile dysfunction is usually a chronic medical illness or a side effect of certain drugs. Less commonly, the problem is psychogenic. Even after...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1159.html

Health Literacy and Prescribing: It Is Time to Change Old Habits - Editorials - ...

Jun 1, 2013 - In the United States, 80 million adults have substantial difficulties with reading. Approximately 1.5 million adverse drug events occur each year. Clear and concise prescription writing and labeling, and confirming a patient's understanding of the instructions can help improve adherence...

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0601/p755.html

Cervical Cancer - American Family Physician

Mar 1, 2000 - Cervical cancer is the second most common type of cancer in women worldwide, after breast cancer. A preponderance of evidence supports a causal link between human papillomavirus infection and cervical neoplasia. The presence of high-risk human papillomavirus genital subtypes increases ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1369.html

Loss of Primary Care Residency Positions Amidst Growth in Other Specialties - Graham ...

Jul 15, 2010 - Since the 1997 Balanced Budget Act capped funding for graduate medical education (GME) programs, overall growth in GME has continued (+7.8 percent), but primary care specialties have experienced a substantial decline in their number of programs and residency positions. This decline will...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0715/p121.html

Alpha Blockers to Speed Ureteral Stone Passage - Cochrane for Clinicians - American ...

Feb 1, 2015 - Compared with patients receiving standard therapy (e.g., fluids, analgesics), placebo, or calcium channel blockers, patients receiving alpha blockers had about three fewer days to ureteral stone expulsion and were less likely to be hospitalized. Adverse effects of alpha blocker therapy ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0201/p164.html

New Concepts In Acute Pain Therapy: Preemptive Analgesia - American Family Physician

May 15, 2001 - Pain, which is often inadequately treated, accompanies the more than 23 million surgical procedures performed each year and may persist long after tissue heals. Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0515/p1979.html

Is Thrombolytic Therapy Effective For Pulmonary Embolism? - American Family Physician

Mar 15, 2002 - Pulmonary embolism is a disorder that is associated with significant morbidity and mortality. Right-sided heart failure and recurrent pulmonary embolism are the main causes of death associated with pulmonary embolism in the first two weeks after the embolic event. Thrombolysis is a ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1097.html

Tetravalent Meningococcal Conjugate Vaccine (Menactra) for the Prevention of ...

Nov 15, 2006 - MCV4 is as effective and as safe as the older MPSV4. It is recommended by the ACIP for children 11 to 12 years of age, college freshmen living in dormitories, and other high-risk populations. MCV4 should provide effective and longer-lasting immunity, but at significant expense to ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/1115/p1771.html

Management of ADHD in Preschool-Aged Children - FPIN's Clinical Inquiries - American ...

Sep 15, 2013 - Behavior therapy interventions, such as parent training, are first-line treatment for ADHD in preschool-aged children (three to five years of age). Medication is an option for children with moderate to severe ADHD if behavior therapy has not been effective and if the benefits outweigh ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0915/p398.html

Echinacea - American Family Physician

Jan 1, 2003 - Echinacea is the name of a genus of native North American plants, commonly known as the purple coneflower. The most widely used herbal product in the United States is a liquid extract made from the root of Echinacea purpurea. Because the active component of the plant has not been ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0101/p77.html

Rural Origins and Choosing Family Medicine Predict Future Rural Practice - Graham ...

Jul 15, 2007 - The shortage of physicians in U.S. rural practice may impact access to health care for one in five citizens. Two medical student characteristics that predict eventual practice in rural settings are clear: being born in a rural county and choosing a residency in family medicine.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/0715/p207.html

Exercise for the Treatment of Knee Osteoarthritis - FPIN's Clinical Inquiries - ...

Sep 1, 2011 - Regular exercise reduces osteoarthritic knee pain and improves functioning.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0901/od1.html

Exfoliative Dermatitis - American Family Physician

Feb 1, 1999 - Exfoliative dermatitis, also known as erythroderma, is an uncommon but serious skin disorder that family physicians must be able to recognize and treat appropriately. Although the etiology is often unknown, exfoliative dermatitis may be the result of a drug reaction or an underlying ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0201/p625.html

Diagnosis and Treatment of Prostate Cancer - American Family Physician

Apr 1, 1998 - In the United States, prostate cancer is the most common solid tumor malignancy in men and second to lung cancer as the leading cause of cancer deaths in this group. Even though prostate cancer is responsible for 40,000 deaths per year, screening programs are a matter of controversy ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1531.html

Beta Blockers and Noncardiac Surgery: Why the POISE Study Alone Should Not Change Your ...

Mar 15, 2010 - Should we stop using beta blockers to prevent myocardial infarction in persons undergoing noncardiac surgery? The data remain inconclusive. Although the POISE study is an important contribution to the literature, it uses a protocol that is unrealistic and should not change current ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2010/0315/p717.html

Primary Care Treatment of Post-traumatic Stress Disorder - American Family Physician

Sep 1, 2000 - Post-traumatic stress disorder, a psychiatric disorder, arises following exposure to perceived life-threatening trauma. Its symptoms can mimic those of anxiety or depressive disorders, but with appropriate screening, the diagnosis is easily made. Current treatment strategies combine ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1035.html

Manifestations of Food Allergy: Evaluation and Management - American Family Physician

Jan 15, 1999 - The term

American Family Physician : Article

https://www.aafp.org/afp/1999/0115/p415.html

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