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Epidural Analgesia for Labor Pain - Cochrane for Clinicians - American Family Physician

Aug 1, 2012 - Compared with other types of analgesia or no analgesia, epidurals offered better pain relief, but were associated with a longer second stage of labor and increased risk of instrumental vaginal delivery, maternal fever, and oxytocin (Pitocin) administration. There were no statistically ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0801/p241.html

Screening for Gestational Diabetes Mellitus: Recommendation Statement - U.S. Preventive...

Dec 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for gestational diabetes mellitus (GDM) in asymptomatic pregnant women after 24 weeks of gestation.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/1201/od1.html

DOT Examinations: Practical Aspects and Regulatory Review - American Family Physician

Aug 1, 1998 - Most certification examinations of commercial drivers are simple, and relatively few drivers are disqualified. If these examinations are not done properly, however, the public can be exposed to potentially unqualified drivers. Should an accident occur, the physician who examined the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p415.html

Clinical Utility of Common Serum Rheumatologic Tests - American Family Physician

Mar 15, 2002 - Serum rheumatologic tests are generally most useful for confirming a clinically suspected diagnosis. Testing for rheumatoid factor is appropriate when rheumatoid arthritis, Sjögren's syndrome or cryoglobulinemia is suspected. Antinuclear antibody testing is highly sensitive for ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1073.html

Risks of Bisphosphonate Use - FPIN's Clinical Inquiries - American Family Physician

Nov 15, 2013 - Bisphosphonates are associated with a small risk of atypical femoral shaft fractures, which increases with duration of use. Bisphosphonates are associated with a small risk of osteonecrosis of the jaw, which is more common in patients who are older, female, or have poor dental hygiene ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/1115/p697.html

CBT Effective in Adolescents with Depression Who Do Not Want Medication - POEMs - ...

Sep 1, 2016 - In adolescents who eschew drug treatment of major depression, short-term CBT is more effective than treatment as usual in inducing recovery, with a number needed to treat of 4 to 10. CBT also produced faster results.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0901/p384.html

Postpartum Major Depression: Detection and Treatment - American Family Physician

Apr 15, 1999 - Postpartum major depression occurs in approximately one of 10 childbearing women and is considerably underdiagnosed. If left untreated, the disorder can have serious adverse effects on the mother and her relationship with significant others, and on the child's emotional and psychologic ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2247.html

Medical Surveillance in Work-Site Safety and Health Programs - American Family Physician

May 1, 2000 - Businesses frequently call on family physicians to provide employee health services at the work site or in the clinician's office. These services include medical screening (detection of dysfunction or disease before an employee would ordinarily seek medical care) and medical ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2785.html

Depression Without Sadness: Alternative Presentations of Depression in Late Life - ...

Sep 1, 1999 - Older adults often deny feeling sad while exhibiting other characteristics of depression. Elderly patients with depression who do not present with sadness often have unexplained somatic complaints and exhibit a sense of hopelessness. Anxiety and anhedonia (a general loss of ability to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p820.html

Osteosarcoma: A Multidisciplinary Approach to Diagnosis and Treatment - American Family...

Mar 15, 2002 - The treatment of osteosarcoma requires a multidisciplinary approach involving the family physician, orthopedic oncologist, medical oncologist, radiologist and pathologist. Osteosarcoma is a mesenchymally derived, high-grade bone sarcoma. It is the third most common malignancy in ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1123.html

Insomnia - American Family Physician

Apr 1, 1999 - Insomnia is a common complaint with potentially significant medical and psychologic complications. In some cases insomnia presents as a symptom of another underlying medical, psychiatric or environmental condition. In these cases, management of insomnia depends on accurate diagnosis and...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1911.html

Is the San Francisco Syncope Rule Reliable? - AFP Journal Club - American Family Physician

Sep 15, 2009 - Can the San Francisco Syncope Rule successfully determine which patients can be safely discharged after an acute syncopal episode? External validation suggests that the sensitivity of the rule is lower than first reported. Physicians need to apply their clinical acumen and override the ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/0915/p558.html

Prevention of Recurrent Nephrolithiasis - American Family Physician

Nov 15, 1999 - The first episode of nephrolithiasis provides an opportunity to advise patients about measures for preventing future stones. Low fluid intake and excessive intake of protein, salt and oxalate are important modifiable risk factors for kidney stones. Calcium restriction is not useful and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2269.html

Practical Steps to Smoking Cessation for Recovering Alcoholics - American Family Physician

Apr 15, 1998 - Smoking rates among persons with a history of alcohol abuse are triple that of the general public. Strong evidence indicates that the risk of cancer and cardiovascular disease is higher in recovering alcoholics than in peers who smoke, but do not drink alcohol. Yet these persons often ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1869.html

Amoxicillin/Clavulanate or Ibuprofen No Better Than Placebo for Acute Bronchitis - ...

Feb 1, 2014 - Treating acute bronchitis with amoxicillin/clavulanate or the nonsteroidal anti-inflammatory drug ibuprofen is no more effective than placebo in decreasing symptoms in general or duration of frequent cough. Treatment does, however, produce adverse effects in one in eight patients.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0201/p225.html

Evaluation of Newborns with Preauricular Skin Lesions - FPIN's Clinical Inquiries - ...

May 15, 2012 - All newborns should be screened for hearing loss, whether or not they have preauricular skin lesions. Newborns with these anomalies may be at increased risk of hearing impairment.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0515/p993.html

Stroke: Part I. A Clinical Update on Prevention - American Family Physician

May 1, 1999 - Clinical trials conducted during the past five years have yielded important results that have allowed us to refine our approach to stroke prevention. Treatment of isolated systolic hypertension prevents stroke and is generally well tolerated. New antiplatelet agents (clopidogrel and the...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2475.html

Screening for Chronic Kidney Disease - Putting Prevention into Practice - American ...

Feb 15, 2014 - A 55-year-old woman with no history of diabetes mellitus or hypertension asks to be screened for chronic kidney disease (CKD). Her 88-year-old mother has end-stage renal disease and is currently undergoing renal dialysis. The patient says she wants to take all necessary precautions to ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0215/p293.html

Are Opioids Effective in the Treatment of Neuropathic Pain? - Cochrane for Clinicians -...

Apr 1, 2007 - Eight to 60 days of opioid therapy for the treatment of neuropathic pain effectively reduces pain scores as measured by a visual analog scale. A lack of response to opioids in the first 24 hours should not be used to predict whether longer-term opioid therapy might be beneficial. There ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0401/p999.html

Placebo Plus Message of Benefit Decreases Chronic Low Back Pain - POEMs - American ...

Apr 1, 2017 - These investigators gave twice daily placebo to patients with chronic back pain and told them it was placebo. They also told them that placebos can have a pronounced effect (which is true). The addition of placebo to usual care improved patients' pain and disability scores over the ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0401/p456.html

Flexible Sigmoidoscopy: Screening for Colorectal Cancer - American Family Physician

Jan 15, 1999 - Flexible sigmoidoscopy is an important screening procedure because of its ability to detect early changes in the distal colon. The 60-cm flexible sigmoidoscope provides excellent visualization with minimal discomfort to patients. Successful sigmoidoscopy requires adequate patient ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0115/p313.html

Aspirin for the Prevention of Cardiovascular Disease - Putting Prevention into Practice...

Jun 15, 2011 - Case study: K.T., a 48-year-old man, presents for a routine office visit. He is worried about cardiovascular disease (CVD) and asks whether he should take daily aspirin to lower his risk. His blood pressure is 120/60 mm Hg, and his total cholesterol is 180 mg per dL (4.66 mmol per L), ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0615/p1469.html

Homeopathic Remedies for Treatment of the Common Cold - Letters to the Editor - ...

Jan 1, 2013 - ...to the editor: This article does not mention homeopathy as a complementary and alternative medicine treatment for the common cold. In fact, there is evidence suggesting that homeopathy could be useful for this condition. Complex homeopathic remedies have shown effectiveness for the...

American Family Physician : Letter

https://www.aafp.org/afp/2013/0101/p7.html

Childhood Pancreatitis - American Family Physician

May 1, 1999 - Acute pancreatitis is a rare finding in childhood but probably more common than is generally realized. This condition should be considered in the evaluation of children with vomiting and abdominal pain, because it can cause significant morbidity and mortality. Clinical suspicion is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2507.html

Methotrexate Therapy for Rheumatoid Arthritis - Cochrane for Clinicians - American ...

Jan 1, 2015 - Methotrexate monotherapy demonstrated statistically significant and clinically relevant improvement of symptoms and physical function compared with placebo at 12 to 52 weeks. Multiple adverse effects were reported with methotrexate use, and patients were twice as likely to discontinue ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0101/p26.html

Kawasaki Disease - American Family Physician

Jun 1, 1999 - Kawasaki disease is a leading cause of acquired heart disease among children in the United States and other developed countries. Most children who contract this illness are less than two years old, and 80 percent of affected children are younger than five years of age. A generalized ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3093.html

Prostate Cancer Screening: More Harm Than Good? - American Family Physician

Aug 1, 1998 - The American Cancer Society and other national medical organizations emphasize the need for routine screening for prostate cancer in men over the age of 50. The serum prostate-specific antigen (PSA) assay is the test most commonly recommended for the purpose of screening. However, when ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p432.html

Pneumococcal Conjugate Vaccine for Young Children - American Family Physician

May 15, 2001 - Streptococcus pneumoniae causes approximately 3,300 cases of meningitis, 100,000 to 135,000 cases of pneumonia requiring hospitalization and 6 million cases of otitis media annually in the United States. Pneumococcal conjugate vaccine, approved in 2000 for use in the United States, was ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0515/p1991.html

Somatizing Patients: Part I. Practical Diagnosis - American Family Physician

Feb 15, 2000 - The phenomenon of somatization, which results in unexplained physical complaints, is ubiquitous in primary care settings although it often goes unrecognized. Medical training emphasizes the identification and treatment of organic problems and may leave physicians unprepared to recognize...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1073.html

Medical Advice for Commercial Air Travelers - American Family Physician

Sep 1, 1999 - Family physicians are often asked to advise patients who are preparing to travel. The Air Carrier Access Act of 1986 has enabled more passengers with medical disabilities to choose air travel. All domestic U.S. airlines are required to carry basic (but often limited) medical equipment, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p801.html

Obstetric Care of Patients with HIV Disease - American Family Physician

Jan 1, 2001 - Appropriate management of pregnant patients who have human immunodeficiency virus (HIV) disease can have a major impact on maternal and infant health. The goals of therapy are to properly manage the pregnancy, treat the maternal HIV infection and minimize the risk of vertical ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0101/p107.html

Recognizing Occupational Disease-Taking an Effective Occupational History - American ...

Sep 15, 1998 - Occupational exposures contribute to the morbidity and mortality of many diseases. However, occupational diseases continue to be underrecognized even though they are responsible for an estimated 860,000 illnesses and 60,300 deaths each year. Family physicians can play an important role ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0915/p935.html

Neurological Complications of Systemic Cancer - American Family Physician

Feb 15, 1999 - Neurologic complications occur frequently in patients with cancer. After routine chemotherapy, these complications are the most common reason for hospitalization of these patients. Brain metastases are the most prevalent complication, affecting 20 to 40 percent of cancer patients and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p878.html

Antimicrobial Resistence: A Plan of Action for Community Practice - American Family ...

Mar 15, 2001 - Antibiotic resistance was once confined primarily to hospitals but is becoming increasingly prevalent in family practice settings, making daily therapeutic decisions more challenging. Recent reports of pediatric deaths and illnesses in communities in the United States have raised ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0315/p1087.html

Medical Management of Obesity - American Family Physician

Jul 15, 2000 - Obesity is one of the most common medical problems in the United States and a risk factor for illnesses such as hypertension, diabetes, degenerative arthritis and myocardial infarction. It is a cause of significant morbidity and mortality and generates great social and financial costs. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0715/p419.html

Treatments for Sciatica - FPIN's Clinical Inquiries - American Family Physician

May 1, 2015 - Surgical diskectomy can be offered to patients with refractory sciatica, but there is only modest, short-term improvement in leg pain and disability scores. Epidural steroid injections may be offered to patients with sciatica of more than six months' duration.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0501/p612.html

Psychosocial Interventions Delivered by Primary Care Physicians to Patients with ...

Nov 1, 2006 - Few high-quality studies have been conducted examining the effectiveness of psychosocial interventions performed by primary care physicians for patients with major depression. Two randomized controlled clinical trials (RCTs) found that a psychosocial intervention, specifically ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/1101/p1580.html

Right Ventricular Infarction: Specific Requirements of Management - American Family ...

Oct 15, 1999 - The principal cause of right ventricular infarction is atherosclerotic proximal occlusion of the right coronary artery. Proximal occlusion of this artery leads to electrocardiographically identifiable right-heart ischemia and an increased risk of death in the presence of acute inferior ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1727.html

Age-Related Macular Degeneration: Update for Primary Care - American Family Physician

May 15, 2000 - Age-related macular degeneration is the leading cause of severe vision loss among the elderly. In this condition, central vision is lost, but peripheral vision almost always remains intact. Affected persons rarely require canes or guide dogs. The diagnosis of age-related macular ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3035.html

Optimizing Beta-Blocker Use After Myocardial Infarction - American Family Physician

Oct 15, 2000 - Although beta-adrenergic blockers can significantly reduce mortality after a myocardial infarction, these agents are prescribed to only a minority of patients. Underutilization of beta blockers may be attributed, in part, to fear of adverse effects, especially in the elderly and in ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1853.html

Caffeine as an Analgesic Adjuvant for Acute Pain in Adults - Cochrane for Clinicians - ...

Jan 1, 2013 - Overall, there appears to be a small but clinically significant benefit to adding caffeine to analgesic therapy for various types of acute pain. More research is needed to determine the optimal dosing.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0101/p11.html

Emtricitabine/Tenofovir (Truvada) for HIV Prophylaxis - STEPS - American Family Physician

Oct 15, 2013 - When used with a comprehensive HIV prevention strategy, emtricitabine/tenofovir effectively prevents HIV-1 infection in high-risk patients. Adherence to daily dosing is important to maintain protection. The cost of therapy may limit access, and not all insurance companies currently ...

American Family Physician : STEPS

https://www.aafp.org/afp/2013/1015/p535.html

Percutaneous Interventions for Lower Extremity Peripheral Vascular Disease - American ...

Dec 15, 2001 - Peripheral vascular disease of the lower extremities is an important cause of morbidity that affects up to 10 million people in the United States. The primary care physician can easily identify patients who are at risk for the disease with a questionnaire and a relatively simple ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1215/p1965.html

Which Antidepressant Is Best to Avoid Sexual Dysfunction? - FPIN's Clinical Inquiries -...

May 15, 2004 - Bupropion (Wellbutrin), nefazodone (Serzone), amitriptyline (Elavil), and moclobemide (Manerix, a reversible inhibitor of monoamine oxidase type A not available in the United States) have been shown to cause less sexual dysfunction than selective serotonin reuptake inhibitors (SSRIs).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0515/p2419.html

AFP Documents with Keyword: Complementary and Alternative Medicine - American Family ...

...Complementary and Alternative Medicine Aug 1, 2017 Issue Probiotics for Gastrointestinal Conditions: A Summary of the Evidence [Article] Probiotics are useful for treating a variety of gastrointestinal conditions. Review the conditions with the best supporting evidence for...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2229&page=1

Appropriate Antimicrobial Prescribing: Approaches that Limit Antibiotic Resistance - ...

Sep 15, 2001 - Since the introduction of antimicrobial agents, there has been an association between antibiotic use and the development of antimicrobial resistance. Antibiotic therapy eradicates not only pathogenic organisms but also the protective normal flora. This so-called

American Family Physician : Article

https://www.aafp.org/afp/2001/0915/p999.html

Overview of Refractive Surgery - American Family Physician

Oct 1, 2001 - Patients with myopia, hyperopia and astigmatism can now reduce or eliminate their dependence on contact lenses and eyeglasses through refractive surgery that includes radial keratotomy (RK), photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis (LASIK), laser thermal ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1001/p1183.html

Practical Management of Treatment-Resistant Depression - American Family Physician

Dec 1, 1998 - Patients receiving antidepressant monotherapy may be partially or totally resistant to treatment in 10 to 30 percent of cases. In patients who have experienced only partial treatment results, the clinician should first consider optimizing antidepressant dosage or lengthening therapy. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2059.html

NHBPEP Report on High Blood Pressure in Pregnancy: A Summary for Family Physicians - ...

Jul 15, 2001 - The National High Blood Pressure Education Program's Working Group on High Blood Pressure in Pregnancy recently issued a report implicating hypertension as a complication in 6 to 8 percent of pregnancies. Hypertension in pregnancy is related to one of four conditions: (1) chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0715/p263.html

Pharmacologic Therapy for Eustachian Tube Dysfunction - FPIN's Clinical Inquiries - ...

Jun 15, 2013 - There are no medications that improve patient-oriented outcomes in children or adults with eustachian tube dysfunction. Oral corticosteroids, with or without antibiotics, improve pneumatic otoscopy and tympanometry findings in the short term, but these agents have no long-term benefit.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0615/p883.html

Treatment Strategies for Premenstrual Syndrome - American Family Physician

Jul 1, 1998 - Premenstrual syndrome (PMS) refers to a group of menstrually related disorders. Premenstrual symptoms sufficient to impair daily activity and relationships are estimated to occur in up to 40 percent of women of reproductive age, with 5 percent of these women having severe impairment. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p183.html

Rivaroxaban vs. Warfarin for Stroke Prevention in Patients with Nonvalvular Atrial ...

Mar 15, 2012 - How does rivaroxaban compare with warfarin for stroke prevention in patients with nonvalvular atrial fibrillation? This study concluded that rivaroxaban is noninferior to warfarin. However, noninferiority trials do not meet the same rigorous design and statistical format of traditional ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/0315/p577.html

Lending a Hand to Patients with Type 2 Diabetes: A Simple Way to Communicate Treatment ...

Feb 15, 2014 - A new approach to the care of adults with type 2 diabetes emphasizes proven interventions that improve duration and quality of life.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0215/p256.html

Canning Season - Close-ups - American Family Physician

May 15, 2008 - 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/2008/0515/p1402.html

AAP Publishes Recommendations for the Diagnosis and Management of Bronchiolitis - ...

Jan 15, 2007 - Bronchiolitis usually is caused by a viral lower respiratory tract infection and most commonly causes morbidity and mortality in infants. The American Academy of Family Physicians (AAP) has published recommendations for the diagnosis and management of bronchiolitis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0115/p265.html

Acute Knee Injuries: Use of Decision Rules for Selective Radiograph Ordering - American...

Dec 1, 1999 - Family physicians often encounter patients with acute knee trauma. Radiographs of injured knees are commonly ordered, even though fractures are found in only 6 percent of such patients and emergency department physicians can usually discriminate clinically between fracture and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2599.html

Coronary Artery Disease Prevention: What's Different for Women? - American Family ...

Apr 1, 2001 - Cardiovascular disease is the leading cause of death in women, as well as an important cause of disability, although many women and their physicians underestimate the risk. Exercise, hypertension treatment, smoking cessation and aspirin therapy are effective measures for the primary ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0401/p1393.html

Top 20 POEMs of 2018

American Family Physician's annual collection of the top 20 research studies for primary care addresses a variety of topics with the potential to change practice.

American Family Physician

https://www.aafp.org/journals/afp/content/top-poems/2018.html

Ultrasensitive Culture in Urinary Tract Infection Diagnosis - Letters to the Editor - ...

Aug 1, 2011 - ...the performance and reporting of urine cultures in microbiology laboratories. The final reported CFU per mL essentially represents the number of bacterial colonies observed on culture plates, multiplied by the level of dilution from the original sample to obtain a standard reporting...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0801/p250.html

Treatment of Jellyfish Envenomation - FPIN's Clinical Inquiries - American Family ...

May 15, 2014 - There is limited patient-oriented evidence upon which to base recommendations for treatment of jellyfish envenomation. Patients should be removed from the water, and an attempt should be made to prevent the discharge of adherent nematocysts (i.e., microscopic stinging cells), remove ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0515/od1.html

Use of Immunotherapy in a Primary Care Office - American Family Physician

Apr 15, 1998 - Immunotherapy has been used for over 80 years. It is a safe and effective therapeutic intervention for allergic rhinitis, but its use in the treatment of asthma is more controversial. Patients with unstable asthma are at increased risk of adverse effects from immunotherapy; therefore, ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1888.html

Preconception Health Care - American Family Physician

Jun 15, 2002 - Appropriate preconception health care improves pregnancy outcomes. When started at least one month before conception, folic acid supplements can prevent neural tube defects. Targeted genetic screening and counseling should be offered on the basis of age, ethnic background, or family ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0615/p2507.html

Responses to Article Regarding a Diagnostic Approach to Pruritus - Letters to the ...

May 1, 2012 - ...With 36 years of family medicine experience, I have found the most common cause of pruritus is soap. I am convinced that in the United States, soap causes more people to go to the doctor than the lack of it. Soap takes the natural oils out of the skin, causing itching. Some people...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0501/ol1.html

December 1, 2020 - American Family Physician

...Medicine by the Numbers: Antibiotics for Uncomplicated Diverticulitis Shiva Poola; Michael Ritchie FPIN's Clinical Inquiries: Immunogenicity of Childhood Vaccines after Pediatric Cancer Elizabeth Close; Grayson McConnell; Steven Cross; J. Lacie Bradford POEMs Fecal...

American Family Physician

https://www.aafp.org/afp/2020/1201/

December 1, 2020 - American Family Physician

...Medicine by the Numbers: Antibiotics for Uncomplicated Diverticulitis Shiva Poola; Michael Ritchie FPIN's Clinical Inquiries: Immunogenicity of Childhood Vaccines after Pediatric Cancer Elizabeth Close; Grayson McConnell; Steven Cross; J. Lacie Bradford POEMs Fecal...

American Family Physician

https://www.aafp.org/afp/2020/1201

Undetected Childhood Sexual Trauma and Its Health Effects in Adults - Curbside ...

Sep 1, 2013 - It is essential for physicians to understand the relevance of childhood sexual trauma to adult medical conditions. Recognizing this connection can help physicians begin to manage the resulting damage. Exposure to childhood sexual trauma is highly prevalent in the United States, but is ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2013/0901/p328.html

Alternative Therapies: Part 1. Depresssion, Diabetes, Obesity - American Family Physician

Sep 1, 2000 - Natural supplements are widely used in the United States and, while claims of their therapeutic effects abound, medical research does not always support their effectiveness. St. John's wort acts as a weak selective serotonin reuptake inhibitor with fewer side effects. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1051.html

Intensive Blood Pressure Control in Older Patients Can Decrease Renal Function - POEMs ...

Jan 1, 2018 - In this post-hoc analysis of the previously published SPRINT trial, lowering the systolic blood pressure of patients who are at increased risk of cardiovascular events (average age = 66 years) will decrease their risk of cardiovascular disease but increase their likelihood of developing...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0101/p54.html

Angiotensin-II Receptor Antagonists: Their Place in Therapy - American Family Physician

Jun 1, 1999 - Angiotensin-II receptor antagonists (or blockers) are a newer class of antihypertensive agents. These drugs are selective for angiotensin II (type 1 receptor); unlike angiotensin-converting enzyme inhibitors, they do not inhibit bradykinin metabolism or enhance prostaglandin synthesis. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3140.html

Controversies in Pulmonary Embolism and Deep Venous Thrombosis - American Family Physician

Nov 1, 1999 - The diagnosis of venous thromboembolic disease, and pulmonary embolism in particular, remains problematic. Physicians should strongly consider empiric anticoagulation if the best available diagnostic tests are inconclusive, because treatment is usually safe and successful. Twice-daily ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p1969.html

Antidepressants for Agitation and Psychosis in Patients with Dementia - Cochrane for ...

Jan 1, 2012 - There are few high-quality studies examining the effectiveness of antidepressants for treating the neuropsychiatric symptoms of dementia. Although there is some evidence to support the use of the selective serotonin reuptake inhibitors (SSRIs) sertraline (Zoloft) and citalopram ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0101/p20.html

AFP Documents with Keyword: Evidence-Based Medicine - American Family Physician

...Evidence-Based Medicine Oct 1, 2016 Issue Top POEMs of 2015 Consistent with the Principles of the Choosing Wisely Campaign [Article] These POEMs were rated highly according to their potential to reduce overdiagnosis and overtreatment, consistent with the focus of the Choosing...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2320&page=1

Influenza Vaccine Reduces Risk of Adverse Cardiovascular Events in High-Risk Patients -...

Feb 1, 2014 - This meta-analysis found that the influenza vaccine is associated with a significantly lower risk of major adverse cardiovascular events in adults with coronary disease. The benefit of influenza vaccination is strongest in adults with a history of recent acute coronary syndrome within ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0201/p224a.html

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

Jul 1, 2002 - With growing concern about the use of hormone replacement therapy, some women are looking for alternative treatments for menopausal symptoms and preventing postmenopausal cardiovascular disease and osteoporosis. In observational trials, exercise has been associated with decreased ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0701/p129.html

Proper Use of Child Safety Seats - American Family Physician

May 15, 2002 - Motor vehicle crashes continue to be the leading cause of death in children one to 14 years of age. Used correctly, child safety seats significantly reduce child morbidity and mortality. Although many parents know child safety seats are important, more than 80 percent of seats are ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0515/p2085.html

Heparins for Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction - ...

Apr 1, 2009 - Compared with standard therapy with aspirin, the use of heparin does not reduce mortality, the need for revascularization, and recurrent angina. Heparin does reduce the occurrence of myocardial infarction (MI; number needed to treat [NNT] = 33), defined as typical chest pain associated ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0401/p560.html

Esophageal Atresia and Tracheoesophageal Fistula - American Family Physician

Feb 15, 1999 - Esophageal atresia, with or without tracheoesophageal fistula, is a fairly common congenital disorder that family physicians should consider in the differential diagnosis of a neonate who develops feeding difficulties and respiratory distress in the first few days of life. Esophageal ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p910.html

Management of Acute Achilles Tendon Rupture - FPIN's Clinical Inquiries - American ...

Jun 1, 2015 - There are no clear evidence-based criteria to decide which patients should undergo operative vs. nonoperative management of acute Achilles tendon rupture.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0601/p794.html

Managing Chronic Gastroesophageal Reflux Disease - Implementing AHRQ Effective Health ...

Oct 1, 2012 - What are the effectiveness, benefits, and harms of therapies used to address symptoms and prevent adverse long-term outcomes in adults with gastroesophageal reflux disease (GERD)?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2012/1001/p617.html

Aspirin With or Without Antiemetic for Acute Migraine Headaches in Adults - Cochrane ...

Feb 1, 2014 - Aspirin, with or without an antiemetic, is an effective treatment for acute migraine headache. Adding the antiemetic metoclopramide (Reglan) significantly reduces migraine-related nausea and vomiting compared with aspirin alone.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0201/p176.html

Screening for Glaucoma - Putting Prevention into Practice - American Family Physician

Oct 15, 2014 - A 55-year-old black woman presents to your office for a routine well-woman examination. Her medical history is significant for hypertension, which is well controlled with medication. She mentions that her mother was diagnosed with glaucoma a few years ago and is currently undergoing ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/1015/p569.html

Clarification Regarding Epidemiologic Concepts - Letters to the Editor - American ...

May 1, 2012 - ...clinical epidemiology, see our glossary of terms used in evidence-based medicine at https://www.aafp.org/journals/afp/authors/ebm-toolkit/glossary.html. This is one of several features in our Evidence-Based Medicine Toolkit available at https://www.aafp.org/afp/ebmtoolkit. The...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0501/p847.html

Antibiotics for Acute Otitis Media in Young Children - AFP Journal Club - American ...

Nov 15, 2011 - Two studies aim to clarify the appropriate use of antibiotic treatment in young children with acute otitis media.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/1115/p1095.html

Pharmacotherapy Options for Weight Loss and Maintenance - Letters to the Editor - ...

Jul 15, 2011 - ...Primary care medicine has fostered a bias against the treatment of obesity, and the article in AFP perpetuates such a bias. Although there are numerous drugs available for the treatment of obesity, the article mentions only two: orlistat (Xenical) and sibutramine (Meridia). Since...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0715/p149.html

Uterine Fibroid Embolization - American Family Physician

Jun 15, 2000 - Interventional radiologists have performed uterine artery embolization to treat women with emergency uterine bleeding since the 1970s. In this procedure, the physician guides a small angiographic catheter into the uterine arteries and injects a stream of tiny particles that decreases ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0615/p3601.html

Do Electronic Health Records Improve Processes and Outcomes of Preventive Care? - ...

May 15, 2012 - Electronic health records (EHRs) are thought to be valuable tools to prompt physicians to provide preventive services. How strong is the evidence that EHRs can improve processes and outcomes of preventive care?

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0515/p956.html

Interventions to Reduce Cardiovascular Risk Factors in Children and Adolescents - ...

Apr 15, 1999 - Certain modifiable risk factors for cardiovascular disease have their beginnings in childhood. Cigarette smoking, hypertension, physical inactivity, obesity, hypercholesterolemia, hyperinsulinemia, homocysteinemia and poor nutrition in childhood and adolescence may all contribute to the...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2211.html

Metformin Use in Adolescents - FPIN's Clinical Inquiries - American Family Physician

Apr 15, 2013 - There are no studies evaluating whether metformin prevents or delays the onset of diabetes in adolescents who are obese. In adults, metformin is as effective as lifestyle interventions in preventing increases in A1C and fasting glucose levels, but it is less effective in preventing or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0415/od4.html

The Virtuous Cycle - Letters to the Editor - American Family Physician

Dec 15, 2011 - ...drops precipitously. Thus, the virtuous cycle: greater safety for pedestrians and cyclists increases their numbers, which makes it safer, which in turn increases the number of cyclists, which makes it safer, and so on. So, we can continue to harangue our patients about exercise and...

American Family Physician : Letter

https://www.aafp.org/afp/2011/1215/p1328.html

Corticosteroid Injections for Trigger Finger - Cochrane for Clinicians - American ...

Sep 1, 2009 - Based on limited evidence, corticosteroid injection combined with lidocaine (Xylocaine) was more effective than lidocaine alone for the treatment of trigger finger in adults. Compared with those who received lidocaine alone, 38 percent more of the patients who received corticosteroid ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0901/p454.html

Virtual Endoscopy: A Promising New Technology - American Family Physician

Jul 1, 2002 - Growing evidence shows that early detection of cancer can substantially reduce mortality, necessitating screening programs that encourage patient compliance. Radiology is already established as a screening tool, as in mammography for breast cancer and ultrasonography for congenital ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0701/p107.html

Slipped Capital Femoral Epiphysis - American Family Physician

May 1, 1998 - Slipped capital femoral epiphysis occurs during the adolescent growth spurt and is most frequent in obese children. Up to 40 percent of cases are bilateral. Recent classification methods emphasize epiphyseal stability rather than symptom duration. Most cases of slipped capital femoral ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2135.html

Primary Care of International Adoptees - American Family Physician

Dec 1, 1998 - International adoptees are presenting to family physicians with increasing frequency. U.S. citizens have adopted over 100,000 international children since 1979. Prospective parents may seek advice from their physician during the adoptive process. If available at all, medical information...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2025.html

Managing Somatic Preoccupation - American Family Physician

Jun 1, 1999 - Somatically preoccupied patients are a heterogeneous group of persons who have no genuine physical disorder but manifest psychologic conflicts in a somatic fashion; who have a notable psychologic overlay that accompanies or complicates a genuine physical disorder; or who have ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3113.html

Should Carotid Artery Stenosis Be Examined as a Cause of Dizziness? - Letters to the ...

Apr 15, 2011 - ...in reply: We appreciate Dr. Gillett's thoughtful comments and interest in our article. His points further emphasize that the practice of medicine requires making decisions based on the individual patient. His concerns about unnecessary testing are not unfounded, especially with the...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0415/p879.html

Effectiveness of Outpatient Case Management for Adults - Implementing AHRQ Effective ...

Oct 1, 2014 - Does outpatient case management for adults with medical illness and complex care needs improve patient-centered outcomes, quality of care, or resource utilization?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2014/1001/p481.html

Title VII Is Criticial to the Community Health Center and National Health Service Corps...

Jan 15, 2010 - Community health centers (CHCs) and the National Health Service Corps (NHSC) are essential to a functioning health care safety net, but they struggle to recruit physicians. Compared with physicians trained in residency programs without Title VII funding, those trained in Title ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0115/p132.html

The Diminishing Role of FPs in Caring for Children - Graham Center Policy One-Pagers - ...

May 1, 2006 - Nationwide, family physicians (FPs) deliver a smaller proportion of the outpatient care of children than they did 10 years ago. Millions of children depend on FPs for care. Family medicine should reevaluate how it will contribute to the care of the nation's children.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0501/p1518.html

Insulin for Glycemic Control in Acute Ischemic Stroke - Cochrane for Clinicians - ...

Dec 1, 2012 - Administering insulin to maintain glycemic control does not improve the rates of mortality or dependency, or the final neurologic outcome after an acute ischemic stroke. Additionally, in randomized controlled trials, patients in the intervention groups (those under tight glycemic ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/1201/p1008.html

Promoting and Supporting Breast-Feeding - American Family Physician

Apr 1, 2000 - The family physician can significantly influence a mother's decision to breast-feed. Prenatal support, hospital management and subsequent pediatric and maternal visits are all-important components of breast-feeding promotion. Prenatal encouragement increases breast-feeding rates and ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2093.html

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