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Obstructive Sleep Apnea in Children - American Family Physician

Mar 1, 2004 - Obstructive sleep-disordered breathing is common in children. From 3 percent to 12 percent of children snore, while obstructive sleep apnea syndrome affects 1 percent to 10 percent of children. The majority of these children have mild symptoms, and many outgrow the condition. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1147.html

Sarcoidosis - American Family Physician

Jul 15, 2004 - Sarcoidosis is a systemic granulomatous disease of unknown cause affecting young and middle-aged adults. Patients commonly present with bilateral hilar lymphadenopathy, pulmonary infiltrates, and ocular and skin lesions. The heart, liver,spleen, salivary glands, muscles,bones, kidneys, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0715/p312.html

DVT and Pulmonary Embolism: Part I. Diagnosis - American Family Physician

Jun 15, 2004 - The incidence of venous thromboembolic diseases is increasing as the U.S. population ages. At least one established risk factor is present in approximately 75 percent of patients who develop these diseases. Hospitalized patients and nursing home residents account for one half of all ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2829.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

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

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

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

American Family Physician : Article

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

Sarcoidosis: A Primary Care Review - American Family Physician

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

American Family Physician : Article

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

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

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

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

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

American Family Physician : AFP Journal Club

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

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

Identification and Management of Tuberculosis - American Family Physician

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

American Family Physician : Article

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

Work-Related Asthma - American Family Physician

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

American Family Physician : Article

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

One in Five Patients Overdiagnosed with Lung Cancer Screening - POEMs - American Family...

Jul 15, 2014 - In patients screened for lung cancer using low-dose computed tomography (LDCT), more than 18% of all lung cancers found are slow-growing and will not cause symptoms or harm during an average 6.4 years of follow-up. This risk of overdiagnosis should be part of the discussion regarding ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0715/p112.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

Corticosteroids for Presumed Pneumocystis Pneumonia in Patients with HIV Infection - ...

Jul 15, 2013 - Adjunctive corticosteroids decrease mortality in patients with HIV infection who have moderate to severe hypoxemia and suspected or confirmed pneumocystis pneumonia. Corticosteroids lead to a higher incidence of herpetic lesions, but not other opportunistic conditions.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0715/od1.html

ACCP Releases Statement on Dyspnea Treatment in Patients with Advanced Lung or Heart ...

Oct 15, 2010 - The American College of Chest Physicians (ACCP) wrote a consensus statement to influence clinical practice and provide suggestions regarding the management of dyspnea in patients with advanced lung or heart disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/1015/p999.html

Should Salmeterol Be Used for Long-Term Asthma Control? - Cochrane for Clinicians - ...

Jun 1, 2009 - Salmeterol may help improve asthma symptoms, but it should only be used as part of a comprehensive asthma management plan including inhaled corticosteroids and a short-acting beta agonist. There is currently insufficient evidence to confirm that salmeterol does not increase the risk of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0601/p957.html

Latent Tuberculosis Infection: The Physician's Role in Tuberculosis Control - ...

May 15, 2009 - ...FERN R. HAUCK, MD, MS, and AMIESHA S. PANCHAL, MD, University of Virginia School of Medicine, Charlottesville, Virginia Am Fam Physician. 2009 May 15;79(10):845-846. Related Article Active tuberculosis continues to be a major cause of mortality worldwide. In response to the...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0515/p845.html

GERD Treatment for Chronic Nonspecific Cough in Children and Adults - Cochrane for ...

Sep 1, 2011 - Acid suppressants or prokinetic agents should not be used to treat chronic nonspecific cough in infants or children. There is insufficient evidence to support or discourage use of these agents to treat chronic non-specific cough in adults, even in those with a history of GERD.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0901/p502.html

Fluticasone or Salmeterol Alone vs. Combination Therapy for COPD - AFP Journal Club - ...

Mar 1, 2008 - Is fluticasone plus salmeterol better than fluticasone or salmeterol alone for treating patients with COPD? Anticholinergics are the bronchodilators of choice. Neither fluticasone nor the combination of fluticasone and salmeterol were no better than placebo at preventing mortality.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0301/p586.html

Albuterol vs. Levalbuterol for Asthma Treatment in Children - AFP Journal Club - ...

May 1, 2008 - For children with acute asthma exacerbations, is levalbuterol better than albuterol? There is no difference between the medications in effectiveness or side effects.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0501/p1214.html

Inhaled Steroid Use and Asthma Control in Patients with Mild Persistent Asthma - AFP ...

Jul 1, 2008 - Can patients with mild persistent asthma safely decrease or eliminate inhaled steroids? The results of these studies may not be generalizable to the average primary care patient. Patients should be appropriately classified and treated using 2007 National Asthma Education and Prevention ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0701/p21.html

The Role of Chest CT in Diagnosing Pulmonary Embolism - AFP Journal Club - American ...

Sep 1, 2008 - How good is chest CT at identifying pulmonary embolism? It might have higher false-positive and false-negative rates than previously thought.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0901/p554.html

Evidence-Based Initiation of Warfarin (Coumadin) - Point-of-Care Guides - American ...

Feb 15, 2005 - Many physicians continue to use clinical judgment alone as the basis for initiating and adjusting warfarin dosages in patients who require oral anticoagulation. A number of studies have validated approaches to initiation of anticoagulation that provide more rapid anticoagulation with ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0215/p763.html

ACCP and AACVPR Release Evidence-Based Guidelines on Pulmonary Rehabilitation - ...

Jan 15, 2008 - The American College of Chest Physicians (ACCP) and the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) has released pulmonary rehabilitation guidelines that update the recommendations published in 1997 and examine new areas of research.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0115/p242.html

Beta2 Agonists in the Treatment of Asthma - Editorials - American Family Physician

Jul 15, 2006 - ...of this advisory are the findings of the Salmeterol Multicenter Asthma Research Trial,2 which was stopped because of a small but significant number of asthma-related deaths, and similar data from studies of formoterol (Foradil Aerolizer) that showed a possible increase in severe...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0715/p232.html

Antibiotics for Exacerbations of COPD - Cochrane for Clinicians - American Family ...

Sep 1, 2006 - There is consistent evidence from a small number of studies that antibiotics significantly reduce mortality (number needed to treat [NNT] = 8) and treatment failure (NNT = 3) in more severely ill patients with COPD who are hospitalized because of an exacerbation. Two smaller studies ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0901/p749.html

NAMDRC Recommendations for Prolonged Mechanical Ventilation - Practice Guidelines - ...

Apr 1, 2006 - The National Association for Medical Direction of Respiratory Care (NAMDRC) has developed recommendations for the assessment and management of patients requiring prolonged mechanical ventilation.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0401/p1277.html

Is Unfractionated Heparin Equivalent to Low-Molecular-Weight Heparin for Venous ...

Jun 1, 2008 - Is weight-based unfractionated heparin as good as weight-based low-molecular-weight heparin for outpatient treatment of venous thromboembolism? Even though this study was underpowered to prove equivalence, treatment with subcutaneous unfractionated heparin is a viable option.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0601/p1492.html

Systemic Corticosteroids for Acute Exacerbations of COPD - Cochrane for Clinicians - ...

Aug 1, 2005 - Systemic corticosteroids improve symptoms of acute COPD exacerbations at three days and reduce the likelihood of treatment failure. There is no evidence that they reduce mortality or prevent recurrence at 30 days, but the existing studies may be too small to detect such a benefit. ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0801/p437.html

Suspected Pulmonary Embolism: Part I. Evidence-Based Clinical Assessment - ...

Jan 15, 2004 - A number of investigators have developed and validated clinical decision rules for the diagnosis of pulmonary embolism.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/0115/p367.html

ACEP Releases Clinical Policy on Evaluation and Management of Pulmonary Embolism - ...

Aug 15, 2003 - A clinical policy focusing on critical issues in the evaluation and management of patients with signs and symptoms of pulmonary embolism (PE) has been released by the American College of Emergency Physicians (ACEP).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0815/p759.html

Corticosteroids for Pulmonary Sarcoidosis - Cochrane for Clinicians - American Family ...

Nov 1, 2005 - Patients who take oral corticosteroids are more likely to show improvement in their chest radiographs than those taking placebo, although improvements in symptoms and lung function are less certain. The typical dosage used in randomized trials was 20 mg daily or 40 mg every two days ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1101/p1702.html

Omalizumab (Xolair) for Treatment of Asthma - STEPS - American Family Physician

Jan 15, 2005 - Omalizumab is an immunomodulatory therapy for the control of symptoms in patients with moderate to severe allergic asthma uncontrolled with conventional therapy. Given its high cost, the requirement that it be administered in a physician’s office, and side effects, it is appropriate for...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0115/p341.html

Low-Molecular-Weight Heparin for Initial Treatment of Venous Thromboembolism - Cochrane...

Jul 1, 2005 - LMWH is safer and more effective than unfractionated heparin for initial treatment of venous thromboembolism.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0701/p75.html

Are Metered-Dose Inhalers with Holding Chambers Better Than Nebulizers for Treating ...

Jan 1, 2003 - In the emergency room, MDIs with holding chambers are as effective as nebulizers for delivering beta2 agonists to treat acute asthma in adults and children older than age two. There might be slightly less beta2 agonist–induced tachycardia in children when MDIs with holding chambers are ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/0101/p62.html

Home Oxygen Therapy for Treatment of Patients with Chronic Obstructive Pulmonary ...

Sep 1, 2004 - There is good evidence that the addition of home long-term continuous oxygen therapy for COPD increases survival rates in patients with severe hypoxemia (i.e., O2 saturation of less than 90 percent or partial pressure of arterial oxygen [PaO2] of less than 8 kPa per 60 mm Hg) but not in...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0901/p864.html

Family Physicians and the Tuberculosis Epidemic - Editorials - American Family Physician

Mar 15, 1998 - ...number of cases of tuberculosis was recorded, and from 1981 until 1985, a 6 to 7 percent annual decrease was reported. However, from 1985 until 1993, there was an almost 10 percent increase in the number of cases of tuberculosis. From 1993 until 1994, a small decrease in the number...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0315/p1228.html

Family Practice and the Elimination of Tuberculosis - Editorials - American Family ...

May 1, 2000 - ...increase in reported cases of tuberculosis in the United States that began in 1986, the disease has been brought under control. In 1999, the number of reported cases of tuberculosis declined to an all-time low of 17,528, and the country recommitted itself to the goal of tuberculosis...

American Family Physician : Editorials

https://www.aafp.org/afp/2000/0501/p2629.html

Do Children with Acute Asthma Benefit More from Anticholinergics and Beta2 Agonists ...

Aug 1, 2002 - Children with moderate to severe asthma exacerbations experience improved respiratory function and are less likely to require hospital admission when treated with multiple doses of beta2 agonists combined with anticholinergics. The same benefit has not been proved in children with mild ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/0801/p417.html

American Thoracic Society Updates Statement on Pulmonary Rehabilitation - Practice ...

Mar 1, 2000 - The American Thoracic Society (ATS) has updated its statement on pulmonary rehabilitation in patients with chronic respiratory impairment. The report outlines the scope of pulmonary rehabilitation and provides data on its benefits, patient assessment and the essential components of a ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/0301/p1550.html

American Thoracic Society Develops Guidelines on Diagnosis of Venous Thromboembolism - ...

Feb 15, 2000 - The American Thoracic Society (ATS) has developed guidelines for the diagnosis of acute venous thromboembolism. The guidelines cover the diagnostic approach to acute deep venous thrombosis and to acute pulmonary embolism.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/0215/p1194.html

Thromboembolism - Clinical Evidence Handbook - American Family Physician

Aug 1, 2002 - What are the effects of treatments for proximal deep venous thrombosis? What are the effects of treatments for isolated calf vein thrombosis? What are the effects of treatments for pulmonary embolism? What are the effects of computerized decision support on oral anticoagulation ...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2002/0801/p475.html

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