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Practice Guidelines

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AAP Releases Guideline on Diagnosis, Evaluation, and Treatment of ADHD - Practice ...

Jan 1, 2013 - The American Academy of Pediatrics (AAP) first published guidelines on the diagnosis and evaluation of attention-deficit/hyperactivity disorder (ADHD) in 2000, with recommendations for treatment published in 2001. Based on new data collected since then, the AAP released new guidelines ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0101/p61.html

ACP Releases Best Practice Advice on Colorectal Cancer Screening - Practice Guidelines ...

Dec 15, 2012 - The American College of Physicians (ACP) recently reviewed guidelines on colorectal cancer screening available from the American Cancer Society/U.S. Multi-Society Task Force on Colorectal Cancer/American College of Radiology, Institute for Clinical Systems Improvement, U.S. Preventive ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1215/p1153.html

Chlamydia Trachomatis Infections: Screening, Diagnosis, and Management - American ...

Dec 15, 2012 - Chlamydia trachomatis is a gram-negative bacterium that infects the columnar epithelium of the cervix, urethra, and rectum, as well as nongenital sites such as the lungs and eyes. The bacterium is the cause of the most frequently reported sexually transmitted disease in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1215/p1127.html

AHA Releases Statement on Sexual Activity and Cardiovascular Disease - Practice ...

Dec 1, 2012 - Decreased sexual activity and sexual dysfunction are common in patients with cardiovascular disease (CVD), and can lead to anxiety and depression. The American Heart Association (AHA) has published a scientific statement synthesizing data relevant to sexual activity and heart disease to...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1201/p1074.html

Acute Otitis Externa: An Update - American Family Physician

Dec 1, 2012 - Acute otitis externa is a common condition involving inflammation of the ear canal. The acute form is caused primarily by bacterial infection, with Pseudomonas aeruginosa and Staphylococcus aureus the most common pathogens. Acute otitis externa presents with the rapid onset of ear canal...

American Family Physician : Article

https://www.aafp.org/afp/2012/1201/p1055.html

Seasonal Affective Disorder - American Family Physician

Dec 1, 2012 - Seasonal affective disorder is a combination of biologic and mood disturbances with a seasonal pattern, typically occurring in the autumn and winter with remission in the spring or summer. In a given year, about 5 percent of the U.S. population experiences seasonal affective disorder, ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1201/p1037.html

Subacute to Chronic Mild Traumatic Brain Injury - American Family Physician

Dec 1, 2012 - Although a universally accepted definition is lacking, mild traumatic brain injury and concussion are classified by transient loss of consciousness, amnesia, altered mental status, a Glasgow Coma Score of 13 to 15, and focal neurologic deficits following an acute closed head injury. ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1201/p1045.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

Revised AAP Guideline on UTI in Febrile Infants and Young Children - American Family ...

Nov 15, 2012 - In 2011, the American Academy of Pediatrics released a revision of its 1999 clinical practice guideline on urinary tract infections in febrile infants and young children two to 24 months of age. The new clinical practice guideline has several important updates based on evidence ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p940.html

Updated Guidelines from AASM for the Treatment of Central Sleep Apnea Syndromes - ...

Nov 15, 2012 - The updated guidelines on central sleep apnea from the American Academy of Sleep Medicine (AASM) includes levels of recommendations (standard or option) based on the overall quality of evidence (high, moderate, low, or very low). Central sleep apnea syndromes are characterized by ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1115/p968.html

Infectious Etiologies of Acute Otitis Media - FPIN's Clinical Inquiries - American ...

Nov 15, 2012 - There is no preferred method for establishing the infectious etiology of acute otitis media (AOM). Bacterial or viral pathogens are found in most cases. Bacterial pathogens are more common than viruses in middle ear fluid samples collected from children with AOM and intact tympanic ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/1115/od4.html

AACE Releases Guidelines for Menopausal Hormone Therapy - Practice Guidelines - ...

Nov 1, 2012 - Menopause is diagnosed in women who have not had menses for one year. The American Association of Clinical Endocrinologists (AACE) convened a task force to review available evidence on therapies for menopausal symptoms. The task force's guidelines include recommendations for prescribing...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1101/p864.html

Top 20 Research Studies of 2011 for Primary Care Physicians - American Family Physician

Nov 1, 2012 - In 2011, through regular surveillance of more than 100 English-language research journals, a group of seven clinicians identified approximately 250 studies with the potential to improve the practice of primary care physicians and the outcomes of patients (designated as POEMs ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1101/p835.html

The Role of Nonpharmacologic Therapies for Back Pain - Letters to the Editor - American...

Nov 1, 2012 - ...recommended, unsupported, or not recommended in my article. Although the American Pain Society/American College of Physicians clinical practice guideline is informative, readers should understand that the guideline is more than four years old, and acute low back pain research has...

American Family Physician : Letter

https://www.aafp.org/afp/2012/1101/ol1.html

Poems & Tips From Other Journals - American Family Physician

Nov 1, 2012 - ...Study Design: Practice guideline Funding Source: Foundation Setting: Various (guideline) Synopsis: These guidelines are based on a systematic review and meta-analysis of research investigating the usefulness of various imaging studies in patients with low-back pain. Based on a...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1101/ot6.html

NHLBI Expert Panel Releases Guidelines for Cardiovascular Health and Risk Reduction in ...

Oct 15, 2012 - Evidence indicates that reducing risk can slow the progression of cardiovascular disease (CVD); therefore, the National Heart, Lung, and Blood Institute (NHBLI) Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents developed ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1015/p776.html

Update on the Management of Chronic Kidney Disease - American Family Physician

Oct 15, 2012 - Chronic kidney disease is common and associated with significant morbidity. Given the high risk of cardiovascular morbidity and mortality in patients with chronic kidney disease, it is important to identify and treat related risk factors. However, there is growing uncertainty about the ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1015/p749.html

Editorials: Controversies in Family Medicine - Oct 15, 2012 - American Family Physician

Oct 15, 2012 - No: Universal Screening Has Uncertain Benefits and a High Risk of Harms. Atherosclerosis can be demonstrated in young arteries, and its development over time correlates with the presence of risk factors for the disease, including higher lipid levels. But the presence of this association...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1015/od1.html

Should Family Physicians Routinely Screen for Hypercholesterolemia in Children? Yes: ...

Oct 15, 2012 - Yes: The Evidence Supports Universal Screening. Atherosclerotic cardiovascular disease events are the culmination of a process that has clearly been shown to begin in childhood, with accumulation of abnormal lipids in the vascular intima.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1015/od2.html

Corrections - Oct 15, 2012 - American Family Physician

Oct 15, 2012 - ...Although the Practice Guidelines ACS Releases Updated Guidelines on Cancer Screening (September 15, 2012, p. 571) accurately reflected the content of the source guideline, the American Cancer Society (ACS) subsequently updated its guidance on screening for cervical cancer in...

American Family Physician : Corrections

https://www.aafp.org/afp/2012/1015/p727a.html

ACCF and AHA Update Guidelines on the Diagnosis and Treatment of Hypertrophic ...

Oct 1, 2012 - Hypertrophic cardiomyopathy (HCM) is a common genetic cardiovascular disease that affects approximately one out of every 500 persons. The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) have updated guidelines on the diagnosis and treatment of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1001/p694.html

ACIP Updates Guideline on Influenza Vaccination for 2012-2013 Season - Practice ...

Oct 1, 2012 - The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has issued its annual guideline on influenza vaccination. This year’s guideline provides information on dosing considerations for children six months to eight years of age, ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1001/p686.html

The Physician's Role in Managing Acute Stress Disorder - American Family Physician

Oct 1, 2012 - Acute stress disorder is a psychiatric diagnosis that may occur in patients within four weeks of a traumatic event. Features include anxiety, intense fear or helplessness, dissociative symptoms, reexperiencing the event, and avoidance behaviors. Persons with this disorder are at ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1001/p643.html

Tips From Other Journals - American Family Physician

Oct 1, 2012 - ...3. Rosenfeld RM, Andes D, Bhattacharyya N, et al. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg. 2007;137(3 suppl):S1–S31. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1001/p680.html

Step Up to Help Curb Teen Medication Abuse

Step Up to Help Curb Teen Medication Abuse

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/family_physicians_can_help_curb.html

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

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

American Family Physician : AFP Journal Club

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

ACS Releases Updated Guidelines on Cancer Screening - Practice Guidelines - American ...

Sep 15, 2012 - The American Cancer Society (ACS) has released its annual update of guidelines for cancer screening, with recommendations covering cancers of the breast, cervix, colon and rectum, and prostate. For each cancer site, the guidelines address the affected population, associated tests or ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0915/p571.html

The Spiritual Assessment - American Family Physician

Sep 15, 2012 - More than 80 percent of Americans perceive religion as important. Issues of belief can affect the health care encounter, and patients may wish to discuss spirituality with their physician. Many physicians report barriers to broaching the subject of spirituality, including lack of time ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p546.html

Transient Ischemic Attack: Part I. Diagnosis and Evaluation - American Family Physician

Sep 15, 2012 - Transient ischemic attack is defined as transient neurologic symptoms without evidence of acute infarction. It is a common and important risk factor for future stroke, but is greatly underreported. Common symptoms are sudden and transient, and include unilateral paresis, speech ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p521.html

ACS/ASCCP/ASCP Guidelines for the Early Detection of Cervical Cancer - Editorials - ...

Sep 15, 2012 - The American Cancer Society (ACS), the American Society for Colposcopy and Cervical Pathology (ASCCP), and the American Society for Clinical Pathology (ASCP) recently published updated recommendations for the early detection of cervical cancer. The guidelines are based on a systematic ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0915/p501.html

Letters on Management of Ischemic Stroke - Letters to the Editor - American Family ...

Sep 15, 2012 - ...2. Qaseem A, Chou R, Humphrey LL, Starkey M, Shekelle P. Venous thromboembolism prophylaxis in hospitalized patients: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2011;155(9):625–632. 3. Lansberg MG, O'Donnell MJ, Khatri P, et al....

American Family Physician : Letter

https://www.aafp.org/afp/2012/0915/p492.html

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

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

American Family Physician : Practice Guidelines

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

Amphetamines for Attention-Deficit/Hyperactivity Disorder in Adults - Cochrane for ...

Sep 1, 2012 - Amphetamines improve ADHD symptom severity but, when compared with placebo, they are associated with increased discontinuation rates because of adverse effects. There does not appear to be a difference among dosages or between the immediate- and sustained-release formulations.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0901/p413.html

CDC Recommends New Treatment Regimen for Latent Mycobacterium Tuberculosis Infection - ...

Aug 15, 2012 - Tuberculosis is a contagious and potentially fatal disease transmitted by Mycobacterium tuberculosis. The Centers for Disease Control and Prevention (CDC) has issued recommendations for the treatment of latent M. tuberculosis infection. The new regimen consists of isoniazid and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0815/p370.html

AAN Updates Guideline on Treatment of Essential Tremor - Practice Guidelines - American...

Aug 1, 2012 - Propranolol and primidone (Mysoline) are the most commonly used therapies for essential tremor, but these agents are ineffective for up to one-half of patients. In 2005, the American Academy of Neurology (AAN) published recommendations for the use of other therapies for essential tremor.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0801/p292.html

PIDS and IDSA Issue Management Guidelines for Community-Acquired Pneumonia in Infants ...

Jul 15, 2012 - Previously published guidelines for the management of community-acquired pneumonia (CAP) in adults have been shown to decrease morbidity and mortality rates. The Pediatric Infectious Diseases Society (PIDS) and the Infectious Diseases Society of America (IDSA) have created new ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0715/p196.html

Treatment of the Common Cold in Children and Adults - American Family Physician

Jul 15, 2012 - The common cold, or upper respiratory tract infection, is one of the leading reasons for physician visits. Generally caused by viruses, the common cold is treated symptomatically. Antibiotics are not effective in children or adults. In children, there is a potential for harm and no ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0715/p153.html

Diagnosis and Treatment of Basal Cell and Squamous Cell Carcinoma - American Family ...

Jul 15, 2012 - Family physicians are regularly faced with identifying, treating, and counseling patients with skin cancers. Nonmelanoma skin cancer, which encompasses basal cell and squamous cell carcinoma, is the most common cancer in the United States. Ultraviolet B exposure is a significant factor ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0715/p161.html

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

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

American Family Physician : Editorials

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

American Urological Association Approach to the Diagnosis and Management of IC/BPS - ...

Jul 1, 2012 - The American Urological Association has published recommendations aimed at guiding physicians in recognizing interstitial cystitis/bladder pain syndrome (IC/BPS), conducting a valid diagnostic process, and treating patients by maximizing symptom control and minimizing adverse effects.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0701/p97.html

Reducing Adverse Effects of Proton Pump Inhibitors - American Family Physician

Jul 1, 2012 - Proton pump inhibitors effectively treat gastroesophageal reflux disease, erosive esophagitis, duodenal ulcers, and pathologic hypersecretory conditions. Proton pump inhibitors cause few adverse effects with short-term use; however, long-term use has been scrutinized for ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0701/p66.html

Summary of the NIAID-Sponsored Food Allergy Guidelines - American Family Physician

Jul 1, 2012 - Patients with suspected food allergies are commonly seen in clinical practice. Although up to 15 percent of parents believe their children have food allergies, these allergies have been confirmed in only 1 to 3 percent of all Americans. Family physicians must be able to separate true ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0701/p43.html

ACP Recommendations for VTE Prophylaxis in Hospitalized Patients - Practice Guidelines ...

Jun 15, 2012 - Most hospitalized patients have at least one risk factor for venous thromboembolism (VTE), such as pulmonary embolism or deep venous thrombosis. The American College of Physicians (ACP) has released guidelines on VTE prophylaxis in hospitalized, nonsurgical patients, including those ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0615/p1204.html

AACAP Updates Recommendations on Diagnosis and Treatment of Obsessive-Compulsive ...

Jun 1, 2012 - Obsessive-compulsive disorder (OCD) is common in children, with a prevalence of approximately 1 to 2 percent in the United States, and causes significant disability. The American Academy of Child and Adolescent Psychiatry (AACAP) recently published updated recommendations on the ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0601/p1107.html

ACCF/AHA Update Peripheral Artery Disease Management Guideline - Practice Guidelines - ...

May 15, 2012 - The American College of Cardiology Foundation (ACCF) and American Heart Association (AHA) have updated their 2005 guideline on the management of peripheral artery disease (PAD) based on new data, with particular focus on lower extremity and abdominal aortic disease. Recommendations for ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0515/p1000.html

Local Antibiograms Can Reduce Inappropriate Antibiotic Prescribing - Letters to the ...

May 15, 2012 - ...interest. I am concerned about the message that primary care physicians might receive from your choice of wording in the abstract: Practice guidelines recommend oral fluoroquinolones as initial outpatient therapy if the rate of fluoroquinolone resistance in the community is 10...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0515/p948.html

AAP Expands Recommendations on SIDS and Other Sleep-Related Deaths - Practice ...

May 1, 2012 - Sudden infant death syndrome (SIDS) is a term attributed to any infant death that cannot be explained. Sudden unexpected infant death describes any sudden and unexpected death, whether explained or unexplained, that occurs during infancy. The American Academy of Pediatrics (AAP) first ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0501/p918.html

New Feature to Help Physicians Implement AHRQ Effective Health Care Reviews - ...

May 1, 2012 - To more effectively disseminate the results of comparative effectiveness research into practice, AHRQ's Effective Health Care Program produces concise summaries of its reviews for patients, policy makers, and physicians. AFP has partnered with AHRQ to introduce a new journal feature, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0501/p863.html

NICE Updates Guidelines on Management of Chronic Heart Failure - Practice Guidelines - ...

Apr 15, 2012 - Heart failure is associated with poor prognosis and quality of life, as well as high health care costs. In 2010, the National Institute for Health and Clinical Excellence (NICE) updated its previous guideline on the management of chronic heart failure in adults. This update focuses on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0415/p832.html

Is Routine Testing of Vitamin B12 Cost-effective in Workup for Cognitive Impairment? - ...

Apr 15, 2012 - ...of the widespread use of shotgun testing, including vitamin B12 testing for dementia. In an era of evidence-based clinical practice guidelines, it is tempting to excuse the nonjudicious use of laboratory and imaging studies as simply following recommendations from reputable sources....

American Family Physician : Letter

https://www.aafp.org/afp/2012/0415/ol1.html

Is Spinal Manipulation an Effective Treatment for Low Back Pain? Yes: Spinal ...

Apr 15, 2012 - Yes: Spinal Manipulation Is a Useful Adjunct Therapy. Spinal manipulation is one of many potential treatment options that have been used by many different types of clinicians for more than a century. Only in the past 50 years have research studies evaluated the benefits of spinal ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0415/p760.html

Is Spinal Manipulation an Effective Treatment for Low Back Pain? Yes: Evidence Shows ...

Apr 15, 2012 - Yes: Evidence Shows Benefit in Most Patients. The goal of manipulation is to restore maximal, pain-free movement of the musculoskeletal system in postural balance. In the past decade, there has been a significant growth in evidence supporting the benefits of manipulation.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0415/p756.html

Clarification - Corrections - American Family Physician

Apr 15, 2012 - ...In the Practice Guidelines, ACIP Releases 2012 Immunization Schedules, (February 1, 2012, page 281) the accompanying 2012 young children (birth through six years of age) immunization schedule was clarified by the Centers for Disease Control and Prevention after publication. In Figure 1,...

American Family Physician : Corrections

https://www.aafp.org/afp/2012/0415/p748a.html

AAP Releases Clinical Report on the Impact of Social Media on Children, Adolescents, ...

Apr 1, 2012 - The number of children and adolescents using social media Web sites (e.g., Facebook) has significantly increased in the past five years. Research has shown that social media improves communication, social interaction, and technical abilities. Physicians are in a position to talk to ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0401/p729.html

End-Stage Renal Disease: Symptom Management and Advance Care Planning - American Family...

Apr 1, 2012 - The prevalence of end-stage renal disease continues to increase, and dialysis is offered to older and more medically complex patients. Pain is problematic in up to one-half of patients receiving dialysis and may result from renal and nonrenal etiologies. Opioids can be prescribed ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0401/p705.html

Letters - Mar-Apr 2012 -- FPM

Apr 1, 2012 - ...also ask good questions, so preceptors often find themselves updating their own knowledge about trends in medicine and clinical practice guidelines. Precepting gives everyone on a practice’s team an opportunity to teach. Residents and students need practice management experience as...

Family Practice Management : Letters

https://www.aafp.org/fpm/2012/0300/p8a.html

American College of Obstetricians and Gynecologists Updates Breast Cancer Screening ...

Mar 15, 2012 - Breast cancer–related death can be reduced through effective screening, which typically includes imaging, clinical examination, and self-examination or awareness. The American College of Obstetricians and Gynecologists recommends using all three techniques to screen for breast cancer.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0315/p654.html

Thrombocytopenia - American Family Physician

Mar 15, 2012 - Thrombocytopenia is defined as a platelet count of less than 150 × 103 per µL. It is often discovered incidentally when obtaining a complete blood count during an office visit. The etiology usually is not obvious, and additional investigation is required. Patients with platelet counts ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0315/p612.html

Evaluation and Treatment of the Suicidal Patient - American Family Physician

Mar 15, 2012 - Evaluation and treatment of a suicidal patient are challenging tasks for the physician. Because no validated predictive tools exist, clinical judgment guides the decision-making process. Although there is insufficient evidence to support routine screening, evidence shows that asking ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0315/p602.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

Providing Confidential Care for Adolescents - Editorials - American Family Physician

Mar 15, 2012 - Adolescents are generally healthy, but they commonly present with high-risk behaviors that are often missed by physicians. Without confidentiality, teenagers may avoid seeking services for sensitive health care needs.

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0315/p556.html

AAP Reports on the Use of Antipyretics for Fever in Children - Practice Guidelines - ...

Mar 1, 2012 - In this report, the American Academy of Pediatrics (AAP) reviews the effectiveness of antipyretics for the treatment of fever in children. Fever in children often leads to unscheduled physician visits, telephone calls from parents to physicians for consultation, and the treatment of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0301/p518.html

ADA Releases Revisions to Recommendations for Standards of Medical Care in Diabetes - ...

Mar 1, 2012 - Caring for patients with diabetes mellitus requires addressing many issues beyond glycemic control. To help physicians provide optimal care for these patients, the American Diabetes Association (ADA) releases annual revisions to its clinical practice recommendations for standards of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0301/p514.html

Guidelines for the Use of Long-Acting Reversible Contraceptives - Practice Guidelines -...

Feb 15, 2012 - The use of long-acting reversible contraceptives (LARCs) has increased from 1.3 to 5.5 percent over the past decade. There are three LARCs available in the United States: the etonogestrel single-rod implant and two types of intrauterine devices (IUDs; copper T380A and levonorgestrel ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0215/p403.html

Acute Respiratory Distress Syndrome: Diagnosis and Management - American Family Physician

Feb 15, 2012 - Acute respiratory distress syndrome manifests as rapidly progressive dyspnea, tachypnea, and hypoxemia. Diagnostic criteria include acute onset, profound hypoxemia, bilateral pulmonary infiltrates, and the absence of left atrial hypertension. Acute respiratory distress syndrome is ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0215/p352.html

Corrections - Feb 15, 2012 - American Family Physician

Feb 15, 2012 - ...In the Practice Guidelines, ACIP Releases 2012 Immunization Schedule, (February 1, 2012, page 281) the accompanying 2012 catch-up immunization schedule was clarified by the Centers for Disease Control and Prevention after publication. In Figure 3, the second bulleted item under footnote...

American Family Physician : Corrections

https://www.aafp.org/afp/2012/0215/p311a.html

Respiratory Indications for Polysomnography in Children - Practice Guidelines - ...

Feb 1, 2012 - Although assessment of sleep disorders in children relies on the history and physical examination, polysomnography (PSG) is sometimes used to aid in the diagnosis. The American Academy of Sleep Medicine has provided recommendations regarding the use of the test in children. This ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0201/p290.html

ACIP Releases 2012 Immunization Schedules - Practice Guidelines - American Family ...

Feb 1, 2012 - The Advisory Committee on Immunization Practices (ACIP) of the of the Centers for Disease Control and Prevention (CDC) introduces the 2012 immunization schedules for young children (birth through six years of age), older children and adolescents (seven through 18 years of age), and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0201/p281.html

Perioperative Cardiac Risk Reduction - American Family Physician

Feb 1, 2012 - Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0201/p239.html

Human Parathyroid Hormone for Treating Osteoporosis - FPIN's Clinical Inquiries - ...

Feb 1, 2012 - Human parathyroid hormone should be used in patients with severe osteoporosis to decrease the rate of vertebral and nonvertebral fractures.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0201/od1.html

ACP Updates Guideline on Diagnosis and Management of Stable COPD - Practice Guidelines ...

Jan 15, 2012 - Chronic obstructive pulmonary disease (COPD) affects more than 5 percent of U.S adults and is the third leading cause of death. The American College of Physicians (ACP) recently updated its 2007 guideline on the diagnosis and management of stable COPD to include new recommendations on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0115/p204.html

AHA Updates Guidelines on CVD Prevention in Women - Practice Guidelines - American ...

Jan 1, 2012 - Major changes addressed in the American Heart Association's (AHA) 2011 guidelines on cardiovascular disease (CVD) are that benefits and risks found in the clinical practice setting were strongly considered, and recommendations were not based solely on benefits found in the clinical ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0101/p70.html

Osteoarthritis: Diagnosis and Treatment - American Family Physician

Jan 1, 2012 - Osteoarthritis is a common degenerative disorder of the articular cartilage associated with hypertrophic bone changes. Risk factors include genetics, female sex, past trauma, advancing age, and obesity. The diagnosis is based on a history of joint pain worsened by movement, which can ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0101/p49.html

CDC Updates Recommendations for Contraceptive Use in the Postpartum Period - Practice ...

Dec 15, 2011 - Initiating appropriate contraception in the postpartum period is important to avoid negative outcomes related to short birth intervals. The Centers for Disease Control and Prevention (CDC) recently reevaluated the safety of contraceptive use in the postpartum period.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1215/p1422.html

Subacute Management of Ischemic Stroke - American Family Physician

Dec 15, 2011 - Ischemic stroke is the third leading cause of death in the United States and a common reason for hospitalization. The subacute period after a stroke refers to the time when the decision to not employ thrombolytics is made up until two weeks after the stroke occurred. Family physicians ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1215/p1383.html

Updated Guidelines on Management of Atrial Fibrillation from the ACCF/AHA/HRS - ...

Dec 1, 2011 - The American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) have released updated guidelines for the management of atrial fibrillation. Since the previous guidelines were issued in 2006, new data have become available on...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1201/p1298.html

Management of Falls in Older Persons: A Prescription for Prevention - American Family ...

Dec 1, 2011 - Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1201/p1267.html

CDC Releases Best Practices for the Use of PCR Testing for Diagnosing Pertussis - ...

Nov 15, 2011 - Diagnosing pertussis in the early stages can be difficult, because early signs and symptoms are often nonspecific. Polymerase chain reaction (PCR) testing, a technique used to detect DNA sequences specific for Bordetella pertussis, is used for diagnosis; however, results should be ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1115/p1176.html

Chronic Kidney Disease: Detection and Evaluation - American Family Physician

Nov 15, 2011 - Chronic kidney disease affects an estimated 27 million adults in the United States, and is associated with significantly increased risk of cardiovascular disease and stroke. Patients should be assessed annually to determine whether they are at increased risk of developing chronic kidney...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1138.html

Anaphylaxis: Recognition and Management - American Family Physician

Nov 15, 2011 - Anaphylaxis is a severe, life-threatening, systemic allergic reaction that is almost always unanticipated and may lead to death by airway obstruction or vascular collapse. Anaphylaxis occurs as the result of an allergen response, usually immunoglobulin E–mediated, which leads to mast ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1111.html

ACP Releases Guideline on Intensive Insulin Therapy in Hospitalized Patients - Practice...

Nov 1, 2011 - The American College of Physicians (ACP) has issued a clinical guideline on the use of intensive insulin therapy in hospitalized patients with or without diabetes mellitus to achieve glycemic control and improve health outcomes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1101/p1058.html

ACIP Updates General Immunizations Guidelines - Practice Guidelines - American Family ...

Oct 15, 2011 - The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention provides general guidelines for the administration of its recommended routine vaccinations, which are aimed at preventing 17 diseases in children and adults. Sections of this ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1015/p951.html

Evaluation of the Patient with Chronic Cough - American Family Physician

Oct 15, 2011 - Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks’ duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1015/p887.html

ACIP Updates Guideline on Influenza Vaccination for 2011-2012 Season - Practice ...

Oct 1, 2011 - The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention has issued its annual guideline on vaccination against influenza. It includes information on a newly licensed intradermal vaccine, a change in the number of vaccine doses required ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1001/p827.html

Diagnosis and Treatment of Acute Uncomplicated Cystitis - American Family Physician

Oct 1, 2011 - Urinary tract infections are the most common bacterial infections in women. Most urinary tract infections are acute uncomplicated cystitis. Identifiers of acute uncomplicated cystitis are frequency and dysuria in an immunocompetent woman of childbearing age who has no comorbidities or ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1001/p771.html

Treatment of Adult Obesity with Bariatric Surgery - American Family Physician

Oct 1, 2011 - Bariatric surgery procedures, including laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy, and Roux-en-Y gastric bypass, result in an average weight loss of 50 percent of excess body weight. Remission of diabetes mellitus occurs in approximately 80 percent of ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1001/p805.html

Nicotine Receptor Partial Agonists for Smoking Cessation - Cochrane for Clinicians - ...

Oct 1, 2011 - Compared with placebo, varenicline more than doubles the chances of successful long-term smoking abstinence. In head-to-head trials, varenicline appears to be at least as effective as nicotine replacement therapy and bupropion (Zyban). The most common adverse effect is nausea, which ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/1001/p769.html

ACOG Guideline on Sexual Dysfunction in Women - Practice Guidelines - American Family ...

Sep 15, 2011 - The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on sexual dysfunction in women. Sexual dysfunction is common in U.S. women but is underdiagnosed and undertreated, partly because patients are not likely to discuss it with their physician unless they...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0915/p705.html

Evaluation of Syncope - American Family Physician

Sep 15, 2011 - Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic function. It is classified as neurally mediated (i.e., carotid sinus hypersensitivity, situational, or vasovagal), cardiac, orthostatic, or neurogenic. Older adults are more likely to ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0915/p640.html

Diagnosis and Treatment of Plantar Fasciitis - American Family Physician

Sep 15, 2011 - Plantar fasciitis, a self-limiting condition, is a common cause of heel pain in adults. It affects more than 1 million persons per year, and two-thirds of patients with plantar fasciitis will seek care from their family physician. Plantar fasciitis affects sedentary and athletic ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0915/p676.html

Diagnosis and Treatment of Acute Pyelonephritis in Women - American Family Physician

Sep 1, 2011 - Acute pyelonephritis is a common bacterial infection of the renal pelvis and kidney most often seen in young adult women. History and physical examination are the most useful tools for diagnosis. Most patients have fever, although it may be absent early in the illness. Flank pain is ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p519.html

AAO-HNS Guidelines for Tonsillectomy in Children and Adolescents - Practice Guidelines ...

Sep 1, 2011 - Although tonsillectomy is common and improves patients' quality of life, there are possible risks and practice variations in the care of patients undergoing tonsillectomy. Recent guidelines from the American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) aim to provide ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0901/p566.html

Pharmacologic Treatment of Hyperlipidemia - American Family Physician

Sep 1, 2011 - Pharmacologic treatment of hyperlipidemia in conjunction with therapeutic lifestyle changes can be used for both primary and secondary prevention of cardiovascular disease. Statins have the most convincing data for primary prevention, especially for higher risk patients. Therefore, risk...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p551.html

IDSA Guidelines on the Treatment of MRSA Infections in Adults and Children - Practice ...

Aug 15, 2011 - The prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in the United States continues to increase, with more than 94,000 cases of invasive disease reported in 2005. The Infectious Diseases Society of America (IDSA) has released its first evidence-based guidelines on the ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0815/p455.html

Updated Dietary Guidelines from the USDA and HHS - Practice Guidelines - American ...

Aug 1, 2011 - The U.S. Department of Agriculture (USDA) and the U.S. Department of Health and Human Services (HHS) jointly created the updated version of the Dietary Guidelines for Americans, 2010. The updated guidelines are based on two main concepts: focusing on balancing caloric intake over time ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0801/p332.html

ACCF/AHA Release Guideline for Early Cardiovascular Risk Assessment - Practice ...

Jul 15, 2011 - Atherosclerotic cardiovascular disease is the leading cause of death among adults in the United States. Because coronary heart disease (CHD) has a long asymptomatic latent period, there is an opportunity for early preventive measures. The American College of Cardiology Foundation (ACCF)...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0715/p234.html

Let Quitlines Assist You in Helping More Smokers Quit - Editorials - American Family ...

Jul 15, 2011 - Despite significant advances in pharmacotherapy and counseling techniques, tobacco use remains the leading cause of death in the United States, accounting for 443,000 premature deaths annually. Family physicians are in an ideal position to influence cessation rates because more than 70 ...

American Family Physician : Editorials

https://www.aafp.org/afp/2011/0715/p162.html

CDC Updates Guidelines on Diagnosis and Treatment of Sexually Transmitted Diseases - ...

Jul 1, 2011 - The Centers for Disease Control and Prevention (CDC) recently updated its guidelines on the treatment of sexually transmitted diseases (STDs). The new guidelines focus on treatment, but also discuss prevention strategies and diagnostic recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0701/p123.html

AAP Revises Policy Statement on the Use of Postnatal Corticosteroids for ...

Jun 15, 2011 - Bronchopulmonary dysplasia (BPD) is a major morbidity in very preterm infants that negatively affects neurodevelopmental outcomes and is resistant to therapeutic interventions. A 2002 American Academy of Pediatrics (AAP) policy statement determined that the routine use of dexamethasone ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0615/p1501.html

NIAID Releases Guidelines on Diagnosis and Management of Food Allergy - Practice ...

Jun 15, 2011 - Food allergy can be difficult to diagnose. Because diagnosis and management options vary, the National Institute of Allergy and Infectious Diseases (NIAID) helped develop guidelines to provide physicians with best practices for diagnosing and treating patients with food allergy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0615/p1492.html

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