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Medicine by the numbers

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Obstetric Lacerations: Prevention and Repair - American Family Physician Restricted content. Login required.

Jun 15, 2021 - Obstetric lacerations are a common complication of vaginal delivery. Lacerations can lead to chronic pain and urinary and fecal incontinence. Perineal lacerations are defined by the depth of musculature involved, with fourth-degree lacerations disrupting the anal sphincter and the ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0615/p745.html

Hypertension - American Family Physician

Jun 15, 2021 - This collection features AFP content on hypertension and related issues, including pharmacologic and non-pharmacologic therapies, and blood pressure monitoring and screening. This collection features AFP content on hypertension and related issues, including pharmacologic and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=12

Abdominal Pain, Acute - American Family Physician

Jun 15, 2021 - This collection features AFP content on acute abdominal pain and related issues, including acute pelvic pain, appendicitis, gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and pancreatitis. This collection features AFP content on acute abdominal pain and related ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=73

Tobacco Abuse and Dependence - American Family Physician

Jun 15, 2021 - This collection features AFP content on tobacco abuse and dependence and related issues, including addiction, behavioral and drug therapies, lifestyle counseling, and smoking cessation. This collection features AFP content on tobacco abuse and dependence and related issues, including ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=28

Poor Physician-Patient Communication and Medical Error - Lown Right Care: Reducing ... Restricted content. Login required.

Jun 15, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2021/0615/p757.html

Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons: ...

Jun 15, 2021 - The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration-approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.

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

https://www.aafp.org/afp/2021/0615/od1.html

AFP 2021: Updates, New Fellow, Top 20 Articles, AFP Statistics, and Thanking Peer ...

Jun 15, 2021 - American Family Physician (AFP) continues its annual tradition of updating our readers on changes in the journal, welcoming new members to our editing team, highlighting the top 20 articles from the prior year, sharing print circulation and website statistics, and thanking our peer ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0615/p716.html

The Importance of Keeping Patients with Post-Acute Sequelae of SARS-CoV-2 Infection ...

Jun 15, 2021 - ...of persistent PASC symptoms may lead people to leave their jobs temporarily. The American College of Occupational and Environmental Medicine advises that prolonged absence from the workplace is detrimental to a person's mental, physical, and social well-being.4 A 2006 British...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0615/p710.html

Predicting True Penicillin Allergy in Adults - Point-of-Care Guides - American Family ... Restricted content. Login required.

Jun 15, 2021 - In patients reporting a penicillin allergy, is it possible to determine the likelihood of true allergy without formal testing?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/0615/p760.html

Out-of-Hospital Birth - American Family Physician Restricted content. Login required.

Jun 1, 2021 - Since the 1970s, most births in the United States have been planned to occur in a hospital. However, a small percentage of Americans choose to give birth outside of a hospital. The number of out-of-hospital births has increased, with one in every 61 U.S. births (1.64%) occurring out of ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0601/p672.html

Polycythemia Vera: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Jun 1, 2021 - Polycythemia vera is one of three stem-cell–derived myeloid malignancies commonly known as myeloproliferative neoplasms. It is characterized by erythrocytosis, often with associated leukocytosis and thrombocytosis. It has a significant negative impact on overall mortality and morbidity ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0601/p680.html

Oxytocin as First-line Uterotonic Therapy for Postpartum Hemorrhage - Medicine by the ... Restricted content. Login required.

Jun 1, 2021 - Oxytocin decreases the chances of a blood transfusion and has fewer adverse effects compared with misoprostol.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0601/p656.html

Diabetes: Type 2 - American Family Physician

Jun 1, 2021 - This collection features AFP content on type 2 diabetes and related issues, including blood glucose levels, diabetic complications (such as ketoacidosis and neuropathy), glycemic control, insulin management, and gestational diabetes. This collection features AFP content on type 2 ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=7

Labor, Delivery, and Postpartum Issues - American Family Physician

Jun 1, 2021 - This collection features AFP content on labor, delivery, and postpartum issues and related topics, including breastfeeding, cesarean delivery, episiotomy, labor pain management, postpartum hemorrhage, preterm labor and birth, shoulder dystocia, umbilical cord blood storage, and vaginal ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=16

Ear and Hearing Disorders - American Family Physician

Jun 1, 2021 - This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis externa, otitis media, and tinnitus. This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=98

Flash Continuous Glucose Monitoring (FreeStyle Libre 14-Day System) for Self-Management... Restricted content. Login required.

Jun 1, 2021 - The use of FreeStyle Libre increases time in euglycemic range and decreases hyperglycemic and hypoglycemic time and events in adults with type 1 diabetes.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0601/p688.html

Using DaTscan to Diagnose Parkinson Disease - Letters to the Editor - American Family ...

Jun 1, 2021 - ...6. Fox SH, Katzenschlager R, Lim SY, et al.; Movement Disorder Society Evidence-Based Medicine Committee. International Parkinson and Movement Disorder Society evidence-based medicine review: update on treatments for the motor symptoms of Parkinson's disease [published correction...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0601/p647.html

Pessaries for Managing Pelvic Organ Prolapse in Women - Cochrane for Clinicians - ... Restricted content. Login required.

Jun 1, 2021 - Pessaries combined with pelvic floor muscle training (PFMT) probably improve pelvic organ prolapse symptoms in women and prolapse-specific quality of life compared with PFMT alone.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0601/p660.html

Continuous Glucose Monitoring Adds Little Benefit, Especially in Adults - POEMs - ... Restricted content. Login required.

Jun 1, 2021 - In patients who have diabetes mellitus who are treated with intensive insulin regimens, continuous glucose monitoring modestly decreases A1C in short-term, unmasked studies.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0601/p697.html

Post-ICU Care in the Outpatient Setting - American Family Physician Restricted content. Login required.

May 15, 2021 - More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should...

American Family Physician : Article

https://www.aafp.org/afp/2021/0515/p590.html

Stroke and TIA - American Family Physician

May 15, 2021 - This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks. This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=24

Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List - Practice Guidelines ... Restricted content. Login required.

May 15, 2021 - The Pediatric Pharmacy Association produced a list of key potentially inappropriate drugs in pediatrics, or the KIDs List, to guide physicians who treat children.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0515/p633.html

Benefits of Avoiding Unnecessary Medical Care During the COVID-19 Pandemic - Editorials...

May 15, 2021 - How can avoiding unnecessary medical care during the COVID-19 pandemic benefit patients?

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0515/p584.html

Platelet-Rich Plasma Effective for Patients with Knee Osteoarthritis - Letters to the ...

May 15, 2021 - ...Editor's Note: Dr. Ebell is deputy editor for evidence-based medicine for AFP. Mark H. Ebell, MD, MS Athens, Ga. Email: ebell@uga.edu Roland Grad, MDCM, MSc, FCFP Montreal, Quebec Author disclosure: No relevant financial affiliations. References 1. Hróbjartsson A, Gøtzsche PC....

American Family Physician : Letter

https://www.aafp.org/afp/2021/0515/p580.html

Colchicine Reduces MI and Revascularization in Patients with Established Coronary ... Restricted content. Login required.

May 15, 2021 - Colchicine, 0.5 mg daily, significantly reduces the risk of myocardial infarction and ischemia-driven revascularization.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0515/p631a.html

The Preparticipation Physical Evaluation - American Family Physician Restricted content. Login required.

May 1, 2021 - The preparticipation physical evaluation (PPE) is a common reason for young athletes to see a primary care physician. An annual PPE is required by most state high school athletic associations for participation in school-based sports, although there is limited evidence to support its ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p539.html

Urethritis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

May 1, 2021 - Urethritis refers to inflammation of the urethra and is classified as gonococcal (caused by Neisseria gonorrhoeae) or nongonococcal in origin (most commonly caused by Chlamydia trachomatis, Mycoplasma genitalium, or Trichomonas vaginalis). The most common signs and symptoms include ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p553.html

Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years - ... Restricted content. Login required.

May 1, 2021 - A meta-analysis found that ibuprofen is more effective than acetaminophen in reducing fever and pain in children younger than two years, although further study is needed to evaluate combination therapy, dosing, and use in children younger than six months.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0501/od1.html

Seizure Disorders - American Family Physician

May 1, 2021 - This collection features AFP content on seizure disorders, including antiepileptic medications, epilepsy, febrile seizures, nonepileptic seizures, seizures in the elderly, and status epilepticus. This collection features AFP content on seizure disorders, including antiepileptic ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=80

Pain: Chronic - American Family Physician

May 1, 2021 - This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy. This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=61

Positional Therapies for Obstructive Sleep Apnea - FPIN's Clinical Inquiries - American... Restricted content. Login required.

May 1, 2021 - Positional therapies for obstructive sleep apnea produce moderate improvements (16% to 40%) in clinical apnea measures compared with no treatment.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0501/p568.html

Urethritis - American Family Physician

May 1, 2021 - ...Tell your doctor or pharmacist about other medicines or vitamins you take. You may need to stop taking these until you finish your antibiotics. Drink plenty of water. Tell your doctor if you don't feel better within a week after finishing your antibiotics. If you do not have an...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2021/0501/p553-s1.html

Musculoskeletal Care - American Family Physician

Apr 15, 2021 - This collection features AFP content on musculoskeletal care and related issues, including fracture management, joint aspiration, joint injections, pain in various parts of the body (foot and ankle; neck and back; hip; knee; arm and shoulder; and wrist and hand). This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=17

Prenatal Care - American Family Physician

Apr 15, 2021 - This collection features AFP content on prenatal care and related issues, including preconception care, folic acid, medication safety, nausea and vomiting, pregnancy complications, and prenatal screening. This collection features AFP content on prenatal care and related issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=25

Hepatitis (and Other Liver Diseases) - American Family Physician

Apr 15, 2021 - This collection features AFP content on hepatitis and other liver disease, including cirrhosis, chronic liver failure, hemochromatosis, hepatitis A, hepatitis B, hepatitis C, jaundice, and nonalcoholic fatty liver disease. This collection features AFP content on hepatitis and other ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=38

Cancer - American Family Physician

Apr 15, 2021 - This collection features AFP content on cancer and related issues, including various types (breast, cervical, childhood, colorectal, lung, oral, ovarian, prostate, skin, testicular, and other types of cancer). This collection features AFP content on cancer and related issues, including ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=31

Nerve Blocks for Pancreatic Cancer Pain - FPIN's Help Desk Answers - American Family ... Restricted content. Login required.

Apr 15, 2021 - Celiac plexus blocks can be used for pain associated with pancreatic cancer. They slightly reduce pain while decreasing opioid consumption, with fewer adverse effects compared with standard analgesic therapy.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0415/p502.html

Treatment of Distal DVT - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Apr 1, 2021 - A Cochrane review demonstrated that anticoagulation was effective and superior to observation for deep venous thrombosis; however, given the quality of the evidence, the benefits are unclear.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0401/p432.html

The Suicidal Patient: Evaluation and Management - American Family Physician Restricted content. Login required.

Apr 1, 2021 - Suicide rates in the United States increased from 20% to 30% between 2005 and 2015, and family physicians need evidence-based resources to address this growing clinical concern. Asking high-risk patients (e.g., patients with previous suicide attempts, substance misuse, low social ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0401/p417.html

Cerebrospinal Fluid Analysis - American Family Physician Restricted content. Login required.

Apr 1, 2021 - Cerebrospinal fluid (CSF) analysis is a diagnostic tool for many conditions affecting the central nervous system. Urgent indications for lumbar puncture include suspected central nervous system infection or subarachnoid hemorrhage. CSF analysis is not necessarily diagnostic but can be ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0401/p422.html

The Role of Family Medicine in Reducing the Risk of Myopia - Letters to the Editor - ...

Apr 1, 2021 - The Role of Family Medicine in Reducing the Risk of Myopia

American Family Physician : Letter

https://www.aafp.org/afp/2021/0401/p394.html

Deep Venous Thrombosis and Pulmonary Embolism - American Family Physician

Apr 1, 2021 - This collection features AFP content on deep venous thrombosis, pulmonary embolism and related issues, including anticoagulation, heparin therapy, and venous thromboembolism. This collection features AFP content on deep venous thrombosis, pulmonary embolism and related issues, including...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=69

Back Pain - American Family Physician

Apr 1, 2021 - This collection features content from AFP on back pain and related issues, including chronic and acute low back pain, lumbar spinal stenosis, sciatica, and vertebral compression fractures. This collection features content from AFP on back pain and related issues, including chronic and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=109

HIV/AIDS - American Family Physician

Apr 1, 2021 - This collection features AFP content on human immunodeficiency virus (HIV) and AIDS and related issues, including antiretroviral therapy, behavioral counseling, HIV testing, sexually transmitted diseases, and infection prevention. This collection features AFP content on human ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=11

Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis - Letters to...

Apr 1, 2021 - Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis

American Family Physician : Letter

https://www.aafp.org/afp/2021/0401/p395.html

iCanQuit Smartphone App Is Effective in Helping with Smoking Cessation - POEMs - ... Restricted content. Login required.

Apr 1, 2021 - Use of the iCanQuit smartphone app by smokers, who were recruited through Facebook and other Internet tools, produced higher cessation rates at 12 months (28.2%) than the QuitGuide app (21.1%).

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p441.html

In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces ... Restricted content. Login required.

Apr 1, 2021 - In high-risk older patients with recent-onset atrial fibrillation, a strategy of rhythm control results in fewer cardiovascular deaths and fewer strokes.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p440.html

Topical Corticosteroids: Choice and Application - American Family Physician Restricted content. Login required.

Mar 15, 2021 - Topical corticosteroids are an essential tool for treating inflammatory skin conditions such as psoriasis and atopic dermatitis. Topical corticosteroids are classified by strength and the risk of adverse effects such as atrophy, striae, rosacea, telangiectasias, purpura, and other ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0315/p337.html

Hyperlipidemia - American Family Physician

Mar 15, 2021 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels. This collection features AFP content on hyperlipidemia ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13

Coronary Artery Disease/Coronary Heart Disease - American Family Physician

Mar 15, 2021 - This collection features AFP content on coronary artery disease (CAD), coronary heart disease (CHD) and related issues, including acute coronary syndrome, angina, cardiomyopathy, hypertension, and myocardial infarction. This collection features AFP content on coronary artery disease ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=4

Pain Management in Labor - American Family Physician Restricted content. Login required.

Mar 15, 2021 - A patient’s sense of empowerment and control is most predictive of maternal satisfaction with childbirth. Analgesia during labor greatly affects this experience. Individual patient priorities for labor pain management should be explored as part of routine prenatal care. Continuous labor...

American Family Physician : Article

https://www.aafp.org/afp/2021/0315/p355.html

Skin Conditions - American Family Physician

Mar 15, 2021 - This collection features AFP content on common skin conditions and related issues, including acne, dermatitis, dermatologic emergencies, generalized rash, lichen planus, nail disorders, newborn skin, office procedures, premalignant lesions, and psoriasis. This collection features AFP ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=21

Evidence-Based Use of Opioids - Letters to the Editor - American Family Physician

Mar 15, 2021 - ...medicine. A systematic review included 15 randomized controlled trials and 6,266 patients with osteoarthritis who were followed for 10 days to 24 weeks. Overall, 47% of patients taking opioids reported meaningful pain relief compared with 43% of patients taking placebo (number...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0315/p326.html

Difficult-to-Treat and Severe Asthma: Management Strategies - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Asthma is a common chronic inflammatory disease in the United States. Up to 17% of asthma cases are classified as difficult to treat, and 3.7% of these are considered severe. Uncontrolled asthma is characterized by poor symptom control or frequent exacerbations. In difficult-to-treat ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0301/p286.html

Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA - ... Restricted content. Login required.

Mar 1, 2021 - After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased major hemorrhages.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0301/od1.html

Substance Abuse - American Family Physician

Mar 1, 2021 - ...03/01/2017 Buprenorphine Maintenance vs. Placebo for Opioid Dependence [Medicine by the Numbers] 01/01/2017 Alpha-adrenergic Agonists for the Management of Opioid Withdrawal [Medicine by the Numbers] 10/01/2016 Rural Opioid Use Disorder Treatment Depends on Family Physicians...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=27

An Osteopathic Approach to Neck Pain - Letters to the Editor - American Family Physician

Mar 1, 2021 - ...of related techniques used to manage somatic dysfunction (see https://www.aafp.org/afp/2019/0215/p248.html). The goals of applying manual medicine are to restore maximal, pain-free movement of the musculoskeletal system; enhance neuromuscular function; and improve biomechanical...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0301/p262.html

Alcoholics Anonymous and Other 12-Step Facilitation Programs for Alcohol Use Disorder -... Restricted content. Login required.

Mar 1, 2021 - Manualized (standardized and replicable) Alcoholics Anonymous and similar 12-step facilitation programs produce higher rates of continuous abstinence than other established treatments.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0301/p272.html

Low-Dose Edoxaban Effective for Stroke Prevention in Older Patients with Atrial ... Restricted content. Login required.

Mar 1, 2021 - A lower dose of edoxaban is effective in decreasing stroke and systemic embolism in older patients with atrial fibrillation compared with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312a.html

Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults - ... Restricted content. Login required.

Feb 15, 2021 - Patients who received intravenous magnesium sulfate for acute asthma exacerbation in the emergency department had decreased hospital admissions and no serious adverse effects.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0215/p245.html

Frailty: Evaluation and Management - American Family Physician Restricted content. Login required.

Feb 15, 2021 - Frailty, which is a geriatric syndrome that affects 5% to 17% of older adults, is a state of increased vulnerability across multiple health domains that leads to adverse health outcomes. Frail older adults are at increased risk of falls, disability, hospitalizations, and death. Frailty ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0215/p219.html

Bipolar Disorders: Evaluation and Treatment - American Family Physician Restricted content. Login required.

Feb 15, 2021 - Bipolar disorders are common, recurrent mental health conditions of variable severity that are difficult to diagnose. Affected individuals have higher rates of other mental health disorders, substance use disorders, and comorbid chronic medical illnesses. New diagnostic criteria and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0215/p227.html

Asthma - American Family Physician

Feb 15, 2021 - This collection features AFP content on asthma and related issues, including allergens, beta agonists, chronic cough, exercise-induced bronchoconstriction, inhalers, and wheezing. This collection features AFP content on asthma and related issues, including allergens, beta agonists, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=3

Immunizations (excluding Influenza) - American Family Physician

Feb 15, 2021 - This collection features AFP content on child and adult immunizations (excluding influenza) and related issues, including travel immunizations and specific immunizations (hepatitis A and B, herpes zoster, human papillomavirus, meningococcus, pertussis, pneumococcus, rotavirus, smallpox,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=63

Performance-Enhancing Drug Use in Recreational Athletes - Editorials - American Family ...

Feb 15, 2021 - Family physicians may be surprised to learn the number of their patients who use performance-enhancing drugs, either deliberately to improve athletic performance or unknowingly through contaminated dietary supplements.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0215/p203.html

Compression Reduces Recurrent Cellulitis in Patients with Chronic Leg Edema - POEMs - ... Restricted content. Login required.

Feb 15, 2021 - Adding compression to patient education reduces the likelihood of recurrent cellulitis in patients with chronic leg edema.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p247.html

Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone - POEMs -... Restricted content. Login required.

Feb 15, 2021 - For patients with mild to moderate acute nonembolic ischemic stroke, treatment with ticagrelor plus aspirin for 30 days resulted in fewer subsequent strokes but similar overall disability and an increase in severe bleeding compared with aspirin alone.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p249.html

Targeted Cancer Therapies - American Family Physician Restricted content. Login required.

Feb 1, 2021 - Targeted cancer therapies involve chemotherapeutic agents that attack, directly or indirectly, a specific genetic biomarker found in a given cancer. Targeted oncology includes monoclonal antibodies, small molecule inhibitors, antibody-drug conjugates, and immunotherapy. For example, the...

American Family Physician : Article

https://www.aafp.org/afp/2021/0201/p155.html

Respiratory Tract Infections - American Family Physician

Feb 1, 2021 - ...11/01/2020 Antibiotics for Acute Bronchitis [Medicine by the Numbers] 10/01/2019 Antibiotics for Acute Rhinosinusitis in Adults [Medicine by the Numbers] 09/01/2019 Treatment of the Common Cold 05/15/2019 Chronic Cough After Acute Viral Bronchiolitis: Suggestions from...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=29

Telemedicine Management of Musculoskeletal Issues - American Family Physician Restricted content. Login required.

Feb 1, 2021 - Telemedicine can provide patients with cost-effective, quality care. The coronavirus disease 2019 pandemic has highlighted the need for alternative methods of delivering health care. Family physicians can benefit from using a standardized approach to evaluate and diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0201/p147.html

Exercise vs. No Exercise for the Occurrence, Severity, and Duration of Acute ... Restricted content. Login required.

Feb 1, 2021 - For adults, regular exercise may reduce the overall severity of acute respiratory tract infections and the number of days with symptoms, but there is no evidence that exercise reduces the overall occurrence or duration of these infections.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0201/p144.html

Brief Cognitive Testing in the Detection and Diagnosis of Clinical Alzheimer-Type ... Restricted content. Login required.

Feb 1, 2021 - In adults with suspected cognitive impairment, what is the utility of brief cognitive testing in detecting clinical Alzheimer-type dementia and distinguishing it from mild cognitive impairment or normal cognition?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0201/p183.html

Widening Disease Definitions: What Can Physicians Do? - Editorials - American Family ...

Feb 1, 2021 - Disease definitions are often broadened over time to include milder and earlier cases. A strong driver for such definitional changes is the belief that they will benefit patients by preventing more severe disease or future complications.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0201/p138.html

Labor Dystocia in Nulliparous Women - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dystocia (abnormally slow or protracted labor) accounts for 25% to 55% of primary cesarean deliveries. The latent phase of labor begins with onset of regular, painful contractions and continues until 6 cm of cervical dilation. Current recommendations are to avoid admission to labor and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p90.html

Newborn Circumcision Techniques and Medical Ethics - Letters to the Editor - American ...

Jan 15, 2021 - ...are virtually always treatable and are relatively uncommon in boys regardless of circumcision status. The cited report suggests that the number of circumcisions needed to prevent one (likely treatable) UTI is approximately 100. Penile cancer is one of the rarest malignancies for...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0115/p69.html

Antepartum Perineal Massage for Intrapartum Lacerations - FPIN's Help Desk Answers - ... Restricted content. Login required.

Jan 15, 2021 - Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0115/p115.html

Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of ... Restricted content. Login required.

Jan 15, 2021 - Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0115/p117.html

Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No ... Restricted content. Login required.

Jan 15, 2021 - Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days) more than ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od2.html

Effectiveness of Alarm Therapy in the Treatment of Nocturnal Enuresis in Children - ... Restricted content. Login required.

Jan 1, 2021 - This review concluded that alarm therapy appears to be effective for treating nocturnal enuresis in children, but it is uncertain if it is more effective than other interventions.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0101/od1.html

Diagnostic Imaging: Appropriate and Safe Use - American Family Physician Restricted content. Login required.

Jan 1, 2021 - The use of diagnostic radiography has doubled in the past two decades. Image Gently (children) and Image Wisely (adults) are multidisciplinary initiatives that seek to reduce radiation exposure by eliminating unnecessary procedures and offering best practices. Patients with an estimated...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p42.html

Breast Cancer Screening: Common Questions and Answers - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Breast cancer is the most common nonskin cancer in women and accounts for 30% of all new cancers in the United States. The highest incidence of breast cancer is in women 70 to 74 years of age. Numerous risk factors are associated with the development of breast cancer. A risk assessment ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p33.html

Treatment of Distal DVT - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Vitamin K antagonists reduce the recurrence of DVT and VTE (number needed to treat [NNT] = 17; 95% CI, 13 to 48) but not pulmonary embolism (PE) compared with no anticoagulation or placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p18.html

Beware of the Differing Definitions for the False-Positive Rate - Letters to the Editor...

Jan 1, 2021 - ...rates in antibody testing in their Letter to the Editor. We agree that testing in low-prevalence populations will result in a large number of false-positive test results. Because multiple definitions of the false-positive rate exist, it is important to state which definition is...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0101/p7.html

CT Colonography for Colorectal Cancer Screening - Diagnostic Tests: What Physicians ... Restricted content. Login required.

Jan 1, 2021 - Computed tomography colonography performs well for colorectal cancer screening. Long-term studies are needed to demonstrate its impact on patient morbidity and mortality, as well as to determine the risks, benefits, and costs.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0101/p55.html

Medications for Treatment-Resistant Depression in Adults - Cochrane for Clinicians - ... Restricted content. Login required.

Jan 1, 2021 - In patients with treatment-resistant depression, augmenting therapy with atypical antipsychotics can be effective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p16.html

Electronic Cigarettes for Smoking Cessation - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Jan 1, 2021 - e-Cigarettes with nicotine can be used to encourage smoking cessation, but continued use after cessation may be a risk factor for relapse.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0101/p53.html

Peripheral Neuropathy: Evaluation and Differential Diagnosis - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Peripheral neuropathy, a common neurologic problem encountered by family physicians, can be classified clinically by the anatomic pattern of presenting symptoms and, if indicated, by results of electrodiagnostic studies for axonal and demyelinating disease. The prevalence of peripheral ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p732.html

Acute Chest Pain in Adults: Outpatient Evaluation - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Approximately 1% of primary care office visits are for chest pain, and 2% to 4% of these patients will have unstable angina or myocardial infarction. Initial evaluation is based on determining whether the patient needs to be referred to a higher level of care to rule out acute coronary ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p721.html

Headache - American Family Physician

Dec 15, 2020 - This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type headaches, and treatment of headaches. This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=10

Degenerative Cervical Myelopathy: Recognition and Management - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Degenerative cervical myelopathy encompasses a collection of pathologic conditions that result in progressive spinal cord dysfunction secondary to cord compression. Patients are typically male (3: 1 male-to-female ratio), and the average age of presentation is 64 years. The exact ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p740.html

Lasmiditan (Reyvow) for the Treatment of Acute Migraine - STEPS - American Family ... Restricted content. Login required.

Dec 15, 2020 - Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1215/p756.html

Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ... Restricted content. Login required.

Dec 1, 2020 - Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1201/od2.html

Top POEMs of 2019 Consistent with the Principles of the Choosing Wisely Campaign - ... Restricted content. Login required.

Dec 1, 2020 - In this article, we discuss the POEMs (patient-oriented evidence that matters) of 2019 judged to be most consistent with the principles of Choosing Wisely, an international campaign to reduce unnecessary testing and treatments. We selected these POEMs through a crowdsourcing strategy of...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p673.html

Parkinson Disease - American Family Physician Restricted content. Login required.

Dec 1, 2020 - Parkinson disease is a progressive neurodegenerative disorder with significant morbidity and mortality. Most patients consult with their primary care physician about Parkinson disease symptoms before seeking care from a specialist. The diagnosis of Parkinson disease is clinical, and key...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p679.html

Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...

Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1201/p649.html

Vaginal Bleeding Decreases over Time with a Levonorgestrel Intrauterine System - POEMs ... Restricted content. Login required.

Dec 1, 2020 - Bleeding decreased over time for most women after the insertion of a levonorgestrel-releasing intrauterine system.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p693.html

ADHD in Children: Common Questions and Answers - American Family Physician Restricted content. Login required.

Nov 15, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is a multidimensional chronic neurodevelopmental condition that affects 8.4% of U.S. children between two and 17 years of age and may pose long-term morbidity if untreated. The evaluation for ADHD begins when parents or caregivers present ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1115/p592.html

Low-Dose Aspirin Beneficial for the Prevention of Preterm Birth in Nulliparous Patients... Restricted content. Login required.

Nov 15, 2020 - The routine use of low-dose aspirin, 81 mg daily, starting as early as six weeks' gestational age provided a statistically significant absolute risk reduction (nearly 2 percentage points) in the incidence of preterm birth among nulliparous patients with singleton gestation in ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od4.html

A Specific Probiotic Decreases Crying in Infants Younger than Two Months with Colic - ... Restricted content. Login required.

Nov 15, 2020 - Is probiotic supplementation effective in decreasing crying in infants with colic?

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od5.html

Antibiotic and Corticosteroid Treatment Effective for Acute Exacerbations of COPD - ... Restricted content. Login required.

Nov 15, 2020 - Short-term antibiotic treatment and short-term systemic corticosteroids are both associated with a faster resolution of COPD symptoms and fewer treatment failures.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od2.html

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