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Chasteberry - American Family Physician

Sep 1, 2005 - For centuries, chasteberry has been used to treat many hormone-related gynecologic conditions. The current literature supports the use of chasteberry for cyclical breast discomfort and premenstrual syndrome; data on its use for menstrual irregularities and fertility disorders are weak. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0901/p821.html

Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ... Restricted content. Login required.

Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p272.html

Certification, CME, Residency Issues Top Delegates' Agenda

Delegates to the 2019 Congress of Delegates addressed a number of education-related issues, including the pros and cons of the American Board of Family Medicine's Family Medicine Certification Longitudinal Assessment.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20191002cod-education.html

Social Media Use and Mood Disorders: When Is It Time to Unplug? - Curbside Consultation...

Oct 15, 2017 - Americans spend more time on Facebook, the world's largest online social network, than any other website. On the surface, social media networks provide an invaluable resource for fulfilling the basic human need for social connection. However, rather than enhancing well-being by ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/1015/p537.html

A Rational Approach to the Treatment of Hypertension in Special Populations - American ...

Jul 1, 1999 - Hypertension in blacks is usually characterized by low renin, expanded volume and sensitivity to salt. Diuretics are the preferred initial therapy, but response to calcium channel antagonists is also good. The blood pressure response to monotherapy with beta blockers or ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p156.html

Epidural Analgesia During Labor - American Family Physician

Nov 15, 1998 - Epidural analgesia is a commonly employed technique of providing pain relief during labor. The number of parturients given intrapartum epidural analgesia is reported to be over 50 percent at many institutions in the United States. The procedure has few contraindications, the primary ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1115/p1785.html

Maternal Obesity and Labor Induction - FPIN's Help Desk Answers - American Family ...

May 15, 2018 - Pregnant women who are obese have nearly double the rate of cesarean delivery, and obesity increases the median duration of active labor by up to four hours when labor is induced. The difference in cesarean delivery rate is larger in obese primigravida patients presenting with cervical ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0515/p671.html

Diagnosis and Management of Gout - American Family Physician

Apr 1, 1999 - Gout is a disease resulting from the deposition of urate crystals caused by the overproduction or underexcretion of uric acid. The disease is often, but not always, associated with elevated serum uric acid levels. Clinical manifestations include acute and chronic arthritis, tophi, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1799.html

Pancreatic Cancer: Diagnosis and Management - American Family Physician

Feb 1, 2006 - Although only 32,000 new cases of adenocarcinoma of the pancreas occur in the United States each year, it is the fourth leading cause of cancer deaths in this country. The overall five-year survival rate is 4 percent, and localized, resectable disease has only a 17 percent survival ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0201/p485.html

Primary Care–Based Interventions to Prevent Illicit Drug Use: Recommendation Statement ...

Oct 15, 2020 - The U.S. Preventive Services Task Force concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care–based behavioral counseling interventions to prevent illicit drug use, including nonmedical use of prescription drugs, in children, ...

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

https://www.aafp.org/afp/2020/1015/od1.html

Common Benign Skin Tumors - American Family Physician

Feb 15, 2003 - Benign skin tumors are commonly seen by family physicians. The ability to properly diagnose and treat common benign tumors and to distinguish them from malignant lesions is a vital skill for all family physicians. Any lesions for which the diagnosis is uncertain, based on the history ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0215/p729.html

Credentialing Family Physicians Who Provide Maternity Care - Editorials - American ...

May 1, 2022 - Without national standards of credentialing based on competency, family physicians who provide obstetric care may struggle to obtain hospital privileges.

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0500/p456.html

Vacuum-Assisted Vaginal Delivery - American Family Physician

Oct 15, 2008 - The second stage of labor is a dynamic event that may require assistance when maternal efforts fail to effect delivery or when there are nonreassuring fetal heart tones. Therefore, knowing how to perform an operative vaginal delivery with forceps or vacuum is vital for family physicians...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p953.html

Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients ...

Jan 1, 2020 - ...Editor’s Note: Dr. Ebell is Deputy Editor for Evidence-Based Medicine for AFP. References 1. Ebell MH, Radke T. Antibiotic use for viral acute respiratory tract infections remains common. Am J Manag Care. 2015;21(10):e567–e575. 2. Van Vugt S, Broekhuizen BD, Lammens C, et al. Use of...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p5.html

DVT and Pulmonary Embolism: Part II. Treatment and Prevention - American Family Physician

Jun 15, 2004 - Treatment goals for deep venous thrombosis include stopping clot propagation and preventing the recurrence of thrombus, the occurrence of pulmonary embolism, and the development of pulmonary hypertension, which can be a complication of multiple recurrent pulmonary emboli. About 30 ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2841.html

Management of Chronic Pain and Opioid Misuse: A Position Paper from the AAFP - Practice...

Apr 1, 2017 - Overprescribing, misuse, diversion, and dependence on opioids have occurred as a result of external pressures, physician behavior, inadequate evidence, and pharmacologic development. Family physicians could play an important role in alleviating these problems; therefore, the American ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0401/p458.html

FPs Make a Difference Volunteering in 'The Big Easy'

Community service opportunities drew 220 family physicians and their families Oct. 9 during the Family Medicine Experience in New Orleans.

AAFP News : News From 2018 COD and FMX

https://www.aafp.org/news/2018-congress-fmx/20181010fmx-volunteer.html

Antiemetics for Acute Gastroenteritis in Children - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Jul 1, 2020 - Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0701/p51.html

Pharmacogenentics: Using DNA to Optimize Drug Therapy - American Family Physician

Oct 15, 2007 - Pharmacogenetics is a growing field of research that focuses on the interaction between genetics and drug therapy. Relationships between genetic variation and drug effect have been observed for a growing number of commonly used drugs. Validation studies may soon define the use of these ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1179.html

In Healthy Older Adults, Low-Dose Aspirin Increases All-Cause and Cancer-Specific ...

Jul 15, 2019 - The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality, primarily ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p118a.html

Workforce Tactic Team Sets Stage to Increase Ranks of FPs

A recent article in Family Medicine sums up the outcomes of three years of work by the Family Medicine for America's Health Workforce Education and Development Tactic Team.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190304fmahworkforce.html

Counseling Patients About Hormone Therapy and Alternatives for Menopausal Symptoms - ...

Oct 1, 2010 - The results of recent large clinical trials have led physicians and patients to question the safety of menopausal hormone therapy. In the past, physicians prescribed hormone therapy in an attempt to improve overall health and prevent cardiac disease. Hormone therapy appears to increase ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p801.html

Diagnosis and Management of Syphilis - American Family Physician

Jul 15, 2003 - Syphilis is a sexually transmitted disease with varied and often subtle clinical manifestations. Primary syphilis typically presents as a solitary, painless chancre, whereas secondary syphilis can have a wide variety of symptoms, especially fever, lymphadenopathy, rash, and genital or ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0715/p283.html

Delegates Act on Family Medicine Education Issues

Delegates discussed a wide variety of issues during the Reference Committee on Education hearing at the Congress of Delegates in New Orleans, including paid leave for new parents and CME changes meant to encourage precepting and meet other family medicine needs.

AAFP News : News From 2018 COD and FMX

https://www.aafp.org/news/2018-congress-fmx/20181015cod-education.html

No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ... Restricted content. Login required.

Jun 1, 2020 - Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695.html

Dietary Interventions for Recurrent Abdominal Pain in Childhood - Cochrane for ...

Jan 1, 2018 - Probiotics relieve pain in children with recurrent abdominal pain in the short term (number needed to treat [NNT] = 8). There is no convincing evidence that fiber supplements improve pain in children with recurrent abdominal pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0101/p19.html

Young Febrile Infants: Step-by-Step Evaluation - Point-of-Care Guides - American Family...

Jan 1, 2018 - A fever without an obvious source in an infant younger than three months is highly concerning. Although some infants have a potentially life-threatening invasive bacterial infection, such as meningitis, bacteremia, or sepsis, most have less serious conditions, such as a viral syndrome.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0101/p45.html

Prevention and Treatment of Traveler's Diarrhea - American Family Physician

Jul 1, 1999 - Common pathogens in traveler's diarrhea include enterotoxigenic Escherichia coli, Campylobacter, Shigella, Salmonella, Yersinia and many other species. Viruses and protozoa are the cause in many cases. Fortunately, traveler's diarrhea can usually be avoided by carefully selecting foods ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p119.html

Low-Carbohydrate Diets - American Family Physician

Jun 1, 2006 - Americans spend dollar 33 billion annually on weight loss products and services, and a large portion of this money is spent on low-carbohydrate diets. Because of their higher protein and fat content and lower fiber and carbohydrate content, concerns have been raised about the potential ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1942.html

Screening Mammography: The Goal Is Changing - Editorials - American Family Physician

Feb 15, 2013 - Screening mammography is one of an increasing number of clinical issues that will require rethinking the clinical mission and restructuring clinical practice to help patients make informed choices.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0215/p246.html

Questions About the Application Process

View frequently asked questions regarding the AAFP CME Credit System and the application process.

CME : AAFP Credit System

https://www.aafp.org/cme/credit-system/faq/application-process.html

Pertussis: A Disease Affecting All Ages - American Family Physician

Aug 1, 2006 - Bordetella pertussis is a highly contagious bacterium known to cause pertussis (whooping cough) and is transmitted via airborne droplets. Although childhood vaccination has dramatically reduced reported pertussis cases, the incidence of the disease has increased over the past 20 years, ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0801/p420.html

Evaluation of Back Pain in Children and Adolescents - American Family Physician

Dec 1, 2007 - Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1669.html

Integrating Behavioral Health Into Primary Care -- FPM

Jun 1, 2021 - Integrating behavioral health improves patient outcomes and makes medical practice more satisfying. Here’s one way to do it.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2021/0500/p3.html

Community-Acquired Pneumonia: Determining Safe Treatment in the Outpatient Setting - ...

Jun 15, 2019 - When is it safe to treat a patient with community-acquired pneumonia a an outpatient?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0615/p768.html

The Why and How of High-Value Prescribing - Editorials - American Family Physician

Feb 15, 2016 - Adopting high-value prescribing strategies can help family physicians increase the quality of care, decrease costs, and fulfill our professional obligation to provide health care that is based on the wise and cost-effective management of limited clinical resources.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0215/p262.html

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

Fact: The Pandemic Is About People, Not Politics

MaryAnn Dakkak, M.D., M.S.P.H., writes in the Fresh Perspectives blog that she is devastated by politicians and other officials telling the public that physicians aren't to be trusted regarding COVID-19.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200716fp-moralinjury.html

The Case for Medical Chaperones -- FPM

Oct 1, 2018 - It's time for more discussion about how best to incorporate chaperones in primary care.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2018/0900/p6.html

Pleurisy - American Family Physician

May 1, 2007 - Pleuritic chest pain is a common presenting symptom and has many causes, which range from life-threatening to benign, self-limited conditions. Pulmonary embolism is the most common potentially life-threatening cause, found in 5 to 20 percent of patients who present to the emergency ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1357.html

Constipation in the Elderly - American Family Physician

Sep 15, 1998 - Constipation affects as many as 26 percent of elderly men and 34 percent of elderly women and is a problem that has been related to diminished perception of quality of life. Constipation may be the sign of a serious problem such as a mass lesion, the manifestation of a systemic disorder...

American Family Physician : Article

https://www.aafp.org/afp/1998/0915/p907.html

Dietary Fat Modification and the Risk of Future Cardiovascular Events and Mortality - ...

May 1, 2013 - According to the authors of this Cochrane review, reducing or modifying a patient's dietary fat intake did not lower the rates of either total or cardiovascular-related mortality when compared with usual or control diets. Reducing the intake of total or saturated fats decreased the risk...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0501/p609.html

Influenza Vaccination for the Prevention of Cardiovascular Disease - Cochrane for ...

Mar 1, 2016 - Influenza vaccination may reduce cardiovascular mortality in patients with established cardiovascular disease. The effect of vaccination is unclear among patients in the general population without known cardiovascular disease.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0301/p357.html

Primary Care for Lesbians and Bisexual Women - American Family Physician

Jul 15, 2006 - For the most part, lesbians and bisexual women face the same health issues as heterosexual women, but they often have difficulty accessing appropriate care. Physicians can improve care for lesbians and bisexual women by acknowledging the potential barriers to care (e.g., hesitancy of ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p279.html

Nirmatrelvir/Ritonavir Reduces Risk of Hospitalization in At-Risk Outpatients - POEMs -... Restricted content. Login required.

May 1, 2022 - Nirmatrelvir/ritonavir significantly reduces the likelihood of hospitalization or death in unvaccinated adults with confirmed COVID-19 who are at risk of a more severe course of disease.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0500/od1.html

Thirty Years of AFP: Having Fun Painting the Fence - Editorials - American Family ...

Jan 15, 2018 - Read Dr. Siwek's summary of his 29 years as Editor of AFP.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0115/p83.html

Glucose Control in Hospitalized Patients - American Family Physician

May 1, 2010 - Evidence indicates that hospitalized patients with hyperglycemia do not benefit from tight blood glucose control. Maintaining a blood glucose level of less than 180 mg per dL (9.99 mmol per L) will minimize symptoms of hyperglycemia and hypoglycemia without adversely affecting ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0501/p1121.html

Salt Substitute Reduces Mortality and Stroke in Older Adults Who Have a History or Are ... Restricted content. Login required.

Mar 1, 2022 - For older adults who have a history or are at risk of stroke, the use of a salt substitute safely reduces their risk of death or stroke.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0300/p322a.html

Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...

Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p16.html

Chronic Musculoskeletal Pain in Children: Part II. Rheumatic Causes - American Family ...

Jul 15, 2006 - Primary care physicians should have a working knowledge of rheumatic diseases of childhood that manifest primarily as musculoskeletal pain. Children with juvenile rheumatoid arthritis can present with painless joint inflammation and may have normal results on rheumatologic tests. ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p293.html

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