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Realistic Approaches to Counseling in the Office Setting - American Family Physician

Feb 15, 2009 - Although it is often unrecognized, family physicians provide a significant amount of mental health care in the United States. Time is one of the major obstacles to providing counseling in primary care. Counseling approaches developed specifically for ambulatory patients and traditional ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0215/p277.html

Cancer Screening in the Older Patient - American Family Physician

Dec 15, 2008 - Although there are clear guidelines that advise at what age to begin screening for various cancers, there is less guidance concerning when it may be appropriate to stop screening. The decision to stop screening must take into account patients' age; overall health and life expectancy; ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1369.html

Colorectal Cancer: A Summary of the Evidence for Screening and Prevention - American ...

Dec 15, 2008 - Colorectal cancer causes significant morbidity and mortality in the United States. The incidence of colorectal cancer can be reduced with increasing efforts directed at mass screening of average-risk adults 50 years and older. Currently, fecal occult blood test and flexible ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1385.html

Prostate Cancer Screening: The Continuing Controversy - American Family Physician

Dec 15, 2008 - Prostate cancer is the second most common cancer in men, with a lifetime prevalence of 17 percent. Prostate cancer symptoms generally occur in advanced stages, making early detection desirable. Digital rectal examination and prostate-specific antigen testing are the most commonly used ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1377.html

Assessing Breast Cancer Risk in Women - American Family Physician

Dec 15, 2008 - Understanding modifiable and nonmodifiable factors that increase or decrease breast cancer risk allows family physicians to counsel women appropriately. Nonmodifiable factors associated with increased breast cancer risk include advanced age, female sex, family history of breast cancer, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1361.html

Prostate Cancer Screening: Let Patients Decide - Editorials - American Family Physician

Dec 15, 2008 - ...MICHAEL LEFEVRE, MD, MSPH, University of Missouri–Columbia School of Medicine, Columbia, Missouri Am Fam Physician. 2008 Dec 15;78(12):1338. Related Article A more recent editorial on prostate cancer screening is available. This issue includes a well-done review of the controversy...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/1215/p1338.html

Cancer Screening in Older Patients: Life Expectancy, Prioritization, and Health ...

Dec 15, 2008 - ...JOSEPH H. FLAHERTY, MD, Saint Louis University School of Medicine and Veterans, Health Administration Geriatric Research Education and Clinical Center, St. Louis, Missouri Am Fam Physician. 2008 Dec 15;78(12):1336-1338. Related Article In this issue, Albert and Clark address the...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/1215/p1336.html

Counseling Parents About Vaccine Safety - Editorials - American Family Physician

Dec 1, 2008 - ...CLARISSA KRIPKE, MD, FAAFP, University of California, San Francisco School of Medicine San Francisco, California Am Fam Physician. 2008 Dec 1;78(11):1248. Related Content Many parents are concerned about vaccine safety. This concern is heightened by a widespread belief that...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/1201/p1248.html

Health Maintenance for Postmenopausal Women - American Family Physician

Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p583.html

Alendronate for Fracture Prevention in Postmenopause - Cochrane for Clinicians - ...

Sep 1, 2008 - In postmenopausal women, a 10-mg daily dose of alendronate is effective for secondary (number needed to treat [NNT] = 16) and primary (NNT = 50) prevention of vertebral fractures. It is also effective for secondary prevention of nonvertebral fractures, including hip or wrist fractures ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0901/p579.html

Zoledronic Acid (Reclast) for Osteoporosis - STEPS - American Family Physician

Aug 15, 2008 - Zoledronic acid, in combination with calcium and vitamin D, will reduce the risk of vertebral fractures, and to a lesser extent, hip fractures in women with osteoporosis. It decreases subsequent fractures and mortality in high-risk patients who have had a hip fracture. Zoledronic acid ...

American Family Physician : STEPS

https://www.aafp.org/afp/2008/0815/p508.html

Counseling About Proper Use of Motor Vehicle Occupant Restraints and Avoidance of ...

Aug 1, 2008 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on counseling about the proper use of motor vehicle occupant restraints and avoidance of alcohol use while driving.

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

https://www.aafp.org/afp/2008/0801/p373.html

Geriatric Screening and Preventive Care - American Family Physician

Jul 15, 2008 - Preventive health care decisions and recommendations become more complex as the population ages. The leading causes of death (i.e., heart disease, malignant neoplasms, cerebrovascular disease, and chronic lower respiratory disease) among older adults mirror the actual causes of death ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p206.html

Childhood Obesity: Highlights of AMA Expert Committee Recommendations - American Family...

Jul 1, 2008 - Childhood obesity is an increasingly serious problem; 13.9 percent of children two to five years of age, 18.8 percent of children six to 11 years of age, and 17.4 percent of adolescents 12 to 19 years of age in America are obese. Practical strategies that primary care physicians can use...

American Family Physician : Article

https://www.aafp.org/afp/2008/0701/p56.html

Update on Immunizations in Children and Adolescents - American Family Physician

Jun 1, 2008 - Over the past few years, there have been many changes to the recommendations for children and adolescents by the Advisory Committee on Immunization Practices. These include dividing the immunization schedule into two parts (i.e., ages birth to six years and seven to 18 years, with ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0601/p1561.html

Lifestyle Interventions to Reduce Cancer Risk and Improve Outcomes - American Family ...

Jun 1, 2008 - There are more than one half million cancer deaths in the United States each year, and one third of these deaths are attributed to suboptimal diet and physical activity practices. Maintaining a healthy weight, staying physically active throughout life, and consuming a healthy diet can ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0601/p1573.html

Physical Activity Counseling - American Family Physician

Apr 15, 2008 - Every year in the United States, at least 250,000 deaths are attributed to lack of physical activity. Because of the health benefits of physical activity, national guidelines recommend participation in 30 minutes of accumulated moderate-intensity physical activity such as walking fast ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0415/p1129.html

Screening for Carotid Artery Stenosis: Recommendation Statement - U.S. Preventive ...

Apr 1, 2008 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for carotid artery stenosis and the supporting scientific evidence, and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2nd ed.

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

https://www.aafp.org/afp/2008/0401/p1006.html

Reducing Tobacco Use in Adolescents - American Family Physician

Feb 15, 2008 - After steadily decreasing since the late 1990s, adolescent smoking rates have stabilized at levels well above national goals. Experts recommend screening for tobacco use and exposure at every patient visit, although evidence of improved outcomes in adolescents is lacking. Counseling ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0215/p483.html

ACIP Releases 2008 Child and Adolescent Immunization Schedules - Practice Guidelines - ...

Jan 1, 2008 - The Advisory Committee on Immunization Practices (ACIP) has released the 2008 recommended immunization schedules for children and adolescents. There are no significant additions to this year's schedule, however, formatting has been simplified and footnotes have been updated for ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0101/p96.html

Prevention and Treatment of Sexually Transmitted Diseases: An Update - American Family ...

Dec 15, 2007 - The Centers for Disease Control and Prevention recently published revised guidelines for the prevention and treatment of sexually transmitted diseases. One new treatment strategy is the use of azithromycin as a primary, rather than alternative, medication for pregnant women with ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1215/p1827.html

Screening for Chlamydial Infection: Recommendation Statement - U.S. Preventive Services...

Dec 1, 2007 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for chlamydial infection and the supporting scientific evidence.

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

https://www.aafp.org/afp/2007/1201/p1695.html

The CDC and USPSTF Recommendations for HIV Testing - Editorials - American Family ...

Nov 15, 2007 - ...JONATHAN E. RODNICK, MD, University of California, San Francisco, School of Medicine San Francisco, California Am Fam Physician. 2007 Nov 15;76(10):1456-1459. The Centers for Disease Control and Prevention (CDC) released new recommendations in 2006 for human immunodeficiency virus...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1115/p1456.html

ACIP Releases 2007-08 Adult Immunization Schedule - Practice Guidelines - American ...

Nov 15, 2007 - The Advisory Committee on Immunization Practices (ACIP) has released the 2007–08 adult immunization schedule.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1115/p1558.html

Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...

Sep 1, 2007 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for elevated blood lead levels in children and pregnant women and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical ...

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

https://www.aafp.org/afp/2007/0901/p691.html

Counseling Women About Mammography: Benefits vs. Harms - Cochrane for Clinicians - ...

Sep 1, 2007 - Studies of mammography show a 0.1 percent absolute reduction in breast cancer mortality with mammography. This means that if 2,000 women are offered mammography over 10 years, one woman would have her life prolonged, 10 healthy women would be treated unnecessarily for breast cancer, and...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0901/p652.html

Quadrivalent HPV Recombinant Vaccine (Gardasil) for the Prevention of Cervical Cancer -...

Aug 15, 2007 - The HPV vaccine is safe and effective in preventing genital warts and cervical changes that may lead to cervical cancer, and it is recommended as part of the vaccination series in females 11 to 12 years of age. It can be given to females as young as 9 or 10 years of age, and catch-up ...

American Family Physician : STEPS

https://www.aafp.org/afp/2007/0815/p573.html

Recommendations for Preconception Care - American Family Physician

Aug 1, 2007 - Every woman of reproductive age who is capable of becoming pregnant is a candidate for preconception care, regardless of whether she is planning to conceive. Preconception care is aimed at identifying and modifying biomedical, behavioral, and social risks through preventive and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p397.html

Varenicline (Chantix) for Smoking Cessation - STEPS - American Family Physician

Jul 15, 2007 - For every nine highly-motivated patients who use varenicline instead of placebo, one will not be smoking one year later. Although the cost of therapy is a limitation (total cost is approximately $360 for a three-month course), the easy dosage titration, lack of drug interactions, and ...

American Family Physician : STEPS

https://www.aafp.org/afp/2007/0715/p279.html

AHA Releases Statement on Physical Activity Interventions - Practice Guidelines - ...

Jul 15, 2007 - The American Heart Association (AHA) has released a summary statement on physical activity interventions with the aim to provide an overview of their population-wide impact.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0715/p297.html

Routine Aspirin or Nonsteroidal Anti-inflammatory Drugs for the Primary Prevention of ...

Jul 1, 2007 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on routine aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) for the primary prevention of colorectal cancer and the supporting scientific evidence.

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

https://www.aafp.org/afp/2007/0701/p109.html

Herpes Zoster Virus Vaccine (Zostavax) for the Prevention of Shingles - STEPS - ...

Jun 15, 2007 - Herpes zoster vaccine decreases the incidences of shingles and postherpetic neuralgia. Despite unresolved questions about cost-effectiveness, and pending issues regarding reimbursement, it is an effective vaccine that should be offered to patients who are 60 years or older.

American Family Physician : STEPS

https://www.aafp.org/afp/2007/0615/p1843.html

Screening for Breast Cancer: Current Recommendations and Future Directions - American ...

Jun 1, 2007 - Breast cancer is one of the most significant health concerns in the United States. Recent reviews have questioned the value of traditional breast cancer screening methods. Breast self-examination has been shown not to improve cancer-specific or all-cause mortality in large studies, but ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0601/p1660.html

Screening for Breast Cancer: What to Do with the Evidence - Editorials - American ...

Jun 1, 2007 - ...RUSSELL HARRIS, MD, MPH, University of North Carolina, School of Medicine, Chapel Hill, North Carolina Am Fam Physician. 2007 Jun 1;75(11):1623-1626. Related Article Related Practice Guideline For many of the conditions we encounter in primary care, there is insufficient evidence...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0601/p1623.html

Screening for Hemochromatosis: Recommendation Statement - U.S. Preventive Services Task...

Jun 1, 2007 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for hemochromatosis and the supporting scientific evidence.

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

https://www.aafp.org/afp/2007/0601/p1696.html

Universal Newborn Hearing Screening - American Family Physician

May 1, 2007 - Congenital hearing loss is estimated to affect one in every 1,000 newborns. Causes of hearing loss can be conductive, sensorineural, mixed, or central. Known risk factors for congenital hearing loss include cytomegalovirus infection and premature birth necessitating a stay in the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1349.html

Exercise is an Effective Intervention in Overweight and Obese Patients - Cochrane for ...

May 1, 2007 - Exercise leads to a weight loss of 1 lb, 2 oz to 16 lb, 12 oz (0.5 to 7.6 kg), compared with a 3-oz (0.1-kg) weight loss to a weight gain of 1 lb, 9 oz (0.7 kg) with no treatment. Patients participating in higher-intensity exercise lose 3 lb, 5 oz (1.5 kg) more than those participating ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0501/p1333.html

Fighting the Silent Epidemic of Poor Oral Health - Editorials - American Family Physician

Feb 15, 2007 - ...have limited access to dental professionals. For every child without health insurance, there are three who lack dental insurance, and the number of dentally uninsured Americans totals more than 100 million.8 Three out of four dentists do not treat patients with Medicaid insurance;...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0215/p475.html

HPV Vaccine: A Cornerstone of Female Health - Editorials - American Family Physician

Jan 1, 2007 - ...JONATHAN L. TEMTE, M.D., PH.D., University of Wisconsin School of Medicine and Public Health Madison, Wisconsin Am Fam Physician. 2007 Jan 1;75(1):28-30. Related Article A medical intervention that is a true preventive tool and a good reason for anticipatory guidance and education...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0101/p28.html

Tetravalent Meningococcal Conjugate Vaccine (Menactra) for the Prevention of ...

Nov 15, 2006 - MCV4 is as effective and as safe as the older MPSV4. It is recommended by the ACIP for children 11 to 12 years of age, college freshmen living in dormitories, and other high-risk populations. MCV4 should provide effective and longer-lasting immunity, but at significant expense to ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/1115/p1771.html

Nutrition in Toddlers - American Family Physician

Nov 1, 2006 - Toddlers make a transition from dependent milk-fed infancy to independent feeding and a typical omnivorous diet. This stage is an important time for physicians to monitor growth using growth charts and body mass index and to make recommendations for healthy eating. Fat and cholesterol ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1101/p1527.html

Ultrasonography in Assessment of Developmental Dysplasia of the Hip - Editorials - ...

Oct 15, 2006 - ...In specialty settings, hip ultrasonography decreased the number of children treated for DDH and decreased the number of hip-related hospitalizations and subspecialist office visits. However, it had no impact on the number of infants who eventually underwent hip surgery for DDH. This...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/1015/p1284.html

The Heart of Women's Health - Editorials - American Family Physician

Oct 15, 2006 - ...DEBORAH S. PLATE, D.O. and SUZANNE HUGHES, M.S.N., R.N., Akron General Center for Family Medicine, Akron, Ohio Am Fam Physician. 2006 Oct 15;74(8):1285-1286. Related Article Cardiovascular disease (CVD) is the leading cause of death among women and has claimed the lives of more...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/1015/p1285.html

Preventive Health Counseling for Adolescents - American Family Physician

Oct 1, 2006 - The leading causes of adolescent mortality are accidents (death from unintentional injury), homicide, and suicide. Additional morbidity is related to drug, tobacco, and alcohol use; risky sexual behaviors; poor nutrition; and inadequate physical activity. One third of adolescents engage...

American Family Physician : Article

https://www.aafp.org/afp/2006/1001/p1151.html

Vaccines for Preventing Influenza in Healthy Children - Cochrane for Clinicians - ...

Oct 1, 2006 - Influenza vaccines have good efficacy (i.e., prevention of influenza) in children older than two years, and live, attenuated vaccine is more efficacious than trivalent, inactivated vaccine. Effectiveness (i.e., prevention of influenza-like illness, perhaps a clinically more important ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1001/p1123.html

Rotavirus Vaccine, Live, Oral, Pentavalent (Rotateq) for Prevention of Rotavirus ...

Sep 15, 2006 - Although costly, rotavirus pentavalent vaccine has been shown to be safe, with no increased risk of intussusception. It also has shown to reduce the need for hospitalization and emergency department visits connected with rotavirus gastroenteritis, decrease office visits associated with ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0915/p1014.html

Avian Influenza: Preparing for a Pandemic - American Family Physician

Sep 1, 2006 - Avian influenza A (H5N1) first emerged as a global public health threat in 1997 when it caused a major human outbreak in Hong Kong. Endemic in waterfowl and highly virulent in poultry, H5N1 is capable of incidentally infecting humans and other mammals. Although H5N1 is not yet capable ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p783.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

Screening for Iron Deficiency Anemia, Including Iron Supplementations for Children and ...

Aug 1, 2006 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for iron deficiency anemia and the supporting scientific evidence.

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

https://www.aafp.org/afp/2006/0801/p461.html

Interventions to Facilitate Smoking Cessation - American Family Physician

Jul 15, 2006 - Tobacco use, primarily cigarette smoking, is the leading cause of preventable morbidity and mortality in the United States, and nearly one third of those who try a cigarette become addicted to nicotine. Family physicians, who see most of these patients in their offices every year, have ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p262.html

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