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Practice Guidelines - Apr 1, 2006 - American Family Physician

Apr 1, 2006 - The American Academy of Neurology (AAN) has released evidence-based recommendations for the use of serum prolactin tests in differentiating between epileptic and nonepileptic seizures.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0401/p1284.html

Reflecting on the Breadth of Family Medicine - Inside AFP - American Family Physician

Apr 1, 2006 - ...Previous: After Stroke: 2 Percent Rate of Annual MI and Death Next: Newsletter View the full table of contents >> Home / Journals / afp / Vol. 73/No. 7(April 1, 2006) / Inside AFP: Reflecting on the Breadth of Family Medicine...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2006/0401/p1133.html

Poems & Tips From Other Journals - American Family Physician

Apr 1, 2006 - ...After Stroke: 2 Percent Rate of Annual MI and Death Am Fam Physician. 2006 Apr 1;73(7):1259-1260. Clinical Question: What is the likelihood of serious nonstroke health outcomes following transient ischemic attacks or strokes? Setting: Inpatient (any location) with outpatient...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0401/p1259.html

Poems & Tips From Other Journals - American Family Physician

Apr 1, 2006 - ...event (i.e., cardiovascular death, nonfatal or silent acute myocardial infarction, revascularization, confirmed angina, or nonfatal stroke) was lower in the intensive treatment group (0.38 versus 0.80 per 100 patient-years of follow-up;P = .008). Put another way, this means...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0401/p1256.html

Dementia with Lewy Bodies - American Family Physician

Apr 1, 2006 - ...National Institute of Neurological Disorders and Stroke Web site:http://www.ninds.nih.gov/disorders/dementiawithlewybodies/dementiawithlewybodies.htm The Lewy Body Dementia Directory Web site:http://www.zarcrom.com/users/alzheimers/odem/lewy-d.html Read the full article. Get...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/0401/p1230.html

AAFP News - Apr 1, 2006 - American Family Physician

Apr 1, 2006 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2006/0401/p1141.html

Amlodipine/Atorvastin (Caduet) for Preventing Heart Disease - STEPS - American Family ...

Mar 15, 2006 - Amlodipine/atorvastatin offers no added benefit in safety, tolerability, or effectiveness over amlodipine and atorvastatin taken separately. It has not been shown to improve mortality or morbidity in patients who have hypertension with or without dyslipidemia. The only potential ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0315/p1067.html

Statins in Primary Prevention: Uncertainty in Women, Elderly - Letters to the Editor - ...

Mar 15, 2006 - ...group, there was no statistically significant difference in the primary outcome of non-fatal myocardial infarction, CHD-related death, or stroke. NCEP ATP-III5 recognizes the uncertainty in prescribing lipid-lowering therapy in older patients with certain conditions. For primary...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0315/p973.html

Corrections - Mar 15, 2006 - American Family Physician

Mar 15, 2006 - ...The article Transient Ischemic Attacks: Part I. Diagnosis and Evaluation (April 1, 2004, page 1665) contained an error in the second paragraph in the left column of page 1670. The first sentence of this paragraph incorrectly listed a patent foramen ovale as an etiology for...

American Family Physician : Corrections

https://www.aafp.org/afp/2006/0315/p974a.html

Diagnosis and Management of Diastolic Dysfunction and Heart Failure - American Family ...

Mar 1, 2006 - Diastolic heart failure occurs when signs and symptoms of heart failure are present but left ventricular systolic function is preserved (i.e., ejection fraction greater than 45 percent). The incidence of diastolic heart failure increases with age; therefore, 50 percent of older patients...

American Family Physician : Article

https://www.aafp.org/afp/2006/0301/p841.html

Tips From Other Journals - American Family Physician

Feb 15, 2006 - ...aspects of disease. This is particularly true in the management of stroke patients. Recent studies have demonstrated the correlation between depression and stroke recovery. Treating patients who have had a stroke with antidepressants has been shown to reduce morbidity and mortality,...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0215/p713.html

Poems & Tips From Other Journals - American Family Physician

Feb 15, 2006 - ...events was lower with statins (NNT = 42; 95% CI, 36 to 49), as were the rates of revascularizations (NNT = 56; 95% CI, 47 to 68) and strokes (NNT = 162; 95% CI, 118 to 259). Additionally, statins were beneficial regardless of age or sex, although the magnitude of benefit was greater...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0215/p690.html

Nonhormonal Therapies for Hot Flashes in Menopause - American Family Physician

Feb 1, 2006 - Numerous reports in the medical literature and popular media have discussed the effectiveness of various nonhormonal agents in reducing menopausal hot flash symptoms. Data for these therapies are limited, and most of the studies have been conducted in women with a history of breast ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0201/p457.html

Screening for Peripheral Arterial Disease: Recommendation Statement - U.S. Preventive ...

Feb 1, 2006 - This statement summarizes the USPSTF recommendations on screening for peripheral arterial disease and the supporting scientific evidence and updates the 1996 recommendations contained in theGuide to Clinical Preventive Services, 2nd ed.

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

https://www.aafp.org/afp/2006/0201/p497.html

Initial Evaluation of Vertigo - American Family Physician

Jan 15, 2006 - Benign paroxysmal positional vertigo, acute vestibular neuronitis, and Meniere's disease cause most cases of vertigo; however, family physicians must consider other causes including cerebrovascular disease, migraine, psychological disease, perilymphatic fistulas, multiple sclerosis, and...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p244.html

Nutritional Assessment and Counseling for Prevention and Treatment of Cardiovascular ...

Jan 15, 2006 - Physicians face several barriers to counseling their patients about nutrition, including conflicting evidence of the benefit of counseling, limited training and understanding of the topic, and imperfect and varied guidelines to follow. Because cardiovascular disease remains the leading ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p257.html

Vertigo: What You Should Know - American Family Physician

Jan 15, 2006 - ...like cerebrovascular (say: ser-ee-bro-VAS-cue-lar) disease. People with this have blocked arteries to the brain that can cause strokes or mini-strokes. How do I know if I have vertigo? Your doctor will ask you questions about when and why you feel dizzy, and how bad it is. Your...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/0115/p254.html

Quantum Sufficit - Jan 1, 2006 - American Family Physician

Jan 1, 2006 - ...Driving simulators, similar to flight simulators, may help stroke patients get back behind the wheel. Scientists tested the success of a simulated driving program and reported their findings in Neurology. Eighty-three stroke survivors were retrained to drive on the simulator or...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2006/0101/p25.html

Poems & Tips From Other Journals - American Family Physician

Jan 1, 2006 - ...pretreatment with clopidogrel significantly reduced the composite outcome of cardiovascular death, recurrent myocardial infarction, or stroke at 30 days of monitoring (number needed to treat = 22; 95% confidence interval, 14 to 54). Bleeding complications occurred at a similar rate...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0101/p139a.html

Cerebral Palsy in Children: What You Should Know - American Family Physician

Jan 1, 2006 - ...National Institute of Neurological Disorders and Stroke Web site:http://www.ninds.nih.gov Telephone: 1-800-352-9424 TTY (teletypewriter): 301-468-5981 Easter Seals Web site:http://www.easterseals.com Telephone: 1-800-221-6827 TTY: 312-726-4258 E-mail:...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/0101/p101.html

Hormone Therapy for the Prevention of Chronic Conditions in Postmenopausal Women - ...

Dec 15, 2005 - Case study: In keeping with the 2002 recommendation from the U.S. Preventive Services Task Force (USPSTF) that women 65 years of age and older should be screened for osteoporosis, you have ordered a dual-energy x-ray absorptiometry test for a 66-year-old white woman. The results ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2005/1215/p2520.html

Case Report: Posterior Reversible Encephalopathy Syndrome - Letters to the Editor - ...

Dec 15, 2005 - ...important therapeutic implications because of its potential reversibility. Clinical findings can mimic neuroradiologic conditions such as stroke and vasculitis.4 Clinical and neuroradiologic features are typically indistinguishable among cases of PRES, regardless of the underlying...

American Family Physician : Letter

https://www.aafp.org/afp/2005/1215/p2430.html

Diary from a Week in Practice - Dec 15, 2005 - American Family Physician

Dec 15, 2005 - ...comes in. I agree that she was lucky, because Ellen has many medical problems including diabetes, hypertension, and heart disease. She had a stroke three years ago, and although she can move slowly using her walker, she spends much of her day in a wheelchair. I can only imagine how...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1215/p2467.html

Poems & Tips From Other Journals - American Family Physician

Dec 15, 2005 - ...was used (2.2 versus 4.1 percent; number needed to treat [NNT] = 56; 95% confidence interval [CI], 47 to 79). The risk of ischemic stroke also is lower with the combination (NNT = 221; 95% CI, 163 to 518). Major bleeding episodes were more common in the combination group (1.5 versus...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1215/p2529.html

Cross-Cultural Medicine - American Family Physician

Dec 1, 2005 - Cultural competency is an essential skill for family physicians because of increasing ethnic diversity among patient populations. Culture, the shared beliefs and attitudes of a group, shapes ideas of what constitutes illness and acceptable treatment. A cross-cultural interview should ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1201/p2267.html

Pharmacologic Cardioversion for Atrial Fibrillation and Flutter - Cochrane for ...

Dec 1, 2005 - There is no evidence that rhythm control in older patients with atrial fibrillation is more effective than rate control for improving patient-oriented outcomes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1201/p2217.html

Diabetic Nephropathy - Clinical Evidence Handbook - American Family Physician

Dec 1, 2005 - What are the effects of treatments in persons with type 1 diabetes and early or late nephropathy? What are the effects of treatments in persons with type 2 diabetes and early or late nephropathy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/1201/p2299.html

Tips From Other Journals - American Family Physician

Dec 1, 2005 - ...with Previous TIA Am Fam Physician. 2005 Dec 1;72(11):2352. Among neurologic problems, stroke is one of the most serious and remains a leading cause of disability. Although transient ischemic attack (TIA) is recognized as a warning event, the risk of stroke after TIA has not been...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1201/p2352.html

Ezetimibe/Simvastatin (Vytorin) for Hypercholesterolemia - STEPS - American Family ...

Nov 15, 2005 - Low doses of ezetimibe/simvastatin provide greater improvements in lipid profile than simvastatin or atorvastatin monotherapy. Ezetimibe/simvastatin may be useful in patients who are unable to tolerate high-dose statin therapy. Combination ezetimibe-simvastatin is less expensive than ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/1115/p2081.html

Poems & Tips From Other Journals - American Family Physician

Nov 15, 2005 - ...that vitamin E did not significantly reduce the risk of major cardiovascular events, including myocardial infarction, ischemic stroke, or hemorrhagic stroke. Although vitamin E slightly reduced the risk of cardiovascular death (number needed to treat for 10.1 years = 586; 95%...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1115/p2087.html

Tips From Other Journals - American Family Physician

Nov 15, 2005 - ...MI (1.8 percent absolute reduction, 31 percent relative reduction) and in the combined outcomes of cardiovascular death, recurrent MI, stroke, or recurrent ischemia leading to intervention (2.5 percent absolute reduction, 20 percent relative reduction). When the combined outcomes...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1115/p2111.html

Management of Acute Renal Failure - American Family Physician

Nov 1, 2005 - Acute renal failure is present in 1 to 5 percent of patients at hospital admission and affects up to 20 percent of patients in intensive care units. The condition has prerenal, intrarenal, and postrenal causes, with prerenal conditions accounting for 60 to 70 percent of cases. The cause...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1739.html

Diary from a Week in Practice - Nov 1, 2005 - American Family Physician

Nov 1, 2005 - ...become dependent on a drug for the rest of my life, she told me after the hypertension was initially diagnosed, but I don’t want to have a stroke or heart attack either. This morning, I noticed the unmistakable scent of garlic in the room. Eleanor admitted she had been eating two or...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1101/p1696.html

Excess, Shortage, or Sufficient Physician Workforce: How Could We Know? - Graham Center...

Nov 1, 2005 - At least three models have been used to project the future physician workforce, and each produces different results. No physician workforce predictions can be relied on until there is more consideration of and agreement on desired health outcomes and what physicians must do to achieve ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1101/p1670.html

Tips From Other Journals - American Family Physician

Nov 1, 2005 - ...venous thrombosis [DVT] and pulmonary embolism) is the third most common vascular condition, exceeded only by coronary artery disease and stroke. For approximately the past 10 years, the initial treatment for DVT has consisted of heparin plus oral anticoagulation for at least five...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1101/p1845.html

Tips From Other Journals - American Family Physician

Nov 1, 2005 - ...All study participants received a complete physical and functional assessment at baseline; were screened for stroke, diabetes, hypertension, and coronary artery disease; had lipid measurements and apolipoprotein E genotyping; and had their BMI calculated. It also was determined...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1101/p1859.html

Tips From Other Journals - American Family Physician

Nov 1, 2005 - ...double-blind trial of 17 β-estradiol (Estrace) versus placebo in postmenopausal women who had a nondisabling ischemic stroke or transient ischemic attack (TIA). The participants were randomized to receive 1 mg of 17 β-estradiol daily or placebo. Women with an intact uterus were...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1101/p1881.html

Tips From Other Journals - American Family Physician

Nov 1, 2005 - ...affecting about 2.3 million persons in the United States. Persons with atrial fibrillation have a four to five times greater risk of stroke and twice the risk of death. There are two approaches to management of atrial fibrillation: rate control and rhythm control. In rate control,...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1101/p1867a.html

Tips From Other Journals - American Family Physician

Nov 1, 2005 - ...Hemorrhage accounts for approximately 20 percent of all cases of sudden stroke-related neurologic deficits. Intracerebral hemorrhage has the highest mortality and morbidity rate of any kind of stroke; more than 40 percent of these patients die, and the majority of survivors are...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1101/p1868.html

Tips From Other Journals - American Family Physician

Nov 1, 2005 - ...were death from CHD; nonfatal, nonprocedure-related myocardial infarction; cardiac arrest with resuscitation; and fatal or non-fatal stroke. Investigators assessed numerous secondary cardiovascular outcomes and all-cause mortality. During the run-in phase, the mean LDL cholesterol...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1101/p1876.html

Evaluation of Syncope - American Family Physician

Oct 15, 2005 - Though relatively common, syncope is a complex presenting symptom defined by a transient loss of consciousness, usually accompanied by falling, and with spontaneous recovery. Syncope must be carefully differentiated from other conditions that may cause a loss of consciousness or ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1015/p1492.html

Diary from a Week in Practice - Oct 15, 2005 - American Family Physician

Oct 15, 2005 - ...has been in and out of mental health facilities most of her adult life. About three years ago, she suffered a stroke that resulted in complete left-sided hemiplegia. The stroke also caused a severe expressive aphasia, which left her able to say only two words. Luckily, she is in...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1015/p1484.html

Cochrane for Clinicians - Oct 1, 2005 - American Family Physician

Oct 1, 2005 - There is limited, weak evidence that a low glycemic index diet improves risk factors for CHD, but there are no randomized controlled trials (RCTs) showing a reduction in morbidity or mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1001/p1224.html

Tips From Other Journals - American Family Physician

Oct 1, 2005 - ...increases with age. Studies have shown that warfarin (Coumadin) therapy in patients with atrial fibrillation reduces the concomitant risk of stroke. Warfarin therapy presents challenges because of its narrow therapeutic window and its risk of overcoagulation, which increases the...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1001/p1362.html

Tips From Other Journals - American Family Physician

Oct 1, 2005 - ...or the duration of the trial (see accompanying table). The relative risk of serious cardiovascular event was 1.55. Relative risk of stroke was 1.02. The authors conclude that rofecoxib is associated with an increased risk of myocardial infarction in short- and long-term trials. They...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1001/p1369a.html

AAFP News - Oct 1, 2005 - American Family Physician

Oct 1, 2005 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2005/1001/p1159.html

Sleep Apnea - American Family Physician

Oct 1, 2005 - ...Your risk of heart disease and stroke is higher if serious sleep apnea is not treated. You also are more likely to be in a car crash if you drive while you’re sleepy. If you have sleep apnea, it’s very important to get treatment. Is there anything I can do to help my sleep apnea?...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2005/1001/p1319.html

Coenzyme Q10 - American Family Physician

Sep 15, 2005 - Coenzyme Q10 is a vitamin-like substance used in the treatment of a variety of disorders primarily related to suboptimal cellular energy metabolism and oxidative injury. Studies supporting the efficacy of coenzyme Q10 appear most promising for neurodegenerative disorders such as ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0915/p1065.html

AAFP News - Sep 15, 2005 - American Family Physician

Sep 15, 2005 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2005/0915/p987.html

Psychogenic Nonepileptic Seizures - American Family Physician

Sep 1, 2005 - Psychogenic nonepileptic seizures are episodes of movement, sensation, or behaviors that are similar to epileptic seizures but do not have a neurologic origin; rather, they are somatic manifestations of psychologic distress. Patients with psychogenic nonepileptic seizures frequently are...

American Family Physician : Article

https://www.aafp.org/afp/2005/0901/p849.html

Diary from a Week in Practice - Sep 1, 2005 - American Family Physician

Sep 1, 2005 - ...she lasted so long or that she finally succumbed to death. She had cheated death many times before—a large myocardial infarction, a bad stroke, and severe congestive heart failure. Ursula didn’t take care of herself. She shouted, cursed, and was generally nasty to everyone. We...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0901/p798.html

Practice Guidelines - Sep 1, 2005 - American Family Physician

Sep 1, 2005 - Continued exposure to ambient heat that is close to body temperature contributes to a significant number of deaths from hyperthermia, especially among older adults. The Centers for Disease Control and Prevention (CDC) has released updated statistics on the rates of hyperthermia and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0901/p951a.html

Tips From Other Journals - American Family Physician

Sep 1, 2005 - ...Ischemic Stroke? Am Fam Physician. 2005 Sep 1;72(5):934-936. Acute ischemic stroke is a common emergency event often treated with early anticoagulation, especially when in the presence of progressive stroke, stuttering transient ischemic attacks, posterior circulation strokes, and...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0901/p934.html

Tips From Other Journals - American Family Physician

Sep 1, 2005 - ...findings. Participants also underwent carotid sonography. Patients were excluded if they had prebaseline myocardial infarction (MI), stroke, or congestive heart failure. As follow-up, participants alternated between telephone interviews and clinic visits at six-month intervals. At...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0901/p892.html

Olmesartan (Benicar) for Hypertension - STEPS - American Family Physician

Aug 15, 2005 - Olmesartan is a safe and effective antihypertensive agent. There is no evidence that olmesartan is more effective than other ARBs or ACE inhibitors. The longest peer-reviewed studies of olmesartan are of two months’ duration; thus, there is no evidence showing olmesartan’s long-term ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0815/p673.html

Annular Lesions - Photo Quiz - American Family Physician

Aug 15, 2005 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2005/0815/p671.html

Diary from a Week in Practice - Aug 15, 2005 - American Family Physician

Aug 15, 2005 - ...at least I understood why it was so high. I thought back to the day he arrived at the emergency department after having suffered an acute stroke, with paralysis on the right side. He did not seem to comprehend what had happened, and his first words after receiving the diagnosis...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0815/p616.html

AFP Welcomes Two Editorial Fellows to the Team - Inside AFP - American Family Physician

Aug 15, 2005 - ...Previous: PEG Tubes Worsen Quality of Life in Patients Who Have Had a Stroke Next: Newsletter View the full table of contents >> Home / Journals / afp / Vol. 72/No. 4(August 15, 2005) / Inside AFP: AFP Welcomes Two Editorial Fellows to the Team...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2005/0815/p552.html

Poems & Tips From Other Journals - American Family Physician

Aug 15, 2005 - ...PEG Tubes Worsen Quality of Life in Patients Who Have Had a Stroke Am Fam Physician. 2005 Aug 15;72(4):683-684. Clinical Question: Do percutaneous endoscopic gastrostomy (PEG) tubes improve outcomes in stroke patients who have dysphagia? Setting: Inpatient (any location) with...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0815/p683a.html

Poems & Tips From Other Journals - American Family Physician

Aug 15, 2005 - ...Synopsis: Results of retrospective studies suggest that warfarin may be more effective than aspirin at preventing stroke in patients with intracranial arterial stenosis. However, these studies may be biased by poor ascertainment of outcomes and limited follow-up; that is, if...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0815/p680.html

Tips From Other Journals - American Family Physician

Aug 15, 2005 - ...angina, new overt heart failure, debilitating stroke, peripheral revascularization procedure, or death from any cause. The primary combined endpoint was death from any cause, acute myocardial infarction, and debilitating stroke. Other cardiovascular events were predefined as...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0815/p689.html

Use of Dipyridamole in Patients with Recent Stroke or TIA - Letters to the Editor - ...

Aug 1, 2005 - ...Use of Dipyridamole in Patients with Recent Stroke or TIA Am Fam Physician. 2005 Aug 1;72(3):382-384. to the editor: Dr. Solenski’s review1 of treatment options for transient ischemic attack (TIA) discusses the additive benefits of combination therapy with aspirin and...

American Family Physician : Letter

https://www.aafp.org/afp/2005/0801/p382.html

Family History: The Three-Generation Pedigree - American Family Physician

Aug 1, 2005 - The collection of a family history ranges from simply asking patients if family members have the same presenting illness to diagramming complex medical and psychosocial relationships as part of a family genogram. The three-generation pedigree provides a pictorial representation of ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0801/p441.html

Appropriate Indications for Administration of tPA - Letters to the Editor - American ...

Aug 1, 2005 - ...to the editor: I would like to clarify some of the recommendations from the article, Transient Ischemic Attacks: Part I. Diagnosis and Evaluation,1 that appeared in American Family Physician. The authors advocate early referral to the emergency department for evaluation and...

American Family Physician : Letter

https://www.aafp.org/afp/2005/0801/p381.html

A 40-Year-Old Man with Chronic Generalized Rash - Photo Quiz - American Family Physician

Aug 1, 2005 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2005/0801/p491.html

Poems & Tips From Other Journals - American Family Physician

Aug 1, 2005 - ...Aspirin Prevents Stroke, but Not Cardiovascular Disease, in Women Am Fam Physician. 2005 Aug 1;72(3):502-504. Clinical Question: Does aspirin prevent cardiovascular disease in women? Setting: Population-based Study Design: Randomized controlled trial (double-blinded) Allocation:...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0801/p502.html

Tips From Other Journals - American Family Physician

Aug 1, 2005 - ...endometrial hyperplasia; unexplained uterine bleeding; abnormal mammography results; or a history of metabolic bone disease, stroke, transient ischemic attack, venous thrombo-embolism, or liver or thyroid disease. The intake assessment included breast and pelvic examinations,...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0801/p513.html

Hormone Therapy for the Prevention of Chronic Conditions in Postmenopausal Women - U.S....

Jul 15, 2005 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on hormone therapy for the prevention of chronic conditions in post-menopausal women and the supporting scientific evidence and updates the Task Force’s 2002 recommendations on hormone replacement...

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

https://www.aafp.org/afp/2005/0715/p311.html

Colesevelam (WelChol) for Reduction of LDL Cholesterol - STEPS - American Family Physician

Jul 15, 2005 - Colesevelam lowers LDL cholesterol levels a small amount (7 to 16 percent) when used alone and provides additional cholesterol lowering when added to statin therapy. It has a slightly beneficial effect on HDL cholesterol levels, has no effect on triglyceride levels, and is well tolerated.

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0715/p321.html

Health Effects of Garlic - American Family Physician

Jul 1, 2005 - Garlic has long been used medicinally, most recently for its cardiovascular, antineoplastic, and antimicrobial properties. Sulfur compounds, including allicin, appear to be the active components in the root bulb of the garlic plant. Studies show significant but modest lipid-lowering ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p103.html

Which Patients Benefit from CRT? - Practice Guidelines - American Family Physician

Jul 1, 2005 - The American Heart Association has published a science advisory on selecting patients for cardiac resynchronization therapy (CRT).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0701/p181.html

Long-Term Standard-Dose Warfarin to Prevent Thrombosis - Letters to the Editor - ...

Jul 1, 2005 - ...and significant reduction in the risk of recurrent venous thromboembolism with little evidence of increased risk of major hemorrhage or stroke. They conclude that long-term low-intensity anticoagulation is a highly effective method of preventing recurrent venous thromboembolism....

American Family Physician : Letter

https://www.aafp.org/afp/2005/0701/p36.html

Poems & Tips From Other Journals - American Family Physician

Jul 1, 2005 - ...had a history of myocardial infarction (MI); 2 percent had a history of stroke; 7 percent, angina; and 2 percent, heart failure. After 2.8 to 3.1 years of follow-up, the likelihood of cardiovascular death, MI, stroke, or heart failure was 1.0 percent in the placebo group, 2.3...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0701/p158.html

Tips From Other Journals - American Family Physician

Jul 1, 2005 - ...regarding various health scenarios, including curable breast and endometrial cancers, metastatic cancer with a two-year life expectancy, stroke resulting in mild to severe debility, pulmonary embolism, deep venous thrombosis, and hot flashes. The results were converted into health...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0701/p162.html

How to Prevent Falling - American Family Physician

Jul 1, 2005 - ...Have medical problems such as Parkinson’s disease, dementia, heart problems, low blood pressure, or dizziness, or have had a stroke. How can I keep from falling in my home? Many falls happen at home. You can make your home safer by following these tips: Make sure you have good...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2005/0701/p93.html

Tick-Borne Disease - American Family Physician

Jun 15, 2005 - Tick-borne diseases in the United States include Rocky Mountain spotted fever, Lyme disease, ehrlichiosis, tularemia, babesiosis, Colorado tick fever, and relapsing fever. It is important for family physicians to consider these illnesses when patients present with influenza-like ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2323.html

Choosing Between Warfarin (Coumadin) and Aspirin Therapy for Patients with Atrial ...

Jun 15, 2005 - Pooled data from randomized trials show that warfarin reduces the risk of stroke from 4.5 percent to 1.4 percent per year in patients with nonvalvular atrial fibrillation and no history of stroke or transient ischemic attack (TIA).

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0615/p2348.html

Secondary Prevention of Coronary Heart Disease in Elderly Patients - American Family ...

Jun 15, 2005 - Coronary heart disease remains a leading cause of mortality in the United States, with 84 percent of persons 65 years or older dying from this disease. Secondary preventive measures, including lifestyle modification and pharmacotherapy, are important for elderly patients because of the ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2289.html

Management of Heatstroke and Heat Exhaustion - American Family Physician

Jun 1, 2005 - Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. Recent research has identified a cascade of inflammatory pathologic events that begins with mild heat exhaustion and, if uninterrupted, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0601/p2133.html

Improving Adherence to Treatment for Hypertension - Cochrane for Clinicians - American ...

Jun 1, 2005 - The most effective strategy to improve patient compliance with antihypertensive medication is to simplify the dosing regimen. There is more limited evidence to support a variety of motivational strategies. Patient education alone is ineffective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0601/p2089.html

Quantum Sufficit - Jun 1, 2005 - American Family Physician

Jun 1, 2005 - ...attribute these numbers to significant declines in mortality from the country’s leading killers, including heart disease, cancer, and stroke. Athletes may want to stick to sipping water on the sidelines. Study results published in General Dentistry have found that sports drinks are...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2005/0601/p2041.html

Fracture Prevention in Postmenopausal Women - Clinical Evidence Handbook - American ...

Jun 1, 2005 - What are the effects of treatments to prevent fractures in postmenopausal women?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/0601/p2151.html

Poems & Tips From Other Journals - American Family Physician

Jun 1, 2005 - ...Ximelagatran to Prevent Stroke in Nonvalvular Atrial Fibrillation Am Fam Physician. 2005 Jun 1;71(11):2178-2180. Clinical Question: Is ximelagatran effective for stroke prevention in patients with non-valvular atrial fibrillation? Setting: Outpatient (any) Study Design: Randomized...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0601/p2178a.html

Poems & Tips From Other Journals - American Family Physician

Jun 1, 2005 - ...Early Supported Discharge Effective for Patients with Stroke Am Fam Physician. 2005 Jun 1;71(11):2173. Clinical Question: Do patients with stroke benefit from early supported discharge services? Setting: Various (meta-analysis) Study Design: Meta-analysis (randomized controlled...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0601/p2173.html

Tips From Other Journals - American Family Physician

Jun 1, 2005 - ...decreases the risk of microvascular conditions (e.g., retinopathy, neuropathy, nephropathy), but its effect on coronary heart disease, stroke, peripheral arterial disease, and other macrovascular diseases has been equivocal. Selvin and associates performed a systematic review of...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0601/p2200.html

Tips From Other Journals - American Family Physician

Jun 1, 2005 - ...still is approved for relief of moderate to severe menopausal vasomotor symptoms in eligible women, its association with breast cancer, stroke, and heart disease in recent studies has led to greater interest in nonhormonal treatments. More than 60 percent of women 45 to 65 years of...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0601/p2184.html

Quantum Sufficit - May 15, 2005 - American Family Physician

May 15, 2005 - ...off or fired from their jobs and a higher risk for high blood pressure and cardiovascular disease, including heart attack, chest pain, and stroke. Unemployed women were in the poorest physical health, while employed women were the healthiest. Homemakers were comparable in health...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2005/0515/p1868.html

Poems & Tips From Other Journals - American Family Physician

May 1, 2005 - ...Clinical Decision Rules and Stroke Risk in Atrial Fibrillation Am Fam Physician. 2005 May 1;71(9):1776-1778. Clinical Question: Which patients with atrial fibrillation would benefit from anticoagulation? Setting: Various (meta-analysis) Study Design: Decision rule (validation)...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0501/p1776.html

Tips From Other Journals - American Family Physician

May 1, 2005 - ...outpatient medical facilities, affects approximately 50 million Americans. Treatment of hypertension has been shown to reduce the risk for stroke, heart failure, myocardial infarction, end-stage renal disease, and peripheral vascular disease. Multiple studies have shown that...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0501/p1800.html

Poems & Tips From Other Journals - American Family Physician

Apr 15, 2005 - ...Does Lipid Lowering Decrease Stroke Risk? Am Fam Physician. 2005 Apr 15;71(8):1595-1596. Clinical Question: In patients with or without heart disease, does lipid lowering decrease stroke risk? Setting: Outpatient (any) Study Design: Meta-analysis (randomized controlled trials)...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0415/p1595a.html

Tips From Other Journals - American Family Physician

Apr 15, 2005 - ...and the WHI study, in which an increase in cardiovascular events was evident. Both trials showed similar increases in breast cancer, stroke, and pulmonary embolism among HT users, as well as decreases in colon cancer and hip fracture. The WHI trial showed a nonsignificant decrease...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0415/p1600.html

AAFP News - Apr 15, 2005 - American Family Physician

Apr 15, 2005 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2005/0415/p1469.html

Evaluation of the Patient with Muscle Weakness - American Family Physician

Apr 1, 2005 - Muscle weakness is a common complaint among patients presenting to family physicians. Diagnosis begins with a patient history distinguishing weakness from fatigue or asthenia, separate conditions with different etiologies that can coexist with, or be confused for, weakness. The pattern ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1327.html

Tips From Other Journals - American Family Physician

Apr 1, 2005 - ...Antiplatelet therapy with clopidogrel has provided significant secondary prevention for patients with transient ischemic attacks (TIA) and ischemic stroke. The effect was superior to aspirin and varied with the subgroup of patients studied. In the international Management of...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0401/p1421a.html

Poems & Tips From Other Journals - American Family Physician

Apr 1, 2005 - ...perforation, gastric outlet obstruction, and hemodynamically important GI bleeding. Thromboembolic events included myocardial infarction and stroke, but not deep venous thrombosis or pulmonary embolism. The investigators who judged whether adverse events met the definitions used in...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0401/p1399.html

Treatment of Cholesterol Abnormalities - American Family Physician

Mar 15, 2005 - Cardiovascular disease and its subset coronary heart disease are leading causes of morbidity and mortality in the United States and worldwide. In general, higher levels of low-density lipoprotein cholesterol are associated with an increased risk of coronary heart disease, myocardial ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1137.html

Treatment of Vertigo - American Family Physician

Mar 15, 2005 - Vertigo is the illusion of motion, usually rotational motion. As patients age, vertigo becomes an increasingly common presenting complaint. The most common causes of this condition are benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Ménière's ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1115.html

Quantum Sufficit - Mar 15, 2005 - American Family Physician

Mar 15, 2005 - ...Can anger management prevent stroke? In a case-crossover study published in Neurology, 200 stroke patients completed a questionnaire about their emotional state in the two hours before the onset of their stroke, as well as in the same time period the day before. Researchers found...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2005/0315/p1054.html

Poems & Tips From Other Journals - American Family Physician

Mar 15, 2005 - ...In the placebo-controlled trials, atenolol had no effect on all-cause mortality, cardiovascular mortality, myocardial infarction, or stroke. In the studies using other drugs, one study—the Losartan Intervention For Endpoint (LIFE) reduction in hypertension study—included as many...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0315/p1177.html

Poems & Tips From Other Journals - American Family Physician

Mar 15, 2005 - ...study does not show a clear benefit of amlodipine over placebo in reducing the risk of other patient-oriented outcomes, including MI, stroke, all-cause hospitalization, or death. Therefore, the investigators simply may be measuring the effects of amlodipine as an antianginal...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0315/p1182a.html

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