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Chondroitin/Glucosamine Equal to Celecoxib for Knee Osteoarthritis - POEMs - American ...

Jun 15, 2016 - or patients with painful knee osteoarthritis, a high-dose combination of glucosamine hydrochloride (1,500 mg) and chondroitin (1,200 mg) was as effective in lessening pain and stiffness and improving function as celecoxib (200 mg). Other studies have not found benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0615/p1032.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

Choosing Drug Therapy for Patients with Hyperlipidemia - American Family Physician

Jun 1, 2000 - Almost 13 million American adults require drug therapy to meet the low-density lipoprotein goals set by the National Cholesterol Education Program. Attempts to achieve these goals through diet and exercise are often unsuccessful. Major studies in recent years have demonstrated that ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0601/p3371.html

Choosing First-Line Therapy for Management of Type 2 Diabetes - AFP Journal Club - ...

Jan 1, 2008 - Which controls type 2 diabetes best at five years: rosiglitazone, metformin, or glyburide? Metformin should be the first-line drug for managing type 2 diabetes. Insulin and sulfonylureas should be second line, and glitazones should be reserved for third line.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0101/p16.html

Choosing Wisely: Avoid CT of the head in asymptomatic adult patients in the emergency ...

Avoid CT of the head in asymptomatic adult patients in the emergency department with syncope, insignificant trauma, and a normal neurological evaluation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=222

Choosing Wisely: Avoid transfusions of red blood cells for arbitrary hemoglobin or ...

Avoid transfusions of red blood cells for arbitrary hemoglobin or hematocrit thresholds and in the absence of symptoms or active coronary disease, heart failure, or stroke.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=31

Choosing Wisely: Avoid use of ultrasound for routine surveillance of carotid arteries ...

Avoid use of ultrasound for routine surveillance of carotid arteries in the asymptomatic healthy population at any time.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=237

Choosing Wisely: Don’t initiate antihypertensive treatment in individuals ≥ 60 years of...

Don’t initiate antihypertensive treatment in individuals ≥ 60 years of age for systolic blood pressure < 150 mm Hg or diastolic blood pressure < 90 mm Hg.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=267

Choosing Wisely: Don’t initiate routine evaluation of carotid artery disease prior to ...

Don’t initiate routine evaluation of carotid artery disease prior to cardiac surgery in the absence of symptoms or other high-risk criteria.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=86

Choosing Wisely: Don’t order continuous telemetry monitoring outside of the intensive ...

Don’t order continuous telemetry monitoring outside of the intensive care unit without using a protocol that governs continuation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=11

Choosing Wisely: Don’t order formal swallow evaluation in stroke patients unless they ...

Don’t order formal swallow evaluation in stroke patients unless they fail their initial swallow screen.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=325

Choosing Wisely: Don’t perform CT imaging for headache when MRI is available, except in...

Don’t perform CT imaging for headache when MRI is available, except in emergency settings.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=158

Choosing Wisely: Don’t routinely order a screening ECG as part of a sports ...

Don’t routinely order a screening ECG as part of a sports preparticipation examination in asymptomatic, otherwise healthy patients with no personal or family history of cardiac disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=452

Choosing Wisely: Don’t routinely screen for brain aneurysms in asymptomatic patients ...

Don’t routinely screen for brain aneurysms in asymptomatic patients without a family or personal history of brain aneurysms, subarachnoid hemorrhage, or genetic disorders that may predispose to aneurysm formation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=208

Choosing Wisely: Don’t routinely use seizure prophylaxis in patients following ischemic...

Don’t routinely use seizure prophylaxis in patients following ischemic stroke.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=209

Choosing Wisely: Don’t screen for carotid artery stenosis in asymptomatic adult ...

Don’t screen for carotid artery stenosis in asymptomatic adult patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=68

Choosing Wisely: Don’t use antipsychotics as first choice to treat behavioral and ...

Don’t use antipsychotics as first choice to treat behavioral and psychological symptoms of dementia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=26

Choosing Wisely: Don’t use two or more medications that are known to increase the risk ...

Don’t use two or more medications that are known to increase the risk of bleeding without evaluating the potential risks and benefits. These medications include direct oral anticoagulants, warfarin, aspirin, selective serotonin reuptake inhibitors (SSRIs), antiplatelet agents, NSAIDs, ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=486

Choosing Wisely: More Good Clinical Recommendations - American Family Physician

Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and Reduce Harm

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/search.htm

Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and ...

Aug 1, 2013 - The Choosing Wisely campaign provides key clinical recommendations for physicians and patients that promote best practices and help avoid unnecessary medical interventions.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0801/p164.html

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

...All statins are effective in decreasing mortality, heart attacks, and strokes when dose is titrated to effect appropriate LDL cholesterol reduction Switch to more expensive brand-name statins (atorvastatin [Lipitor] or rosuvastatin [Crestor]) only if generic statins cause...

American Family Physician

https://www.aafp.org/afp/2012/0715/afp20120715p128.pdf

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

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

American Family Physician : Editorials

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

choosing-wisely-table.pdf

...with ischemic stroke. Stroke. 2007;38(5):1655-711. ACC/AHA guidelines Cardio- vascular Don't perform routine annual stress testing after coronary artery revascularization. Society of Nuclear Medicine and Molecular Imaging Routine annual stress...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/choosing-wisely-table.pdf

Chronic Atrial Fibrillation

...most common presenting symptoms of chronic atrial fibrillation are palpitations, shortness of breath, fatigue, chest pain, diz- ziness, and stroke. Incidence and Prevalence Atrial fibrillation carries an overall population prevalence of 0.5 to 1 percent, and an incidence of 0.54...

American Family Physician

https://www.aafp.org/afp/2012/1015/afp20121015p757.pdf

Chronic Atrial Fibrillation - Clinical Evidence Handbook - American Family Physician

Oct 15, 2012 - What are the effects of oral medical treatments to control heart rate in patients with chronic (longer than one week) nonvalvular atrial fibrillation? What is the effect of different treatment strategies for patients with persistent nonvalvular atrial fibrillation?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/1015/p757.html

Chronic Critical Limb Ischemia: Diagnosis, Treatment and Prognosis - American Family ...

Apr 1, 1999 - Chronic critical limb ischemia is manifested by pain at rest, nonhealing wounds and gangrene. Ischemic rest pain is typically described as a burning pain in the arch or distal foot that occurs while the patient is recumbent but is relieved when the patient returns to a position in which...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1899.html

Chronic Daily Headache: Diagnosis and Management

...Hemorrhagic stroke Presence of systemic symptoms (i.e., weight loss, fevers, myalgias) Giant cell arteritis, meningitis, encephalitis Recent pregnancy Postpartum preeclampsia Information from references 3 and 6. Table 3. Secondary Causes of Headache Type Examples...

American Family Physician

https://www.aafp.org/afp/2014/0415/afp20140415p642.pdf

Chronic Daily Headache: Diagnosis and Management - American Family Physician

Apr 15, 2014 - Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. If a red flag for a secondary cause of headache is present, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p642.html

Chronic Illness and Sexual Functioning - American Family Physician

Jan 15, 2003 - Chronic illness and its treatments can have a negative impact on sexual functioning. The mechanism of interference may be neurologic, vascular, endocrinologic, musculoskeletal, or psychologic. Patients may mistakenly perceive a medical prohibition to the resumption of sexual activity, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p347.html

Chronic Kidney Disease - American Family Physician

Nov 15, 2004 - ...Previous: Risk of Recurrent Stroke with Patent Foramen Ovale and Atrial Septal Aneurysm Next: Hyperbaric Oxygen to Treat Malignant External Otitis View the full table of contents >> Home / Journals / afp / Vol. 70/No. 10(November 15, 2004) / Chronic Kidney Disease...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2004/1115/p1929.html

Chronic Kidney Disease: Detection and Evaluation - American Family Physician

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

American Family Physician : Article

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

Chronic Neck Pain - Photo Quiz - American Family Physician

Apr 1, 2009 - 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/2009/0401/p595.html

Chronic Neck Pain: Nonpharmacologic Treatment - Implementing AHRQ Effective Health Care...

Aug 1, 2019 - Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain for at least one month?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0801/p180.html

Chronic Sinusitis: Saline Irrigation Helps Somewhat; Steroid Does Not Add More Benefit ...

Feb 1, 2019 - This study showed that patients with chronic rhinosinusitis who continue to use a saline nasal wash (NeilMed) will often experience an improvement in symptoms that can be clinically meaningful, but the addition of the corticosteroid budesonide has yet to show an extra benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188.html

Clarification for Apixaban Dosing in Patients with Impaired Renal Function - Letters to...

Apr 15, 2018 - ...(anti–factor Xa activity) data.2,3 The dosing the authors list in Table 1 is most similar to dosing guidelines for reduction of the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. However, t hat recommendation requires an adjustment to the...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0415/p496.html

Classification of Tremor and Update on Treatment - American Family Physician

Mar 15, 1999 - Tremor is a symptom of many disorders, including Parkinson's disease, essential tremor, orthostatic tremor, cerebellar disease, peripheral neuropathy and alcohol withdrawal. Tremors may be classified as postural, rest or action tremors. Symptomatic treatment is tailored to the tremor ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1565.html

Clincal Briefs - Clinical Briefs - American Family Physician

Nov 1, 1998 - ...has been approved by the U.S. Food and Drug Administration. Pravastatin is now approved for use in reducing the risk of stroke or transient ischemic attacks (TIAs) in patients who have had a previous myocardial infarction and have normal cholesterol levels. In 1996, pravastatin was...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1998/1101/p1688.html

Clinical Briefs - Apr 1, 2001 - American Family Physician

Apr 1, 2001 - ...an expanded indication for ramipril (Altace) to reduce the risk of stroke, myocardial infarction and death from cardiovascular causes in patients 55 years and older with a history of coronary artery disease, stroke or peripheral vascular disease, or with diabetes and one other...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2001/0401/p1433.html

Clinical Briefs - Apr 1, 2002 - American Family Physician

Apr 1, 2002 - ...with substantial morbidity and mortality. Persons with diabetes have increased rates of death from heart disease, and increased risk of stroke, blindness, and renal disease. Morbidity and mortality from diabetes can best be minimized through primary prevention. The Task Force has...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/0401/p1468.html

Clinical Briefs - Apr 15, 2002 - American Family Physician

Apr 15, 2002 - ...toxin-A include spasmodic torticollis, focal hand dystonia, spasmodic dysphonia, dynamic contracture in patients with cerebral palsy, post-stroke spasticity myofascial pain syndrome, and chronic low-back pain. The FDA has already approved botulinum toxin-A for the treatment of...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/0415/p1690.html

Clinical Briefs - Apr 15, 2004 - American Family Physician

Apr 15, 2004 - ...The American Heart Association (AHA) has released new guidelines on the prevention of heart disease and stroke based on a woman's individual cardiovascular health. Evidence-Based Guidelines for Cardiovascular Disease Prevention in Women appears in the February 10, 2004, issue of...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2004/0415/p2018.html

Clinical Briefs - Aug 01, 1999 - American Family Physician

Aug 1, 1999 - ...Report on Treatment of Acute Ischemic Stroke The Health Technology Advisory Committee (HTAC) has published a report on the treatment of acute ischemic stroke (brain attack). HTAC was established in 1992 by the Minnesota state legislature. It is an independent, nonpartisan advisory...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1999/0801/p672.html

Clinical Briefs - Aug 1, 2000 - American Family Physician

Aug 1, 2000 - ...the leading causes of hospitalization of patients who are initially seen in the emergency department include pneumonia, heart disease, stroke, chronic obstructive lung disease, asthma and septicemia. The report also illustrates that regardless of how they were admitted, more than...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2000/0801/p666.html

Clinical Briefs - Aug 1, 2001 - American Family Physician

Aug 1, 2001 - ...Previous: American Heart Association Scientific Statement on the Primary Prevention of Ischemic Stroke Next: A Case of Physician Burnout View the full table of contents >> Home / Journals / afp / Vol. 64/No. 3(August 1, 2001) / Clinical Briefs: Clinical Briefs...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2001/0801/p516.html

Clinical Briefs - Aug 1, 2003 - American Family Physician

Aug 1, 2003 - ...The athlete's physician should devise a careful return-to-play strategy should the athlete experience exertional heat stroke, heat exhaustion, or exertional hyponatremia. Physician clearance is strongly recommended in all cases of exertional hyponatremia. In cases of heat...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/0801/p561.html

Clinical Briefs - Dec 01, 1998 - American Family Physician

Dec 1, 1998 - ...The adhesive is applied in thin layers (a minimum of three) with a light brushing stroke after the wound has been cleaned and its edges approximated. A flexible bond is formed in 45 to 60 seconds, reaching full strength in about two and one-half minutes. Healing typically occurs in...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1998/1201/p2171.html

Clinical Briefs - Dec 15, 2002 - American Family Physician

Dec 15, 2002 - ...risk. Several studies indicate that plasma levels of CRP are a strong independent risk factor of future myocardial infarction, stroke, and vascular death among people without clinically recognized cardiovascular disease. After a review of the evidence, HTAC concluded that CRP is a...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/1215/p2336.html

Clinical Briefs - Feb 1, 2003 - American Family Physician

Feb 1, 2003 - ...kidneys, and colorectal system. Women who smoke are also at increased risk for acute myeloid leukemia, coronary heart disease, ischemic stroke, subarachnoid hemorrhage, peripheral vascular atherosclerosis, ruptured abdominal aortic aneurysm, estrogen-deficiency disorders, Graves'...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/0201/p649.html

Clinical Briefs - Feb 15, 1998 - American Family Physician

Feb 15, 1998 - ...evidence of large vessel disease. This includes patients with a history of myocardial infarction, vascular bypass procedure, stroke or transient ischemic attack, peripheral vascular disease, claudication, and/or angina. For both primary and secondary prevention, the dose of...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1998/0215/p876.html

Clinical Briefs - Feb 15, 2004 - American Family Physician

Feb 15, 2004 - ...Role of Warfarin in Stroke Prevention The American Heart Association, the American Stroke Association, and the Stroke Council have released an advisory statement on stoke prevention. Role of Warfarin in Primary or Secondary Stroke Prevention is available online...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2004/0215/p997.html

Clinical Briefs - Jan 15, 1999 - American Family Physician

Jan 15, 1999 - ...Recommended for use in men and women in the treatment of transient ischemic attack, ischemic stroke, angina, acute myocardial infarction, recurrent myocardial infarction, specific revascularization procedures and rheumatologic diseases. Recommended to minimize adverse events; low...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1999/0115/p477.html

Clinical Briefs - Jan 15, 2002 - American Family Physician

Jan 15, 2002 - ...hormonal contraceptives, the patch is not recommended for use by women who have blood clots, certain cancers, a history of heart attack or stroke, or those who may be pregnant. The patch does not provide protection against sexually transmitted diseases or human immunodeficiency...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/0115/p326.html

Clinical Briefs - Jul 01, 1999 - American Family Physician

Jul 1, 1999 - ...Foundation (NKF) has issued a position paper recommending widespread testing for proteinuria, which is a warning sign of kidney disease, stroke and coronary disease. According to the position paper, published in the May 1999 issue of the American Journal of Kidney Diseases, testing...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1999/0701/p319.html

Clinical Briefs - Jun 1, 2004 - American Family Physician

Jun 1, 2004 - ...Statin Use After Stroke and TIA The Stroke Council of the American Heart Association and American Stroke Association has released a scientific advisory on the use of statins. Statins After Ischemic Stroke and Transient Ischemic Attack appears in the April 2004 issue ofStroke and is...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2004/0601/p2716.html

Clinical Briefs - Jun 15, 2004 - American Family Physician

Jun 15, 2004 - ...aimed at addressing the behavior and lifestyle factors that contribute to deaths from leading causes, including heart disease, cancer, and stroke. These factors, such as smoking, poor nutrition, and physical inactivity, are called actual causes of death. Information about the CDC...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2004/0615/p2933.html

Clinical Briefs - Mar 1, 1998 - American Family Physician

Mar 1, 1998 - ...Daily aspirin therapy should be considered for all patients at elevated risk of subsequent vascular events. For patients with transient ischemic attacks or stroke, at least 75 to 325 mg of aspirin a day is indicated. The AHA emphasizes that aspirin therapy should always be an...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1998/0301/p1148.html

Clinical Briefs - Mar 1, 2002 - American Family Physician

Mar 1, 2002 - ...severity of illness. The most serious side effect of Xigris was bleeding (occurring in 2.4 percent of patients), including that which causes stroke. Xigris interferes with the body's harmful responses to severe infection, including blood clot formation that can precipitate organ...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/0301/p982.html

Clinical Briefs - Mar 15, 2000 - American Family Physician

Mar 15, 2000 - ...The American Heart Association (AHA) recently released the Heart and Stroke Statistical Update, which covers various statistical aspects of cardiovascular disease and stroke. Statistical groups are broken down by age, sex, race and geographic location. The update uses two sets of...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2000/0315/p1910.html

Clinical Briefs - May 1, 1999 - American Family Physician

May 1, 1999 - ...asked if they took aspirin every day or every other day and whether they did so to reduce their chance of having a myocardial infarction or stroke. Overall, 42.3 percent of the participants reported receiving physician advice to exercise more and 41.5 percent reported receiving...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1999/0501/p2655.html

Clinical Briefs - May 1, 2000 - American Family Physician

May 1, 2000 - ...Risk of Stroke The U.S. Food and Drug Administration (FDA) has approved a medication that combines two active ingredients—aspirin and dipyridamole—into one pill to reduce the risk of stroke in patients who have already had transient ischemic attacks or completed ischemic strokes...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2000/0501/p2887.html

Clinical Briefs - May 1, 2004 - American Family Physician

May 1, 2004 - ...heart disease (CHD) or stroke. The effect of ET on CHD and stroke is not yet clear. ET does not have a significant effect on stroke risk in postmenopausal women with known ischemic cerebrovascular disease, but for healthy older women, effects of ET on stroke risk are not clear....

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2004/0501/p2250.html

Clinical Briefs - Nov 1, 2000 - American Family Physician

Nov 1, 2000 - ...research conducted or supported by the NIA and other components of the NIH, including the National Institute of Neurological Disorders and Stroke, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism and the National Institute of Child...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2000/1101/p2152.html

Clinical Briefs - Nov 15, 1998 - American Family Physician

Nov 15, 1998 - ...cancer or estrogen-dependent neoplasia; undiagnosed abnormal genital bleeding; and active thrombophlebitis, thromboembolic disorders or stroke. Estrogens given without progestin have been reported to increase the risk of endometrial carcinoma in postmenopausal women. The addition of...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1998/1115/p1906.html

Clinical Briefs - Nov 15, 2002 - American Family Physician

Nov 15, 2002 - ...cancer. The USPSTF found equally strong evidence, however, that combined hormone therapy increases the risk for breast cancer, blood clots, stroke, and gallbladder disease. In addition, evidence suggests that hormone therapy does not reduce the risk of heart disease, and that...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/1115/p2000.html

Clinical Briefs - Oct 1, 1999 - American Family Physician

Oct 1, 1999 - ...AHCPR Report on Dysphagia in Acute-Care Stroke Patients Research on dysphagia suggests that hospital stroke management plans that include programs to diagnose and treat dysphagia may yield dramatic reductions in pneumonia rates, according to a report sponsored by the Agency for...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1999/1001/p1570.html

Clinical Briefs - Oct 15, 1998 - American Family Physician

Oct 15, 1998 - ...Most Significant Sign of a Heart Attack..., include identifying the early signs of a heart attack, recognizing the early warning signs of a stroke, realizing when it is time to act, knowing what to do in a cardiac emergency and how training in cardiovascular pulmonary resuscitation...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1998/1015/p1484.html

Clinical Briefs - Oct 15, 2003 - American Family Physician

Oct 15, 2003 - ...Risks of Seasonale use are similar to other oral contraceptive use and include an increased risk of blood clots, myocardial infarction, and stroke. Cigarette smoking increases the risk of serious cardiovascular side effects. Read the full article. Get immediate access, anytime,...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/1015/p1667.html

Clinical Briefs - Sep 1, 2001 - American Family Physician

Sep 1, 2001 - ...States have periodontal disease. Treatment is important because the disease may be linked to conditions such as coronary heart disease, stroke, diabetes and low-birth-weight preterm infants. According to the drug manufacturer, periodontal disease destroys supporting gum tissue and...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2001/0901/p876.html

Clinical Briefs - Sep 15, 2000 - American Family Physician

Sep 15, 2000 - ...with known or suspected pregnancy, breast cancer, estrogen-dependent neoplasia, active deep venous thrombosis, thromboembolic disorders or stroke, undiagnosed genital bleeding, or liver dysfunction or disease. Anyone with a hypersensitivity to any of the components of...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2000/0915/p1439.html

Clinical Briefs - Sep 15, 2002 - American Family Physician

Sep 15, 2002 - ...Disease and Stroke: 2002 Update appear in the July 15 issue of Circulation. To avert a first heart attack or stroke, physicians should begin risk factor screening as early as age 20 to assess patients' general risk of developing cardiovascular disease or strokes. Risk factor...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/0915/p1110.html

Clinical Briefs - Sep 15, 2003 - American Family Physician

Sep 15, 2003 - ...of the community-based guidelines is to prevent the onset of risk factors. This strategy has the potential to prevent first heart attacks or strokes in persons at average risk and to avoid the need for intensive pharmacotherapy to control risk factors such as hypertension,...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/0915/p1224.html

Clinical Diagnosis of Gout Without Joint Aspirate - Point-of-Care Guides - American ...

Sep 15, 2016 - Gout is ideally diagnosed through identification of characteristic negatively birefringent crystals under polarized light microscopy in fluid aspirated from end-organ deposits, typically from a joint. However, fewer than 10% of patients with gout see a rheumatologist, and most cases of ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2016/0915/p505.html

Clinical Inquiries from the Family Practice Inquiries Network - Editorials - American ...

Dec 15, 2003 - ...Previous: Decreasing the Morbidity, Mortality, and Cost of Stroke Through Awareness and Prevention Next: STEPS Drug Updates View the full table of contents >> Home / Journals / afp / Vol. 68/No. 12(December 15, 2003) / Editorials: Clinical Inquiries from the Family Practice...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1215/p2340.html

Clinical Management of Urinary Incontinence in Women

...Strong association with stroke Stress Increased urethral mobility Intrinsic sphincter dysfunction Loss of urine with physical exertion or increases in intra-abdominal pressure (e.g., sneezing, coughing, laughing) Most common in younger women Second most common type in...

American Family Physician

https://www.aafp.org/afp/2013/0501/afp20130501p634.pdf

Clinical Management of Urinary Incontinence in Women - American Family Physician

May 1, 2013 - Most cases of urinary incontinence in women fall under one of three major subtypes: urge, stress, or mixed. A stepped-care approach that advances from least invasive (behavioral modification) to more invasive (surgery) interventions is recommended. Bladder retraining and pelvic floor ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0501/p634.html

Clinical Pathways: Effects on Practice, Outcomes, and Costs

...commonly reported measure. Although 11 of 15 studies reported a reduction in the average length of stay, two reports on clinical pathways in stroke rehabilitation showed an increased length of stay. The heterogeneity of the studies prevented the authors from conduct- ing a...

American Family Physician

https://www.aafp.org/afp/2010/1201/afp20101201p1340.pdf

Clinical Pathways: Effects on Practice, Outcomes, and Costs - Cochrane for Clinicians -...

Dec 1, 2010 - The results of 27 studies (n = 11,398) support the conclusion that clinical pathways reduce in-hospital complications and improve documentation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/1201/p1338.html

Clinical Vignettes in Geriatric Depression

...late in life. Persons with late-onset depressive symp- toms are more likely to have underlying cerebrovascular disease or incipient demen- tia. This may explain why response to psy- chological and pharmacologic treatment approaches is lower in older populations. Psychotic...

American Family Physician

https://www.aafp.org/afp/2011/1115/afp20111115p1149.pdf

Clinical Vignettes in Geriatric Depression - American Family Physician

Nov 15, 2011 - The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1149.html

Clopidogrel Plus 21 Days of Aspirin Is Superior to Aspirin Alone Within First 24 Hours ...

Jan 1, 2014 - Patients with minor stroke (National Institutes of Health [NIH] Stroke Scale score ≤ 3) or TIA have a decreased risk of recurrent stroke if given aspirin plus clopidogrel vs. aspirin alone if started within 24 hours of the onset of symptoms. There was no significant increase in the risk...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0101/p55.html

Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor ...

Feb 1, 2019 - This study provides support for a strategy of adding clopidogrel to aspirin for the first week or so after a minor ischemic stroke or TIA because this is when the greatest benefit occurs. Harms were spread fairly evenly throughout the study period.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188a.html

Close-ups Department Collection - American Family Physician

Close-Ups focus on the personal side of medicine. A patient's story, told in his or her own words, is accompanied by commentary from the patient's physician and resources to help physicians and patients. The goal is to keep the focus on the person, not just the illness, and the nuances ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=1&page=0

Close-ups Department Collection - American Family Physician

Close-Ups focus on the personal side of medicine. A patient's story, told in his or her own words, is accompanied by commentary from the patient's physician and resources to help physicians and patients. The goal is to keep the focus on the person, not just the illness, and the nuances ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=1

Close-ups: Introducing a New Feature - Editorials - American Family Physician

Apr 15, 2007 - ...E.S. in this issue, for example, tells of the difficulties he and his wife have encountered since she was paralyzed by a stroke.1 Because family physicians often closely participate in the process of illness and recovery, the feature will include, when possible, a section with the...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0415/p1159.html

Club Drugs: MDMA, Gamma-Hydroxybutyrate (GHB), Rohypnol, and Ketamine - American Family...

...54. Watson JD, Ferguson C, Hinds CJ, Skinner R, Coakley JH. Exertional heat stroke induced by amphetamine analogues. Does dantrolene have a place? Anaes- thesia 1993;48:1057-60. 55. Martin TG. Serotonin syndrome. Ann Emerg Med 1996;28:520-6. 56. O’Connell T, Kaye L, Plosay JJ...

American Family Physician

https://www.aafp.org/afp/2004/0601/afp20040601p2619.pdf

Club Drugs: What You Should Know - American Family Physician

Jul 15, 2018 - ...use meth, they feel excited and have a lot of energy. This feeling lasts about six to 24 hours. But using meth can cause heart attack, stroke, high body temperature, or seizures. Women who use meth while they are pregnant can harm the baby or go into labor early. What happens if...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2018/0715/p85-s2.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

Cochrane for Clinicians Department Collection - American Family Physician

These are summaries of reviews from the Cochrane Library.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=75

Cochrane for Clinicians Department Collection - American Family Physician

These are summaries of reviews from the Cochrane Library.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=75&page=0

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

Coenzyme Q10 - American Family Physician

...in reducing symptoms associated with selected mitochondrial abnormalities including the mitochondrial encephalopa- thy, lactic acidosis, and stroke-like episodes (MELAS) syndrome, Kearns-Sayre syn- drome, and the myoclonus epilepsy with ragged-red fibers (MERRF) syndrome. Maximum...

American Family Physician

https://www.aafp.org/afp/2005/0915/afp20050915p1065.pdf

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

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

Colon Cancer Screening: What You Should Know - American Family Physician

Jan 15, 2015 - ...Previous: AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with Stroke or TIA Next: Wound Care View the full table of contents >> Home / Journals / afp / Vol. 91/No. 2(January 15, 2015) / Colon Cancer Screening: What You Should Know...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0115/p93-s1.html

Colorectal Cancer Screening and Prevention - American Family Physician

May 15, 2018 - Colorectal cancer is a common cause of morbidity and mortality in the United States. Most colorectal cancers arise from preexisting adenomatous or serrated polyps. The incidence and mortality of colorectal cancer can be reduced with screening of average-risk adults 50 to 75 years of ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0515/p658.html

Colorectal Cancer Screening: ACP Guidance Statements - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p250.html

Colorectal Cancer, Osteoporosis, Knee Osteoarthritis, Suspected Dementia, Pacifier Use ...

Apr 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/0415/p478.html

Combination Antihypertensive Drugs: Recommendations for Use - American Family Physician

May 15, 2000 - The recommendation for first-line therapy for hypertension remains a beta blocker or diuretic given in a low dosage. A target blood pressure of less than 140/90 mm Hg is achieved in about 50 percent of patients treated with monotherapy; two or more agents from different pharmacologic ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3049.html

Combination Therapy with ACE Inhibitors and Angiotensin - Receptor Blockers in Heart ...

...1. American Heart Association. Heart disease and stroke statistics- 2002 update. Dallas: American Heart Association, 2001. 2. Lechat P, Packer M, Chalon S, Cucherat M, Arab T, Boissel JP. Clin- ical effects of beta-adrenergic blockade in chronic heart failure: a meta-analysis of...

American Family Physician

https://www.aafp.org/afp/2003/1101/afp20031101p1795.pdf

Comments on Type 2 Diabetes Screening and Treatment - Letters to the Editor - American ...

Jan 1, 2000 - ...Patients with undiagnosed diabetes are at significantly increased risk for coronary heart disease, stroke and peripheral vascular disease, and greater risk of dyslipidemia, hypertension and obesity. Along with the American Diabetes Association, we believe that screening for type 2...

American Family Physician : Letter

https://www.aafp.org/afp/2000/0101/p48.html

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