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hypertension

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Low Glycemic Diets for Obesity Treatment - Cochrane for Clinicians - American Family ...

Jun 1, 2008 - Compared with high glycemic index diets or conventional energy-restricted weight loss diets, low glycemic index diets better reduce body mass index (BMI) and low-density lipoprotein (LDL) cholesterol. The weighted mean difference showed that patients lost an additional 1 to 2 BMI units ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0601/p1534.html

Diagnosis and Management of Benign Prostatic Hyperplasia - American Family Physician

May 15, 2008 - Benign prostatic hyperplasia is a common condition affecting older men. Typical presenting symptoms include urinary hesitancy, weak stream, nocturia, incontinence, and recurrent urinary tract infections. Acute urinary retention, which requires urgent bladder catheterization, is ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1403.html

The Visually Impaired Patient - American Family Physician

May 15, 2008 - Blindness or low vision affects more than 3 million Americans 40 years and older, and this number is projected to reach 5.5 million by 2020. In addition to treating a patient's vision loss and comorbid medical issues, physicians must be aware of the physical limitations and social ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1431.html

Managing Hypertension Using Combination Therapy - American Family Physician

May 1, 2008 - Combination therapy of hypertension with separate agents or a fixed-dose combination pill offers the potential to lower blood pressure more quickly, obtain target blood pressure, and decrease adverse effects. Antihypertensive agents from different classes may offset adverse reactions ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1279.html

Trigeminal Neuralgia - American Family Physician

May 1, 2008 - Trigeminal neuralgia is an uncommon disorder characterized by recurrent attacks of lancinating pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking, chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1291.html

Stuttering: An Overview - American Family Physician

May 1, 2008 - Speech dysfluency (stuttering) is common in children. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Stuttering speech patterns are often easily identifiable; when a child is learning to talk, repetition of sounds ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1271.html

Hypertension: What You Should Know - American Family Physician

May 1, 2008 - ...Hypertension: What You Should Know Am Fam Physician. 2008 May 1;77(9):1289. See related article on managing hypertension. What is blood pressure? Blood pressure is the pressure in your blood vessels. It is measured during certain parts of your heartbeat. This measurement has two...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2008/0501/p1289.html

ACOG Releases Guidelines on Management of Adnexal Masses - Practice Guidelines - ...

May 1, 2008 - The American College of Obstetricians and Gynecologists (ACOG) has created guidelines for the management of adnexal masses.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0501/p1320.html

Oral Anticoagulants vs. Antiplatelet Therapy - Cochrane for Clinicians - American ...

May 1, 2008 - Compared with antiplatelet therapy, oral anticoagulation significantly reduces stroke at an average follow-up of one to three years, but does not reduce mortality. Intracranial or extracranial hemorrhage is more common with anticoagulation and must be weighed against its therapeutic ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0501/p1250.html

Stuttering: What You Should Know - American Family Physician

May 1, 2008 - ...Previous: Hypertension: What You Should Know Next: Fibromyalgia Remains a Controversial Medical Enigma View the full table of contents >> Home / Journals / afp / Vol. 77/No. 9(May 1, 2008) / Stuttering: What You Should Know...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2008/0501/p1278.html

Bleeding and Bruising: A Diagnostic Work-up - American Family Physician

Apr 15, 2008 - Primary care physicians are often asked about easy bruising, excessive bleeding, or risk of bleeding before surgery. A thorough history, including a family history, will guide the appropriate work-up, and a physical examination may provide clues to diagnosis. A standardized bleeding ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0415/p1117.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

Subclinical Hypothyroidism - Cochrane for Clinicians - American Family Physician

Apr 1, 2008 - Although there is evidence that thyroid hormone therapy in patients with subclinical hypothyroidism may improve lipid profiles, cognitive function, and echographic left ventricular function, there is no evidence that this will decrease morbidity or mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0401/p953.html

Pharmacologic Management of Adult Depression - American Family Physician

Mar 15, 2008 - Major depression is a common and treatable disease. Many patients benefit from pharmacologic treatment and, because there is little variation in antidepressant effectiveness, medication choices should be made based on patient characteristics, safety, and anticipated side effects. Most ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0315/p785.html

Recent-Onset Muscle Hypertrophy Unrelated to Exercise - Photo Quiz - American Family ...

Mar 15, 2008 - 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/2008/0315/p831.html

Tips From Other Journals - American Family Physician

Mar 15, 2008 - ...and had a minimum body mass index (BMI) of 34 kg per m2 for men and 38 kg per m2 for women. Patients with comorbidities (e.g., diabetes, hypertension, hyperlipidemia, myocardial infarction or stroke that occurred more than six months before the study) were eligible unless they were...

American Family Physician : Tip

https://www.aafp.org/afp/2008/0315/p837.html

Diagnosis of Ear Pain - American Family Physician

Mar 1, 2008 - Many patients in primary care present with ear pain (otalgia). When the ear is the source of the pain (primary otalgia), the ear examination is usually abnormal. When the ear is not the source of the pain (secondary otalgia), the ear examination is typically normal. The cause of primary...

American Family Physician : Article

https://www.aafp.org/afp/2008/0301/p621.html

Medical Treatment of Benign Prostatic Hyperplasia - FPIN's Clinical Inquiries - ...

Mar 1, 2008 - Although alpha blockers and 5-alpha reductase inhibitors each reduce BPH symptoms more than placebo, alpha blockers are more effective than 5-alpha reductase inhibitors.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0301/p665.html

AHA Publishes Statement on Drug Therapy for Lipid Abnormalities in Children and ...

Mar 1, 2008 - The American Heart Association (AHA) has published a scientific statement on drug therapy for the treatment of high-risk lipid abnormalities in children and adolescents.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0301/p694.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

Targeted Therapies: A New Generation of Cancer Treatments - American Family Physician

Feb 1, 2008 - Targeted therapies, which include monoclonal antibodies and small molecule inhibitors, have significantly changed the treatment of cancer over the past 10 years. These drugs are now a component of therapy for many common malignancies, including breast, colorectal, lung, and pancreatic ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0201/p311.html

Tips From Other Journals - American Family Physician

Feb 1, 2008 - ...Demographic data were collected and included comorbidities (e.g., hypertension, coronary artery disease, hyperlipidemia, diabetes, gallstones, osteoarthritis, obstructive sleep apnea). Multiple terms were assessed to capture obesity management plans even when obesity was not...

American Family Physician : Tip

https://www.aafp.org/afp/2008/0201/p362.html

Treating Eating Disorders in Primary Care - American Family Physician

Jan 15, 2008 - Binge-eating disorder, bulimia nervosa, and anorexia nervosa are potentially life-threatening disorders that involve complex psychosocial issues. A strong therapeutic relationship between the physician and patient is necessary for assessing the psychosocial and medical factors used to ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0115/p187.html

Predicting Mortality Risk in Patients Undergoing Bariatric Surgery - Point-of-Care ...

Jan 15, 2008 - Bariatric surgery has become increasingly common in the United States. Recent randomized controlled trials have shown that mortality is modestly reduced 11 years after bariatric surgery (absolute risk = 5.0 versus 6.3 percent; P = .04; number needed to treat = 77).2 The overall ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2008/0115/p220.html

Levonorgestrel/Ethinyl Estradiol (Lybrel) for Continuous Contraception - STEPS - ...

Jan 15, 2008 - Lybrel appears to be as safe and effective as other combined oral contraceptives; however, at this time, there is little published data about this specific product. Other combined monophasic oral contraceptives, some of which cost less than Lybrel, can be used continuously and have been...

American Family Physician : STEPS

https://www.aafp.org/afp/2008/0115/p222.html

Economic Influence on the Drafting of Practice Guidelines - Letters to the Editor - ...

Jan 1, 2008 - ...therapy (for example, chronic obstructive pulmonary disease, chronic stable angina, depression, diabetes mellitus, hypercholesterolemia, hypertension, and rheumatoid arthritis).5 Although some degree of altruism motivates these involvements, the economic incentives to push for...

American Family Physician : Letter

https://www.aafp.org/afp/2008/0101/p30.html

Tips From Other Journals - American Family Physician

Jan 1, 2008 - ...between baseline blood pressure and five-year survival rates in patients 80 years or older with hypertension. The Study: A subsample of 4,071 patients at least 80 years of age with hypertension were studied retrospectively using clinic data from a larger study of veterans. For 1,289...

American Family Physician : Tip

https://www.aafp.org/afp/2008/0101/p94.html

Minimizing Adverse Drug Events in Older Patients - American Family Physician

Dec 15, 2007 - Adverse drug events are common in older patients, particularly in those taking at least five medications, but such events are predictable and often preventable. A rational approach to prescribing in older adults integrates physiologic changes of aging with knowledge of pharmacology. ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1215/p1837.html

ACCP Updates Guidelines for the Treatment of PAH - Practice Guidelines - American ...

Dec 15, 2007 - The American College of Chest Physicians (ACCP) has updated its 2004 guidelines with evidence-based treatment recommendations for the management of pulmonary arterial hypertension (PAH).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1215/p1874.html

Prescribing for Older Adults: Finding the Balance - Editorials - American Family Physician

Dec 15, 2007 - ...of minimal gain. Much drug therapy in older adults is to prevent illnesses by decreasing risks that will never affect them. We treat hypertension, hyperlipidemia, osteoporosis, and other risk factors—these are not diseases—just as we would in younger persons. The benefit of these...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1215/p1768.html

Tips From Other Journals - American Family Physician

Dec 15, 2007 - ...groups, more than one half were men, 60 percent were white, and the average age was 66 years. About 70 percent of the participants had hypertension, 30 percent had diabetes, and 28 percent had a previous stroke. Study treatment was initiated an average of 1.2 days from onset of...

American Family Physician : Tip

https://www.aafp.org/afp/2007/1215/p1859.html

Chronic Pancreatitis - American Family Physician

Dec 1, 2007 - Chronic pancreatitis is the progressive and permanent destruction of the pancreas resulting in exocrine and endocrine insufficiency and, often, chronic disabling pain. The etiology is multifactorial. Alcoholism plays a significant role in adults, whereas genetic and structural defects ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1679.html

Obesity in Children - Clinical Evidence Handbook - American Family Physician

Dec 1, 2007 - What are the effects of lifestyle interventions for the treatment of childhood obesity?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/1201/p1701.html

Musings on a New Life - Close-ups - American Family Physician

Nov 15, 2007 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2007/1115/p1442.html

Tips From Other Journals - American Family Physician

Nov 15, 2007 - ...with a body mass index between 27 and 40 kg per m2. Patients with chronic illnesses were excluded, except for those with well-controlled hypertension or hypercholesterolemia. Participants were randomly selected to receive a book about one of the four diets, and all groups received...

American Family Physician : Tip

https://www.aafp.org/afp/2007/1115/p1545a.html

Are Beta Blockers Effective First-line Treatments for Hypertension? - Cochrane for ...

Nov 1, 2007 - Current evidence does not support the use of beta blockers as initial therapy for hypertension.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1101/p1306.html

Second Trimester Pregnancy Loss - American Family Physician

Nov 1, 2007 - Second trimester pregnancy loss is uncommon, but it should be regarded as an important event in a woman's obstetric history. Fetal abnormalities, including chromosomal problems, and maternal anatomic factors, immunologic factors, infection, and thrombophilia should be considered; ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1101/p1341.html

Metformin Therapy and Diabetes Prevention in Adolescents Who Are Obese - FPIN's ...

Nov 1, 2007 - No studies have addressed the question of whether metformin reduces development of diabetes among adolescents who are obese. Metformin treatment in adolescents who are obese can modestly reduce risk factors for type 2 diabetes, including elevated body mass index (BMI), fasting insulin ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/1101/p1357.html

Editorials - Nov 1, 2007 - American Family Physician

Nov 1, 2007 - ...Caffeine does not cause or worsen cardiovascular disease.2 It also does not cause serious arrhythmias,3 hypertension,4,5 or coronary artery disease.6 The Joint National Commission for the Detection and Treatment of High Blood Pressure VII does not recommend restricting caffeine...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1101/p1282a.html

Effectiveness of Insulin Sensitizing Drugs for Polycystic Ovary Syndrome - Cochrane for...

Nov 1, 2007 - Insulin sensitizing drugs are more effective than oral contraceptives alone at improving fasting insulin levels in patients with PCOS. Compared with metformin (Glucophage) alone, oral contraceptives alone better control irregular menstrual cycles and reduce androgen levels. There is ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1101/p1308.html

Editorials - Nov 1, 2007 - American Family Physician

Nov 1, 2007 - ...Next: Are Beta Blockers Effective First-line Treatments for Hypertension? View the full table of contents >> Home / Journals / afp / Vol. 76/No. 9(November 1, 2007) / Editorials: Editorials

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1101/p1282.html

Aliskiren (Tekturna) for the Treatment of Hypertension - STEPS - American Family Physician

Oct 15, 2007 - Aliskiren provides a new pharmacologic approach to treating hypertension; however, short-term studies have not identified a unique role. It is more expensive than commonly used first-line diuretics, and long-term safety has not been demonstrated.

American Family Physician : STEPS

https://www.aafp.org/afp/2007/1015/p1203.html

Methamphetamine Abuse - American Family Physician

Oct 15, 2007 - Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1169.html

Medications for COPD: A Review of Effectiveness - American Family Physician

Oct 15, 2007 - Chronic obstructive pulmonary disease (COPD) is a common problem among patients presenting to primary care. This condition has multiple individual and combined treatment regimens. The goals of treatment are to improve quality of life, exercise tolerance, sleep quality, and survival; and...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1141.html

Torticollis in an Infant - Photo Quiz - American Family Physician

Oct 15, 2007 - 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/2007/1015/p1197.html

AAFP and ACP Publish Recommendations on Diagnosis and Management of VTE - Practice ...

Oct 15, 2007 - Recommendations on diagnosis and management of venous throm-boembolism (VTE) have been published by the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1015/p1225.html

Tips From Other Journals - American Family Physician

Oct 15, 2007 - ...Alcohol Consumption and CVD Risk in Men with Hypertension Am Fam Physician. 2007 Oct 15;76(8):1208-1210. Background: Adults with hypertension are at increased risk of developing cardiovascular disease (CVD). Epidemiologic studies have suggested a protective effect of moderate...

American Family Physician : Tip

https://www.aafp.org/afp/2007/1015/p1208.html

Tips From Other Journals - American Family Physician

Oct 15, 2007 - ...oz (400 g). The statistical analyses adjusted for age, indigenous status, smoking status, pregnancy interval, medical conditions (i.e., hypertension, diabetes, or asthma), obstetric complications, patient insurance status (i.e., public or private), gestational age, and obstetric...

American Family Physician : Tip

https://www.aafp.org/afp/2007/1015/p1210a.html

Respiratory Distress in the Newborn - American Family Physician

Oct 1, 2007 - The most common etiology of neonatal respiratory distress is transient tachypnea of the newborn; this is triggered by excessive lung fluid, and symptoms usually resolve spontaneously. Respiratory distress syndrome can occur in premature infants as a result of surfactant deficiency and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1001/p987.html

Gout: An Update - American Family Physician

Sep 15, 2007 - Arthritis caused by gout (i.e., gouty arthritis) accounts for millions of outpatient visits annually, and the prevalence is increasing. Gout is caused by monosodium urate crystal deposition in tissues leading to arthritis, soft tissue masses (i.e., tophi), nephrolithiasis, and urate ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p801.html

Ocular Emergencies - American Family Physician

Sep 15, 2007 - Prompt recognition and appropriate treatment of ocular emergencies are essential in the primary care setting when the outcome may depend on timely management. All ocular emergencies, including a penetrating globe injury, retinal detachment, central retinal artery occlusion, acute ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p829.html

Case Report: Patient Adherence to Drug Regimens Vital to Treatment - Letters to the ...

Sep 15, 2007 - ...months. On the day of presentation, the patient was unable to bear any weight on her right leg. Her medical history was significant for hypertension, mental retardation, and a seizure disorder. Physical examination revealed right lower extremity warmth, tenderness to palpation, and...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0915/p769a.html

Practice Guidelines - Sep 15, 2007 - American Family Physician

Sep 15, 2007 - Physicians should consider the increased risks associated with the use of nonsteroidal anti-inflammatory drugs (NSAIDs) and cyclooxygenase-2 (COX-2) inhibitors, according to new guidelines issued by the American Heart Association (AHA).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0915/p894a.html

Management of Type 2 Diabetes in Youth: An Update - American Family Physician

Sep 1, 2007 - Although type 1 diabetes historically has been more common in patients eight to 19 years of age, type 2 diabetes is emerging as an important disease in this group. Type 2 diabetes accounts for 8 to 45 percent of new childhood diabetes. This article is an update from the National ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0901/p658.html

Painful Erythematous Nodules - Photo Quiz - American Family Physician

Sep 1, 2007 - 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/2007/0901/p697.html

Atrial Fibrillation (Chronic) - Clinical Evidence Handbook - American Family Physician

Sep 1, 2007 - What are the effects of oral medical treatments to control heart rate in persons with chronic (longer than one week) nonvalvular atrial fibrillation? What is the effect of different treatment strategies for persons with persistent nonvalvular atrial fibrillation?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/0901/p701.html

Assembly Offers Readers Chance to Meet AFP Editors - Inside AFP - American Family ...

Sep 1, 2007 - ...documentation information (e.g., a coding frequency comparison worksheet) and office visit patient encounter forms (e.g., for diabetes, hypertension, sore throat). In addition, copies of AFP's Authors' Guide and the updated ICD-9 code tear-out reference from FPM will be available....

American Family Physician : Inside AFP

https://www.aafp.org/afp/2007/0901/p611.html

Vibrio vulnificus Infection: Diagnosis and Treatment - American Family Physician

Aug 15, 2007 - Vibrio vulnificus infection is the leading cause of death related to seafood consumption in the United States. This virulent, gram-negative bacterium causes two distinct syndromes. The first is an overwhelming primary septicemia caused by consuming raw or undercooked seafood, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0815/p539.html

Yellow-White Retinal Lesion in a 48-year-old Woman - Photo Quiz - American Family ...

Aug 15, 2007 - 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/2007/0815/p565.html

Practice Guidelines - Aug 15, 2007 - American Family Physician

Aug 15, 2007 - The Centers for Disease Control and Prevention (CDC) has released a report on the racial differences in patients with end-stage renal disease (ESRD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0815/p587a.html

Interventions to Improve Blood Pressure Control in Patients with Hypertension - ...

Aug 1, 2007 - One large study of adults with hypertension showed that a rigorous, systematic program including regular patient review and aggressive antihypertensive drug therapy improved systolic and diastolic blood pressure and reduced all-cause mortality (7.8 to 6.4 percent at five years; number ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0801/p373.html

Prevention of Recurrent Ischemic Stroke - American Family Physician

Aug 1, 2007 - Recurrent ischemic stroke and transient ischemic attack are common problems in primary care, with stroke survivors averaging 10 outpatient visits per year. Risk factors such as hypertension, diabetes, and hypercholesterolemia should be evaluated during each office visit. Attention ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p382.html

The Effect of Cytochrome P450 Metabolism on Drug Response, Interactions, and Adverse ...

Aug 1, 2007 - Cytochrome P450 enzymes are essential for the metabolism of many medications. Although this class has more than 50 enzymes, six of them metabolize 90 percent of drugs, with the two most significant enzymes being CYP3A4 and CYP2D6. Genetic variability (polymorphism) in these enzymes may ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p391.html

Turner Syndrome: Diagnosis and Management - American Family Physician

Aug 1, 2007 - Turner syndrome occurs in one out of every 2,500 to 3,000 live female births. The syndrome is characterized by the partial or complete absence of one X chromosome (45,X karyotype). Patients with Turner syndrome are at risk of congenital heart defects (e.g., coarctation of aorta, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p405.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

Are Some Screening Tests Doing More Harm Than Good? - Editorials - American Family ...

Aug 1, 2007 - ...Next: Interventions to Improve Blood Pressure Control in Patients with Hypertension View the full table of contents >> Home / Journals / afp / Vol. 76/No. 3(August 1, 2007) / Editorials: Are Some Screening Tests Doing More Harm Than Good?...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0801/p351.html

Alpha-glucosidase Inhibitors May Reduce the Risk of Type 2 Diabetes - Cochrane for ...

Aug 1, 2007 - The literature shows that acarbose can reduce the risk of type 2 diabetes in patients with impaired glucose tolerance or impaired fasting glucose. However, it is unclear whether the drug stops or delays the development of the disease or masks the diagnosis. There is no evidence that ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0801/p374.html

Angiotensin Blockade in Patients with Diabetic Nephropathy - FPIN's Clinical Inquiries ...

Aug 1, 2007 - When used to delay the progression of early nephropathy in patients with type 2 diabetes mellitus, angiotensin receptor blockers (ARBs) are not superior to angiotensin-converting enzyme (ACE) inhibitors.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0801/p423.html

Tips From Other Journals - American Family Physician

Aug 1, 2007 - ...proton pump inhibitors was recommended for patients at high risk of gastrointestinal hemorrhage. All patients also received treatment for hypertension based on the recommendations of the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0801/p431.html

Tips From Other Journals - American Family Physician

Aug 1, 2007 - ...cough suppressants. At appropriate doses it suppresses cough, but at high doses it may cause hallucinations, tachycardia, hypertension, agitation, ataxia, or psychosis. Products containing dextromethorphan are readily available to adolescents, and abuse of these medications has...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0801/p432.html

Home Monitoring of Glucose and Blood Pressure - American Family Physician

Jul 15, 2007 - Home monitoring of blood glucose and blood pressure levels can provide patients and physicians with valuable information in the management of diabetes mellitus and hypertension. Home monitoring allows patients to play an active role in their care and may improve treatment adherence and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0715/p255.html

Key Practice Points in the Management of Fibromyalgia - Editorials - American Family ...

Jul 15, 2007 - ...Assess patient for elevated body mass index and hypertension. Do you snore? Does your snoring bother other people? How often have others noticed pauses in your breathing while sleeping? Are you tired after sleeping? Are you tired during the day? Have you ever...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0715/p195.html

Tips From Other Journals - American Family Physician

Jul 15, 2007 - ...Background: Beta blockers are one of the medications most commonly prescribed for treating arrhythmias, hypertension, heart failure, and angina pectoris, and for helping prevent myocardial infarction (MI). Their use also has been shown to significantly reduce post-MI mortality....

American Family Physician : Tip

https://www.aafp.org/afp/2007/0715/p284.html

ACE Inhibitors vs. ARBs for Patients with Diabetic Kidney Disease - Cochrane for ...

Jul 1, 2007 - Studies comparing ACE inhibitors or ARBs with placebo found no mortality benefit in patients with diabetic kidney disease. A subgroup analysis of five studies (2,034 total patients) found that, when given at full or maximally tolerated doses, ACE inhibitors reduce all-cause mortality ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0701/p68.html

Inspiring Future Family Physicians: The Challenge Is Ours - Editorials - American ...

Jul 1, 2007 - ...family physicians. We should talk about those we serve: those who benefit from early detection of cancer, those we help to manage their hypertension, and those we encourage to quit smoking. Every day we have small victories, help our patients to better their health, and provide...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0701/p36.html

Tips From Other Journals - American Family Physician

Jul 1, 2007 - ...After six months, the treatment group showed no significant changes in mean heart rate or blood pressure, and no episodes of supine hypertension occurred. The only adverse event reported was mild gastrointestinal discomfort in one patient. Conclusion: The authors conclude that...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0701/p130.html

Tips From Other Journals - American Family Physician

Jul 1, 2007 - ...experienced significantly more severe adverse effects (6 percent compared with 11 percent). The most common serious adverse events were hypertension (12 patients), depression (8 patients), diarrhea (7 patients), and congestive heart failure (7 patients). Conclusion: Women who...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0701/p127.html

Cardiovascular Risk Reduction in Children - Practice Guidelines - American Family ...

Jun 15, 2007 - A growing body of literature points to the significance of premature cardiovascular disease in certain childhood diagnoses and emphasizes the importance of risk reduction by disease stratification.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0615/p1873.html

CDC Releases Report on Prevalence of Adult Obesity - Practice Guidelines - American ...

Jun 15, 2007 - The Centers for Disease Control and Prevention (CDC) found that the prevalence of obesity in adults increased significantly from 1995 to 2005 in all states, based on data from the 1995, 2000, and 2005 Behavioral Risk Factor Surveillance System surveys.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0615/p1885.html

AFP Content Reflect Readers' Interests - Inside AFP - American Family Physician

Jun 15, 2007 - ...select categories of conditions that they were likely to treat in patients during a typical two-day period. More than 90 percent listed hypertension, diabetes, cholesterol problem, emotional problem, and respiratory infection. More than half said they see patients with the following...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2007/0615/p1751.html

Tips From Other Journals - American Family Physician

Jun 15, 2007 - ...study found that babies born to mothers who used SSRIs after 20 weeks' gestation had a sixfold increase in persistent pulmonary hypertension. Recommendations: The ACOG Committee on Obstetric Practice recommends that decisions about SSRI treatment during pregnancy be individualized...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0615/p1851.html

Tips From Other Journals - American Family Physician

Jun 15, 2007 - ...ACE inhibitors have demonstrated reductions in cardiovascular morbidity and mortality, and are used to prevent nephropathy and treat hypertension. One advantage of ARBs is that they do not produce cough, an adverse effect of ACE inhibitors that occurs in less than 10 percent of all...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0615/p1854.html

Tips From Other Journals - American Family Physician

Jun 15, 2007 - ...required to be a singleton vaginal birth. Mothers with human immunodeficiency virus infection were excluded from the study. Those with hypertension and diabetes also were excluded because of the high rates of labor induction associated with these diseases. Data collected on each...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0615/p1862.html

Uterine Fibroid Tumors: Diagnosis and Treatment - American Family Physician

May 15, 2007 - The incidence of uterine fibroid tumors increases as women grow older, and they may occur in more than 30 percent of women 40 to 60 years of age. Risk factors include nulliparity, obesity, family history, black race, and hypertension. Many tumors are asymptomatic and may be diagnosed ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0515/p1503.html

Drug Dosing Adjustments in Patients with Chronic Kidney Disease - American Family ...

May 15, 2007 - Chronic kidney disease affects renal drug elimination and other pharmacokinetic processes involved in drug disposition (e.g., absorption, drug distribution, nonrenal clearance [metabolism]). Drug dosing errors are common in patients with renal impairment and can cause adverse effects ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0515/p1487.html

Joint Guideline Released for Atrial Fibrillation - Practice Guidelines - American ...

May 15, 2007 - A joint guideline for atrial fibrillation has been released by the American College of Cardiology (ACC), American Heart Association (AHA), and European Society of Cardiology (ESC). This guideline assists physicians by describing diagnosis and management options.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0515/p1565.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

Late Pregnancy Bleeding - American Family Physician

Apr 15, 2007 - Effective management of vaginal bleeding in late pregnancy requires recognition of potentially serious conditions, including placenta previa, placental abruption, and vasa previa. Placenta previa is commonly diagnosed on routine ultrasonography before 20 weeks' gestation, but in nearly ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0415/p1199.html

Noninvasive Cardiac Imaging - American Family Physician

Apr 15, 2007 - Noninvasive cardiac imaging can be used for the diagnostic and prognostic assessment of patients with suspected or known coronary artery disease. It is central to the treatment of patients with myocardial infarction, coronary artery disease, or acute coronary syndromes with or without ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0415/p1219.html

ACOG Releases Guidelines on Hormonal Contraceptives in Women with Coexisting Medical ...

Apr 15, 2007 - Guidelines on the use of hormonal contraceptives in women with underlying medical conditions are available from the American College of Obstetricians and Gynecologists (ACOG). In some women, drugs taken for certain chronic conditions may alter the effectiveness of hormonal contraceptives.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0415/p1252.html

Is There Benefit to Coronary Calcium Screening? - Editorials - American Family Physician

Apr 15, 2007 - ...is useful for stratifying patients into low-, intermediate-, and high-risk categories based on age, sex, lipid levels, presence of hypertension, and smoking status. Unfortunately, a large group of asymptomatic patients falls into the intermediate-risk category (10 to 20 percent...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0415/p1155.html

Clarification About Smoking Cessation Interventions - Letters to the Editor - American ...

Apr 15, 2007 - ...should be implemented in primary care settings.2,3 Their position also runs counter to how other major chronic medical conditions such as hypertension and diabetes are to be addressed. A physician would be expected to address elevated blood pressure or blood glucose levels in a...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0415/p1151.html

Outpatient Management of Anticoagulation Therapy - American Family Physician

Apr 1, 2007 - The Seventh American College of Chest Physicians (ACCP) Conference on Antithrombotic and Thrombolytic Therapy provides guidelines for outpatient management of anticoagulation therapy. The ACCP guidelines recommend short-term warfarin therapy, with the goal of maintaining an ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0401/p1031.html

The Athlete Preparticipation Evaluation: Cardiovascular Assessment - American Family ...

Apr 1, 2007 - Thousands of young athletes receive preparticipation evaluations each year in the United States. One objective of these evaluations is to detect underlying cardiovascular abnormalities that may predispose an athlete to sudden death. The leading cardiovascular causes of sudden death in ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0401/p1008.html

AHA Publishes Guidelines on CVD Prevention in Women - Practice Guidelines - American ...

Apr 1, 2007 - Guidelines presented by the American Heart Association (AHA) represent the most current clinical recommendations for the prevention of cardiovascular disease (CVD) in women 20 years and older.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0401/p1096.html

Tips From Other Journals - American Family Physician

Apr 1, 2007 - ...previously on statins, 12,648 (51.4 percent) initiated statin therapy. Prevalence of known coronary heart disease (CHD), diabetes, and hypertension was greater in patients prescribed statins than those not prescribed statins, as were higher levels of low-density lipoprotein and...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0401/p1070.html

Prevention and Management of Postpartum Hemorrhage - American Family Physician

Mar 15, 2007 - Postpartum hemorrhage, the loss of more than 500 mL of blood after delivery, occurs in up to 18 percent of births and is the most common maternal morbidity in developed countries. Although risk factors and preventive strategies are dearly documented, not all cases are expected or ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p875.html

Disaster-Related Physical and Mental Health: A Role for the Family Physician - American...

Mar 15, 2007 - Natural disasters, technologic disasters, and mass violence impact millions of persons each year. The use of primary health care services typically increases for 12 or more months following major disasters. A conceptual framework for assisting disaster victims involves understanding the...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p841.html

Common Spider Bites - American Family Physician

Mar 15, 2007 - There are more than 30,000 species of spiders, most of which cannot inflict serious bites to humans because of their delicate mouthparts and impotent or prey-specific venoms. However, some spiders produce toxic venoms that can cause skin lesions, systemic illnesses, and neurotoxicity. ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p869.html

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