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hypertension

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Preparation of the Cardiac Patient for Noncardiac Surgery - American Family Physician

Mar 1, 2007 - Approximately 20 to 40 percent of patients at high risk of cardiac-related morbidity develop myocardial ischemia perioperatively. The preferred approach to diagnostic evaluation depends on the interactions of patient-specific risk factors, surgery-specific risk factors, and exercise ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0301/p656.html

Are Obese Physicians Effective at Providing Healthy Lifestyle Counseling? - Curbside ...

Mar 1, 2007 - More than 40 percent of American adults are classified as obese by the Centers for Disease Control and Prevention, and obesity is associated with many comorbidities (e.g., hypertension, type 2 diabetes, asthma, depression, orthopedic problems, sleep apnea).2 Physicians are not immune to...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2007/0301/p738.html

Diagnosis and Management of Chronic Heart Failure in Adults - Practice Guidelines - ...

Mar 1, 2007 - Changes in the diagnosis and management of chronic heart failure in adults are reflected in updated guidelines from the American College of Cardiology (ACC) and American Heart Association (AHA).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0301/p742.html

AGA Releases Position Statement on Gastrointestinal Medication Use During Pregnancy - ...

Mar 1, 2007 - The American Gastroenterological Association (AGA) has released a position statement on gastrointestinal medication use in pregnant women. Drug treatment of gastrointestinal disease in pregnant women can be difficult, as the U.S. Food and Drug Administration classifications are not ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0301/p755.html

Tips From Other Journals - American Family Physician

Mar 1, 2007 - ...patients more than those with fewer risk factors (e.g., diabetes, previous myocardial infarction, raised troponin concentration, hypertension). At five years, 21.2 percent of medium- to high-risk patients in the invasive group reached the combined end point of death or myocardial...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0301/p721.html

Treatment of the Common Cold - American Family Physician

Feb 15, 2007 - The common cold is a viral illness that affects persons of all ages, prompting frequent use of over-the-counter and prescription medications and alternative remedies. Treatment focuses on relieving symptoms (e.g., cough, nasal congestion, rhinorrhea). Dextromethorphan may be beneficial ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0215/p515.html

Guidelines for Treating Adults with Acute Cough - Editorials - American Family Physician

Feb 15, 2007 - ...anti-inflammatory drug naproxen (Naprosyn, Aleve) unless there is a contraindication (e.g., glaucoma, benign prostatic hypertrophy, hypertension, renal failure, gastrointestinal bleeding, congestive heart failure).15 They also strongly recommend that newer-generation, nonsedating...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0215/p476.html

Tips From Other Journals - American Family Physician

Feb 15, 2007 - ...gastric bypass and 47.5 percent for gastric banding), with concomitant reductions in comorbidities such as diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea. However, the duration of weight loss and improved health status has not been thoroughly studied. The...

American Family Physician : Tip

https://www.aafp.org/afp/2007/0215/p556.html

Which Lipoprotein Measurements Are Clinically Useful? - FPIN's Clinical Inquiries - ...

Feb 1, 2007 - Emerging lipid risk factors for cardiovascular disease include lipoprotein remnants, lipoprotein (a), small LDL particles, HDL subspecies, apolipoprotein B, apolipoprotein A-I, and oxidized LDL. Measurement of these levels should not be used for routine cardiovascular risk screening.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0201/p387.html

Amlodipine/Atorvastatin for Preventing Heart Disease - Letters to the Editor - American...

Feb 1, 2007 - ...Another statement in the article was: Calcium channel blockers, including amlodipine, are not the drugs of choice for treating hypertension; they are for patients who cannot tolerate or who do not experience adequate control with diuretics, beta blockers or ACE inhibitors. 1 The...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0201/p311.html

Appropriate Prescribing of Medications: An Eight-Step Approach - American Family Physician

Jan 15, 2007 - A systematic approach advocated by the World Health Organization can help minimize poor-quality and erroneous prescribing. This six-step approach to prescribing suggests that the physician should (1) evaluate and dearly define the patient's problem; (2) specify the therapeutic ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0115/p231.html

Practice Guidelines - Jan 15, 2007 - American Family Physician

Jan 15, 2007 - The American Heart Association (AHA) published recommendations for the detection of chronic kidney disease in patients with cardiovascular disease (CVD). Chronic kidney disease is common in patients with CVD; moreover, it also is a risk factor for developing CVD.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0115/p268.html

Tips From Other Journals - American Family Physician

Dec 15, 2006 - ...delivery, and neonatal information. Reasons for exclusion from the study included multiple gestations, congenital abnormalities, chronic hypertension, diabetes, and birth before 37 weeks’ gestation. Each patient’s reported prepregnancy weight was taken as baseline, and all other...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1215/p2103a.html

The Role of BNP Testing in Heart Failure - American Family Physician

Dec 1, 2006 - Brain natriuretic peptide (BNP) levels are simple and objective measures of cardiac function. These measurements can be used to diagnose heart failure, including diastolic dysfunction, and using them has been shown to save money in the emergency department setting. The high negative ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1201/p1893.html

Risks and Benefits of Combination Contraceptives - FPIN's Clinical Inquiries - American...

Dec 1, 2006 - The risks of using oral combination contraceptives include: a three- to sixfold increase in the incidence of venous thromboembolism (VTE) apparent by the fourth month of use and highest between six and 12 months of use; a two- to sixfold increase in the risk of ischemic stroke among ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/1201/p1915.html

CDC Releases Guidelines on Improving Preconception Health Care - Practice Guidelines - ...

Dec 1, 2006 - Improving preconception health care can result in improved reproductive health outcomes and has the potential to reduce societal costs, as well. The Centers for Disease Control and Prevention (CDC) developed recommendations for physicians and public health officials that aim to improve ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1201/p1967.html

Beta-Blocker Use in Patients with COPD - Cochrane for Clinicians - American Family ...

Dec 1, 2006 - In 20 studies of cardioselective beta blockers in patients with COPD, participants had no adverse pulmonary or respiratory effects. Because of their salutary cardiovascular effects, cardioselective beta blockers should not be withheld from patients with COPD.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1201/p1858.html

Tips From Other Journals - American Family Physician

Dec 1, 2006 - ...five trials, one each on the effectiveness of multivitamin and mineral supplements for the prevention of cancer, cardiovascular disease, hypertension, cataracts, and age-related macular degeneration; however, no RCTs on other chronic diseases were found. The overall study quality...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1201/p1944.html

Tips From Other Journals - American Family Physician

Dec 1, 2006 - ...from non–HIV-related causes rose by one third during this period (from 19.8 to 26.3 percent of all deaths). Ischemic heart disease, hypertension, diabetes, and lung cancer were significant contributors to non–HIV-related deaths in women and men older than 55 years. The authors...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1201/p1958.html

Tips From Other Journals - American Family Physician

Dec 1, 2006 - ...editor’s note: In 2003, the U.S. Preventive Services Task Force recommended screening for type 2 diabetes in adults with hypertension or hyperlipidemia, but found insufficient evidence to determine whether routine screening of otherwise healthy populations provides an additional...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1201/p1960a.html

Update on Exercise Stress Testing - American Family Physician

Nov 15, 2006 - Exercise stress testing is an important diagnostic tool for the evaluation of suspected or known cardiac disease. In 2002, the American College of Cardiology (ACC) and the American Heart Association (AHA) revised their guidelines for exercise testing. Ten categories from the ACC/ AHA ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1115/p1749.html

Practice Guidelines - Nov 15, 2006 - American Family Physician

Nov 15, 2006 - The Partnership for Prevention conducted a study to accurately rank 25 preventive health care services. These rankings represent the most valuable preventive services and should be used to help physicians prioritize which services to emphasize with patients.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1115/p1787.html

Diagnosis of Acute Abdominal Pain in Older Patients - American Family Physician

Nov 1, 2006 - Acute abdominal pain is a common presenting complaint in older patients. Presentation may differ from that of the younger patient and is often complicated by coexistent disease, delays in presentation, and physical and social barriers. The physical examination can be misleadingly ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1101/p1537.html

Polymyalgia Rheumatica and Giant Cell Arteritis - American Family Physician

Nov 1, 2006 - Polymyalgia rheumatica and giant cell arteritis are common, closely related vasculitic conditions that almost exclusively occur in patients older than 50 years. They may be manifestations of the same underlying disease and often coexist. Patients with polymyalgia rheumatica usually ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1101/p1547.html

Nutrition in Toddlers - American Family Physician

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

American Family Physician : Article

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

Psychosocial Interventions Delivered by Primary Care Physicians to Patients with ...

Nov 1, 2006 - Few high-quality studies have been conducted examining the effectiveness of psychosocial interventions performed by primary care physicians for patients with major depression. Two randomized controlled clinical trials (RCTs) found that a psychosocial intervention, specifically ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/1101/p1580.html

Tips From Other Journals - American Family Physician

Nov 1, 2006 - ...Blood pressure higher than 140/90 mm Hg or taking drugs for hypertension Low-density lipoprotein cholesterol level of 160 mg per dL (4.15 mmol per L) or higher or taking drugs for hyperlipidemia High-density lipoprotein cholesterol level of 40 mg per dL (1.05 mmol per L) or...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1101/p1610.html

Tips From Other Journals - American Family Physician

Nov 1, 2006 - ...years, with about 12 percent older than 75 years. About 30 percent of each group was women. Rates of current smoking (43 to 45 percent), hypertension (50 to 52 percent), and diabetes (13 to 15 percent) were almost identical between each group, as was average body mass index (26 kg...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1101/p1609.html

Tips From Other Journals - American Family Physician

Nov 1, 2006 - ...The study included 6,706 patients who had atrial fibrillation plus at least one risk factor for stroke (e.g., 75 years or older, hypertension, history of transient ischemic attack [TIA], left ventricular ejection fraction less than 45 percent, peripheral arterial disease). Patients...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1101/p1614.html

Preventing Cardiovascular Disease in Women - American Family Physician

Oct 15, 2006 - Cardiovascular disease (CVD) has been the primary cause of death in women for almost a century, and more women than men have died of CVD every year since 1984. Although CVD incidence can be reduced by adherence to a heart-healthy lifestyle and detection and treatment of major risk ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1331.html

Bilateral Knee Pain - Photo Quiz - American Family Physician

Oct 15, 2006 - 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/2006/1015/p1377.html

AAP Examines Prevention of Childhood Obesity Through Lifestyle Changes - Practice ...

Oct 15, 2006 - The American Academy of Pediatrics (AAP) policy statement, Active Healthy Living: Prevention of Childhood Obesity Through Increased Physical Activity, addresses how physicians can encourage physical activity in children and adolescents who are currently or are at risk of becoming ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1015/p1434.html

Tips From Other Journals - American Family Physician

Oct 15, 2006 - ...headache in black patients treated for hypertension (17 percent compared with 2 percent for nonblack patients). A retrospective study of East Asian patients found a 26 percent rate of reported adverse drug reactions during treatment for hypertension compared with 13 percent for...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1015/p1410a.html

Tips From Other Journals - American Family Physician

Oct 15, 2006 - ...patient and those nearby, postoperative nausea and vomiting stresses sutures, drains, and intravenous lines; promotes bleeding and venous hypertension; and increases the risk of pulmonary aspiration. Prolonged vomiting may cause problems with hydration and electrolyte balances....

American Family Physician : Tip

https://www.aafp.org/afp/2006/1015/p1418.html

The Homeless in America: Adapting Your Practice - American Family Physician

Oct 1, 2006 - In 2004, the National Guidelines Clearinghouse placed eight guidelines from the National Health Care for the Homeless Council on its Web site. Seven of the guidelines are on specific disease processes and one is on general care. In addition to straightforward clinical decision making, ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1001/p1132.html

Preventive Health Counseling for Adolescents - American Family Physician

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

American Family Physician : Article

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

Tight Control of Type 1 Diabetes: Recommendations for Patients - American Family Physician

Sep 15, 2006 - Tight control of blood glucose levels and risk factors for cardiovascular disease (e.g., hypertension, hypercholesterolemia) can substantially reduce the incidence of microvascular and macrovascular complications from type 1 diabetes. Physicians play an important role in helping ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p971.html

Asymptomatic Bacteriuria in Adults - American Family Physician

Sep 15, 2006 - A common dilemma in clinical medicine is whether to treat asymptomatic patients who present with bacteria in their urine. There are few scenarios in which antibiotic treatment of asymptomatic bacteruria has been shown to improve patient outcomes. Because of increasing antimicrobial ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p985.html

Hemolytic Uremic Syndrome: An Emerging Health Risk - American Family Physician

Sep 15, 2006 - Hemolytic uremic syndrome is caused primarily by Shiga toxin-producing Escherichia coli O157:H7. The most common cause of acute renal failure in children, hemolytic uremic syndrome also can occur in adults. Characteristic features of the syndrome are microangiopathic anemia, thrombotic ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p991.html

AHA and NHLBI Review Diagnosis and Management of the Metabolic Syndrome - Practice ...

Sep 15, 2006 - The American Heart Association (AHA) and the National Heart, Lung, and Blood Institute (NHLBI) have released joint recommendations on the management and diagnosis of the metabolic syndrome.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0915/p1039.html

Tips From Other Journals - American Family Physician

Sep 15, 2006 - ...sociodemographic data, and they received physical examinations and laboratory testing for established cardiovascular risk factors (e.g., hypertension, hyperlipidemia, diabetes). Participants had chest computed tomography (CT) to measure coronary calcium levels. A cardiologist, who...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0915/p1032a.html

Cirrhosis and Chronic Liver Failure: Part I. Diagnosis and Evaluation - American Family...

Sep 1, 2006 - Cirrhosis and chronic liver failure are leading causes of morbidity and mortality in the United States, with the majority of preventable cases attributed to excessive alcohol consumption, viral hepatitis, or nonalcoholic fatty liver disease. Cirrhosis often is an indolent disease; most ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p756.html

Cirrhosis and Chronic Liver Failure: Part II. Complications and Treatment - American ...

Sep 1, 2006 - Major complications of cirrhosis include ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, portal hypertension, variceal bleeding, and hepatorenal syndrome. Diagnostic studies on ascitic fluid should include a differential leukocyte count, total protein level, a ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p767.html

ADA Releases Standards of Medical Care for Patients with Diabetes - Practice Guidelines...

Sep 1, 2006 - The American Diabetes Association (ADA) has published a position statement containing evidence-based recommendations for diabetes care, treatment goals, and tools to evaluate the quality of care.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0901/p871.html

Asymptomatic Yellowish Papules - Photo Quiz - American Family Physician

Sep 1, 2006 - 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/2006/0901/p807.html

Inside AFP - Sep 1, 2006 - American Family Physician

Sep 1, 2006 - ...a variety of topics, including electronic health records, avian flu, terrorism, disaster preparedness, performance enhancing drugs, hypertension, diabetes, asthma, coronary artery disease, depression, heart failure, and clinical procedures. There also will be a kickoff and focus on...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2006/0901/p696.html

Tips From Other Journals - American Family Physician

Sep 1, 2006 - ...older who had prehypertension (i.e., systolic blood pressure, 120 to 139 mm Hg; and diastolic blood pressure, 80 to 89 mm Hg) or stage 1 hypertension (i.e., systolic blood pressure, 140 to 159 mm Hg; or diastolic blood pressure, 90 to 95 mm Hg) averaged over three screening visits....

American Family Physician : Tip

https://www.aafp.org/afp/2006/0901/p841a.html

Tips From Other Journals - American Family Physician

Sep 1, 2006 - ...of preeclampsia; diagnosis of HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome; treatment for essential hypertension; gestational hypertension; treatment for diabetes type 1 or 2; antiphospholipid syndrome; chronic renal disease; multiple pregnancies; or...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0901/p835.html

Poems & Tips From Other Journals - American Family Physician

Sep 1, 2006 - ...stroke. The researchers identified 106 patients with this syndrome following stroke. After excluding those with diabetes, uncontrolled hypertension, heart disease, ulcer, or mild disease, there were 60 patients remaining for the study. These patients were randomized (allocation...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0901/p832a.html

Digoxin Therapy for Heart Failure: An Update - American Family Physician

Aug 15, 2006 - Digoxin therapy has long been used to treat heart failure; however, its effectiveness was not completely known until recently. Results of the Digitalis Investigation Group trial showed that adding digoxin to standard heart failure therapy had no effect on mortality. However, adding ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0815/p613.html

Screening for Peripheral Arterial Disease - Putting Prevention into Practice - American...

Aug 15, 2006 - Case study: A 57-year-old man visits your office for refills of simvastatin (Zocor) and paroxetine (Paxil). He says his friend had a bypass operation on the arteries in his legs, and asks if you think he should be checked for that disease. He has never had symptoms of claudication.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2006/0815/p635.html

Tips From Other Journals - American Family Physician

Aug 15, 2006 - ...diagnosis of PE combined with a primary diagnosis of cardiorespiratory failure, cardiogenic shock, cardiac arrest, secondary pulmonary hypertension, syncope, thrombolysis, or intubation/mechanical ventilation. The prediction rule was derived from 11 clinical variables routinely...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0815/p658.html

Exercise and Older Patients: Prescribing Guidelines - American Family Physician

Aug 1, 2006 - A combination of aerobic activity, strength training, and flexibility exercises, plus increased general daily activity can reduce medication dependence and health care costs while maintaining functional independence and improving quality of life in older adults. However, patients often ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0801/p437.html

Pertussis: A Disease Affecting All Ages - American Family Physician

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

American Family Physician : Article

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

ACOG Releases Guidelines for Management of Endometrial Cancer - Practice Guidelines - ...

Aug 1, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released evidence-based guidelines for the management of endometrial cancer. Endometrial carcinoma is a common gynecologic malignancy that many physicians encounter.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0801/p504.html

Heart Failure - Clinical Evidence Handbook - American Family Physician

Aug 1, 2006 - What are the effects of nondrug, drug and invasive treatments? What are the effects of ACE inhibitors in persons at high risk of heart failure?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0801/p467.html

Acute Chest Pain in an Adolescent - Photo Quiz - American Family Physician

Aug 1, 2006 - 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/2006/0801/p473.html

Lidocaine Patch for Treatment of Postherpetic Neuralgia? - Letters to the Editor - ...

Aug 1, 2006 - ...Next: Beta Blockers as First-Line Therapy for Hypertension? View the full table of contents >> Home / Journals / afp / Vol. 74/No. 3(August 1, 2006) / Lidocaine Patch for Treatment of Postherpetic Neuralgia?...

American Family Physician : Letter

https://www.aafp.org/afp/2006/0801/p378.html

Tips From Other Journals - American Family Physician

Aug 1, 2006 - ...Beta Blockers as First-line Therapy for Hypertension? Am Fam Physician. 2006 Aug 1;74(3):492-498. Beta-blocking drugs have been the mainstay of hypertension therapy for three decades. Because recent analyses have questioned the effectiveness of atenolol (Tenormin), Lind-holm and...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0801/p492.html

Tips From Other Journals - American Family Physician

Aug 1, 2006 - ...to have depression than those in the dementia group. Health conditions such as coronary heart disease, cerebrovascular disease, and hypertension were less common in the dementia-free group. After accounting for these factors, age, and sex, participants who exercised regularly were...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0801/p491.html

Opportunities to Improve Outcomes in Sickle Cell Disease - American Family Physician

Jul 15, 2006 - Sickle cell disease represents a spectrum of inherited hemoglobin disorders. The pathophysiology involves abnormalities not just in red blood cells but also vascular endothelium, white blood cell function, coagulation, and inflammatory response. Known sequelae of sickle cell disease ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p303.html

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

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

American Family Physician : Article

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

Primary Care for Lesbians and Bisexual Women - American Family Physician

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

American Family Physician : Article

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

Tips From Other Journals - American Family Physician

Jul 15, 2006 - ...state that surgical procedures or antibiotic therapy may prevent renal damage in children with VUR who are at risk of renal failure and hypertension.1 Because this study questions the assumptions that VUR is a causal step in the progression to renal scarring and that patients with...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0715/p329a.html

Initiating Hormonal Contraception - American Family Physician

Jul 1, 2006 - Most women can safely begin taking hormonal birth control products immediately after an office visit, at any point in the menstrual cycle. Because hormonal contraceptives do not accelerate cervical neoplasia or interfere with cervical cytology, women who have not had a recent ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0701/p105.html

Antihypertensive Agents for Prevention of Diabetic Nephropathy - Cochrane for ...

Jul 1, 2006 - Angiotensin-converting enzyme (ACE) inhibitors are the only antihypertensive agents with proven effectiveness for the primary prevention of diabetic nephropathy (defined as an albumin excretion of less than 30 mg per day on three serial measurements) caused by type 1 or type 2 diabetes....

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0701/p77.html

AHA/ACCF Statement on the Evaluation of Syncope - Practice Guidelines - American Family...

Jul 1, 2006 - The American Heart Association (AHA) and the American College of Cardiology Foundation (ACCF) recently released a scientific statement on the evaluation of syncope (i.e., transient loss of consciousness).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0701/p179.html

Peripheral Arterial Disease - Clinical Evidence Handbook - American Family Physician

Jul 1, 2006 - What are the effects of treatments for persons with chronic peripheral arterial disease?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0701/p137.html

Quantum Sufficit - Jul 1, 2006 - American Family Physician

Jul 1, 2006 - ...902 had some college education, 764 were college graduates, and 621 had postgraduate degrees. Risk factors for poor health such as hypertension, smoking rates, and waist circumference were substantially higher among persons with the least amount of education, and these risk factors...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2006/0701/p25.html

Tips From Other Journals - American Family Physician

Jul 1, 2006 - ...Sildenafil for Pulmonary Arterial Hypertension Am Fam Physician. 2006 Jul 1;74(1):169-170. Sildenafil (Viagra) is a phosphodiesterase-5 inhibitor currently used for treating erectile dysfunction. Part of its mechanism is the inhibition of cyclic guanosine mono-phosphate (cGMP)...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0701/p169.html

Tips From Other Journals - American Family Physician

Jul 1, 2006 - ...and the mean time from symptom onset to treatment was 10 hours. Eight percent of participants had a previous MI, and 43 percent had hypertension. Before this event, 18 percent had used aspirin. One half of the study participants received fibrinolytic therapy before randomization....

American Family Physician : Tip

https://www.aafp.org/afp/2006/0701/p172.html

Medical Care of Adults with Intellectual and Developmental Disabilities - American ...

Jun 15, 2006 - Persons with mental retardation are living longer and integrating into their communities. Primary medical care of persons with mental retardation should involve continuity of care, maintenance of comprehensive treatment documentation, routine periodic health screening, and an ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0615/p2175.html

Quantum Sufficit - Jun 15, 2006 - American Family Physician

Jun 15, 2006 - ...feeling lonely be a health risk? According to study findings published in Psychology and Aging, loneliness is as much a risk factor for hypertension as obesity and lack of exercise. Researchers interviewed 229 people between the ages of 50 and 68 to determine each person’s perceived...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2006/0615/p2113.html

Tips From Other Journals - American Family Physician

Jun 15, 2006 - ...and colleagues conducted a randomized, double-blind, placebo-controlled trial of timolol (Betimol) in patients with cirrhosis and portal hypertension. They authors enrolled 213 patients with cirrhosis and elevated portal pressures, which are defined by a hepatic venous pressure...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0615/p2223.html

Tips From Other Journals - American Family Physician

Jun 15, 2006 - ...Beta-blocker therapy has been proven to benefit patients with heart failure, arrhythmias, hypertension, or unstable angina. In some studies, early use of beta blockers has been associated with a 25 percent reduction in mortality rates for one or two days after suspected acute...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0615/p2224.html

Tips From Other Journals - American Family Physician

Jun 15, 2006 - ...Persistent pulmonary hypertension of the newborn (PPHN) is a rare but often fatal condition in which the fetal circulation persists after birth, leading to hypoxemia and respiratory failure. Results of a previous cohort study suggested a possible link between PPHN and maternal...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0615/p2227.html

Tips From Other Journals - American Family Physician

Jun 15, 2006 - ...with dyspnea accounted for 6 percent of the total group and were more likely to be older, have left ventricular enlargement, and have hypertension or diabetes. They also had less inducible ischemia than patients with typical angina. During the follow-up period, 786 patients without...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0615/p2230.html

Nonpharmacologic Strategies for Managing Hypertension - American Family Physician

Jun 1, 2006 - The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends lifestyle modification for all patients with hypertension or prehypertension. Modifications include reducing dietary sodium to less than 2.4 g per ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1953.html

Peripheral Vascular Disease: Diagnosis and Treatment - American Family Physician

Jun 1, 2006 - Peripheral vascular disease is a manifestation of systemic atherosclerosis that leads to significant narrowing of arteries distal to the arch of the aorta. The most common symptom of peripheral vascular disease is intermittent claudication. At other times, peripheral vascular disease ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1971.html

Nonalcoholic Fatty Liver Disease - American Family Physician

Jun 1, 2006 - Nonalcoholic fatty liver disease is a common condition associated with metabolic syndrome. It is the most common cause of elevated liver enzymes in U.S. adults, and is diagnosed after ruling out other causes of steatosis (fatty infiltration of liver), particularly infectious hepatitis ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1961.html

Low-Carbohydrate Diets - American Family Physician

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

American Family Physician : Article

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

AAP Reports on Healthy Weight-Control Practices in Young Athletes - Practice Guidelines...

Jun 1, 2006 - The American Academy of Pediatrics (AAP) has released recommendations on healthy weight-control behaviors in young athletes to address counseling issues that physicians may encounter in caring for these patients. Children and adolescents often are involved in sports in which weight loss...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0601/p2069.html

Tips From Other Journals - American Family Physician

Jun 1, 2006 - ...45 kg per m2 who wanted to lose weight. Patients were excluded if they or their family physicians reported the presence of uncontrolled hypertension, diabetes, cardiovascular or cerebrovascular disease, pregnancy and breastfeeding, or psychiatric problems. At the study's onset, all...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0601/p2043.html

Tips From Other Journals - American Family Physician

Jun 1, 2006 - ...participants and 496 in the control group. Participants were more likely than those in the control group to have a history of diabetes or hypertension; aspirin use was similar in both groups. Participants were divided into five groups based on their three lipid marker levels....

American Family Physician : Tip

https://www.aafp.org/afp/2006/0601/p2052.html

Tips From Other Journals - American Family Physician

Jun 1, 2006 - ...average body mass index was about 28 kg per m2. About 30 percent of the women reported hysterectomy, and a similar percentage reported hypertension. The parous and nulliparous participants did not differ significantly in any important variable. The parous sisters reported an average...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0601/p2059.html

High Blood Pressure: What You Should Know - American Family Physician

Jun 1, 2006 - ...See related article on hypertension. What is high blood pressure? High blood pressure is when the pressure in your arteries is higher than it should be. If you have high blood pressure, you are more at risk of having a heart attack or a stroke. You also are more at risk of getting...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/0601/p1957.html

Assessment of Microscopic Hematuria in Adults - American Family Physician

May 15, 2006 - Microscopic hematuria, a common finding on routine urinalysis of adults, is clinically significant when three to five red blood cells per high-power field are visible. Etiologies of microscopic hematuria range from incidental causes to life-threatening urinary tract neoplasm. The lack ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0515/p1748.html

Tips From Other Journals - American Family Physician

May 15, 2006 - ...concerns for children. These conditions are associated with future insulin resistance, type 2 diabetes mellitus, lipid abnormalities, and hypertension. The combination of increased caloric intake and decreased physical activity causes obesity in children. Addressing caloric intake...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0515/p1823.html

Tips From Other Journals - American Family Physician

May 15, 2006 - ...protein, and carbohydrates in lowering lipids and blood pressure has not been satisfactorily clarified. The Dietary Approaches to Stop Hypertension trial demonstrated that a high-carbohydrate diet emphasizing fruits, vegetables, and low-fat dairy can lower blood pressure and...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0515/p1823a.html

AAFP News - May 15, 2006 - American Family Physician

May 15, 2006 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2006/0515/p1691.html

Hypertension in Children and Adolescents - American Family Physician

May 1, 2006 - The development of a national database on normative blood pressure levels throughout childhood has contributed to the recognition of elevated blood pressure in children and adolescents. The epidemic of childhood obesity, the risk of developing left ventricular hypertrophy, and evidence ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0501/p1558.html

Managing Opioid Addiction with Buprenorphine - American Family Physician

May 1, 2006 - Legislation has enabled physicians to treat opioid-dependent patients with an office-based maintenance program using buprenorphine, a partial mu-opioid receptor agonist. Clinical studies indicate buprenorphine effectively manages opioid addiction. Buprenorphine is more effective than ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0501/p1573.html

Determining Eligibility for Gastric Bypass Surgery - Curbside Consultation - American ...

May 1, 2006 - This case scenario brings up two issues: (1) whether the patient should undergo a risky procedure that might benefit her and (2) responsible allocation of health care resources. First, American College of Physicians (ACP) guidelines1 recommend optional bariatric surgery for those who ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0501/p1638.html

Dietary Advice to Lower Cardiovascular Risk - Cochrane for Clinicians - American Family...

May 1, 2006 - Dietary advice to lower fat and salt intake and increase intake of fruits, vegetables, and fiber produces modest improvements in cardiovascular risk factors. More intensive counseling yields greater effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0501/p1551.html

Amenorrhea: Evaluation and Treatment - American Family Physician

Apr 15, 2006 - A thorough history and physical examination as well as laboratory testing can help narrow the differential diagnosis of amenorrhea. In patients with primary amenorrhea, the presence or absence of sexual development should direct the evaluation. Constitutional delay of growth and puberty...

American Family Physician : Article

https://www.aafp.org/afp/2006/0415/p1374.html

Caring for Patients After Bariatric Surgery - American Family Physician

Apr 15, 2006 - Bariatric surgery leads to sustainable long-term weight loss and may be curative for such obesity-related comorbidities as diabetes and obstructive sleep apnea in severely obese patients. The Roux-en-Y gastric bypass has become the most common procedure for patients undergoing bariatric...

American Family Physician : Article

https://www.aafp.org/afp/2006/0415/p1403.html

Practice Guidelines - Apr 15, 2006 - American Family Physician

Apr 15, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released an opinion statement on issues specific to pregnancy in obese women. Women who are obese are at increased risk of complications of pregnancy such as gestational hypertension and diabetes, preeclampsia, fetal ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0415/p1471.html

Religion, Spirituality, and Their Relevance to Medicine: An Update - Editorials - ...

Apr 15, 2006 - ...behaviors, disease screening, continuity of care, surgical complications and use of health services, endocrine and immune function, hypertension, coronary artery obstruction, carotid atherosclerosis, survival rates, and positive human traits (e.g., forgiveness, gratitude, meaning...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0415/p1336.html

Abdominal Aortic Aneurysm - American Family Physician

Apr 1, 2006 - Most abdominal aortic aneurysms (AAAs) are asymptomatic, not detectable on physical examination, and silent until discovered during radiologic testing for other reasons. Tobacco use, hypertension, a family history of AAA, and male sex are clinical risk factors for the development of an ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0401/p1198.html

Tips From Other Journals - American Family Physician

Apr 1, 2006 - ...To answer these questions, Chodosh and colleagues conducted a systematic review and meta-analysis of self-management programs for hypertension, diabetes mellitus, and osteoarthritis. The authors defined chronic disease self-management as a systematic disease intervention that...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0401/p1260a.html

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