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stroke

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Weighing the Risks and Benefits of Clinical Interventions -- FPM

Jan 1, 2004 - The article discusses the importance of engaging patients in cost-benefit discussions before deciding on their care plan. It also introduces several risk calculators (both paper and online versions) that physicians should become familiar with.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0100/p53.html

Diary from a Week in Practice - Jan 1, 2004 - American Family Physician

Jan 1, 2004 - ...Am I too young to have a stroke? Bridget wanted to know. The 43-year-old woman sounded frantic over the telephone. She had woken this morning unable to move the left side of her face, and she was frightened by her appearance reflected in the bathroom mirror. Get to the emergency...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0101/p66.html

Tips From Other Journals - American Family Physician

Jan 1, 2004 - ...Hormone Therapy and Increased Risk of Stroke Am Fam Physician. 2004 Jan 1;69(1):204-205. The Women's Health Initiative (WHI) trial recently was terminated three years before its planned completion date because the harmful effects of combination estrogen-progestin therapy outweighed...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0101/p204.html

Stroke: Strategies for Primary Prevention - American Family Physician

Dec 15, 2003 - Stroke is a leading cause of morbidity and mortality in North America. Primary prevention of stroke includes lifestyle modifications and measures to control blood pressure, cholesterol levels, diabetes mellitus, and atrial fibrillation. Lowering blood pressure in patients with ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1215/p2379.html

Decreasing the Morbidity, Mortality, and Cost of Stroke Through Awareness and ...

Dec 15, 2003 - ...the Morbidity, Mortality, and Cost of Stroke Through Awareness and Prevention MARGARET GRADISON, M.D., Duke University Medical Center, Durham, North Carolina Am Fam Physician. 2003 Dec 15;68(12):2335-2340. Related Article Stroke is a significant medical problem that affects more...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1215/p2335.html

Orthostatic Hypotension - American Family Physician

Dec 15, 2003 - Orthostatic hypotension is a physical finding defined by the American Autonomic Society and the American Academy of Neurology as a systolic blood pressure decrease of at least 20 mm Hg or a diastolic blood pressure decrease of at least 10 mm Hg within three minutes of standing. The ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1215/p2393.html

How to Prevent a Stroke - American Family Physician

Dec 15, 2003 - ...How to Prevent a Stroke Am Fam Physician. 2003 Dec 15;68(12):2389-2390. What is a stroke? A stroke happens when there is a problem with the blood supply to a part of the brain. The area of the brain that does not get enough blood becomes damaged. A stroke can happen when a blood...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/1215/p2389.html

Diary from a Week in Practice - Dec 15, 2003 - American Family Physician

Dec 15, 2003 - ...study showed that the combination of estrogen and progesterone slightly increased, rather than decreased, the risk of heart attacks and strokes. The numbers are small, but authorities now agree that the risks outweigh the benefits, and most women have discontinued taking hormones....

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1215/p2375.html

Maggot Debridement Therapy for Diabetic Necrotic Foot - Letters to the Editor - ...

Dec 15, 2003 - ...Previous: How to Prevent a Stroke Next: A Systematic Review of Low-Carbohydrate Diets View the full table of contents >> Home / Journals / afp / Vol. 68/No. 12(December 15, 2003) / Maggot Debridement Therapy for Diabetic Necrotic Foot...

American Family Physician : Letter

https://www.aafp.org/afp/2003/1215/p2327.html

Correction - Corrections - American Family Physician

Dec 15, 2003 - ...Next: Decreasing the Morbidity, Mortality, and Cost of Stroke Through Awareness and Prevention View the full table of contents >> Home / Journals / afp / Vol. 68/No. 12(December 15, 2003) / Corrections: Correction...

American Family Physician : Corrections

https://www.aafp.org/afp/2003/1215/p2330.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

Poems & Tips From Other Journals - American Family Physician

Dec 15, 2003 - ...in the treated group (24.6 versus 45.0 percent; number needed to treat [NNT] = 4.9). The outcome of cardiac deaths, nonfatal infarction, and stroke also decreased significantly (24.6 versus 47.8 percent; NNT = 4). Nausea and vomiting were more common in the coenzymeQ10 group,...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1215/p2439.html

What You Should Know About Post-traumatic Stress Disorder - American Family Physician

Dec 15, 2003 - ...Next: How to Prevent a Stroke View the full table of contents >> Home / Journals / afp / Vol. 68/No. 12(December 15, 2003) / What You Should Know About Post-traumatic Stress Disorder...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/1215/p2409.html

Tips From Other Journals - American Family Physician

Dec 1, 2003 - ...hypertensive conditions of pregnancy also had higher odds ratios for many of the serious adverse outcomes of hypertension later in life. For stroke, gestational hypertension had an odds ratio of 2.23, and preeclampsia/eclampsia had an odds ratio of 3.39; for angina, odds ratios were...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1201/p2270.html

Tips From Other Journals - American Family Physician

Dec 1, 2003 - ...with hydrochlorothiazide or atenolol. Primary end points included stroke, acute myocardial infarction, or cardiovascular-disease–related death. Secondary end points included heart failure, transient ischemic attack or carotid endarterectomy, hospitalization for angina, cardiac...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1201/p2262.html

Tips From Other Journals - American Family Physician

Dec 1, 2003 - ...questionnaires. Follow-up questionnaires were mailed every two years for updates on potential risk factors. Patients with a history of CHD, stroke, or cancer reported on the 1980 questionnaire or earlier were excluded at baseline from the cohort study by Hu and colleagues. The...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1201/p2258.html

Wrapping Up the 2003 ACF on Prevention - Inside AFP - American Family Physician

Nov 15, 2003 - ...15 issue's cover article will review strategies for the primary prevention of stroke. The authors, Justin A. Ezekowitz, M.B.B.CH., M. Sc., University of Alberta, Edmonton, and colleagues, note that stroke is a leading cause of morbidity and mortality in North America. Primary...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2003/1115/p1893.html

Poems & Tips From Other Journals - American Family Physician

Nov 15, 2003 - ...Role of Candesartan in the Treatment of Acute Stroke Am Fam Physician. 2003 Nov 15;68(10):2044-2048. Clinical Question: Does candesartan reduce the rate of stroke mortality and other complications in patients with acutely elevated blood pressure? Setting: Inpatient (any location)...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1115/p2044.html

Tips From Other Journals - American Family Physician

Nov 15, 2003 - ...answer this question. Previous reports from the HOPE trial showed that the ACE inhibitor ramipril reduced rates of myocardial infarction, stroke, and cardiovascular death in patients at high risk for these outcomes. The HOPE study was a randomized, double-blinded, placebo-controlled...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1115/p2062.html

Tips From Other Journals - American Family Physician

Nov 15, 2003 - ...end point. The three secondary end points were as follows: (1) death, reinfarction, stroke, resuscitation, or postinfarction angina before discharge from the hospital; (2) death, reinfarction, stroke, resuscitation, or unstable angina pectoris resulting in another hospitalization...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1115/p2078.html

Tips From Other Journals - American Family Physician

Nov 15, 2003 - ...and September 1999. To be included in the study, patients had to have a history of cardiovascular disease, such as myocardial infarction, stroke, documented coronary stenosis on cardiac catheterization, or invasive cardiovascular revascularization procedure. Patients who were at...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1115/p2050.html

Diary from a Week in Practice - Nov 1, 2003 - American Family Physician

Nov 1, 2003 - ...the pieces. When Mrs. Christie was found on the floor of her bedroom, unable to get up, her daughter feared the elderly woman had suffered a stroke. Mrs. Christie was evaluated in the emergency department, and by the time all her test results had come back as normal, she felt...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1101/p1763.html

Reducing Cardiovascular Disease Risk in Patients with Type 2 Diabetes: A Message from ...

Oct 15, 2003 - Cardiovascular disease is responsible for 65 percent of deaths in persons with type 2 diabetes. However, awareness of cardiovascular disease risk factors among patients with diabetes remains low, resulting in missed opportunities to lower risks for coronary events and strokes. The ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1569.html

Tremor - American Family Physician

Oct 15, 2003 - Tremor, a rhythmic, involuntary, oscillatory movement of body parts, is the most common movement disorder. Tremors are classified as rest or action tremors. Rest tremor occurs when the affected body part is completely supported against gravity. Action tremors are produced by voluntary ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1545.html

Hormone Therapy to Prevent Hip Fractures in Elderly - Letters to the Editor - American ...

Oct 15, 2003 - ...hormone therapy would develop invasive breast cancer, seven more would have a heart attack or other coronary event, eight more would have a stroke, and eight more would suffer a pulmonary embolism. In light of these findings, and considering that there are already existing...

American Family Physician : Letter

https://www.aafp.org/afp/2003/1015/p1489.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

Tips From Other Journals - American Family Physician

Oct 15, 2003 - ...other dementia illnesses that are not progressive, such as dementia secondary to trauma or substance abuse, or if they had a diagnosis of stroke. The 165 patients who were included in the study were separated into two groups: those who died within six months (126 patients) and those...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1015/p1639.html

Poems & Tips From Other Journals - American Family Physician

Oct 15, 2003 - ...mortality was seen among patients receiving beta-carotene (3.4 versus 3.1 percent; NNK = 334; P = .003). Beta-carotene had no effect on stroke events (2.3 percent for treated and control patients). The data were homogeneous across studies for these end points. More than 81,000...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1015/p1613.html

Tips From Other Journals - American Family Physician

Oct 15, 2003 - ...blood pressure. Patients were followed for any cardiovascular event, including myocardial infarction, congestive heart failure, transient ischemic attack, stroke, death from any cardiovascular cause, and any need for angioplasty or other coronary artery procedure. The enalapril...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1015/p1631.html

Essential Tremor - American Family Physician

Oct 15, 2003 - ...Yes. Parkinson's disease causes a tremor that might be noticed when your hands are resting in your lap or at the sides of your body. A stroke can cause a tremor that gets worse when you reach for something. Thyroid problems or low blood sugar can cause a mild tremor. Tremor can be...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/1015/p1553.html

Diabetes and Heart Disease - American Family Physician

Oct 15, 2003 - ...If you have diabetes, you have a high risk for having a heart attack or a stroke. You are more likely to get heart disease—and at an younger age—than someone without diabetes. There are things you can do to reduce your risk for heart disease. Learning about the ABCs of diabetes can...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/1015/p1577.html

Are Anticoagulants Better than Antiplatelet Agents for Treatment of Acute Ischemic ...

Oct 1, 2003 - Aspirin has a small benefit for long-term outcome and survival. Anticoagulants increase the risk for bleeding and do not have long-term benefit.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/1001/p1307.html

Management of Gastroesophageal Reflux Disease - American Family Physician

Oct 1, 2003 - The primary treatment goals in patients with gastroesophageal reflux disease are relief of symptoms, prevention of symptom relapse, healing of erosive esophagitis, and prevention of complications of esophagitis. In patients with reflux esophagitis, treatment is directed at acid ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1311.html

Pharmacologic Treatment of Alzheimer's Disease: An Update - American Family Physician

Oct 1, 2003 - Alzheimer's disease is characterized by the development of senile plaques and neurofibrillary tangles, which are associated with neuronal destruction, particularly in cholinergic neurons. Drugs that inhibit the degradation of acetylcholine within synapses are the mainstay of therapy. ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1365.html

Quantum Sufficit - Oct 1, 2003 - American Family Physician

Oct 1, 2003 - ...if golfers want to play well, they shouldn't think too hard when they are standing over the ball. When six golfers (handicaps of zero to 13 strokes) were asked to visualize their swings during blood oxygen level–dependent functional magnetic resonance imaging, the best golfers...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2003/1001/p1257.html

Diary from a Week in Practice - Oct 1, 2003 - American Family Physician

Oct 1, 2003 - ...Next: Are Anticoagulants Better than Antiplatelet Agents for Treatment of Acute Ischemic Stroke? View the full table of contents >> Home / Journals / afp / Vol. 68/No. 7(October 1, 2003) / Diary from a Week in Practice: Diary from a Week in Practice...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1001/p1303.html

Tips From Other Journals - American Family Physician

Oct 1, 2003 - ...on vasculature independent of LDL cholesterol lowering. These effects likely contribute to the decrease in cardiovascular disease and strokes in persons with diabetes who are treated with statins. Read the full article. Get immediate access, anytime, anywhere. Choose a single...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1001/p1407.html

Tips From Other Journals - American Family Physician

Oct 1, 2003 - ...PV can have life-threatening complications, including stroke and evolution into either myelofibrosis with myeloid metaplasia or acute leukemia. Treatment is directed according to patient risk stratification. Frequent phlebotomy and chemotherapy are the cornerstones of treatment....

American Family Physician : Tip

https://www.aafp.org/afp/2003/1001/p1400.html

Cerebrospinal Fluid Analysis - American Family Physician

Sep 15, 2003 - Lumbar puncture is frequently performed in primary care. Properly interpreted tests can make cerebrospinal fluid (CSF) a key tool in the diagnosis of a variety of diseases. Proper evaluation of CSF depends on knowing which tests to order, normal ranges for the patient's age, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1103.html

Differential Diagnosis and Treatment of Hearing Loss - American Family Physician

Sep 15, 2003 - Hearing loss is a common problem that can occur at any age and makes verbal communication difficult. The ear is divided anatomically into three sections (external, middle, and inner), and pathology contributing to hearing loss may strike one or more sections. Hearing loss can be ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1125.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

Tips From Other Journals - American Family Physician

Sep 15, 2003 - ...to manage is warfarin. The use of warfarin has increased in recent years because of the expanded indication for the prevention of stroke in patients with atrial fibrillation, established treatments for deep venous thrombosis or pulmonary emboli, and thrombosis prevention in patients...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0915/p1186.html

Tips From Other Journals - American Family Physician

Sep 15, 2003 - ...activities of daily living; self-reported poor health; less education; nonwhite race; and a history of coronary heart disease, transient ischemic attacks, stroke, or diabetes. The authors conclude that most elderly persons can safely perform the six-minute walk test in the...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0915/p1196.html

AAFP News - Sep 15, 2003 - American Family Physician

Sep 15, 2003 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2003/0915/p1003.html

Smallpox Vaccine: Contraindications, Administration, and Adverse Reactions - American ...

Sep 1, 2003 - Since the terrorist attacks of September 11, 2001, and the anthrax exposures in the following weeks, concern that smallpox could be used as a biologic weapon has increased. Public health departments and the U.S. military have begun the process of vaccinating soldiers and civilian ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p889.html

New Developments in the Management of Hypertension - American Family Physician

Sep 1, 2003 - The management of hypertension has evolved over the past decade. Isolated systolic blood pressure elevation, the most common form of uncontrolled hypertension, is recognized as a significant risk factor for vascular complications in patients with hypertension. Nutritional management of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p853.html

AHA Releases Statement on Exercise and Heart Failure - Practice Guidelines - American ...

Sep 1, 2003 - Although discomfort during exercise is a principal reason that patients with heart failure seek medical care, exercise training is safe and can benefit these patients, according to the American Heart Association (AHA).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0901/p969.html

Tips From Other Journals - American Family Physician

Sep 1, 2003 - ...end-stage renal disease, and lower limb amputations in the United States. Other complications of diabetes include cardiovascular disease, stroke, and early mortality. Recent research has demonstrated the important role of the renin-angiotensin aldosterone system in the increased...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0901/p962.html

Tips From Other Journals - American Family Physician

Sep 1, 2003 - ...The study by Albert and colleagues included 1,679 patients without a history of myocardial infarction, stroke, or coronary revascularization (primary prevention arm) and 1,154 patients with a history of cardiovascular disease (secondary prevention arm). Participants were asked to...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0901/p959.html

West Nile Virus in the United States: An Update on an Emerging Infectious Disease - ...

Aug 15, 2003 - West Nile virus is a mosquito-borne flavivirus and human neuropathogen. Since the virus was recognized in New York City in 1999, it has spread rapidly across the United States, with human disease documented in 39 states and the District of Columbia. West Nile virus can cause a broad ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0815/p653.html

Tips From Other Journals - American Family Physician

Aug 15, 2003 - ...Percentage loss of total hip BMD was associated with subsequent cognitive decline. After adjustment for education, age, history of stroke, impaired functional status, body mass index, and smoking status, the association between hip-bone loss and cognitive decline was attenuated but...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0815/p737.html

Tips From Other Journals - American Family Physician

Aug 15, 2003 - ...supplementation in reducing morbidity and mortality from cardiovascular and cerebrovascular disease, including myocardial infarction and stroke. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0815/p733.html

Management of Status Epilepticus - American Family Physician

Aug 1, 2003 - Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p469.html

Acute Myocardial Infarction - Clinical Evidence Handbook - American Family Physician

Aug 1, 2003 - What treatments improve outcomes in acute myocardial infarction? Which treatments improve outcomes for cardiogenic shock after acute myocardial infarction?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/0801/p519.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

Tips From Other Journals - American Family Physician

Aug 1, 2003 - ...if smoking (more than 10 cigarettes per day) or other cardiovascular risk factors are present. The association between OCP use and ischemic stroke is less clear, although increased risk has been demonstrated in OCP users who have migraines. There is no documentation of an increased...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0801/p547.html

NHLBI Releases New High Blood Pressure Guidelines - Practice Guidelines - American ...

Jul 15, 2003 - New guidelines for the prevention and management of hypertension are available from the National Heart, Lung, and Blood Institute (NHLBI). According to the NHLBI, hypertension affects about 50 million persons in the United States.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0715/p376.html

JNC 7 Express: New Thinking in Hypertension Treatment - Editorials - American Family ...

Jul 15, 2003 - ...the trend toward evidence-based treatment, toward reliance on medications with proven benefit in real outcomes (prevention of heart failure, stroke, and coronary disease), is fully developed. For the first time, treatment recommendations are based on drug versus drug clinical trial...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0715/p228.html

Diagnosing Acute Monoarthritis in Adults: A Practical Approach for the Family Physician...

Jul 1, 2003 - Acute monoarthritis can be the initial manifestation of many joint disorders. The first step in diagnosis is to verify that the source of pain is the joint, not the surrounding soft tissues. The most common causes of monoarthritis are crystals (i.e., gout and pseudogout), trauma, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0701/p83.html

Splinter Removal - American Family Physician

Jun 15, 2003 - Splinter injuries are common, but larger and deeper splinters are often difficult and painful to remove at home. These splinters often present as a foreign body embedded in the superficial or subcutaneous soft tissues. Whenever possible, reactive objects like wood, thorns, spines, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2557.html

Tips From Other Journals - American Family Physician

Jun 15, 2003 - ...six, 12, 18, and 24 months. In addition to cardiac events, the questionnaires addressed uterine bleeding, endometrial cancer, breast cancer, stroke, embolic events, fractures, and compliance with treatment. A member of the research team investigated all reports of uterine bleeding....

American Family Physician : Tip

https://www.aafp.org/afp/2003/0615/p2612a.html

Does Long-Term Anticoagulation Improve Function After Stroke? - Cochrane for Clinicians...

Jun 1, 2003 - There is no evidence that anticoagulation with either heparin or warfarin improves these outcomes. There is clear evidence of increased hemorrhagic complications (both fatal and nonfatal) in patients who receive anticoagulation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/0601/p2317.html

Acute Abdominal Pain in Children - American Family Physician

Jun 1, 2003 - Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The most common medical cause is gastroenteritis, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2321.html

Use of Atypical Antipsychotics in Patients with Dementia - American Family Physician

Jun 1, 2003 - Increasingly, atypical antipsychotic drugs are prescribed for elderly patients with symptoms of psychosis and behavioral disturbances. These symptoms often occur in patients with Alzheimer's disease, other dementias, or Parkinson's disease. As the average age of Americans increases, the...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2335.html

Diary from a Week in Practice - Jun 1, 2003 - American Family Physician

Jun 1, 2003 - ...Next: Does Long-Term Anticoagulation Improve Function After Stroke? View the full table of contents >> Home / Journals / afp / Vol. 67/No. 11(June 1, 2003) / Diary from a Week in Practice: Diary from a Week in Practice...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0601/p2312.html

Tips From Other Journals - American Family Physician

Jun 1, 2003 - ...Consumption and Stroke Risk Am Fam Physician. 2003 Jun 1;67(11):2397. Given the worldwide prevalence of alcohol consumption, as well as the high cost of death and disability from stroke, a clear understanding of the relationship between drinking and stroke risk could have...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0601/p2397.html

Tips From Other Journals - American Family Physician

Jun 1, 2003 - ...or within 30 days after surgery, time to first stroke, and any stroke within 30 days of surgery. View/Print Table Risks of Death and Stroke Within 30 Days of Carotid Endarterectomy OutcomeTotal events*Total percentage riskP† Stroke or death <50% stenosis 116/1,707 6.8 (5.6...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0601/p2401a.html

Using an Ambulatory Blood Pressure Monitor - American Family Physician

Jun 1, 2003 - ...High blood pressure can damage many parts of the body. If you have high blood pressure, you have a higher risk for strokes, heart disease, heart attacks, and kidney failure. Control of your blood pressure can reduce these risks. You and your doctor will work together to find the...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/0601/p2353.html

Quantum Sufficit - May 15, 2003 - American Family Physician

May 15, 2003 - ...the American Journal of Epidemiology, men who shave infrequently have a greater risk of all-cause and cardiovascular disease mortality and stroke events than men who shave every day. The researchers found that infrequent shavers are more likely to smoke than other men and are likely...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2003/0515/p2059.html

Screening for Type 2 Diabetes in Adults - U.S. Preventive Services Task Force - ...

May 15, 2003 - This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for type 2 diabetes in adults and the supporting scientific evidence.

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

https://www.aafp.org/afp/2003/0515/p2177.html

AAFP News - May 15, 2003 - American Family Physician

May 15, 2003 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2003/0515/p2067.html

Do I Have to Resuscitate This Patient Against Her Wishes? - Curbside Consultation - ...

May 1, 2003 - In this case scenario, the family physician successfully performed a task that often is forgotten during physician-patient visits—the physician frequently discussed with this patient her wishes for end-of-life care. The conversations specifically included her thoughts about respirators,...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/0501/p2025.html

Practice Diary - May 2003 -- FPM

May 1, 2003 - ...knew, with dread, what she was about to tell me: Oliver was dead at age 55. His doctors suspected he had died of either a heart attack or a stroke, and the memorial was set for the next Saturday. Would you like to speak at the service? Karen asked. Definitely, I said. A year...

Family Practice Management : Practice Diary

https://www.aafp.org/fpm/2003/0500/p71.html

Diagnosis and Treatment of Sick Sinus Syndrome - American Family Physician

Apr 15, 2003 - Sick sinus syndrome comprises a variety of conditions involving sinus node dysfunction and commonly affects elderly persons. While the syndrome can have many causes, it usually is idiopathic. Patients may experience syncope, pre-syncope, palpitations, or dizziness; however, they often ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0415/p1725.html

Ambulatory Devices for Chronic Gait Disorders in the Elderly - American Family Physician

Apr 15, 2003 - Gait disorders in the elderly are common and in most cases cannot be treated medically or surgically. Therefore, treatment often relies on ambulatory devices such as canes, crutches, and walkers. Before selecting a device, the patient should be evaluated to define whether one or both ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0415/p1717.html

Anticoagulant Use in Patients with Risk of Falling - Letters to the Editor - American ...

Apr 15, 2003 - ...I often see patients who are admitted to our nursing homes after sustaining an embolic stroke because of atrial fibrillation who were not given anticoagulation therapy because of a risk of falling. Physicians are obligated to inform our patients of the risks and benefits of...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0415/p1683.html

Quantum Sufficit - Apr 15, 2003 - American Family Physician

Apr 15, 2003 - ...someone is having a stroke. As reported in The New York Times, a study presented at a conference of the American Stroke Association showed that stroke can be identified using a three-step test that takes only a minute to conduct. Patients who may be having a stroke are asked to...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2003/0415/p1670.html

Diary from a Week in Practice - Apr 15, 2003 - American Family Physician

Apr 15, 2003 - ...10 days earlier with dehydration secondary to gastroenteritis. The patient had been bedridden for several years because of multiple strokes, and although her speech was slurred, any one of her daughters could understand her easily. These remarkable women were devoted to their mother...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0415/p1709.html

Tips From Other Journals - American Family Physician

Apr 15, 2003 - ...of at least 30 mm Hg on the probability of progression to severe heart failure (NYHA Class III or IV) or death from heart failure or stroke. (NYHA = New York Heart Association) Adapted with permission from Maron MS, Olivotto I, Betocchi S, Casey SA, Lesser JR, Losi MA, et al. Effect...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0415/p1817a.html

What You Should Now About Sick Sinus Syndrome - American Family Physician

Apr 15, 2003 - ...Some people with sick sinus syndrome who also have other medical problems may be at greater risk of having a stroke. Doctors might give these people a blood-thinning medicine, such as warfarin (brand name: Coumadin). Read the full article. Get immediate access, anytime, anywhere....

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/0415/p1738.html

Cholesterol - American Family Physician

Apr 15, 2003 - ...While some cholesterol is needed for good health, too much cholesterol in your blood can raise your risk of having a heart attack or stroke. The extra cholesterol in your blood may be stored in your arteries (blood vessels) and cause them to narrow. This is called atherosclerosis....

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/0415/p1775.html

AAFP News - Apr 15, 2003 - American Family Physician

Apr 15, 2003 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2003/0415/p1673.html

The Integrated Summary: A Documentation Tool to Improve Patient Care -- FPM

Apr 1, 2003 - This easy-to-use template enables you to see the full context of a patient’s health on a single page.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0400/p33.html

Evaluation and Treatment of Heat-Related Illnesses - Letters to the Editor - American ...

Apr 1, 2003 - ...Clinical syndromes vary from heat syncope, heat cramps, heat exhaustion, and heat stroke.2–3 Heat syncope occurs when a person experiences orthostatic dizziness or fainting following exposure to a high environmental temperature. Heat illness is precipitated by long hours of...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0401/p1439.html

Hormone Therapy: Continuing Discussion and Debate - Editorials - American Family Physician

Apr 1, 2003 - ...vaginal dryness and, perhaps, mood swings at the time of the menopausal transition. There was an increased absolute risk for nonfatal stroke only (8 per 10,000 women per year), a twofold increase in absolute risk of venous thromboembolism (18 per 10,000 women per year), and an...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0401/p1444.html

Tips From Other Journals - American Family Physician

Apr 1, 2003 - ...and stroke were somewhat lower in the pravastatin group than in the usual-care group. Of note, in subgroup analysis, pravastatin showed a significantly more favorable effect on CHD events in blacks than in non-blacks, with a significantly less favorable effect in blacks for stroke....

American Family Physician : Tip

https://www.aafp.org/afp/2003/0401/p1614.html

AAFP News - Apr 1, 2003 - American Family Physician

Apr 1, 2003 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2003/0401/p1425.html

Chemoprevention of Breast Cancer - U.S. Preventive Services Task Force - American ...

Mar 15, 2003 - This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations for the chemoprevention of breast cancer and the supporting scientific evidence.

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

https://www.aafp.org/afp/2003/0315/p1309.html

Identifying and Diagnosing the Adult Neck Mass - Letters to the Editor - American ...

Mar 15, 2003 - ...A pulsatile lateral neck swelling is the most common presentation of a carotid artery aneurysm; other symptoms include pain, transient ischemic attack, stroke, hoarseness, and dysphagia.3 A carotid duplex scan is confirmatory, although arteriography still remains the gold standard....

American Family Physician : Letter

https://www.aafp.org/afp/2003/0315/p1190.html

Promoting Physical Activity in the Family Practice Setting - Editorials - American ...

Mar 15, 2003 - ...their physical activity.8 Although regular physical activity is associated with decreased incidence of coronary heart disease, osteoporosis, stroke, colon cancer, type 2 diabetes, and obesity, the majority of American adults are irregularly active or completely sedentary.1,9 The...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0315/p1199.html

Tips From Other Journals - American Family Physician

Mar 15, 2003 - ...(repeat MI, stroke, or death). The mean duration of follow-up was approximately four years. Repeat MI occurred in 9.7 percent of patients who were taking aspirin alone, 7.4 percent of those taking warfarin alone, and 5.7 percent of those taking both medications. Stroke occurred in...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0315/p1349.html

Tips From Other Journals - American Family Physician

Mar 15, 2003 - ...outcomes were observed in the lisinopril versus chlorthali-done group. Patients in the lisinopril group had a 15 percent higher risk of stroke and a 10 percent increased risk of combined cardiovascular disease (CVD) events, with a six-year absolute risk difference of 2.4 percent....

American Family Physician : Tip

https://www.aafp.org/afp/2003/0315/p1366.html

Tips From Other Journals - American Family Physician

Mar 15, 2003 - ...Subjects were followed for a mean of eight years for the first occurrence of a cardiovascular event (myocardial infarction, ischemic stroke, coronary revascularization, or death). View/Print Figure C-Reactive Protein and LDL Cholesterol for Predicting Cardiovascular Events in Women...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0315/p1366a.html

Tips From Other Journals - American Family Physician

Mar 15, 2003 - ...through analysis of angiographic measurements and clinical end points such as cardiovascular death, nonfatal myocardial infarction, and stroke (alone and in combination). Other end points included coronary artery surgery, pulmonary embolus, and cancer. In the Women’s Angiographic...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0315/p1371a.html

AAFP News - Mar 15, 2003 - American Family Physician

Mar 15, 2003 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2003/0315/p1171.html

Vitamin B12 Deficiency - American Family Physician

Mar 1, 2003 - Vitamin B12 (cobalamin) deficiency is a common cause of macrocytic anemia and has been implicated in a spectrum of neuropsychiatric disorders. The role of B12 deficiency in hyperhomocysteinemia and the promotion of atherosclerosis is only now being explored. Diagnosis of vitamin B12 ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0301/p979.html

Defining "Confined to the Home" -- FPM

Mar 1, 2003 - The author explains recent guidance from Medicare regarding how to determine whether a patient meets Medicare's definition of confined to the home (i.e., homebound).

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0300/p20.html

Tips From Other Journals - American Family Physician

Mar 1, 2003 - ...Moderate Fish Intake Reduces Ischemic Stroke Risk in Men Am Fam Physician. 2003 Mar 1;67(5):1081-1082. Fish consumption has been associated with a decrease in ischemic stroke and an increase in hemorrhagic stroke, possibly through inhibition of platelet aggregation. He and...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0301/p1081.html

Tips From Other Journals - American Family Physician

Mar 1, 2003 - ...Nontraditional Symptoms in Women with Strokes Am Fam Physician. 2003 Mar 1;67(5):1111-1112. Stroke, a leading cause of disability and death, is best managed by rapid identification and treatment. Women with strokes have higher rates of morbidity and mortality than men. These worse...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0301/p1111.html

Tips From Other Journals - American Family Physician

Mar 1, 2003 - ...Statin Use in Older Adults at Risk for Heart Disease and Stroke Am Fam Physician. 2003 Mar 1;67(5):1119. Statins (3-hydroxy-3-methylglutaryl-CoA reductase inhibitors) have been shown to significantly benefit adult patients in the primary and secondary prevention of cardiovascular...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0301/p1119.html

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