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HIV-Associated Complications: A Systems-Based Approach

August 1, 2017

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801p161.pdf

HIV-Associated Complications: A Systems-Based Approach - American Family Physician

Aug 1, 2017 - Persons with human immunodeficiency virus (HIV) infection often develop complications related directly to the infection, as well as to treatment. Aging, lifestyle factors, and comorbidities increase the risk of developing chronic conditions such as diabetes mellitus and chronic kidney ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0801/p161.html

Hoarseness in Adults

December 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/1201/afp20171201p720.pdf

Hoarseness in Adults - American Family Physician

Dec 1, 2017 - Hoarseness is a common presentation in primary care practices. Combined with other voice-related changes, it falls under the umbrella diagnosis of dysphonia. Hoarseness has a number of causes, ranging from simple inflammatory processes to less common psychiatric disorders to more ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1201/p720.html

Home Telemedicine: Merging the Old and New Ways - Editorials - American Family Physician

Sep 15, 1999 - ...the Home Health Department at Kaiser Permanente Medical Center, Sacramento, Calif., followed 100 patients who had COPD, cardiac disease, stroke and wounds requiring regular nursing care with home telemedicine visits by nurses while another 100 patients received usual in-person...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0915/p1096.html

Hormone Therapy and Other Treatments for Symptoms of Menopause - American Family Physician

Dec 1, 2016 - The results of large clinical trials have led physicians and patients to question the safety of hormone therapy for menopause. In the past, physicians prescribed hormone therapy to improve overall health and prevent cardiac disease, as well as for symptoms of menopause. Combined ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1201/p884.html

Hormone Therapy for Primary Prevention of Cardiovascular Disease in Postmenopausal ...

Oct 1, 2018 - No benefit was observed in postmenopausal women receiving hormone therapy for primary prevention of cardiovascular disease. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/1001/od1.html

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

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

American Family Physician : Putting Prevention into Practice

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

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

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

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

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

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - D.M. is a 52-year-old woman who presents to your office for a well-woman visit. She has been menopausal since 50 years of age and has no significant medical or surgical history. She is up to date on her recommended screenings, with normal mammography and colonoscopy results, and has no ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0415/p541.html

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women and the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy.

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

https://www.aafp.org/afp/2018/0415/od1.html

Hormone Therapy in Postmenopausal and Perimenopausal Women - Cochrane for Clinicians - ...

Nov 1, 2006 - Relatively healthy women taking combined continuous hormone therapy have higher risks of myocardial infarction and venous thromboembolism after one year, stroke after three years, and breast cancer after five years. In women who take hormone therapy continuously for five years, there is...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1101/p1501.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

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

Hospice Care in the Nursing Home - American Family Physician

Feb 1, 1998 - Hospice care is being used more frequently to provide skills and services that are not otherwise available in nursing homes. For eligible terminally ill patients, the Medicare Hospice Benefit supplies an interdisciplinary team with skills in pain management, symptom control and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p491.html

How Do Clinical Practice Guidelines Go Awry?

...8. Lenzer J. Alteplase for stroke: money and optimistic claims buttress the brain attack campaign. BMJ. 2002;324(7339):723-729. 9. Institute of Medicine. Clinical practice guidelines we can trust. March 23, 2011. http://www.iom.edu/Reports/2011/Clinical-Practice-Guidelines-...

American Family Physician

https://www.aafp.org/afp/2012/0915/afp20120915p514.pdf

How Do Clinical Practice Guidelines Go Awry? - AFP Journal Club - American Family ...

Sep 15, 2012 - Many guidelines are dominated by recommendations from experts and are not based on sound clinical studies. The development of clinical practice guidelines needs to be transparent and devoid of commercial, financial, and political influences. Physicians should also be wary of outdated ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/0915/p514.html

How Important Is Reaching Blood Glucose Level Goals? - Letters to the Editor - American...

Jul 15, 2010 - ...for 10 years and determined that tighter glycemic control reduced microvascular complications.3 The effect on coronary artery disease and stroke was equivocal at the conclusion of the trial. However, another study reported that cardiovascular and all-cause mortality was...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0715/p100.html

How the AAFP Atrial Fibrillation Guideline Differs from the AHA/ACC/HRS Guideline

September 1, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/0901/afp20170901p284.pdf

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

How to Prevent Falling - American Family Physician

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

American Family Physician : Patient Handout

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

How to Recognize OSA and What It Means for Your Health - American Family Physician

Sep 1, 2016 - ...Stroke Hypertension (not controlled with medicine) Depression Increased risk of motor vehicle crashes Overall increased risk of death Where can I get more information? Your doctor American Sleep Apnea Association http://www.sleepapnea.org/ National Heart, Lung, and Blood...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2016/0901/p355-s1.html

HPV Vaccine, Especially Before Age 17, Is Associated with a Large Reduction in Invasive... Restricted content. Login required.

Mar 1, 2021 - HPV vaccination is associated with a significant reduction in the likelihood of invasive cervical cancer.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312.html

Human Trafficking: How Family Physicians Can Recognize and Assist Victims - Editorials ...

Aug 15, 2019 - Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0815/p202.html

Hyperlipidemia - American Family Physician

Mar 15, 2021 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels. This collection features AFP content on hyperlipidemia ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13

Hyperlipidemia: Drugs for Cardiovascular Risk Reduction in Adults

...(ASCVD), which includes acute coronary syndrome, stable or unstable angina, coronary or other arterial revascularization, stroke, transient ischemic attack, and peripheral arterial disease pre- sumed to be of atherosclerotic origin. Recommendations and guidelines from the...

American Family Physician

https://www.aafp.org/afp/2017/0115/afp20170115p78.pdf

Hyperlipidemia: Drugs for Cardiovascular Risk Reduction in Adults - American Family ...

Jan 15, 2017 - Guidelines from the American College of Cardiology/American Heart Association (ACC/AHA) and the U.K. National Institute for Health and Care Excellence (NICE) indicate that lipid-lowering drugs have benefit for primary and secondary prevention of atherosclerotic cardiovascular disease ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0115/p78.html

Hyperosmolar Hyperglycemic State

December 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/1201/afp20171201p729.pdf

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

Hypertension Treatment and the Prevention of Coronary Heart Disease in the Elderly - ...

Mar 1, 1999 - Both isolated systolic hypertension (>140 mm Hg/<90 mm Hg) and systolic/diastolic hypertension (>140 mm Hg/>90 mm Hg) are major risk factors for cardiovascular disease in the elderly. Specific antihypertensive drug therapy is available if lifestyle interventions fail to reduce blood ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1248.html

Hypertension: What You Should Know - American Family Physician

May 1, 2008 - ...stroke, and kidney disease. A blood pressure that is higher than 120/80 mm Hg, but lower than 140/90 mm Hg (or 130/80 mm Hg if you have diabetes or kidney disease) is called prehypertension. Some people may not have symptoms of high blood pressure until they have a heart attack or...

American Family Physician : Patient Handout

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

Hypertensive Disorders of Pregnancy

Date xx, xxxx Scientific

American Family Physician

https://www.aafp.org/afp/2016/0115/afp20160115p121.pdf

Hypertensive Disorders of Pregnancy - American Family Physician

Jan 15, 2016 - Elevated blood pressure in pregnancy may represent chronic hypertension (occurring before 20 weeks’ gestation or persisting longer than 12 weeks after delivery), gestational hypertension (occurring after 20 weeks’ gestation), preeclampsia, or preeclampsia superimposed on chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0115/p121.html

Hyperventilation Syndrome - AFP 50 Years Ago - American Family Physician

Dec 1, 2000 - ...I suspect we have all been taught to first and foremost consider diagnoses like myocardial infarction, pulmonary embolus, arrhythmias and stroke. In this medicolegal era, fear of the consequences of missing serious conditions leads us to disregard diagnoses that are not...

American Family Physician : AFP 50 Years Ago

https://www.aafp.org/afp/2000/1201/p2409.html

Hypodermoclysis: An Alternative Infusion Technique -- American Family Physician

...8. Challiner YC, Jarrett D, Hayward MJ, Al-Jubouri MA, Julious SA. A comparison of intravenous and subcutaneous hydration in elderly acute stroke patients. Postgrad Med J 1994;70:195-7. 9. Mansfield S, Monagham H, Hall J. Subcutaneous fluid administration and site maintenance....

American Family Physician

https://www.aafp.org/afp/2001/1101/afp20011101p1575.pdf

Hypothermia and Cold Weather Injuries - American Family Physician

Dec 1, 2019 - Hypothermia, frostbite, and nonfreezing cold injuries predominantly affect older adults, homeless or intoxicated people, adventurers, and military personnel. Prevention begins with clothing that is clean, layered, and loose to promote circulation. Base layers made of moisture-wicking ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1201/p680.html

iCanQuit Smartphone App Is Effective in Helping with Smoking Cessation - POEMs - ... Restricted content. Login required.

Apr 1, 2021 - Use of the iCanQuit smartphone app by smokers, who were recruited through Facebook and other Internet tools, produced higher cessation rates at 12 months (28.2%) than the QuitGuide app (21.1%).

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p441.html

Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of ... Restricted content. Login required.

Jan 15, 2021 - Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0115/p117.html

ICSI Releases Guideline on Chronic Pain Assessment and Management

...neuralgia. Patients with diabetes and persistent pain are likely to have neuropathic pain, as are patients who develop pain after a stroke. Physical findings that point to neuropathic pain are numbness in the pain territory, sensitivity to a non-noxious stimulus (e.g., light...

American Family Physician

https://www.aafp.org/afp/2010/0815/afp20100815p434.pdf

ICSI Releases Guideline on Chronic Pain Assessment and Management - Practice Guidelines...

Aug 15, 2010 - The Institute for Clinical Systems Improvement (ICSI) released a guideline on the assessment and management of chronic pain in adults and physiologically mature adolescents 16 to 18 years of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0815/p434.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

Identifying and Managing Preparatory Grief ad Depression at the End of Life -- American...

...who have had depression or have a family history of depression, other psychiatric illnesses or sui- cide attempts, a left hemisphere stroke, or who have pancreatic cancer, or are taking steroids or benzodi- azepines are at higher risk for depression. Mood waxes and wanes with...

American Family Physician

https://www.aafp.org/afp/2002/0301/afp20020301p883.pdf

Identifying and Using Good Practice Guidelines - American Family Physician

Jul 1, 2009 - Performance measurement and payment are increasingly linked to goals established by practice guidelines. The best guidelines are based on systematic reviews and patient-oriented evidence, use an evidence-rating system such as the Strength of Recommendation Taxonomy, and are ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p67.html

Implementing Advance Directives in Office Practice

...terms, such as no heroics.19 A useful advance direc- tive describes specific clinical situations in which the document should apply (e.g., stroke with disability, cancer with metas- tasis, cardiac arrest) and the types of care desired or declined (e.g., cardiopulmonary...

American Family Physician

https://www.aafp.org/afp/2012/0301/afp20120301p461.pdf

Implementing Advance Directives in Office Practice - American Family Physician

Mar 1, 2012 - Patients prepare advance directives in an effort to maintain autonomy during periods of incapacity or at the end of life. Advance directive documents are specific to the state in which the patient lives, but an effective strategy in the family physician’s office involves more than ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p461.html

Implementing the Guidelines for Adolescent Preventive Services - American Family Physician

May 1, 1998 - The Guidelines for Adolescent Preventive Services (GAPS) include recommendations developed and promoted by the American Medical Association's Department of Adolescent Health and are intended to organize, restructure and redefine health care delivery for 11- to 21-year-old patients. Data...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2181.html

Importance of Influenza Vaccination for Children - Letters to the Editor - American ...

Aug 1, 2007 - ...Previous: Preventing Another Stroke: What You Should Know Next: Comparing the Safety of COX-2 Inhibitors and NSAIDs View the full table of contents >> Home / Journals / afp / Vol. 76/No. 3(August 1, 2007) / Importance of Influenza Vaccination for Children...

American Family Physician : Letter

https://www.aafp.org/afp/2007/0801/p343.html

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

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

American Family Physician : Cochrane for Clinicians

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

Improving Quality by Doing Less:

February 1, 2015 Editorials

American Family Physician

https://www.aafp.org/afp/2015/0301/afp20150301p289.pdf

Improving Quality by Doing Less: Overtreatment - Editorials - American Family Physician

Mar 1, 2015 - The third in a series of AFP editorials that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overtreatment is an important harm that commonly follows overscreening and overdiagnosis.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0301/p289.html

In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces ... Restricted content. Login required.

Apr 1, 2021 - In high-risk older patients with recent-onset atrial fibrillation, a strategy of rhythm control results in fewer cardiovascular deaths and fewer strokes.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p440.html

In Patients with Type 2 Diabetes and CV Disease, Empagliflozin Reduces CV and All-Cause...

Mar 1, 2016 - In patients with established CV disease and type 2 diabetes, the addition of empagliflozin to standard therapy reduces all-cause mortality and CV mortality. This is notable because empagliflozin is the only drug other than metformin to demonstrate a mortality benefit, albeit for a ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0301/p410.html

In Patients with Vascular Disease, Treating Sleep Apnea Does Not Reduce the Risk of ...

Jan 15, 2017 - Compared with usual care, the use of CPAP provides a modest improvement in daytime sleepiness, but does not reduce the likelihood of cardiovascular events, even in a high-risk population.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0115/p123.html

In Very High-Risk Patients with Vascular Disease, Evolocumab Slightly Reduces Nonfatal ...

Oct 1, 2017 - In an extremely high-risk group of patients with known vascular disease, taking evolocumab instead of placebo in addition to standard statin therapy for slightly more than two years will prevent one myocardial infarction (MI) for every 83 persons treated and prevent one stroke for every...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/1001/p470.html

In-flight Medical Emergencies - American Family Physician Restricted content. Login required.

May 1, 2021 - In 2018, approximately 2.8 million passengers flew in and out of U.S. airports per day. Twenty-four to 130 in-flight medical emergencies are estimated to occur per 1 million passengers; however, there is no internationally agreed-upon recording or classification system. Up to 70% of ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p547.html

Inborn Errors of Metabolism in Infancy and Early Childhood: An Update - American Family...

Jun 1, 2006 - Recent innovations in medical technology have changed newborn screening programs in the United States. The widespread use of tandem mass spectrometry is helping to identify more inborn errors of metabolism. Primary care physicians often are the first to be contacted by state and ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1981.html

Increased Daily Steps Associated with Reduced All-Cause Mortality - POEMs - American ... Restricted content. Login required.

Oct 15, 2020 - This study found that a greater number of daily steps was significantly associated with lower all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od4.html

Increased GI Bleeding After Switch from Warfarin to Dabigatran - POEMs - American ...

May 1, 2015 - The risk of bleeding increases (though remains small) when patients with atrial fibrillation are switched from warfarin to dabigatran to prevent stroke or transient ischemic attack. This study, conducted almost exclusively in male veterans, found an increase in gastrointestinal (GI) ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0501/p648.html

Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...

Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p248a.html

Increasing HDL Level Ineffective at Decreasing Cardiovascular Events - POEMs - American...

Jan 15, 2015 - Being the good cholesterol is not the same as being the useful cholesterol. Drug therapy aimed at increasing HDL cholesterol levels, when added to statin treatment, does not decrease patients' likelihood of experiencing a cardiovascular event or of dying earlier.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0115/p133.html

Increasing the Success of Antihypertensive Therapy - Editorials - American Family ...

Jan 15, 2001 - ...Patients are advised that although they may feel healthy at present, a persistently elevated blood pressure increases the risk of developing strokes, heart attacks and heart or kidney failure in the future. Controlling high blood pressure reduces these risks. Most fixed-dose...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0115/p208.html

Indications for Anticoagulation in Atrial Fibrillation - American Family Physician

Jul 1, 1998 - Factors associated with an increased risk of thromboembolic events in patients with atrial fibrillation (AF) include increasing age, rheumatic heart disease, poor left ventricular function, previous myocardial infarction, hypertension and a past history of a thromboembolic event. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p130.html

Indications for Renal Arteriography at the Time of Coronary Arteriography - Practice ...

Apr 15, 2007 - A science advisory published by American Heart Association (AHA) describes the indications for renal arteriography. When possible, patients with a clinical indication for investigation of renal artery stenosis should undergo noninvasive diagnostic tests before coronary arteriography.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0415/p1258.html

Infertility: What Women Should Know - American Family Physician

Mar 1, 2015 - ...Previous: AHA/ASA Release Guideline on Stroke Prevention in Women Next: Cancer Risk Should Prompt Hepatitis B Surveillance for Patients View the full table of contents >> Home / Journals / afp / Vol. 91/No. 5(March 1, 2015) / Infertility: What Women Should Know...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0301/p308-s1.html

Influenza Vaccination for the Prevention of Cardiovascular Disease

...4. Smeeth L, Thomas SL, Hall AJ, Hubbard R, Farrington P, Vallance P. Risk of myocardial infarction and stroke after acute infection or vaccination. N Engl J Med. 2004; 351 (25): 2611-2618. 5. Grohskopf LA, Sokolow LZ, Olsen SJ, Bresee JS, Broder KR, Karron RA. Prevention and...

American Family Physician

https://www.aafp.org/afp/2016/0301/afp20160301p356.pdf

Influenza Vaccination for the Prevention of Cardiovascular Disease

...4. Smeeth L, Thomas SL, Hall AJ, Hubbard R, Farrington P, Vallance P. Risk of myocardial infarction and stroke after acute infection or vaccination. N Engl J Med. 2004; 351 (25): 2611-2618. 5. Grohskopf LA, Sokolow LZ, Olsen SJ, Bresee JS, Broder KR, Karron RA. Prevention and...

American Family Physician

https://www.aafp.org/afp/2016/0301/afp20160301p357.pdf

Influenza Vaccination for the Prevention of Cardiovascular Disease - Cochrane for ...

Mar 1, 2016 - Influenza vaccination may reduce cardiovascular mortality in patients with established cardiovascular disease. The effect of vaccination is unclear among patients in the general population without known cardiovascular disease.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0301/p357.html

Influenza Vaccine Reduces Risk of Adverse Cardiovascular Events in High-Risk Patients -...

Feb 1, 2014 - This meta-analysis found that the influenza vaccine is associated with a significantly lower risk of major adverse cardiovascular events in adults with coronary disease. The benefit of influenza vaccination is strongest in adults with a history of recent acute coronary syndrome within ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0201/p224a.html

Influenza: Diagnosis and Treatment - American Family Physician

Dec 15, 2019 - Influenza is an acute viral respiratory infection that causes significant morbidity and mortality worldwide. Three types of influenza cause disease in humans. Influenza A is the type most responsible for causing pandemics because of its high susceptibility to antigenic variation. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p751.html

Inhaled Fluticasone-Salmeterol Better Than Fluticasone Alone for Moderate to Severe ...

Sep 1, 2016 - The combination of fluticasone and salmeterol (Advair), with the steroid dose adjusted for disease severity, reduces the number of severe asthma exacerbations more than fluticasone (Flovent) alone (number needed to treat [NNT] = 50 over 26 weeks), with no difference in terms of ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0901/p387.html

Inheriting Patients with Questionable Medication Regimens - Curbside Consultation - ...

Jan 1, 2014 - Inheriting a patient on an inappropriate or questionable medical regimen is a scenario that every physician confronts when practicing continuity care. It can present frustrating challenges, especially for resident physicians, who, because of the nature of training programs, care for ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2014/0101/p44.html

Initial Evaluation of the Patient with Suspected Dementia - American Family Physician

...role in evaluating patients with suspected dementia. Given conflicting recommendations about the initial evaluation of patients with demen- tia, the availability of genetic markers for Alzheimer’s disease, and new neuroimaging methods such as positron emission tomog- raphy,...

American Family Physician

https://www.aafp.org/afp/2005/0501/afp20050501p1745.pdf

Initial Evaluation of Vertigo - American Family Physician

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

American Family Physician : Article

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

Initiating Hormonal Contraception - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Most patients can safely begin using hormonal contraception at any point in their menstrual cycle. An evidence-based, flexible, patient-centered approach to initiating contraception promotes health and enhances patients’ reproductive autonomy. A recent Papanicolaou test is not necessary...

American Family Physician : Article

https://www.aafp.org/afp/2021/0301/p291.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

Insulin for Glycemic Control in Acute Ischemic Stroke

...Insulin for Glycemic Control in Acute Ischemic Stroke AARON SAGUIL, MD, MPH, FAAFP, and MATTHEW PFLIPSEN, MD Clinical Question In patients with acute ischemic stroke, is glycemic control with insulin effective in decreasing death and disability? Evidence-Based Answer...

American Family Physician

https://www.aafp.org/afp/2012/1201/afp20121201p1008.pdf

Insulin for Glycemic Control in Acute Ischemic Stroke

...Insulin for Glycemic Control in Acute Ischemic Stroke AARON SAGUIL, MD, MPH, FAAFP, and MATTHEW PFLIPSEN, MD Clinical Question In patients with acute ischemic stroke, is glycemic control with insulin effective in decreasing death and disability? Evidence-Based Answer...

American Family Physician

https://www.aafp.org/afp/2012/1201/afp20121201p1009.pdf

Insulin for Glycemic Control in Acute Ischemic Stroke - Cochrane for Clinicians - ...

Dec 1, 2012 - Administering insulin to maintain glycemic control does not improve the rates of mortality or dependency, or the final neurologic outcome after an acute ischemic stroke. Additionally, in randomized controlled trials, patients in the intervention groups (those under tight glycemic ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/1201/p1008.html

Intensive Lifestyle Intervention Fails to Improve Patient-Oriented Outcomes in Persons ...

Dec 15, 2013 - This large, well-designed trial failed to find a statistically significant improvement in patient-oriented outcomes in patients with diabetes, despite a fairly intensive lifestyle intervention and long-term follow-up.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1215/od1.html

Interpretation of the Electronic Fetal Heart Rate During Labor - American Family Physician

May 1, 1999 - Electronic fetal heart rate monitoring is commonly used to assess fetal well-being during labor. Although detection of fetal compromise is one benefit of fetal monitoring, there are also risks, including false-positive tests that may result in unnecessary surgical intervention. Since ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2487.html

Interpreting and Evaluating the Details of the JUPITER Study - Letters to the Editor - ...

Sep 15, 2010 - ...Dr. Neft states that we ignore the benefit of fewer strokes (0.18 versus 0.34 per 100 person years) and fewer myocardial infarctions (0.17 versus 0.37 per 100 person years). The corresponding numbers needed to treat (NNT) for the two-year study period were approximately 300 and 250...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0915/p571.html

Interventions to Prevent Perinatal Depression: Recommendation Statement - U.S. ...

Sep 15, 2019 - The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.

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

https://www.aafp.org/afp/2019/0915/od1.html

Intracranial Aneurysms: Current Evidence and Clinical Practice - American Family Physician

Aug 15, 2002 - Unruptured intracranial aneurysms occur in up to 6 percent of the general population. Most persons with these aneurysms remain asymptomatic and are usually unaware of their presence. Risk factors for the formation of aneurysms include a family history of aneurysm, various inherited ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0815/p601.html

Intracranial Aneurysms: Current Evidence and Clinical Practice -- American Family ...

...Based on data such as these, the Stroke Council of the American Heart Asso- ciation does not recommend screening for aneurysms in patients who have only one first-degree relative with aneurysmal sub- arachnoid hemorrhage.21 The issue of screening in patients who have two or more...

American Family Physician

https://www.aafp.org/afp/2002/0815/afp20020815p601.pdf

Intrauterine Devices: An Update

...Stroke 2 2 1 1 Thrombophilia 2 2 1 1 Gastrointestinal disorders Cirrhosis (decompensated) 3 3 1 1 Gallbladder disease 2 2 1 1 Infections AIDS 3 2 3 2 Human immunodeficiency virus infection 2 2 2 2 Tuberculosis (pelvic) 4 3 4 3 Metabolic disorders...

American Family Physician

https://www.aafp.org/afp/2014/0315/afp20140315p445.pdf

Intrauterine Devices: An Update - American Family Physician

Mar 15, 2014 - Three intrauterine devices (IUDs) are available in the United States: the copper T 380A and two levonorgestrel-releasing IUDs, one that releases 20 mcg of levonorgestrel per 24 hours, and one that releases 14 mcg per 24 hours. All are safe and effective methods of contraception that ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0315/p445.html

Introducing a One-Page Adult Preventive Health Care Schedule: USPSTF Recommendations at...

May 1, 2016 - The Adult Preventive Health Care Schedule provides a concise and informative visual representation of USPSTF recommendations.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0501/p738.html

Introducing Medicine by the Numbers: A Collaboration of The NNT Group and AFP - ...

Apr 1, 2015 - The NNT is a useful concept that helps convey the importance of an intervention in various populations. The NNT assigns a bottom-line number to the relative strength of an intervention, and helps put it in perspective. Toward that end, we are happy to announce a partnership with ...

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0401/p434.html

Is a Low-Carbohydrate Diet Right for Me? - American Family Physician

Jun 1, 2006 - ...If you have had a stroke or if you have diabetes, heart disease, high cholesterol levels, or kidney stones, or if you are pregnant, talk to your doctor before starting a low-carb diet. Should I take vitamins when I'm on a low-carb diet? Yes. People on low-carb diets may not get...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/0601/p1951.html

Is Intensive Blood Pressure Control Beneficial in Patients with Acute Intracerebral ...

...3 to 5 (the Rankin Scale ranges from 0 [no symptoms] to 6 [death]). Interest- ingly, they calculated a National Institutes of Health (NIH) Stroke Scale score for every patient at baseline and at seven days, but used only the modified Rankin Scale score when reporting 90-day outcome....

American Family Physician

https://www.aafp.org/afp/2014/0115/afp20140115p120.pdf

Is Intensive Blood Pressure Control Beneficial in Patients with Acute Intracerebral ...

Jan 15, 2014 - It seems to be safe to lower systolic blood pressure to a target of 140 mm Hg in those with an acute hemorrhagic stroke. However, there seems to be no clinical benefit to this approach when the data are adjusted for baseline NIH Stroke Scale scores.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2014/0115/p120.html

Is Prasugrel More Effective Than Clopidogrel in Patients with Acute Coronary Syndrome ...

Dec 1, 2008 - Is prasugrel better than clopidogrel in patients with acute coronary syndrome who are scheduled for percutaneous coronary intervention? This study is misleading, and current practice should not change based on its results.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/1201/p1252.html

Is Telmisartan Effective for Stroke Prevention? - AFP Journal Club - American Family ...

Nov 15, 2009 - Does telmisartan therapy after stroke prevent recurrence and adverse cardiovascular events? Despite lowering blood pressure, telmisartan did not provide preventative benefit. This study reflects problems with publication bias and that surrogate markers, such as blood pressure control, ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/1115/p1042.html

Is the San Francisco Syncope Rule Reliable? - AFP Journal Club - American Family Physician

Sep 15, 2009 - Can the San Francisco Syncope Rule successfully determine which patients can be safely discharged after an acute syncopal episode? External validation suggests that the sensitivity of the rule is lower than first reported. Physicians need to apply their clinical acumen and override the ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/0915/p558.html

Is Thrombolytic Therapy Effective For Pulmonary Embolism? - American Family Physician

Mar 15, 2002 - Pulmonary embolism is a disorder that is associated with significant morbidity and mortality. Right-sided heart failure and recurrent pulmonary embolism are the main causes of death associated with pulmonary embolism in the first two weeks after the embolic event. Thrombolysis is a ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1097.html

Is Thrombolytic Therapy Effective for Pulmonary Embolism? -- American Family Physician

...In contrast to thrombolysis for myocardial infarction and stroke, thrombolysis for PE has a longer time window of opportunity. One group12 compared data for 308 patients from five PE thrombolysis trials and followed the improvement based on lung scans and angiograms up to 14 days...

American Family Physician

https://www.aafp.org/afp/2002/0315/afp20020315p1097.pdf

January 1, 1998 - American Family Physician

...Practical Considerations in the Early Treatment of Ischemic Stroke Joseph P. Broderick Oral Poisonings: Guidelines for Initial Evaluation and Treatment Lars C. Larsen; Doyle M. Cummings Latex Allergy Sumana Reddy Cytochrome P450: New Nomenclature and Clinical...

American Family Physician

https://www.aafp.org/afp/1998/0101/

January 1, 1999 - American Family Physician

...Predictors of Vision Loss and Stroke in Giant Cell Arteritis Unopposed Estrogen Therapy and the Raynaud Phenomenon Algorithm for Subcutaneous Heparin Treatment of DVT Colonoscopy for Small Adenomatous Polyps Can Moderate Alcohol Intake Reduce a Woman's Fertility?...

American Family Physician

https://www.aafp.org/afp/1999/0101/

January 1, 2004 - American Family Physician

...Hormone Therapy and Increased Risk of Stroke Quality End-of-Life Care in Patients with Dementia Six-Minute Walk Test to Assess COPD Patients POEMS Candesartan Reduces Mortality for CHF Candesartan in CHF Patients with Normal LV Function Candesartan Plus ACE...

American Family Physician

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

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