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No Benefit to Addition of Stenting for Treatment of Atherosclerotic Renal Artery ...

Apr 1, 2014 - In patients with severe atherosclerotic renal artery stenosis and hypertension or chronic kidney disease, renal artery stenting does not provide an additional benefit when added to comprehensive medical therapy that includes blood pressure and diabetes mellitus management, and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0401/p576.html

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

Unilateral Weakness of the Muscles of Facial Expression - Photo Quiz - American Family ...

Feb 15, 2014 - 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/2014/0215/p283.html

Lending a Hand to Patients with Type 2 Diabetes: A Simple Way to Communicate Treatment ...

Feb 15, 2014 - A new approach to the care of adults with type 2 diabetes emphasizes proven interventions that improve duration and quality of life.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0215/p256.html

Screening Echocardiography Not Beneficial - POEMs - American Family Physician

Feb 1, 2014 - Population-based screening for heart disease or valve disease with echocardiography will identify cardiac pathology in patients but does not decrease mortality, myocardial infarction risk, or stroke risk.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0201/p224.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

Fewer Deaths/Strokes/Revascularizations with Metformin Than Glipizide - POEMs - ...

Jan 15, 2014 - Over five years, treatment with metformin for three years, with other hypoglycemics as needed, reduced the likelihood of death, nonfatal stroke, or the need for vascularization compared with treatment beginning with glipizide (Glucotrol). Cardiovascular events were not individually ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0115/p131.html

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

Anemia and Mucocutaneous Telangiectasias - Photo Quiz - American Family Physician

Jan 15, 2014 - Photo Quiz presents readers with a clinical challenge based on a photgraph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2014/0115/p89.html

Dementia - Clinical Evidence Handbook - American Family Physician

Jan 15, 2014 - What are the effects of treatments on cognitive, behavioral, and psychological symptoms of dementia (Alzheimer disease, Lewy body dementia, or vascular dementia)?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2014/0115/p117.html

Methylphenidate for Management of Fatigue in the Palliative Care Setting - FPIN's ...

Jan 15, 2014 - No recent evidence demonstrates that methylphenidate improves fatigue in patients receiving palliative care. Methylphenidate can be used to minimally improve fatigue symptom scores in patients with cancer-related fatigue.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0115/p124.html

No Effect of Vitamin D on Depressive Symptoms - POEMs - American Family Physician

Jan 15, 2014 - Taken in aggregate, symptoms of depression do not improve in patients with low vitamin D levels when given vitamin D supplementation any more than when given placebo. There may be a benefit in patients with low vitamin D levels and mild to moderate depression.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0115/p131a.html

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

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

American Family Physician : POEMs

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

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

ACS Releases Guideline on Screening for Lung Cancer with Low-Dose Computed Tomography -...

Jan 1, 2014 - In late 2010, results from the National Lung Screening Trial showed that lung cancer mortality was significantly reduced in high-risk adults who received annual screenings using low-dose computed tomography (CT). After these results were announced, the American Cancer Society (ACS) ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0101/p56.html

Smell and Taste Disorders in Primary Care - American Family Physician

Dec 15, 2013 - Smell and taste disorders can be challenging to diagnose because of the large number of potential etiologies. Patients are often unable to provide a clear history of symptoms, because they frequently cannot distinguish between difficulties with smell and taste. Standardized ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1215/p852.html

Ticagrelor (Brilinta) for Secondary Prevention of Thrombotic Events Following Acute ...

Dec 15, 2013 - Ticagrelor is an alternative to clopidogrel for secondary prevention of cardiovascular death in patients with acute coronary syndrome. In an international study it was found to be more effective, but patients in the United States did not experience superior outcomes.

American Family Physician : STEPS

https://www.aafp.org/afp/2013/1215/p821.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

Recognition and Management of Polymyalgia Rheumatica and Giant Cell Arteritis - ...

Nov 15, 2013 - Polymyalgia rheumatica affects proximal muscles and joints, causing disability in older adults. Giant cell arteritis affects medium and large arteries and can result in blindness. These conditions overlap significantly, often occurring together. Despite the similarities, each has ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1115/p676.html

Polymyalgia Rheumatica and Giant Cell Arteritis - American Family Physician

Nov 15, 2013 - ...GCA requires higher doses of steroids. This will help lower your risk of going blind, having a stroke, or other problems. Your doctor may start you on steroids even before he or she is sure you have GCA. Symptoms improve quickly over a few days, but sometimes, you may need to take...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2013/1115/p676-s1.html

Myocardial Infarction: Management of the Subacute Period - American Family Physician

Nov 1, 2013 - Optimal management of myocardial infarction in the subacute period focuses on improving the discharge planning process, implementing therapies early to prevent recurrent myocardial infarction, and avoiding hospital readmission. Evidence-based guidelines for the care of patients with ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1101/p581.html

Care of the College Student - American Family Physician

Nov 1, 2013 - There are approximately 20 million students in U.S. colleges and universities. Although this population is characterized as having good health, 600,000 students report some form of disability or some type of medical problem, including attention-deficit/hyperactivity disorder, learning ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1101/p596.html

n-3 Fatty Acids Do Not Prevent Cardiovascular Events in High-Risk Patients - POEMs - ...

Nov 1, 2013 - There is no evidence that n-3 fatty acids prevent cardiovascular events or death in older adults who have cardiovascular disease (or who are at risk of it but have not had a myocardial infarction).

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1101/od2.html

Recommendations for Preconception Counseling and Care - American Family Physician

Oct 15, 2013 - Given that nearly one-half of pregnancies are unintended, preconception care should be considered an integral part of primary care for women of reproductive age. Common issues in preconception care include family planning, achieving a healthy body weight, screening and treatment for ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1015/p499.html

Pertussis: A Reemerging Infection - American Family Physician

Oct 15, 2013 - Pertussis, also known as whooping cough, is an acute respiratory tract infection that has increased in incidence in recent years. The initial catarrhal stage presents with nonspecific symptoms of malaise, rhinorrhea, sneezing, lacrimation, and mild cough. During the paroxysmal stage, ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1015/p507.html

Same Benefit with Equivalent Doses of Chlorthalidone and HCTZ - POEMs - American Family...

Oct 15, 2013 - In this retrospective analysis, chlorthalidone and HCTZ produced the same clinical outcomes in older adults. In general, chlorthalidone was more likely to be associated with hospitalization for hypokalemia and hyponatremia. When comparing equivalent doses, though, the rates of these ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1015/od4.html

Recognition and Evaluation of Nontraumatic Subarachnoid Hemorrhage and Ruptured ...

Oct 1, 2013 - Swift diagnosis and treatment are critical for good outcomes in patients with nontraumatic subarachnoid hemorrhage, which is usually caused by a ruptured aneurysm. This type of stroke often results in death or disability. Rates of misdiagnosis and treatment delays for subarachnoid ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1001/p451.html

Functional Decline in Older Adults - American Family Physician

Sep 15, 2013 - Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external factors such as social ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0915/p388.html

Top 20 Research Studies of 2012 for Primary Care Physicians - American Family Physician

Sep 15, 2013 - This is the second annual summary of top research studies in primary care. In 2012, through regular surveillance of more than 100 English-language clinical research journals, seven clinicians identified 270 studies with the potential to change primary care practice, called POEMs, or ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0915/p380.html

When to Order Contrast-Enhanced CT - American Family Physician

Sep 1, 2013 - Family physicians often must determine the most appropriate diagnostic tests to order for their patients. It is essential to know the types of contrast agents, their risks, contraindications, and common clinical scenarios in which contrast-enhanced computed tomography is appropriate. ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0901/p312.html

Diagnosis and Treatment of Peripheral Arterial Disease - American Family Physician

Sep 1, 2013 - Peripheral arterial disease (PAD) is atherosclerosis leading to narrowing of the major arteries distal to the aortic arch. The most common presenting symptom is claudication; however, only 10% of patients have classic claudication. Approximately 8 to 12 million Americans have PAD, ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0901/p306.html

Aliskiren Worsens Outcomes in High-Risk Patients with Diabetes - POEMs - American ...

Sep 1, 2013 - Aliskiren increases the likelihood of adverse cardiovascular outcomes in patients with diabetes and kidney or heart disease, and cannot be recommended.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0901/p333.html

Management of Common Sleep Disorders - American Family Physician

Aug 15, 2013 - Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0815/p231.html

ACOG Releases Practice Bulletin on Osteoporosis - Practice Guidelines - American Family...

Aug 15, 2013 - This practice bulletin from the American College of Obstetricians and Gynecologists (ACOG) reviews diagnosis, evaluation, and treatment options for women with osteoporosis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0815/p269.html

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

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

American Family Physician : Editorials

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

Mediterranean Diet Reduces Cardiovascular Events - POEMs - American Family Physician

Aug 1, 2013 - In a high-risk population, a Mediterranean diet, supplemented with either nuts or olive oil, reduces the likelihood of a composite outcome of cardiovascular events or death over a five-year follow-up period (number needed to treat = 70). The relative risk reduction is approximately 30%....

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0801/p201.html

Dyspnea in an Older Patient - Photo Quiz - American Family Physician

Aug 1, 2013 - 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/2013/0801/p199.html

A Primary Care Approach to Substance Misuse - American Family Physician

Jul 15, 2013 - Substance misuse is common among patients in primary care settings. Although it has a substantial health impact, physicians report low levels of preparedness to identify and assist patients with substance use disorders. An effective approach to office-based treatment includes a coherent...

American Family Physician : Article

https://www.aafp.org/afp/2013/0715/p113.html

Endovascular Therapies Do Not Improve Outcomes in Acute Stroke - POEMs - American ...

Jul 1, 2013 - Endovascular therapies (local delivery of t-PA, extracting the thrombus, or stenting) do not improve outcomes when added to intravenous t-PA alone.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0701/p61.html

Pharmacotherapy for Mild Hypertension - Cochrane for Clinicians - American Family ...

Jul 1, 2013 - Pharmacologic treatment of mild hypertension for up to five years does not reduce coronary events, stroke, or mortality compared with placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0701/p21.html

Arm Rash and Swelling in a Child - Photo Quiz - American Family Physician

Jul 1, 2013 - 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/2013/0701/p57.html

Uncommon Adverse Effects of Commonly Abused Illicit Drugs - Editorials - American ...

Jul 1, 2013 - Illicit drug use should be considered in the differential diagnosis of many clinical presentations, because the list of known deleterious effects is growing. There are an increasing number of case reports involving uncommon adverse effects of commonly abused illicit drugs.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0701/p10.html

CDC Issues Recommendations for Identifying HCV Infection in Persons Born in 1945 ...

Jul 1, 2013 - Identifying HCV infection through testing is important to improve health outcomes in persons born in 1945 through 1965, because of increased risk of liver cirrhosis, hepatocellular carcinoma, and extrahepatic complications. The HCV Birth Cohort Testing Work Group, including experts from...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0701/p62.html

Behavioral Counseling Interventions to Promote a Healthful Diet and Physical Activity ...

Jun 15, 2013 - ...initiative sponsored by the U.S. Department of Health and Human Services that aims to decrease the number of heart attacks and strokes by 1 million over the next five years. It emphasizes the use of effective clinical preventive services combined with multifaceted policy...

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

https://www.aafp.org/afp/2013/0615/od1.html

Pharmacologic Therapy for Acute Pain - American Family Physician

Jun 1, 2013 - The approach to patients with acute pain begins by identifying the underlying cause and a disease-specific treatment. The first-line pharmacologic agent for the symptomatic treatment of mild to moderate pain is acetaminophen or a nonsteroidal anti-inflammatory drug (NSAID). The choice ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0601/p766.html

Daily Multivitamins Do Not Reduce Major Cardiovascular Events in Men and Do Not Affect ...

Jun 1, 2013 - Daily multivitamin supplementation does not reduce the risk of major cardiovascular events in men. The risks of cardiovascular-related mortality and all-cause mortality were also not reduced by multivitamin supplementation.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0601/p796a.html

Aspirin Following Anticoagulation Therapy Prevents Recurrent VTE - POEMs - American ...

Jun 1, 2013 - Although this ASPIRE study was underpowered to detect a difference in the primary outcome, when the results were combined with those of the WARFASA trial, the data show that daily low-dose aspirin prevents recurrent VTE as well as major vascular events without increasing bleeding in ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0601/p796.html

AHA/ASA Publish Advisory on Oral Antithrombotics for Stroke Prevention in Nonvalvular ...

May 15, 2013 - New antithrombotics provide alternatives to warfarin, and may lower the threshold for thromboembolic risk for initiating therapy in patients with atrial fibrillation. This advisory summarizes existing American Heart Association/American Stroke Association (AHA/ASA) recommendations on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0515/p732.html

Approach to Acute Headache in Adults - American Family Physician

May 15, 2013 - Approximately one-half of the adult population worldwide is affected by a headache disorder. The International Headache Society classification and diagnostic criteria can help physicians differentiate primary headaches (e.g., tension, migraine, cluster) from secondary headaches (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0515/p682.html

Sick Sinus Syndrome: A Review - American Family Physician

May 15, 2013 - Sick sinus syndrome refers to a collection of disorders marked by the heart’s inability to perform its pacemaking function. Predominantly affecting older adults, sick sinus syndrome comprises various arrhythmias, including bradyarrhythmias with or without accompanying tachyarrhythmias. ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0515/p691.html

Dipstick Urinalysis for the Diagnosis of Acute UTI - FPIN's Clinical Inquiries - ...

May 15, 2013 - Approximately two-thirds of women who present with classic symptoms of acute UTI have bacterial infection of the bladder. Dipstick urinalysis moderately improves the accuracy of clinical symptoms in establishing or excluding acute UTI in women.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0515/od2.html

AAFP News - May 15, 2013 - American Family Physician

May 15, 2013 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2013/0515/p730.html

Clinical Management of Urinary Incontinence in Women - American Family Physician

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

American Family Physician : Article

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

Dietary Fat Modification and the Risk of Future Cardiovascular Events and Mortality - ...

May 1, 2013 - According to the authors of this Cochrane review, reducing or modifying a patient's dietary fat intake did not lower the rates of either total or cardiovascular-related mortality when compared with usual or control diets. Reducing the intake of total or saturated fats decreased the risk...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0501/p609.html

Updated Guidelines on Outpatient Anticoagulation - American Family Physician

Apr 15, 2013 - The American College of Chest Physicians provides recommendations for the use of anticoagulant medications for several indications that are important in the primary care setting. Warfarin, a vitamin K antagonist, is recommended for the treatment of venous thromboembolism and for the ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0415/p556.html

Diagnosis of Urinary Incontinence - American Family Physician

Apr 15, 2013 - Urinary incontinence is common, increases in prevalence with age, and affects quality of life for men and women. The initial evaluation occurs in the family physician’s office and generally does not require urologic or gynecologic evaluation. The basic workup is aimed at identifying ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0415/p543.html

Diabetes: Treating Hypertension - Clinical Evidence Handbook - American Family Physician

Apr 15, 2013 - What are the effects of antihypertensives and different blood pressure targets in persons with diabetes and hypertension?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2013/0415/p574.html

Appropriate and Safe Use of Diagnostic Imaging - American Family Physician

Apr 1, 2013 - Risks of diagnostic imaging include cancer from radiation exposure and nephrogenic systemic fibrosis. The increase in volume of imaging between 1980 and 2006 has led to a sixfold increase in annual per capita radiation exposure. It is predicted that 2 percent of future cancers will be ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0401/p494.html

Menopausal Hormone Therapy for the Primary Prevention of Chronic Conditions - Putting ...

Mar 15, 2013 - Case Study: A 59-year-old healthy, postmenopausal woman presents for a routine health maintenance visit. She has an intact uterus and no history of skeletal fractures. She asks if menopausal hormone therapy would help prevent chronic illness, specifically stroke and dementia.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2013/0315/p437.html

Menopausal Hormone Therapy for the Primary Prevention of Chronic Conditions: ...

Mar 15, 2013 - The U.S. Preventive Services Task Force (USPSTF) recommends against the use of combined estrogen and progestin for the prevention of chronic conditions in postmenopausal women.

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

https://www.aafp.org/afp/2013/0315/od1.html

Diabetic Ketoacidosis: Evaluation and Treatment - American Family Physician

Mar 1, 2013 - Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0301/p337.html

Reducing the Risk of Adverse Drug Events in Older Adults - American Family Physician

Mar 1, 2013 - Adverse drug events occur in 15 percent or more of older patients presenting to offices, hospitals, and extended care facilities. These events are potentially preventable up to 50 percent of the time. Common serious manifestations include falls, orthostatic hypotension, heart failure, ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0301/p331.html

AAO-HNS Releases Guideline on Sudden Hearing Loss - Practice Guidelines - American ...

Mar 1, 2013 - This guideline from the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) focuses on sudden sensorineural hearing loss (SNHL), which affects 5 to 20 per 100,000 persons in the United States. Early diagnosis is essential for effective management.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0301/p377.html

Spontaneous Hematomas - Photo Quiz - American Family Physician

Mar 1, 2013 - 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/2013/0301/p371.html

Correction - Corrections - American Family Physician

Mar 1, 2013 - ...Increased risk of cardiovascular morbidity and mortality related to strokes, acute coronary events, and coronary revascularizations; high incidence rates compared with euglycemic individuals, especially in women Same risk as patients with T2DM Microvascular complications...

American Family Physician : Corrections

https://www.aafp.org/afp/2013/0301/p310.html

Beta Blockers Not Associated with Lower Morbidity/Mortality in Adults with CAD or CAD ...

Mar 1, 2013 - Beta-blocker therapy was not associated with a reduced risk of adverse cardiovascular events in adults with a prior MI, known CAD without prior MI, or three or more known risk factors for CAD.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0301/p373.html

Parkinson Disease: An Update - American Family Physician

Feb 15, 2013 - Parkinson disease is a progressive neurologic disorder afflicting approximately 1 percent of Americans older than 60 years. The cardinal features of Parkinson disease are bradykinesia, rigidity, tremor, and postural instability. There are a number of neurologic conditions that mimic the...

American Family Physician : Article

https://www.aafp.org/afp/2013/0215/p267.html

Parkinson Disease: What You Should Know - American Family Physician

Feb 15, 2013 - ...National Institute of Neurological Disorders and Stroke Website: http://www.ninds.nih.gov/disorders/parkinsons_disease/parkinsons_disease.htm The Michael J. Fox Foundation for Parkinson's Research Website: http://www.michaeljfox.org/ Read the full article. Get immediate...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2013/0215/p267-s1.html

Guillain-Barre Syndrome - American Family Physician

Feb 1, 2013 - Guillain-Barré syndrome consists of a group of neuropathic conditions characterized by progressive weakness and diminished or absent myotatic reflexes. The estimated annual incidence in the United States is 1.65 to 1.79 per 100,000 persons. Guillain-Barré syndrome is believed to result ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0201/p191.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? Yes: The Potential ...

Feb 1, 2013 - The bolus administration of this micronutrient should be abandoned in most circumstances, and patients should be encouraged to obtain their calcium intake from an appropriately balanced diet.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od1.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? No: Concerns Are ...

Feb 1, 2013 - When patients are randomized and cardiovascular events are carefully adjudicated, there is no compelling evidence that calcium supplementation increases the rate of major cardiovascular events.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od2.html

Tips From Other Journals - American Family Physician

Jan 15, 2013 - ...a minimum of one year and if the study reported specific cardiovascular outcomes, including angina, myocardial infarction, heart failure, stroke, and cardiovascular and all-cause mortality. The primary analysis was the association between supplementation and overall cardiovascular...

American Family Physician : Tip

https://www.aafp.org/afp/2013/0115/p137.html

Health Maintenance in Women - American Family Physician

Jan 1, 2013 - The health maintenance examination is an opportunity to focus on disease prevention and health promotion. The patient history should include screening for tobacco use, alcohol misuse, intimate partner violence, and depression. Premenopausal women should receive preconception counseling ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0101/p30.html

Cardiovascular Risk of Combined Oral Contraceptive Use - FPIN's Clinical Inquiries - ...

Dec 15, 2012 - Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/1215/od4.html

ACP Releases Best Practice Advice on Colorectal Cancer Screening - Practice Guidelines ...

Dec 15, 2012 - The American College of Physicians (ACP) recently reviewed guidelines on colorectal cancer screening available from the American Cancer Society/U.S. Multi-Society Task Force on Colorectal Cancer/American College of Radiology, Institute for Clinical Systems Improvement, U.S. Preventive ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1215/p1153.html

Editorials: Controversies in Family Medicine - Dec 15, 2012 - American Family Physician

Dec 15, 2012 - Yes: This Should Be the Target for Most Patients

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1215/od1.html

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

The Effects of Combination Contraceptives on Weight - Cochrane for Clinicians - ...

Dec 1, 2012 - Compared with placebo or no intervention, the use of combination contraceptives was not associated with weight gain. Most studies comparing different types of combination contraceptives showed no statistically significant effects on weight.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/1201/p1009.html

AAFP News - Dec 1, 2012 - American Family Physician

Dec 1, 2012 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2012/1201/p1005.html

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism - American Family Physician

Nov 15, 2012 - Venous thromboembolism manifests as deep venous thrombosis (DVT) or pulmonary embolism, and has a mortality rate of 6 to 12 percent. Well-validated clinical prediction rules are available to determine the pretest probability of DVT and pulmonary embolism. When the likelihood of DVT is ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p913.html

Top 20 Research Studies of 2011 for Primary Care Physicians - American Family Physician

Nov 1, 2012 - In 2011, through regular surveillance of more than 100 English-language research journals, a group of seven clinicians identified approximately 250 studies with the potential to improve the practice of primary care physicians and the outcomes of patients (designated as POEMs ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1101/p835.html

AACE Releases Guidelines for Menopausal Hormone Therapy - Practice Guidelines - ...

Nov 1, 2012 - Menopause is diagnosed in women who have not had menses for one year. The American Association of Clinical Endocrinologists (AACE) convened a task force to review available evidence on therapies for menopausal symptoms. The task force's guidelines include recommendations for prescribing...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1101/p864.html

Correction - Corrections - American Family Physician

Nov 1, 2012 - ...Transient Ischemic Attack: Part II. Risk Factor Modification and Treatment (page 527) was ambiguous and listed incorrect answers in the answer box (page 576). The case scenario described in the question should have more clearly indicated that the patient was at low risk of stroke,...

American Family Physician : Corrections

https://www.aafp.org/afp/2012/1101/p802.html

Poems & Tips From Other Journals - American Family Physician

Nov 1, 2012 - ...are at high risk of bleeding and/or stroke. It is worth pulling the article to review Figure 3, which can be used to guide point-of-care decision-making. (Level of Evidence: 2b) Reference: Shah SV, Gage BF. Cost-effectiveness of dabigatran for stroke prophylaxis in atrial...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1101/ot1.html

Tips From Other Journals - American Family Physician

Nov 1, 2012 - ...syndrome. There was no difference between the groups in all-cause mortality, cardiovascular death, nonfatal myocardial infarction or stroke, or stent thrombosis. At two years, the event rate for the primary end point was 10.1 percent for the 24-month treatment group and 10.0 percent...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1101/p853.html

Tips From Other Journals - American Family Physician

Nov 1, 2012 - ...versus 4.0 days; P < .001). Adverse events, such as clinically significant bleeding, were similar between groups. No myocardial infarctions, strokes, or deaths were reported at the 30-day follow-up. Conclusion: Compared with placebo, a single dose of rectal indomethacin...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1101/p853a.html

Poems & Tips From Other Journals - American Family Physician

Nov 1, 2012 - ...mmol/L (20 mg/dL). The annual rate of major vascular events (cardiovascular death, nonfatal myocardial infarction, revascularization, or stroke) was 4.5% in the intensive therapy group and 5.3% in the less intense therapy group (number needed to treat [NNT] = 200 per year). Of the...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1101/ot4.html

Poems & Tips From Other Journals - American Family Physician

Nov 1, 2012 - ...< .001; NNT = 100). There were significant reductions in death due to myocardial infarction, and nonsignificant reductions in deaths due to stroke and non-CVD causes. Incident cancers and rhabdomyolosis were not significantly increased in statin groups. There was a slight increase...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1101/ot5.html

Rivaroxaban (Xarelto) for Prevention of Thromboembolic Events - STEPS - American Family...

Oct 15, 2012 - In patients at high risk of stroke because of nonvalvular atrial fibrillation, rivaroxaban is as safe and effective as warfarin. However, it should not be used in patients at risk of stroke for reasons other than nonvalvular atrial fibrillation until research shows its relative safety ...

American Family Physician : STEPS

https://www.aafp.org/afp/2012/1015/p768.html

Update on the Management of Chronic Kidney Disease - American Family Physician

Oct 15, 2012 - Chronic kidney disease is common and associated with significant morbidity. Given the high risk of cardiovascular morbidity and mortality in patients with chronic kidney disease, it is important to identify and treat related risk factors. However, there is growing uncertainty about the ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1015/p749.html

Chronic Atrial Fibrillation - Clinical Evidence Handbook - American Family Physician

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

American Family Physician : Clinical Evidence Handbook

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

Transient Ischemic Attack: Part I. Diagnosis and Evaluation - American Family Physician

Sep 15, 2012 - Transient ischemic attack is defined as transient neurologic symptoms without evidence of acute infarction. It is a common and important risk factor for future stroke, but is greatly underreported. Common symptoms are sudden and transient, and include unilateral paresis, speech ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p521.html

Transient Ischemic Attack: Part II. Risk Factor Modification and Treatment - American ...

Sep 15, 2012 - Interventions following a transient ischemic attack are aimed at preventing a future episode or stroke. Hypertension, current smoking, obesity, physical inactivity, diabetes mellitus, and dyslipidemia are all well-known risk factors, and controlling these factors can have dramatic ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p527.html

Letters on Management of Ischemic Stroke - Letters to the Editor - American Family ...

Sep 15, 2012 - ...Letters on Management of Ischemic Stroke Am Fam Physician. 2012 Sep 15;86(6):492-493. Original Article: Subacute Management of Ischemic Stroke Issue Date: December 15, 2011 Available at: https://www.aafp.org/afp/2011/1215/p1383.html to the editor: The authors of this article state...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0915/p492.html

Pediculosis and Scabies: A Treatment Update - American Family Physician

Sep 15, 2012 - Pediculosis and scabies are caused by ectoparasites. Pruritus is the most common presenting symptom. Head and pubic lice infestations are diagnosed by visualization of live lice. Finding nits (louse egg shells) alone indicates a historical infestation. A no nit policy for schools and ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p535.html

Transient Ischemic Attack - American Family Physician

Sep 15, 2012 - ...Transient Ischemic Attack Am Fam Physician. 2012 Sep 15;86(6):1. See related articles on transient ischemic attack: diagnosis and evaluation and transient ischemic attack: risk factor modification and treatment. What is a transient ischemic attack (TIA)? A transient ischemic...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2012/0915/p521-s1.html

Evaluation of Asymptomatic Atrial Fibrillation - FPIN's Clinical Inquiries - American ...

Sep 15, 2012 - In hemodynamically stable patients without acute chest pain, the evaluation and treatment of atrial fibrillation should not change based on symptoms alone.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0915/od1.html

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

Lice and Scabies - American Family Physician

Sep 15, 2012 - ...Next: Transient Ischemic Attack View the full table of contents >> Home / Journals / afp / Vol. 86/No. 6(September 15, 2012) / Lice and Scabies

American Family Physician : Patient Handout

https://www.aafp.org/afp/2012/0915/p535-s1.html

Treatment of Childhood and Adolescent Depression - American Family Physician

Sep 1, 2012 - Major depressive disorder in children and adolescents is a common condition that affects physical, emotional, and social development. Risk factors include a family history of depression, parental conflict, poor peer relationships, deficits in coping skills, and negative thinking. ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0901/p442.html

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