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Clinical Pathways: Effects on Practice, Outcomes, and Costs - Cochrane for Clinicians -...

Dec 1, 2010 - The results of 27 studies (n = 11,398) support the conclusion that clinical pathways reduce in-hospital complications and improve documentation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/1201/p1338.html

Coronary Artery Disease Prevention: As Easy As 1, 2, 3? - Letters to the Editor - ...

Nov 15, 2010 - ...often use secondary prevention to refer to reducing the risk of recurrences of disease-related events, such as myocardial infarction,2 stroke,3 and osteoporotic fracture.4 Dr. Lucan’s observation that failing to precisely define what is meant by secondary prevention may occasionally...

American Family Physician : Letter

https://www.aafp.org/afp/2010/1115/p1167.html

Counseling and Interventions to Prevent Tobacco Use and Tobacco-Caused Disease in ...

Nov 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians ask all adults about tobacco use and provide tobacco cessation interventions for those who use tobacco products.

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

https://www.aafp.org/afp/2010/1115/p1266.html

Management of Influenza - American Family Physician

Nov 1, 2010 - Influenza is a contagious airborne viral illness characterized by abrupt onset of symptoms. Fever, myalgia, headache, rhinitis, sore throat, and cough are commonly reported symptoms. The diagnosis should be made clinically, and the decision to begin antiviral therapy should not be ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1101/p1087.html

The Role of Nonstatin Therapy in Managing Hyperlipidemia - Editorials: Controversies in...

Nov 1, 2010 - When treating hyperlipidemia, physicians often face the question of the clinical value of nonstatin drugs, including bile acid sequestrants, fibrates (fibric acid derivatives), niacin, and cholesterol-absorption inhibitors. This editorial highlights the most prominent trial data and ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1101/p1056.html

For Hyperlipidemia, Go Where the Evidence Takes You: Give a Statin and Nothing Else - ...

Nov 1, 2010 - Only statins have patient-oriented evidence supporting their role in reducing all-cause mortality. The NCEP–ATP III guidelines offer a nine-step approach for reaching target lipid levels, but the application to everyday practice is far simpler: If a patient with hyperlipidemia has ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1101/p1063.html

Obesity in Adults - Clinical Evidence Handbook - American Family Physician

Oct 15, 2010 - What are the effects of drug treatments in adults with obesity? What are the effects of bariatric surgery in adults with morbid obesity?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/1015/p974.html

Tips From Other Journals - American Family Physician

Oct 15, 2010 - ...Background: Carotid artery stenosis causes about 20 percent of strokes in adults. The current treatment is carotid endarterectomy, which has been shown to reduce the risk of stroke and death more effectively than medical therapy. Recently, carotid artery stenting has emerged as a...

American Family Physician : Tip

https://www.aafp.org/afp/2010/1015/p991a.html

Hereditary Hemorrhagic Telangiectasia: Diagnosis and Management - American Family ...

Oct 1, 2010 - Hereditary hemorrhagic telangiectasia is an uncommon autosomal dominant disease that occurs in approximately one in 5,000 to 8,000 persons. This multisystem disorder can affect the nose, skin, gastrointestinal tract, lungs, liver, and brain. Epistaxis is the most common presenting ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p785.html

Counseling Patients About Hormone Therapy and Alternatives for Menopausal Symptoms - ...

Oct 1, 2010 - The results of recent large clinical trials have led physicians and patients to question the safety of menopausal hormone therapy. In the past, physicians prescribed hormone therapy in an attempt to improve overall health and prevent cardiac disease. Hormone therapy appears to increase ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p801.html

Hereditary Hemorrhagic Telangiectasia - American Family Physician

Oct 1, 2010 - ...in the stomach or intestines can cause black or bloody stools or anemia. In the lungs, they can cause shortness of breath and possibly strokes if they become large. There is a higher risk of bleeding during pregnancy. In the brain, abnormal vessels can be dangerous if they bleed....

American Family Physician : Patient Handout

https://www.aafp.org/afp/2010/1001/p797.html

Contraception Choices in Women with Underlying Medical Conditions - American Family ...

Sep 15, 2010 - Primary care physicians often prescribe contraceptives to women of reproductive age with comorbidities. Novel delivery systems (e.g., contraceptive patch, contraceptive ring, single-rod implantable device) may change traditional risk and benefit profiles in women with comorbidities. ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p621.html

Preventive Health: Time for Change - Editorials - American Family Physician

Sep 15, 2010 - It is time to make a decision. Which will be our health promotion strategy—primary prevention or secondary prevention?

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0915/p610.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

Tips From Other Journals - American Family Physician

Sep 15, 2010 - ...mortality, heart failure stage, hospitalization rate, or adverse events, although the lenient ratecontrol group had a lower risk of stroke (hazard ratio = 0.35). There was no difference between the groups in the prevalence of atrial fibrillation symptoms, including palpitations,...

American Family Physician : Tip

https://www.aafp.org/afp/2010/0915/p686.html

Neuropsychological Evaluation in Primary Care - American Family Physician

Sep 1, 2010 - Referring a patient to a neuropsychologist for evaluation provides a level of rigorous assessment of brain function that often cannot be obtained in other ways. The neuropsychologist integrates information from the patient’s medical history, laboratory tests, and imaging studies; an ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0901/p495.html

Dizziness: A Diagnostic Approach - American Family Physician

Aug 15, 2010 - Dizziness accounts for an estimated 5 percent of primary care clinic visits. The patient history can generally classify dizziness into one of four categories: vertigo, disequilibrium, presyncope, or lightheadedness. The main causes of vertigo are benign paroxysmal positional vertigo, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p361.html

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

Global Risk of Coronary Heart Disease: Assessment and Application - American Family ...

Aug 1, 2010 - Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0801/p265.html

Evidence for Global CHD Risk Calculation: Risk Assessment Alone Does Not Change ...

Aug 1, 2010 - To prevent heart attack, stroke, or death, the American Heart Association recommends estimating patients’ absolute risk of having a coronary heart disease (CHD) event in 10 years. Before physicians adopt routine risk calculation, we should use the evidence to determine the best use of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0801/p236.html

Primary Prevention of CVD: Physical Activity - Clinical Evidence Handbook - American ...

Jul 15, 2010 - Does counseling to increase physical activity lead to increased physical activity in healthy persons without existing CVD? What are the health benefits of increasing physical activity in relation to cardiovascular outcomes in healthy persons without existing CVD?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0715/p136.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

Pain In the Quiet (Not Red) Eye - American Family Physician

Jul 1, 2010 - Although eye pain is often accompanied by redness or injection, pain can also occur with a quiet eye. Pain in a quiet eye can be the first sign of a vision-threatening condition, a more benign ophthalmologic condition, or a nonophthalmologic condition. Acute narrow-angle glaucoma is an ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p69.html

Gait and Balance Disorders in Older Adults - American Family Physician

Jul 1, 2010 - Gait and balance disorders are common in older adults and are a major cause of falls in this population. They are associated with increased morbidity and mortality, as well as reduced level of function. Common causes include arthritis and orthostatic hypotension; however, most gait and ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p61.html

Evaluating the Safety and Effectiveness of New Drugs - American Family Physician

Jul 1, 2010 - Prescribers seek to provide their patients with access to the latest innovations in medicine to maximize their health status. When a new drug comes to market, it often has not been as widely tested as other available therapies, and its effectiveness and safety cannot be fully evaluated....

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p53.html

Cyanosis in an Older Woman - Photo Quiz - American Family Physician

Jun 15, 2010 - 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/2010/0615/p1491.html

First-Line Treatment for Hypertension - Cochrane for Clinicians - American Family ...

Jun 1, 2010 - In comparing the effects of thiazide diuretics, beta blockers, angiotensin-converting enzyme (ACE) inhibitors, and calcium channel blockers (CCBs) with placebo, thiazide diuretics lowered mortality and morbidity from stroke, heart attack, and heart failure more than beta blockers.1 ACE ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0601/p1333.html

Hepatitis C: Diagnosis and Treatment - American Family Physician

Jun 1, 2010 - Hepatitis C, a common chronic bloodborne infection, is found in approximately 2 percent of adults in the United States. Chronic infection is associated with serious morbidity and mortality (e.g., cirrhosis, hepatocellular carcinoma). Testing for hepatitis C is recommended for at-risk ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0601/p1351.html

Nursing Home Care: Part II. Clinical Aspects - American Family Physician

May 15, 2010 - Understanding the distinctions between the management of clinical problems in nursing homes compared with the community setting helps improve the overall care of nursing home residents. Liberalizing diets helps avoid unintentional weight loss in nursing home residents, although the use ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0515/p1229.html

Primary Care of Adult Survivors of Childhood Cancer - American Family Physician

May 15, 2010 - There are approximately 300,000 survivors of childhood cancer in the United States, and most of them receive their medical care from primary care physicians. Adult survivors of childhood cancer are at considerable risk of long-term morbidity and mortality beyond the recurrence of their ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0515/p1250.html

Febuxostat (Uloric) for Hyperuricemia and Gout - STEPS - American Family Physician

May 15, 2010 - Febuxostat more effectively lowers serum uric acid to goal levels than does allopurinol; however, this benefit is offset by a slightly higher incidence of adverse effects and treatment discontinuation. Until superiority for patient-oriented outcomes is shown in comparative trials with ...

American Family Physician : STEPS

https://www.aafp.org/afp/2010/0515/p1287.html

Prevention, Recognition, and Management of Serotonin Syndrome - American Family Physician

May 1, 2010 - Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonergic activity in the nervous system. It is characterized by mental status changes, autonomic instability, and neuromuscular hyperactivity. Most reported cases of serotonin syndrome are in patients...

American Family Physician : Article

https://www.aafp.org/afp/2010/0501/p1139.html

Tips From Other Journals - American Family Physician

May 1, 2010 - ...and raloxifene increased the risk of thromboembolism (risk ratio = 1.93 and 1.60, respectively) compared with placebo. Tibolone caused more strokes than placebo (risk ratio = 2.19). Risk of coronary heart disease was not increased with any agent. Tamoxifen also increased the risk of...

American Family Physician : Tip

https://www.aafp.org/afp/2010/0501/p1149.html

Pelvic Organ Prolapse - American Family Physician

May 1, 2010 - ...smelling discharge, problems passing urine or stool, or any change in your ability to take care of the pessary (for instance, if you have a stroke or arthritis). What are Kegel exercises? They are exercises to strengthen the muscles of the pelvis. Your doctor can teach you how to do...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2010/0501/p1119.html

Examining the Heart of Family Medicine: Family History - Editorials - American Family ...

Apr 15, 2010 - ...accompanying table) about screening family history for asthma and allergies (atopic disease); diabetes; major depression and mood disorders; stroke; cardiovascular disease; and five common cancers (breast, ovarian, colorectal, prostate, and lung).3 The panel statement,3 evidence...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0415/p961.html

Diabetes Mellitus: Diagnosis and Screening - American Family Physician

Apr 1, 2010 - Based on etiology, diabetes is classified as type 1 diabetes mellitus, type 2 diabetes mellitus, latent autoimmune diabetes, maturity-onset diabetes of youth, and miscellaneous causes. The diagnosis is based on measurement of A1C level, fasting or random blood glucose level, or oral ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0401/p863.html

Effectiveness of B-Complex Vitamins for Prevention of Cardiovascular Events - Cochrane ...

Apr 1, 2010 - Eight randomized clinical trials that included 24,210 patients did not show a reduction in MI, stroke, or all-cause mortality with B-complex vitamin therapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0401/p850.html

Blood Pressure Treatment Targets for Uncomplicated Hypertension - Cochrane for ...

Apr 1, 2010 - To date, there is no evidence to support treating patients with uncomplicated hypertension to blood pressure goals lower than the standard blood pressure target of less than or equal to 140 to 160/90 to 100 mm Hg. In randomized controlled trials, patients treated to lower blood pressure...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0401/p848.html

Latent Autoimmune Diabetes in Adults - Editorials - American Family Physician

Apr 1, 2010 - ...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 : Editorials

https://www.aafp.org/afp/2010/0401/p843.html

Predicting the Risk of Bleeding in Patients Taking Warfarin - Point-of-Care Guides - ...

Mar 15, 2010 - When considering anticoagulation therapy in patients with atrial fibrillation or venous thromboembolism (VTE), physicians and patients must balance the benefits of anticoagulation with the risk of bleeding, particularly major bleeding complications. For example, in patients who are at ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2010/0315/p780.html

Beta Blockers and Noncardiac Surgery: Why the POISE Study Alone Should Not Change Your ...

Mar 15, 2010 - Should we stop using beta blockers to prevent myocardial infarction in persons undergoing noncardiac surgery? The data remain inconclusive. Although the POISE study is an important contribution to the literature, it uses a protocol that is unrealistic and should not change current ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2010/0315/p717.html

ASCO Updates Guideline on the Use of Pharmacologic Interventions to Reduce Breast ...

Mar 15, 2010 - The American Society of Clinical Oncology's (ASCO) updated guideline addresses: (1) the use of tamoxifen, raloxifene (Evista), aromatase inhibitors, and fenretinide (not available in the United States) versus no pharmacologic intervention to reduce the risk of breast cancer; (2) the ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0315/p799.html

Stress Incontinence - Clinical Evidence Handbook - American Family Physician

Mar 15, 2010 - What are the effects of surgical and nonsurgical treatments for women with stress incontinence?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0315/p773.html

ACC and AHA Update on Chronic Heart Failure Guidelines - Practice Guidelines - American...

Mar 1, 2010 - In 2009, the American College of Cardiology (ACC) and the American Heart Association (AHA) published a focused update of the ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0301/p654.html

Discussing Treatment Options with Patients - Curbside Consultation - American Family ...

Mar 1, 2010 - Sometimes it may seem easier to inject a subacromial bursa or aspirate a knee joint than to engage in shared decision making with your patients about the use of aspirin for coronary artery disease prevention or a PSA test for prostate cancer screening. The path that led to the disparate...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/0301/p645.html

AAFP News - Mar 1, 2010 - American Family Physician

Mar 1, 2010 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2010/0301/p581.html

Management of Erectile Dysfunction - American Family Physician

Feb 1, 2010 - Erectile dysfunction (ED) is the most common sexual problem in men. The incidence increases with age and affects up to one third of men throughout their lives. It causes a substantial negative impact on intimate relationships, quality of life, and self-esteem. History and physical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p305.html

Secondary Prevention of Coronary Artery Disease - American Family Physician

Feb 1, 2010 - Coronary artery disease is the leading cause of mortality in the United States. In patients who have had a myocardial infarction or revascularization procedure, secondary prevention of coronary artery disease by comprehensive risk factor modification reduces mortality, decreases ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p289.html

FDA Boxed Warnings: How to Prescribe Drugs Safely - American Family Physician

Feb 1, 2010 - Boxed warnings, commonly referred to as 'black box' warnings, are issued by the U.S. Food and Drug Administration and featured in the labeling of drugs associated with serious adverse reactions. These safety concerns are typically identified through the Adverse Event Reporting System ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p298.html

Leg Compression and Pharmacologic Prophylaxis for Venous Thromboembolism Prevention in ...

Feb 1, 2010 - Based on high-quality evidence, the Cochrane review showed that combining IPC with pharmacologic prophylaxis was more effective than a single preventative measure for preventing deep venous thrombosis (DVT), and more effective than IPC alone for preventing pulmonary embolism (PE).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0201/p284.html

Erectile Dysfunction - American Family Physician

Feb 1, 2010 - ...nerves and blood vessels in the penis. This allows the penis to fill with blood. Some medical conditions may block these signals, including strokes, spinal injuries, pelvic trauma, Parkinson disease, and multiple sclerosis. Prostate or pelvic surgery, and pelvic nerve damage from...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2010/0201/p313.html

Outdoor Air Pollutants and Patient Health - American Family Physician

Jan 15, 2010 - Almost 160 million persons live in areas of the United States that exceed federal health-based air pollution standards. The two air pollutants that most commonly exceed standards are ozone and particulate matter. Ozone and particulate matter can harm anyone if levels are sufficiently ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0115/p175.html

AAFP News - Jan 15, 2010 - American Family Physician

Jan 15, 2010 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2010/0115/p103.html

Physical Activity Guidelines for Older Adults - American Family Physician

Jan 1, 2010 - Few older adults in the United States achieve the minimum recommended amount of physical activity. Lack of physical activity contributes to many chronic diseases that occur in older adults, including heart disease, stroke, diabetes mellitus, lung disease, Alzheimer disease, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0101/p55.html

Cervical Radiculopathy: Nonoperative Management of Neck Pain and Radicular Symptoms - ...

Jan 1, 2010 - Cervical radiculopathy is a disease process marked by nerve compression from herniated disk material or arthritic bone spurs. This impingement typically produces neck and radiating arm pain or numbness, sensory deficits, or motor dysfunction in the neck and upper extremities. Magnetic ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0101/p33.html

NSAID Prescribing Precautions - American Family Physician

Dec 15, 2009 - Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used, but have risks associated with their use, including significant upper gastrointestinal tract bleeding. Older persons, persons taking anticoagulants, and persons with a history of upper gastrointestinal tract bleeding ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1371.html

Sex-Based Differences in Drug Activity - American Family Physician

Dec 1, 2009 - Physiologic differences between men and women affect drug activity, including pharmacokinetics and pharmacodynamics. Pharmacokinetics in women is affected by lower body weight, slower gastrointestinal motility, less intestinal enzymatic activity, and slower glomerular filtration rate. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1254.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

Catheter Ablation of Supraventricular Arrhythmias and Atrial Fibrilation - American ...

Nov 15, 2009 - Supraventricular arrhythmias are relatively common, often persistent, and rarely life-threatening cardiac rhythm disturbances that arise from the sinus node, atrial tissue, or junctional sites between the atria and ventricles. The term

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1089.html

Screening for Type 2 Diabetes Mellitus in Adults: Recommendation Statement - U.S. ...

Nov 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for type 2 diabetes mellitus in asymptomatic adults with sustained blood pressure (treated or untreated) greater than 135/80 mm Hg.

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

https://www.aafp.org/afp/2009/1115/p1138.html

Screening for Type 2 Diabetes Mellitus in Adults - Putting Prevention into Practice - ...

Nov 15, 2009 - Case study: A 50-year-old woman with a history of hyperlipidemia visits your office for a physical examination. Her blood pressure is 140/82 mm Hg, and her body mass index is 30 kg per m2.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/1115/p1141.html

Correction - Corrections - American Family Physician

Nov 15, 2009 - ...Previous: Is Telmisartan Effective for Stroke Prevention? Next: Family Physicians' Present and Future Role in Caring for Older Patients View the full table of contents >> Home / Journals / afp / Vol. 80/No. 10(November 15, 2009) / Corrections: Correction...

American Family Physician : Corrections

https://www.aafp.org/afp/2009/1115/p1058.html

Tips From Other Journals - American Family Physician

Nov 15, 2009 - ...pioglitazone (Actos)—as a related drug—might also pose similar risks. One study reported a lower incidence of a combined end point of MI, stroke, and cardiovascular mortality with pioglitazone, but did not examine these outcomes individually. Head-to-head comparisons of these two...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1115/p1165.html

Tips From Other Journals - American Family Physician

Nov 15, 2009 - ...trials with at least one year of follow-up were reviewed. Studies were excluded if they included patients with organ transplantation or stroke, or who were receiving corticosteroid therapy. The primary outcome was the relative risk of a nonvertebral or hip fracture in persons...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1115/p1153.html

AAFP News - Nov 15, 2009 - American Family Physician

Nov 15, 2009 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2009/1115/p1039.html

Tips From Other Journals - American Family Physician

Nov 1, 2009 - ...surgery. Outcomes of interest included 30-day all-cause mortality; cardiovascular mortality; nonfatal myocardial infarction (MI); nonfatal stroke; heart failure; and perioperative bradycardia, hypotension, and bronchospasm. Results: Thirty-three trials including 12,306 patients...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1101/p1000a.html

Tips From Other Journals - American Family Physician

Nov 1, 2009 - ...Background: Persons with diabetes or peripheral arterial disease have markedly increased risks of myocardial infarction (MI), stroke, and death. Because aspirin is an effective antiplatelet agent for secondary prevention of cardiovascular events in these populations, its use has...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1101/p1000.html

Tips From Other Journals - American Family Physician

Nov 1, 2009 - ...of age with type 2 diabetes were eligible. Exclusion criteria included known coronary vascular disease; history of stroke, cerebral hemorrhage, or transient ischemic attacks; electrocardiographic changes consistent with ischemia or previous infarct; atrial fibrillation; peripheral...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1101/p997a.html

Recognition and Management of Vitamin D Deficiency - American Family Physician

Oct 15, 2009 - Vitamin D deficiency affects persons of all ages. Common manifestations of vitamin D deficiency are symmetric low back pain, proximal muscle weakness, muscle aches, and throbbing bone pain elicited with pressure over the sternum or tibia. A 25-hydroxyvitamin D level should be obtained ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p841.html

Tips From Other Journals - American Family Physician

Oct 15, 2009 - ...thiazide diuretics were at least as effective as newer drug classes in preventing cardiovascular disease (CVD), including heart failure and stroke, in high-risk patients with hypertension. Wright Jr. and colleagues reevaluated the initial ALLHAT findings in light of subsequent...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1015/p882.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

Tips From Other Journals - American Family Physician

Sep 1, 2009 - ...How Long After Acute Ischemic Stroke Is Alteplase Effective? Am Fam Physician. 2009 Sep 1;80(5):516. Background: Alteplase (Activase) is currently the only approved treatment for acute ischemic stroke. Patients receiving alteplase within three hours of the onset of symptoms were...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0901/p516.html

Acute Coronary Syndrome (Unstable Angina and non-ST Elevation Myocardial Infarction) - ...

Aug 15, 2009 - What are the effects of antiplatelet, antithrombin, anti-ischemic, and lipid-lowering treatments in persons with acute coronary syndrome? What are the effects of invasive treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0815/p383.html

Tips From Other Journals - American Family Physician

Aug 15, 2009 - ...Over nearly 12 years of follow-up, 697 women had a first major ischemic cardiovascular event, including 306 strokes, 301 MIs, and 148 cardiovascular deaths. During follow-up, 647 women underwent coronary revascularization and 412 developed angina. Overall, the risk of a major...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0815/p396.html

Treatment-Resistant Depression - American Family Physician

Jul 15, 2009 - Up to two thirds of patients with major unipolar depression will not respond to the first medication prescribed. Depression may be considered resistant to treatment when at least two trials with antidepressants from different pharmacologic classes (adequate in dose, duration, and ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0715/p167.html

Acute Stroke Diagnosis - American Family Physician

Jul 1, 2009 - Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of ischemic stroke diagnosis. The most common presenting symptoms for ischemic stroke are ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p33.html

Helping Patients Who Drink Too Much: An Evidence-Based Guide for Primary Care ...

Jul 1, 2009 - Excessive alcohol consumption is a leading cause of preventable morbidity and mortality, but few heavy drinkers receive treatment. Primary care physicians are in a position to address heavy drinking and alcohol use disorders with patients, and can do so quickly and effectively. The ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p44.html

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

Symptoms and Signs of Stroke and Transient Ischemic Attack - American Family Physician

Jul 1, 2009 - ...Stroke and Transient Ischemic Attack Am Fam Physician. 2009 Jul 1;80(1):online. See related article on stroke. What are stroke and transient (TRAN-see-ent) ischemic (eh-SKEE-mick) attack? A stroke is like a brain attack. In a heart attack, not enough blood gets to the heart. In a...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2009/0701/p33-s1.html

Practice Parameters for Managing Allergic Rhinitis - Practice Guidelines - American ...

Jul 1, 2009 - The American Academy of Allergy, Asthma & Immunology (AAAAI); the American College of Allergy, Asthma and Immunology (ACAAI); and the Joint Council of Allergy, Asthma and Immunology (JCAAI) have created The Diagnosis and Management of Rhinitis: An Updated Practice Parameter.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0701/p79.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jul 1, 2009 - Although LMWH appears to be more effective than oral anticoagulants in the prevention of recurrent VTE, this does not translate into a survival benefit. LMWH and oral anticoagulants have the same reported adverse events of bleeding and thrombocytopenia.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0701/p30.html

Gestational Diabetes and Nutrition - American Family Physician

Jul 1, 2009 - ...Previous: Symptoms and Signs of Stroke and Transient Ischemic Attack Next: Early Interventions May Prevent Adolescent, Adult Obesity View the full table of contents >> Home / Journals / afp / Vol. 80/No. 1(July 1, 2009) / Gestational Diabetes and Nutrition...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2009/0701/p57-s1.html

Screening for High Blood Pressure: Reaffirmation Recommendation Statement - U.S. ...

Jun 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for high blood pressure in adults 18 years and older.

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

https://www.aafp.org/afp/2009/0615/p1087.html

Treatment of Nursing Home-Acquired Pneumonia - American Family Physician

Jun 1, 2009 - Pneumonia is an important cause of morbidity and mortality in nursing home residents, with 30-day mortality rates ranging from 10 to 30 percent. Streptococcus pneumoniae is the most common cause of nursing home-acquired pneumonia, although Staphylococcus aureus and gram-negative ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p976.html

Vision Loss in Older Persons - American Family Physician

Jun 1, 2009 - Family physicians have an essential role in assessing, identifying, treating, and preventing or delaying vision loss in the aging population. Approximately one in 28 U.S. adults older than 40 years is visually impaired. Vision loss is associated with depression, social isolation, falls,...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p963.html

ACP Releases Guideline on Treatment of Low Bone Mineral Density or Osteoporosis to ...

May 1, 2009 - The American College of Physicians (ACP) recently released guidelines on treatment of low bone mineral density (BMD) or osteoporosis to prevent fractures describes the available evidence on pharmacologic treatment in men and women.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0501/p808.html

Tips From Other Journals - American Family Physician

May 1, 2009 - ...depression; use of antidepressants, selective serotonin reuptake inhibitors, loop diuretics, or calcium channel blockers; history of stroke; and mental status. The average age of participants at baseline was 74 years, and the average A1C level was 7.6 percent; 14 percent of...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0501/p796a.html

Drug Treatments for Polycystic Ovary Syndrome - American Family Physician

Apr 15, 2009 - Polycystic ovary syndrome is a condition present in approximately 5 to 10 percent of women of childbearing age. Diagnosis can be difficult because the signs and symptoms can be subtle and varied. These may include hirsutism, infertility, menstrual irregularities, and biochemical ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p671.html

Evaluating and Understanding Articles About Treatment - American Family Physician

Apr 15, 2009 - Each year physicians must decide which of the thousands of newly published articles they will take time to read. To determine which articles are the most clinically useful, physicians should assess their relevance, validity, and clinical importance. Using these criteria can drastically ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p668.html

Alcohol Misuse - Clinical Evidence Handbook - American Family Physician

Apr 15, 2009 - What are the effects of interventions in hazardous or harmful drinkers in the primary care and emergency department settings?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0415/p692.html

Green Tea: Potential Health Benefits - American Family Physician

Apr 1, 2009 - Green tea has been used widely and in high doses for centuries as a health tonic in many societies. Evidence suggests that green tea is effective for treating genital warts. There is some supportive evidence for the use of green tea in cancer prevention. Drinking green tea is associated...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p591.html

Epididymitis and Orchitis: An Overview - American Family Physician

Apr 1, 2009 - Epididymitis and orchitis are commonly seen in the outpatient setting. Men between 14 and 35 years of age are most often affected, and Chlamydia trachomatis and Neisseria gonorrhoeae are the most common pathogens in this age group. In other age groups, coliform bacteria are the primary ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p583.html

Diets for Cardiovascular Disease Prevention: What Is the Evidence? - American Family ...

Apr 1, 2009 - Patients often initiate commercial dietary plans to reduce obesity and prevent cardiovascular disease. Such plans include very low-carbohydrate, low-carbohydrate, very low-fat, and Mediterranean diets. Published evidence on several popular diets has made it easier for physicians to ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p571.html

Chronic Neck Pain - Photo Quiz - American Family Physician

Apr 1, 2009 - 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/2009/0401/p595.html

Tips From Other Journals - American Family Physician

Apr 1, 2009 - ...primary composite outcome examined whether combination therapy would reduce mortality from cardiovascular causes, myocardial infarction, or stroke; or hospitalization for heart failure. Results: A total of 25,577 patients were followed for a median of 56 months, or until a primary...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0401/p601.html

Treatment of the Post-ICU Patient in an Outpatient Setting - American Family Physician

Mar 15, 2009 - The care of a patient in the intensive care unit extends well beyond his or her hospitalization. Evaluation of a patient after leaving the intensive care unit involves a review of the hospital stay, including principal diagnosis, exposure to medications, period spent in the intensive ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0315/p459.html

Health-Related Concerns of the Female Athlete: A Lifespan Approach - American Family ...

Mar 15, 2009 - Exercise is beneficial for women of all ages and is associated with long-term health benefits and enhanced well-being. Nevertheless, active women and girls are at risk for conditions resulting from sports and exercise participation. Because of their unique physiology, children are more ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0315/p489.html

Excessive Daytime Sleepiness - American Family Physician

Mar 1, 2009 - Excessive daytime sleepiness is one of the most common sleep-related patient symptoms, and it affects an estimated 20 percent of the population. Persons with excessive daytime sleepiness are at risk of motor vehicle and work-related incidents, and have poorer health than comparable ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p391.html

Tips From Other Journals - American Family Physician

Mar 1, 2009 - ...Results: The control group (281 participants) included significantly more persons with a history of stroke than the intervention group (280 participants), but the groups did not differ significantly in any other variable. The average participant reported 33 pack-years of smoking,...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0301/ot1.html

Tips From Other Journals - American Family Physician

Mar 1, 2009 - ...coronary angiography and PCI were eligible for the study. They were excluded if they had unstable angina, recent myocardial infarction or stroke, bleeding disorders, or severe liver disease, or were receiving anticoagulation therapy. Participants were randomly assigned to one of the...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0301/p409a.html

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