An Open Letter to All the Health Plans That Keep Sending Me Letters -- FPM
Apr 1, 2010 - How helpful are all those letters you receive from health plans? Not very, says this family physician.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2010/0300/p52.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
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
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
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
Five Communication Strategies to Promote Self-Management of Chronic Illness -- FPM
Oct 1, 2009 - How you communicate with your patients can enhance - or inhibit - their ability to manage their chronic illnesses.
Family Practice Management : Articles
https://www.aafp.org/fpm/2009/0900/p12.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
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
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
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
Routine Aspirin or Nonsteroidal Anti-inflammatory Drugs for the Primary Prevention of ...
Feb 15, 2009 - Case study: B.L., a 37-year-old Asian man, comes to your office for a physical examination. He mentions that he started taking a daily aspirin because he heard that it would reduce his risk of heart attack and colorectal cancer.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2009/0215/p325.html
Tips From Other Journals - American Family Physician
Feb 15, 2009 - ...that this reduction could have significant clinical impact because the early-morning surge is also associated with increased risk of stroke and intracerebral hemorrhage. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access...
American Family Physician : Tip
https://www.aafp.org/afp/2009/0215/ot2.html
Aspirin in Patients with Actue Ischemic Stroke - FPIN's Clinical Inquiries - American ...
Feb 1, 2009 - Aspirin in a daily dose of 160 to 300 mg initiated within 48 hours of symptom onset results in a net decrease in morbidity and mortality caused by acute ischemic stroke, based on a systematic review), regardless of the availability of computed tomography (CT).
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2009/0201/p226.html
The Limping Child: A Systematic Approach to Diagnosis - American Family Physician
Feb 1, 2009 - Deviations from a normal age-appropriate gait pattern can be caused by a wide variety of conditions. In most children, limping is caused by a mild, self-limiting event, such as a contusion, strain, or sprain. In some cases, however, a limp can be a sign of a serious or even ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0201/p215.html
Diagnosis and Treatment of Osteoporosis - American Family Physician
Feb 1, 2009 - Osteoporosis affects approximately 8 million women and 2 million men in the United States. The associated fractures are a common and preventable cause of morbidity and mortality in up to 50 percent of older women. The U.S. Preventive Services Task Force recommends using dual energy ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0201/p193.html
Osteoporosis - American Family Physician
Feb 1, 2009 - ...Previous: Aspirin in Patients with Actue Ischemic Stroke Next: Preconception Care Should Be Vital Issue for Both Sexes View the full table of contents >> Home / Journals / afp / Vol. 79/No. 3(February 1, 2009) / Osteoporosis...
American Family Physician : Patient Handout
https://www.aafp.org/afp/2009/0201/p201.html
Screening for Carotid Artery Stenosis - Putting Prevention into Practice - American ...
Jan 15, 2009 - Case study: K.A. is a 63-year-old man who presents for a routine wellness examination. His blood pressure and cholesterol level are within normal limits, and he has no history of tobacco use or heart disease.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2009/0115/p95.html
Management of Blood Glucose in Type 2 Diabetes Mellitus - American Family Physician
Jan 1, 2009 - Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0101/p29.html
Lifestyle Changes to Manage Type 2 Diabetes - American Family Physician
Jan 1, 2009 - ...You can improve your overall health, lower your blood sugar levels, and lower your chance of having a heart attack or stroke by changing your diet and activities. Here are a few things you can do to stay as healthy as possible after you've been diagnosed with type 2 diabetes....
American Family Physician : Patient Handout
https://www.aafp.org/afp/2009/0101/p42.html
Pharmacologic Management of Hypertension in Patients with Diabetes - American Family ...
Dec 1, 2008 - Hypertension is a common comorbidity in patients with diabetes, and adequate control of blood pressure significantly reduces the risk of macrovascular and microvascular complications. Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg. The use of ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1201/p1277.html
Recent Advances in Radiation Therapy - American Family Physician
Dec 1, 2008 - Recent advances have improved the effectiveness, decreased the complications, and expanded the implications of radiation therapy. These advances include three-dimensional conformal radiation therapy, intensity-modulated radiation therapy, stereotactic radiotherapy, brachytherapy, and ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1201/p1254.html
Evaluation and Management of Delirium in Hospitalized Older Patients - American Family ...
Dec 1, 2008 - Delirium is common in hospitalized older patients and may be a symptom of a medical emergency, such as hypoxia or hypoglycemia. It is characterized by an acute change in cognition and attention, although the symptoms may be subtle and usually fluctuate throughout the day. This ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1201/p1265.html
Coding From the Bottom Up -- FPM
Dec 1, 2008 - Start from the presenting problem to get to the right code faster.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/1100/p22.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
Fatigue: An Overview - American Family Physician
Nov 15, 2008 - Fatigue, a common presenting symptom in primary care, negatively impacts work performance, family life, and social relationships. The differential diagnosis of fatigue includes lifestyle issues, physical conditions, mental disorders, and treatment side effects. Fatigue can be classified...
American Family Physician : Article
https://www.aafp.org/afp/2008/1115/p1173.html
Tips From Other Journals - American Family Physician
Nov 15, 2008 - ...those who were referred. These differencesincluded older age; more women; morecongestive heart failure, coronary artery bypass grafts, strokes, or ischemic attacks;worse Killip class status at presentation;lower incidence of ST-segment depression;and positive cardiac marker status....
American Family Physician : Tip
https://www.aafp.org/afp/2008/1115/ot2.html
Tips From Other Journals - American Family Physician
Nov 15, 2008 - ...diabetes. Participants with diabetesalso achieved significant reductions in majorcoronary events, coronary revascularization, and stroke. In subgroup analysis, the reductionsin vascular events were similar betweenparticipants with diabetes who had vasculardisease or hypertension,...
American Family Physician : Tip
https://www.aafp.org/afp/2008/1115/ot1.html
Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents - ...
Nov 1, 2008 - Obesity continues to be a growing public health problem. According to the 2003-2004 National Health and Nutrition Examination Survey, 17 percent of persons two to 19 years of age are overweight. The number of obese children and adolescents has tripled in the past 20 years. Obesity in ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1101/p1052.html
Tips From Other Journals - American Family Physician
Nov 1, 2008 - ...increase because of the aging population and increasing diagnosis of the condition. Patients with atrial fibrillation have increased risk of stroke, heart failure, and all-cause mortality. An expert consortium conducted an evidence-based review to update quality-of-care performance...
American Family Physician : Tip
https://www.aafp.org/afp/2008/1101/ot1.html
Tips From Other Journals - American Family Physician
Nov 1, 2008 - ...factors in at least three of the 28 focus areas of Healthy People 2010, including nutrition and overweight; diabetes; and heart disease and stroke.2-A.C.F. References 1. U.S. Department of Health and Human Services and the U.S. Department of Agriculture. Dietary Guidelines for...
American Family Physician : Tip
https://www.aafp.org/afp/2008/1101/ot2.html
Tips From Other Journals - American Family Physician
Oct 15, 2008 - ...to determine the diagnosis of a cardiovascular event, defined as myocardial infarction, coronary insufficiency, angina, stroke, transient ischemic attacks, peripheral claudication, or heart failure. Results: The mean level of 25-hydroxyvitamin D was 19.7 ng per mL (50 nmol per L)....
American Family Physician : Tip
https://www.aafp.org/afp/2008/1015/ot1.html
Promoting Oral Health: The Family Physicians' Role - Editorials - American Family ...
Oct 1, 2008 - ...early childhood. Adults often seek medical care because of oral pain, and periodontal disease has been linked to premature birth, diabetes, stroke, and heart disease. In this issue of American Family Physician, Gonsalves and colleagues point out that older adults are at risk of oral...
American Family Physician : Editorials
https://www.aafp.org/afp/2008/1001/p814.html
Tips From Other Journals - American Family Physician
Oct 1, 2008 - ...forms of double-vessel disease; or less extensive forms of triple-vessel disease to evaluate survival, cardiovascular complications (e.g., stroke, myocardial infarction), freedom from angina, and need for revascularization. The Study: Studies between January 1966 and August 2006...
American Family Physician : Tip
https://www.aafp.org/afp/2008/1001/ot3.html
Aortic Stenosis: Diagnosis and Treatment - American Family Physician
Sep 15, 2008 - Aortic stenosis is the most important cardiac valve disease in developed countries, affecting 3 percent of persons older than 65 years. Although the survival rate in asymptomatic patients with aortic stenosis is comparable to that in age- and sex-matched control patients, the average ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0915/p717.html
Refractory Focal Seizures with Progressive Weakness in the Right Limbs - Photo Quiz - ...
Sep 15, 2008 - 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/2008/0915/p761.html
Tips From Other Journals - American Family Physician
Sep 15, 2008 - ...panic attacks in the previous six months. The presence of depression, other health conditions, and a history of coronary heart disease, stroke, or hypertension was also recorded at baseline. The health status of each patient was monitored annually by questionnaire, clinical data,...
American Family Physician : Tip
https://www.aafp.org/afp/2008/0915/ot1.html
Tips From Other Journals - American Family Physician
Sep 15, 2008 - ...statin therapy was associated with significant reductions in myocardial infarction, coronary death, major cardiovascular events, and stroke in patients following acute coronary syndromes and in those with chronic CAD. Intensive statin therapy was not associated with a significantly...
American Family Physician : Tip
https://www.aafp.org/afp/2008/0915/p768.html
AAFP News - Sep 15, 2008 - American Family Physician
Sep 15, 2008 - Selected policy and health issues news briefs from AAFP News Now.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2008/0915/p693.html
Health Maintenance for Postmenopausal Women - American Family Physician
Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0901/p583.html
A New Approach to Making Your Doctor-Nurse Team More Productive -- FPM
Aug 1, 2008 - With proper training and delegation, your team can see more patients, deliver better care and feel more satisfied at work.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/0700/p35.html
AAFP News - Aug 1, 2008 - American Family Physician
Aug 1, 2008 - Selected policy and health issues news briefs from AAFP News Now.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2008/0801/p303.html
Geriatric Screening and Preventive Care - American Family Physician
Jul 15, 2008 - Preventive health care decisions and recommendations become more complex as the population ages. The leading causes of death (i.e., heart disease, malignant neoplasms, cerebrovascular disease, and chronic lower respiratory disease) among older adults mirror the actual causes of death ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0715/p206.html
AHA Releases Guidelines for Hypertension Management in Adults with or at Risk of CAD - ...
Jul 15, 2008 - The American Heart Association (AHA) Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention have released guidelines on the management of hypertension in adults with or at risk of coronary artery disease (CAD).
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2008/0715/p270.html
Screening Instruments for Depression - Point-of-Care Guides - American Family Physician
Jul 15, 2008 - Although depression is common in the primary care setting, accurate identification of these patients is challenging. A variety of screening instruments for depression have been developed and validated. They range from relatively lengthy and complex instruments, such as the 21-item Beck ...
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2008/0715/p244.html
Tips From Other Journals - American Family Physician
Jul 15, 2008 - ...use and quality of care for adults admitted to the hospital for pneumonia, exacerbation of chronic obstructive pulmonary disease, ischemic stroke, chest pain, acute myocardial infarction, heart failure, or urinary tract infection. They compared length of stay, cost, in-hospital...
American Family Physician : Tip
https://www.aafp.org/afp/2008/0715/p262.html
AAFP News - Jul 15, 2008 - American Family Physician
Jul 15, 2008 - Selected policy and health issues news briefs from AAFP News Now.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2008/0715/p173.html
AAFP News - Jul 1, 2008 - American Family Physician
Jul 1, 2008 - Selected policy and health issues news briefs from AAFP News Now.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2008/0701/p17.html