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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

Beta Blockers Compared with Other Drug Options for the Treatment of Hypertension - ...

Feb 1, 2018 - Although beta blockers seem to have a positive impact on patient-oriented evidence that matters in patients with hypertension, they appear to be inferior when compared with other medications.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0201/od1.html

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

...death, nonfatal MI, or nonfatal stroke. Addi- tional outcomes included hospitalization, revascularization procedures, and cardiovas- cular disease-related and all-cause mortality. Outcomes are reported using a propensity score analysis consisting of paired compari- sons between...

American Family Physician

https://www.aafp.org/afp/2013/0301/afp20130301p373.pdf

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

Better Primary Care Continuity Is Associated with Lower Mortality Risk - POEMs - ... Restricted content. Login required.

Mar 1, 2021 - Most studies in this systematic review found a protective effect of greater primary care continuity and all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p311a.html

Bipolar Disorders: A Review

...Neurologic disease: complex partial seizures, Huntington chorea, migraine headache, multiple sclerosis, neoplasm, stroke, traumatic brain injury, Wilson disease Vitamin deficiency: B12, folate, niacin, thiamine Adapted with permission from Family Practice Notebook. Mania sec-...

American Family Physician

https://www.aafp.org/afp/2012/0301/afp20120301p483.pdf

Bipolar Disorders: A Review - American Family Physician

Mar 1, 2012 - Bipolar disorders are common, disabling, recurrent mental health conditions of variable severity. Onset is often in late childhood or early adolescence. Patients with bipolar disorders have higher rates of other mental health disorders and general medical conditions. Early recognition ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p483.html

Bipolar Disorders: Evaluation and Treatment - American Family Physician Restricted content. Login required.

Feb 15, 2021 - Bipolar disorders are common, recurrent mental health conditions of variable severity that are difficult to diagnose. Affected individuals have higher rates of other mental health disorders, substance use disorders, and comorbid chronic medical illnesses. New diagnostic criteria and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0215/p227.html

Birth Control: What You Should Know - American Family Physician

May 1, 2015 - ...if you smoke, talk with your doctor about birth control that has estrogen in it. These conditions may increase your risk of blood clots and stroke. Condoms are the only birth control method that decreases your risk of getting a sexually transmitted infection. Condoms can be used...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2015/0501/p625-s1.html

Blood Pressure Goal of 140 to 150 mm Hg Is Best for Patients with Diabetes - POEMs - ...

Jul 1, 2016 - Although most recent practice guidelines have relaxed the blood pressure goals for patients with diabetes, there are still a few holdouts that suggest aggressive treatment. This analysis shows that the ideal range for hypertension control in patients with diabetes is between 140 and 150...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0701/p59a.html

Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease - ...

Sep 1, 2018 - Achieving a target BP of 135/85 mm Hg or less does not decrease the risk of total cardiovascular events vs. treating to a target of 140 to 160/90 to 100 mm Hg. Further, treating to the lower BP target does not improve total mortality, cardiovascular mortality, or serious adverse effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p276.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

Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications ... Restricted content. Login required.

Jul 1, 2020 - Millions of units of blood products are transfused annually to patients in the United States. Red blood cells are transfused to improve oxygen-carrying capacity in patients with or at high risk of developing symptomatic anemia. Restrictive transfusion thresholds with lower hemoglobin ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p30.html

Blunt Trauma in Pregnancy - American Family Physician

Oct 1, 2004 - Trauma is the most common cause of nonobstetric death among pregnant women in the United States. Motor vehicle crashes, domestic violence, and falls are the most common causes of blunt trauma during pregnancy. All pregnant patients with traumatic injury should be assessed formally in a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1303.html

Blunt Trauma in Pregnancy - American Family Physician

...nant woman is supine. This compression can cause a decrease of up to 30 mm Hg in maternal systolic blood pressure, a 30 percent decrease in stroke volume,24 and a consequent decrease in uterine blood flow.22 Manual deflection of the uterus laterally or placement of the patient in...

American Family Physician

https://www.aafp.org/afp/2004/1001/afp20041001p1303.pdf

Book Reviews - Physician's Bookshelf - American Family Physician

Jun 1, 1998 - ...of thrombolytics in acute stroke is covered in overview fashion in the section on experimental therapies , not reflecting recent U.S. Food and Drug Administration approval of recombinant tissue plasminogen activator (rt-PA) for use in acute ischemic stroke. The use of intramuscular...

American Family Physician : Physician's Bookshelf

https://www.aafp.org/afp/1998/0601/p2899.html

Book Reviews - Physician's Bookshelf - American Family Physician

Apr 1, 1999 - ...Blood Clots and Strokes: A Guide for Parents and Little Folks By Maureen Andrew. Pp. 40. Price, $6.95. Decker, 4 Hughson St. S, P.O. Box 620, LCD1, Hamilton, Ontario, L8N 3K7 Canada, 1998. Clinician's Handbook of Preventive Services By the Agency for Health Care Policy and Research....

American Family Physician : Physician's Bookshelf

https://www.aafp.org/afp/1999/0401/p2035.html

Book Reviews - Physician's Bookshelf - American Family Physician

May 1, 1999 - ...Slow Dance: A Story of Stroke, Love and Disability By Bonnie Sherr Klein. Pp. 321. Price, $24.95. Page Mill Press, 2716 Ninth St., Berkeley, CA 94710, 1998. Under the Fig Leaf By Angelo S. Paola. Pp. 318. Price, $14.95. Health Information Press, 4727 Wilshire Blvd., #300, Los...

American Family Physician : Physician's Bookshelf

https://www.aafp.org/afp/1999/0501/p2661.html

Bridging Anticoagulation in Patients with Atrial Fibrillation Associated with More ...

Sep 1, 2015 - This study provides more evidence that bridging in patients with nonvalvular atrial fibrillation does not improve outcomes, and is actually associated with a higher risk of bleeding complications and cardiovascular events.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0901/p398.html

Bridging Warfarin Before Colonoscopy in Patients with Atrial Fibrillation - FPIN's ...

Apr 15, 2019 - A limited number of trials that examined the risk of temporary interruption of anticoagulation before a variety of procedures did not find a reduction in the risk of stroke, but they did show an increased risk of bleeding events and venous thromboembolism (VTE) in patients who were ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0415/p519.html

Brief Cognitive Testing in the Detection and Diagnosis of Clinical Alzheimer-Type ... Restricted content. Login required.

Feb 1, 2021 - In adults with suspected cognitive impairment, what is the utility of brief cognitive testing in detecting clinical Alzheimer-type dementia and distinguishing it from mild cognitive impairment or normal cognition?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0201/p183.html

Calcium Channel Antagonists: Morbidity and Mortality - What's the Evidence? - American ...

Apr 1, 1998 - Recent studies have shown an association between the use of calcium channel antagonists for the treatment of hypertension and an increased risk of myocardial infarction, gastrointestinal hemorrhage and cancer. The interpretation of the results of these studies and their application to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1551.html

Can Vitamins Help with Heart Disease? - American Family Physician

Sep 1, 1999 - ...A stroke caused by a blood clot, carotid artery disease or surgery Blocked arteries in your legs High levels of LDL cholesterol or triglycerides (another kind of cholesterol) High blood pressure Tobacco use How much should I take? Are there side effects? Doctors don't know the ideal...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1999/0901/p903.html

Cardiovascular Disease: What You Should Know - American Family Physician

Oct 15, 2006 - ...caused by age and unhealthy habits, like smoking. They also can run in families. Having CVD makes you more likely to have a heart attack or stroke. In the United States, more than 10 times as many women die from CVD as from breast cancer. How can I tell if I have CVD? You may not...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/1015/p1342.html

Cardiovascular Effects of NSAIDs - FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2014 - Aspirin does not elevate blood pressure. Among nonselective NSAIDs, ibuprofen increases the risk of hypertension and stroke. Diclofenac does not increase the risk of hypertension, but does increase the risk of stroke. Naproxen (Naprosyn) does not increase the risk of hypertension or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0815/od2.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

Cardiovascular Risk Profiling in Blacks: Don't Forget the Lipids - Editorials - ...

Nov 1, 1998 - ...Are these data surprising? For some of us, the answer is yes —we tend to focus on stroke risk in blacks and the linear association with hypertension. Indeed, many of us overlook other risk factors—particularly lipid disorders—because we learned from the National Health and Nutrition...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1101/p1541.html

Cardiovascular Risks of Combined Oral Contraceptive Use

...involving more than 1,200 women evaluated the effect of hypertension on stroke in those who used OCs.1 When comparing women with hypertension who used OCs with those who did not, the pooled odds ratio (OR) for stroke was 9.82 (95% confidence interval [CI], 6.97 to 13.84). In...

American Family Physician

https://www.aafp.org/afp/2012/1215/afp20121215od4.pdf

Care of the College Student

...Stimulant Hypertension, tachycardia, anosmia, rhinorrhea, bloody nose, paranoia, stroke, seizures Flunitrazepam (Rohypnol) Roofies, rophies, roche, Mexican valium, forget- me pill Pill (taken orally or ground up and snorted) Central nervous system depressant Sedation,...

American Family Physician

https://www.aafp.org/afp/2013/1101/afp20131101p596.pdf

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

Care of the Homeless: An Overview

...Exposure: heat-related illness Heat cramps, heat exhaustion, heat stroke Cooling, fluids, transport to hospital Mental health and cognitive problems Alcohol- and drug-related problems, traumatic brain injury, learning disabilities Ready access to mental health services,...

American Family Physician

https://www.aafp.org/afp/2014/0415/afp20140415p634.pdf

Care of the Homeless: An Overview - American Family Physician

Apr 15, 2014 - Homelessness affects men, women, and children of all races and ethnicities. On any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p634.html

Caregiver Care

...skills-training, and therapeutic counseling interventions for caregivers of patients with chronic conditions such as dementia, cancer, stroke, and heart failure have shown small to moderate success in decreasing caregiver burden and increasing caregiver quality of life. Further...

American Family Physician

https://www.aafp.org/afp/2011/0601/afp20110601p1309.pdf

Caregiver Care - American Family Physician

Jun 1, 2011 - In 2009, nearly 66 million Americans (three in 10 U.S. households) reported at least one person providing unpaid care as a family caregiver. More adults with chronic conditions and disabilities are living at home than ever before, and family caregivers have an even higher level of ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1309.html

Caregiver Care - American Family Physician

Jun 1, 2019 - Eighty percent of adults requiring long-term care currently live at home in the community, and unpaid family caregivers provide 90% of their care. Family caregivers serve as a critical extension of the U.S. health care system, and the demand for family caregivers is expected to increase...

American Family Physician : Article

https://www.aafp.org/afp/2019/0601/p699.html

Caring for Hispanic Patients

...Latino culture has several normative values that must be recognized in clinical settings. These include simpa- tía (kindness), personalismo (friendliness), and respeto (respect).25 Simpatía emphasizes politeness and conflict avoidance. Personalismo, a personal connection, can be...

American Family Physician

https://www.aafp.org/afp/2013/0101/afp20130101p48.pdf

Caring for Older Family Members with Depression

...home for care may be more likely to be depressed. It is also more common in people who have brain conditions, like Alzheimer disease or a stroke. How is it diagnosed? If you have an older family member who may have depression, it is important for him or her to see a doctor. The...

American Family Physician

https://www.aafp.org/afp/2011/1115/afp20111115p1155.pdf

Caring for Older Family Members with Depression - American Family Physician

Nov 15, 2011 - ...home for care may be more likely to be depressed. It is also more common in people who have brain conditions, like Alzheimer disease or a stroke. How is it diagnosed? If you have an older family member who may have depression, it is important for him or her to see a doctor. The...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/1115/p1155.html

Caring for Patients After Bariatric Surgery - American Family Physician

Apr 15, 2006 - Bariatric surgery leads to sustainable long-term weight loss and may be curative for such obesity-related comorbidities as diabetes and obstructive sleep apnea in severely obese patients. The Roux-en-Y gastric bypass has become the most common procedure for patients undergoing bariatric...

American Family Physician : Article

https://www.aafp.org/afp/2006/0415/p1403.html

Caring for Transgender and Gender-Diverse Persons: What Clinicians Should Know - ...

Dec 1, 2018 - Persons whose experienced or expressed gender differs from their sex assigned at birth may identify as transgender. Transgender and gender-diverse persons may have gender dysphoria (i.e., distress related to this incongruence) and often face substantial health care disparities and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1201/p645.html

Carpal Tunnel Syndrome - American Family Physician

Apr 15, 2011 - ...Previous: AHA/ASA Guidelines on Prevention of Recurrent Stroke Next: Subclinical Hyperthyroidism: What It Means to You View the full table of contents >> Home / Journals / afp / Vol. 83/No. 8(April 15, 2011) / Carpal Tunnel Syndrome...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0415/p965.html

Case Report: Posterior Reversible Encephalopathy Syndrome - Letters to the Editor - ...

Dec 15, 2005 - ...important therapeutic implications because of its potential reversibility. Clinical findings can mimic neuroradiologic conditions such as stroke and vasculitis.4 Clinical and neuroradiologic features are typically indistinguishable among cases of PRES, regardless of the underlying...

American Family Physician : Letter

https://www.aafp.org/afp/2005/1215/p2430.html

Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...

Dec 1, 2020 - ...commonly headache, anosmia, and ageusia—in addition to the more well-recognized respiratory findings. Other manifestations include stroke, impairment of consciousness, coma, seizure, and encephalopathy.1 An early case series from Wuhan, China, identified neurologic features in 78 of...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p645.html

Cates Plot for Risks and Benefits of Aspirin Chemoprevention - Letters to the Editor - ...

Sep 15, 2011 - ...therapy: approximately eight men will have gastrointestinal bleeding from aspirin use, and approximately one person would have a hemorrhagic stroke.1 Although this kind of simultaneous portrayal of potential benefits and risks has been described,2 we found no evidence of the...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0915/p602a.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

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

CDC Releases Report on Prevalence of Adult Obesity - Practice Guidelines - American ...

Jun 15, 2007 - The Centers for Disease Control and Prevention (CDC) found that the prevalence of obesity in adults increased significantly from 1995 to 2005 in all states, based on data from the 1995, 2000, and 2005 Behavioral Risk Factor Surveillance System surveys.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0615/p1885.html

CDC Updates Guidelines on Diagnosis and Treatment of Sexually Transmitted Diseases

...Clinical signs of neurosyphilis include cranial nerve dys- function, meningitis, stroke, altered mental status, loss of vibration sense, and auditory or ophthalmic abnormali- ties. Cerebrospinal fluid (CSF) abnormalities are com- mon in persons with early syphilis. The Venereal...

American Family Physician

https://www.aafp.org/afp/2011/0701/afp20110701p123.pdf

CDC Updates Guidelines on Diagnosis and Treatment of Sexually Transmitted Diseases - ...

Jul 1, 2011 - The Centers for Disease Control and Prevention (CDC) recently updated its guidelines on the treatment of sexually transmitted diseases (STDs). The new guidelines focus on treatment, but also discuss prevention strategies and diagnostic recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0701/p123.html

CEA vs. Stenting: Mixed Results, Mostly Bad - POEMs - American Family Physician

Jul 1, 2015 - These two randomized trials, one with short-term outcomes and the other with five-year outcomes, demonstrate that carotid artery stenting results in more frequent strokes (clinical and radiographically detected) than carotid endarterectomy (CEA). However, the rate of fatal and disabling...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0701/p52.html

Cerebral Palsy in Children: What You Should Know - American Family Physician

Jan 1, 2006 - ...National Institute of Neurological Disorders and Stroke Web site:http://www.ninds.nih.gov Telephone: 1-800-352-9424 TTY (teletypewriter): 301-468-5981 Easter Seals Web site:http://www.easterseals.com Telephone: 1-800-221-6827 TTY: 312-726-4258 E-mail:...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/0101/p101.html

Cerebrospinal Fluid Analysis - American Family Physician

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

American Family Physician : Article

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

Cervical Cancer - Clinical Evidence Handbook - American Family Physician

Jun 15, 2012 - What are the effects of interventions to prevent cervical cancer? What are the effects of interventions to manage early-stage cervical cancer? What are the effects of additional interventions to manage bulky early-stage cervical cancer?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/0615/p1186.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

Cervical Spondylotic Myelopathy: A Common Cause of Spinal Cord Dysfunction in Older ...

Sep 1, 2000 - Cervical spondylotic myelopathy is the most common cause of spinal cord dysfunction in older persons. The aging process results in degenerative changes in the cervical spine that, in advanced stages, can cause compression of the spinal cord. Symptoms often develop insidiously and are ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1064.html

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

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

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

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

Chlorthalidone Vs. Hydrochlorothiazide for Treatment of Hypertension

December 1, 2015 Clinical Inquiries

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1015.pdf

Chlorthalidone vs. Hydrochlorothiazide for Treatment of Hypertension - FPIN's Help Desk...

Dec 1, 2015 - Chlorthalidone produces slightly greater reductions in blood pressure compared with hydrochlorothiazide (HCTZ), but it is associated with greater declines in serum potassium levels. Chlorthalidone lowers the risk of cardiovascular events about 18% more than HCTZ at the same achieved ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2015/1201/p1015.html

Cholesterol - American Family Physician

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

American Family Physician : Patient Handout

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

Cholesterol Management: ACC/AHA Updates Guideline - Practice Guidelines - American ...

May 1, 2019 - The American College of Cardiology/American Heart Association (ACC/AHA) task force on clinical practice guidelines has updated its 2013 cholesterol guideline.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0501/p589.html

Cholesterol Treatment Guidelines Update -- American Family Physician

...1. American Heart Association. Heart and stroke sta- tistical update. Dallas: American Heart Association, 1997. 2. Levine GN, Keaney JF Jr., Vita JA. Cholesterol reduction in cardiovascular disease. Clinical bene- fits and possible mechanisms. N Engl J Med 1995; 332:512-21....

American Family Physician

https://www.aafp.org/afp/2002/0301/afp20020301p871.pdf

Chondroitin/Glucosamine Equal to Celecoxib for Knee Osteoarthritis - POEMs - American ...

Jun 15, 2016 - or patients with painful knee osteoarthritis, a high-dose combination of glucosamine hydrochloride (1,500 mg) and chondroitin (1,200 mg) was as effective in lessening pain and stiffness and improving function as celecoxib (200 mg). Other studies have not found benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0615/p1032.html

Choosing Between Warfarin (Coumadin) and Aspirin Therapy for Patients with Atrial ...

Jun 15, 2005 - Pooled data from randomized trials show that warfarin reduces the risk of stroke from 4.5 percent to 1.4 percent per year in patients with nonvalvular atrial fibrillation and no history of stroke or transient ischemic attack (TIA).

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0615/p2348.html

Choosing Drug Therapy for Patients with Hyperlipidemia - American Family Physician

Jun 1, 2000 - Almost 13 million American adults require drug therapy to meet the low-density lipoprotein goals set by the National Cholesterol Education Program. Attempts to achieve these goals through diet and exercise are often unsuccessful. Major studies in recent years have demonstrated that ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0601/p3371.html

Choosing First-Line Therapy for Management of Type 2 Diabetes - AFP Journal Club - ...

Jan 1, 2008 - Which controls type 2 diabetes best at five years: rosiglitazone, metformin, or glyburide? Metformin should be the first-line drug for managing type 2 diabetes. Insulin and sulfonylureas should be second line, and glitazones should be reserved for third line.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0101/p16.html

Choosing Wisely: Avoid CT of the head in asymptomatic adult patients in the emergency ...

Avoid CT of the head in asymptomatic adult patients in the emergency department with syncope, insignificant trauma, and a normal neurological evaluation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=222

Choosing Wisely: Avoid transfusions of red blood cells for arbitrary hemoglobin or ...

Avoid transfusions of red blood cells for arbitrary hemoglobin or hematocrit thresholds and in the absence of symptoms or active coronary disease, heart failure, or stroke.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=31

Choosing Wisely: Avoid use of ultrasound for routine surveillance of carotid arteries ...

Avoid use of ultrasound for routine surveillance of carotid arteries in the asymptomatic healthy population at any time.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=237

Choosing Wisely: Don’t initiate antihypertensive treatment in individuals ≥ 60 years of...

Don’t initiate antihypertensive treatment in individuals ≥ 60 years of age for systolic blood pressure < 150 mm Hg or diastolic blood pressure < 90 mm Hg.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=267

Choosing Wisely: Don’t initiate routine evaluation of carotid artery disease prior to ...

Don’t initiate routine evaluation of carotid artery disease prior to cardiac surgery in the absence of symptoms or other high-risk criteria.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=86

Choosing Wisely: Don’t order continuous telemetry monitoring outside of the intensive ...

Don’t order continuous telemetry monitoring outside of the intensive care unit without using a protocol that governs continuation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=11

Choosing Wisely: Don’t order formal swallow evaluation in stroke patients unless they ...

Don’t order formal swallow evaluation in stroke patients unless they fail their initial swallow screen.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=325

Choosing Wisely: Don’t perform CT imaging for headache when MRI is available, except in...

Don’t perform CT imaging for headache when MRI is available, except in emergency settings.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=158

Choosing Wisely: Don’t routinely order a screening ECG as part of a sports ...

Don’t routinely order a screening ECG as part of a sports preparticipation examination in asymptomatic, otherwise healthy patients with no personal or family history of cardiac disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=452

Choosing Wisely: Don’t routinely screen for brain aneurysms in asymptomatic patients ...

Don’t routinely screen for brain aneurysms in asymptomatic patients without a family or personal history of brain aneurysms, subarachnoid hemorrhage, or genetic disorders that may predispose to aneurysm formation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=208

Choosing Wisely: Don’t routinely use seizure prophylaxis in patients following ischemic...

Don’t routinely use seizure prophylaxis in patients following ischemic stroke.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=209

Choosing Wisely: Don’t screen for carotid artery stenosis in asymptomatic adult ...

Don’t screen for carotid artery stenosis in asymptomatic adult patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=68

Choosing Wisely: Don’t use antipsychotics as first choice to treat behavioral and ...

Don’t use antipsychotics as first choice to treat behavioral and psychological symptoms of dementia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=26

Choosing Wisely: More Good Clinical Recommendations - American Family Physician

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

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/search.htm

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

Choosing Wisely: Top Interventions to Improve Health and Reduce Harm, While Lowering Costs

...All statins are effective in decreasing mortality, heart attacks, and strokes when dose is titrated to effect appropriate LDL cholesterol reduction Switch to more expensive brand-name statins (atorvastatin [Lipitor] or rosuvastatin [Crestor]) only if generic statins cause...

American Family Physician

https://www.aafp.org/afp/2012/0715/afp20120715p128.pdf

Choosing Wisely: Top Interventions to Improve Health and Reduce Harm, While Lowering ...

Jul 15, 2012 - Initially sponsored by nine medical specialty societies, the campaign consists of specialty-specific top-five lists of common tests and procedures that are often performed unnecessarily, when they are not likely to improve a patient's health. The primary focus of the campaign is to ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0715/p128.html

choosing-wisely-table.pdf

...with ischemic stroke. Stroke. 2007;38(5):1655-711. ACC/AHA guidelines Cardio- vascular Don't perform routine annual stress testing after coronary artery revascularization. Society of Nuclear Medicine and Molecular Imaging Routine annual stress...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/choosing-wisely-table.pdf

Chronic Atrial Fibrillation

...most common presenting symptoms of chronic atrial fibrillation are palpitations, shortness of breath, fatigue, chest pain, diz- ziness, and stroke. Incidence and Prevalence Atrial fibrillation carries an overall population prevalence of 0.5 to 1 percent, and an incidence of 0.54...

American Family Physician

https://www.aafp.org/afp/2012/1015/afp20121015p757.pdf

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

Chronic Critical Limb Ischemia: Diagnosis, Treatment and Prognosis - American Family ...

Apr 1, 1999 - Chronic critical limb ischemia is manifested by pain at rest, nonhealing wounds and gangrene. Ischemic rest pain is typically described as a burning pain in the arch or distal foot that occurs while the patient is recumbent but is relieved when the patient returns to a position in which...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1899.html

Chronic Daily Headache: Diagnosis and Management

...Hemorrhagic stroke Presence of systemic symptoms (i.e., weight loss, fevers, myalgias) Giant cell arteritis, meningitis, encephalitis Recent pregnancy Postpartum preeclampsia Information from references 3 and 6. Table 3. Secondary Causes of Headache Type Examples...

American Family Physician

https://www.aafp.org/afp/2014/0415/afp20140415p642.pdf

Chronic Daily Headache: Diagnosis and Management - American Family Physician

Apr 15, 2014 - Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. If a red flag for a secondary cause of headache is present, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p642.html

Chronic Illness and Sexual Functioning - American Family Physician

Jan 15, 2003 - Chronic illness and its treatments can have a negative impact on sexual functioning. The mechanism of interference may be neurologic, vascular, endocrinologic, musculoskeletal, or psychologic. Patients may mistakenly perceive a medical prohibition to the resumption of sexual activity, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p347.html

Chronic Kidney Disease - American Family Physician

Nov 15, 2004 - ...Previous: Risk of Recurrent Stroke with Patent Foramen Ovale and Atrial Septal Aneurysm Next: Hyperbaric Oxygen to Treat Malignant External Otitis View the full table of contents >> Home / Journals / afp / Vol. 70/No. 10(November 15, 2004) / Chronic Kidney Disease...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2004/1115/p1929.html

Chronic Kidney Disease: Detection and Evaluation - American Family Physician

Nov 15, 2011 - Chronic kidney disease affects an estimated 27 million adults in the United States, and is associated with significantly increased risk of cardiovascular disease and stroke. Patients should be assessed annually to determine whether they are at increased risk of developing chronic kidney...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1138.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

Chronic Neck Pain: Nonpharmacologic Treatment - Implementing AHRQ Effective Health Care...

Aug 1, 2019 - Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain for at least one month?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0801/p180.html

Chronic Sinusitis: Saline Irrigation Helps Somewhat; Steroid Does Not Add More Benefit ...

Feb 1, 2019 - This study showed that patients with chronic rhinosinusitis who continue to use a saline nasal wash (NeilMed) will often experience an improvement in symptoms that can be clinically meaningful, but the addition of the corticosteroid budesonide has yet to show an extra benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188.html

Clarification for Apixaban Dosing in Patients with Impaired Renal Function - Letters to...

Apr 15, 2018 - ...(anti–factor Xa activity) data.2,3 The dosing the authors list in Table 1 is most similar to dosing guidelines for reduction of the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. However, t hat recommendation requires an adjustment to the...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0415/p496.html

Classification of Tremor and Update on Treatment - American Family Physician

Mar 15, 1999 - Tremor is a symptom of many disorders, including Parkinson's disease, essential tremor, orthostatic tremor, cerebellar disease, peripheral neuropathy and alcohol withdrawal. Tremors may be classified as postural, rest or action tremors. Symptomatic treatment is tailored to the tremor ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1565.html

Clincal Briefs - Clinical Briefs - American Family Physician

Nov 1, 1998 - ...has been approved by the U.S. Food and Drug Administration. Pravastatin is now approved for use in reducing the risk of stroke or transient ischemic attacks (TIAs) in patients who have had a previous myocardial infarction and have normal cholesterol levels. In 1996, pravastatin was...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1998/1101/p1688.html

Clinical Briefs - Apr 1, 2001 - American Family Physician

Apr 1, 2001 - ...an expanded indication for ramipril (Altace) to reduce the risk of stroke, myocardial infarction and death from cardiovascular causes in patients 55 years and older with a history of coronary artery disease, stroke or peripheral vascular disease, or with diabetes and one other...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2001/0401/p1433.html

Clinical Briefs - Apr 1, 2002 - American Family Physician

Apr 1, 2002 - ...with substantial morbidity and mortality. Persons with diabetes have increased rates of death from heart disease, and increased risk of stroke, blindness, and renal disease. Morbidity and mortality from diabetes can best be minimized through primary prevention. The Task Force has...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/0401/p1468.html

Clinical Briefs - Apr 15, 2002 - American Family Physician

Apr 15, 2002 - ...toxin-A include spasmodic torticollis, focal hand dystonia, spasmodic dysphonia, dynamic contracture in patients with cerebral palsy, post-stroke spasticity myofascial pain syndrome, and chronic low-back pain. The FDA has already approved botulinum toxin-A for the treatment of...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/0415/p1690.html

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